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Exploring attentive task-based connectivity for screening attention deficit/hyperactivity disorder children: a
Stephanie Sutoko1,2, Yukifumi Monden3,4, Tatsuya Tokuda2
1Hitachi, Ltd., Center for Exploratory Research, Research and Development Group, Hatoyama, Saitama, Japan.
Brain connectivity differences during attention tasks distinguish children with attention-deficit/hyperactivity disorder (ADHD) from controls. Task-based functional near-infrared spectroscopy reveals unique connectivity patterns in ADHD, suggesting a potential biomarker for clinical screening.
Area of Science:
- Neuroscience
- Developmental Psychology
- Biomarkers
Background:
- Connectivity impairment is linked to attention-deficit/hyperactivity disorder (ADHD) pathophysiology.
- Resting-state connectivity is well-studied, but task-related connectivity changes in ADHD remain less understood.
Purpose of the Study:
- To investigate differences in brain connectivity between baseline and task states in children with ADHD.
- To explore if task-based connectivity can serve as a biomarker for ADHD screening.
Main Methods:
- Functional near-infrared spectroscopy (fNIRS) was used to measure brain activity in typically developing children and children with ADHD during a visual oddball attention task.
- Connectivity analysis was performed on the fNIRS data to assess intra- and interhemispheric connections.
- Activation and connectivity features were optimized and cross-validated for classifier performance.
Main Results:
- Typically developing children maintained consistent attentive connectivity, while children with ADHD showed enhanced bilateral connectivity during the task, with weaker right intrahemispheric connectivity.
- Connectivity and activation patterns were not always positively correlated; for example, the right middle frontal gyrus showed strong baseline connectivity that increased during the task, despite previous findings of reduced activation.
- A connectivity-based biomarker achieved higher training accuracy (88%) than an activation-based biomarker (76%) for screening.
Conclusions:
- Task-based attentive connectivity effectively differentiates between control and disordered children.
- Connectivity patterns during attention tasks may reflect pathological characteristics of ADHD.
- Task-based connectivity analysis shows promise as a supporting tool for clinical screening of ADHD.
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