151
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Mainieri AG, Peres JFP, Moreira-Almeida A, Mathiak K, Habel U, Kohn N. Neural correlates of psychotic-like experiences during spiritual-trance state. Psychiatry Res Neuroimaging 2017; 266:101-107. [PMID: 28644996 DOI: 10.1016/j.pscychresns.2017.06.006] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/18/2016] [Revised: 06/06/2017] [Accepted: 06/08/2017] [Indexed: 02/04/2023]
Abstract
Recent studies indicate high levels of psychotic experiences in the general population. Here, we report a functional imaging study with 8 mentally healthy spiritual mediums and 8 matched controls. The mediums entered a mediumistic-trance state using a standardized manner by closing their eyes and actively seeking to ignore external and internal stimuli to achieve a 'state of emptiness'; in a control condition, they were instructed to re-enact the same mediumistic experience that they had during the mediumistic-trance condition but in a non-trance state (imaginative-trance). Both mediums and controls took part in a resting state session. The results indicate stronger activation in the lateral occipital cortex, posterior cingulate cortex (PCC), temporal pole, middle temporal gyrus and orbitofrontal cortex during the mediumistic-trance state. We also observe increased functional connectivity within auditory and sensorimotor Resting State Networks (RSN) during mediumistic-trance compared to resting and imaginative-trance conditions. Comparing spiritual mediums and controls, no differences in RSN were found. These data show preserved engagement of prefrontal cortex and connectivity of the default-mode network that indicate maintained introspective control over non-pathological psychotic-like experiences.
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Affiliation(s)
- Alessandra Ghinato Mainieri
- Department of Psychiatry, Psychotherapy and Psychosomatic, Medical School, RWTH Aachen University, Pauwelsstr. 30, 52074 Aachen, Germany; JARA - Translational Brain Medicine, Germany; Research Center in Spirituality and Health, Medical School, Federal University of Juiz de Fora, Av. Eugênio do Nascimento s/nº, 36038-330 Juiz de Fora, Brazil.
| | - Julio Fernando Prieto Peres
- PROSER, Institute of Psychiatry, Universidade de São Paulo, Rua Dr. Ovídio Pires de Campos 785, 01060-970 São Paulo, Brazil
| | - Alexander Moreira-Almeida
- Research Center in Spirituality and Health, Medical School, Federal University of Juiz de Fora, Av. Eugênio do Nascimento s/nº, 36038-330 Juiz de Fora, Brazil
| | - Klaus Mathiak
- Department of Psychiatry, Psychotherapy and Psychosomatic, Medical School, RWTH Aachen University, Pauwelsstr. 30, 52074 Aachen, Germany
| | - Ute Habel
- Department of Psychiatry, Psychotherapy and Psychosomatic, Medical School, RWTH Aachen University, Pauwelsstr. 30, 52074 Aachen, Germany
| | - Nils Kohn
- Department of Psychiatry, Psychotherapy and Psychosomatic, Medical School, RWTH Aachen University, Pauwelsstr. 30, 52074 Aachen, Germany; Donders Institute for Brain, Cognition and Behaviour, Centre for Cognitive Neuroimaging, RadboudUMC, Kapittelweg 29, 6525 Nijmegen, Netherlands
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152
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Mucci A, Merlotti E, Üçok A, Aleman A, Galderisi S. Primary and persistent negative symptoms: Concepts, assessments and neurobiological bases. Schizophr Res 2017; 186:19-28. [PMID: 27242069 DOI: 10.1016/j.schres.2016.05.014] [Citation(s) in RCA: 86] [Impact Index Per Article: 12.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/23/2015] [Revised: 05/10/2016] [Accepted: 05/17/2016] [Indexed: 02/01/2023]
Abstract
Primary and persistent negative symptoms (PPNS) represent an unmet need in the care of people with schizophrenia. They have an unfavourable impact on real-life functioning and do not respond to available treatments. Underlying etiopathogenetic mechanisms of PPNS are still unknown. The presence of primary and enduring negative symptoms characterizes deficit schizophrenia (DS), proposed as a separate disease entity with respect to non-deficit schizophrenia (NDS). More recently, to reduce the heterogeneity of negative symptoms by using criteria easily applicable in the context of clinical trials, the concept of persistent negative symptoms (PNS) was developed. Both PNS and DS constructs include enduring negative symptoms (at least 6months for PNS and 12months for DS) that do not respond to available treatments. PNS exclude secondary negative symptoms based on a cross-sectional evaluation of severity thresholds on commonly used rating scales for positive symptoms, depression and extrapyramidal side effects; the DS diagnosis, instead, excludes all potential sources of secondary negative symptoms based on a clinical longitudinal assessment. In this paper we review the evolution of concepts and assessment modalities relevant to PPNS, data on prevalence of DS and PNS, as well as studies on clinical, neuropsychological, brain imaging electrophysiological and psychosocial functioning aspects of DS and PNS.
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Affiliation(s)
- Armida Mucci
- Department of Psychiatry, University of Naples SUN, Naples, Italy.
| | | | - Alp Üçok
- Department of Psychiatry, Psychotic Disorders Research Program, Istanbul Faculty of Medicine, Istanbul, Turkey
| | - André Aleman
- University of Groningen, University Medical Center Groningen, Department of Neuroscience and Department of Psychology, Groningen, The Netherlands
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153
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Díaz-Parra A, Osborn Z, Canals S, Moratal D, Sporns O. Structural and functional, empirical and modeled connectivity in the cerebral cortex of the rat. Neuroimage 2017; 159:170-184. [PMID: 28739119 PMCID: PMC5724396 DOI: 10.1016/j.neuroimage.2017.07.046] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2017] [Revised: 07/10/2017] [Accepted: 07/20/2017] [Indexed: 11/19/2022] Open
Abstract
Connectomics data from animal models provide an invaluable opportunity to reveal the complex interplay between structure and function in the mammalian brain. In this work, we investigate the relationship between structural and functional connectivity in the rat brain cortex using a directed anatomical network generated from a carefully curated meta-analysis of published tracing data, along with resting-state functional MRI data obtained from a group of 14 anesthetized Wistar rats. We found a high correspondence between the strength of functional connections, measured as blood oxygen level dependent (BOLD) signal correlations between cortical regions, and the weight of the corresponding anatomical links in the connectome graph (maximum Spearman rank-order correlation ρ=0.48). At the network-level, regions belonging to the same functionally defined community tend to form more mutual weighted connections between each other compared to regions located in different communities. We further found that functional communities in resting-state networks are enriched in densely connected anatomical motifs. Importantly, these higher-order structural subgraphs cannot be explained by lower-order topological properties, suggesting that dense structural patterns support functional associations in the resting brain. Simulations of brain-wide resting-state activity based on neural mass models implemented on the empirical rat anatomical connectome demonstrated high correlation between the simulated and the measured functional connectivity (maximum Pearson correlation ρ=0.53), further suggesting that the topology of structural connections plays an important role in shaping functional cortical networks.
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Affiliation(s)
- Antonio Díaz-Parra
- Center for Biomaterials and Tissue Engineering, Universitat Politècnica de València, Valencia, Spain
| | - Zachary Osborn
- Department of Psychological and Brain Sciences, Indiana University, Bloomington, IN 47405, USA
| | - Santiago Canals
- Instituto de Neurociencias, Consejo Superior de Investigaciones Científicas & Universidad Miguel Hernández, Sant Joan d'Alacant, Spain
| | - David Moratal
- Center for Biomaterials and Tissue Engineering, Universitat Politècnica de València, Valencia, Spain
| | - Olaf Sporns
- Department of Psychological and Brain Sciences, Indiana University, Bloomington, IN 47405, USA; Indiana University Network Science Institute, Indiana University, Bloomington, IN 47405, USA.
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154
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Smucny J, Tregellas JR. Targeting neuronal dysfunction in schizophrenia with nicotine: Evidence from neurophysiology to neuroimaging. J Psychopharmacol 2017; 31:801-811. [PMID: 28441884 PMCID: PMC5963521 DOI: 10.1177/0269881117705071] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
Patients with schizophrenia self-administer nicotine at rates higher than is self-administered for any other psychiatric illness. Although the reasons are unclear, one hypothesis suggests that nicotine is a form of 'self-medication' in order to restore normal levels of nicotinic signaling and target abnormalities in neuronal function associated with cognitive processes. This brief review discusses evidence from neurophysiological and neuroimaging studies in schizophrenia patients that nicotinic agonists may effectively target dysfunctional neuronal circuits in the illness. Evidence suggests that nicotine significantly modulates a number of these circuits, although relatively few studies have used modern neuroimaging techniques (e.g. functional magnetic resonance imaging (fMRI)) to examine the effects of nicotinic drugs on disease-related neurobiology. The neuronal effects of nicotine and other nicotinic agonists in schizophrenia remain a priority for psychiatry research.
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Affiliation(s)
- Jason Smucny
- Department of Psychiatry, University of Colorado Anschutz Medical Campus, Aurora, CO, USA
| | - Jason R Tregellas
- Department of Psychiatry, University of Colorado Anschutz Medical Campus, Aurora, CO, USA,Research Service, Denver VA Medical Center, Denver, CO, USA
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155
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Kaiser M. Mechanisms of Connectome Development. Trends Cogn Sci 2017; 21:703-717. [PMID: 28610804 DOI: 10.1016/j.tics.2017.05.010] [Citation(s) in RCA: 52] [Impact Index Per Article: 7.4] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2017] [Revised: 05/12/2017] [Accepted: 05/16/2017] [Indexed: 12/17/2022]
Abstract
At the centenary of D'Arcy Thompson's seminal work 'On Growth and Form', pioneering the description of principles of morphological changes during development and evolution, recent experimental advances allow us to study change in anatomical brain networks. Here, we outline potential principles for connectome development. We will describe recent results on how spatial and temporal factors shape connectome development in health and disease. Understanding the developmental origins of brain diseases in individuals will be crucial for deciding on personalized treatment options. We argue that longitudinal studies, experimentally derived parameters for connection formation, and biologically realistic computational models are needed to better understand the link between brain network development, network structure, and network function.
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Affiliation(s)
- Marcus Kaiser
- ICOS Research Group, School of Computing Science, Newcastle University, Newcastle upon Tyne, UK; Institute of Neuroscience, Newcastle University, Newcastle upon Tyne, UK.
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156
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Nelson BG, Bassett DS, Camchong J, Bullmore ET, Lim KO. Comparison of large-scale human brain functional and anatomical networks in schizophrenia. NEUROIMAGE-CLINICAL 2017; 15:439-448. [PMID: 28616384 PMCID: PMC5459352 DOI: 10.1016/j.nicl.2017.05.007] [Citation(s) in RCA: 39] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/07/2015] [Revised: 04/27/2017] [Accepted: 05/13/2017] [Indexed: 01/04/2023]
Abstract
Schizophrenia is a disease with disruptions in thought, emotion, and behavior. The dysconnectivity hypothesis suggests these disruptions are due to aberrant brain connectivity. Many studies have identified connectivity differences but few have been able to unify gray and white matter findings into one model. Here we develop an extension of the Network-Based Statistic (NBS) called NBSm (Multimodal Network-based statistic) to compare functional and anatomical networks in schizophrenia. Structural, resting functional, and diffusion magnetic resonance imaging data were collected from 29 chronic patients with schizophrenia and 29 healthy controls. Images were preprocessed, and average time courses were extracted for 90 regions of interest (ROI). Functional connectivity matrices were estimated by pairwise correlations between wavelet coefficients of ROI time series. Following diffusion tractography, anatomical connectivity matrices were estimated by white matter streamline counts between each pair of ROIs. Global and regional strength were calculated for each modality. NBSm was used to find significant overlap between functional and anatomical components that distinguished health from schizophrenia. Global strength was decreased in patients in both functional and anatomical networks. Regional strength was decreased in all regions in functional networks and only one region in anatomical networks. NBSm identified a distinguishing functional component consisting of 46 nodes with 113 links (p < 0.001), a distinguishing anatomical component with 47 nodes and 50 links (p = 0.002), and a distinguishing intermodal component with 26 nodes (p < 0.001). NBSm is a powerful technique for understanding network-based group differences present in both anatomical and functional data. In light of the dysconnectivity hypothesis, these results provide compelling evidence for the presence of significant overlapping anatomical and functional disruption in people with schizophrenia. A novel method for the unified analysis of functional and anatomical networks in schizophrenia is proposed. The methodology extends existing networkbased analyses to test brain network differences across imaging modalities. A fundamental disrupted network was found in those with schizophrenia when compared to healthy, agematched controls.
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Affiliation(s)
- Brent G Nelson
- Department of Psychiatry, University of Minnesota, Minneapolis, MN 55454, USA.
| | - Danielle S Bassett
- Department of Physics, University of California, Santa Barbara, CA 93106, USA; Sage Center for the Study of the Mind, University of California, Santa Barbara, CA 93106, USA; Department of Bioengineering, University of Pennsylvania, Philadelphia, PA 19104, USA
| | - Jazmin Camchong
- Department of Psychiatry, University of Minnesota, Minneapolis, MN 55454, USA
| | - Edward T Bullmore
- Behavioural & Clinical Neuroscience Institute, University of Cambridge, Cambridge, UK; Cambridgeshire & Peterborough NHS Foundation Trust, Cambridge, UK; GlaxoSmithKline R&D, Cambridge, UK
| | - Kelvin O Lim
- Department of Psychiatry, University of Minnesota, Minneapolis, MN 55454, USA
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157
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Aberrant Network Activity in Schizophrenia. Trends Neurosci 2017; 40:371-382. [PMID: 28515010 DOI: 10.1016/j.tins.2017.04.003] [Citation(s) in RCA: 75] [Impact Index Per Article: 10.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2017] [Revised: 04/13/2017] [Accepted: 04/14/2017] [Indexed: 12/25/2022]
Abstract
Brain dynamic changes associated with schizophrenia are largely equivocal, with interpretation complicated by many factors, such as the presence of therapeutic agents and the complex nature of the syndrome itself. Evidence for a brain-wide change in individual network oscillations, shared by all patients, is largely equivocal, but stronger for lower (delta) than for higher (gamma) bands. However, region-specific changes in rhythms across multiple, interdependent, nested frequencies may correlate better with pathology. Changes in synaptic excitation and inhibition in schizophrenia disrupt delta rhythm-mediated cortico-cortical communication, while enhancing thalamocortical communication in this frequency band. The contrasting relationships between delta and higher frequencies in thalamus and cortex generate frequency mismatches in inter-regional connectivity, leading to a disruption in temporal communication between higher-order brain regions associated with mental time travel.
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158
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Schmidt A, Crossley NA, Harrisberger F, Smieskova R, Lenz C, Riecher-Rössler A, Lang UE, McGuire P, Fusar-Poli P, Borgwardt S. Structural Network Disorganization in Subjects at Clinical High Risk for Psychosis. Schizophr Bull 2017; 43:583-591. [PMID: 27481826 PMCID: PMC5464048 DOI: 10.1093/schbul/sbw110] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
Previous network studies in chronic schizophrenia patients revealed impaired structural organization of the brain's rich-club members, a set of highly interconnected hub regions that play an important integrative role for global brain communication. Moreover, impaired rich-club connectivity has also been found in unaffected siblings of schizophrenia patients, suggesting that abnormal rich-club connectivity is related to familiar, possibly reflecting genetic, vulnerability for schizophrenia. However, no study has yet investigated whether structural rich-club organization is also impaired in individuals with a clinical risk syndrome for psychosis. Diffusion tensor imaging and probabilistic tractography was used to construct structural whole-brain networks in 24 healthy controls and 24 subjects with an at-risk mental state (ARMS). Graph theory was applied to quantify the structural rich-club organization and global network properties. ARMS subjects revealed a significantly altered structural rich-club organization compared with the control group. The disruption of rich-club organization was associated with the severity of negative psychotic symptoms and led to an elevated level of modularity in ARMS subjects. This study shows that abnormal structural rich-club organization is already evident in clinical high-risk subjects for psychosis and further demonstrates the impact of rich-club disorganization on global network communication. Together with previous evidence in chronic schizophrenia patients and unaffected siblings, our findings suggest that abnormal structural rich-club organization may reflect an endophenotypic marker of psychosis.
