Hippocampal Subfield Volumes in Patients With First-Episode Psychosis

Abstract Background Hippocampal abnormalities have been largely reported in patients with schizophrenia and bipolar disorder, and are considered to be involved in the pathophysiology of the psychosis. The hippocampus consists of several subfields but it remains unclear their involvement in the early...

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Published inSchizophrenia bulletin Vol. 44; no. 3; pp. 552 - 559
Main Authors Baglivo, Valentina, Cao, Bo, Mwangi, Benson, Bellani, Marcella, Perlini, Cinzia, Lasalvia, Antonio, Dusi, Nicola, Bonetto, Chiara, Cristofalo, Doriana, Alessandrini, Franco, Zoccatelli, Giada, Ciceri, Elisa, Dario, Lamonaca, Enrico, Ceccato, Francesca, Pileggi, Mazzi, Fausto, Paolo, Santonastaso, Balestrieri, Matteo, Soares, Jair C, Ruggeri, Mirella, Brambilla, Paolo
Format Journal Article
LanguageEnglish
Published US Oxford University Press 06.04.2018
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Online AccessGet full text
ISSN0586-7614
1745-1701
1745-1701
DOI10.1093/schbul/sbx108

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Abstract Abstract Background Hippocampal abnormalities have been largely reported in patients with schizophrenia and bipolar disorder, and are considered to be involved in the pathophysiology of the psychosis. The hippocampus consists of several subfields but it remains unclear their involvement in the early stages of psychosis. Aim The aim of this study was to investigate volumetric alterations in hippocampal subfields in patients at the first-episode psychosis (FEP). Methods Magnetic resonance imaging (MRI) data were collected in 134 subjects (58 FEP patients; 76 healthy controls [HC]). A novel automated hippocampal segmentation algorithm was used to segment the hippocampal subfields, based on an atlas constructed from ultra-high resolution imaging on ex vivo hippocampal tissue. The general linear model was used to investigate volume differences between FEP patients and HC, with age, gender and total intracranial volume as covariates. Results We found significantly lower volumes of bilateral CA1, CA4, and granule cell layer (GCL), and of left CA3, and left molecular layer (ML) in FEP patients compared to HC. Only the volumes of the left hippocampus and its subfields were significantly lower in FEP than HC at the False Discovery Rate (FDR) of 0.1. No correlation was found between hippocampal subfield volume and duration of illness, age of onset, duration of medication, and Positive and Negative Syndrome Scale (PANSS). Conclusion We report abnormally low volumes of left hippocampal subfields in patients with FEP, sustaining its role as a putative neural marker of psychosis onset.
AbstractList Abstract Background Hippocampal abnormalities have been largely reported in patients with schizophrenia and bipolar disorder, and are considered to be involved in the pathophysiology of the psychosis. The hippocampus consists of several subfields but it remains unclear their involvement in the early stages of psychosis. Aim The aim of this study was to investigate volumetric alterations in hippocampal subfields in patients at the first-episode psychosis (FEP). Methods Magnetic resonance imaging (MRI) data were collected in 134 subjects (58 FEP patients; 76 healthy controls [HC]). A novel automated hippocampal segmentation algorithm was used to segment the hippocampal subfields, based on an atlas constructed from ultra-high resolution imaging on ex vivo hippocampal tissue. The general linear model was used to investigate volume differences between FEP patients and HC, with age, gender and total intracranial volume as covariates. Results We found significantly lower volumes of bilateral CA1, CA4, and granule cell layer (GCL), and of left CA3, and left molecular layer (ML) in FEP patients compared to HC. Only the volumes of the left hippocampus and its subfields were significantly lower in FEP than HC at the False Discovery Rate (FDR) of 0.1. No correlation was found between hippocampal subfield volume and duration of illness, age of onset, duration of medication, and Positive and Negative Syndrome Scale (PANSS). Conclusion We report abnormally low volumes of left hippocampal subfields in patients with FEP, sustaining its role as a putative neural marker of psychosis onset.
