Li Qianqian, Sun Jinhua, Guo Lanting, Zang Yufeng, Feng Zhengzhi, Huang Xiaoqi, Yang Hong, Lv Yating, Huang Mingjin, Gong Qiyong
Department of Psychiatry, Sichuan University, Guo Xue Xiang No.37, Chengdu, 610041, Sichuan Province, China.
Neuro Endocrinol Lett. 2010;31(6):747-53.
Abnormalities of frontal white matter (WM) have been found in some children with ADHD. The purpose of this study was to explore the changes in WM in child patients with ADHD by DTI, which detects changes in WM microstructure based on properties of diffusion. We also expect to investigate the relationship between the changes in WM and executive function in child patients with ADHD. DTI was performed on 24 patients with ADHD and 20 healthy controls. A series of neuropsychological tests and a structural interview were conducted to assess the cognitive functions and clinical data of the ADHD patients and controls. Firstly, child patients with ADHD have higher fractional anisotropy (FA) values in WM in the right frontal region. Secondly, FA in right frontal WM is positively correlated with scores in the Stroop test.
Increased FA of right frontal WM implies a higher degree of myelination and lower degree of neural branching in WM, contributing to the neurological deficits of ADHD.
在一些患有注意力缺陷多动障碍(ADHD)的儿童中发现了额叶白质(WM)异常。本研究的目的是通过扩散张量成像(DTI)探索ADHD儿童患者白质的变化,DTI基于扩散特性检测白质微观结构的变化。我们还期望研究ADHD儿童患者白质变化与执行功能之间的关系。对24例ADHD患者和20名健康对照者进行了DTI检查。进行了一系列神经心理学测试和结构化访谈,以评估ADHD患者和对照者的认知功能和临床数据。首先,ADHD儿童患者右侧额叶白质的分数各向异性(FA)值较高。其次,右侧额叶白质的FA与斯特鲁普测试得分呈正相关。
右侧额叶白质FA增加意味着白质髓鞘化程度较高且神经分支程度较低,这导致了ADHD的神经功能缺陷。