Function Improvement in Right Middle Frontal Gyrus: Indicators of Symptom Relief in Schizophrenia

Poster No:

377 

Submission Type:

Abstract Submission 

Authors:

Weiyi Han1,2,3, Xuzhen Liu1,2,3, Kang Liu1,2,3, Xue Li1,2,3, Anran Chen1,2,3, song liu1,2,3, Luxian Lv1,2,3, Wenqiang Li1,2,3, Yongfeng Yang1,2,3

Institutions:

1Department of Psychiatry, Henan Mental Hospital, The Second Affiliated Hospital of Xinxiang Medical University, Xinxiang, China, 2Henan Key Lab of Biological Psychiatry, Xinxiang Medical University, International Joint Research Laboratory for Psychiatry and Neuroscience of Henan, Xinxiang, China, 3Henan Collaborative Innovation Center of Prevention and Treatment of Mental Disorder, Xinxiang, China

First Author:

Weiyi Han  
Department of Psychiatry, Henan Mental Hospital, The Second Affiliated Hospital of Xinxiang Medical University|Henan Key Lab of Biological Psychiatry, Xinxiang Medical University, International Joint Research Laboratory for Psychiatry and Neuroscience of Henan|Henan Collaborative Innovation Center of Prevention and Treatment of Mental Disorder
Xinxiang, China|Xinxiang, China|Xinxiang, China

Co-Author(s):

Xuzhen Liu  
Department of Psychiatry, Henan Mental Hospital, The Second Affiliated Hospital of Xinxiang Medical University|Henan Key Lab of Biological Psychiatry, Xinxiang Medical University, International Joint Research Laboratory for Psychiatry and Neuroscience of Henan|Henan Collaborative Innovation Center of Prevention and Treatment of Mental Disorder
Xinxiang, China|Xinxiang, China|Xinxiang, China
Kang Liu  
Department of Psychiatry, Henan Mental Hospital, The Second Affiliated Hospital of Xinxiang Medical University|Henan Key Lab of Biological Psychiatry, Xinxiang Medical University, International Joint Research Laboratory for Psychiatry and Neuroscience of Henan|Henan Collaborative Innovation Center of Prevention and Treatment of Mental Disorder
Xinxiang, China|Xinxiang, China|Xinxiang, China
Xue Li  
Department of Psychiatry, Henan Mental Hospital, The Second Affiliated Hospital of Xinxiang Medical University|Henan Key Lab of Biological Psychiatry, Xinxiang Medical University, International Joint Research Laboratory for Psychiatry and Neuroscience of Henan|Henan Collaborative Innovation Center of Prevention and Treatment of Mental Disorder
Xinxiang, China|Xinxiang, China|Xinxiang, China
Anran Chen  
Department of Psychiatry, Henan Mental Hospital, The Second Affiliated Hospital of Xinxiang Medical University|Henan Key Lab of Biological Psychiatry, Xinxiang Medical University, International Joint Research Laboratory for Psychiatry and Neuroscience of Henan|Henan Collaborative Innovation Center of Prevention and Treatment of Mental Disorder
Xinxiang, China|Xinxiang, China|Xinxiang, China
song liu  
Department of Psychiatry, Henan Mental Hospital, The Second Affiliated Hospital of Xinxiang Medical University|Henan Key Lab of Biological Psychiatry, Xinxiang Medical University, International Joint Research Laboratory for Psychiatry and Neuroscience of Henan|Henan Collaborative Innovation Center of Prevention and Treatment of Mental Disorder
Xinxiang, China|Xinxiang, China|Xinxiang, China
Luxian Lv  
Department of Psychiatry, Henan Mental Hospital, The Second Affiliated Hospital of Xinxiang Medical University|Henan Key Lab of Biological Psychiatry, Xinxiang Medical University, International Joint Research Laboratory for Psychiatry and Neuroscience of Henan|Henan Collaborative Innovation Center of Prevention and Treatment of Mental Disorder
Xinxiang, China|Xinxiang, China|Xinxiang, China
Wenqiang Li  
Department of Psychiatry, Henan Mental Hospital, The Second Affiliated Hospital of Xinxiang Medical University|Henan Key Lab of Biological Psychiatry, Xinxiang Medical University, International Joint Research Laboratory for Psychiatry and Neuroscience of Henan|Henan Collaborative Innovation Center of Prevention and Treatment of Mental Disorder
Xinxiang, China|Xinxiang, China|Xinxiang, China
Yongfeng Yang  
Department of Psychiatry, Henan Mental Hospital, The Second Affiliated Hospital of Xinxiang Medical University|Henan Key Lab of Biological Psychiatry, Xinxiang Medical University, International Joint Research Laboratory for Psychiatry and Neuroscience of Henan|Henan Collaborative Innovation Center of Prevention and Treatment of Mental Disorder
Xinxiang, China|Xinxiang, China|Xinxiang, China