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Affiliation(s)
- André Schmidt
- Department of Psychosis Studies, King’s College London, Institute of Psychiatry, Psychology and Neuroscience, PO63 De Crespigny Park, London SE5 8AF, UK
| | - Nicolas A. Crossley
- Department of Psychosis Studies, King’s College London, Institute of Psychiatry, Psychology and Neuroscience, PO63 De Crespigny Park, London SE5 8AF, UK
| | | | - Renata Smieskova
- Department of Psychiatry (UPK), University of Basel, Basel, Switzerland
| | - Claudia Lenz
- Department of Psychiatry (UPK), University of Basel, Basel, Switzerland
| | | | - Undine E. Lang
- Department of Psychiatry (UPK), University of Basel, Basel, Switzerland
| | - Philip McGuire
- Department of Psychosis Studies, King’s College London, Institute of Psychiatry, Psychology and Neuroscience, PO63 De Crespigny Park, London SE5 8AF, UK
| | - Paolo Fusar-Poli
- Department of Psychosis Studies, King’s College London, Institute of Psychiatry, Psychology and Neuroscience, PO63 De Crespigny Park, London SE5 8AF, UK
| | - Stefan Borgwardt
- Department of Psychosis Studies, King’s College London, Institute of Psychiatry, Psychology and Neuroscience, PO63 De Crespigny Park, London SE5 8AF, UK;,Department of Psychiatry (UPK), University of Basel, Basel, Switzerland
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159
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Roy A, Bernier RA, Wang J, Benson M, French JJ, Good DC, Hillary FG. The evolution of cost-efficiency in neural networks during recovery from traumatic brain injury. PLoS One 2017; 12:e0170541. [PMID: 28422992 PMCID: PMC5396850 DOI: 10.1371/journal.pone.0170541] [Citation(s) in RCA: 40] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2015] [Accepted: 01/06/2017] [Indexed: 02/08/2023] Open
Abstract
A somewhat perplexing finding in the systems neuroscience has been the observation that physical injury to neural systems may result in enhanced functional connectivity (i.e., hyperconnectivity) relative to the typical network response. The consequences of local or global enhancement of functional connectivity remain uncertain and this is particularly true for the overall metabolic cost of the network. We examine the hyperconnectivity hypothesis in a sample of 14 individuals with TBI with data collected at approximately 3, 6, and 12 months following moderate and severe TBI. As anticipated, individuals with TBI showed increased network strength and cost early after injury, but by one-year post injury hyperconnectivity was more circumscribed to frontal DMN and temporal-parietal attentional control regions. Cost in these subregions was a significant predictor of cognitive performance. Cost-efficiency analysis in the Power 264 data parcellation suggested that at 6 months post injury the network requires higher cost connections to achieve high efficiency as compared to the network 12 months post injury. These results demonstrate that networks self-organize to re-establish connectivity while balancing cost-efficiency trade-offs.
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Affiliation(s)
- Arnab Roy
- Department of Psychology, The Pennsylvania State University, University Park, Pennsylvania, United States of America
| | - Rachel A. Bernier
- Department of Psychology, The Pennsylvania State University, University Park, Pennsylvania, United States of America
| | - Jianli Wang
- Department of Radiology, Hershey Medical Center, Hershey, Pennsylvania, United States of America
| | - Monica Benson
- Department of Psychology, The Pennsylvania State University, University Park, Pennsylvania, United States of America
| | - Jerry J. French
- Department of Psychology, The Pennsylvania State University, University Park, Pennsylvania, United States of America
| | - David C. Good
- Department of Neurology, Hershey Medical Center, Hershey, Pennsylvania, United States of America
| | - Frank G. Hillary
- Department of Psychology, The Pennsylvania State University, University Park, Pennsylvania, United States of America
- Department of Neurology, Hershey Medical Center, Hershey, Pennsylvania, United States of America
- Social, Life and Engineering Sciences Imaging Center, University Park, Pennsylvania, United States of America
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160
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Liao X, Vasilakos AV, He Y. Small-world human brain networks: Perspectives and challenges. Neurosci Biobehav Rev 2017; 77:286-300. [PMID: 28389343 DOI: 10.1016/j.neubiorev.2017.03.018] [Citation(s) in RCA: 221] [Impact Index Per Article: 31.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2016] [Revised: 01/19/2017] [Accepted: 03/31/2017] [Indexed: 12/15/2022]
Abstract
Modelling the human brain as a complex network has provided a powerful mathematical framework to characterize the structural and functional architectures of the brain. In the past decade, the combination of non-invasive neuroimaging techniques and graph theoretical approaches enable us to map human structural and functional connectivity patterns (i.e., connectome) at the macroscopic level. One of the most influential findings is that human brain networks exhibit prominent small-world organization. Such a network architecture in the human brain facilitates efficient information segregation and integration at low wiring and energy costs, which presumably results from natural selection under the pressure of a cost-efficiency balance. Moreover, the small-world organization undergoes continuous changes during normal development and ageing and exhibits dramatic alterations in neurological and psychiatric disorders. In this review, we survey recent advances regarding the small-world architecture in human brain networks and highlight the potential implications and applications in multidisciplinary fields, including cognitive neuroscience, medicine and engineering. Finally, we highlight several challenging issues and areas for future research in this rapidly growing field.
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Affiliation(s)
- Xuhong Liao
- National Key Laboratory of Cognitive Neuroscience and Learning, Beijing Normal University, Beijing 100875, China; IDG/McGovern Institute for Brain Research, Beijing Normal University, Beijing 100875, China; Beijing Key Laboratory of Brain Imaging and Connectomics, Beijing Normal University, Beijing 100875, China
| | - Athanasios V Vasilakos
- Department of Computer Science, Electrical and Space Engineering, Lulea University of Technology, 97187 Lulea, Sweden
| | - Yong He
- National Key Laboratory of Cognitive Neuroscience and Learning, Beijing Normal University, Beijing 100875, China; IDG/McGovern Institute for Brain Research, Beijing Normal University, Beijing 100875, China; Beijing Key Laboratory of Brain Imaging and Connectomics, Beijing Normal University, Beijing 100875, China.
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161
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Affiliation(s)
- Roy Salomon
- Gonda Multidisciplinary Brain Research Center, Bar-Ilan University, Ramat-Gan, Israel
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162
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Guo W, Liu F, Chen J, Wu R, Li L, Zhang Z, Chen H, Zhao J. Hyperactivity of the default-mode network in first-episode, drug-naive schizophrenia at rest revealed by family-based case-control and traditional case-control designs. Medicine (Baltimore) 2017; 96:e6223. [PMID: 28353559 PMCID: PMC5380243 DOI: 10.1097/md.0000000000006223] [Citation(s) in RCA: 31] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/30/2022] Open
Abstract
Abnormal regional activity and functional connectivity of the default-mode network (DMN) have been reported in schizophrenia. However, previous studies may have been biased by unmatched case-control design. To limit such bias, the present study used both the family-based case-control design and the traditional case-control design to investigate abnormal regional activity of the DMN in patients with schizophrenia at rest.Twenty-eight first-episode, drug-naive patients with schizophrenia, 28 age-, sex-matched unaffected siblings of the patients (family-based controls, FBC), and 40 healthy controls (HC) underwent resting-state functional magnetic resonance imaging (fMRI) scans. The group-independent component analysis and fractional amplitude of low-frequency fluctuation (fALFF) methods were used to analyze the data.Patients with schizophrenia show increased fALFF in an overlapped region of the right superior medial prefrontal cortex (MPFC) relative to the FBC and the HC. Compared with the HC, the patients and the FBC exhibit increased fALFF in an overlapped region of the left posterior cingulate cortex/precuneus (PCC/PCu). Furthermore, the z values of the 2 overlapped regions can separate the patients from the FBC/HC, and separate the patients/FBC from the HC with relatively high sensitivity and specificity.Both the family-based case-control and traditional case-control designs reveal hyperactivity of the DMN in first-episode, drug-naive patients with paranoid schizophrenia, which highlights the importance of the DMN in the neurobiology of schizophrenia. Family-based case-control design can limit the confounding effects of environmental factors in schizophrenia. Combination of the family-based case-control and traditional case-control designs may be a viable option for the neuroimaging studies.
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Affiliation(s)
- Wenbin Guo
- Department of Psychiatry, the Second Xiangya Hospital, Central South University, Changsha, Hunan
- Mental Health Institute of the Second Xiangya Hospital, Central South University, Changsha, Hunan Sheng
- National Clinical Research Center on Mental Disorders, Changsha, Hunan, China
- National Technology Institute on Mental Disorders, Changsha, Hunan, China
- Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, Hunan, China
| | - Feng Liu
- Key Laboratory for NeuroInformation of Ministry of Education, School of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu, Sichuan
| | - Jindong Chen
- Department of Psychiatry, the Second Xiangya Hospital, Central South University, Changsha, Hunan
- Mental Health Institute of the Second Xiangya Hospital, Central South University, Changsha, Hunan Sheng
- National Clinical Research Center on Mental Disorders, Changsha, Hunan, China
- National Technology Institute on Mental Disorders, Changsha, Hunan, China
- Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, Hunan, China
| | - Renrong Wu
- Department of Psychiatry, the Second Xiangya Hospital, Central South University, Changsha, Hunan
- Mental Health Institute of the Second Xiangya Hospital, Central South University, Changsha, Hunan Sheng
- National Clinical Research Center on Mental Disorders, Changsha, Hunan, China
- National Technology Institute on Mental Disorders, Changsha, Hunan, China
- Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, Hunan, China
| | - Lehua Li
- Department of Psychiatry, the Second Xiangya Hospital, Central South University, Changsha, Hunan
- Mental Health Institute of the Second Xiangya Hospital, Central South University, Changsha, Hunan Sheng
- National Clinical Research Center on Mental Disorders, Changsha, Hunan, China
- National Technology Institute on Mental Disorders, Changsha, Hunan, China
- Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, Hunan, China
| | - Zhikun Zhang
- Mental Health Institute of the Second Xiangya Hospital, Central South University, Changsha, Hunan, China
| | - Huafu Chen
- Key Laboratory for NeuroInformation of Ministry of Education, School of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu, Sichuan
| | - Jingping Zhao
- Department of Psychiatry, the Second Xiangya Hospital, Central South University, Changsha, Hunan
- Mental Health Institute of the Second Xiangya Hospital, Central South University, Changsha, Hunan Sheng
- National Clinical Research Center on Mental Disorders, Changsha, Hunan, China
- National Technology Institute on Mental Disorders, Changsha, Hunan, China
- Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, Hunan, China
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163
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Functional connectomics from a "big data" perspective. Neuroimage 2017; 160:152-167. [PMID: 28232122 DOI: 10.1016/j.neuroimage.2017.02.031] [Citation(s) in RCA: 50] [Impact Index Per Article: 7.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2016] [Revised: 01/21/2017] [Accepted: 02/13/2017] [Indexed: 01/10/2023] Open
Abstract
In the last decade, explosive growth regarding functional connectome studies has been observed. Accumulating knowledge has significantly contributed to our understanding of the brain's functional network architectures in health and disease. With the development of innovative neuroimaging techniques, the establishment of large brain datasets and the increasing accumulation of published findings, functional connectomic research has begun to move into the era of "big data", which generates unprecedented opportunities for discovery in brain science and simultaneously encounters various challenging issues, such as data acquisition, management and analyses. Big data on the functional connectome exhibits several critical features: high spatial and/or temporal precision, large sample sizes, long-term recording of brain activity, multidimensional biological variables (e.g., imaging, genetic, demographic, cognitive and clinic) and/or vast quantities of existing findings. We review studies regarding functional connectomics from a big data perspective, with a focus on recent methodological advances in state-of-the-art image acquisition (e.g., multiband imaging), analysis approaches and statistical strategies (e.g., graph theoretical analysis, dynamic network analysis, independent component analysis, multivariate pattern analysis and machine learning), as well as reliability and reproducibility validations. We highlight the novel findings in the application of functional connectomic big data to the exploration of the biological mechanisms of cognitive functions, normal development and aging and of neurological and psychiatric disorders. We advocate the urgent need to expand efforts directed at the methodological challenges and discuss the direction of applications in this field.
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164
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Fjell AM, Sneve MH, Grydeland H, Storsve AB, Amlien IK, Yendiki A, Walhovd KB. Relationship between structural and functional connectivity change across the adult lifespan: A longitudinal investigation. Hum Brain Mapp 2017; 38:561-573. [PMID: 27654880 PMCID: PMC5148650 DOI: 10.1002/hbm.23403] [Citation(s) in RCA: 77] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2016] [Revised: 08/17/2016] [Accepted: 08/31/2016] [Indexed: 12/14/2022] Open
Abstract
Extensive efforts are devoted to understand the functional (FC) and structural connections (SC) of the brain. FC is usually measured by functional magnetic resonance imaging (fMRI), and conceptualized as degree of synchronicity in brain activity between different regions. SC is typically indexed by measures of white matter (WM) properties, for example, by diffusion weighted imaging (DWI). FC and SC are intrinsically related, in that coordination of activity across regions ultimately depends on fast and efficient transfer of information made possible by structural connections. Convergence between FC and SC has been shown for specific networks, especially the default mode network (DMN). However, it is not known to what degree FC is constrained by major WM tracts and whether FC and SC change together over time. Here, 120 participants (20-85 years) were tested at two time points, separated by 3.3 years. Resting-state fMRI was used to measure FC, and DWI to measure WM microstructure as an index of SC. TRACULA, part of FreeSurfer, was used for automated tractography of 18 major WM tracts. Cortical regions with tight structural couplings defined by tractography were only weakly related at the functional level. Certain regions of the DMN showed a modest relationship between change in FC and SC, but for the most part, the two measures changed independently. The main conclusions are that anatomical alignment of SC and FC seems restricted to specific networks and tracts, and that changes in SC and FC are not necessarily strongly correlated. Hum Brain Mapp 38:561-573, 2017. © 2016 Wiley Periodicals, Inc.
