Evidence for similar structural brain anomalies in youth and adult attention-deficit/hyperactivity disorder: a machine learning analysis

Biological Psychology 150 /dk/atira/pure/subjectarea/asjc/2800/2804 Clinical sciences Machine Learning /dk/atira/pure/subjectarea/asjc/2800/2803 Psychology 2.1 Biological and endogenous factors Aetiology Child info:eu-repo/classification/ddc/610 Pediatric Brain /dk/atira/pure/subjectarea/asjc/2700/2738 Psychiatry - Radboud University Medical Center Magnetic Resonance Imaging 3. Good health Psychiatry and Mental health Mental Health Public Health and Health Services Mental health Adolescent; Adult; Attention Deficit Disorder with Hyperactivity/diagnostic imaging; Brain/diagnostic imaging; Child; Humans; Machine Learning; Magnetic Resonance Imaging; Young Adult social and economic factors RC321-571 Adult Adolescent Clinical Sciences Radboud University Medical Center Neurosciences. Biological psychiatry. Neuropsychiatry Predictive markers Article Cellular and Molecular Neuroscience Young Adult name=Psychiatry and Mental health 2.3 Psychological Behavioral and Social Science Machine learning Journal Article Humans name=Biological Psychiatry Biological Psychiatry Radboudumc 7: Neurodevelopmental disorders DCMN: Donders Center for Medical Neuroscience Neurosciences ENIGMA-ADHD Working Group Attention Deficit Hyperactivity Disorder (ADHD) Brain Disorders Attention deficit disorder with hyperactivity Attention Deficit Disorder with Hyperactivity Biological psychology Human Genetics - Radboud University Medical Center Psychiatric disorders name=Cellular and Molecular Neuroscience
DOI: 10.1038/s41398-021-01201-4 Publication Date: 2021-02-01T08:04:32Z
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ABSTRACT
AbstractAttention-deficit/hyperactivity disorder (ADHD) affects 5% of children world-wide. Of these, two-thirds continue to have impairing symptoms of ADHD into adulthood. Although a large literature implicates structural brain differences of the disorder, it is not clear if adults with ADHD have similar neuroanatomical differences as those seen in children with recent reports from the large ENIGMA-ADHD consortium finding structural differences for children but not for adults. This paper uses deep learning neural network classification models to determine if there are neuroanatomical changes in the brains of children with ADHD that are also observed for adult ADHD, and vice versa. We found that structural MRI data can significantly separate ADHD from control participants for both children and adults. Consistent with the prior reports from ENIGMA-ADHD, prediction performance and effect sizes were better for the child than the adult samples. The model trained on adult samples significantly predicted ADHD in the child sample, suggesting that our model learned anatomical features that are common to ADHD in childhood and adulthood. These results support the continuity of ADHD’s brain differences from childhood to adulthood. In addition, our work demonstrates a novel use of neural network classification models to test hypotheses about developmental continuity.
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