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Published on: January 2, 2012
Longitudinal Changes in Brain Gyrification in Schizophrenia Spectrum Disorders
Tien Viet Pham1,2, Daiki Sasabayashi1,2, Tsutomu Takahashi1,2
1Department of Neuropsychiatry, University of Toyama Graduate School of Medicine and Pharmaceutical Sciences, Toyama, Japan.
Brain gyrification declines in schizophrenia but increases in schizotypal disorder and controls over time. This local gyrification index (LGI) change in schizophrenia correlates with symptom severity and medication.
Area of Science:
- Neuroscience
- Psychiatry
- Radiology
Background:
- Previous magnetic resonance imaging (MRI) studies indicate altered brain gyrification in schizophrenia spectrum disorders.
- Longitudinal changes in gyrification across the schizophrenia spectrum remain largely unexplored.
Purpose of the Study:
- To investigate longitudinal changes in local gyrification index (LGI) across the cortex in first-episode schizophrenia, schizotypal disorder, and healthy controls.
- To explore the relationship between LGI changes, clinical symptoms, and medication in these groups.
Main Methods:
- Used FreeSurfer software to analyze longitudinal MRI scans (mean interval 2.7 years) from 23 schizophrenia patients, 14 schizotypal disorder patients, and 39 healthy controls.
- Compared changes in LGI over time between the groups and correlated these changes with symptom severity and cumulative medication dosage.
Main Results:
- The schizophrenia group showed a progressive decline in LGI, particularly in fronto-temporal regions.
- LGI increased over time in the schizotypal and control groups.
- In schizophrenia, reduced LGI over time in specific regions correlated with less improvement in negative symptoms.
- Medication dosage negatively correlated with LGI increase in schizotypal disorder but not in schizophrenia.
Conclusions:
- Longitudinal LGI patterns in the schizophrenia spectrum suggest both early neurodevelopmental vulnerability and active pathology in early schizophrenia.
- Gyrification changes may serve as a biomarker for disease progression and treatment response in schizophrenia spectrum disorders.
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