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Affiliation(s)
- Anders M. Fjell
- Center for Lifespan Changes in Brain and Cognition, Department of PsychologyUniversity of OsloNorway, Pb. 1094 BlindernOslo0317Norway
- Department of Physical Medicine and RehabilitationUnit of neuropsychology, Oslo University HospitalNorway
| | - Markus H. Sneve
- Center for Lifespan Changes in Brain and Cognition, Department of PsychologyUniversity of OsloNorway, Pb. 1094 BlindernOslo0317Norway
| | - Håkon Grydeland
- Center for Lifespan Changes in Brain and Cognition, Department of PsychologyUniversity of OsloNorway, Pb. 1094 BlindernOslo0317Norway
| | - Andreas B. Storsve
- Center for Lifespan Changes in Brain and Cognition, Department of PsychologyUniversity of OsloNorway, Pb. 1094 BlindernOslo0317Norway
| | - Inge K. Amlien
- Center for Lifespan Changes in Brain and Cognition, Department of PsychologyUniversity of OsloNorway, Pb. 1094 BlindernOslo0317Norway
| | - Anastasia Yendiki
- Athinoula A. Martinos Center for Biomedical Imaging, Department of RadiologyMassachusetts General Hospital and Harvard Medical SchoolBostonMassachusetts
| | - Kristine B. Walhovd
- Center for Lifespan Changes in Brain and Cognition, Department of PsychologyUniversity of OsloNorway, Pb. 1094 BlindernOslo0317Norway
- Department of Physical Medicine and RehabilitationUnit of neuropsychology, Oslo University HospitalNorway
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165
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Sulejmanpasic G, Drnda S. Magnetic Resonance Imaging (MRI) and Visual Evoked Potentials (VEPs) of Occipital Region in Patients with Schizophrenia and Migraine Headache. Acta Inform Med 2017; 25:103-107. [PMID: 28883674 PMCID: PMC5544453 DOI: 10.5455/aim.2017.25.103-107] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
AIM To examine the morphologic variations of occipital sulci patterns in patients with schizophrenia and migraine haeadache regarding gender and laterality as well as damage of visual pathway in patients with schizophrenia using magnetic resonance imagining (MRI) and visual evoked potentials (VEPs). METHODS This study included 80 patients and brain scans and visual evoked potential responses recorded over the occipital cortex were performed to analyze the occipital region of both hemispheres. Average total volumes of both hemispheres and average values of amplitude of the healthy population for the comparasion were used. RESULTS There was statistically significant difference between subjects considering gender (p=0.012). Parameters of parieto-occipital fissure (p=0.0314) showed statistically significant positive correlation with P100 amplitude (p=0.05), body of the calcarine sulcus (p=0.0213) had significant positive correlation with P100 amplitude (p=0.04), retro calcarine sulcus (p=0.0516) and P100 amplitude (p=0.03) showed statistically significant difference only of left hemisphere in male patients with schizophrenia with shallower depth of the sulcus and P100 amplitude reduction. CONCLUSION Schizophrenia is associated with the volume changes of the occipital lobe. Comparative analysis of morphologic differences in the gray matter of occipital lobe using MRI and VEPs revealed changes especially of the left hemisphere (shallower depth of sulcus and P100 amplitude reduction) only among a group of male patients.
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Affiliation(s)
- Gorana Sulejmanpasic
- Department of Psychiatry, Clinical Center of University of Sarajevo, Sarajevo, Bosnia and Herzegovina
| | - Senad Drnda
- Department of Neurology, Clinical Center of University of Sarajevo, Sarajevo, Bosnia and Herzegovina
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Sun Y, Dai Z, Li J, Collinson SL, Sim K. Modular-level alterations of structure-function coupling in schizophrenia connectome. Hum Brain Mapp 2016; 38:2008-2025. [PMID: 28032370 DOI: 10.1002/hbm.23501] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2016] [Revised: 12/07/2016] [Accepted: 12/14/2016] [Indexed: 12/29/2022] Open
Abstract
Convergent evidences have revealed that schizophrenia is associated with brain dysconnectivity, which leads to abnormal network organization. However, discrepancies were apparent between the structural connectivity (SC) and functional connectivity (FC) studies, and the relationship between structural and functional deficits in schizophrenia remains largely unknown. In this study, resting-state functional magnetic resonance imaging and structural diffusion tensor imaging were performed in 20 patients with schizophrenia and 20 matched healthy volunteers (patients/controls = 19/17 after head motion rejection). Functional and structural brain networks were obtained for each participant. Graph theoretical approaches were employed to parcellate the FC networks into functional modules. The relationships between the entries of SC and FC were estimated within each module to identify group differences and their correlations with clinical symptoms. Although five common functional modules (including the default mode, occipital, subcortical, frontoparietal, and central modules) were identified in both groups, the patients showed a significantly reduced modularity in comparison with healthy participants. Furthermore, we found that schizophrenia-related aberrations of SC-FC coupling exhibited complex patterns among modules. Compared with controls, patients showed an increased SC-FC coupling in the default mode and the central modules. Moreover, significant SC-FC decoupling was demonstrated in the occipital and the subcortical modules, which was associated with longer duration of illness and more severe clinical manifestations of schizophrenia. Taken together, these findings demonstrated that altered module-dependent SC-FC coupling may underlie abnormal brain function and clinical symptoms observed in schizophrenia and highlighted the potential for using new multimodal neuroimaging biomarkers for diagnosis and severity evaluation of schizophrenia. Hum Brain Mapp 38:2008-2025, 2017. © 2017 Wiley Periodicals, Inc.
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Affiliation(s)
- Yu Sun
- Singapore Institute for Neurotechnology (SINAPSE), Centre for Life Science, National University of Singapore, Singapore
| | - Zhongxiang Dai
- Singapore Institute for Neurotechnology (SINAPSE), Centre for Life Science, National University of Singapore, Singapore
| | - Junhua Li
- Singapore Institute for Neurotechnology (SINAPSE), Centre for Life Science, National University of Singapore, Singapore
| | - Simon L Collinson
- Department of Psychology, National University of Singapore, Singapore
| | - Kang Sim
- Department of General Psychiatry, Institute of Mental Health (IMH), Singapore.,Department of Research, Institute of Mental Health (IMH), Singapore
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167
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Xu M, Tan X, Zhang X, Guo Y, Mei Y, Feng Q, Xu Y, Feng Y. Alterations of white matter structural networks in patients with non-neuropsychiatric systemic lupus erythematosus identified by probabilistic tractography and connectivity-based analyses. Neuroimage Clin 2016; 13:349-360. [PMID: 28066709 PMCID: PMC5200918 DOI: 10.1016/j.nicl.2016.12.021] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2016] [Revised: 12/04/2016] [Accepted: 12/17/2016] [Indexed: 01/13/2023]
Abstract
PURPOSE Systemic lupus erythematosus (SLE) is a chronic inflammatory female-predominant autoimmune disease that can affect the central nervous system and exhibit neuropsychiatric symptoms. In SLE patients without neuropsychiatric symptoms (non-NPSLE), recent diffusion tensor imaging studies showed white matter abnormalities in their brains. The present study investigated the entire brain white matter structural connectivity in non-NPSLE patients by using probabilistic tractography and connectivity-based analyses. METHODS Whole-brain structural networks of 29 non-NPSLE patients and 29 healthy controls (HCs) were examined. The structural networks were constructed with interregional probabilistic connectivity. Graph theory analysis was performed to investigate the topological properties, and network-based statistic was employed to assess the alterations of the interregional connections among non-NPSLE patients and controls. RESULTS Compared with HCs, non-NPSLE patients demonstrated significantly decreased global and local network efficiencies and showed increased characteristic path length. This finding suggests that the global integration and local specialization were impaired. Moreover, the regional properties (nodal efficiency and degree) in the frontal, occipital, and cingulum regions of the non-NPSLE patients were significantly changed and negatively correlated with the disease activity index. The distribution pattern of the hubs measured by nodal degree was altered in the patient group. Finally, the non-NPSLE group exhibited decreased structural connectivity in the left median cingulate-centered component and increased connectivity in the left precuneus-centered component and right middle temporal lobe-centered component. CONCLUSION This study reveals an altered topological organization of white matter networks in non-NPSLE patients. Furthermore, this research provides new insights into the structural disruptions underlying the functional and neurocognitive deficits in non-NPSLE patients.
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Affiliation(s)
- Man Xu
- Guangdong Provincial Key Laboratory of Medical Image Processing, School of Biomedical Engineering, Southern Medical University, Guangzhou, China
| | - Xiangliang Tan
- Department of Medical Imaging Center, Nanfang Hospital, Southern Medical University, Guangzhou, China
| | - Xinyuan Zhang
- Guangdong Provincial Key Laboratory of Medical Image Processing, School of Biomedical Engineering, Southern Medical University, Guangzhou, China
| | - Yihao Guo
- Guangdong Provincial Key Laboratory of Medical Image Processing, School of Biomedical Engineering, Southern Medical University, Guangzhou, China
| | - Yingjie Mei
- Guangdong Provincial Key Laboratory of Medical Image Processing, School of Biomedical Engineering, Southern Medical University, Guangzhou, China
- Philips Healthcare, Guangzhou, China
| | - Qianjin Feng
- Guangdong Provincial Key Laboratory of Medical Image Processing, School of Biomedical Engineering, Southern Medical University, Guangzhou, China
| | - Yikai Xu
- Department of Medical Imaging Center, Nanfang Hospital, Southern Medical University, Guangzhou, China
| | - Yanqiu Feng
- Guangdong Provincial Key Laboratory of Medical Image Processing, School of Biomedical Engineering, Southern Medical University, Guangzhou, China
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Hu ML, Zong XF, Mann JJ, Zheng JJ, Liao YH, Li ZC, He Y, Chen XG, Tang JS. A Review of the Functional and Anatomical Default Mode Network in Schizophrenia. Neurosci Bull 2016; 33:73-84. [PMID: 27995564 DOI: 10.1007/s12264-016-0090-1] [Citation(s) in RCA: 196] [Impact Index Per Article: 24.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2016] [Accepted: 10/14/2016] [Indexed: 12/26/2022] Open
Abstract
Schizophrenia is a severe mental disorder characterized by impaired perception, delusions, thought disorder, abnormal emotion regulation, altered motor function, and impaired drive. The default mode network (DMN), since it was first proposed in 2001, has become a central research theme in neuropsychiatric disorders, including schizophrenia. In this review, first we define the DMN and describe its functional activity, functional and anatomical connectivity, heritability, and inverse correlation with the task positive network. Second, we review empirical studies of the anatomical and functional DMN, and anti-correlation between DMN and the task positive network in schizophrenia. Finally, we review preliminary evidence about the relationship between antipsychotic medications and regulation of the DMN, review the role of DMN as a treatment biomarker for this disease, and consider the DMN effects of individualized therapies for schizophrenia.
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Affiliation(s)
- Mao-Lin Hu
- Department of Psychiatry, The Second Xiangya Hospital, Central South University, Changsha, 410011, China
- Division of Molecular Imaging and Neuropathology, New York State Psychiatric Institute and Departments of Psychiatry and Radiology, Columbia University, New York, NY, 10032, USA
- Mental Health Institute of Central South University, China National Clinical Research Center on Mental Disorders (Xiangya), China National Technology Institute on Mental Disorders, Hunan Technology Institute of Psychiatry, Hunan Key Laboratory of Psychiatry and Mental Health, The Second Xiangya Hospital of Central South University, Changsha, 410011, China
| | - Xiao-Fen Zong
- Department of Psychiatry, The Second Xiangya Hospital, Central South University, Changsha, 410011, China
- Division of Molecular Imaging and Neuropathology, New York State Psychiatric Institute and Departments of Psychiatry and Radiology, Columbia University, New York, NY, 10032, USA
- Mental Health Institute of Central South University, China National Clinical Research Center on Mental Disorders (Xiangya), China National Technology Institute on Mental Disorders, Hunan Technology Institute of Psychiatry, Hunan Key Laboratory of Psychiatry and Mental Health, The Second Xiangya Hospital of Central South University, Changsha, 410011, China
| | - J John Mann
- Division of Molecular Imaging and Neuropathology, New York State Psychiatric Institute and Departments of Psychiatry and Radiology, Columbia University, New York, NY, 10032, USA
| | - Jun-Jie Zheng
- Key Laboratory for NeuroInformation of the Ministry of Education, School of Life Science and Technology and Center for Information in BioMedicine, University of Electronic Science and Technology of China, Chengdu, 611731, China
| | - Yan-Hui Liao
- Department of Psychiatry, The Second Xiangya Hospital, Central South University, Changsha, 410011, China
- Department of Psychiatry and Biobehavioral Sciences, UCLA Semel Institute for Neuroscience, David Geffen School of Medicine, Los Angeles, CA, 90024, USA
| | - Zong-Chang Li
- Department of Psychiatry, The Second Xiangya Hospital, Central South University, Changsha, 410011, China
| | - Ying He
- Department of Psychiatry, The Second Xiangya Hospital, Central South University, Changsha, 410011, China
| | - Xiao-Gang Chen
- Department of Psychiatry, The Second Xiangya Hospital, Central South University, Changsha, 410011, China.
- Mental Health Institute of Central South University, China National Clinical Research Center on Mental Disorders (Xiangya), China National Technology Institute on Mental Disorders, Hunan Technology Institute of Psychiatry, Hunan Key Laboratory of Psychiatry and Mental Health, The Second Xiangya Hospital of Central South University, Changsha, 410011, China.
| | - Jin-Song Tang
- Department of Psychiatry, The Second Xiangya Hospital, Central South University, Changsha, 410011, China.
- Department of Psychiatry and Biobehavioral Sciences, UCLA Semel Institute for Neuroscience, David Geffen School of Medicine, Los Angeles, CA, 90024, USA.
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169
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Schizophrenia and neurosurgery: A dark past with hope of a brighter future. J Clin Neurosci 2016; 34:53-58. [DOI: 10.1016/j.jocn.2016.08.009] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2016] [Revised: 07/05/2016] [Accepted: 08/10/2016] [Indexed: 12/11/2022]
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170
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Chiang S, Guindani M, Yeh HJ, Haneef Z, Stern JM, Vannucci M. Bayesian vector autoregressive model for multi-subject effective connectivity inference using multi-modal neuroimaging data. Hum Brain Mapp 2016; 38:1311-1332. [PMID: 27862625 DOI: 10.1002/hbm.23456] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2016] [Revised: 10/13/2016] [Accepted: 10/25/2016] [Indexed: 11/05/2022] Open
Abstract
In this article a multi-subject vector autoregressive (VAR) modeling approach was proposed for inference on effective connectivity based on resting-state functional MRI data. Their framework uses a Bayesian variable selection approach to allow for simultaneous inference on effective connectivity at both the subject- and group-level. Furthermore, it accounts for multi-modal data by integrating structural imaging information into the prior model, encouraging effective connectivity between structurally connected regions. They demonstrated through simulation studies that their approach resulted in improved inference on effective connectivity at both the subject- and group-level, compared with currently used methods. It was concluded by illustrating the method on temporal lobe epilepsy data, where resting-state functional MRI and structural MRI were used. Hum Brain Mapp 38:1311-1332, 2017. © 2016 Wiley Periodicals, Inc.
