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A Prospective Longitudinal Volumetric MRI Study of Superior Temporal Gyrus Gray Matter and Amygdala-hippocampal Complex in Chronic Schizophrenia

Institution:
Clinical Neuroscience Division, Laboratory of Neuroscience, Department of Psychiatry, Boston VA Healthcare System, Brockton Division and Harvard Medical School, Brockton, MA 02301, USA.
Publisher:
Elsevier Science
Publication Date:
Aug-2009
Journal:
Schizophr Res
Volume Number:
113
Issue Number:
1
Pages:
84-94
Citation:
Schizophr Res. 2009 Aug;113(1):84-94.
PubMed ID:
19524408
PMCID:
PMC2776716
Keywords:
Schizophrenia, MRI, Superior temporal gyrus, Amygdala–hippocampal complex, Prospective study, Chronic schizophrenia
Appears in Collections:
PNL
Sponsors:
K02 MH 01110 (MH) funded by NIMH NIH HHS
P50 MH 080272 (MH) funded by NIMH NIH HHS
R01 MH 052807 (MH) funded by NIMH NIH HHS
R01 MH 40799 (MH) funded by NIMH NIH HHS
R01 MH 50747 (MH) funded by NIMH NIH HHS
R03 MH 078036 (MH) funded by NIMH NIH HHS
Generated Citation:
Yoshida T., McCarley R.W., Nakamura M., Lee K., Koo M-S., Bouix S., Salisbury D.F., Morra L., Shenton M.E., Niznikiewicz M.A. A Prospective Longitudinal Volumetric MRI Study of Superior Temporal Gyrus Gray Matter and Amygdala-hippocampal Complex in Chronic Schizophrenia. Schizophr Res. 2009 Aug;113(1):84-94. PMID: 19524408. PMCID: PMC2776716.
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A progressive post-onset decrease in gray matter volume 1.5 years after first hospitalization in schizophrenia has been shown in superior temporal gyrus (STG). However, it is still controversial whether progressive volume reduction occurs in chronic schizophrenia in the STG and amygdala-hippocampal complex (AHC), structures found to be abnormal in chronic schizophrenia. These structures were measured at two time points in 16 chronic schizophrenia patients and 20 normal comparison subjects using manual tracing with high spatial resolution magnetic resonance imaging (MRI). Average interscan interval was 3.1 years for schizophrenia patients and 1.4 years for healthy comparison subjects. Cross-sectional comparisons showed smaller relative volumes in schizophrenia compared with controls in posterior STG and AHC. An ANCOVA with interscan interval as a covariate showed there was no statistically significant progression of volume reduction in either the STG or AHC in the schizophrenia group compared with normal subjects. In the schizophrenia group, volume change in the left anterior AHC significantly correlated with PANSS negative symptoms. These data, and separately reported first episode data from our laboratory, suggest marked progression at the initial stage of schizophrenia, but less in chronic schizophrenia.

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