The details of structural disconnectivity in psychotic disorder: A family-based study of non-FA diffusion weighted imaging measures

Stijn Michielse*, Ed Gronenschild, Patrick Domen, Jim van Os, Machteld Marcelis, Genetic Risk and Outcome of Psychosis (GROUP) Investigators

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

5 Citations (Web of Science)

Abstract

Background: Diffusion tensor imaging (DTI) studies in psychotic disorder have shown reduced FA, often interpreted as disturbed white matter integrity. The observed 'dysintegrity' may be of multifactorial origin, as changes in FA are thought to reflect a combination of changes in myelination, fiber organization and number of axons. Examining the structural substrate of the diffusion tensor in individuals with (risk for) psychotic disorder may provide better understanding of the underlying structural changes.

Methods: DTI scans were acquired from 85 patients with psychotic disorder, 93 siblings of patients with psychotic disorder and 80 controls. Cross-sectional group comparisons were performed using Tract -Based Spatial Statistics (TBSS) on six DTI measures: axial diffusivity (AXD), radial diffusivity (RD), mean diffusivity (MD), and the case linear (CL), case planar (CP) and case spherical (CS) tensor shape measures.

Results: AXD did not differ between the groups. RD and CS values were significantly increased in patients compared to controls and siblings, with no significant differences between the latter two groups. MD was higher in patients compared to controls (but not siblings), with no difference between siblings and controls. CL was smaller in patients than in siblings and controls, and CP was smaller in both patients and siblings as compared to controls.

Conclusion: The differences between individuals with psychotic disorder and healthy controls, derived from detailed diffusion data analyses, suggest less fiber orientation and increased free water movement in the patients. There was some evidence for association with familial risk expressed by decreased fiber orientation. (C) 2017 Elsevier B.V. All rights reserved.

Original languageEnglish
Pages (from-to)121-130
Number of pages10
JournalBrain Research
Volume1671
DOIs
Publication statusPublished - 15 Sep 2017

Keywords

  • Schizophrenia
  • White matter
  • Nerve fibers
  • Axons
  • Anisotropy
  • Siblings
  • WHITE-MATTER MICROSTRUCTURE
  • AUDITORY VERBAL HALLUCINATIONS
  • EARLY-ONSET SCHIZOPHRENIA
  • NEGATIVE-SYNDROME-SCALE
  • FRACTIONAL ANISOTROPY
  • 1ST-EPISODE PSYCHOSIS
  • RADIAL DIFFUSIVITY
  • 1ST EPISODE
  • ANTIPSYCHOTIC TREATMENT
  • ARCUATE FASCICULUS

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