Concordance of Lateralization Index for Brain Asymmetry Applied to Identify a Reliable Language Task

How can we determine which language task is relevant for examining functional hemispheric asymmetry? A problem in measuring brain asymmetry using functional magnetic resonance imaging lies in the uncertain reliability of the computed index regarding the “true” asymmetry degree. Strictly speaking, the results from the Wada test or direct cortical stimulation cannot be an exact “ground truth”, specifically for the degree of asymmetry. Therefore, we developed a method to evaluate task performance using reproducibility independent of the phenomenon of functional lateralization. Kendall’s coefficient of concordance (W) was used as the statistical measure. The underlying idea was that although various algorithms to compute the lateralization index show considerably different index values for the same data, a superior language task would reproduce similar individual ranking sequences across the algorithms; the high reproducibility of rankings across various index types would indicate a reliable task to investigate functional asymmetry regardless of index computation algorithms. Consequently, we found specificity for brain locations; a verb-generation task demonstrated the highest concordance across index types along with sufficiently high index values in the inferior frontal gyrus, whereas a narration–listening task demonstrated the highest concordance in the posterior temporo-parietal junction area