Evidence map›Paper›PMID 28832320›Full record

ArticleJournal of psychiatry & neuroscience : JPN2017

Refinement by integration: aggregated effects of multimodal imaging markers on adult ADHD.

Thomas Wolfers, Alberto Llera Arenas, A Marten H Onnink, Janneke Dammers, Martine Hoogman, Marcel P Zwiers, Jan K Buitelaar, Barbara Franke, Andre F Marquand, Christian F Beckmann

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Journal of psychiatry & neuroscience : JPN, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
3.6field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 51 citations in OpenAlex.

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  16. Individual differencesPsychological medicine · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 2 countries.

Thomas WolfersFrom the Department of Human Genetics, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Centre, Nijmegen, the Netherlands (Wolfers, Onnink, Dammers, Hoogman, Franke); the Donders Centre for Cognitive Neuroimaging, Donders Institute for Brain, Cognition and Behaviour, Radboud University, Nijmegen, the Netherlands (Wolfers, Arenas, Hoogman, Zwiers, Franke, Marquand, Beckman); the Department of Cognitive Neuroscience, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Centre, Nijmegen, the Netherlands (Buitelaar, Marquand, Beckmann); the Centre for Functional MRI of the Brain (FMRIB), Oxford University, Oxford, UK (Beckmann); the Department of Psychiatry, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Centre, Nijmegen, the Netherlands (Franke); the Karakter Child and Adolescent Psychiatry University Centre, Radboud University Medical Centre, Nijmegen, the Netherlands (Buitelaar); and the Department of Neuroimaging, Institute of Psychiatry, King's College London, London, UK (Marquand).
Alberto Llera ArenasFrom the Department of Human Genetics, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Centre, Nijmegen, the Netherlands (Wolfers, Onnink, Dammers, Hoogman, Franke); the Donders Centre for Cognitive Neuroimaging, Donders Institute for Brain, Cognition and Behaviour, Radboud University, Nijmegen, the Netherlands (Wolfers, Arenas, Hoogman, Zwiers, Franke, Marquand, Beckman); the Department of Cognitive Neuroscience, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Centre, Nijmegen, the Netherlands (Buitelaar, Marquand, Beckmann); the Centre for Functional MRI of the Brain (FMRIB), Oxford University, Oxford, UK (Beckmann); the Department of Psychiatry, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Centre, Nijmegen, the Netherlands (Franke); the Karakter Child and Adolescent Psychiatry University Centre, Radboud University Medical Centre, Nijmegen, the Netherlands (Buitelaar); and the Department of Neuroimaging, Institute of Psychiatry, King's College London, London, UK (Marquand).
A Marten H OnninkFrom the Department of Human Genetics, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Centre, Nijmegen, the Netherlands (Wolfers, Onnink, Dammers, Hoogman, Franke); the Donders Centre for Cognitive Neuroimaging, Donders Institute for Brain, Cognition and Behaviour, Radboud University, Nijmegen, the Netherlands (Wolfers, Arenas, Hoogman, Zwiers, Franke, Marquand, Beckman); the Department of Cognitive Neuroscience, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Centre, Nijmegen, the Netherlands (Buitelaar, Marquand, Beckmann); the Centre for Functional MRI of the Brain (FMRIB), Oxford University, Oxford, UK (Beckmann); the Department of Psychiatry, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Centre, Nijmegen, the Netherlands (Franke); the Karakter Child and Adolescent Psychiatry University Centre, Radboud University Medical Centre, Nijmegen, the Netherlands (Buitelaar); and the Department of Neuroimaging, Institute of Psychiatry, King's College London, London, UK (Marquand).
Janneke DammersFrom the Department of Human Genetics, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Centre, Nijmegen, the Netherlands (Wolfers, Onnink, Dammers, Hoogman, Franke); the Donders Centre for Cognitive Neuroimaging, Donders Institute for Brain, Cognition and Behaviour, Radboud University, Nijmegen, the Netherlands (Wolfers, Arenas, Hoogman, Zwiers, Franke, Marquand, Beckman); the Department of Cognitive Neuroscience, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Centre, Nijmegen, the Netherlands (Buitelaar, Marquand, Beckmann); the Centre for Functional MRI of the Brain (FMRIB), Oxford University, Oxford, UK (Beckmann); the Department of Psychiatry, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Centre, Nijmegen, the Netherlands (Franke); the Karakter Child and Adolescent Psychiatry University Centre, Radboud University Medical Centre, Nijmegen, the Netherlands (Buitelaar); and the Department of Neuroimaging, Institute of Psychiatry, King's College London, London, UK (Marquand).
Martine HoogmanFrom the Department of Human Genetics, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Centre, Nijmegen, the Netherlands (Wolfers, Onnink, Dammers, Hoogman, Franke); the Donders Centre for Cognitive Neuroimaging, Donders Institute for Brain, Cognition and Behaviour, Radboud University, Nijmegen, the Netherlands (Wolfers, Arenas, Hoogman, Zwiers, Franke, Marquand, Beckman); the Department of Cognitive Neuroscience, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Centre, Nijmegen, the Netherlands (Buitelaar, Marquand, Beckmann); the Centre for Functional MRI of the Brain (FMRIB), Oxford University, Oxford, UK (Beckmann); the Department of Psychiatry, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Centre, Nijmegen, the Netherlands (Franke); the Karakter Child and Adolescent Psychiatry University Centre, Radboud University Medical Centre, Nijmegen, the Netherlands (Buitelaar); and the Department of Neuroimaging, Institute of Psychiatry, King's College London, London, UK (Marquand).