Background Hippocampal abnormalities have been largely reported in patients with schizophrenia and bipolar disorder, and are considered to be involved in the pathophysiology of the psychosis. The hippocampus consists of several subfields but it remains unclear their involvement in the early stages of psychosis. Aim The aim of this study was to investigate volumetric alterations in hippocampal subfields in patients at the first-episode psychosis (FEP). Methods Magnetic resonance imaging (MRI) data were collected in 134 subjects (58 FEP patients; 76 healthy controls [HC]). A novel automated hippocampal segmentation algorithm was used to segment the hippocampal subfields, based on an atlas constructed from ultra-high resolution imaging on ex vivo hippocampal tissue. The general linear model was used to investigate volume differences between FEP patients and HC, with age, gender and total intracranial volume as covariates. Results We found significantly lower volumes of bilateral CA1, CA4, and granule cell layer (GCL), and of left CA3, and left molecular layer (ML) in FEP patients compared to HC. Only the volumes of the left hippocampus and its subfields were significantly lower in FEP than HC at the False Discovery Rate (FDR) of 0.1. No correlation was found between hippocampal subfield volume and duration of illness, age of onset, duration of medication, and Positive and Negative Syndrome Scale (PANSS). Conclusion We report abnormally low volumes of left hippocampal subfields in patients with FEP, sustaining its role as a putative neural marker of psychosis onset.
Hippocampal abnormalities have been largely reported in patients with schizophrenia and bipolar disorder, and are considered to be involved in the pathophysiology of the psychosis. The hippocampus consists of several subfields but it remains unclear their involvement in the early stages of psychosis.BackgroundHippocampal abnormalities have been largely reported in patients with schizophrenia and bipolar disorder, and are considered to be involved in the pathophysiology of the psychosis. The hippocampus consists of several subfields but it remains unclear their involvement in the early stages of psychosis.The aim of this study was to investigate volumetric alterations in hippocampal subfields in patients at the first-episode psychosis (FEP).AimThe aim of this study was to investigate volumetric alterations in hippocampal subfields in patients at the first-episode psychosis (FEP).Magnetic resonance imaging (MRI) data were collected in 134 subjects (58 FEP patients; 76 healthy controls [HC]). A novel automated hippocampal segmentation algorithm was used to segment the hippocampal subfields, based on an atlas constructed from ultra-high resolution imaging on ex vivo hippocampal tissue. The general linear model was used to investigate volume differences between FEP patients and HC, with age, gender and total intracranial volume as covariates.MethodsMagnetic resonance imaging (MRI) data were collected in 134 subjects (58 FEP patients; 76 healthy controls [HC]). A novel automated hippocampal segmentation algorithm was used to segment the hippocampal subfields, based on an atlas constructed from ultra-high resolution imaging on ex vivo hippocampal tissue. The general linear model was used to investigate volume differences between FEP patients and HC, with age, gender and total intracranial volume as covariates.We found significantly lower volumes of bilateral CA1, CA4, and granule cell layer (GCL), and of left CA3, and left molecular layer (ML) in FEP patients compared to HC. Only the volumes of the left hippocampus and its subfields were significantly lower in FEP than HC at the False Discovery Rate (FDR) of 0.1. No correlation was found between hippocampal subfield volume and duration of illness, age of onset, duration of medication, and Positive and Negative Syndrome Scale (PANSS).ResultsWe found significantly lower volumes of bilateral CA1, CA4, and granule cell layer (GCL), and of left CA3, and left molecular layer (ML) in FEP patients compared to HC. Only the volumes of the left hippocampus and its subfields were significantly lower in FEP than HC at the False Discovery Rate (FDR) of 0.1. No correlation was found between hippocampal subfield volume and duration of illness, age of onset, duration of medication, and Positive and Negative Syndrome Scale (PANSS).We report abnormally low volumes of left hippocampal subfields in patients with FEP, sustaining its role as a putative neural marker of psychosis onset.ConclusionWe report abnormally low volumes of left hippocampal subfields in patients with FEP, sustaining its role as a putative neural marker of psychosis onset.
Hippocampal abnormalities have been largely reported in patients with schizophrenia and bipolar disorder, and are considered to be involved in the pathophysiology of the psychosis. The hippocampus consists of several subfields but it remains unclear their involvement in the early stages of psychosis. The aim of this study was to investigate volumetric alterations in hippocampal subfields in patients at the first-episode psychosis (FEP). Magnetic resonance imaging (MRI) data were collected in 134 subjects (58 FEP patients; 76 healthy controls [HC]). A novel automated hippocampal segmentation algorithm was used to segment the hippocampal subfields, based on an atlas constructed from ultra-high resolution imaging on ex vivo hippocampal tissue. The general linear model was used to investigate volume differences between FEP patients and HC, with age, gender and total intracranial volume as covariates. We found significantly lower volumes of bilateral CA1, CA4, and granule cell layer (GCL), and of left CA3, and left molecular layer (ML) in FEP patients compared to HC. Only the volumes of the left hippocampus and its subfields were significantly lower in FEP than HC at the False Discovery Rate (FDR) of 0.1. No correlation was found between hippocampal subfield volume and duration of illness, age of onset, duration of medication, and Positive and Negative Syndrome Scale (PANSS). We report abnormally low volumes of left hippocampal subfields in patients with FEP, sustaining its role as a putative neural marker of psychosis onset.
