Evidence map›Paper›PMID 39899194›Full record

ReviewPaediatric drugs2025

Neuroimaging as a Tool for Advancing Pediatric Psychopharmacology.

Michael Bartkoski, John Tumberger, Laura Martin, In-Young Choi, Phil Lee, Jeffrey R Strawn, William M Brooks, Stephani L Stancil

Abstract readReview
In one paragraph

Review in Paediatric drugs, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Michael Bartkoski *Division of Clinical Pharmacology, Toxicology and Therapeutic Innovation, Children's Mercy Kansas City, Kansas City, MO, USA.ORCID http://orcid.org/0000-0001-8203-4121
John Tumberger *Division of Clinical Pharmacology, Toxicology and Therapeutic Innovation, Children's Mercy Kansas City, Kansas City, MO, USA.ORCID http://orcid.org/0000-0002-0109-0912
Laura MartinDepartment of Population Health, University of Kansas School of Medicine, Kansas City, KS, USA.ORCID http://orcid.org/0000-0002-9800-9278
In-Young ChoiHoglund Biomedical Imaging Center, University of Kansas, Kansas City, KS, USA.ORCID http://orcid.org/0000-0002-1489-4119
Phil LeeHoglund Biomedical Imaging Center, University of Kansas, Kansas City, KS, USA.ORCID http://orcid.org/0000-0002-2087-8887
Jeffrey R StrawnDepartment of Psychiatry and Behavioral Neuroscience, University of Cincinnati College of Medicine, Cincinnati, OH, USA.ORCID http://orcid.org/0000-0002-7526-2641
William M BrooksHoglund Biomedical Imaging Center, University of Kansas, Kansas City, KS, USA.ORCID http://orcid.org/0000-0001-6227-7636
Stephani L StancilDivision of Clinical Pharmacology, Toxicology and Therapeutic Innovation, Children's Mercy Kansas City, Kansas City, MO, USA. slstancil@cmh.edu.ORCID http://orcid.org/0000-0001-7308-3132

Funding

The Indiana University-Ohio State University Maternal and Pediatric Precision in Therapeutics Data, Model, Knowledge, and Research Coordination Center (IU-OSU MPRINT DMKRCC)P30HD106451 · NICHD · INDIANA UNIVERSITY INDIANAPOLIS · PI Simon M. Lin · 2021 to 2026
$24.1M
Institutional Career Development CoreKL2TR002367 · NCATS · UNIVERSITY OF KANSAS MEDICAL CENTER · PI MATTHEW W MOSCONI, NICOLE L NOLLEN · 2017 to 2026
$7.3M
Development of a Pharmacodynamic Biomarker of Opioid Antagonism in Adolescents with Eating DisordersK23MH130728 · NIMH · CHILDREN'S MERCY HOSP (KANSAS CITY, MO) · PI Stephani L Stancil · 2023 to 2026
$740k
Eunice Kennedy Shriver National Institute of Child Health and Human Development P30HD106451NCATS NIH HHS KL2 TR002367NCATS NIH HHS KL2TR002367NICHD NIH HHS P30 HD106451NIMH NIH HHS K23 MH130728NIMH NIH HHS K23MH130728
6 · The paper itself

Abstract

Neuroimaging, specifically magnetic resonance imaging (MRI), magnetic resonance spectroscopy (MRS), and positron emission tomography (PET), plays an important role in improving the therapeutic landscape of pediatric neuropsychopharmacology by detecting target engagement, pathway modulation, and disease-related changes in the brain. This review provides a comprehensive update on the application of neuroimaging to detect neural effects of psychotropic medication in pediatrics. Additionally, we discuss opportunities and challenges for expanding the use of neuroimaging to advance pediatric neuropsychopharmacology. PubMed and Embase were searched for studies published between 2012 and 2024 reporting neural effects of attention deficit hyperactivity disorder (ADHD) medications (e.g., methylphenidate, amphetamine, atomoxetine, guanfacine), selective serotonin reuptake inhibitors (e.g., fluoxetine, escitalopram, sertraline), serotonin/norepinephrine reuptake inhibitors (e.g., duloxetine, venlafaxine), second-generation antipsychotics (e.g., aripiprazole, olanzapine, risperidone, quetiapine, ziprasidone), and others (e.g., lithium, carbamazepine, lamotrigine, ketamine, naltrexone) used to treat pediatric psychiatric conditions. Of the studies identified (N = 57 in 3314 pediatric participants), most (86%, total participants n = 3045) used MRI to detect functional pathway modulation or anatomical changes. Fewer studies (14%, total participants n = 269) used MRS to understand neurochemical modulation. No studies used PET. Studies that included healthy controls detected normalization of disease-altered pathways following treatment. Studies that focused on affected youth detected neuromodulation following single-dose and ongoing treatment. Neuroimaging is positioned to serve as a biomarker capable of demonstrating acute brain modulation, predicting clinical response, and monitoring disease, yet biomarker validation requires further work. Neuroimaging is also well suited to fill the notable knowledge gap of long-term neuromodulatory effects of psychotropic medications in the context of ongoing brain development in children and adolescents. Future studies can leverage advancements in neuroimaging technology, acquisition, and analysis to fill these gaps and accelerate the discovery of novel therapeutics, leading to more effective prescribing and ensuring faster recovery.

Indexed as

BrainMental DisordersNeuroimagingPsychopharmacologyPsychotropic DrugsAttention Deficit Disorder with HyperactivityChildHumansMagnetic Resonance ImagingPsychotropic Drugs

Identifiers

PMID39899194
PMCPMC12031650

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.