Towards an individualised neural assessment of receptive language in children

PurposeWe aimed to develop a non-invasive neural test of language comprehension to use with non-speaking children for whom standard behavioural testing is unreliable (e.g., minimally-verbal autism). Our aims were three-fold. First, we sought to establish the sensitivity of two auditory paradigms to elicit neural responses in individual neurotypical children. Second, we aimed to validate the use of a portable and accessible electroencephalography (EEG) system, by comparing its recordings to those of a research-grade system. Third, in light of substantial inter-individual variability in individuals neural responses, we assessed whether multivariate decoding methods could improve sensitivity. MethodsWe tested the sensitivity of two child-friendly covert N400 paradigms. Thirty-one typically developing children listened to identical spoken words that were either strongly predicted by the preceding context or violated lexical-semantic expectations. Context was given by a cue word (Experiment 1) or sentence frame (Experiment 2) and participants either made an overall judgement on word relatedness or counted lexical-semantic violations. We measured EEG concurrently from a research-grade system, Neuroscans SynAmps2, and an adapted gaming system, Emotivs EPOC+. ResultsWe found substantial inter-individual variability in the timing and topology of N400-like effects. For both paradigms and EEG systems, traditional N400 effects at the expected sensors and time points were statistically significant in around 50% of individuals. Using multivariate analyses, detection rate increased to 88% of individuals for the research-grade system in the sentences paradigm, illustrating the robustness of this method in the face of inter-individual variations in topography. ConclusionsThere was large inter-individual variability in neural responses, suggesting inter-individual variation in either the cognitive response to lexical-semantic violations, and/or the neural substrate of that response. Around half of our neurotypical participants showed the expected N400 effect at the expected location and time point. A low-cost, accessible EEG system provided comparable data for univariate analysis but was not well suited to multivariate decoding. However, multivariate analyses with a research-grade EEG system increased our detection rate to 88% of individuals. This approach provides a strong foundation to establish a neural index of language comprehension in children with limited communication.