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Affiliation(s)
- Sharon Chiang
- Department of Statistics, Rice University, Houston, Texas
| | - Michele Guindani
- Department of Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, Texas
| | - Hsiang J Yeh
- Department of Neurology, University of California Los Angeles, Los Angeles, California
| | - Zulfi Haneef
- Department of Neurology, Baylor College of Medicine, Houston, Texas
| | - John M Stern
- Department of Neurology, University of California Los Angeles, Los Angeles, California
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171
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Cetin MS, Houck JM, Rashid B, Agacoglu O, Stephen JM, Sui J, Canive J, Mayer A, Aine C, Bustillo JR, Calhoun VD. Multimodal Classification of Schizophrenia Patients with MEG and fMRI Data Using Static and Dynamic Connectivity Measures. Front Neurosci 2016; 10:466. [PMID: 27807403 PMCID: PMC5070283 DOI: 10.3389/fnins.2016.00466] [Citation(s) in RCA: 56] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2016] [Accepted: 09/28/2016] [Indexed: 11/13/2022] Open
Abstract
Mental disorders like schizophrenia are currently diagnosed by physicians/psychiatrists through clinical assessment and their evaluation of patient's self-reported experiences as the illness emerges. There is great interest in identifying biological markers of prognosis at the onset of illness, rather than relying on the evolution of symptoms across time. Functional network connectivity, which indicates a subject's overall level of "synchronicity" of activity between brain regions, demonstrates promise in providing individual subject predictive power. Many previous studies reported functional connectivity changes during resting-state using only functional magnetic resonance imaging (fMRI). Nevertheless, exclusive reliance on fMRI to generate such networks may limit the inference of the underlying dysfunctional connectivity, which is hypothesized to be a factor in patient symptoms, as fMRI measures connectivity via hemodynamics. Therefore, combination of connectivity assessments using fMRI and magnetoencephalography (MEG), which more directly measures neuronal activity, may provide improved classification of schizophrenia than either modality alone. Moreover, recent evidence indicates that metrics of dynamic connectivity may also be critical for understanding pathology in schizophrenia. In this work, we propose a new framework for extraction of important disease related features and classification of patients with schizophrenia based on using both fMRI and MEG to investigate functional network components in the resting state. Results of this study show that the integration of fMRI and MEG provides important information that captures fundamental characteristics of functional network connectivity in schizophrenia and is helpful for prediction of schizophrenia patient group membership. Combined fMRI/MEG methods, using static functional network connectivity analyses, improved classification accuracy relative to use of fMRI or MEG methods alone (by 15 and 12.45%, respectively), while combined fMRI/MEG methods using dynamic functional network connectivity analyses improved classification up to 5.12% relative to use of fMRI alone and up to 17.21% relative to use of MEG alone.
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Affiliation(s)
- Mustafa S. Cetin
- The Mind Research Network and Lovelace Biomedical and Environmental Research InstituteAlbuquerque, NM, USA
| | - Jon M. Houck
- The Mind Research Network and Lovelace Biomedical and Environmental Research InstituteAlbuquerque, NM, USA
- Psychology Department, University of New MexicoAlbuquerque, NM, USA
| | - Barnaly Rashid
- The Mind Research Network and Lovelace Biomedical and Environmental Research InstituteAlbuquerque, NM, USA
- Department of Electrical and Computer Engineering, University of New MexicoAlbuquerque, NM, USA
| | - Oktay Agacoglu
- The Mind Research Network and Lovelace Biomedical and Environmental Research InstituteAlbuquerque, NM, USA
- Department of Electrical and Computer Engineering, University of New MexicoAlbuquerque, NM, USA
| | - Julia M. Stephen
- The Mind Research Network and Lovelace Biomedical and Environmental Research InstituteAlbuquerque, NM, USA
| | - Jing Sui
- The Mind Research Network and Lovelace Biomedical and Environmental Research InstituteAlbuquerque, NM, USA
| | - Jose Canive
- Psychiatry Department, University of New Mexico School of MedicineAlbuquerque, NM, USA
- Psychiatry Research Program, New Mexico VA Health Care SystemAlbuquerque, NM, USA
- Department of Neurosciences, University of New Mexico School of MedicineAlbuquerque, NM, USA
| | - Andy Mayer
- Psychology Department, University of New MexicoAlbuquerque, NM, USA
- Psychiatry Department, University of New Mexico School of MedicineAlbuquerque, NM, USA
- Neurology Department, University of New Mexico School of MedicineAlbuquerque, NM, USA
| | - Cheryl Aine
- Department of Radiology, University of New Mexico School of MedicineAlbuquerque, NM, USA
| | - Juan R. Bustillo
- Psychiatry Department, University of New Mexico School of MedicineAlbuquerque, NM, USA
- Department of Neurosciences, University of New Mexico School of MedicineAlbuquerque, NM, USA
| | - Vince D. Calhoun
- The Mind Research Network and Lovelace Biomedical and Environmental Research InstituteAlbuquerque, NM, USA
- Department of Electrical and Computer Engineering, University of New MexicoAlbuquerque, NM, USA
- Psychiatry Department, University of New Mexico School of MedicineAlbuquerque, NM, USA
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172
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Thomas F, Moulier V, Valéro-Cabré A, Januel D. Brain connectivity and auditory hallucinations: In search of novel noninvasive brain stimulation therapeutic approaches for schizophrenia. Rev Neurol (Paris) 2016; 172:653-679. [PMID: 27742234 DOI: 10.1016/j.neurol.2016.09.001] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2016] [Revised: 06/10/2016] [Accepted: 09/19/2016] [Indexed: 12/14/2022]
Abstract
Auditory verbal hallucinations (AVH) are among the most characteristic symptoms of schizophrenia and have been linked to likely disturbances of structural and functional connectivity within frontal, temporal, parietal and subcortical networks involved in language and auditory functions. Resting-state functional magnetic resonance imaging (fMRI) has shown that alterations in the functional connectivity activity of the default-mode network (DMN) may also subtend hallucinations. Noninvasive neurostimulation techniques such as repetitive transcranial magnetic stimulation (rTMS) have the ability to modulate activity of targeted cortical sites and their associated networks, showing a high potential for modulating altered connectivity subtending schizophrenia. Notwithstanding, the clinical benefit of these approaches remains weak and variable. Further studies in the field should foster a better understanding concerning the status of networks subtending AVH and the neural impact of rTMS in relation with symptom improvement. Additionally, the identification and characterization of clinical biomarkers able to predict response to treatment would be a critical asset allowing better care for patients with schizophrenia.
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Affiliation(s)
- F Thomas
- Unité de Recherche Clinique, Établissement Public de Santé Ville-Evrard, 202, avenue Jean-Jaurès, 93332 Neuilly-sur-Marne cedex, France.
| | - V Moulier
- Unité de Recherche Clinique, Établissement Public de Santé Ville-Evrard, 202, avenue Jean-Jaurès, 93332 Neuilly-sur-Marne cedex, France
| | - A Valéro-Cabré
- UMR 7225 CRICM CNRS, Université Pierre-et-Marie-Curie, Groupe Hospitalier Pitié-Salpêtrière, 47, boulevard de l'Hôpital, 75013 Paris, France; Université Pierre-et-Marie-Curie, CNRS UMR 7225-Inserm UMRS S975, Centre de Recherche de l'Institut du Cerveau et la Moelle (ICM), 75013 Paris, France; Laboratory for Cerebral Dynamics Plasticity & Rehabilitation, Boston University School of Medicine, Boston, MA, USA; Cognitive Neuroscience and Information Technology Research Program, Open University of Catalonia (UOC), Barcelona, Spain
| | - D Januel
- Unité de Recherche Clinique, Établissement Public de Santé Ville-Evrard, 202, avenue Jean-Jaurès, 93332 Neuilly-sur-Marne cedex, France
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173
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Houck JM, Çetin MS, Mayer AR, Bustillo JR, Stephen J, Aine C, Cañive J, Perrone-Bizzozero N, Thoma RJ, Brookes MJ, Calhoun VD. Magnetoencephalographic and functional MRI connectomics in schizophrenia via intra- and inter-network connectivity. Neuroimage 2016; 145:96-106. [PMID: 27725313 DOI: 10.1016/j.neuroimage.2016.10.011] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2016] [Revised: 10/05/2016] [Accepted: 10/07/2016] [Indexed: 12/11/2022] Open
Abstract
Examination of intrinsic functional connectivity using functional MRI (fMRI) has provided important findings regarding dysconnectivity in schizophrenia. Extending these results using a complementary neuroimaging modality, magnetoencephalography (MEG), we present the first direct comparison of functional connectivity between schizophrenia patients and controls, using these two modalities combined. We developed a novel MEG approach for estimation of networks using MEG that incorporates spatial independent component analysis (ICA) and pairwise correlations between independent component timecourses, to estimate intra- and intern-network connectivity. This analysis enables group-level inference and testing of between-group differences. Resting state MEG and fMRI data were acquired from a large sample of healthy controls (n=45) and schizophrenia patients (n=46). Group spatial ICA was performed on fMRI and MEG data to extract intrinsic fMRI and MEG networks and to compensate for signal leakage in MEG. Similar, but not identical spatial independent components were detected for MEG and fMRI. Analysis of functional network connectivity (FNC; i.e., pairwise correlations in network (ICA component) timecourses) revealed a differential between-modalities pattern, with greater connectivity among occipital networks in fMRI and among frontal networks in MEG. Most importantly, significant differences between controls and patients were observed in both modalities. MEG FNC results in particular indicated dysfunctional hyperconnectivity within frontal and temporal networks in patients, while in fMRI FNC was always greater for controls than for patients. This is the first study to apply group spatial ICA as an approach to leakage correction, and as such our results may be biased by spatial leakage effects. Results suggest that combining these two neuroimaging modalities reveals additional disease-relevant patterns of connectivity that were not detectable with fMRI or MEG alone.
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Affiliation(s)
- Jon M Houck
- Center on Alcoholism, Substance Abuse, and Addictions, University of New Mexico, Albuquerque, New Mexico, United States; Mind Research Network, Albuquerque, New Mexico, United States.
| | - Mustafa S Çetin
- Center on Alcoholism, Substance Abuse, and Addictions, University of New Mexico, Albuquerque, New Mexico, United States; Mind Research Network, Albuquerque, New Mexico, United States; Department of Electrical and Computer Engineering, University of New Mexico, Albuquerque, New Mexico, United States
| | - Andrew R Mayer
- Mind Research Network, Albuquerque, New Mexico, United States
| | - Juan R Bustillo
- Center on Alcoholism, Substance Abuse, and Addictions, University of New Mexico, Albuquerque, New Mexico, United States; Department of Psychiatry, University of New Mexico, Albuquerque, New Mexico, United States
| | - Julia Stephen
- Mind Research Network, Albuquerque, New Mexico, United States
| | - Cheryl Aine
- Center on Alcoholism, Substance Abuse, and Addictions, University of New Mexico, Albuquerque, New Mexico, United States; Mind Research Network, Albuquerque, New Mexico, United States; Department of Radiology, University of New Mexico, Albuquerque, New Mexico, United States
| | - Jose Cañive
- Center on Alcoholism, Substance Abuse, and Addictions, University of New Mexico, Albuquerque, New Mexico, United States; Department of Psychiatry, University of New Mexico, Albuquerque, New Mexico, United States
| | - Nora Perrone-Bizzozero
- Center on Alcoholism, Substance Abuse, and Addictions, University of New Mexico, Albuquerque, New Mexico, United States; Department of Neurosciences, University of New Mexico, Albuquerque, New Mexico, United States
| | - Robert J Thoma
- Center on Alcoholism, Substance Abuse, and Addictions, University of New Mexico, Albuquerque, New Mexico, United States; Department of Psychiatry, University of New Mexico, Albuquerque, New Mexico, United States
| | - Matthew J Brookes
- Department of Psychiatry, University of New Mexico, Albuquerque, New Mexico, United States; University of Nottingham, United Kingdom
| | - Vince D Calhoun
- Mind Research Network, Albuquerque, New Mexico, United States; Department of Electrical and Computer Engineering, University of New Mexico, Albuquerque, New Mexico, United States
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174
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Zimmermann J, Ritter P, Shen K, Rothmeier S, Schirner M, McIntosh AR. Structural architecture supports functional organization in the human aging brain at a regionwise and network level. Hum Brain Mapp 2016; 37:2645-61. [PMID: 27041212 PMCID: PMC6867479 DOI: 10.1002/hbm.23200] [Citation(s) in RCA: 58] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2015] [Revised: 03/18/2016] [Accepted: 03/20/2016] [Indexed: 12/13/2022] Open
Abstract
Functional interactions in the brain are constrained by the underlying anatomical architecture, and structural and functional networks share network features such as modularity. Accordingly, age-related changes of structural connectivity (SC) may be paralleled by changes in functional connectivity (FC). We provide a detailed qualitative and quantitative characterization of the SC-FC coupling in human aging as inferred from resting-state blood oxygen-level dependent functional magnetic resonance imaging and diffusion-weighted imaging in a sample of 47 adults with an age range of 18-82. We revealed that SC and FC decrease with age across most parts of the brain and there is a distinct age-dependency of regionwise SC-FC coupling and network-level SC-FC relations. A specific pattern of SC-FC coupling predicts age more reliably than does regionwise SC or FC alone (r = 0.73, 95% CI = [0.7093, 0.8522]). Hence, our data propose that regionwise SC-FC coupling can be used to characterize brain changes in aging. Hum Brain Mapp 37:2645-2661, 2016. © 2016 Wiley Periodicals, Inc.
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Affiliation(s)
- Joelle Zimmermann
- Baycrest Health SciencesRotman Research Institute3560 Bathurst StTorontoOntarioM6A 2E1Canada
| | - Petra Ritter
- Department of NeurologyCharité ‐ University MedicineCharitéplatz 1Berlin13353Germany
- BrainModes Minerva Research Group Max‐Planck Institute for Cognitive and Brain Science LeipzigCharitéplatz 1Berlin13353Germany
- Bernstein Focus State Dependencies of Learning & Bernstein Center for Computational NeuroscienceCharitéplatz 1Berlin10117Germany
- Berlin School of Mind and Brain & Mind and Brain Institute, Humboldt UniversityLuisenstraße 56, Haus 110117BerlinGermany
| | - Kelly Shen
- Baycrest Health SciencesRotman Research Institute3560 Bathurst StTorontoOntarioM6A 2E1Canada
| | - Simon Rothmeier
- Department of NeurologyCharité ‐ University MedicineCharitéplatz 1Berlin13353Germany
- BrainModes Minerva Research Group Max‐Planck Institute for Cognitive and Brain Science LeipzigCharitéplatz 1Berlin13353Germany
| | - Michael Schirner
- Department of NeurologyCharité ‐ University MedicineCharitéplatz 1Berlin13353Germany
| | - Anthony R. McIntosh
- Baycrest Health SciencesRotman Research Institute3560 Bathurst StTorontoOntarioM6A 2E1Canada
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175
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Li W, Li J, Wang Z, Li Y, Liu Z, Yan F, Xian J, He H. Grey matter connectivity within and between auditory, language and visual systems in prelingually deaf adolescents. Restor Neurol Neurosci 2016; 33:279-90. [PMID: 25698109 PMCID: PMC4923723 DOI: 10.3233/rnn-140437] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
PURPOSE Previous studies have shown brain reorganizations after early deprivation of auditory sensory. However, changes of grey matter connectivity have not been investigated in prelingually deaf adolescents yet. In the present study, we aimed to investigate changes of grey matter connectivity within and between auditory, language and visual systems in prelingually deaf adolescents. METHODS We recruited 16 prelingually deaf adolescents and 16 age-and gender-matched normal controls, and extracted the grey matter volume as the structural characteristic from 14 regions of interest involved in auditory, language or visual processing to investigate the changes of grey matter connectivity within and between auditory, language and visual systems. Sparse inverse covariance estimation (SICE) was utilized to construct grey matter connectivity between these brain regions. RESULTS The results show that prelingually deaf adolescents present weaker grey matter connectivity within auditory and visual systems, and connectivity between language and visual systems declined. Notably, significantly increased brain connectivity was found between auditory and visual systems in prelingually deaf adolescents. CONCLUSIONS Our results indicate "cross-modal" plasticity after deprivation of the auditory input in prelingually deaf adolescents, especially between auditory and visual systems. Besides, auditory deprivation and visual deficits might affect the connectivity pattern within language and visual systems in prelingually deaf adolescents.
