Global and regional gray matter reductions in ADHD: A voxel-based morphometric study
Abstract
Attention deficit hyperactivity disorder (ADHD) is a developmental disorder characterized by inattentiveness, motor hyperactivity and impulsivity. According to neuroimaging data, the neural substrate underlying ADHD seems to involve fronto-striatal circuits and the cerebellum. However, there are important discrepancies between various studies, probably due to the use of different techniques. The aim of this study is to examine cerebral gray (GM) and white (WM) matter abnormalities in a group of ADHD children using a voxel-based morphometry protocol. The sample consisted of 25 children/adolescents with DSM-IV TR diagnosis of ADHD (medicated, aged 6-16 years) who were compared with 25 healthy volunteer children/adolescents. ADHD brains on an average showed a global volume decrease of 5.4% as compared to controls. Additionally, there were regionally specific effects in the left fronto-parietal areas (left motor, premotor and somatosensory cortex), left cingulate cortex (anterior/middle/posterior cingulate), parietal lobe (precuneus bilaterally), temporal cortices (right middle temporal gyrus, left parahippocampal gyrus), and the cerebellum (bilateral posterior). There were no differences in WM volume between ADHD children and control subjects. The results are consistent with previous studies that used different techniques, and may represent a possible neural basis for some of the motor and attentional deficits commonly found in ADHD.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The paper's novel results fit with prior voxel-based morphometric findings of diminished volume or decreased cortical thickness in precuneus and PCC in ADHD.
“Of note, these novel results fit with the three unbiased voxel-based morphometric findings of diminished volume (30, 31) or decreased cortical thickness (32) in precuneus and PCC in ADHD.”
From Cingulate-Precuneus Interactions: A New Locus of Dysfunction in Adult Attention-Deficit/Hyperactivity Disorder (2008) · cites this paper as [31]
These incomplete maturations in frontal, temporal, parietal, and limbic structures are in agreement with previous findings on cerebral and cerebellar volumetric reductions associated with ADHD in children and adolescents.
“These incomplete maturations in frontal, temporal, parietal, and limbic structures are in agreement with previous findings on cerebral and cerebellar volumetric reductions associated with ADHD in children and adolescents [7, 46].”
From The brain anatomy of attention-deficit/hyperactivity disorder in young adults—a magnetic resonance imaging study (2017) · cites this paper as [46]
Cites
A Voxel-Based Morphometric Study of Ageing in 465 Normal Adult Human Brains
Good, C. D., Johnsrude, I. S., Ashburner, J., Henson, R. N. A., Friston, K. J., & Frackowiak, R. S. J. (2001) · NeuroImage · doi:10.1006/nimg.2001.0786 · Cited by 4,561 · see citing works
Castellanos, F. X. (2002) · JAMA · doi:10.1001/jama.288.14.1740 · Cited by 1,646 · see citing works
Quantitative brain magnetic resonance imaging in attention-deficit hyperactivity disorder
Castellanos, F. X. (1996) · Archives of General Psychiatry · doi:10.1001/archpsyc.1996.01830070053009 · Cited by 1,183 · see citing works
Filipek, P. A., Semrud-Clikeman, M., Steingard, R. J., Renshaw, P. F., Kennedy, D. N., & Biederman, J. (1997) · Neurology · doi:10.1212/wnl.48.3.589 · Cited by 732 · see citing works
Barkley, R. A. (1997) · Psychological Bulletin · doi:10.1037//0033-2909.121.1.65 · Cited by 580 · see citing works
Cerebellum in attention-deficit hyperactivity disorder: A morphometric MRI study
Berquin, P. C., Giedd, J. N., Jacobsen, L. K., Hamburger, S. D., Krain, A. L., Rapoport, J. L., & Castellanos, F. X. (1998) · Neurology · doi:10.1212/wnl.50.4.1087 · Cited by 564 · see citing works
Smaller prefrontal and premotor volumes in boys with attention-deficit/hyperactivity disorder
Mostofsky, S. H., Cooper, K. L., Kates, W. R., Denckla, M. B., & Kaufmann, W. E. (2002) · Biological Psychiatry · doi:10.1016/s0006-3223(02)01412-9 · Cited by 379 · see citing works
The Neuropsychology of Attention
Cohen, R. A. (2014) · doi:10.1007/978-0-387-72639-7 · Cited by 332 · see citing works