Marcel P ZwiersFrom the Department of Human Genetics, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Centre, Nijmegen, the Netherlands (Wolfers, Onnink, Dammers, Hoogman, Franke); the Donders Centre for Cognitive Neuroimaging, Donders Institute for Brain, Cognition and Behaviour, Radboud University, Nijmegen, the Netherlands (Wolfers, Arenas, Hoogman, Zwiers, Franke, Marquand, Beckman); the Department of Cognitive Neuroscience, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Centre, Nijmegen, the Netherlands (Buitelaar, Marquand, Beckmann); the Centre for Functional MRI of the Brain (FMRIB), Oxford University, Oxford, UK (Beckmann); the Department of Psychiatry, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Centre, Nijmegen, the Netherlands (Franke); the Karakter Child and Adolescent Psychiatry University Centre, Radboud University Medical Centre, Nijmegen, the Netherlands (Buitelaar); and the Department of Neuroimaging, Institute of Psychiatry, King's College London, London, UK (Marquand).
Jan K BuitelaarFrom the Department of Human Genetics, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Centre, Nijmegen, the Netherlands (Wolfers, Onnink, Dammers, Hoogman, Franke); the Donders Centre for Cognitive Neuroimaging, Donders Institute for Brain, Cognition and Behaviour, Radboud University, Nijmegen, the Netherlands (Wolfers, Arenas, Hoogman, Zwiers, Franke, Marquand, Beckman); the Department of Cognitive Neuroscience, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Centre, Nijmegen, the Netherlands (Buitelaar, Marquand, Beckmann); the Centre for Functional MRI of the Brain (FMRIB), Oxford University, Oxford, UK (Beckmann); the Department of Psychiatry, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Centre, Nijmegen, the Netherlands (Franke); the Karakter Child and Adolescent Psychiatry University Centre, Radboud University Medical Centre, Nijmegen, the Netherlands (Buitelaar); and the Department of Neuroimaging, Institute of Psychiatry, King's College London, London, UK (Marquand).
Barbara FrankeFrom the Department of Human Genetics, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Centre, Nijmegen, the Netherlands (Wolfers, Onnink, Dammers, Hoogman, Franke); the Donders Centre for Cognitive Neuroimaging, Donders Institute for Brain, Cognition and Behaviour, Radboud University, Nijmegen, the Netherlands (Wolfers, Arenas, Hoogman, Zwiers, Franke, Marquand, Beckman); the Department of Cognitive Neuroscience, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Centre, Nijmegen, the Netherlands (Buitelaar, Marquand, Beckmann); the Centre for Functional MRI of the Brain (FMRIB), Oxford University, Oxford, UK (Beckmann); the Department of Psychiatry, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Centre, Nijmegen, the Netherlands (Franke); the Karakter Child and Adolescent Psychiatry University Centre, Radboud University Medical Centre, Nijmegen, the Netherlands (Buitelaar); and the Department of Neuroimaging, Institute of Psychiatry, King's College London, London, UK (Marquand).
Andre F MarquandFrom the Department of Human Genetics, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Centre, Nijmegen, the Netherlands (Wolfers, Onnink, Dammers, Hoogman, Franke); the Donders Centre for Cognitive Neuroimaging, Donders Institute for Brain, Cognition and Behaviour, Radboud University, Nijmegen, the Netherlands (Wolfers, Arenas, Hoogman, Zwiers, Franke, Marquand, Beckman); the Department of Cognitive Neuroscience, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Centre, Nijmegen, the Netherlands (Buitelaar, Marquand, Beckmann); the Centre for Functional MRI of the Brain (FMRIB), Oxford University, Oxford, UK (Beckmann); the Department of Psychiatry, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Centre, Nijmegen, the Netherlands (Franke); the Karakter Child and Adolescent Psychiatry University Centre, Radboud University Medical Centre, Nijmegen, the Netherlands (Buitelaar); and the Department of Neuroimaging, Institute of Psychiatry, King's College London, London, UK (Marquand).
Christian F BeckmannFrom the Department of Human Genetics, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Centre, Nijmegen, the Netherlands (Wolfers, Onnink, Dammers, Hoogman, Franke); the Donders Centre for Cognitive Neuroimaging, Donders Institute for Brain, Cognition and Behaviour, Radboud University, Nijmegen, the Netherlands (Wolfers, Arenas, Hoogman, Zwiers, Franke, Marquand, Beckman); the Department of Cognitive Neuroscience, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Centre, Nijmegen, the Netherlands (Buitelaar, Marquand, Beckmann); the Centre for Functional MRI of the Brain (FMRIB), Oxford University, Oxford, UK (Beckmann); the Department of Psychiatry, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Centre, Nijmegen, the Netherlands (Franke); the Karakter Child and Adolescent Psychiatry University Centre, Radboud University Medical Centre, Nijmegen, the Netherlands (Buitelaar); and the Department of Neuroimaging, Institute of Psychiatry, King's College London, London, UK (Marquand).
Radboud University Medical Center · NLUniversity of Oxford · GBRadboud University Nijmegen · NLKing's College London · GBWellcome Centre for Integrative Neuroimaging · GB

