Kumar Uttam, Arya Amit, Agarwal Vivek
Centre of Bio-Medical Research, Sanjay Gandhi Postgraduate Institute of Medical Sciences Campus, Lucknow India.
Department of Psychiatry, King George Medical University, Lucknow India.
Psychiatry Res Neuroimaging. 2022 Oct;326:111531. doi: 10.1016/j.pscychresns.2022.111531. Epub 2022 Aug 19.
Response inhibition is one of the crucial cognitive domains that exhibit deficit in children with ADHD. To further elucidate it, this study examines the task-based functional-connectivity in children with attention deficit hyperactive disorder (ADHD). We acquired the fMRI data of 16 unmedicated children with ADHD and 16 typically developing (TD) children who performed the flanker task. MVPA and seed-based connectivity analysis was performed to identify the abnormal connectivity pattern across the whole brain. MVPA revealed that six important regions, namely the right IFG, right SMA, bilateral precentral gyrus, left DLPFC, and left cerebellum, had abnormal connectivity in children with ADHD while they performed the cognitive control task. Out of these six regions, four were further used for whole-brain seed-based functional connectivity analyses, which revealed patterns of significantly altered connectivity across multiple regions. Signal intensities changes were also extracted to perform BOLD- reaction time (RT) correlation analysis, that suggest positive correlation between left DLPFC and right IFG. Overall, the results suggest that children with ADHD are unable to endure high cognitive control demand. Our findings highlight the utility of analyzing brain connectivity data in identifying the abnormal connectivity in children with ADHD.
反应抑制是注意缺陷多动障碍(ADHD)儿童表现出缺陷的关键认知领域之一。为了进一步阐明这一点,本研究考察了注意缺陷多动障碍(ADHD)儿童基于任务的功能连接。我们获取了16名未用药的ADHD儿童和16名发育正常(TD)儿童执行侧翼任务时的功能磁共振成像(fMRI)数据。进行多体素模式分析(MVPA)和基于种子点的连接性分析,以识别全脑异常的连接模式。MVPA显示,在执行认知控制任务时,ADHD儿童的六个重要区域,即右侧额下回(IFG)、右侧辅助运动区(SMA)、双侧中央前回、左侧背外侧前额叶皮质(DLPFC)和左侧小脑,存在异常连接。在这六个区域中,有四个进一步用于全脑基于种子点的功能连接分析,结果显示多个区域的连接模式发生了显著改变。还提取了信号强度变化以进行血氧水平依赖(BOLD)反应时间(RT)相关性分析,结果表明左侧DLPFC与右侧IFG之间存在正相关。总体而言,结果表明ADHD儿童无法承受高认知控制需求。我们的研究结果突出了分析脑连接数据在识别ADHD儿童异常连接方面的作用。