Reduced white matter integrity in attention-deficit hyperactivity disorder
Open accessAbstract
We used diffusion tensor imaging to investigate fractional anisotropy (FA), a measure of fiber tract integrity, in attention-deficit hyperactivity disorder (ADHD). Using a tract-based atlasing approach on six-direction diffusion tensor imaging data, we examined FA within the cingulum, corpus callosum, corticospinal tract, fornix, optic radiations, superior longitudinal fasciculus, uncinate fasciculus, and the superior and inferior occipitofrontal fasciculi in an all-male sample of 17 children and adolescents with ADHD and 16 age-matched controls. ADHD patients had significantly lower FA in the corticospinal tract (P=0.02) and the superior longitudinal fasciculus (P=0.017) compared with controls. Results support that disruptions in motor and attentional networks may contribute toward ADHD pathophysiology. Future research may clarify how ADHD subtype and psychiatric comorbidities affect diffusion measures.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
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?
Reduced fractional anisotropy (FA) is repeatedly observed in major association and projection tracts in ADHD.
“Across the literature, reduced fractional anisotropy (FA)—a hallmark of white-matter disruption—is repeatedly observed in major association and projection tracts”
From ADHD in Adulthood: Clinical Presentation, Comorbidities, and Treatment Perspectives (2025) · cites this paper as [75]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
MR diffusion tensor spectroscopy and imaging
Basser, P. J., Mattiello, J., & LeBihan, D. (1994) · Biophysical Journal · doi:10.1016/s0006-3495(94)80775-1 · Cited by 5,970 · see citing works
Brain development during childhood and adolescence: a longitudinal MRI study
Giedd, J. N., Blumenthal, J., Jeffries, N. O., Castellanos, F. X., Liu, H., Zijdenbos, A., Paus, T., Evans, A. C., & Rapoport, J. L. (1999) · Nature Neuroscience · doi:10.1038/13158 · Cited by 5,552 · see citing works
SHAFFER, D., FISHER, P., LUCAS, C. P., DULCAN, M. K., & SCHWAB-STONE, M. E. (2000) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-200001000-00014 · Cited by 3,505 · see citing works
Castellanos, F. X. (2002) · JAMA · doi:10.1001/jama.288.14.1740 · Cited by 1,646 · see citing works
Automated Image Registration: II. Intersubject Validation of Linear and Nonlinear Models
Woods, R. P., Grafton, S. T., Watson, J. D. G., Sicotte, N. L., & Mazziotta, J. C. (1998) · Journal of Computer Assisted Tomography · doi:10.1097/00004728-199801000-00028 · Cited by 993 · see citing works
Magnetic Resonance Image Tissue Classification Using a Partial Volume Model
Shattuck, D. W., Sandor-Leahy, S. R., Schaper, K. A., Rottenberg, D. A., & Leahy, R. M. (2001) · NeuroImage · doi:10.1006/nimg.2000.0730 · Cited by 951 · see citing works
Jones, D. K. (2004) · Magnetic Resonance in Medicine · doi:10.1002/mrm.20033 · Cited by 776 · 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
The NIH MRI study of normal brain development
Evans, A. C. (2006) · NeuroImage · doi:10.1016/j.neuroimage.2005.09.068 · Cited by 523 · see citing works
Krain, A. L., & Castellanos, F. X. (2006) · Clinical Psychology Review · doi:10.1016/j.cpr.2006.01.005 · Cited by 495 · see citing works
Bürgel, U., Amunts, K., Hömke, L., Mohlberg, H., Gilsbach, J. M., & Zilles, K. (2005) · NeuroImage · doi:10.1016/j.neuroimage.2005.08.040 · Cited by 425 · see citing works
Attention-deficit/hyperactivity disorder: a preliminary diffusion tensor imaging study
Ashtari, M., Kumra, S., Bhaskar, S. L., Clarke, T., Thaden, E., Cervellione, K. L., Rhinewine, J., Kane, J. M., Adesman, A., Milanaik, R., et al. (2005) · Biological Psychiatry · doi:10.1016/j.biopsych.2004.11.047 · Cited by 295 · see citing works
Frontostriatal connectivity and its role in cognitive control in parent-child dyads with ADHD
Casey, B. J., Epstein, J. N., Buhle, J., Liston, C., Davidson, M. C., Tonev, S. T., Spicer, J., Niogi, S., Millner, A. J., Reiss, A., et al. (2007) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2007.06101754 · Cited by 258 · see citing works
Makris, N., Buka, S. L., Biederman, J., Papadimitriou, G. M., Hodge, S. M., Valera, E. M., Brown, A. B., Bush, G., Monuteaux, M. C., Caviness, V. S., et al. (2008) · Cerebral Cortex · doi:10.1093/cercor/bhm156 · Cited by 239 · see citing works
Comorbidity of attention-deficit/hyperactivity disorder with psychiatric disorder: an overview.