Funding

Training U54EB020403 · NIBIB · UNIVERSITY OF SOUTHERN CALIFORNIA · PI THOMPSON, PAUL M · 2014 to 2018
$10.1M
NIBIB NIH HHS U54 EB020403
6 · The paper itself

Abstract

backgroundAttention-deficit/hyperactivity disorder (ADHD) is biologically heterogeneous, with different biological predispositions - mediated through developmental processes - converging upon a common clinical phenotype. Brain imaging studies have variably shown altered brain structure, activity and connectivity in children and adults with ADHD. Recent methodological developments allow for the integration of information across imaging modalities, potentially yielding a more coherent view regarding the biology underlying the disorder.

methodsWe analyzed a sample of adults with persistent ADHD and healthy controls using an advanced multimodal linked independent component analysis approach. Diffusion and structural MRI data were fused to form imaging markers reflecting independent components that explain variation across modalities. We included these markers as predictors into logistic regression models on adult ADHD and put those into context with predictions of estimated intelligence, age and sex.

resultsWe included 87 adults with ADHD and 93 controls in our analysis. Participants' courses associated with all imaging markers explained 27.86% of the variance in adult ADHD. No single imaging modality dominated this result. Instead, it was explained by aggregation of relatively small effects across several modalities and markers. One of the top markers for adult ADHD was multimodal and linked to morphological and microstructural effects within anterior temporal brain regions; another was linked to cortical thickness. Several markers were also influenced by estimated intelligence, age and/or sex. LIMITATIONS: Although complex analytical approaches, such as the one applied here, provide insight into otherwise hidden mechanisms, they also increase the complexity of interpretations.

conclusionNo dominant imaging modality or marker characterizes structural brain phenotypes in adults with ADHD, but we can refine our characterization of the disorder by the integration of small effects across modalities.

Indexed as

Magnetic Resonance ImagingAdultAge FactorsAttention Deficit Disorder with HyperactivityBrainCohort StudiesFemaleGray MatterHumansIntelligenceLogistic ModelsMaleMultimodal ImagingOrgan SizeSex Factors

Identifiers

PMID28832320
PMCPMC5662460
OpenAlexW2749294672

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.