[PMID]: | 28458999 |
[Au] Autor: | Sethi A; Evelyn-Rahr E; Dowell N; Jain S; Voon V; Critchley HD; Harrison NA; Cercignani M |
[Ad] Endereço: | Clinical Imaging Sciences Centre, Brighton and Sussex Medical School, University of Sussex, Brighton, UK. |
[Ti] Título: | Magnetization transfer imaging identifies basal ganglia abnormalities in adult ADHD that are invisible to conventional T1 weighted voxel-based morphometry. |
[So] Source: | Neuroimage Clin;15:8-14, 2017. |
[Is] ISSN: | 2213-1582 |
[Cp] País de publicação: | Netherlands |
[La] Idioma: | eng |
[Ab] Resumo: | In childhood, Attention Deficit Hyperactivity Disorder (ADHD) is reliably associated with reduced volume of the striatum. In contrast, striatal abnormalities are infrequently detected in voxel-based morphometry (VBM) neuroimaging studies of adults with ADHD. This discrepancy has been suggested to reflect normalisation of striatal morphology with age and prolonged treatment of symptoms. If so, this would indicate that while striatal abnormalities are linked to symptom expression in childhood, they cannot explain the persistence of these symptoms in adulthood. However, this may not be case. Instead, we hypothesized that the lack of evidence for striatal abnormalities in adult ADHD may reflect poor sensitivity of typical (T1-weighted) neuroimaging to detect subcortical differences. To address this, we acquired both magnetisation transfer (MT) saturation maps optimised for subcortical contrast, and conventional T1-weighted images in 30 adults with ADHD and 30 age, IQ, gender and handedness-matched controls. Using VBM of both datasets, we demonstrate volumetric reductions within the left ventral striatum on MT that are not observed on identically pre-processed T1-weighted images from the same participants. Nevertheless, both techniques reported similar sensitivity to cortical abnormalities in the right inferior parietal lobe. Additionally, we show that differences in striatal iron may potentially explain this reduced sensitivity of T1-weighted images in adults. Together, these findings indicate that prior VBM studies reporting no abnormalities in striatal volume in adult ADHD might have been compromised by the methodological insensitivity of T1-weighted VBM to subcortical differences, and that structural abnormalities of the striatum in ADHD do indeed persist into adulthood. |
[Mh] Termos MeSH primário: |
Transtorno do Deficit de Atenção com Hiperatividade/diagnóstico por imagem Gânglios da Base/diagnóstico por imagem Mapeamento Encefálico/métodos Imagem por Ressonância Magnética/métodos
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[Mh] Termos MeSH secundário: |
Adulto Transtorno do Deficit de Atenção com Hiperatividade/metabolismo Gânglios da Base/metabolismo Feminino Seres Humanos Ferro/metabolismo Masculino Adulto Jovem
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[Pt] Tipo de publicação: | JOURNAL ARTICLE |
[Nm] Nome de substância:
| E1UOL152H7 (Iron) |
[Em] Mês de entrada: | 1803 |
[Cu] Atualização por classe: | 180302 |
[Lr] Data última revisão:
| 180302 |
[Sb] Subgrupo de revista: | IM |
[Da] Data de entrada para processamento: | 170502 |
[St] Status: | MEDLINE |
[do] DOI: | 10.1016/j.nicl.2017.03.012 |
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