Cited by 44Attention Deficit Hyperactivity DisorderAdvanced Neuroimaging Techniques and ApplicationsDevelopmental and Educational Neuropsychology

Unique white matter microstructural patterns in ADHD presentations—a diffusion tensor imaging study

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Svatkova, Alena, Nestrasil, Igor, Rudser, Kyle, Goldenring Fine, Jodene, Bledsoe, Jesse, Semrud‐Clikeman, Margaret·2016·Human Brain Mapping

Abstract

Attention-deficit/hyperactivity disorder predominantly inattentive (ADHD-PI) and combined (ADHD-C) presentations are likely distinct disorders that differ neuroanatomically, neurochemically, and neuropsychologically. However, to date, little is known about specific white matter (WM) regions differentiating ADHD presentations. This study examined differences in WM microstructure using diffusion tensor imaging (DTI) data from 20 ADHD-PI, 18 ADHD-C, and 27 typically developed children. Voxel-wise analysis of DTI measurements in major fiber bundles was carried out using tract-based spatial statistics (TBSS). Clusters showing diffusivity abnormalities were used as regions of interest for regression analysis between fractional anisotropy (FA) and neuropsychological outcomes. Compared to neurotypicals, ADHD-PI children showed higher FA in the anterior thalamic radiations (ATR), bilateral inferior longitudinal fasciculus (ILF), and in the left corticospinal tract (CST). In contrast, the ADHD-C group exhibited higher FA in the bilateral cingulum bundle (CB). In the ADHD-PI group, differences in FA in the left ILF and ATR were accompanied by axial diffusivity (AD) abnormalities. In addition, the ADHD-PI group exhibited atypical mean diffusivity in the forceps minor (FMi) and left ATR and AD differences in right CB compared to healthy subjects. Direct comparison between ADHD presentations demonstrated radial diffusivity differences in FMi. WM clusters with FA irregularities in ADHD were associated with neurobehavioral performance across groups. In conclusion, differences in WM microstructure in ADHD presentations strengthen the theory that ADHD-PI and ADHD-C are two distinct disorders. Regions with WM irregularity seen in both ADHD presentations might serve as predictors of executive and behavioral functioning across groups. Hum Brain Mapp 37:3323-3336, 2016. © 2016 Wiley Periodicals, Inc.

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  • Increased FA has been reported in the cingulum bundle in 'combined' but not 'inattentive' types of ADHD.

    “as increased FA has been reported in the cingulum bundle in ‘combined’ but not ‘inattentive’ types of ADHD (Svatkova et al., 2016; Table 2).”

    From The cingulum bundle: Anatomy, function, and dysfunction (2018) · cites this paper as Svatkova et al., 2016

  • The lack of reliable cingulum bundle changes in ADHD may relate to the need to separate different subtypes of ADHD.

    “The lack of reliable cingulum bundle changes may relate to the need to separate different subtypes of ADHD”

    From The cingulum bundle: Anatomy, function, and dysfunction (2018) · cites this paper as Svatkova et al., 2016

  • Emerging evidence suggests that the ADHD inattentive and ADHD combined subtypes in children may be different disorders based on their unique WM microstructure.

    “In addition, emerging evidence suggests that the ADHD inattentive and ADHD combined subtypes in children may be different disorders based on their unique WM microstructure [78], which was not taken into consideration in this study.”

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Research works printed but not linked: 2

  1. Jones DK Knösche TR Turner R 2012 White matter integrity, fiber count, and other fallacies: The do's and don'ts of diffusion MRI Neuroimage 22846632
  2. Semrud-Clikeman M Pliszka SR Bledsoe J Lancaster J 2014 Volumetric MRI Differences in Treatment Naive and Chronically Treated Adolescents With ADHD-Combined Type J Atten Disord 18 511 520 22653807

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Authors
Svatkova, A., Nestrasil, I., Rudser, K., Goldenring Fine, J., Bledsoe, J., & Semrud‐Clikeman, M.
Affiliations
  • Department of Pediatrics University of Minnesota Minneapolis Minnesota
  • University of Minnesota (US)
  • Department of Counseling, Educational Psychology, and Special Education Michigan State University East Lansing Michigan
  • University of Washington (US)
Venue
Human Brain Mapping
Publisher
Wiley
Published
2016-05-09
Volume
37
Issue
9
Pages
3323-3336
ISSN
  • 1065-9471 (ISSN-L)
  • 1097-0193
OpenAlex
W2363465074
Cited by
44
References
91
Citations by year
2026: 1 · 2025: 4 · 2023: 5 · 2022: 7 · 2021: 6 · 2020: 7 · 2019: 5 · 2018: 6 · 2017: 3
FWCI
4.15
Type
journal article
Language
en
Open access
Locations
  • Human Brain Mapping (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Center for Advancing Translational Sciences of the National Institutes of Health Award (UL1TR000114)
  • Ministry of Education, Youth and Sports of the Czech Republic (CEITEC 2020 (LQ1601))
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
  • Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Advanced Neuroimaging Techniques and Applications
  • Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Developmental and Educational Neuropsychology
Keywords
attention deficit hyperactivity disorder, white matter microstructure, fractional anisotropy, anterior thalamic radiation, inferior longitudinal fasciculus, corticospinal tract, cingulum, forceps minor, axial diffusivity, radial diffusivity, executive function, children
MeSH terms
Attention Deficit Disorder with Hyperactivity, Brain, Brain Mapping, Child, Female, Humans, Image Interpretation, Computer-Assisted, Male, Neural Pathways, Neuropsychological Tests, Diffusion Tensor Imaging, White Matter

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