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Commentary| Volume 76, ISSUE 8, P601-602, October 15, 2014

Understanding Alterations in Brain Connectivity in Attention-Deficit/Hyperactivity Disorder Using Imaging Connectomics

  • Martha E. Shenton
    Correspondence
    Address correspondence to Martha E. Shenton, Ph.D., Psychiatry Neuroimaging Laboratory, 1249 Boylston Street, Boston, MA, 02215
    Affiliations
    Departments of Psychiatry, Brigham and Women’s Hospital, Boston.

    Departments of Radiology, Brigham and Women’s Hospital, Boston.

    Harvard Medical School, Boston.

    Department of Veterans Affairs Boston Healthcare System, Brockton Division, Brockton.
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  • Marek Kubicki
    Affiliations
    Departments of Psychiatry, Brigham and Women’s Hospital, Boston.

    Departments of Radiology, Brigham and Women’s Hospital, Boston.

    Harvard Medical School, Boston.
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  • Nikos Makris
    Affiliations
    Departments of Radiology, Brigham and Women’s Hospital, Boston.

    Harvard Medical School, Boston.

    Departments of Psychiatry and Neurology, Massachusetts General Hospital, Boston, Massachusetts.
    Search for articles by this author
      Evaluation of neural systems and brain connections is an important new area of research to understand both normal brain connectivity and alterations in brain connectivity in neuropsychiatric disorders. The study of brain connectivity is also a major focus of current neuroscience. In humans, very little is known about neural networks in the living brain, although the Human Connectome Project (http://www.neuroscienceblueprint.nih.gov/connectome/) has as one of its main goals to understand better brain connections using the highest quality imaging data available today. The focus on brain networks (or connectomes), as opposed to single connections between brain regions, is a significant step forward because neural networks can be studied using new sophisticated models that open up avenues of research that make possible comprehensive analysis of structural and functional brain connectivity in normal individuals and in individuals with neuropsychiatric disorders, including attention-deficit/hyperactivity disorder (ADHD) (
      • Cao Q.
      • Shu N.
      • An L.
      • Wang P.
      • Sun L.
      • Xia M.R.
      • et al.
      Probabilistic diffusion tractography and graph theory analysis reveal abnormal white matter structural connectivity networks in drug-naive boys with attention deficit/hyperactivity disorder.
      ,
      • Hong S.-B.
      • Zalesky A.
      • Fornito A.
      • Park S.
      • Yang Y.-H.
      • Park M.-H.
      • et al.
      Connectomic disturbances in attention-deficit/hyperactivity disorder: A whole-brain tractography analysis.
      ). A connectomic approach to studying brain networks is also important because this approach includes a deeper appreciation of the fact that even the smallest, seemingly simplest task performed by humans engages multiple regions of the brain in organized networks. Sporns (
      • Sporns O.
      Networks of the Brain.
      ) described several developmental and possible evolutionary factors that shape such network topology.
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