Cortical thinning in cingulate and occipital cortices in first episode schizophrenia.

Abstract:

BACKGROUND:Postmortem studies examining discrete regions show reduced cortical thickness in schizophrenia. Computational image analysis methods allow spatially detailed cortical thickness measurements across the entire cortex in 3D, but have not addressed thickness changes in cingulate or other cortices bordering the medial walls of the cerebral hemispheres in first episode schizophrenia. METHODS:Magnetic resonance images and cortical pattern matching methods were used to compare gray matter thickness, measured at sub-voxel resolution at thousands of spatially equivalent locations on the medial hemispheric surfaces, between 72 (51m/21f) first episode schizophrenia patients and 78 (37m/41f) healthy controls similar in age. Group differences were mapped in 3D, and their overall significance was confirmed by permutation testing. RESULTS:Patients with little or no prior antipsychotic medication treatment showed significant cortical thinning within cingulate, occipital and frontopolar cortices with no significant increases in any cortical location. Regional sex differences were observed with pronounced thinning in the left paracentral lobule and right posterior cingulate in male and female patients respectively compared to same sex controls. CONCLUSIONS:Cortical thinning may correspond to cytoarchitectural and neurochemical abnormalities observed in similar anatomic locations and may underlie systems-wise disturbances that include heteromodal association cortices, where cortical thinning has been previously observed in first episode schizophrenia.

journal_name

Biol Psychiatry

journal_title

Biological psychiatry

authors

Narr KL,Toga AW,Szeszko P,Thompson PM,Woods RP,Robinson D,Sevy S,Wang Y,Schrock K,Bilder RM

doi

10.1016/j.biopsych.2005.03.043

subject

Has Abstract

pub_date

2005-07-01 00:00:00

pages

32-40

issue

1

eissn

0006-3223

issn

1873-2402

pii

S0006-3223(05)00429-4

journal_volume

58

pub_type

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