The correlation between dynamic functional architecture and response to electroconvulsive therapy combined with antipsychotics in schizophrenia

Attempts to determine why some patients respond to electroconvulsive therapy (ECT) are valuable in schizophrenia. Schizophrenia is associated with aberrant dynamic functional architecture, which might impact the efficacy of ECT. We aimed to explore the relationship between pre‐treatment temporal var...

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Published in	The European journal of neuroscience Vol. 55; no. 8; pp. 2024 - 2036
Main Authors	Gong, Jie, Cui, Long‐Biao, Zhao, Ying‐Song, Liu, Zhao‐Wen, Yang, Xue‐Juan, Xi, Yi‐Bin, Liu, Lin, Liu, Peng, Sun, Jin‐Bo, Zhao, Shu‐Wan, Liu, Xiao‐Fan, Jia, Jie, Li, Ping, Yin, Hong, Qin, Wei
Format	Journal Article
Language	English
Published	France Wiley Subscription Services, Inc 01.04.2022
Subjects	Antipsychotic Agents - therapeutic use Antipsychotics Electroconvulsive therapy Electroconvulsive Therapy - methods Functional magnetic resonance imaging Humans Magnetic Resonance Imaging - methods Mental disorders Patients Schizophrenia Schizophrenia - drug therapy Schizophrenia - therapy Temporal gyrus Temporal Lobe temporal variability temporal variability electroconvulsive therapy schizophrenia
Online Access	Get full text
ISSN	0953-816X 1460-9568 1460-9568
DOI	10.1111/ejn.15664