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Affiliation(s)
- Wenjing Li
- College of Electronic and Control Engineering, Beijing University of Technology, Beijing, China.,State Key Laboratory of Management and Control for Complex Systems, Institute of Automation, Chinese Academy of Sciences, Beijing, China.,Beijing Key Laboratory of Computational Intelligence and Intelligent System, Beijing, China
| | - Jianhong Li
- Department of Radiology, Beijing Tongren Hospital, Capital Medical University, Beijing, China
| | - Zhenchang Wang
- Department of Radiology, Beijing Friendship Hospital, Capital Medical University, Beijing, China
| | - Yong Li
- Department of Radiology, Beijing Tongren Hospital, Capital Medical University, Beijing, China
| | - Zhaohui Liu
- Department of Radiology, Beijing Tongren Hospital, Capital Medical University, Beijing, China
| | - Fei Yan
- Department of Radiology, Beijing Tongren Hospital, Capital Medical University, Beijing, China
| | - Junfang Xian
- Department of Radiology, Beijing Tongren Hospital, Capital Medical University, Beijing, China
| | - Huiguang He
- State Key Laboratory of Management and Control for Complex Systems, Institute of Automation, Chinese Academy of Sciences, Beijing, China
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176
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Zhang Z, Telesford QK, Giusti C, Lim KO, Bassett DS. Choosing Wavelet Methods, Filters, and Lengths for Functional Brain Network Construction. PLoS One 2016; 11:e0157243. [PMID: 27355202 PMCID: PMC4927172 DOI: 10.1371/journal.pone.0157243] [Citation(s) in RCA: 58] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2016] [Accepted: 05/26/2016] [Indexed: 11/19/2022] Open
Abstract
Wavelet methods are widely used to decompose fMRI, EEG, or MEG signals into time series representing neurophysiological activity in fixed frequency bands. Using these time series, one can estimate frequency-band specific functional connectivity between sensors or regions of interest, and thereby construct functional brain networks that can be examined from a graph theoretic perspective. Despite their common use, however, practical guidelines for the choice of wavelet method, filter, and length have remained largely undelineated. Here, we explicitly explore the effects of wavelet method (MODWT vs. DWT), wavelet filter (Daubechies Extremal Phase, Daubechies Least Asymmetric, and Coiflet families), and wavelet length (2 to 24)—each essential parameters in wavelet-based methods—on the estimated values of graph metrics and in their sensitivity to alterations in psychiatric disease. We observe that the MODWT method produces less variable estimates than the DWT method. We also observe that the length of the wavelet filter chosen has a greater impact on the estimated values of graph metrics than the type of wavelet chosen. Furthermore, wavelet length impacts the sensitivity of the method to detect differences between health and disease and tunes classification accuracy. Collectively, our results suggest that the choice of wavelet method and length significantly alters the reliability and sensitivity of these methods in estimating values of metrics drawn from graph theory. They furthermore demonstrate the importance of reporting the choices utilized in neuroimaging studies and support the utility of exploring wavelet parameters to maximize classification accuracy in the development of biomarkers of psychiatric disease and neurological disorders.
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Affiliation(s)
- Zitong Zhang
- Department of Biomedical Engineering, Tsinghua University, Beijing 100084, China
- Department of Bioengineering, University of Pennsylvania, Philadelphia, PA 19104, United States of America
| | - Qawi K. Telesford
- Department of Bioengineering, University of Pennsylvania, Philadelphia, PA 19104, United States of America
| | - Chad Giusti
- Department of Bioengineering, University of Pennsylvania, Philadelphia, PA 19104, United States of America
- Warren Center for Network and Data Sciences, University of Pennsylvania, Philadelphia, PA 19104, United States of America
| | - Kelvin O. Lim
- Department of Psychiatry, University of Minnesota, Minneapolis, MN 55455, United States of America
| | - Danielle S. Bassett
- Department of Bioengineering, University of Pennsylvania, Philadelphia, PA 19104, United States of America
- Department of Electrical and Systems Engineering, University of Pennsylvania, Philadelphia, PA 19104, United States of America
- * E-mail:
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177
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Collin G, de Nijs J, Hulshoff Pol HE, Cahn W, van den Heuvel MP. Connectome organization is related to longitudinal changes in general functioning, symptoms and IQ in chronic schizophrenia. Schizophr Res 2016; 173:166-173. [PMID: 25843919 DOI: 10.1016/j.schres.2015.03.012] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/21/2014] [Revised: 03/13/2015] [Accepted: 03/15/2015] [Indexed: 11/28/2022]
Abstract
Emerging evidence suggests schizophrenia to involve widespread alterations in the macroscale wiring architecture of the human connectome. Recent findings of attenuated connectome alterations in unaffected siblings of schizophrenia patients suggest that altered connectome organization may relate to the vulnerability to develop the disorder, but whether it relates to progression of illness after disease onset is currently unknown. Here, we examined the interaction between connectome structure and longitudinal changes in general functioning, clinical symptoms and IQ in the 3years following MRI assessment in a group of chronically ill schizophrenia patients. Effects in patients were compared to associations between connectome organization and changes in subclinical symptoms and IQ in healthy controls and unaffected siblings of schizophrenia patients. Analyzing the patient sample revealed a relationship between structural connectivity-particularly among central 'brain hubs'-and progressive changes in general functioning (p=0.007), suggesting that more prominent impairments of hub connectivity may herald future functional decline. Our findings further indicate that affected local connectome organization relates to longitudinal increases in overall PANSS symptoms (p=0.013) and decreases in total IQ (p=0.003), independent of baseline symptoms and IQ. No significant associations were observed in controls and siblings, suggesting that the findings in patients represent effects of ongoing illness, as opposed to normal time-related changes. In all, our findings suggest connectome structure to have predictive value for the course of illness in schizophrenia.
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Affiliation(s)
- G Collin
- Department of Psychiatry, Brain Center Rudolf Magnus, University Medical Center Utrecht, Utrecht, The Netherlands.
| | - J de Nijs
- Department of Psychiatry, Brain Center Rudolf Magnus, University Medical Center Utrecht, Utrecht, The Netherlands
| | - H E Hulshoff Pol
- Department of Psychiatry, Brain Center Rudolf Magnus, University Medical Center Utrecht, Utrecht, The Netherlands
| | - W Cahn
- Department of Psychiatry, Brain Center Rudolf Magnus, University Medical Center Utrecht, Utrecht, The Netherlands
| | - M P van den Heuvel
- Department of Psychiatry, Brain Center Rudolf Magnus, University Medical Center Utrecht, Utrecht, The Netherlands
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178
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Patients with first-episode, drug-naive schizophrenia and subjects at ultra-high risk of psychosis shared increased cerebellar-default mode network connectivity at rest. Sci Rep 2016; 6:26124. [PMID: 27188233 PMCID: PMC4870637 DOI: 10.1038/srep26124] [Citation(s) in RCA: 39] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2016] [Accepted: 04/27/2016] [Indexed: 01/06/2023] Open
Abstract
Increased cerebellar-default mode network (DMN) connectivity has been observed in first-episode, drug-naive patients with schizophrenia. However, it remains unclear whether increased cerebellar-DMN connectivity starts earlier than disease onset. Thirty-four ultra-high risk (UHR) subjects, 31 first-episode, drug-naive patients with schizophrenia and 37 healthy controls were enrolled for a resting-state scan. The imaging data were analyzed using the seed-based functional connectivity (FC) method. Compared with the controls, UHR subjects and patients with schizophrenia shared increased connectivity between the right Crus I and bilateral posterior cingulate cortex/precuneus and between Lobule IX and the left superior medial prefrontal cortex. There are positive correlations between the right Crus I-bilateral precuneus connectivity and clinical variables (Structured Interview for Prodromal Syndromes/Positive and Negative Symptom Scale negative symptoms/total scores) in the UHR subjects. Increased cerebellar-DMN connectivity shared by the UHR subjects and the patients not only highlights the importance of the DMN in the pathophysiology of psychosis but also may be a trait alteration for psychosis.
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179
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Calhoun VD, Sui J. Multimodal fusion of brain imaging data: A key to finding the missing link(s) in complex mental illness. BIOLOGICAL PSYCHIATRY. COGNITIVE NEUROSCIENCE AND NEUROIMAGING 2016; 1:230-244. [PMID: 27347565 PMCID: PMC4917230 DOI: 10.1016/j.bpsc.2015.12.005] [Citation(s) in RCA: 165] [Impact Index Per Article: 20.6] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
It is becoming increasingly clear that combining multi-modal brain imaging data is able to provide more information for individual subjects by exploiting the rich multimodal information that exists. However, the number of studies that do true multimodal fusion (i.e. capitalizing on joint information among modalities) is still remarkably small given the known benefits. In part, this is because multi-modal studies require broader expertise in collecting, analyzing, and interpreting the results than do unimodal studies. In this paper, we start by introducing the basic reasons why multimodal data fusion is important and what it can do, and importantly how it can help us avoid wrong conclusions and help compensate for imperfect brain imaging studies. We also discuss the challenges that need to be confronted for such approaches to be more widely applied by the community. We then provide a review of the diverse studies that have used multimodal data fusion (primarily focused on psychosis) as well as provide an introduction to some of the existing analytic approaches. Finally, we discuss some up-and-coming approaches to multi-modal fusion including deep learning and multimodal classification which show considerable promise. Our conclusion is that multimodal data fusion is rapidly growing, but it is still underutilized. The complexity of the human brain coupled with the incomplete measurement provided by existing imaging technology makes multimodal fusion essential in order to mitigate against misdirection and hopefully provide a key to finding the missing link(s) in complex mental illness.
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Affiliation(s)
- Vince D Calhoun
- The Mind Research Network & LBERI, Albuquerque, New Mexico.; Dept. of ECE, University of New Mexico, Albuquerque, New Mexico
| | - Jing Sui
- The Mind Research Network & LBERI, Albuquerque, New Mexico.; Brainnetome Center and National Laboratory of Pattern Recognition, Beijing, China; CAS Center for Excellence in Brain Science, Institute of Automation, Chinese Academy of Sciences, Beijing, China
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180
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Aznar S, Hervig MES. The 5-HT2A serotonin receptor in executive function: Implications for neuropsychiatric and neurodegenerative diseases. Neurosci Biobehav Rev 2016; 64:63-82. [DOI: 10.1016/j.neubiorev.2016.02.008] [Citation(s) in RCA: 45] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2015] [Revised: 11/05/2015] [Accepted: 02/08/2016] [Indexed: 02/07/2023]
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181
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Salminen LE, Conturo TE, Bolzenius JD, Cabeen RP, Akbudak E, Paul RH. REDUCING CSF PARTIAL VOLUME EFFECTS TO ENHANCE DIFFUSION TENSOR IMAGING METRICS OF BRAIN MICROSTRUCTURE. TECHNOLOGY AND INNOVATION 2016; 18:5-20. [PMID: 27721931 DOI: 10.21300/18.1.2016.5] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
Technological advances over recent decades now allow for in vivo observation of human brain tissue through the use of neuroimaging methods. While this field originated with techniques capable of capturing macrostructural details of brain anatomy, modern methods such as diffusion tensor imaging (DTI) that are now regularly implemented in research protocols have the ability to characterize brain microstructure. DTI has been used to reveal subtle micro-anatomical abnormalities in the prodromal phase ofº various diseases and also to delineate "normal" age-related changes in brain tissue across the lifespan. Nevertheless, imaging artifact in DTI remains a significant limitation for identifying true neural signatures of disease and brain-behavior relationships. Cerebrospinal fluid (CSF) contamination of brain voxels is a main source of error on DTI scans that causes partial volume effects and reduces the accuracy of tissue characterization. Several methods have been proposed to correct for CSF artifact though many of these methods introduce new limitations that may preclude certain applications. The purpose of this review is to discuss the complexity of signal acquisition as it relates to CSF artifact on DTI scans and review methods of CSF suppression in DTI. We will then discuss a technique that has been recently shown to effectively suppress the CSF signal in DTI data, resulting in fewer errors and improved measurement of brain tissue. This approach and related techniques have the potential to significantly improve our understanding of "normal" brain aging and neuropsychiatric and neurodegenerative diseases. Considerations for next-level applications are discussed.
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Affiliation(s)
- Lauren E Salminen
- Department of Psychology, University of Missouri - Saint Louis, St. Louis, MO, USA
| | - Thomas E Conturo
- Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO, USA
| | | | - Ryan P Cabeen
- Computer Science Department, Brown University, Providence, RI, USA
| | - Erbil Akbudak
- Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO, USA
| | - Robert H Paul
- Missouri Institute of Mental Health, St. Louis, MO, USA
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182
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Tamnes CK, Agartz I. White Matter Microstructure in Early-Onset Schizophrenia: A Systematic Review of Diffusion Tensor Imaging Studies. J Am Acad Child Adolesc Psychiatry 2016; 55:269-79. [PMID: 27015717 DOI: 10.1016/j.jaac.2016.01.004] [Citation(s) in RCA: 48] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/19/2015] [Revised: 12/16/2015] [Accepted: 01/20/2016] [Indexed: 01/24/2023]
Abstract
OBJECTIVE Neurodevelopmental processes and neural connectivity are thought to play pivotal roles in schizophrenia. This article reviews diffusion tensor imaging (DTI) studies of brain white matter connections and microstructure and their development in patients with early-onset schizophrenia (EOS), that is, schizophrenia with an age of onset before 18 years. METHOD A systematic literature search revealed 21 original case-control DTI studies of children and/or adolescents with EOS. RESULTS Nearly all studies report significantly lower regional fractional anisotropy (FA) in patients with EOS than in healthy control participants. However, the anatomical locations and extent of these differences are highly variable across studies. Furthermore, consistent evidence for associations between DTI indices and age of onset, medication variables, and measures of symptomatology and cognition in EOS is lacking. Only 3 available studies have investigated cross-sectional age-related differences or longitudinal changes in DTI measures in adolescents with EOS. The results are mixed, with different studies indicating diverging, converging, or parallel developmental FA trajectories between patients and controls. CONCLUSION The study of brain structural connectivity, as inferred from DTI, and its development in EOS may inform us on the origin and ontogeny of schizophrenia. We suggest some directions for future research in this field and argue for increased focus on developmental questions. Specifically, further investigations of age of onset effects and multimethod longitudinal studies of structural and functional connectivity development before, at, and after onset of schizophrenia and related syndromes in children and adolescents are called for.
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Affiliation(s)
- Christian K Tamnes
- Research Group for Lifespan Changes in Brain and Cognition, University of Oslo, Norway.
| | - Ingrid Agartz
- NORMENT (Norwegian Centre for Mental Disorders Research), KG Jebsen Centre for Psychosis Research, Division of Mental Health and Addiction, Institute of Clinical Medicine, University of Oslo, Norway and with Diakonhjemmet Hospital, Oslo, Norway
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183
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Kuceyeski A, Navi BB, Kamel H, Raj A, Relkin N, Toglia J, Iadecola C, O'Dell M. Structural connectome disruption at baseline predicts 6-months post-stroke outcome. Hum Brain Mapp 2016; 37:2587-601. [PMID: 27016287 DOI: 10.1002/hbm.23198] [Citation(s) in RCA: 63] [Impact Index Per Article: 7.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2015] [Revised: 02/17/2016] [Accepted: 03/14/2016] [Indexed: 12/21/2022] Open
Abstract
In this study, models based on quantitative imaging biomarkers of post-stroke structural connectome disruption were used to predict six-month outcomes in various domains. Demographic information and clinical MRIs were collected from 40 ischemic stroke subjects (age: 68.1 ± 13.2 years, 17 female, NIHSS: 6.8 ± 5.6). Diffusion-weighted images were used to create lesion masks, which were uploaded to the Network Modification (NeMo) Tool. The NeMo Tool, using only clinical MRIs, allows estimation of connectome disruption at three levels: whole brain, individual gray matter regions and between pairs of gray matter regions. Partial Least Squares Regression models were constructed for each level of connectome disruption and for each of the three six-month outcomes: applied cognitive, basic mobility and daily activity. Models based on lesion volume were created for comparison. Cross-validation, bootstrapping and multiple comparisons corrections were implemented to minimize over-fitting and Type I errors. The regional disconnection model best predicted applied cognitive (R(2) = 0.56) and basic mobility outcomes (R(2) = 0.70), while the pairwise disconnection model best predicted the daily activity measure (R(2) = 0.72). These results demonstrate that models based on connectome disruption metrics were more accurate than ones based on lesion volume and that increasing anatomical specificity of disconnection metrics does not always increase model accuracy, likely due to statistical adjustments for concomitant increases in data dimensionality. This work establishes that the NeMo Tool's measures of baseline connectome disruption, acquired using only routinely collected MRI scans, can predict 6-month post-stroke outcomes in various functional domains including cognition, motor function and daily activities. Hum Brain Mapp, 2016. © 2016 Wiley Periodicals, Inc.
