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Patterns of Gray Matter Abnormalities in Schizophrenia Based on an International Mega-analysis.


ABSTRACT: Analyses of gray matter concentration (GMC) deficits in patients with schizophrenia (Sz) have identified robust changes throughout the cortex. We assessed the relationships between diagnosis, overall symptom severity, and patterns of gray matter in the largest aggregated structural imaging dataset to date. We performed both source-based morphometry (SBM) and voxel-based morphometry (VBM) analyses on GMC images from 784 Sz and 936 controls (Ct) across 23 scanning sites in Europe and the United States. After correcting for age, gender, site, and diagnosis by site interactions, SBM analyses showed 9 patterns of diagnostic differences. They comprised separate cortical, subcortical, and cerebellar regions. Seven patterns showed greater GMC in Ct than Sz, while 2 (brainstem and cerebellum) showed greater GMC for Sz. The greatest GMC deficit was in a single pattern comprising regions in the superior temporal gyrus, inferior frontal gyrus, and medial frontal cortex, which replicated over analyses of data subsets. VBM analyses identified overall cortical GMC loss and one small cluster of increased GMC in Sz, which overlapped with the SBM brainstem component. We found no significant association between the component loadings and symptom severity in either analysis. This mega-analysis confirms that the commonly found GMC loss in Sz in the anterior temporal lobe, insula, and medial frontal lobe form a single, consistent spatial pattern even in such a diverse dataset. The separation of GMC loss into robust, repeatable spatial patterns across multiple datasets paves the way for the application of these methods to identify subtle genetic and clinical cohort effects.

SUBMITTER: Gupta CN 

PROVIDER: S-EPMC4535628 | biostudies-literature | 2015 Sep

REPOSITORIES: biostudies-literature

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Patterns of Gray Matter Abnormalities in Schizophrenia Based on an International Mega-analysis.

Gupta Cota Navin CN   Calhoun Vince D VD   Rachakonda Srinivas S   Chen Jiayu J   Patel Veena V   Liu Jingyu J   Segall Judith J   Franke Barbara B   Zwiers Marcel P MP   Arias-Vasquez Alejandro A   Buitelaar Jan J   Fisher Simon E SE   Fernandez Guillen G   van Erp Theo G M TG   Potkin Steven S   Ford Judith J   Mathalon Daniel D   McEwen Sarah S   Lee Hyo Jong HJ   Mueller Bryon A BA   Greve Douglas N DN   Andreassen Ole O   Agartz Ingrid I   Gollub Randy L RL   Sponheim Scott R SR   Ehrlich Stefan S   Wang Lei L   Pearlson Godfrey G   Glahn David C DC   Sprooten Emma E   Mayer Andrew R AR   Stephen Julia J   Jung Rex E RE   Canive Jose J   Bustillo Juan J   Turner Jessica A JA  

Schizophrenia bulletin 20141228 5


Analyses of gray matter concentration (GMC) deficits in patients with schizophrenia (Sz) have identified robust changes throughout the cortex. We assessed the relationships between diagnosis, overall symptom severity, and patterns of gray matter in the largest aggregated structural imaging dataset to date. We performed both source-based morphometry (SBM) and voxel-based morphometry (VBM) analyses on GMC images from 784 Sz and 936 controls (Ct) across 23 scanning sites in Europe and the United St  ...[more]

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