Disrupted Resting Frontal-Parietal Attention Network Topology Is Associated With a Clinical Measure in Children With Attention-Deficit/Hyperactivity Disorder
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Published on: June 12, 2020
Yanpei Wang1,2,3, Fuxiang Tao1,2, Chenyi Zuo3
1State Key Laboratory of Cognitive Neuroscience and Learning, Beijing Normal University, Beijing, China.
Insights
Children with attention-deficit/hyperactivity disorder (ADHD) show altered brain network organization in the frontal-parietal attention network. This decentralized network topology correlates with ADHD symptom severity and may serve as a marker for disease progression.
Area of Science:
- Neuroscience
- Developmental Psychology
- Medical Imaging
Background:
- Resting-state functional connectivity alterations are known in attention-deficit/hyperactivity disorder (ADHD).
- The precise spatial organization of these brain network changes in ADHD remains unclear.
- Understanding network topology is crucial for identifying biomarkers and disease progression markers.
Purpose of the Study:
- To investigate the spatial organization and topology of the frontal-parietal attention network in children with ADHD.
- To correlate network topology characteristics with clinical measures of ADHD symptom severity and disease progression.
Main Methods:
- Utilized resting-state functional magnetic resonance imaging (fMRI) data from 119 children with ADHD and 69 controls.
- Employed graph analysis and minimum spanning tree construction to characterize frontal-parietal network topology.
- Assessed metrics including clustering coefficient, shortest path length, diameter, leaf number, tree hierarchy, kappa, and nodal eccentricity.
Main Results:
- While clustering coefficient and path length were similar, children with ADHD exhibited greater diameter, lower leaf number, tree hierarchy, and kappa in the frontal-parietal attention network.
- Significant alterations in nodal eccentricity were observed in prefrontal and occipital cortex regions in children with ADHD.
- These topological changes, particularly decreased leaf number and hierarchy, correlated significantly with ADHD symptom scores.
Conclusions:
- The frontal-parietal attention network in children with ADHD tends towards a more decentralized, line-like topology compared to the centralized, star-like topology in controls.
- This shift towards a more random network organization is associated with impaired global efficiency and network decentralization.
- These findings suggest that altered network topology in ADHD is clinically relevant and may serve as a potential biomarker for disease progression.
Abstract:
Purpose: Although alterations in resting-state functional connectivity between brain regions have been reported in children with attention-deficit/hyperactivity disorder (ADHD), the spatial organization of these changes remains largely unknown. Here, we studied frontal-parietal attention network topology in children with ADHD, and related topology to a clinical measure of disease progression. Methods: Resting-state fMRI scans were obtained from New York University Child Study Center, including 119 children with ADHD (male n = 89; female n = 30) and 69 typically developing controls (male n = 33; female n = 36). We characterized frontal-parietal functional networks using standard graph analysis (clustering coefficient and shortest path length) and the construction of a minimum spanning tree, a novel approach that allows a unique and unbiased characterization of brain networks. Results: Clustering coefficient and path length in the frontal-parietal attention network were similar in children with ADHD and typically developing controls; however, diameter was greater and leaf number, tree hierarchy, and kappa were lower in children with ADHD, and were significantly correlated with ADHD symptom score. There were significant alterations in nodal eccentricity in children with ADHD, involving prefrontal and occipital cortex regions, which are compatible with the results of previous ADHD studies. Conclusions: Our results indicate the tendency to deviate from a more centralized organization (star-like topology) towards a more decentralized organization (line-like topology) in the frontal-parietal attention network of children with ADHD. This represents a more random network that is associated with impaired global efficiency and network decentralization. These changes appear to reflect clinically relevant phenomena and hold promise as markers of disease progression.
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