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Many patients diagnosed with idiopathic ADHD may actually have ADHD and covert PAE, a treatment\u2010relevant distinction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We compared proton magnetic resonance spectroscopic imaging (MRSI; N\u2009=\u200944) and diffusion tensor imaging (DTI; N\u2009=\u200946) of the anterior corona radiata (ACR)\u2014a key fiber tract in models of ADHD\u2014at 1.5 T in children with ADHD with PAE (ADHD+PAE), children with ADHD without PAE (ADHD\u2212PAE), children without ADHD with PAE (non\u2010ADHD+PAE), and children with neither ADHD nor PAE (non\u2010ADHD\u2212PAE, i.e., typically developing controls). Levels of choline\u2010compounds (Cho) were the main MRSI endpoint, given interest in dietary choline for FASD; the main DTI endpoint was fractional anisotropy (FA), as ACR FA may reflect ADHD\u2010relevant executive control functions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      For ACR Cho, there was an ADHD\u2010by\u2010PAE interaction (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.038) whereby ACR Cho was 26.7% lower in ADHD+PAE than in ADHD\u2212PAE children (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.0005), but there was no significant ACR Cho difference between non\u2010ADHD+PAE and non\u2010ADHD\u2212PAE children. Voxelwise false\u2010discovery rate (FDR)\u2010corrected analysis of DTI revealed significantly (\n                      <jats:italic>q<\/jats:italic>\n                      \u2009\u2264\u20090.0101\u20130.05) lower FA in ACR for subjects with PAE (ADHD+PAE or non\u2010ADHD+PAE) than for subjects without PAE (ADHD\u2212PAE or non\u2010ADHD\u2212PAE). There was no significant effect of ADHD on FA. Thus, in overlapping samples, effects of PAE on Cho and FA were observed in the same white\u2010matter tract.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>These findings point to tract focal, white\u2010matter pathology possibly specific for ADHD+PAE subjects. Low Cho may derive from abnormal choline metabolism; low FA suggests suboptimal white\u2010matter integrity in PAE. More advanced MRSI and DTI\u2014and neurocognitive assessments\u2014may better distinguish ADHD+PAE from ADHD\u2212PAE, helping identify covert cases of FASD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/bdr2.1460","type":"journal-article","created":{"date-parts":[[2019,1,29]],"date-time":"2019-01-29T17:18:57Z","timestamp":1548782337000},"page":"797-811","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Differential neuroimaging indices in prefrontal white matter in prenatal alcohol\u2010associated ADHD versus idiopathic ADHD"],"prefix":"10.1002","volume":"111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2216-3903","authenticated-orcid":false,"given":"Joseph","family":"O'Neill","sequence":"first","affiliation":[{"name":"Division of Child &amp; Adolescent Psychiatry, Jane &amp; Terry Semel Institute for Neuroscience University of California Los Angeles  Los Angeles California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6862-6139","authenticated-orcid":false,"given":"Mary J.","family":"O'Connor","sequence":"additional","affiliation":[{"name":"Division of Child &amp; Adolescent Psychiatry, Jane &amp; Terry Semel Institute for Neuroscience University of California Los Angeles  Los Angeles California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victor","family":"Yee","sequence":"additional","affiliation":[{"name":"Division of Child &amp; Adolescent Psychiatry, Jane &amp; Terry Semel Institute for Neuroscience University of California Los Angeles  Los Angeles California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ronald","family":"Ly","sequence":"additional","affiliation":[{"name":"Division of Child &amp; Adolescent Psychiatry, Jane &amp; Terry Semel Institute for Neuroscience University of California Los Angeles  Los Angeles California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine","family":"Narr","sequence":"additional","affiliation":[{"name":"Department of Neurology University of California Los Angeles  Los Angeles California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey R.","family":"Alger","sequence":"additional","affiliation":[{"name":"Department of Neurology University of California Los Angeles  Los Angeles California"},{"name":"Neurospectroscopics, Inc.  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