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Attention Deficit/Hyperactivity Disorder: Is There a Correlation Between Dopamine Transporter Density and Cerebral Blood Flow?
Abstract
Attention deficit/hyperactivity disorder (ADHD) is one of the most frequent behavioral problems in school-age children. Although the etiology remains unclear, the involvement of the dopaminergic system has been suggested by genetic studies that report an overexpression of the dopamine transporter (DAT) gene. In spite of these abnormalities being directly related to the decrease of dopamine (DA) in the striatum (STR), abnormalities in brain perfusion have also been observed in cortical-subcortical structures. Functional neuroimaging studies have suggested that the DA concentration may cause changes in the cerebral blood flow (CBF). The objective of our study was to evaluate the relationship between DAT density in STR and cortical-subcortical impairment in CBF. Based on the hypothesis that there is a correlation between DA availability and brain perfusion, we postulated that individuals with ADHD, with a higher DAT density in the basal ganglia, will have lower perfusion in the fronto-striatal-cerebellar networks. We used Tc-99m TRODAT-1 SPECT to measure DAT density and Tc-99m ECD SPECT to assess brain perfusion. Ten adolescents diagnosed with ADHD by Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition criteria were investigated. Analysis with Statistical Parametric Mapping 5 corrected for multiple comparisons, using small volume correction, showed a significant negative correlation between the DAT density in the STR and CBF in the cingulate gyrus, frontal lobe…
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Among treatment-naive adolescents with ADHD, dopamine transporter density shows a significant inverse relationship with blood flow in the cingulate cortex, frontal and temporal lobes, and cerebellum.
“Among treatment-naive adolescents with ADHD, DAT density shows a significant inverse relationship with blood flow in the cingulate cortex, the frontal and temporal lobes, and the cerebellum, brain regions which are involved in modulating attention (208).”
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Cites
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Sorted by citations
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Metadata
- Authors
- da Silva, N., Szobot, C. M., Anselmi, C. E., Jackowski, A. P., Chi, S. M., Hoexter, M. Q., Anselmi, O. E., Pechansky, F., Bressan, R. A., & Rohde, L. A.
- Affiliations
- Santa Casa Hospital (BR)
- Universidade Federal de São Paulo (BR)
- Corresponding author
- da Silva, Neivo
- Anselmi, Carlos E.
- Anselmi, Osvaldo E.
- Venue
- Clinical Nuclear Medicine
- Published
- 2011-08
- Volume
- 36
- Issue
- 8
- Pages
- 656-660
- ISSN
- 0363-9762 (ISSN-L)
- OpenAlex
- W2027568359
- Cited by
- 21
- References
- 5
- Citations by year
- 2026: 1 · 2023: 2 · 2022: 2 · 2020: 2 · 2019: 1 · 2018: 1 · 2016: 1 · 2015: 3 · 2014: 3 · 2013: 1 · 2012: 4
- FWCI
- 1.75
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Nuclear Medicine (publishedVersion)
- PubMed (publishedVersion)
- UNIFESP Institutional Repository (Universidade Federal de São Paulo) (submittedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Keywords
- attention deficit hyperactivity disorder, dopamine transporter density, striatum, cerebral blood flow, cerebral perfusion, adolescents, attentional networks, dopamine availability
- MeSH terms
- Adolescent, Attention Deficit Disorder with Hyperactivity, Basal Ganglia, Cerebrovascular Circulation, Cysteine, Dopamine, Humans, Male, Tropanes, Organotechnetium Compounds, Tomography, Emission-Computed, Single-Photon, Neostriatum, Dopamine Plasma Membrane Transport Proteins, Young Adult
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