Can Cortical Thickness Asymmetry Analysis Contribute to Detection of At-Risk Mental State and First-Episode Psychosis?: A Pilot Study

Abstract

Purpose:To investigate whether cortical thickness analysis in individuals with an at-risk mental state (ARMS) might contribute to early detection of psychosis. Materials and Methods:Ethics committee approval and written informed consent were obtained. Cortical thickness was analyzed because early disease-related morphometric changes were expected to be most pronounced in the cerebral cortex. With the assumption of progressive change in cortical thickness from control subjects, to those with an ARMS, and then to those who have had a first episode (FE) of psychosis, the brain regions that substantially differ between those with FE psychosis and control subjects were identified. Whether these regions help discriminate between the ARMS group and control subjects was tested. Because normal interindividual variation of cortical thickness, even for control subjects, may exceed that expected with early disease-related changes, intraindividual cortical thickness asymmetry was analyzed. Twenty age-and sex-matched individuals for each group (ARMS group, FE group, and control subjects) were recruited within a prospective early-detection study. High-spatial-resolution magnetization-prepared rapid gradient-echo magnetic resonance (MR) brain images were acquired with a 1.5-T MR imager. Cortical thickness asymmetry was analyzed in 41 anatomic regions corresponding to the Talairach standard brain atlas. Results:Direct cortical thickness analysis did not help distinguish between groups. Cortical thickness asymmetry analysis helped distinguish between groups (P ϭ .007); variability increased from control subjects, to the ARMS group, and then to the FE group in seven anatomic regions (P Ͻ .0001). Cortical thickness asymmetry in these regions helped distinguish the FE group from control subjects (P ϭ .0006; sensitivity, 70.0%; specificity, 85.0%) and showed a trend toward helping to distinguish the ARMS group from control subjects (P ϭ .06; sensitivity, 75.0%; specificity, 65.0%). Conclusion:Cortical thickness asymmetry analysis is more accurate than direct cortical thickness measurement in distinguishing the control from the FE group and might contribute to early detection of an ARMS.

Hippocampus abnormalities in at risk mental states for psychosis? A cross-sectional high resolution region of interest magnetic resonance imaging study

“…Our findings in patients are consistent with previous neuroimaging reports from the same sample (Borgwardt et al, 2007aHaller et al, 2009) and similar to other ARMS samples (Velakoulis et al, 2006;Meisenzahl et al, 2008), as well as longitudinal MRI studies using voxel-based morphometry methods, where progressive volumetric reductions in hippocampal and parahippocampal regions were found in those ARMS subjects that made a transition to psychosis . Furthermore, also the finding that non-converters (ARMS-NT) compared to converters (ARMS-T) did not differ in left or right HVs is well in line with previous VBM studies of ARMS (Borgwardt et al, 2007a;Meisenzahl et al, 2008.…”

The Effects of Antipsychotics on the Brain: What Have We Learnt from Structural Imaging of Schizophrenia? – A Systematic Review

“…People at high risk of psychosis show qualitatively similar volumetric abnormalities to patients with schizophrenia. Cortical brain abnormalities have been found in genetically defined high-risk populations such as first-degree relatives and co-twins of patients with schizophrenia, as well in people with ARMS [13,[68][69][70][71][72][73][74][75][76][77][78][79][80]. Previous longitudinal MRI studies in this group found that the subset of patients who developed psychosis showed a longitudinal reduction in GM in the orbito-frontal, temporal lobe, parietal lobe and cerebellum [79,81,82].…”

Brain volume in male patients with recent onset schizophrenia with and without cannabis use disorders

“…We performed a paired t test for all of these re gions for each group (CUD, NCUD, control) separately. 45 …”