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. 2024 Aug 3;16(15):2559. doi: 10.3390/nu16152559

Table 1.

Summary of MRI brain iron studies in ADHD and RLS. ADHD: attention deficit hyperactivity disorder; MFC: magnetic field correlation; mo: months; PLMS: periodic limb movements of sleep; QSM: quantitative susceptibility mapping; RLS: restless legs syndrome; ROI: regions of interest; SF: serum ferritin, Y: years.

Author Study Population Method Results
Condition Participant Number Age (Y):
Range
Mean
Adisetiyo et al., 2014 [15] ADHD n = 22 ADHD
n = 27 controls
8–18
12.7
13.3
MRI imaging relaxation rates (R2, R2*, R2′) and magnetic field correlation (MFC) in the globus pallidus, putamen, caudate nucleus, and thalamus
-R2, R2*, R2′
-MFC
-No difference in R values
-Lower MFC in ADHD (lower brain iron)
Adisetiyo et al., 2019 [16] ADHD n = 30
ADHD
n = 29 controls
8–18
14.0
13.9
-R2*
-MFC
-No difference in R2* or MFC
-Increased R2* and MFC (increased brain iron) with psychostimulant use duration in ADHD more than with age
Allen et al., 2001 [17] RLS n = 5 RLS
n = 5 controls
66.2
66.4
-R2′ -Lower R2′(lower brain iron) in RLS and in proportion to RLS severity
Astrakas et al., 2008 [18] RLS n = 25 RLS
n = 12 controls
55–82
66.5
54–89
65.7
-T2 -Higher T2 (lower brain iron) in RLS
Beliveau et al., 2022 [19] RLS n = 72 RLS
n = 72 controls
46–59
51.9
(median)
51.0 (median)
-R2, R2′, and R2*
-QSM
-Higher R and QSM values (increased iron brain iron) in RLS
Cortese et al., 2012 [20] ADHD n = 18
ADHD
n = 9
controls
n = 9 psychiatric controls
118.8 mo
120.8 mo
123.5 mo
-T2* -Higher T2* (lower brain iron) in ADHD
-SF and T2* values did not correlate significantly in most regions
Earley et al., 2006 [21] RLS n = 22 early-onset RLS
n = 19 late-onset RLS
n = 39 controls
57.1
67.4
60.5
-R2′ -Lower R2′ (lower brain iron) in early-onset RLS symptoms, but not late-onset RLS
Godau et al., 2008 [22] RLS n = 6 RLS
n = 19 controls
47–68
60
59
-T2 -Higher T2 (lower brain iron) in RLS
Hasaneen et al., 2017
[23]
ADHD n = 17 ADHD
n = 18 controls
6–15
8.4
8.5
-R2* -Lower R2* (lower brain iron) in ADHD which correlated with ADHD type but not with ADHD severity
Knake et al., 2010 [24] RLS n = 12 RLS
n = 12 controls
43–46
58.5
41–74
56.8
-T2 -No difference in T2 values
Li et al., 2016 [25] RLS n = 39 RLS
n = 29 controls
58.4
57.9
-QSM -Lower magnetic susceptibility (lower brain iron) in RLS and possible connection to PLMS
Margariti et al., 2012 [26] RLS n = 11 RLS
n = 11 controls
48–70
55.3
42–73
56.1
-T2 -Lower T2 (higher brain iron) in RLS
Moon et al., 2014 [27] RLS n = 37 RLS
n = 20 early-onset RLS
n = 17 late-onset RLS
n = 40 RLS controls
n = 20 early-onset controls
n = 20 late-onset controls
50.3
58.1
47.0
59.4
-T2 -Higher T2 (lower brain iron) in late-onset RLS, but not early-onset RLS
Moon et al., 2015 [28] RLS n = 37 RLS
n = 40 controls
53.8
53.2
-R2, R2*, and R2′ -Relaxometry and ROI determination methods significantly influenced the outcome of brain iron estimates
Rizzo et al., 2013 [29] RLS n = 15 RLS
n = 15 controls
51.0
51.0
-Phase from gradient-echo scan -Higher phase values (lower brain iron) in RLS