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Diffusion Tensor Tractography Findings in Schizophrenia Across the Adult Lifespan

Institution:	1Geriatric Mental Health Program, Centre for Addiction and Mental Health, Department of Psychiatry, University of Toronto, Toronto M5T 1R8, Canada. aristotle_voineskos@camh.net 2Department of Neuroscience, Centre for Addiction and Mental Health, Department of Psychiatry, University of Toronto, Toronto M5T 1R8, Canada 3Schizophrenia Program, Centre for Addiction and Mental Health, Department of Psychiatry, University of Toronto, Toronto M5T 1R8, Canada 4Cognitive Neurology, Sunnybrook Health Sciences Centre, Department of Medicine, University of Toronto, Toronto M4N 3M5, Canada 5Psychiatry Neuroimaging Laboratory, Department of Psychiatry, Brigham and Women’s Hospital, Harvard Medical School, Boston 02215, MA, USA 6VA Boston Healthcare System, Brockton Campus and Harvard Medical School, Brockton 02301, MA, USA
Publication Date:	May-2010
Journal:	Brain
Volume Number:	133
Issue Number:	Pt 5
Pages:	1494-504
Citation:	Brain. 2010 May;133(Pt 5):1494-504.
PubMed ID:	20237131
PMCID:	PMC2859148
Appears in Collections:	PNL
Sponsors:	P50 MH08272 (MH) funded by NIMH NIH HHS R01 MH082918 (MH) funded by NIMH NIH HHS R01 MH50740 (MH) funded by NIMH NIH HHS R01 MH074794 (MH) funded by NIMH NIH HHS U54 GM072977-01 (GM) funded by NIGMS NIH HHS Canadian Institutes of Health Research
Generated Citation:	Voineskos A.N., Lobaugh N.J., Bouix S., Rajji T.K., Miranda D., Kennedy J.L., Mulsant B.H., Pollock B.G., Shenton M.E. Diffusion Tensor Tractography Findings in Schizophrenia Across the Adult Lifespan. Brain. 2010 May;133(Pt 5):1494-504. PMID: 20237131. PMCID: PMC2859148.
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In healthy adult individuals, late life is a dynamic time of change with respect to the microstructural integrity of white matter tracts. Yet, elderly individuals are generally excluded from diffusion tensor imaging studies in schizophrenia. Therefore, we examined microstructural integrity of frontotemporal and interhemispheric white matter tracts in schizophrenia across the adult lifespan. Diffusion tensor imaging data from 25 younger schizophrenic patients (< or = 55 years), 25 younger controls, 25 older schizophrenic patients (> or = 56 years) and 25 older controls were analysed. Patients with schizophrenia in each group were individually matched to controls. Whole-brain tractography and clustering segmentation were employed to isolate white matter tracts. Groups were compared using repeated measures analysis of variance with 12 within-group measures of fractional anisotropy: (left and right) uncinate fasciculus, arcuate fasciculus, inferior longitudinal fasciculus, inferior occipito-frontal fasciculus, cingulum bundle, and genu and splenium of the corpus callosum. For each white matter tract, fractional anisotropy was then regressed against age in patients and controls, and correlation coefficients compared. The main effect of group (F(3,92) = 12.2, P < 0.001), and group by tract interactions (F(26,832) = 1.68, P = 0.018) were evident for fractional anisotropy values. Younger patients had significantly lower fractional anisotropy than younger controls (Bonferroni-corrected alpha = 0.0042) in the left uncinate fasciculus (t(48) = 3.7, P = 0.001) and right cingulum bundle (t(48) = 3.6, P = 0.001), with considerable effect size, but the older groups did not differ. Schizophrenic patients did not demonstrate accelerated age-related decline compared with healthy controls in any white matter tract. To our knowledge, this is the first study to examine the microstructural integrity of frontotemporal white matter tracts across the adult lifespan in schizophrenia. The left uncinate fasciculus and right cingulum bundle are disrupted in younger chronic patients with schizophrenia compared with matched controls, suggesting that these white matter tracts are related to frontotemporal disconnectivity. The absence of accelerated age-related decline, or differences between older community-dwelling patients and controls, suggests that these patients may possess resilience to white matter disruption.

Voineskos-Brain2010-fig1.jpg (171.326kB)