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Chunk #0 — Introduction

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Medial orbitofrontal cortex gray matter is reduced in abstinent substance-dependent individuals.
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Substance dependence is characterized by abnormal goal directed behavior and has been conceptualized as a pathological usurpation of the cortico-striatal-limbic circuit mediating reward behavior (1,2,3,4). Long-term cellular changes in prefrontal cortex associated with repeated drug exposure are thought to mediate dysfunctional goal-directed behavior and impaired decisions that lead to end stage addiction.