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In long-term schizophrenia, reduced white matter structural integrity revealed by diffusion imaging in left arcuate fasciculus (connecting Broca\u2019s and Wernicke\u2019s areas) is likely related to AH. The structural integrity of connections with putamen and their relation to AH are unknown. Little is known about this relationship in first-episode psychosis (FEP), although auditory transcallosal connections were reported to play a role. White matter in the Broca\u2019s-Wernicke\u2019s-putamen language-related circuit and auditory transcallosal fibers was examined to investigate associations with AH in FEP.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>White matter connectivity was measured in 40 FEP and 32 matched HC using generalized fractional anisotropy (gFA) derived from diffusion spectrum imaging (DSI).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>FEP and HC did not differ in gFA in any fiber bundle. In FEP, AH severity was significantly inversely related to gFA in auditory transcallosal fibers and left arcuate fasciculus. Although the right hemisphere arcuate fasciculus-AH association did not attain significance, the left and right arcuate fasciculus associations were not significantly different.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Despite overall normal gFA in FEP, AH severity was significantly related to gFA in transcallosal auditory fibers and the left hemisphere connection between Broca\u2019s and Wernicke\u2019s areas. Other bilateral tracts\u2019 gFA were weakly associated with AH. At the first psychotic episode, AH are more robustly associated with left hemisphere arcuate fasciculus and interhemispheric auditory fibers microstructural deficits, likely reflecting mistiming of information flow between language-related cortical centers.<\/jats:p><\/jats:sec>","DOI":"10.1093\/schbul\/sbaa105","type":"journal-article","created":{"date-parts":[[2020,7,16]],"date-time":"2020-07-16T03:54:11Z","timestamp":1594871651000},"page":"149-159","source":"Crossref","is-referenced-by-count":22,"title":["White Matter Microstructural Abnormalities in the Broca\u2019s-Wernicke\u2019s-Putamen \u201cHoffman Hallucination Circuit\u201d and Auditory Transcallosal Fibers in First-Episode Psychosis With Auditory Hallucinations"],"prefix":"10.1093","volume":"47","author":[{"given":"Dean F","family":"Salisbury","sequence":"first","affiliation":[{"name":"Clinical Neurophysiology Research Laboratory, Western Psychiatric Hospital, University of Pittsburgh School of Medicine, Pittsburgh, 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