Functional Decoding and Meta-analytic Connectivity Modeling in Adult Attention-Deficit/Hyperactivity Disorder
Open accessAbstract
Background Task-based functional magnetic resonance imaging (fMRI) studies of adult attention-deficit/hyperactivity disorder (ADHD) have revealed various ADHD-related dysfunctional brain regions, with heterogeneous findings across studies. Here, we used novel meta-analytic data-driven approaches to characterize the function and connectivity profile of ADHD-related dysfunctional regions consistently detected across studies. Methods We first conducted an activation likelihood estimation meta-analysis of 24 task-based fMRI studies in adults with ADHD. Each ADHD-related dysfunctional region resulting from the activation likelihood estimation meta-analysis was then analyzed using functional decoding based on ~7500 fMRI experiments in the BrainMap database. This approach allows mapping brain regions to functions not necessarily tested in individual studies, thus suggesting possible novel functions for those regions. Additionally, ADHD-related dysfunctional regions were clustered based on their functional coactivation profiles across all the experiments stored in BrainMap (meta-analytic connectivity modeling). Results ADHD-related hypoactivation was found in the left putamen, left inferior frontal gyrus (pars opercularis), left temporal pole, and right caudate. Functional decoding mapped the left putamen to cognitive aspects of music perception/reproduction and the left temporal lobe to language semantics; both these regions clustered together on the basis of their meta-analytic functional connectivity. Left inferior gyrus mapped to executive function tasks; right caudate mapped to both executive function tasks and music-related processes. Conclusions Our study provides meta-analytic support to the hypothesis that, in addition to well-known deficits in typical executive functions, impairment in processes related to music perception/reproduction and language semantics may be involved in the pathophysiology of adult ADHD.
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A meta-analysis of 24 task-related fMRI studies reported hypoactivation in the left putamen, inferior frontal gyrus, temporal pole, and right caudate of individuals with ADHD.
“A meta-analysis of 24 task-related fMRI studies coupled with functional decoding based on the BrainMap database reported hypoactivation in the left putamen, inferior frontal gyrus, temporal pole, and right caudate of individuals with ADHD (204).”
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Self-citationPractical recommendations to conduct a neuroimaging meta-analysis for neuropsychiatric disorders
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- Authors
- Cortese, S., Castellanos, F. X., Eickhoff, C. R., D’Acunto, G., Masi, G., Fox, P. T., Laird, A. R., & Eickhoff, S. B.
- Affiliations
- NYU Langone Health (US)
- Nathan Kline Institute for Psychiatric Research (US)
- Forschungszentrum Jülich (DE)
- The University of Texas at San Antonio Health Science Center (US)
- Florida International University (US)
- Corresponding author
- Cortese, Samuele
- ORCID
- Venue
- Biological Psychiatry
- Publisher
- Elsevier BV
- Published
- 2016-12
- Volume
- 80
- Issue
- 12
- Pages
- 896-904
- ISSN
- 0006-3223 (ISSN-L)
- PMC
- PMC5108674
- OpenAlex
- W2463441912
- Cited by
- 43
- References
- 28
- Citations by year
- 2026: 4 · 2025: 6 · 2024: 5 · 2023: 5 · 2022: 4 · 2021: 5 · 2020: 3 · 2019: 4 · 2018: 6 · 2016: 1
- FWCI
- 0.53
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Biological Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- ePrints Soton (University of Southampton) (submittedVersion)
- RWTH Publications (RWTH Aachen) (submittedVersion)
- Funders
- H. Lundbeck A/S
- National Institute of Mental Health (R01MH074457, R01MH083246)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Life Sciences › Neuroscience › Cognitive Neuroscience › Functional Brain Connectivity Studies
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Keywords
- adult ADHD, meta-analytic connectivity modeling, activation likelihood estimation, putamen, caudate nucleus, inferior frontal gyrus, temporal pole, music perception, language semantics, executive function, brain dysfunction
- MeSH terms
- Adult, Attention Deficit Disorder with Hyperactivity, Cerebral Cortex, Humans, Magnetic Resonance Imaging, Neostriatum, Connectome
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