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Front Hum Neurosci. 2013 Oct 30;7:733. doi: 10.3389/fnhum.2013.00733.

Heterogeneity within Autism Spectrum Disorders: What have We Learned from Neuroimaging Studies?.

Frontiers in human neuroscience

Rhoshel K Lenroot, Pui Ka Yeung

Affiliations

  1. School of Psychiatry, University of New South Wales , Sydney, NSW , Australia ; Neuroscience Research Australia , Sydney, NSW , Australia.

PMID: 24198778 PMCID: PMC3812662 DOI: 10.3389/fnhum.2013.00733

Abstract

Autism spectrum disorders (ASD) display significant heterogeneity. Although most neuroimaging studies in ASD have been designed to identify commonalities among affected individuals, rather than differences, some studies have explored variation within ASD. There have been two general types of approaches used for this in the neuroimaging literature to date: comparison of subgroups within ASD, and analyses using dimensional measures to link clinical variation to brain differences. This review focuses on structural and functional magnetic resonance imaging studies that have used these approaches to begin to explore heterogeneity between individuals with ASD. Although this type of data is yet sparse, recognition is growing of the limitations of behaviorally defined categorical diagnoses for understanding neurobiology. Study designs that are more informative regarding the sources of heterogeneity in ASD have the potential to improve our understanding of the neurobiological processes underlying ASD.

Keywords: autism; functional magnetic resonance imaging; intellectual disability; psychiatry and developmental disabilities; structural magnetic resonance imaging

