A multimodal neuroimaging meta-analysis of functional and structural brain abnormalities in attention-deficit/hyperactivity disorder.

IF 5.3 2区 医学 Q1 CLINICAL NEUROLOGY Progress in Neuro-Psychopharmacology & Biological Psychiatry Pub Date : 2025-01-10 Epub Date: 2024-11-29 DOI:10.1016/j.pnpbp.2024.111199
Chao Chen, Shilin Sun, Ruoyi Chen, Zixuan Guo, Xinyue Tang, Guanmao Chen, Pan Chen, Guixian Tang, Li Huang, Ying Wang
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Abstract

Background: Numerous neuroimaging studies utilizing resting-state functional imaging and voxel-based morphometry (VBM) have identified variations in distinct brain regions among individuals with attention-deficit/hyperactivity disorder (ADHD). However, the results have been inconsistent.

Methods: A comprehensive voxel-wise meta-analysis was performed on studies employing resting-state functional imaging and gray matter volume (GMV), examining discrepancies between individuals with ADHD and neurotypical controls (NCs). The analysis utilized the Seed-based d Mapping software.

Results: A systematic review of the literature identified 21 functional imaging studies (595 ADHD and 564 controls) and 50 GMV studies (1907 ADHD and 1611 controls). In general, individuals with ADHD exhibited increased resting-state functional activity in the right parahippocampal gyrus and bilateral orbitofrontal cortex (OFC), as well as decreased resting-state functional activity in the bilateral cingulate cortex (including the posterior cingulate cortex [PCC], median cingulate cortex [MCC], and anterior cingulate cortex [ACC]). The VBM meta-analysis revealed decreased GMV in the bilateral OFC, right putamen (extending to right superior temporal gyrus [STG]), left inferior frontal gyrus (IFG), right superior frontal gyrus (SFG), ACC, and precentral gyrus among individuals with ADHD.

Conclusions: The multimodal meta-analyses indicated that individuals with ADHD exhibit abnormalities in both function and structure in the bilateral OFC. In addition, a few regions exhibited only functional or only structural abnormalities in ADHD, such as in the limbic, prefrontal, primary sensorimotor regions.

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注意缺陷/多动障碍患者脑功能和结构异常的多模态神经影像学荟萃分析。
背景:许多利用静息状态功能成像和基于体素的形态测量(VBM)的神经影像学研究已经确定了注意缺陷/多动障碍(ADHD)患者不同大脑区域的差异。然而,结果却不一致。方法:对采用静息状态功能成像和灰质体积(GMV)的研究进行全面的体素分析,检查ADHD个体与神经典型对照组(nc)之间的差异。分析使用了基于种子的主题图像排列d映射软件。结果:系统回顾了21项功能成像研究(595例ADHD和564例对照)和50项GMV研究(1907例ADHD和1611例对照)。总体而言,ADHD个体表现出右侧海马旁回和双侧眶额皮质(OFC)静息状态功能活动增加,而双侧扣带皮层(包括后扣带皮层[PCC]、中扣带皮层[MCC]和前扣带皮层[ACC])静息状态功能活动减少。VBM meta分析显示,ADHD患者的双侧OFC、右侧壳核(延伸至右侧颞上回[STG])、左侧额下回(IFG)、右侧额上回(SFG)、ACC和中央前回的GMV下降。结论:多模态荟萃分析表明,ADHD患者在双侧OFC的功能和结构上都表现出异常。此外,ADHD患者的一些区域仅表现出功能性或结构性异常,如边缘区、前额叶区、初级感觉运动区。
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来源期刊
CiteScore
12.00
自引率
1.80%
发文量
153
审稿时长
56 days
期刊介绍: Progress in Neuro-Psychopharmacology & Biological Psychiatry is an international and multidisciplinary journal which aims to ensure the rapid publication of authoritative reviews and research papers dealing with experimental and clinical aspects of neuro-psychopharmacology and biological psychiatry. Issues of the journal are regularly devoted wholly in or in part to a topical subject. Progress in Neuro-Psychopharmacology & Biological Psychiatry does not publish work on the actions of biological extracts unless the pharmacological active molecular substrate and/or specific receptor binding properties of the extract compounds are elucidated.
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