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Affiliation(s)
- Amy Kuceyeski
- Department of Radiology, Weill Cornell Medical College, New York, New York.,Feil Family Brain and Mind Research Institute, New York, New York
| | - Babak B Navi
- Feil Family Brain and Mind Research Institute, New York, New York.,Department of Neurology, Weill Cornell Medical College, New York, New York
| | - Hooman Kamel
- Feil Family Brain and Mind Research Institute, New York, New York.,Department of Neurology, Weill Cornell Medical College, New York, New York
| | - Ashish Raj
- Department of Radiology, Weill Cornell Medical College, New York, New York.,Feil Family Brain and Mind Research Institute, New York, New York
| | - Norman Relkin
- Feil Family Brain and Mind Research Institute, New York, New York.,Department of Neurology, Weill Cornell Medical College, New York, New York
| | - Joan Toglia
- Rehabilitation Medicine, New York, New York.,School of Health and Natural Sciences, Mercy College, New York, New York
| | - Costantino Iadecola
- Feil Family Brain and Mind Research Institute, New York, New York.,Department of Neurology, Weill Cornell Medical College, New York, New York
| | - Michael O'Dell
- Department of Neurology, Weill Cornell Medical College, New York, New York.,Rehabilitation Medicine, New York, New York
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184
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Salone A, Di Giacinto A, Lai C, De Berardis D, Iasevoli F, Fornaro M, De Risio L, Santacroce R, Martinotti G, Giannantonio MD. The Interface between Neuroscience and Neuro-Psychoanalysis: Focus on Brain Connectivity. Front Hum Neurosci 2016; 10:20. [PMID: 26869904 PMCID: PMC4737882 DOI: 10.3389/fnhum.2016.00020] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2014] [Accepted: 01/14/2016] [Indexed: 02/02/2023] Open
Abstract
Over the past 20 years, the advent of advanced techniques has significantly enhanced our knowledge on the brain. Yet, our understanding of the physiological and pathological functioning of the mind is still far from being exhaustive. Both the localizationist and the reductionist neuroscientific approaches to psychiatric disorders have proven to be largely unsatisfactory and are outdated. Accruing evidence suggests that psychoanalysis can engage the neurosciences in a productive and mutually enriching dialogue that may further our understanding of psychiatric disorders. In particular, advances in brain connectivity research have provided evidence supporting the convergence of neuroscientific findings and psychoanalysis and helped characterize the circuitry and mechanisms that underlie higher brain functions. In the present paper we discuss how knowledge on brain connectivity can impact neuropsychoanalysis, with a particular focus on schizophrenia. Brain connectivity studies in schizophrenic patients indicate complex alterations in brain functioning and circuitry, with particular emphasis on the role of cortical midline structures (CMS) and the default mode network (DMN). These networks seem to represent neural correlates of psychodynamic concepts central to the understanding of schizophrenia and of core psychopathological alterations of this disorder (i.e., ego disturbances and impaired primary process thinking).
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Affiliation(s)
- Anatolia Salone
- Department of Neuroscience, Imaging and Clinical Sciences and Institute for Advanced Biomedical Technologies-ITAB, University G. d'AnnunzioChieti-Pescara, Italy; Institute of Psychiatry, University G. d'AnnunzioChieti-Pescara, Italy
| | - Alessandra Di Giacinto
- Department of Neuroscience, Imaging and Clinical Sciences and Institute for Advanced Biomedical Technologies-ITAB, University G. d'AnnunzioChieti-Pescara, Italy; Institute of Psychiatry, University G. d'AnnunzioChieti-Pescara, Italy
| | - Carlo Lai
- Dynamic and Clinical Psychology, Sapienza University of Rome Rome, Italy
| | - Domenico De Berardis
- Institute of Psychiatry, University G. d'AnnunzioChieti-Pescara, Italy; National Health Service (NHS), Department of Mental Health, Psychiatric Service of Diagnosis and Treatment, Hospital "G. Mazzini"Teramo, Italy
| | - Felice Iasevoli
- Department of Neuroscience, Reproductive Sciences and Odontostomatology, Federico II University of Naples Naples, Italy
| | - Michele Fornaro
- New York State Psychiatric Institute (NYSPI), Columbia University New York, NY, USA
| | - Luisa De Risio
- Department of Neuroscience, Institute of Psychiatry and Clinical Psychology, Catholic University of the Sacred Heart Rome, Italy
| | - Rita Santacroce
- Department of Neuroscience, Imaging and Clinical Sciences and Institute for Advanced Biomedical Technologies-ITAB, University G. d'AnnunzioChieti-Pescara, Italy; Institute of Psychiatry, University G. d'AnnunzioChieti-Pescara, Italy
| | - Giovanni Martinotti
- Department of Neuroscience, Imaging and Clinical Sciences and Institute for Advanced Biomedical Technologies-ITAB, University G. d'AnnunzioChieti-Pescara, Italy; Institute of Psychiatry, University G. d'AnnunzioChieti-Pescara, Italy
| | - Massimo Di Giannantonio
- Department of Neuroscience, Imaging and Clinical Sciences and Institute for Advanced Biomedical Technologies-ITAB, University G. d'AnnunzioChieti-Pescara, Italy; Institute of Psychiatry, University G. d'AnnunzioChieti-Pescara, Italy
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185
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Reid MA, White DM, Kraguljac NV, Lahti AC. A combined diffusion tensor imaging and magnetic resonance spectroscopy study of patients with schizophrenia. Schizophr Res 2016; 170:341-50. [PMID: 26718333 PMCID: PMC5982513 DOI: 10.1016/j.schres.2015.12.003] [Citation(s) in RCA: 35] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/22/2015] [Revised: 12/03/2015] [Accepted: 12/07/2015] [Indexed: 12/31/2022]
Abstract
Diffusion tensor imaging (DTI) studies in schizophrenia consistently show global reductions in fractional anisotropy (FA), a putative marker of white matter integrity. The cingulum bundle, which facilitates communication between the anterior cingulate cortex (ACC) and hippocampus, is frequently implicated in schizophrenia. Magnetic resonance spectroscopy (MRS) studies report metabolic abnormalities in the ACC and hippocampus of patients. Combining DTI and MRS offers exploration of the relationship between cortical neuronal biochemistry and the integrity of white matter tracts connecting specific cortical regions; however, few studies have attempted this in schizophrenia. Twenty-nine schizophrenia patients and twenty controls participated in this 3 T imaging study in which we used DTI and tract-based spatial statistics (TBSS) to assess white matter integrity and MRS to quantify metabolites in the ACC and hippocampus. We found FA reductions with overlapping radial diffusivity (RD) elevations in patients in multiple tracts, suggesting white matter abnormalities in schizophrenia are driven by loss of myelin integrity. In controls, we found significant negative correlations between hippocampal N-acetylaspartate/creatine and RD and axial diffusivity (AD) as well as a significant negative correlation between FA and ACC glutamate+glutamine/creatine in the hippocampal part of the cingulum bundle. It is possible that the extent of myelin damage could have resulted in the absence of DTI-MRS correlations in our patient group. In conclusion, we demonstrate the potential utility of a multi-modal neuroimaging approach to help further our understanding of the relationship between white matter microstructure and neurochemistry in distinct cortical regions connected by white matter tracts.
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Affiliation(s)
- Meredith A. Reid
- Department of Psychiatry and Behavioral Neurobiology, University of Alabama at Birmingham, Birmingham, AL, USA,Department of Biomedical Engineering, University of Alabama at Birmingham, Birmingham, AL, USA
| | - David M. White
- Department of Psychiatry and Behavioral Neurobiology, University of Alabama at Birmingham, Birmingham, AL, USA
| | - Nina V. Kraguljac
- Department of Psychiatry and Behavioral Neurobiology, University of Alabama at Birmingham, Birmingham, AL, USA
| | - Adrienne C. Lahti
- Department of Psychiatry and Behavioral Neurobiology, University of Alabama at Birmingham, Birmingham, AL, USA,To whom correspondence should be addressed: Adrienne C. Lahti, MD, Department of Psychiatry and Behavioral Neurobiology, The University of Alabama at Birmingham, SC 501, 1720 2 Ave S, Birmingham, AL 35294-0017, USA, +1 205-996-6776, Fax: +1 205-975-4879,
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186
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Paul S, Sharfman N. Functional connectivity as a means to delineate differences between treatment-resistant and treatment-responsive schizophrenia. J Neurophysiol 2016; 116:229-31. [PMID: 26763784 DOI: 10.1152/jn.01127.2015] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2015] [Accepted: 01/07/2016] [Indexed: 01/29/2023] Open
Abstract
It has been estimated that one-third of schizophrenia patients are treatment resistant (TRS). Recent studies have shown that functional connectivity (FC) can be used for measuring connections between brain regions in diseased states. White, Wigton, Joyce, Collier, Fornito, and Shergill (Neuropsychopharmacology First published September 9, 2015; doi:10.1038/npp.2015.277) used FC to identify differences between schizophrenia patients responding to antipsychotic treatment and TRS patients. Their results support the idea that the groups differ not only in treatment response but also neurophysiologically through differences in FC.
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Affiliation(s)
- Sara Paul
- Neuroscience Program, Tulane University, New Orleans, Louisiana
| | - Nathan Sharfman
- Neuroscience Program, Tulane University, New Orleans, Louisiana
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187
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Edwin Thanarajah S, Han CE, Rotarska-Jagiela A, Singer W, Deichmann R, Maurer K, Kaiser M, Uhlhaas PJ. Abnormal Connectional Fingerprint in Schizophrenia: A Novel Network Analysis of Diffusion Tensor Imaging Data. Front Psychiatry 2016; 7:114. [PMID: 27445870 PMCID: PMC4928135 DOI: 10.3389/fpsyt.2016.00114] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/21/2015] [Accepted: 06/10/2016] [Indexed: 12/11/2022] Open
Abstract
The graph theoretical analysis of structural magnetic resonance imaging (MRI) data has received a great deal of interest in recent years to characterize the organizational principles of brain networks and their alterations in psychiatric disorders, such as schizophrenia. However, the characterization of networks in clinical populations can be challenging, since the comparison of connectivity between groups is influenced by several factors, such as the overall number of connections and the structural abnormalities of the seed regions. To overcome these limitations, the current study employed the whole-brain analysis of connectional fingerprints in diffusion tensor imaging data obtained at 3 T of chronic schizophrenia patients (n = 16) and healthy, age-matched control participants (n = 17). Probabilistic tractography was performed to quantify the connectivity of 110 brain areas. The connectional fingerprint of a brain area represents the set of relative connection probabilities to all its target areas and is, hence, less affected by overall white and gray matter changes than absolute connectivity measures. After detecting brain regions with abnormal connectional fingerprints through similarity measures, we tested each of its relative connection probability between groups. We found altered connectional fingerprints in schizophrenia patients consistent with a dysconnectivity syndrome. While the medial frontal gyrus showed only reduced connectivity, the connectional fingerprints of the inferior frontal gyrus and the putamen mainly contained relatively increased connection probabilities to areas in the frontal, limbic, and subcortical areas. These findings are in line with previous studies that reported abnormalities in striatal-frontal circuits in the pathophysiology of schizophrenia, highlighting the potential utility of connectional fingerprints for the analysis of anatomical networks in the disorder.
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Affiliation(s)
- Sharmili Edwin Thanarajah
- Department of Neurology, University Hospital of Cologne, Cologne, Germany; Department of Neurophysiology, Max-Planck Institute for Brain Research, Frankfurt am Main, Germany; Max-Planck Institute for Metabolism Research, Cologne, Germany
| | - Cheol E Han
- Department of Electronics and Information Engineering, Korea University, Sejong, South Korea; Department of Bio-Convergence Engineering, Korea University, Seoul, South Korea; Department of Brain and Cognitive Sciences, Seoul National University, Seoul, South Korea
| | - Anna Rotarska-Jagiela
- Department of Neurophysiology, Max-Planck Institute for Brain Research , Frankfurt am Main , Germany
| | - Wolf Singer
- Department of Neurophysiology, Max-Planck Institute for Brain Research, Frankfurt am Main, Germany; Ernst-Strüngmann Institut, Frankfurt am Main, Germany; Frankfurt Institute of Advanced Studies, Goethe University Frankfurt am Main, Frankfurt am Main, Germany
| | - Ralf Deichmann
- Brain Imaging Centre, Goethe University Frankfurt am Main , Frankfurt am Main , Germany
| | - Konrad Maurer
- Department of Psychiatry, Psychosomatics and Psychotherapy, Goethe University Frankfurt am Main , Frankfurt am Main , Germany
| | - Marcus Kaiser
- Department of Brain and Cognitive Sciences, Seoul National University, Seoul, South Korea; Interdisciplinary Computing and Complex BioSystems (ICOS) Research, School of Computing Science, Newcastle University, Newcastle, UK; Institute of Neuroscience, Newcastle University, Newcastle, UK
| | - Peter J Uhlhaas
- Department of Neurophysiology, Max-Planck Institute for Brain Research, Frankfurt am Main, Germany; Institute of Neuroscience and Psychology, University of Glasgow, Glasgow, UK
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188
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Interaction among subsystems within default mode network diminished in schizophrenia patients: A dynamic connectivity approach. Schizophr Res 2016; 170:55-65. [PMID: 26654933 PMCID: PMC4707124 DOI: 10.1016/j.schres.2015.11.021] [Citation(s) in RCA: 161] [Impact Index Per Article: 20.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/02/2015] [Revised: 11/14/2015] [Accepted: 11/21/2015] [Indexed: 11/20/2022]
Abstract
Default mode network (DMN) has been reported altered in schizophrenia (SZ) using static connectivity analysis. However, the studies on dynamic characteristics of DMN in SZ are still limited. In this work, we compare dynamic connectivity within DMN between 82 healthy controls (HC) and 82 SZ patients using resting-state fMRI. Firstly, dynamic DMN was computed using a sliding time window method for each subject. Then, the overall connectivity strengths were compared between two groups. Furthermore, we estimated functional connectivity states using K-means clustering, and then investigated group differences with respect to the connectivity strengths in states, the dwell time in each state, and the transition times between states. Finally, graph metrics of time-varying connectivity patterns and connectivity states were assessed. Results suggest that measured by the overall connectivity, HC showed stronger inter-subsystem interaction than patients. Compared to HC, patients spent more time in the states with nodes sparsely connected. For each state, SZ patients presented relatively weaker connectivity strengths mainly in inter-subsystem. Patients also exhibited lower values in averaged node strength, clustering coefficient, global efficiency, and local efficiency than HC. In summary, our findings indicate that SZ show impaired interaction among DMN subsystems, with a reduced central role for posterior cingulate cortex (PCC) and anterior medial prefrontal cortex (aMPFC) hubs as well as weaker interaction between dorsal medial prefrontal cortex (dMPFC) subsystem and medial temporal lobe (MTL) subsystem. For SZ, decreased integration of DMN may be associated with impaired ability in making self-other distinctions and coordinating present mental states with episodic decisions about future.