References

  1. Biol Psychiatry. 2009 Aug 15;66(4):327-33 - PubMed
  2. Neuropsychologia. 2010 Oct;48(12):3416-29 - PubMed
  3. Neurosci Biobehav Rev. 2011 May;35(6):1363-96 - PubMed
  4. Brain Dev. 2001 Dec;23 Suppl 1:S62-71 - PubMed
  5. Dev Neuropsychol. 2007;31(2):217-38 - PubMed
  6. J Clin Invest. 2009 Apr;119(4):747-54 - PubMed
  7. Neurosci Biobehav Rev. 2012 Jan;36(1):604-25 - PubMed
  8. Arch Gen Psychiatry. 2003 Apr;60(4):415-24 - PubMed
  9. Cortex. 2012 Feb;48(2):183-93 - PubMed
  10. Biol Psychiatry. 2005 Aug 1;58(3):226-32 - PubMed
  11. Psychiatry Res. 1992 Aug;45(2):115-21 - PubMed
  12. Neuropsychologia. 2010 Oct;48(12):3665-70 - PubMed
  13. Dialogues Clin Neurosci. 2012 Sep;14(3):253-62 - PubMed
  14. Brain Cogn. 1998 Apr;36(3):377-89 - PubMed
  15. J Autism Dev Disord. 2012 Jul;42(7):1304-13 - PubMed
  16. Ann N Y Acad Sci. 2010 Mar;1191:42-61 - PubMed
  17. PLoS Biol. 2013;11(4):e1001544 - PubMed
  18. Brain. 2012 Mar;135(Pt 3):949-60 - PubMed
  19. Am J Psychiatry. 2010 Jul;167(7):748-51 - PubMed
  20. J Child Neurol. 2003 Jul;18(7):463-70 - PubMed
  21. J Am Acad Child Adolesc Psychiatry. 2012 Sep;51(9):921-33 - PubMed
  22. Nat Rev Neurosci. 2008 Apr;9(4):267-77 - PubMed
  23. J Comp Neurol. 2009 Apr 10;513(5):511-31 - PubMed
  24. Genet Med. 2011 Oct;13(10):868-80 - PubMed
  25. Biol Psychiatry. 2005 Jul 1;58(1):1-9 - PubMed
  26. J Autism Dev Disord. 1982 Dec;12(4):317-30 - PubMed
  27. J Autism Dev Disord. 2000 Jun;30(3):205-23 - PubMed
  28. Am J Med Genet B Neuropsychiatr Genet. 2008 Oct 5;147B(7):1145-51 - PubMed
  29. Neuroimage. 2010 Nov 15;53(3):1030-42 - PubMed
  30. Clin Genet. 2003 Sep;64(3):190-7 - PubMed
  31. Pediatr Res. 2011 May;69(5 Pt 2):55R-62R - PubMed
  32. Pediatr Clin North Am. 2012 Feb;59(1):45-61, x - PubMed
  33. Am J Psychiatry. 1989 Apr;146(4):532-4 - PubMed
  34. Neuroimage. 2012 Jan 16;59(2):1013-22 - PubMed
  35. J Child Psychol Psychiatry. 2011 Jun;52(6):645-6 - PubMed
  36. J Am Acad Child Adolesc Psychiatry. 2013 Mar;52(3):279-289.e16 - PubMed
  37. Biol Psychiatry. 2008 Oct 1;64(7):589-98 - PubMed
  38. Acta Paedopsychiatr. 1968;35(4):100-36 - PubMed
  39. J Neurol. 2012 Mar;259(3):401-13 - PubMed
  40. J Neurodev Disord. 2009 Mar;1(1):81-90 - PubMed
  41. Neuropsychologia. 2006;44(10):1891-9 - PubMed
  42. Brain Behav Immun. 2013 May;30:61-5 - PubMed
  43. Arch Gen Psychiatry. 2004 Mar;61(3):291-8 - PubMed
  44. Neuroreport. 2008 Apr 16;19(6):653-6 - PubMed
  45. PLoS One. 2011;6(10):e25322 - PubMed
  46. Pediatr Res. 2009 Jun;65(6):591-8 - PubMed
  47. J Neuroimaging. 2009 Oct;19(4):353-8 - PubMed
  48. Neuroimage. 2011 Jun 1;56(3):1832-8 - PubMed
  49. J Child Psychol Psychiatry. 2007 Dec;48(12):1251-8 - PubMed
  50. Psychiatry Res. 2009 Sep 30;173(3):196-205 - PubMed
  51. Psychol Med. 2009 Aug;39(8):1347-54 - PubMed
  52. Neuroimage Clin. 2012 Oct 31;2:111-9 - PubMed
  53. J Neuropsychiatry Clin Neurosci. 1999 Fall;11(4):470-4 - PubMed
  54. Neuroimage. 2006 Dec;33(4):1136-44 - PubMed
  55. Neurosci Biobehav Rev. 2012 Apr;36(4):1292-313 - PubMed
  56. Arch Gen Psychiatry. 2011 Mar;68(3):295-305 - PubMed
  57. Arch Gen Psychiatry. 1997 Sep;54(9):824-30 - PubMed
  58. Behav Brain Res. 2004 May 5;151(1-2):103-15 - PubMed
  59. J Autism Dev Disord. 2007 Oct;37(9):1776-86 - PubMed
  60. Arch Gen Psychiatry. 1999 Oct;56(10):940-5 - PubMed
  61. Psychiatry Res. 2008 Jul 15;163(2):97-105 - PubMed
  62. Biol Psychiatry. 2008 May 15;63(10):974-80 - PubMed
  63. Ment Retard Dev Disabil Res Rev. 2004;10(2):139-43 - PubMed
