Diffusion Tensor Imaging Study of White Matter Fiber Tracts in Pediatric Bipolar Disorder and Attention-Deficit/Hyperactivity Disorder
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Background To investigate microstructure of white matter fiber tracts in pediatric bipolar disorder (PBD) and attention-deficit/hyperactivity disorder (ADHD).Methods A diffusion tensor imaging (DTI) study was conducted at 3 Tesla on age- and IQ-matched children and adolescents with PBD (n = 13), ADHD (n = 13), and healthy control subjects (HC) (n = 15). Three DTI parameters, fractional anisotropy (FA), apparent diffusion coefficient (ADC), and regional fiber coherence index (r-FCI), were examined in eight fiber tracts: anterior corona radiata (ACR), anterior limb of the internal capsule (ALIC), superior region of the internal capsule (SRI), posterior limb of the internal capsule (PLIC), superior longitudinal fasciculus (SLF), inferior longitudinal fasciculus (ILF), cingulum (CG), and splenium (SP).Results Significantly lower FA was observed in ACR in both PBD and ADHD relative to HC. In addition, FA and r-FCI values were significantly lower in ADHD relative to PBD and HC in both the ALIC and the SRI. Further, ADC was significantly greater in ADHD relative to both the PBD and HC in ACR, ALIC, PLIC, SRI, CG, ILF, and SLF.Conclusions Decreased FA in ACR implies an impaired fiber density or reduced myelination in both PBD and ADHD in this prefrontal tract. These abnormalities, together with the reduced fiber coherence, extended to corticobulbar tracts in ADHD. Increased ADC across multiple white matter tracts in ADHD indicates extensive cellular abnormalities with less diffusion restriction in ADHD relative to PBD.
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In ADHD, reduced FA in the cingulum is sometimes, but not consistently, reported.
“highlight the variable pattern of changes in which reduced FA in the cingulum is sometimes, but not consistently, reported (Makris et al., 2007; Pavuluri et al., 2009; Chiang et al., 2016; Table 2).”
From The cingulum bundle: Anatomy, function, and dysfunction (2018) · cites this paper as Pavuluri et al., 2009
Structural characteristics of the anterior cingulate have been found to be related to self-regulation in a number of neurodevelopmental conditions.
“its structural characteristics have been found to be related to self-regulation in a number of neurodevelopmental conditions (9–13, 32, 50, 51).”
From Multimodal imaging of the self-regulating developing brain (2012) · cites this paper as [9]
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- Authors
- Pavuluri, M. N., Yang, S., Kamineni, K., Passarotti, A. M., Srinivasan, G., Harral, E. M., Sweeney, J. A., & Zhou, X. J.
- Affiliations
- University of Illinois Chicago (US)
- Corresponding author
- Pavuluri, Mani N.
- Venue
- Biological Psychiatry
- Publisher
- Elsevier BV
- Published
- 2009-04
- Volume
- 65
- Issue
- 7
- Pages
- 586-593
- ISSN
- 0006-3223 (ISSN-L)
- PMC
- PMC2677389
- OpenAlex
- W2079253225
- Cited by
- 246
- References
- 67
- Citations by year
- 2026: 2 · 2025: 5 · 2024: 3 · 2023: 8 · 2022: 11 · 2021: 7 · 2020: 9 · 2019: 6 · 2018: 6 · 2017: 13 · 2016: 18 · 2015: 17 · 2014: 25 · 2013: 34 · 2012: 27
- FWCI
- 14.12
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Biological Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Dana Foundation
- National Institutes of Health (K23 RR18638-01)
- Topics
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Advanced Neuroimaging Techniques and Applications
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
- Keywords
- pediatric bipolar disorder, attention deficit hyperactivity disorder, white matter microstructure, white matter tracts, fractional anisotropy, apparent diffusion coefficient, internal capsule, superior longitudinal fasciculus, inferior longitudinal fasciculus, cingulum, splenium, myelination, corticobulbar tract
- MeSH terms
- Adolescent, Attention Deficit Disorder with Hyperactivity, Bipolar Disorder, Brain, Female, Humans, Male, Nerve Fibers, Myelinated, Neural Pathways, Case-Control Studies, Diffusion Magnetic Resonance Imaging
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