Introduction:

Results from functional magnetic resonance imaging (fMRI) studies indicate abnormal brain function in patients with schizophrenia (SZ). To date, most studies have been cross-sectional observational studies, and objective markers from longitudinal studies are still scarce.Therefore, this study conducted an objective marker research on long-term follow-up patients with SZ.

Methods:

A total of 110 patients with SZ were recruited and underwent fMRI scans at baseline and week 8 of antipsychotic treatment, while 100 healthy controls (HCs) underwent baseline scans for comparison. The Positive and Negative Syndrome Scale (PANSS) and MATRICS Consensus Cognitive Battery (MCCB) were used to assess psychiatric symptoms and cognitive function in patients with SZ. A three-factor model or five-factor model is derivable from the PANSS. Individual voxel-based brain regional homogeneity (ReHo), amplitude of low-frequency fluctuations (ALFF), and functional connectivity (FC) were analyzed.

Results:

Compared to HCs at baseline, the ALFF value in the right middle frontal gyrus (MFG) was decreased. After 8 weeks of treatment, patients with SZ showed an increase in the ALFF and ReHo value of the right MFG and superior frontal gyrus, dorsolateral (SFGdor)(Figure 1). As shown in Figure 2,in the PANSS three-factor model, an increase in the ReHo value of the right SFGdor was associated with a decrease in the positive factor score after 8 weeks of treatment in patients with SZ ( r = 0.265, p = 0.009, FDR = 0.027). In the PANSS five-factor model, an increase in the ALFF value of the right MFG was associated with a decrease in the cognitive factor score after 8 weeks of treatment in patients with SZ ( r = -0.231, p = 0.023, FDR = 0.115), an increase in ReHo value for the right MFG correlated with a decrease in trail making test score ( r = -0.209, p = 0.040, FDR = 0.28), an increase in the ReHo value of the right SFGdor correlated with an decrease in the positive factor score ( r = -0.257, p = 0.011, FDR = 0.055). An increase in the ReHo value of the right MFG correlated with a decrease in the depression factor score ( r = -0.250, p = 0.013, FDR = 0.065).
Supporting Image: Figure1.png
   ·Comparison of ALFF and ReHo before and after SZ treatment.
Supporting Image: Figure2.png
   ·Correlation analysis of PANSS with ReHo, ALFF.
 

Conclusions:

This study provide a novel evidence that the enhancement of functional activity in the right MFG after short-term antipsychotic medication may be a biomaker of the improvement of cognitive function in SZ patients. Meanwhile, increased functional activity of SFGdor may be predict the amelioration of positive symptoms.

Disorders of the Nervous System:

Psychiatric (eg. Depression, Anxiety, Schizophrenia) 1

Emotion, Motivation and Social Neuroscience:

Social Cognition

Modeling and Analysis Methods:

fMRI Connectivity and Network Modeling 2

Keywords:

FUNCTIONAL MRI
Schizophrenia
Other - middle frontal gyrus, regional homogeneity, amplitude of low-frequency fluctuations

1|2Indicates the priority used for review

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Functional MRI

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