Evidence map›Paper›PMID 40676171›Full record

ArticleCommunications medicine2025

Transformer-based structural connectivity networks for ADHD-related connectivity alterations.

Liting Shi, Lei Shi, Zhijun Cui, Chengting Lin, Rui Zhang, Jiayi Zhang, Yechen Zhu, Wei Shi, Jianlin Wang, Yanlong Wang and 3 more

Abstract read
In one paragraph

Article in Communications medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

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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

13 authors.

Liting Shi *Department of Radiology, Zhejiang Cancer Hospital, Hangzhou Institute of Medicine (HIM), Chinese Academy of Sciences, Hangzhou, China.ORCID http://orcid.org/0000-0002-7771-2001
Lei Shi *Department of Radiology, Zhejiang Cancer Hospital, Hangzhou Institute of Medicine (HIM), Chinese Academy of Sciences, Hangzhou, China.ORCID http://orcid.org/0000-0003-0031-2808
Zhijun CuiBeijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, China.ORCID http://orcid.org/0000-0001-5933-5655
Chengting LinThe Second School of Clinical Medicine, Zhejiang Chinese Medical University, Hangzhou, China.ORCID http://orcid.org/0009-0002-1869-4189
Rui ZhangSuzhou Institute of Biomedical Engineering and Technology, Chinese Academy of Science, Suzhou, China.ORCID http://orcid.org/0000-0001-9906-0596
Jiayi ZhangSuzhou Institute of Biomedical Engineering and Technology, Chinese Academy of Science, Suzhou, China.ORCID http://orcid.org/0000-0002-0601-5794
Yechen ZhuSuzhou Institute of Biomedical Engineering and Technology, Chinese Academy of Science, Suzhou, China.ORCID http://orcid.org/0000-0002-7597-450X
Wei ShiSuzhou Institute of Biomedical Engineering and Technology, Chinese Academy of Science, Suzhou, China.ORCID http://orcid.org/0000-0003-4911-8715
Jianlin WangDepartment of Radiology, Zhejiang Cancer Hospital, Hangzhou Institute of Medicine (HIM), Chinese Academy of Sciences, Hangzhou, China.
Yanlong WangDepartment of Radiology, Zhejiang Cancer Hospital, Hangzhou Institute of Medicine (HIM), Chinese Academy of Sciences, Hangzhou, China.
Dongxing WangDepartment of Neurology, The Second Affiliated Hospital of Soochow University, Suzhou, China.
Haihong LiuBeijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, China.
Xin GaoSuzhou Institute of Biomedical Engineering and Technology, Chinese Academy of Science, Suzhou, China. xingaosam@163.com.

Funding

National Natural Science Foundation of China (National Science Foundation of China) 82372052Natural Science Foundation of Shandong Province (Shandong Provincial Natural Science Foundation) ZR2022QF071Natural Science Foundation of Shandong Province (Shandong Provincial Natural Science Foundation) ZR2022QF099Taishan Scholar Foundation of Shandong Province tscx202312131
6 · The paper itself

Abstract

backgroundAttention-deficit/hyperactivity disorder (ADHD) is a common neurodevelopmental disorder that affects behavior, attention, and learning. Current diagnoses rely heavily on subjective assessments, underscoring the need for objective imaging-based methods. This study aims to explore whether structural connectivity networks derived from MRI can reveal alterations associated with ADHD and support data-driven understanding.

methodsWe collected brain MRI data from 947 individuals (aged 7-26 years; 590 males, 356 females, 1 unspecified) across eight centers, sourced from the Neuro Bureau ADHD-200 preprocessed dataset. Transformer-based deep learning models were used to learn relationships between different brain regions and construct structural connectivity networks. To prepare input for the model, each region was transformed into a standardized data sequence using four different strategies. The strength of connectivity between brain regions was then measured to identify structural differences related to ADHD. Five-fold cross-validation and statistical analyses were used to evaluate model robustness and group differences, respectively.

resultsHere we show that the proposed method performs well in distinguishing ADHD individuals from healthy controls, with accuracy reaching 71.9 percent and an area under curve of 0.74. The structural networks also reveal significant differences in connectivity patterns (paired t-test: P = 0.81 × 10

conclusionsThis study shows that ADHD may be associated with connectivity alterations in multiple brain regions. Our findings suggest that brain structural connectivity networks built using Transformer-based methods offer a promising tool for both diagnosis and further research into brain structure.

Identifiers

PMID40676171
PMCPMC12271470

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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.