Peer-Reviewed Publication
J Affect Disord2026;412121989.November 1, 2026Journal Article

Differential cerebral white matter tract alterations in generalized anxiety disorder revealed by ultra-high-field 7 T diffusion-weighted imaging.

Chang-Le Chen1, Minjie Wu2, Yueyang Chi2, Max Rose1, Jessica C Weber1, Shannon T Lamb1, Hecheng Jin3, Tamer S Ibrahim3, Cecile D Ladouceur2, Yue-Fang Chang4, Kuei Y Tseng5, Howard J Aizenstein1, Shaolin Yang6
1Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA; Department of Bioengineering, University of Pittsburgh, Pittsburgh, PA, USA.
2Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
3Department of Bioengineering, University of Pittsburgh, Pittsburgh, PA, USA.
4Department of Neurosurgery, University of Pittsburgh, Pittsburgh, PA, USA.
5Department of Anatomy and Cell Biology, College of Medicine, University of Illinois at Chicago, Chicago, IL, USA.
6Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA; Department of Bioengineering, University of Pittsburgh, Pittsburgh, PA, USA. Electronic address: yans@pitt.edu.

Abstract

Generalized anxiety disorder (GAD) is characterized by chronic worry and emotional dysregulation, yet its underlying white matter (WM) microstructural alterations remain unclear owing to inconsistent findings and technical limitations in prior neuroimaging studies. To address this gap, we employed ultra-high-field 7-Tesla (7 T) diffusion tensor imaging (DTI) and advanced correlational tractography…

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