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Quantitative Brain Magnetic Resonance Imaging in Attention-Deficit Hyperactivity Disorder
Abstract
BACKGROUND: Anatomic magnetic resonance imaging (MRI) studies of attention-deficit hyperactivity disorder (ADHD) have been limited by small samples or measurement of single brain regions. Since the neuropsychological deficits in ADHD implicate a network linking basal ganglia and frontal regions, 12 subcortical and cortical regions and their symmetries were measured to determine if these structures best distinguished ADHD. METHODS: Anatomic brain MRIs for 57 boys with ADHD and 55 healthy matched controls, aged 5 to 18 years, were obtained using a 1.5-T scanner with contiguous 2-mm sections. Volumetric measures of the cerebrum, caudate nucleus, putamen, globus pallidus, amygdala, hippocampus, temporal lobe, cerebellum; a measure of prefrontal cortex; and related right-left asymmetries were examined along with midsagittal area measures of the cerebellum and corpus callosum. Interrater reliabilities were .82 or greater for all MRI measures. RESULTS: Subjects with ADHD had a 4.7% smaller total cerebral volume (P = .02). Analysis of covariance for total cerebral volume demonstrated a significant loss of normal right > left asymmetry in the caudate (P = .006), smaller right globus pallidus (P = .005), smaller right anterior frontal region (P = .02), smaller cerebellum (P = .05), and reversal of normal lateral ventricular asymmetry (P = .03) in the ADHD group. The normal age-related decrease in caudate volume was not seen, and increases in lateral ventricular volumes were significantly diminished in ADHD. CONCLUSION: This first comprehensive morphometric analysis is consistent with hypothesized dysfunction of right-sided prefrontal-striatal systems in ADHD.
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“several (Berquin et al., 1998; Castellanos et al., 1996; Castellanos, 2001; Castellanos et al., 2002a; Hill et al., 2003), but not all (Durston et al., 2004; Filipek et al., 1997; Hynd et al., 1990; Mostofsky et al., 2002), studies report reduced whole brain size in children with ADHD.”
From The influences of environmental enrichment, cognitive enhancement, and physical exercise on brain development: Can we alter the developmental trajectory of ADHD? (2011) · cites this paper as Castellanos et al., 1996
In the citing paper
“Studies have noted reduced volume in several parts of the cerebellum in ADHD (Castellanos et al., 2002a; Castellanos et al., 1996; Durston et al., 2004; Posner & Petersen, 1990) as well as posterior cortical anomalies (Durston et al., 2004; Filipek et al., 1997; Sowell et al., 2003).”
From The influences of environmental enrichment, cognitive enhancement, and physical exercise on brain development: Can we alter the developmental trajectory of ADHD? (2011) · cites this paper as Castellanos et al., 1996
In the citing paper
“Numerous structural MRI studies have reported smaller regions in the prefrontal cortex (PFC) of youth with ADHD (Castellanos et al., 1996; Castellanos et al., 2002a; Durston et al., 2004; Filipek et al., 1997; Hynd, Semrud-Clikeman, Lorys, Novey, & Eliopulos, 1990; Kates et al., 2002; Mostofsky, Cooper, Kates, Denckla, & Kaufmann, 2002; Sowell et al., 2003).”
From The influences of environmental enrichment, cognitive enhancement, and physical exercise on brain development: Can we alter the developmental trajectory of ADHD? (2011) · cites this paper as Castellanos et al., 1996
In the citing paper
“Earlier mental disorder onset shapes brain development (e.g., (123)) and relates to self-injurious behaviors (1).”
From Neural correlates associated with suicide and nonsuicidal self-injury in youth (2021) · cites this paper as [123]
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“All others correspond to P P 0.06. lum volume in ADHD subjects [2] [41].”
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Metadata
- Authors
- Castellanos, F. X.
- Affiliations
- National Institute of Mental Health (US)
- Corresponding author
- Castellanos, F. Xavier
- Venue
- Archives of General Psychiatry
- Publisher
- American Medical Association (AMA)
- Published
- 1996-07-01
- Volume
- 53
- Issue
- 7
- Pages
- 607
- ISSN
- 0003-990X (ISSN-L)
- OpenAlex
- W2097559385
- Cited by
- 1,183
- References
- 102
- Citations by year
- 2026: 7 · 2025: 14 · 2024: 4 · 2023: 14 · 2022: 11 · 2021: 11 · 2020: 20 · 2019: 21 · 2018: 18 · 2017: 19 · 2016: 31 · 2015: 37 · 2014: 40 · 2013: 39 · 2012: 52
- FWCI
- 25.66
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Archives of General Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Keywords
- attention deficit hyperactivity disorder, brain volumetry, brain volume, caudate nucleus, globus pallidus, cerebellum, corpus callosum, lateral ventricle, hemispheric lateralization, basal ganglia, children, brain structure
- MeSH terms
- Adolescent, Age Factors, Attention Deficit Disorder with Hyperactivity, Basal Ganglia, Body Height, Body Weight, Brain, Caudate Nucleus, Cerebellum, Cerebral Ventricles, Child, Child, Preschool, Frontal Lobe, Globus Pallidus, Humans, Intelligence Tests, Functional Laterality, Magnetic Resonance Imaging, Male, Discriminant Analysis, Prefrontal Cortex
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