Schizophrenia, a devastating psychiatric illness with onset in the late teens to early 20s, is thought to involve disrupted brain connectivity. Functional and structural disconnections of cortical networks may underlie various cognitive deficits, including a substantial reduction in the speed of information processing in schizophrenia patients compared with controls. Myelinated white matter supports the speed of electrical signal transmission in the brain. To examine possible neuroanatomical sources of cognitive deficits, we used a comprehensive diffusion-weighted imaging (DWI) protocol and characterized the white matter diffusion signals using diffusion kurtosis imaging (DKI) and permeability-diffusivity imaging (PDI) in patients (n = 74), their nonill siblings (n = 41), and healthy controls (n = 113). Diffusion parameters that showed significant patient-control differences also explained the patient-control differences in processing speed. This association was also found for the nonill siblings of the patients. The association was specific to processing-speed abnormality but not specific to working memory abnormality or psychiatric symptoms. Our findings show that advanced diffusion MRI in white matter may capture microstructural connectivity patterns and mechanisms that govern the association between a core neurocognitive measureprocessing speed-and neurobiological deficits in schizophrenia that are detectable with in vivo brain scans. These non-Gaussian diffusion white matter metrics are promising surrogate imaging markers for modeling cognitive deficits and perhaps, guiding treatment development in schizophrenia.diffusion-weighted imaging | schizophrenia | processing speed | cognitive deficits | endophenotypes A lthough pharmaceutical interventions alleviate clinical symptoms, such as delusions and hallucinations, for some patients, schizophrenia remains a debilitating illness, often times leading to long-term disabilities and severe cognitive deficits (1). Discovering the underlying neurobiology behind these core cognitive deficits in schizophrenia patients may present a viable strategy to identify biomarkers for supporting pathophysiology and comprehensive treatment research. Two decades of research have implicated impaired brain connectivity as a source of functional disability in schizophrenia (1, 2). Delayed information processing is one of the most robust cognitive deficits (3, 4) and may contribute to other cognitive impairments in working memory and executive function (4-6).Myelinated axons in the brain's white matter (WM) support its functionality by propagating electric signal transmissions through saltatory conductance (7,8). Reports of WM abnormalities in patients with schizophrenia are common and include reduced fractional anisotropy (FA) of water diffusion measured by diffusion tensor imaging (DTI) MRI (9-11) as well as reduced axonal myelin levels and glial cell density in postmortem brain studies (12)(13)(14). Identifying the key WM microstructural properties that explain the patient-control...