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Abstract	Attempts to determine why some patients respond to electroconvulsive therapy (ECT) are valuable in schizophrenia. Schizophrenia is associated with aberrant dynamic functional architecture, which might impact the efficacy of ECT. We aimed to explore the relationship between pre‐treatment temporal variability and ECT acute efficacy. Forty‐eight patients with schizophrenia and 30 healthy controls underwent functional magnetic resonance imaging to examine whether patterns of temporary variability of functional architecture differ between high responders (HR) and low responders (LR) at baseline. Compared with LR, HR exhibited significantly abnormal temporal variability in right inferior front gyrus (IFGtriang.R), left temporal pole (TPOsup.L) and right middle temporal gyrus (MTG.R). In the pooled patient group, ∆PANSS was correlated with the temporal variability of these regions. Patients with schizophrenia with a distinct dynamic functional architecture appear to reveal differential response to ECT. Our findings provide not only an understanding of the neural functional architecture patterns that are found in schizophrenia but also the possibility of using these measures as moderators for ECT selection. Compared with low responders, high responders exhibited significantly abnormal temporal variability in right inferior front gyrus, left temporal pole and right middle temporal gyrus. Patients with schizophrenia with a distinct dynamic functional architecture appear to reveal differential response to electroconvulsive therapy.
AbstractList	Attempts to determine why some patients respond to electroconvulsive therapy (ECT) are valuable in schizophrenia. Schizophrenia is associated with aberrant dynamic functional architecture, which might impact the efficacy of ECT. We aimed to explore the relationship between pre‐treatment temporal variability and ECT acute efficacy. Forty‐eight patients with schizophrenia and 30 healthy controls underwent functional magnetic resonance imaging to examine whether patterns of temporary variability of functional architecture differ between high responders (HR) and low responders (LR) at baseline. Compared with LR, HR exhibited significantly abnormal temporal variability in right inferior front gyrus (IFGtriang.R), left temporal pole (TPOsup.L) and right middle temporal gyrus (MTG.R). In the pooled patient group, ∆PANSS was correlated with the temporal variability of these regions. Patients with schizophrenia with a distinct dynamic functional architecture appear to reveal differential response to ECT. Our findings provide not only an understanding of the neural functional architecture patterns that are found in schizophrenia but also the possibility of using these measures as moderators for ECT selection. Compared with low responders, high responders exhibited significantly abnormal temporal variability in right inferior front gyrus, left temporal pole and right middle temporal gyrus. Patients with schizophrenia with a distinct dynamic functional architecture appear to reveal differential response to electroconvulsive therapy. Attempts to determine why some patients respond to electroconvulsive therapy (ECT) are valuable in schizophrenia. Schizophrenia is associated with aberrant dynamic functional architecture, which might impact the efficacy of ECT. We aimed to explore the relationship between pre-treatment temporal variability and ECT acute efficacy. Forty-eight patients with schizophrenia and 30 healthy controls underwent functional magnetic resonance imaging to examine whether patterns of temporary variability of functional architecture differ between high responders (HR) and low responders (LR) at baseline. Compared with LR, HR exhibited significantly abnormal temporal variability in right inferior front gyrus (IFGtriang.R), left temporal pole (TPOsup.L) and right middle temporal gyrus (MTG.R). In the pooled patient group, ∆PANSS was correlated with the temporal variability of these regions. Patients with schizophrenia with a distinct dynamic functional architecture appear to reveal differential response to ECT. Our findings provide not only an understanding of the neural functional architecture patterns that are found in schizophrenia but also the possibility of using these measures as moderators for ECT selection. Attempts to determine why some patients respond to electroconvulsive therapy (ECT) are valuable in schizophrenia. Schizophrenia is associated with aberrant dynamic functional architecture, which might impact the efficacy of ECT. We aimed to explore the relationship between pre-treatment temporal variability and ECT acute efficacy. Forty-eight patients with schizophrenia and 30 healthy controls underwent functional magnetic resonance imaging to examine whether patterns of temporary variability of functional architecture differ between high responders (HR) and low responders (LR) at baseline. Compared with LR, HR exhibited significantly abnormal temporal variability in right inferior front gyrus (IFGtriang.R), left temporal pole (TPOsup.L) and right middle temporal gyrus (MTG.R). In the pooled patient group, ∆PANSS was correlated with the temporal variability of these regions. Patients with schizophrenia with a distinct dynamic functional architecture appear to reveal differential response to ECT. Our findings provide not only an understanding of the neural functional architecture patterns that are found in schizophrenia but also the possibility of using these measures as moderators for ECT selection.Attempts to determine why some patients respond to electroconvulsive therapy (ECT) are valuable in schizophrenia. Schizophrenia is associated with aberrant dynamic functional architecture, which might impact the efficacy of ECT. We aimed to explore the relationship between pre-treatment temporal variability and ECT acute efficacy. Forty-eight patients with schizophrenia and 30 healthy controls underwent functional magnetic resonance imaging to examine whether patterns of temporary variability of functional architecture differ between high responders (HR) and low responders (LR) at baseline. Compared with LR, HR exhibited significantly abnormal temporal variability in right inferior front gyrus (IFGtriang.R), left temporal pole (TPOsup.L) and right middle temporal gyrus (MTG.R). In the pooled patient group, ∆PANSS was correlated with the temporal variability of these regions. Patients with schizophrenia with a distinct dynamic functional architecture appear to reveal differential response to ECT. Our findings provide not only an understanding of the neural functional architecture patterns that are found in schizophrenia but also the possibility of using these measures as moderators for ECT selection.
Author	Yang, Xue‐Juan Cui, Long‐Biao Zhao, Shu‐Wan Liu, Zhao‐Wen Li, Ping Xi, Yi‐Bin Liu, Lin Liu, Xiao‐Fan Qin, Wei Jia, Jie Gong, Jie Zhao, Ying‐Song Liu, Peng Sun, Jin‐Bo Yin, Hong
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Notes	Funding information Jie Gong and Long‐Biao Cui contributed equally to this work. Innovation Team and Talents Cultivation Program of National Administration of Traditional Chinese Medicine, Grant/Award Number: ZYYCXTD‐C‐202004; China Postdoctoral Science Foundation, Grant/Award Number: 2020M683739; Fourth Military Medical University, Grant/Award Number: 2019CYJH; National Basic Research Program of China Grants, Grant/Award Numbers: 2014CB543203, 2015CB856403; National Natural Science Foundation of China, Grant/Award Numbers: 81471811, 81771918; Science and Technology Projects of Xi'an, China, Grant/Award Number: 201809170CX11JC12 ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23
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Snippet	Attempts to determine why some patients respond to electroconvulsive therapy (ECT) are valuable in schizophrenia. Schizophrenia is associated with aberrant...
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SubjectTerms	Antipsychotic Agents - therapeutic use Antipsychotics Electroconvulsive therapy Electroconvulsive Therapy - methods Functional magnetic resonance imaging Humans Magnetic Resonance Imaging - methods Mental disorders Patients Schizophrenia Schizophrenia - drug therapy Schizophrenia - therapy Temporal gyrus Temporal Lobe temporal variability
Title	The correlation between dynamic functional architecture and response to electroconvulsive therapy combined with antipsychotics in schizophrenia
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