Evaluation of Cerebellar Size in Attention-Deficit Hyperactivity Disorder
Mostofsky, S. H., Reiss, A. L., Lockhart, P., & Denckla, M. B. (1998) · Journal of Child Neurology · doi:10.1177/088307389801300904 · Cited by 311 · see citing works
Quantitative magnetic resonance imaging of the brain in survivors of very low birth weight
Abernethy, L. J. (2002) · Archives of Disease in Childhood · doi:10.1136/adc.87.4.279 · Cited by 157 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Attention-deficit/hyperactivity disorder is characterized by a delay in cortical maturation
Shaw, P., Eckstrand, K., Sharp, W., Blumenthal, J., Lerch, J. P., Greenstein, D., Clasen, L., Evans, A., Giedd, J., & Rapoport, J. L. (2007) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.0707741104 · Cited by 1,819 · see citing works
Nakao, T., Radua, J., Rubia, K., & Mataix-Cols, D. (2011) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2011.11020281 · Cited by 588 · see citing works
Frodl, T., & Skokauskas, N. (2012) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.2011.01786.x · Cited by 530 · see citing works
Cubillo, A., Halari, R., Smith, A., Taylor, E., & Rubia, K. (2012) · Cortex · doi:10.1016/j.cortex.2011.04.007 · Cited by 505 · see citing works
Network homogeneity reveals decreased integrity of default-mode network in ADHD
Uddin, L. Q., Kelly, A. M. C., Biswal, B. B., Margulies, D. S., Shehzad, Z., Shaw, D., Ghaffari, M., Rotrosen, J., Adler, L. A., Castellanos, F. X., et al. (2008) · Journal of Neuroscience Methods · doi:10.1016/j.jneumeth.2007.11.031 · Cited by 452 · see citing works
Mayes, S. D., & Calhoun, S. L. (2007) · Child Neuropsychology · doi:10.1080/09297040601112773 · Cited by 420 · see citing works
Shaw, P., Gilliam, M., Liverpool, M., Weddle, C., Malek, M., Sharp, W., Greenstein, D., Evans, A., Rapoport, J., & Giedd, J. (2011) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2010.10030385 · Cited by 322 · see citing works
Structural brain change in Attention Deficit Hyperactivity Disorder identified by meta-analysis
Ellison-Wright, I., Ellison-Wright, Z., & Bullmore, E. (2008) · BMC Psychiatry · doi:10.1186/1471-244x-8-51 · Cited by 269 · see citing works
Lukito, S., Norman, L., Carlisi, C., Radua, J., Hart, H., Simonoff, E., & Rubia, K. (2020) · Psychological Medicine · doi:10.1017/s0033291720000574 · Cited by 248 · see citing works
Durston, S., van Belle, J., & de Zeeuw, P. (2011) · Biological Psychiatry · doi:10.1016/j.biopsych.2010.07.037 · Cited by 248 · see citing works
Morphometric Brain Abnormalities in Boys With Conduct Disorder
HUEBNER, T., VLOET, T. D., MARX, I., KONRAD, K., FINK, G. R., HERPERTZ, S. C., & HERPERTZ-DAHLMANN, B. (2008) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/chi.0b013e3181676545 · Cited by 239 · see citing works
Proal, E. (2011) · Archives of General Psychiatry · doi:10.1001/archgenpsychiatry.2011.117 · Cited by 207 · see citing works
Intergenerational Effect of Maternal Exposure to Childhood Maltreatment on Newborn Brain Anatomy
Moog, N. K., Entringer, S., Rasmussen, J. M., Styner, M., Gilmore, J. H., Kathmann, N., Heim, C. M., Wadhwa, P. D., & Buss, C. (2018) · Biological Psychiatry · doi:10.1016/j.biopsych.2017.07.009 · Cited by 189 · see citing works
Narr, K. L., Woods, R. P., Lin, J., Kim, J., Phillips, O. R., Del'Homme, M., Caplan, R., Toga, A. W., McCracken, J. T., & Levitt, J. G. (2009) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/chi.0b013e3181b395c0 · Cited by 168 · see citing works
A review of attention-deficit/hyperactivity disorder from the perspective of brain networks
De La Fuente, A., Xia, S., Branch, C., & Li, X. (2013) · Frontiers in Human Neuroscience · doi:10.3389/fnhum.2013.00192 · Cited by 159 · see citing works
Tomasi, D., Volkow, N. D., Wang, R., Telang, F., Wang, G.-J., Chang, L., Ernst, T., & Fowler, J. S. (2009) · PLoS ONE · doi:10.1371/journal.pone.0006102 · Cited by 154 · see citing works
Brain alterations in adult ADHD: Effects of gender, treatment and comorbid depression
Onnink, A. M. H., Zwiers, M. P., Hoogman, M., Mostert, J. C., Kan, C. C., Buitelaar, J., & Franke, B. (2014) · European Neuropsychopharmacology · doi:10.1016/j.euroneuro.2013.11.011 · Cited by 131 · see citing works