Pliszka, S. R. (1998) · PubMed · Cited by 154 · see citing works
White matter tract integrity and intelligence in patients with mental retardation and healthy adults
Yu, C., Li, J., Liu, Y., Qin, W., Li, Y., Shu, N., Jiang, T., & Li, K. (2008) · NeuroImage · doi:10.1016/j.neuroimage.2008.01.063 · Cited by 131 · see citing works
Decreased Callosal Thickness in Attention-Deficit/Hyperactivity Disorder
Eileen Luders, A., Narr, K. L., Hamilton, L. S., Phillips, O. R., Thompson, P. M., Valle, J. S., Del’Homme, M., Strickland, T. L., McCracken, J. T., Toga, A. W., et al. (2008) · Biological Psychiatry · doi:10.1016/j.biopsych.2008.08.027 · Cited by 76 · see citing works
Self-citationMotor inhibitory role of dopamine D1 receptors: Implications for ADHD
Heijtz, R. D., Kolb, B. E., & Forssberg, H. (2007) · Physiology & Behavior · doi:10.1016/j.physbeh.2007.05.024 · Cited by 51 · see citing works
Flagged first, then by citations
Research works printed but not linked: 1
- [12]Swanson J School-based assessments and interventions for ADD students Irvine, California K C Press 1992
Cited by
Sorted by citations
Annual research review: enduring neurobiological effects of childhood abuse and neglect
Teicher, M. H., & Samson, J. A. (2016) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.12507 · Cited by 1,473 · see citing works
Konrad, K., & Eickhoff, S. B. (2010) · Human Brain Mapping · doi:10.1002/hbm.21058 · Cited by 670 · see citing works
Growth of white matter in the adolescent brain: Myelin or axon?
