Review of functional and anatomical brain connectivity findings in schizophrenia

被引:235
作者
Fitzsimmons, Jennifer [1 ]
Kubicki, Marek [1 ,2 ]
Shenton, Martha E. [1 ,2 ,3 ]
机构
[1] Harvard Univ, Sch Med, Dept Psychiat, Psychiat Neuroimaging Lab,Brigham & Womens Hosp, Boston, MA 02115 USA
[2] Harvard Univ, Sch Med, Dept Radiol, Surg Planning Lab,MRI Div,Brigham & Womens Hosp, Boston, MA 02115 USA
[3] VA Boston Healthcare Syst, Boston, MA USA
关键词
diffusion tensor imaging; fractional anisotropy; functional magnetic resonance; schizophrenia; white matter; WHITE-MATTER ABNORMALITIES; FRACTIONAL ANISOTROPY; 1ST-EPISODE PSYCHOSIS; RADIAL DIFFUSIVITY; GENETIC LIABILITY; INTERNAL CAPSULE; CORPUS-CALLOSUM; ANTERIOR LIMB; DEFAULT MODE; INTEGRITY;
D O I
10.1097/YCO.0b013e32835d9e6a
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Purpose of review We review diffusion tensor imaging (DTI) studies that investigate white matter abnormalities in patients with chronic schizophrenia, first episode schizophrenia, and those who are at genetic risk for developing schizophrenia. Additionally, we include studies that combine DTI and functional MRI (fMRI) to investigate brain connectivity abnormalities. Recent findings Schizophrenia is a complex mental disorder with a peak age of onset in early adulthood. Abnormalities in white matter tracts, which connect brain regions into functional networks, are most likely relevant for understanding structural and functional brain abnormalities in schizophrenia. Dysconnectivity between brain regions, in fact, is thought to underlie cognitive abnormalities in schizophrenia but little is known about how alterations at the functional level relate to abnormalities in anatomical connectivity. DTI has become one of the most popular tools in brain research to address such questions. Here we review white matter abnormalities using DTI with the aim of understanding dysconnectivity of brain regions and their implications in schizophrenia. Summary Advances in DTI and in combining DTI with fMRI provide new insight into anatomical and functional connections in the brain, and for studying dysconnectivity in schizophrenia.
引用
收藏
页码:172 / 187
页数:16
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