Author Balestrieri, Matteo
Perlini, Cinzia
Bonetto, Chiara
Dusi, Nicola
Baglivo, Valentina
Paolo, Santonastaso
Ruggeri, Mirella
Cao, Bo
Francesca, Pileggi
Cristofalo, Doriana
Alessandrini, Franco
Zoccatelli, Giada
Ciceri, Elisa
Enrico, Ceccato
Brambilla, Paolo
Lasalvia, Antonio
Soares, Jair C
Dario, Lamonaca
Mwangi, Benson
Bellani, Marcella
Mazzi, Fausto
AuthorAffiliation 12 Department of Neuroscience, University of Padova, Padova, Italy
8 Department of Psychiatry, CSM AULSS 21 Legnago, Verona, Italy
1 Unit of Psychiatry, Department of Medicine, University of Udine, Udine, Italy
5 Department of Public Health and Community Medicine, Section of Clinical Psychology, University of Verona, Verona, Italy
11 Department of Mental Health, Modena, Italy
10 Department of Mental Health, Azienda ULSS Bologna, Bologna, Italy
2 UT Center of Excellence on Mood Disorders, Department of Psychiatry and Behavioral Sciences, The University of Texas Health Science Center at Houston, McGovern Medical School, Houston, TX
3 UOC Psychiatry, Azienda Ospedaliera Universitaria Integrata Verona (AOUI), Verona, Italy
4 InterUniversity Centre for Behavioural Neurosciences (ICBN), University of Verona, Verona, Italy
7 Neuroradiology Department, Azienda Ospedaliera Universitaria, Verona, Italy
6 Section of Psychiatry, Department of Neurological, Biomedical and Movement Sciences, University of Ver
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/29897598$$D View this record in MEDLINE/PubMed
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ContentType Journal Article
Copyright The Author(s) 2017. Published by Oxford University Press on behalf of the Maryland Psychiatric Research Center. All rights reserved. For permissions, please email: journals.permissions@oup.com 2017
The Author(s) 2017. Published by Oxford University Press on behalf of the Maryland Psychiatric Research Center. All rights reserved. For permissions, please email: journals.permissions@oup.com.
Copyright_xml – notice: The Author(s) 2017. Published by Oxford University Press on behalf of the Maryland Psychiatric Research Center. All rights reserved. For permissions, please email: journals.permissions@oup.com 2017
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Issue 3
Keywords schizophrenia
hippocampus
volumetry
psychotic bipolar disorder
Language English
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These authors contributed equally to this work.
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Snippet Abstract Background Hippocampal abnormalities have been largely reported in patients with schizophrenia and bipolar disorder, and are considered to be involved...
Hippocampal abnormalities have been largely reported in patients with schizophrenia and bipolar disorder, and are considered to be involved in the...
Background Hippocampal abnormalities have been largely reported in patients with schizophrenia and bipolar disorder, and are considered to be involved in the...
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SubjectTerms Adult
Bipolar Disorder - diagnostic imaging
Bipolar Disorder - pathology
CA1 Region, Hippocampal - diagnostic imaging
CA1 Region, Hippocampal - pathology
CA3 Region, Hippocampal - diagnostic imaging
CA3 Region, Hippocampal - pathology
Female
Hippocampus - diagnostic imaging
Hippocampus - pathology
Humans
Image Processing, Computer-Assisted - methods
Magnetic Resonance Imaging - methods
Male
Middle Aged
Psychosis
Psychotic Disorders - diagnostic imaging
Psychotic Disorders - pathology
Regular
Schizophrenia - diagnostic imaging
Schizophrenia - pathology
Schizotypal Personality Disorder - diagnostic imaging
Schizotypal Personality Disorder - pathology
Young Adult
Title Hippocampal Subfield Volumes in Patients With First-Episode Psychosis
URI https://www.ncbi.nlm.nih.gov/pubmed/29897598
https://www.proquest.com/docview/3192269762
https://www.proquest.com/docview/2054933505
https://pubmed.ncbi.nlm.nih.gov/PMC5890476
Volume 44
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