  64. Am J Psychiatry. 1995 Aug;152(8):1145-9 - PubMed
  65. Int J Neurosci. 2009;119(1):59-67 - PubMed
  66. Neurosci Biobehav Rev. 2012 Feb;36(2):901-42 - PubMed
  67. Neuropsychologia. 2004;42(4):555-62 - PubMed
  68. Soc Neurosci. 2011;6(1):1-21 - PubMed
  69. Nat Neurosci. 2004 Aug;7(8):801-2 - PubMed
  70. Neurosci Biobehav Rev. 2011 Apr;35(5):1081-8 - PubMed
  71. Psychol Med. 2011 Jul;41(7):1539-50 - PubMed
  72. MMWR Surveill Summ. 2012 Mar 30;61(3):1-19 - PubMed
  73. Neuroreport. 1999 Jun 3;10(8):1647-51 - PubMed
  74. J Child Psychol Psychiatry. 2007 Dec;48(12):1200-7 - PubMed
  75. Arch Gen Psychiatry. 2009 May;66(5):509-16 - PubMed
  76. Autism Res. 2012 Oct;5(5):289-313 - PubMed
  77. J Autism Dev Disord. 2007 May;37(5):877-86 - PubMed
  78. Science. 2012 Sep 14;337(6100):1301-3 - PubMed
  79. J Autism Dev Disord. 2005 Aug;35(4):479-86 - PubMed
  80. Transl Psychiatry. 2013 Jul 09;3:e278 - PubMed
  81. Annu Rev Clin Psychol. 2010;6:155-79 - PubMed
  82. J Am Acad Child Adolesc Psychiatry. 2008 Aug;47(8):921-9 - PubMed
  83. Brain. 2005 Jan;128(Pt 1):213-26 - PubMed
  84. J Autism Dev Disord. 2004 Jun;34(3):329-39 - PubMed
  85. J Child Psychol Psychiatry. 2009 Jan;50(1-2):108-15 - PubMed
  86. Annu Rev Med. 2009;60:367-80 - PubMed
  87. J Am Med Inform Assoc. 2001 Sep-Oct;8(5):443-59 - PubMed
  88. Autism Res. 2010 Apr;3(2):53-67 - PubMed
  89. Brain Res Brain Res Rev. 1999 Jan;29(1):26-49 - PubMed
  90. J Autism Dev Disord. 2007 Aug;37(7):1394-5 - PubMed
  91. J Child Neurol. 2006 Dec;21(12):1051-8 - PubMed
  92. Mol Psychiatry. 2012 Dec;17(12):1228-38 - PubMed
  93. Mol Psychiatry. 2012 Jan;17(1):11-21 - PubMed
  94. Brain. 2007 May;130(Pt 5):1432-41 - PubMed
  95. Brain. 2004 Aug;127(Pt 8):1811-21 - PubMed
  96. Neurology. 2002 Jul 23;59(2):175-83 - PubMed
  97. J Neurosci. 2007 Oct 24;27(43):11725-35 - PubMed
  98. J Autism Dev Disord. 2010 Aug;40(8):937-45 - PubMed
  99. J Autism Dev Disord. 2008 Feb;38(2):390-4 - PubMed
  100. Nat Genet. 1999 Oct;23(2):185-8 - PubMed
  101. Biol Psychiatry. 2013 Oct 15;74(8):563-75 - PubMed
  102. J Autism Dev Disord. 2002 Aug;32(4):333-6 - PubMed
  103. Mol Psychiatry. 2014 Jun;19(6):659-67 - PubMed
  104. J Child Psychol Psychiatry. 2012 May;53(5):490-509 - PubMed
  105. Nature. 2005 Jan 6;433(7021):68-72 - PubMed
  106. Brain Imaging Behav. 2009 Mar 1;3(1):51-63 - PubMed
  107. Lancet Neurol. 2013 Apr;12(4):406-14 - PubMed
  108. Eur Psychiatry. 2008 Jun;23(4):289-99 - PubMed
  109. Ann Neurol. 2004 Dec;56(6):757-66 - PubMed
  110. Neuroimage. 2010 Jan 1;49(1):1055-65 - PubMed
  111. J Neurosci. 2010 Aug 11;30(32):10612-23 - PubMed
  112. J Child Psychol Psychiatry. 2011 Mar;52(3):296-305 - PubMed
  113. AJNR Am J Neuroradiol. 2010 Jan;31(1):131-9 - PubMed
  114. J Child Neurol. 2003 May;18(5):317-24 - PubMed
  115. Neuroimage. 2010 Aug 1;52(1):336-47 - PubMed
  116. J Child Neurol. 2010 May;25(5):599-608 - PubMed
  117. AJNR Am J Neuroradiol. 2008 Mar;29(3):436-41 - PubMed
  118. J Am Acad Child Adolesc Psychiatry. 2012 Aug;51(8):788-97 - PubMed
  119. J Child Psychol Psychiatry. 2011 Jun;52(6):631-44 - PubMed
  120. Am J Med Genet B Neuropsychiatr Genet. 2011 Dec;156B(8):941-8 - PubMed
  121. Brain Connect. 2011;1(6):447-59 - PubMed
  122. Trends Genet. 2007 Aug;23(8):387-95 - PubMed
  123. Mem Cognit. 1997 Nov;25(6):801-11 - PubMed
  124. Annu Rev Neurosci. 2003;26:57-80 - PubMed
  125. Autism. 2005 Oct;9(4):392-415 - PubMed
  126. Dev Disabil Res Rev. 2008;14(1):3-10 - PubMed
  127. Biol Psychiatry. 2009 Nov 15;66(10):942-9 - PubMed
  128. Brain Res. 2011 Mar 22;1380:138-45 - PubMed