Paus, T. (2010) · Brain and Cognition · doi:10.1016/j.bandc.2009.06.002 · Cited by 424 · see citing works
van Ewijk, H., Heslenfeld, D. J., Zwiers, M. P., Buitelaar, J. K., & Oosterlaan, J. (2012) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2012.01.003 · Cited by 377 · see citing works
Attention-Deficit/Hyperactivity Disorder and Attention Networks
Bush, G. (2010) · Neuropsychopharmacology · doi:10.1038/npp.2009.120 · Cited by 358 · see citing works
Hung, Y., Gaillard, S. L., Yarmak, P., & Arsalidou, M. (2018) · Human Brain Mapping · doi:10.1002/hbm.24232 · Cited by 212 · see citing works
Liston, C., Cohen, M. M., Teslovich, T., Levenson, D., & Casey, B. J. (2011) · Biological Psychiatry · doi:10.1016/j.biopsych.2011.03.022 · Cited by 216 · see citing works
Mapping Connectivity Damage in the Case of Phineas Gage
Van Horn, J. D., Irimia, A., Torgerson, C. M., Chambers, M. C., Kikinis, R., & Toga, A. W. (2012) · PLoS ONE · doi:10.1371/journal.pone.0037454 · Cited by 196 · see citing works
Self-citationKonrad, A., Dielentheis, T. F., El Masri, D., Bayerl, M., Fehr, C., Gesierich, T., Vucurevic, G., Stoeter, P., & Winterer, G. (2010) · European Journal of Neuroscience · doi:10.1111/j.1460-9568.2010.07110.x · Cited by 191 · see citing works
Vestergaard, M., Madsen, K. S., Baaré, W. F. C., Skimminge, A., Ejersbo, L. R., Ramsøy, T. Z., Gerlach, C., Åkeson, P., Paulson, O. B., & Jernigan, T. L. (2011) · Journal of Cognitive Neuroscience · doi:10.1162/jocn.2010.21592 · Cited by 181 · see citing works
Altered white matter microstructure in children with attention-deficit/hyperactivity disorder
Nagel, B. J., Bathula, D., Herting, M., Schmitt, C., Kroenke, C. D., Fair, D., & Nigg, J. T. (2011) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2010.12.003 · Cited by 178 · 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
Self-citationA 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
Differential fractional anisotropy abnormalities in adolescents with ADHD or schizophrenia
Davenport, N. D., Karatekin, C., White, T., & Lim, K. O. (2010) · Psychiatry Research Neuroimaging · doi:10.1016/j.pscychresns.2009.10.012 · Cited by 129 · see citing works
Cortese, S., Imperati, D., Zhou, J., Proal, E., Klein, R. G., Mannuzza, S., Ramos-Olazagasti, M. A., Milham, M. P., Kelly, C., & Castellanos, F. X. (2013) · Biological Psychiatry · doi:10.1016/j.biopsych.2013.02.025 · Cited by 127 · see citing works
Dougherty, C. C., Evans, D. W., Myers, S. M., Moore, G. J., & Michael, A. M. (2016) · Neuropsychology Review · doi:10.1007/s11065-015-9300-2 · Cited by 104 · see citing works
Hong, S.-B., Zalesky, A., Fornito, A., Park, S., Yang, Y.-H., Park, M.-H., Song, I.-C., Sohn, C.-H., Shin, M.-S., Kim, B.-N., et al. (2014) · Biological Psychiatry · doi:10.1016/j.biopsych.2013.12.013 · Cited by 99 · 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
Onnink, A. M. H., Zwiers, M. P., Hoogman, M., Mostert, J. C., Dammers, J., Kan, C. C., Vasquez, A. A., Schene, A. H., Buitelaar, J., & Franke, B. (2015) · Progress in Neuro-Psychopharmacology and Biological Psychiatry · doi:10.1016/j.pnpbp.2015.04.008 · Cited by 93 · see citing works
Peterson, D. J., Ryan, M., Rimrodt, S. L., Cutting, L. E., Denckla, M. B., Kaufmann, W. E., & Mahone, E. M. (2011) · Journal of Child Neurology · doi:10.1177/0883073811405662 · Cited by 81 · see citing works
Tourette Syndrome and comorbid ADHD: Current pharmacological treatment options
Rizzo, R., Gulisano, M., Calì, P. V., & Curatolo, P. (2013) · European Journal of Paediatric Neurology · doi:10.1016/j.ejpn.2013.01.005 · Cited by 76 · see citing works