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189
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Multimodal neuroimaging as a window into the pathological physiology of schizophrenia: Current trends and issues. Neurosci Res 2016; 102:29-38. [DOI: 10.1016/j.neures.2015.07.009] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2014] [Revised: 07/08/2015] [Accepted: 07/15/2015] [Indexed: 11/18/2022]
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190
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Effect of rs1344706 in the ZNF804A gene on the connectivity between the hippocampal formation and posterior cingulate cortex. Schizophr Res 2016; 170:48-54. [PMID: 26654932 DOI: 10.1016/j.schres.2015.11.024] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/15/2015] [Revised: 11/18/2015] [Accepted: 11/24/2015] [Indexed: 12/13/2022]
Abstract
ZNF804A is one of the most promising candidate genes for schizophrenia. Previous fMRI studies have repeatedly shown an association between SNP rs1344706 in this gene and the functional connectivity from the right dorsolateral prefrontal cortex (rDLPFC) to the left hippocampal formation (lHF) during the N-back task. However, the rDLPFC-lHF functional connectivity included several subconnections and it is not known whether rs1344706 plays the same role in these subconnections. This study addressed that question using both fMRI and DTI data of 87 subjects. First, we replicated the association between rs1344706 and the rDLPFC-lHF functional connectivity using our fMRI data from the N-back task. Second, we reconstructed fiber connections between rDLPFC and lHF using our DTI data, which included three subconnections: from lHF to posterior cingulate cortex (PCC), from PCC to anterior cingulated cortex (ACC), and from ACC to rDLPFC. We found that only the lHF-PCC tract showed significantly lower fractional anisotropy (FA) in risk allele homozygotes. Finally, we analyzed the fMRI data (from the N-back task and the resting state). Both consistently showed relatively lower lHF-PCC functional connectivity in risk allele homozygotes. Taken together, the disconnectivity of the lHF-PCC tract seems to be a plausible intermediate phenotype that links rs1344706 and schizophrenia.
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191
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Ghanbari Y, Bloy L, Tunc B, Shankar V, Roberts TPL, Edgar JC, Schultz RT, Verma R. On characterizing population commonalities and subject variations in brain networks. Med Image Anal 2015; 38:215-229. [PMID: 26674972 DOI: 10.1016/j.media.2015.10.009] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2014] [Revised: 06/25/2015] [Accepted: 10/21/2015] [Indexed: 12/30/2022]
Abstract
Brain networks based on resting state connectivity as well as inter-regional anatomical pathways obtained using diffusion imaging have provided insight into pathology and development. Such work has underscored the need for methods that can extract sub-networks that can accurately capture the connectivity patterns of the underlying population while simultaneously describing the variation of sub-networks at the subject level. We have designed a multi-layer graph clustering method that extracts clusters of nodes, called 'network hubs', which display higher levels of connectivity within the cluster than to the rest of the brain. The method determines an atlas of network hubs that describes the population, as well as weights that characterize subject-wise variation in terms of within- and between-hub connectivity. This lowers the dimensionality of brain networks, thereby providing a representation amenable to statistical analyses. The applicability of the proposed technique is demonstrated by extracting an atlas of network hubs for a population of typically developing controls (TDCs) as well as children with autism spectrum disorder (ASD), and using the structural and functional networks of a population to determine the subject-level variation of these hubs and their inter-connectivity. These hubs are then used to compare ASD and TDCs. Our method is generalizable to any population whose connectivity (structural or functional) can be captured via non-negative network graphs.
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Affiliation(s)
- Yasser Ghanbari
- Center for Biomedical Image Computing and Analytics, Department of Radiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, United States .
| | - Luke Bloy
- Center for Biomedical Image Computing and Analytics, Department of Radiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, United States ; Center for Autism Research, Children's Hospital of Philadelphia, Philadelphia, PA 19104, United States
| | - Birkan Tunc
- Center for Biomedical Image Computing and Analytics, Department of Radiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, United States
| | - Varsha Shankar
- Center for Biomedical Image Computing and Analytics, Department of Radiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, United States
| | - Timothy P L Roberts
- Center for Autism Research, Children's Hospital of Philadelphia, Philadelphia, PA 19104, United States
| | - J Christopher Edgar
- Center for Autism Research, Children's Hospital of Philadelphia, Philadelphia, PA 19104, United States
| | - Robert T Schultz
- Center for Autism Research, Children's Hospital of Philadelphia, Philadelphia, PA 19104, United States
| | - Ragini Verma
- Center for Biomedical Image Computing and Analytics, Department of Radiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, United States
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192
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Su TW, Hsu TW, Lin YC, Lin CP. Schizophrenia symptoms and brain network efficiency: A resting-state fMRI study. Psychiatry Res 2015; 234:208-18. [PMID: 26409574 DOI: 10.1016/j.pscychresns.2015.09.013] [Citation(s) in RCA: 35] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/20/2014] [Revised: 08/10/2015] [Accepted: 09/02/2015] [Indexed: 12/18/2022]
Abstract
Schizophrenia is a condition marked by a disrupted brain functional network. In schizophrenia, the brain network is characterized by reduced distributed information processing efficiency; however, the correlation between information processing efficiency and the symptomatology of schizophrenia remains unclear. Few studies have examined path length efficiencies in schizophrenia. In this study, we examined small-world network metrics computed from resting state functional magnetic resonance imaging data collected from 49 patients with schizophrenia and 28 healthy people. We calculated brain network efficiency using graph theoretical analysis of the networks of brain areas, as defined by the Automated Anatomical Labeling parcellation scheme, and investigated efficiency correlations by using the 5-factor model of psychopathology, which considers the various domains of schizophrenic symptoms and might also consider discrete pathogenetic processes. The global efficiency of the resting schizophrenic brains was lower than that of the healthy controls, but local efficiency did not differ between the groups. The severity of psychopathology, negative symptoms, and depression and anxiety symptoms were correlated with global efficiency in schizophrenic brains. The severity of psychopathology was correlated with increased network efficiency from short-range connections, but not networks from long-range connections. Our findings indicate that schizophrenic psychopathology is correlated with brain network information processing efficiency.
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Affiliation(s)
- Tsung-Wei Su
- Brain Connectivity Lab., Department of Biomedical Imaging and Radiological Sciences, National Yang-Ming University, No. 155, Section 2, Linong Street, Taipei 112, Taiwan; Department of Psychiatry, Losheng Sanatorium and Hospital, Ministry of Health and Welfare, No. 2, Lane 50, Section 1, Wanshou Rd., Guishan Shiang, Taoyuan County, Taiwan
| | - Tun-Wei Hsu
- Brain Connectivity Lab., Department of Biomedical Imaging and Radiological Sciences, National Yang-Ming University, No. 155, Section 2, Linong Street, Taipei 112, Taiwan
| | - Yi-Ching Lin
- Department of Psychiatry, Losheng Sanatorium and Hospital, Ministry of Health and Welfare, No. 2, Lane 50, Section 1, Wanshou Rd., Guishan Shiang, Taoyuan County, Taiwan
| | - Ching-Po Lin
- Brain Connectivity Lab., Department of Biomedical Imaging and Radiological Sciences, National Yang-Ming University, No. 155, Section 2, Linong Street, Taipei 112, Taiwan.
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193
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Resting-state cerebellar-cerebral networks are differently affected in first-episode, drug-naive schizophrenia patients and unaffected siblings. Sci Rep 2015; 5:17275. [PMID: 26608842 PMCID: PMC4660304 DOI: 10.1038/srep17275] [Citation(s) in RCA: 42] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2015] [Accepted: 10/27/2015] [Indexed: 11/20/2022] Open
Abstract
Dysconnectivity hypothesis posits that schizophrenia is a disorder with dysconnectivity of the cortico-cerebellar-thalamic-cortical circuit (CCTCC). However, it remains unclear to the changes of the cerebral connectivity with the cerebellum in schizophrenia patients and unaffected siblings. Forty-nine patients with first-episode, drug-naive schizophrenia patients, 46 unaffected siblings of schizophrenia patients and 46 healthy controls participated in the study. Seed-based resting-state functional connectivity approach was employed to analyze the data. Compared with the controls, the patients and the siblings share increased default-mode network (DMN) seed – right Crus II connectivity. The patients have decreased right dorsal attention network (DAN) seed – bilateral cerebellum 4,5 connectivity relative to the controls. By contrast, the siblings exhibit increased FC between the right DAN seed and the right cerebellum 6 and right cerebellum 4,5 compared to the controls. No other abnormal connectivities (executive control network and salience network) are observed in the patients/siblings relative to the controls. There are no correlations between abnormal cerebellar-cerebral connectivities and clinical variables. Cerebellar-cerebral connectivity of brain networks within the cerebellum are differently affected in first-episode, drug-naive schizophrenia patients and unaffected siblings. Increased DMN connectivity with the cerebellum may serve as potential endophenotype for schizophrenia.
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194
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Kraguljac NV, White DM, Hadley JA, Visscher K, Knight D, ver Hoef L, Falola B, Lahti AC. Abnormalities in large scale functional networks in unmedicated patients with schizophrenia and effects of risperidone. NEUROIMAGE-CLINICAL 2015; 10:146-58. [PMID: 26793436 PMCID: PMC4683457 DOI: 10.1016/j.nicl.2015.11.015] [Citation(s) in RCA: 83] [Impact Index Per Article: 9.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/30/2015] [Revised: 10/30/2015] [Accepted: 11/20/2015] [Indexed: 12/25/2022]
Abstract
Objective To describe abnormalities in large scale functional networks in unmedicated patients with schizophrenia and to examine effects of risperidone on networks. Material and methods 34 unmedicated patients with schizophrenia and 34 matched healthy controls were enrolled in this longitudinal study. We collected resting state functional MRI data with a 3T scanner at baseline and six weeks after they were started on risperidone. In addition, a group of 19 healthy controls were scanned twice six weeks apart. Four large scale networks, the dorsal attention network, executive control network, salience network, and default mode network were identified with seed based functional connectivity analyses. Group differences in connectivity, as well as changes in connectivity over time, were assessed on the group's participant level functional connectivity maps. Results In unmedicated patients with schizophrenia we found resting state connectivity to be increased in the dorsal attention network, executive control network, and salience network relative to control participants, but not the default mode network. Dysconnectivity was attenuated after six weeks of treatment only in the dorsal attention network. Baseline connectivity in this network was also related to clinical response at six weeks of treatment with risperidone. Conclusions Our results demonstrate abnormalities in large scale functional networks in patients with schizophrenia that are modulated by risperidone only to a certain extent, underscoring the dire need for development of novel antipsychotic medications that have the ability to alleviate symptoms through attenuation of dysconnectivity. We found widespread functional dysconnectivity in unmedicated patients with schizophrenia. Large scale functional networks appear differentially affected in the disorder. Attenuation of dysconnectivity with risperidone is seen only to a limited extent.
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Key Words
- ALFF, amplitude of low frequency fluctuations
- Antipsychotic medication
- BOLD, blood oxygen level dependent signal
- BPRS, Brief Psychiatric Rating Scale
- DAN, dorsal attention network
- DARTEL, diffeomorphic anatomical registration using exponentiated lie algebra algorithm
- DMN, default mode network
- Default mode network
- Dorsal attention network
- ECN, executive control network
- Executive control network
- FD, framewise displacement
- FDR, false discovery rate
- HC, healthy control
- KE, cluster extent
- MNI, Montreal Neurological Institute
- RBANS, Repeatable Battery for the Assessment of Neuropsychological Status
- SZ, patient with schizophrenia
- Salience network
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Affiliation(s)
- Nina Vanessa Kraguljac
- Department of Psychiatry and Behavioral Neurobiology, University of Alabama at Birmingham, Birmingham, AL, 35294, USA
| | - David Matthew White
- Department of Psychiatry and Behavioral Neurobiology, University of Alabama at Birmingham, Birmingham, AL, 35294, USA
| | - Jennifer Ann Hadley
- Department of Psychiatry and Behavioral Neurobiology, University of Alabama at Birmingham, Birmingham, AL, 35294, USA
| | - Kristina Visscher
- Department of Neurobiology, University of Alabama at Birmingham, Birmingham, AL 35294, USA
| | - David Knight
- Department of Psychology, University of Alabama at Birmingham, Birmingham, AL 35294, USA
| | - Lawrence ver Hoef
- Department of Neurology, University of Alabama at Birmingham, Birmingham, AL 35294, USA
| | - Blessing Falola
- Department of Psychiatry and Behavioral Neurobiology, University of Alabama at Birmingham, Birmingham, AL, 35294, USA
| | - Adrienne Carol Lahti
- Department of Psychiatry and Behavioral Neurobiology, University of Alabama at Birmingham, Birmingham, AL, 35294, USA
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195
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White RS, Siegel SJ. Cellular and circuit models of increased resting-state network gamma activity in schizophrenia. Neuroscience 2015; 321:66-76. [PMID: 26577758 DOI: 10.1016/j.neuroscience.2015.11.011] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2015] [Revised: 10/27/2015] [Accepted: 11/04/2015] [Indexed: 02/05/2023]
Abstract
Schizophrenia (SCZ) is a disorder characterized by positive symptoms (hallucinations, delusions), negative symptoms (blunted affect, alogia, reduced sociability, and anhedonia), as well as persistent cognitive deficits (memory, concentration, and learning). While the biology underlying subjective experiences is difficult to study, abnormalities in electroencephalographic (EEG) measures offer a means to dissect potential circuit and cellular changes in brain function. EEG is indispensable for studying cerebral information processing due to the introduction of techniques for the decomposition of event-related activity into its frequency components. Specifically, brain activity in the gamma frequency range (30-80Hz) is thought to underlie cognitive function and may be used as an endophenotype to aid in diagnosis and treatment of SCZ. In this review we address evidence indicating that there is increased resting-state gamma power in SCZ. We address how modeling this aspect of the illness in animals may help treatment development as well as providing insights into the etiology of SCZ.
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Affiliation(s)
- R S White
- Department of Psychiatry, University of Pennsylvania, Philadelphia, PA 19104, United States
| | - S J Siegel
- Department of Psychiatry, University of Pennsylvania, Philadelphia, PA 19104, United States.