Sobel, L. J., Bansal, R., Maia, T. V., Sanchez, J., Mazzone, L., Durkin, K., Liu, J., Hao, X., Ivanov, I., Miller, A., et al. (2010) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2010.09091259 · Cited by 105 · see citing works
Johnston, B. A., Mwangi, B., Matthews, K., Coghill, D., Konrad, K., & Steele, J. D. (2014) · Human Brain Mapping · doi:10.1002/hbm.22542 · Cited by 101 · see citing works
Gehricke, J.-G., Kruggel, F., Thampipop, T., Alejo, S. D., Tatos, E., Fallon, J., & Muftuler, L. T. (2017) · PLOS ONE · doi:10.1371/journal.pone.0175433 · Cited by 103 · see citing works
New insights into attention-deficit/hyperactivity disorder using structural neuroimaging
Shaw, P., & Rabin, C. (2009) · Current Psychiatry Reports · doi:10.1007/s11920-009-0059-0 · Cited by 101 · see citing works
Cao, Q., Sun, L., Gong, G., Lv, Y., Cao, X., Shuai, L., Zhu, C., Zang, Y., & Wang, Y. (2010) · Brain Research · doi:10.1016/j.brainres.2009.10.031 · Cited by 98 · see citing works
Castellanos, F. X., Kelly, C., & Milham, M. P. (2009) · The Canadian Journal of Psychiatry · doi:10.1177/070674370905401003 · Cited by 88 · see citing works
Iannaccone, R., Hauser, T. U., Ball, J., Brandeis, D., Walitza, S., & Brem, S. (2015) · European Child & Adolescent Psychiatry · doi:10.1007/s00787-015-0678-4 · Cited by 74 · see citing works
A cooperative interaction between LPHN3 and 11q doubles the risk for ADHD
Jain, M., Vélez, J. I., Acosta, M. T., Palacio, L. G., Balog, J., Roessler, E., Pineda, D., Londoño, A. C., Palacio, J. D., Arbelaez, A., et al. (2012) · Molecular Psychiatry · doi:10.1038/mp.2011.59 · Cited by 57 · see citing works
van der Marel, K., Klomp, A., Meerhoff, G. F., Schipper, P., Lucassen, P. J., Homberg, J. R., Dijkhuizen, R. M., & Reneman, L. (2014) · Neuropsychopharmacology · doi:10.1038/npp.2013.169 · Cited by 42 · see citing works
Brain imaging findings in children and adolescents with mental disorders: a cross-sectional review
Mana, S., Paillère Martinot, M.-L., & Martinot, J.-L. (2010) · European Psychiatry · doi:10.1016/j.eurpsy.2010.04.010 · Cited by 40 · see citing works
Structural Brain Changes and Associated Symptoms of ADHD Subtypes in Children.
Mu, S., Wu, H., Zhang, J., & Chang, C. (2022) · Cerebral Cortex · doi:10.1093/cercor/bhab276 · Cited by 29 · see citing works
The neurobehavioral mechanisms of motivational control in attention-deficit/hyperactivity disorder
Ceceli, A. O., Natsheh, J. Y., Cruz, D., & Tricomi, E. (2020) · Cortex · doi:10.1016/j.cortex.2020.02.009 · Cited by 9 · see citing works
- Authors
- Carmona, S., Vilarroya, O., Bielsa, A., Trèmols, V., Soliva, J. C., Rovira, M., Tomàs, J., Raheb, C., Gispert, J. D., Batlle, S., & Bulbena, A.
- Affiliations
- Universitat Autònoma de Barcelona (ES)
- Vall d'Hebron Hospital Universitari (ES)
- Barcelona Biomedical Research Park (ES)
- Institut Municipal d'Assistència Sanitària (ES)
- Venue
- Neuroscience Letters
- Publisher
- Elsevier BV
- Published
- 2005-12
- Volume
- 389
- Issue
- 2
- Pages
- 88-93
- ISSN
- 0304-3940 (ISSN-L)
- OpenAlex
- W2035193033
- Cited by
- 285
- References
- 10
- Citations by year
- 2026: 3 · 2025: 14 · 2024: 10 · 2023: 14 · 2022: 12 · 2021: 12 · 2020: 12 · 2019: 17 · 2018: 10 · 2017: 13 · 2016: 15 · 2015: 15 · 2014: 10 · 2013: 18 · 2012: 23
- FWCI
- 7.00
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Neuroscience Letters (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
- Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Developmental and Educational Neuropsychology
- Keywords
- attention deficit hyperactivity disorder, gray matter reduction, white matter abnormalities, brain volume, cerebellum, cingulate cortex, precuneus, frontoparietal cortex, children and adolescents, frontostriatal circuits
- MeSH terms
- Adolescent, Central Nervous System Stimulants, Atrophy, Attention Deficit Disorder with Hyperactivity, Brain, Brain Mapping, Cerebellum, Child, Female, Frontal Lobe, Gyrus Cinguli, Humans, Image Processing, Computer-Assisted, Functional Laterality, Magnetic Resonance Imaging, Male, Methylphenidate, Nervous System Malformations, Parietal Lobe, Temporal Lobe, Parahippocampal Gyrus
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review