Functional MRI in ADHD: a systematic literature review
Open accessAbstract
Functional MRI (fMRI) research in attention-deficit/hyperactivity disorder (ADHD) is a fast developing and very complex field. Every study appears to show differences in patterns of brain activation between cases and controls, but the interpretation of such differences is not as straightforward as it may seem. We present here a systematic review of the fMRI literature in ADHD; areas covered include executive functions, reward processing, the effects of methylphenidate, comorbidity and spontaneous brain activity in the resting state. To facilitate the interpretation of research in this area, we discuss important conceptual issues, such as the need to take group differences in performance into account or to consider the role of errors. We present common themes that emerge from these studies and we discuss possible reasons for the many discrepancies that were observed. Finally, based on existing literature and current advancements in fMRI research, we discuss the role that fMRI could play in the future as a diagnostic tool or in treatment outcome predictions, and we make predictions for the future directions of research in this field.
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fMRI studies in ADHD have shown decreased ventral striatum activation during monetary-reward anticipation, atypical orbitofrontal activation during monetary-reward outcome, and decreased DCN and amygdala activation during delayed reward outcome.
“These studies have shown decreased ventral striatum activation during monetary-reward anticipation [484-487], atypical orbitofrontal activation during monetary-reward outcome [487,488], and decreased DCN and amygdala activation during delayed reward outcome [485,489].”
From Reward circuitry dysfunction in psychiatric and neurodevelopmental disorders and genetic syndromes: animal models and clinical findings (2012) · cites this paper as [489]
Many studies comparing ADHD and control groups have found anatomical and functional brain abnormalities linked to ADHD.
“many studies that compare ADHD and control groups have documented a long list of possible anatomical (Krain and Castellanos, 2006) and functional (Dickstein et al, 2006) abnormalities associated with ADHD.”
From Understanding the Effects of Stimulant Medications on Cognition in Individuals with Attention-Deficit Hyperactivity Disorder: A Decade of Progress (2011) · cites this paper as Paloyelis et al, (2007)
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- Authors
- Paloyelis, Y., Mehta, M. A., Kuntsi, J., & Asherson, P.
- Affiliations
- King's College London (GB)
- Venue
- Expert Review of Neurotherapeutics
- Publisher
- Informa UK Limited
- Published
- 2007-10
- Volume
- 7
- Issue
- 10
- Pages
- 1337-1356
- ISSN
- 1473-7175 (ISSN-L)
- 1744-8360
- PMC
- PMC3763932
- OpenAlex
- W2134237347
- Cited by
- 171
- References
- 108
- Citations by year
- 2026: 1 · 2025: 6 · 2024: 6 · 2023: 11 · 2022: 7 · 2021: 8 · 2020: 4 · 2019: 6 · 2018: 5 · 2017: 10 · 2016: 6 · 2015: 10 · 2014: 17 · 2013: 15 · 2012: 20
- FWCI
- 1.25
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Expert Review of Neurotherapeutics (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Research Portal (King's College London) (submittedVersion)
- Funders
- Wellcome Trust (070345)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Life Sciences › Neuroscience › Cognitive Neuroscience › Functional Brain Connectivity Studies
- Keywords
- attention deficit hyperactivity disorder, functional MRI, brain activation, executive function, reward processing, methylphenidate, comorbidities, resting-state brain activity, ADHD diagnosis, treatment outcome prediction
- MeSH terms
- Attention Deficit Disorder with Hyperactivity, Humans, Magnetic Resonance Imaging, Predictive Value of Tests
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