“…Earlier imaging studies assessed its size using area measurements calculated from midsagittal images. Using this method, reductions in brainstem size were reported in some (Ciesielski et al , 1997, Gaffney et al , 1988, Hashimoto et al , 1995), but not all studies (Elia et al , 2000, Garber and Ritvo, 1992, Hsu et al , 1991, Kleiman et al , 1992, Piven et al , 1992). More recently, two volumetric MRI investigations observed no significant differences in the brainstem volume between individuals with autism and healthy controls (Hardan et al , 2001, Herbert et al , 2003); however, neither of these studies examined gray and white matter differences.…”