  129. Res Autism Spectr Disord. 2012 Jan;6(1):406-412 - PubMed
  130. Autism Res. 2012 Apr;5(2):93-100 - PubMed
  131. Autism Res. 2012 Aug;5(4):231-44 - PubMed
  132. Hum Brain Mapp. 2009 Sep;30(9):2907-26 - PubMed
  133. AJNR Am J Neuroradiol. 2011 Sep;32(8):1430-5 - PubMed
  134. Psychiatry Res. 2009 Nov 30;174(2):138-45 - PubMed
  135. Brain Dev. 2009 Nov;31(10):725-30 - PubMed
  136. Ann Neurol. 2002 Nov;52(5):588-96 - PubMed
  137. J Intellect Disabil Res. 2009 Oct;53(10):852-73 - PubMed
  138. Arch Gen Psychiatry. 2011 Nov;68(11):1113-21 - PubMed
  139. Neurosci Lett. 2002 Aug 16;328(3):237-40 - PubMed
  140. J Neurosci. 2010 Mar 24;30(12):4419-27 - PubMed
  141. Int Rev Psychiatry. 2012 Dec;24(6):591-605 - PubMed
  142. J Autism Dev Disord. 2009 Dec;39(12):1715-22 - PubMed
  143. Proc Natl Acad Sci U S A. 2011 Dec 13;108(50):20195-200 - PubMed
  144. Brain. 2005 Feb;128(Pt 2):268-76 - PubMed
  145. Autism. 2013 Nov;17(6):723-35 - PubMed
  146. J Neurodev Disord. 2009 Sep;1(3):215-23 - PubMed
  147. J Autism Dev Disord. 1994 Oct;24(5):659-85 - PubMed
  148. Mol Autism. 2010 Sep 21;1(1):12 - PubMed
  149. Schizophr Res. 2008 Feb;99(1-3):164-75 - PubMed
  150. Arch Gen Psychiatry. 2012 Feb;69(2):195-209 - PubMed
  151. Eur Child Adolesc Psychiatry. 2005 May;14(3):138-44 - PubMed
  152. Transl Psychiatry. 2013 Jul 09;3:e277 - PubMed
  153. Arch Gen Psychiatry. 2011 Apr;68(4):409-18 - PubMed
  154. Brain Res. 2011 Mar 22;1380:146-61 - PubMed
  155. BMC Psychiatry. 2006 Dec 13;6:56 - PubMed
  156. J Autism Dev Disord. 2003 Aug;33(4):365-82 - PubMed
  157. Cereb Cortex. 2011 Oct;21(10):2233-43 - PubMed
  158. Curr Opin Neurol. 2010 Apr;23(2):103-10 - PubMed
  159. Neurology. 2002 Jul 23;59(2):184-92 - PubMed
  160. Brain Res. 2011 Mar 22;1380:42-77 - PubMed
  161. Autism Res. 2012 Dec;5(6):434-9 - PubMed
  162. Arch Gen Psychiatry. 2012 Jan;69(1):46-52 - PubMed
  163. Harv Rev Psychiatry. 2011 Jan-Feb;19(1):15-24 - PubMed
  164. Eur J Neurosci. 2011 Feb;33(3):558-67 - PubMed
  165. Biol Psychiatry. 2010 Dec 1;68(11):1066-72 - PubMed
  166. Proc Natl Acad Sci U S A. 2010 Dec 7;107(49):21223-8 - PubMed
  167. Am J Med Genet. 2001 Nov 15;104(1):14-22 - PubMed
  168. Trends Neurosci. 2008 Mar;31(3):137-45 - PubMed
  169. Arch Gen Psychiatry. 2006 Dec;63(12):1417-28 - PubMed
  170. J Autism Dev Disord. 1993 Dec;23(4):579-91 - PubMed
  171. J Autism Dev Disord. 2007 Jan;37(1):86-97 - PubMed
  172. Neuron. 2012 Sep 6;75(5):904-15 - PubMed
  173. J Am Acad Child Adolesc Psychiatry. 2010 Jun;49(6):552-60 - PubMed
  174. Curr Opin Neurobiol. 2007 Feb;17(1):103-11 - PubMed
  175. J Neurosci. 2004 Jul 14;24(28):6392-401 - PubMed
  176. Ambul Pediatr. 2008 Jan-Feb;8(1):25-31 - PubMed
  177. Neurosci Biobehav Rev. 2000 May;24(3):355-64 - PubMed
  178. Am J Med Genet B Neuropsychiatr Genet. 2011 Apr;156B(3):255-74 - PubMed
  179. J Autism Dev Disord. 1981 Mar;11(1):31-44 - PubMed
  180. Neuroreport. 2000 Sep 11;11(13):2931-5 - PubMed
  181. PLoS One. 2012;7(6):e38355 - PubMed
  182. Biol Psychiatry. 2009 Jan 1;65(1):63-74 - PubMed
  183. Am J Med Genet B Neuropsychiatr Genet. 2010 Mar 5;153B(2):438-446 - PubMed
  184. J Am Acad Child Adolesc Psychiatry. 2007 Apr;46(4):515-523 - PubMed
  185. Arch Gen Psychiatry. 2012 Jan;69(1):53-61 - PubMed
  186. BMC Med Genet. 2005 Jan 18;6:3 - PubMed
  187. Brain. 2013 Sep;136(Pt 9):2799-815 - PubMed
  188. Brain. 2005 May;128(Pt 5):1038-48 - PubMed
  189. Sci Transl Med. 2010 Nov 3;2(56):56ra80 - PubMed

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