Evidence map›Paper›PMID 41205674›Full record

ArticleBiological psychiatry. Cognitive neuroscience and neuroimaging2026

Reduced Gray-White Matter Contrast in Chronic Posttraumatic Stress Disorder in World Trade Center Responders.

Juin W Zhou, Chuan Huang, Paul Vaska, Stephanie Santiago-Michels, Alissa Barber, Melissa A Carr, Frank D Mann, Pei-Fen Kuan, Roberto Lucchini, Roman Kotov and 2 more

Abstract read
In one paragraph

Article in Biological psychiatry. Cognitive neuroscience and neuroimaging, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

12 authors.

Juin W ZhouDepartment of Biomedical Engineering, Stony Brook University, Stony Brook, New York; Department of Radiology, Renaissance School of Medicine at Stony Brook University, Stony Brook, New York.
Chuan HuangDepartment of Radiology and Imaging Sciences, Emory University, Atlanta, Georgia; Department of Biomedical Engineering, Emory University and Georgia Institute of Technology, Atlanta, Georgia.
Paul VaskaDepartment of Biomedical Engineering, Stony Brook University, Stony Brook, New York; Department of Radiology, Renaissance School of Medicine at Stony Brook University, Stony Brook, New York.
Stephanie Santiago-MichelsDepartment of Psychology, City University of New York Graduate Center at Queens College, Flushing, New York.
Alissa BarberWorld Trade Center Health Program, Stony Brook University, Commack, New York.
Melissa A CarrWorld Trade Center Health Program, Stony Brook University, Commack, New York.
Frank D MannWorld Trade Center Health Program, Stony Brook University, Commack, New York.
Pei-Fen KuanDepartment of Applied Mathematics and Statistics, Stony Brook University, Stony Brook, New York.
Roberto LucchiniDepartment of Environmental Health Sciences, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, Florida; Department of Biomedical, Metabolic and Neurosciences, University of Modena, Modena, Italy.
Roman KotovDepartment of Psychiatry, Renaissance School of Medicine at Stony Brook University, Stony Brook, New York.
Sean A P CloustonProgram in Public Health, Stony Brook University, Stony Brook, New York; Department of Family, Population, and Preventive Medicine, Renaissance School of Medicine at Stony Brook University, Stony Brook, New York. Electronic address: sean.clouston@stonybrookmedicine.edu.
Benjamin J LuftWorld Trade Center Health Program, Stony Brook University, Commack, New York; Department of Medicine, Renaissance School of Medicine at Stony Brook University, Stony Brook, New York.

Funding

A lifecourse approach to PTSD and cognitive aging: A cohort of 9/11 respondersR01AG049953 · NIA · STATE UNIVERSITY NEW YORK STONY BROOK · PI CLOUSTON, SEAN · 2015 to 2024
$11.0M
Burden and change in Alzheimers disease neuropathology in aging World Trade Center respondersR01AG067590 · NIA · STATE UNIVERSITY NEW YORK STONY BROOK · PI CLOUSTON, SEAN, KUAN, PEI-FEN · 2021 to 2025
$4.0M
NIA NIH HHS R01 AG049953NIA NIH HHS R01 AG067590
6 · The paper itself

Abstract

backgroundFollowing the collapse of the World Trade Center (WTC), many people experienced severe trauma and 23% of WTC responders developed posttraumatic stress disorder (PTSD). We hypothesized that gray-white matter contrast (GWC) would be different in participants with PTSD compared with demographically matched trauma-exposed control participants with no history of PTSD.

methodsT1-weighted structural images for 99 WTC responders collected on a 3T Siemen's magnetic resonance imaging scanner were retrieved and segmented to measure global, regional, and voxelwise GWC. Group-level analyses adjusted for the false discovery rate (FDR) (FDR = .05). Area under the receiver operating characteristic curve was reported. To determine correlates of PTSD, we also measured PTSD symptom severity and several putative neuroimaging measures linked to PTSD including cortical fractal dimensions, cortical free water fraction, characteristic path length, and cerebral/cerebellar cortical thickness.

resultsWTC responders with PTSD exhibited reduced cerebral GWC globally (d = 0.47, SE = 0.20, p = 0.022), while vertexwise results showed focal differences (FDR < .05) in the frontal, temporal, and parietal lobes. Among participants with PTSD, analyses identified correlations that passed FDR correction linking GWC with overall PTSD symptom severity (ρ = -0.24) that were strongest when examining re-experiencing symptom severity (ρ = -0.28) and when examining GWC in the pars triangularis (ρ = -0.37). GWC was not associated with cortical fractal dimension, cortical free water fraction, characteristic path length, or cerebral/cerebellar cortical thickness.

conclusionsResults support emerging research suggesting that PTSD is associated with changes to intracortical health. If replicated, changes in GWC might provide novel treatment targets and could help to support diagnosis in research studies.

Indexed as

Cerebral CortexEmergency RespondersGray MatterSeptember 11 Terrorist AttacksStress Disorders, Post-TraumaticWhite MatterAdultFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedEnvironmental exposuresGray-white matter contrastMRIPosttraumatic stress disorderTraumaWorld Trade Center responders

Identifiers

PMID41205674
PMCPMC12702304

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.