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Network Analysis of the Default Mode Network Using Functional Connectivity MRI in Temporal Lobe Epilepsy
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Semantic network disconnection in formal thought disorder.

Helge Horn1, Kay Jann, Andrea Federspiel

  • 1University Hospital of Psychiatry, Bern, Switzerland. horn@puk.unibe.ch

Neuropsychobiology
|July 17, 2012
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Summary

Formal thought disorder (FTD) in schizophrenia is linked to disruptions in the brain's left semantic network. FTD severity directly correlates with the extent of this network's impairment.

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Area of Science:

  • Neuroimaging
  • Cognitive Neuroscience
  • Psychiatry

Background:

  • Schizophrenia patients with formal thought disorder (FTD) exhibit abnormalities in left-side semantic brain regions.
  • Previous studies indicate structural and functional deficits in these areas.

Purpose of the Study:

  • To investigate the network function of brain regions associated with FTD in schizophrenia patients.
  • To examine how FTD severity relates to the functional connectivity within the semantic network.

Main Methods:

  • Functional MRI (fMRI) was used with a passive word reading paradigm in 16 schizophrenia patients and 18 healthy controls.
  • Independent component analysis (ICA) identified distinct brain networks.
  • Spatial similarity analysis quantified differences in network configuration.

Main Results:

  • A common semantic network was identified in both groups, including the left inferior frontal, angular, and middle temporal gyri.
  • The semantic networks of patients and controls differed, with the divergence increasing with FTD severity.
  • Reduced contribution from the left inferior frontal gyrus (Brodmann areas 45 and 47) was observed in patients with higher FTD severity.

Conclusions:

  • FTD severity in schizophrenia is associated with a disrupted left semantic network.
  • FTD may result from frontal-parietal/temporal disconnection caused by interacting structural and functional abnormalities within the left semantic network.