1. Cerebral grey, white matter and csf in never-medicated, first-episode schizophrenia
- Author
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Grainne M. McAlonan, Jack T.K. Tsang, Jason C.H. Wong, KS Tai, Siew E. Chua, John Suckling, L Yip, Charlton Cheung, Vinci Cheung, Jason Pui Yin Cheung, and Eric Y.H. Chen
- Subjects
Adult ,Male ,Psychosis ,Internal capsule ,Adolescent ,Grey matter ,Nerve Fibers, Myelinated ,behavioral disciplines and activities ,Cerebral Ventricles ,White matter ,Nerve Fibers ,Cerebrospinal fluid ,Reference Values ,Lateral Ventricles ,mental disorders ,Image Processing, Computer-Assisted ,Limbic System ,medicine ,Humans ,Dominance, Cerebral ,Biological Psychiatry ,Cerebrospinal Fluid ,Cerebral Cortex ,Psychiatric Status Rating Scales ,First episode ,Brain ,Voxel-based morphometry ,Anatomy ,Middle Aged ,medicine.disease ,Magnetic Resonance Imaging ,Psychiatry and Mental health ,medicine.anatomical_structure ,nervous system ,Brain size ,Schizophrenia ,Female ,Caudate Nucleus ,Nerve Net ,Psychology ,Neuroscience - Abstract
We report the first voxel-based morphometric (VBM) study to examine cerebral grey and white matter and cerebrospinal fluid (CSF) using computational morphometry in never-medicated, first-episode psychosis (FEP). Region-of-interest (ROI) analysis was also performed blind to group membership. 26 never-medicated individuals with FEP (23 with DSM-IV schizophrenia) and 38 healthy controls had MRI brain scans. Groups were balanced for age, sex, handedness, ethnicity, paternal socio-economic status, and height. Healthy controls were recruited from the local community by advertisement. Grey matter, white matter, and CSF: global brain volume ratios were significantly smaller in patients. Patients had significantly less grey matter volume in L and R caudate nuclei, cingulate gyri, parahippocampal gyri, superior temporal gyri, cerebellum and R thalamus, prefrontal cortex. They also had significantly less white matter volume in the R anterior limb of the internal capsule fronto-occipital fasciculus and L and R fornices, and significantly greater CSF volume especially in the R lateral ventricle. Excluding the 3 subjects with brief psychotic disorder did not alter our results. Our data suggest that fronto-temporal and subcortical-limbic circuits are morphologically abnormal in never-medicated, schizophrenia. ROI analysis comparing the schizophrenia group (n=23) with the healthy controls (n=38) confirmed caudate volumes were significantly smaller bilaterally by 11%, and lateral ventricular volume was significantly larger on the right by 26% in the patients. Caudate nuclei and lateral ventricular volume measurements were uncorrelated (Pearson correlation coefficient 0.30, p=0.10), ruling out the possibility of segmentation artefact. Ratio of lateral ventricle to caudate volume was bilaterally significantly increased (p
- Published
- 2007
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