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An Exploratory Study of an fMRI Reward-Learning Paradigm in Developing Adolescents
Sarah Yale1, Jeffrey Engelmann2, Michelle Loman3
1Division of Hospital Medicine, Department of Pediatrics, Medical College of Wisconsin, Milwaukee, WI 53226, USA.
Children (Basel, Switzerland)
|May 27, 2026
Summary
This pilot study explored electronic nicotine delivery systems (ENDS) effects on adolescent brain function using fMRI. While not finding significant activation, the study provides a foundation for future research on vaping and the developing brain.
Area of Science:
- Neuroscience
- Adolescent Development
- Neuroimaging
Background:
- Electronic Nicotine Delivery Systems (ENDS) are increasingly popular among adolescents, yet their impact on the developing adolescent brain remains under-researched.
- Research challenges include obtaining consent, adolescent disclosure, and the rapid evolution of vaping products.
- Understanding these impacts is crucial for public health and targeted interventions.
Purpose of the Study:
- To evaluate reward sensitivity and cognitive flexibility in adolescents using functional magnetic resonance imaging (fMRI).
- To adapt and test a probabilistic reversal learning task for assessing brain function in adolescents.
- To establish a foundation for future research on the neurobiological effects of ENDS in young populations.
Main Methods:
- A pilot study utilizing fMRI to scan participants aged 13-19 years.
- Adaptation of a probabilistic reversal learning task previously used in adult studies.
- Analysis focused on reward sensitivity (win-stay vs. lose-stay) and cognitive flexibility (lose-shift vs. lose-stay) contrasts.
Main Results:
- Seven non-users completed the fMRI analysis after exclusions.
- No significant BOLD activation was detected under strict statistical control.
- A liberal threshold revealed clusters in occipital, parietal, and prefrontal regions for reward sensitivity.
Conclusions:
- The small sample size likely limited the detection of significant BOLD activation.
- The identified brain regions, particularly in the prefrontal cortex, warrant further investigation.
- This study demonstrates the feasibility of using an fMRI reward-learning paradigm in adolescents for future nicotine research.