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196
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Buchy L, Cannon TD, Anticevic A, Lyngberg K, Cadenhead KS, Cornblatt BA, McGlashan TH, Perkins DO, Seidman LJ, Tsuang MT, Walker EF, Woods SW, Bearden CE, Mathalon DH, Addington J. Evaluating the impact of cannabis use on thalamic connectivity in youth at clinical high risk of psychosis. BMC Psychiatry 2015; 15:276. [PMID: 26553191 PMCID: PMC4640353 DOI: 10.1186/s12888-015-0656-x] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/07/2015] [Accepted: 10/19/2015] [Indexed: 01/16/2023] Open
Abstract
BACKGROUND Disruptions in thalamic functional connectivity have been observed in people with schizophrenia and in youth at clinical high risk (CHR) of psychosis. However, the impact of environmental risk factors for psychosis on thalamic dysconnectivity is poorly understood. We tested whether thalamic dysconnectivity is related to patterns of cannabis use in a CHR sample. METHODS 162 CHR and 105 control participants were assessed on cannabis use severity, frequency, and age at onset of first use as part of the North American Prodrome Longitudinal Study and completed resting-state fMRI scans. Whole-brain thalamic functional connectivity maps were generated using individual subjects' anatomically defined thalamic seeds. RESULTS Thalamic connectivity did not significantly correlate with current cannabis use severity or frequency in either CHR or controls. In CHR cannabis users, a significant correlation emerged between attenuated thalamic connectivity with left sensory/motor cortex and a younger age at onset of cannabis use. CHR who used cannabis before age 15 did not differ on thalamic connectivity as compared to CHR who used after age 15 or CHR who were cannabis naïve. No group differences in thalamic connectivity emerged when comparing CHR separated by moderate/high use frequency, low-frequency or cannabis naïve. CONCLUSIONS Although a younger age at onset of cannabis use may be associated with disrupted thalamo-cortical coupling, cannabis use does not appear to be an identifying characteristic for thalamic connectivity in CHR with moderate/high use frequency compared to low-frequency users or CHR who are cannabis naïve.
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Affiliation(s)
- Lisa Buchy
- Department of Psychiatry, University of Calgary, Calgary, Alberta, Canada.
| | | | - Alan Anticevic
- Department of Psychiatry, Yale University, New Haven, CT, USA.
| | - Kristina Lyngberg
- Department of Neuroscience, Faculty of Science, University of Calgary, Alberta, Canada.
| | | | | | | | - Diana O. Perkins
- Department of Psychiatry, University of North Carolina, Chapel Hill, NC USA
| | - Larry J. Seidman
- Department of Psychiatry, Harvard Medical School at Beth Israel Deaconess Medical Center and Massachusetts General Hospital, Boston, MA USA
| | - Ming T. Tsuang
- Department of Psychiatry, Zucker Hillside Hospital, Long Island, NY USA
| | - Elaine F. Walker
- Departments of Psychology and Psychiatry, Emory University, Atlanta, GA USA
| | - Scott W. Woods
- Department of Psychiatry, Yale University, New Haven, CT USA
| | - Carrie E. Bearden
- Departments of Psychiatry and Biobehavioral Sciences and Psychology, UCLA, Los Angeles, CA USA
| | | | - Jean Addington
- Department of Psychiatry, University of Calgary, Calgary, Alberta, Canada. .,Mathison Centre for Mental Health Research and Education, University of Calgary, 3280 Hospital Drive NW, Calgary, Alberta, Canada, T2N 4Z6.
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197
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Wu L, Calhoun VD, Jung RE, Caprihan A. Connectivity-based whole brain dual parcellation by group ICA reveals tract structures and decreased connectivity in schizophrenia. Hum Brain Mapp 2015; 36:4681-701. [PMID: 26291689 PMCID: PMC4619141 DOI: 10.1002/hbm.22945] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2014] [Revised: 07/13/2015] [Accepted: 08/10/2015] [Indexed: 11/10/2022] Open
Abstract
Mapping brain connectivity based on neuroimaging data is a promising new tool for understanding brain structure and function. In this methods paper, we demonstrate that group independent component analysis (GICA) can be used to perform a dual parcellation of the brain based on its connectivity matrix (cmICA). This dual parcellation consists of a set of spatially independent source maps, and a corresponding set of paired dual maps that define the connectivity of each source map to the brain. These dual maps are called the connectivity profiles of the source maps. Traditional analysis of connectivity matrices has been used previously for brain parcellation, but the present method provides additional information on the connectivity of these segmented regions. In this paper, the whole brain structural connectivity matrices were calculated on a 5 mm(3) voxel scale from diffusion imaging data based on the probabilistic tractography method. The effect of the choice of the number of components (30 and 100) and their stability were examined. This method generated a set of spatially independent components that are consistent with the canonical brain tracts provided by previous anatomic descriptions, with the high order model yielding finer segmentations. The corpus-callosum example shows how this method leads to a robust parcellation of a brain structure based on its connectivity properties. We applied cmICA to study structural connectivity differences between a group of schizophrenia subjects and healthy controls. The connectivity profiles at both model orders showed similar regions with reduced connectivity in schizophrenia patients. These regions included forceps major, right inferior fronto-occipital fasciculus, uncinate fasciculus, thalamic radiation, and corticospinal tract. This paper provides a novel unsupervised data-driven framework that summarizes the information in a large global connectivity matrix and tests for brain connectivity differences. It has the potential for capturing important brain changes related to disease in connectivity-based disorders.
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Affiliation(s)
- Lei Wu
- The Mind Research NetworkAlbuquerqueNew Mexico
- Department of ECEUniversity of New MexicoAlbuquerqueNew Mexico
| | - Vince D. Calhoun
- The Mind Research NetworkAlbuquerqueNew Mexico
- Department of ECEUniversity of New MexicoAlbuquerqueNew Mexico
| | - Rex E. Jung
- Department of NeurosurgeryUniversity of New MexicoAlbuquerqueNew Mexico
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198
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Yao Y, Palaniyappan L, Liddle P, Zhang J, Francis S, Feng J. Variability of structurally constrained and unconstrained functional connectivity in schizophrenia. Hum Brain Mapp 2015; 36:4529-38. [PMID: 26274628 PMCID: PMC4843947 DOI: 10.1002/hbm.22932] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2014] [Revised: 07/25/2015] [Accepted: 08/01/2015] [Indexed: 01/05/2023] Open
Abstract
Spatial variation in connectivity is an integral aspect of the brain's architecture. In the absence of this variability, the brain may act as a single homogenous entity without regional specialization. In this study, we investigate the variability in functional links categorized on the basis of the presence of direct structural paths (primary) or indirect paths mediated by one (secondary) or more (tertiary) brain regions ascertained by diffusion tensor imaging. We quantified the variability in functional connectivity using an unbiased estimate of unpredictability (functional connectivity entropy) in a neuropsychiatric disorder where structure-function relationship is considered to be abnormal; 34 patients with schizophrenia and 32 healthy controls underwent DTI and resting state functional MRI scans. Less than one-third (27.4% in patients, 27.85% in controls) of functional links between brain regions were regarded as direct primary links on the basis of DTI tractography, while the rest were secondary or tertiary. The most significant changes in the distribution of functional connectivity in schizophrenia occur in indirect tertiary paths with no direct axonal linkage in both early (P=0.0002, d=1.46) and late (P=1×10(-17), d=4.66) stages of schizophrenia, and are not altered by the severity of symptoms, suggesting that this is an invariant feature of this illness. Unlike those with early stage illness, patients with chronic illness show some additional reduction in the distribution of connectivity among functional links that have direct structural paths (P=0.08, d=0.44). Our findings address a critical gap in the literature linking structure and function in schizophrenia, and demonstrate for the first time that the abnormal state of functional connectivity preferentially affects structurally unconstrained links in schizophrenia. It also raises the question of a continuum of dysconnectivity ranging from less direct (structurally unconstrained) to more direct (structurally constrained) brain pathways underlying the progressive clinical staging and persistence of schizophrenia.
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Affiliation(s)
- Ye Yao
- Centre for Computational Systems BiologyFudan UniversityShanghaiPeople's Republic of China
- School of Mathematical SciencesFudan UniversityShanghaiPeople's Republic of China
- Department of Computer ScienceUniversity of WarwickCoventryUnited Kingdom
| | - Lena Palaniyappan
- Translational Neuroimaging in Mental Health, Division of Psychiatry & Applied PsychologyInstitute of Mental HealthNottinghamUnited Kingdom
- Early Intervention in Psychosis, Nottinghamshire Healthcare NHS Foundation TrustNottinghamUnited Kingdom
| | - Peter Liddle
- Translational Neuroimaging in Mental Health, Division of Psychiatry & Applied PsychologyInstitute of Mental HealthNottinghamUnited Kingdom
| | - Jie Zhang
- Centre for Computational Systems BiologyFudan UniversityShanghaiPeople's Republic of China
- Department of Medical ImagingJinling Hospital, Nanjing University School of MedicineNanjingPeople's Republic of China
| | - Susan Francis
- Sir Peter Mansfield Imaging Centre, School of Physics and AstronomyUniversity of NottinghamUnited Kingdom
| | - Jianfeng Feng
- Centre for Computational Systems BiologyFudan UniversityShanghaiPeople's Republic of China
- School of Mathematical SciencesFudan UniversityShanghaiPeople's Republic of China
- Department of Computer ScienceUniversity of WarwickCoventryUnited Kingdom
- Shanghai Center for Mathematical Sciences, Fudan UniversityShanghaiPeople's Republic of China
- School of Life Sciences and Collaborative Innovation Center for Brain ScienceFudan UniversityShanghaiPeople's Republic of China
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199
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Guo W, Liu F, Zhang Z, Liu G, Liu J, Yu L, Xiao C, Zhao J. Increased Cerebellar Functional Connectivity With the Default-Mode Network in Unaffected Siblings of Schizophrenia Patients at Rest. Schizophr Bull 2015; 41:1317-25. [PMID: 25956897 PMCID: PMC4601712 DOI: 10.1093/schbul/sbv062] [Citation(s) in RCA: 42] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
The default-mode network (DMN) is vital in the neurobiology of schizophrenia, and the cerebellum participates in the high-order cognitive network such as the DMN. However, the specific contribution of the cerebellum to the DMN abnormalities remains unclear in unaffected siblings of schizophrenia patients. Forty-six unaffected siblings of schizophrenia patients and 46 healthy controls were recruited for a resting-state scan. The images were analyzed using the functional connectivity (FC) method. The siblings showed significantly increased FCs between the left Crus I and the left superior medial prefrontal cortex (MPFC), as well as between the lobule IX and the bilateral MPFC (orbital part) and right superior MPFC compared with the controls. No significantly decreased FC was observed in the siblings relative to the controls. The analyses were replicated in 49 first-episode, drug-naive patients with schizophrenia, and the results showed that the siblings and the patients shared increased FCs between the left Crus I and the left superior MPFC, as well as between the lobule IX and the left MPFC (orbital part) compared with the controls. These findings suggest that increased cerebellar-DMN connectivities emerge earlier than illness onset, which highlight the contribution of the cerebellum to the DMN alterations in unaffected siblings. The shared increased cerebellar-DMN connectivities between the patients and the siblings may be used as candidate endophenotypes for schizophrenia.
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Affiliation(s)
- Wenbin Guo
- Mental Health Institute of the Second Xiangya Hospital, Key Laboratory of Psychiatry and Mental Health of Hunan Province, Central South University, Changsha, Hunan 410011, China;
| | - Feng Liu
- Key Laboratory for NeuroInformation of Ministry of Education, School of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu, Sichuan 610054, China
| | - Zhikun Zhang
- Mental Health Center, the First Affiliated Hospital, Guangxi Medical University; Nanning, Guangxi 530021, China
| | - Guiying Liu
- Mental Health Center, the First Affiliated Hospital, Guangxi Medical University; Nanning, Guangxi 530021, China
| | - Jianrong Liu
- Mental Health Center, the First Affiliated Hospital, Guangxi Medical University; Nanning, Guangxi 530021, China
| | - Liuyu Yu
- Mental Health Center, the First Affiliated Hospital, Guangxi Medical University; Nanning, Guangxi 530021, China
| | - Changqing Xiao
- Mental Health Center, the First Affiliated Hospital, Guangxi Medical University; Nanning, Guangxi 530021, China
| | - Jingping Zhao
- Mental Health Institute of the Second Xiangya Hospital, Key Laboratory of Psychiatry and Mental Health of Hunan Province, Central South University, Changsha, Hunan 410011, China
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200
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Peeters S, Simas T, Suckling J, Gronenschild E, Patel A, Habets P, van Os J, Marcelis M. Semi-metric analysis of the functional brain network: Relationship with familial risk for psychotic disorder. NEUROIMAGE-CLINICAL 2015; 9:607-16. [PMID: 26740914 PMCID: PMC4644247 DOI: 10.1016/j.nicl.2015.10.003] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/06/2015] [Revised: 09/21/2015] [Accepted: 10/02/2015] [Indexed: 12/26/2022]
Abstract
Background Dysconnectivity in schizophrenia can be understood in terms of dysfunctional integration of a distributed network of brain regions. Here we propose a new methodology to analyze complex networks based on semi-metric behavior, whereby higher levels of semi-metricity may represent a higher level of redundancy and dispersed communication. It was hypothesized that individuals with (increased risk for) psychotic disorder would have more semi-metric paths compared to controls and that this would be associated with symptoms. Methods Resting-state functional MRI scans were obtained from 73 patients with psychotic disorder, 83 unaffected siblings and 72 controls. Semi-metric percentages (SMP) at the whole brain, hemispheric and lobar level were the dependent variables in a multilevel random regression analysis to investigate group differences. SMP was further examined in relation to symptomatology (i.e., psychotic/cognitive symptoms). Results At the whole brain and hemispheric level, patients had a significantly higher SMP compared to siblings and controls, with no difference between the latter. In the combined sibling and control group, individuals with high schizotypy had intermediate SMP values in the left hemisphere with respect to patients and individuals with low schizotypy. Exploratory analyses in patients revealed higher SMP in 12 out of 42 lobar divisions compared to controls, of which some were associated with worse PANSS symptomatology (i.e., positive symptoms, excitement and emotional distress) and worse cognitive performance on attention and emotion processing tasks. In the combined group of patients and controls, working memory, attention and social cognition were associated with higher SMP. Discussion The results are suggestive of more dispersed network communication in patients with psychotic disorder, with some evidence for trait-based network alterations in high-schizotypy individuals. Dispersed communication may contribute to the clinical phenotype in psychotic disorder. In addition, higher SMP may contribute to neuro- and social cognition, independent of psychosis risk. Higher SMP was observed at whole brain and hemispheric level in psychotic disorder. In patients, lobar SMP was associated with psychotic and cognitive symptoms. Trait-based SMP alterations were observed in high schizotypy individuals.
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Affiliation(s)
- Sanne Peeters
- Department of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience, EURON, Maastricht University Medical Centre, PO Box 616 (Vijv1), 6200 MD Maastricht, The Netherlands; Faculty of Psychology and Educational Sciences, Open University of the Netherlands, Heerlen, The Netherlands
| | - Tiago Simas
- Behavioral and Clinical Neuroscience Institute, Department of Psychiatry, University of Cambridge, United Kingdom
| | - John Suckling
- Behavioral and Clinical Neuroscience Institute, Department of Psychiatry, University of Cambridge, United Kingdom; Cambridge and Peterborough Foundation NHS Trust. Cambridge, United Kingdom
| | - Ed Gronenschild
- Department of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience, EURON, Maastricht University Medical Centre, PO Box 616 (Vijv1), 6200 MD Maastricht, The Netherlands
| | - Ameera Patel
- Behavioral and Clinical Neuroscience Institute, Department of Psychiatry, University of Cambridge, United Kingdom
| | - Petra Habets
- Department of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience, EURON, Maastricht University Medical Centre, PO Box 616 (Vijv1), 6200 MD Maastricht, The Netherlands
| | - Jim van Os
- Department of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience, EURON, Maastricht University Medical Centre, PO Box 616 (Vijv1), 6200 MD Maastricht, The Netherlands; King's College London, King's Health Partners, Department of Psychosis Studies Institute of Psychiatry, London, United Kingdom
| | - Machteld Marcelis
- Department of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience, EURON, Maastricht University Medical Centre, PO Box 616 (Vijv1), 6200 MD Maastricht, The Netherlands; Institute for Mental Health Care Eindhoven (GGzE), Eindhoven, The Netherlands
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