Lawrence, K. E., Levitt, J. G., Loo, S. K., Ly, R., Yee, V., O’Neill, J., Alger, J., & Narr, K. L. (2013) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2013.01.010 · Cited by 77 · see citing works
Self-citationShang, C. Y., Wu, Y. H., Gau, S. S., & Tseng, W. Y. (2013) · Psychological Medicine · doi:10.1017/s0033291712001869 · Cited by 69 · see citing works
Dramsdahl, M., Westerhausen, R., Haavik, J., Hugdahl, K., & Plessen, K. J. (2012) · Psychiatry Research Neuroimaging · doi:10.1016/j.pscychresns.2011.08.005 · Cited by 66 · see citing works
Wolfers, T., Onnink, A. M. H., Zwiers, M. P., Arias-Vasquez, A., Hoogman, M., Mostert, J. C., Kan, C. C., Slaats-Willemse, D., Buitelaar, J. K., & Franke, B. (2015) · Journal of Psychiatry and Neuroscience · doi:10.1503/jpn.140154 · Cited by 52 · see citing works
Konrad, A., Dielentheis, T. F., Masri, D. E., Dellani, P. R., Stoeter, P., Vucurevic, G., & Winterer, G. (2012) · European Archives of Psychiatry and Clinical Neuroscience · doi:10.1007/s00406-011-0251-1 · Cited by 48 · see citing works
Unique white matter microstructural patterns in ADHD presentations—a diffusion tensor imaging study
Svatkova, A., Nestrasil, I., Rudser, K., Goldenring Fine, J., Bledsoe, J., & Semrud‐Clikeman, M. (2016) · Human Brain Mapping · doi:10.1002/hbm.23243 · Cited by 44 · see citing works
“On the contrary, higher FA values were reported in disorders with expected WM disruptions such as Williams syndrome [Hoeft et al., 2007], bipolar disorder [Yurgelun-Todd et al., 2007], and ADHD subjects [Silk et al., 2009], suggesting that increased FA might also indicate WM pathology.”
BackgroundDong, G., Li, H., & Potenza, M. N. (2017) · Frontiers in Neuroscience · doi:10.3389/fnins.2017.00372 · Cited by 27 · see citing works
ADHD in Adulthood: Clinical Presentation, Comorbidities, and Treatment Perspectives
Bogdańska-Chomczyk, E., Majewski, M. K., & Kozłowska, A. (2025) · International Journal of Molecular Sciences · doi:10.3390/ijms262211020 · Cited by 15 · see citing works
“Across the literature, reduced fractional anisotropy (FA)—a hallmark of white-matter disruption—is repeatedly observed in major association and projection tracts [74,75].”
- Authors
- Hamilton, L. S., Levitt, J. G., O'Neill, J., Alger, J. R., Luders, E., Phillips, O. R., Caplan, R., Toga, A. W., McCracken, J., & Narr, K. L.
- Affiliations
- University of California, Los Angeles (US)
- Corresponding author
- Narr, Katherine L.
- ORCID
- Venue
- NeuroReport
- Published
- 2008-11-19
- Volume
- 19
- Issue
- 17
- Pages
- 1705-1708
- ISSN
- 0959-4965 (ISSN-L)
- PMC
- PMC2819371
- OpenAlex
- W2159419408
- Cited by
- 167
- References
- 18
- Citations by year
- 2025: 4 · 2024: 3 · 2023: 5 · 2022: 9 · 2021: 6 · 2020: 9 · 2019: 6 · 2018: 9 · 2017: 5 · 2016: 12 · 2015: 13 · 2014: 14 · 2013: 22 · 2012: 11
- FWCI
- 9.11
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Neuroreport (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (K01MH073990, P50 MH073466-01)
- National Center for Research Resources (P41RR013642, U54RR021813, P41 RR13642)
- 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
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Keywords
- attention deficit hyperactivity disorder, white matter integrity, fractional anisotropy, corticospinal tract, superior longitudinal fasciculus, tract-based spatial statistics, corpus callosum, cingulum, fornix, optic radiation, uncinate fasciculus, children and adolescents
- MeSH terms
- Adolescent, Attention Deficit Disorder with Hyperactivity, Brain, Child, Corpus Callosum, Dominance, Cerebral, Gyrus Cinguli, Humans, Image Processing, Computer-Assisted, Male, Nerve Net, Anisotropy, Diffusion Magnetic Resonance Imaging
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