Real-world goal-directed behavior reveals aberrant functional connectivity in ADHD children

Poster No:

328 

Submission Type:

Abstract Submission 

Authors:

Juha Salmi1, Sofia Tauriainen2, Ana Triana2, Tarmo Nurmi2, Hanna Huhdanpää3, Minna Mannerkoski3, Eeva Aronen3, Mikhail Kantonistov4, Linda Henriksson2, Emiliano Macaluso5, Liia Merzon2

Institutions:

1University of Oulu, Kirkkonummi, Uusimaa, 2Aalto University, Espoo, Uusimaa, 3Helsinki University Hospital, Helsinki, Uusimaa, 4University of Helsinki, Helsinki, Uusimaa, 5Lyon Neuroscience Research Center, Lyon, Lyon

First Author:

Juha Salmi  
University of Oulu
Kirkkonummi, Uusimaa

Co-Author(s):

Sofia Tauriainen  
Aalto University
Espoo, Uusimaa
Ana Triana  
Aalto University
Espoo, Uusimaa
Tarmo Nurmi  
Aalto University
Espoo, Uusimaa
Hanna Huhdanpää  
Helsinki University Hospital
Helsinki, Uusimaa
Minna Mannerkoski  
Helsinki University Hospital
Helsinki, Uusimaa
Eeva Aronen  
Helsinki University Hospital
Helsinki, Uusimaa
Mikhail Kantonistov  
University of Helsinki
Helsinki, Uusimaa
Linda Henriksson  
Aalto University
Espoo, Uusimaa
Emiliano Macaluso  
Lyon Neuroscience Research Center
Lyon, Lyon
Liia Merzon  
Aalto University
Espoo, Uusimaa

Introduction:

Naturalistic neuroscience is stirring increasing interest. However, paradigms allowing self-guided agent-environment interaction in open-ended lifelike environments have been largely lacking from pediatric neuroimaging. Whereas resting state activity reflecting intrinsic tonic background activity is only vaguely connected to behavioral effects, virtual reality (VR) tasks allow provoking the symptoms and simultaneously measuring related phasic brain dynamics. Here we used a behaviorally validated VR task to study brain functional connectivity (FC) in children with attention deficit hyperactivity disorder (ADHD).

Methods:

Functional magnetic resonance imaging data was collected in 39 children with ADHD and 37 typically developing (TD) children matching in age and gender. The preregistered protocol included three experimental conditions: 1) an active VR task called EPELI where participants perform everyday chores in a virtual apartment, in situations where ADHD symptoms typically manifest [1], 2) a passive naturalistic Video Viewing task, where the participants were presented with video fragments of EPELI gameplay and 3) a Resting State condition capturing intrinsic brain activity. FC was examined with network-based statistics (NBS) [2], FDR-based link-wise comparison, and graph theoretical metrics.

Results:

During EPELI VR task the ADHD group showed weaker task performance than the TD group that was observed as lower Total Score (t(54)=3.53, p<0.001) and Task Efficacy (t(57)=2.64, p<0.05). NBS indicated hyperconnectivity in the ADHD group in a widespread brain network consisting of 77 nodes and 90 edges. Most of the links in the network connected fronto-occipital, parieto-temporal, occipito-temporal, cortico-thalamic, cortico-limbic, and cortico-striatal areas. Moreover, in the TD group, stronger FC during EPELI was associated with weaker Task Efficacy reflecting poor executive control. More restricted group differences in FC were observed during the Video Viewing. FDR indicated two connections (temporo-thalamic and intra-temporal) that were stronger in the ADHD compared to the TD group. Similarly to FC in the EPELI task, there was an association between FC during Video Viewing and EPELI Task Efficacy in the TD group. There were no differences in FC between the groups in the Resting State condition.

Conclusions:

This study demonstrates the advantages of VR in studying brain functioning in neurodevelopmental disorders. The present findings suggest that active execution of goal-directed behavior (i.e., manifestation of the overt symptoms) has a key role in driving the aberrant brain connectivity in ADHD. The combination of behavioral measures in naturalistic conditions with simultaneously occurring brain activity may further increase the clinical interpretability of neuroimaging findings.

Disorders of the Nervous System:

Neurodevelopmental/ Early Life (eg. ADHD, autism) 1

Perception, Attention and Motor Behavior:

Attention: Visual 2

Keywords:

Cognition
Development
DISORDERS
FUNCTIONAL MRI
Pediatric Disorders
Psychiatric

1|2Indicates the priority used for review

Abstract Information

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Please indicate below if your study was a "resting state" or "task-activation” study.

Resting state
Task-activation

Healthy subjects only or patients (note that patient studies may also involve healthy subjects):

Patients

Was this research conducted in the United States?

No

Were any human subjects research approved by the relevant Institutional Review Board or ethics panel? NOTE: Any human subjects studies without IRB approval will be automatically rejected.

Yes

Were any animal research approved by the relevant IACUC or other animal research panel? NOTE: Any animal studies without IACUC approval will be automatically rejected.

Not applicable

Please indicate which methods were used in your research:

Functional MRI
Behavior

For human MRI, what field strength scanner do you use?

3.0T

Which processing packages did you use for your study?

FSL
Other, Please list  -   fmriprep, network-based statistic, and brain connectivity toolbox

Provide references using APA citation style.

[1] Seesjärvi, E., Puhakka, J., Aronen, E. T., Lipsanen, J., Mannerkoski, M., Hering, A., ... & Salmi, J. (2022). Quantifying ADHD symptoms in open-ended everyday life contexts with a new virtual reality task. Journal of Attention Disorders, 26(11), 1394-1411.
[2] Zalesky, A., Fornito, A., & Bullmore, E. T. (2010). Network-based statistic: identifying differences in brain networks. Neuroimage, 53(4), 1197-1207.

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