Evidence map›Paper›PMID 42595302›Full record

ArticleBiological psychiatry. Cognitive neuroscience and neuroimaging2026

Widespread alterations in white matter microstructure in autism: A multilevel meta-analysis.

Christy D Yoon, Andrew L Alexander, Brittany G Travers, Janet E Lainhart, Douglas C Dean

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

5 · Who and what money

Authors and funding

5 authors.

Christy D YoonWaisman Center, University of Wisconsin-Madison, Madison, WI, USA. Electronic address: cyoon37@wisc.edu.
Andrew L AlexanderWaisman Center, University of Wisconsin-Madison, Madison, WI, USA; Department of Medical Physics, University of Wisconsin-Madison, Madison, WI, USA; Department of Psychiatry, University of Wisconsin-Madison, Madison, WI, USA.
Brittany G TraversWaisman Center, University of Wisconsin-Madison, Madison, WI, USA; Department of Kinesiology, Occupational Therapy Program, University of Wisconsin-Madison, Madison, WI, USA.
Janet E LainhartWaisman Center, University of Wisconsin-Madison, Madison, WI, USA; Department of Psychiatry, University of Wisconsin-Madison, Madison, WI, USA.
Douglas C DeanWaisman Center, University of Wisconsin-Madison, Madison, WI, USA; Department of Medical Physics, University of Wisconsin-Madison, Madison, WI, USA; Department of Pediatrics, University of Wisconsin-Madison, Madison, WI, USA.

Funding

Waisman Center Intellectual and Developmental Disabilities Research CenterP50HD105353 · NICHD · UNIVERSITY OF WISCONSIN-MADISON · PI Qiang Chang · 2021 to 2026
$8.5M
Toward Healthy Aging in Adults with Autism: A Longitudinal Clinical and Multimodal Brain Imaging StudyR01MH132218 · NIMH · UNIVERSITY OF WISCONSIN-MADISON · PI ALEXANDER, ANDREW L, LAINHART, JANET ELIZABETH · 2022 to 2024
$6.9M
POSTDOCTORAL TRAINING IN MENTAL RETARDATION RESEARCHT32HD007489 · NICHD · UNIVERSITY OF WISCONSIN-MADISON · PI Sigan L Hartley · 1995 to 2026
$6.0M
Toward Healthy Aging in Adults with Autism: A Longitudinal Clinical and Multimodal Brain Imaging StudyRF1MH132218 · NIMH · UNIVERSITY OF WISCONSIN-MADISON · PI ALEXANDER, ANDREW L, LAINHART, JANET ELIZABETH · 2025 to 2025
$4.5M
Brainstem Contributions to Sensorimotor and Core Symptoms in Children with Autism Spectrum DisorderR01HD094715 · NICHD · UNIVERSITY OF WISCONSIN-MADISON · PI Brittany Gail Travers · 2018 to 2026
$3.4M
NICHD NIH HHS P50 HD105353NICHD NIH HHS R01 HD094715NICHD NIH HHS T32 HD007489NIMH NIH HHS R01 MH132218NIMH NIH HHS RF1 MH132218
6 · The paper itself

Abstract

backgroundDisrupted brain connectivity is central to understanding the neurobiological basis of autism spectrum disorder (ASD). Diffusion tensor imaging (DTI) has been extensively used to study brain microstructure in ASD, often revealing reduced fractional anisotropy (FA) and increased mean diffusivity (MD) in white matter.

methodsWe conducted a multivariate random-effects meta-analysis with a multilevel structure to evaluate the extent to which FA and MD measures of white matter microstructure are altered in individuals with ASD compared to typically developing (TD) individuals, as well as how publication year, participant characteristics (age, sex, IQ), and laterality moderate the magnitude of the estimated differences. Our analysis included 881 effect sizes from 66 studies (N

resultsWe found a significant moderate summary effect size for FA in nine tracts (corpus callosum, corticospinal tract, thalamic radiation, arcuate fasciculus, inferior fronto-occipital fasciculus [IFOF], inferior longitudinal fasciculus [ILF], superior longitudinal fasciculus [SLF], uncinate fasciculus, cingulum; Hedges' g = -0.30 to -0.50), suggesting that individuals with ASD have lower FA compared to TD controls. Additionally, we found a significant moderate-to-large summary effect size for MD in eight tracts (corpus callosum, corona radiata, corticospinal tract, arcuate fasciculus, IFOF, ILF, SLF, uncinate fasciculus; Hedges' g = 0.29 to 0.97), suggesting that individuals with ASD have higher MD compared to TD controls. Furthermore, moderators demonstrated tract- and metric-specific effects.

conclusionsOur findings highlight the complex, multidimensional nature of white matter microstructure alterations observed in ASD.

Indexed as

autismDTImeta-analysismicrostructurewhite matter

Identifiers

PMID42595302
PMCPMC13521561

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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.