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31.3 CLINICAL UTILITY OF MRI SCANNING IN FIRST EPISODE PSYCHOSIS

BACKGROUND: The response to antipsychotic treatment in patients with psychosis is difficult to predict on the basis of the patient’s clinical features. As a result, patients are generally treated in a similar way, even though their response can vary dramatically. Recent neuroimaging studies suggest...

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Autores principales: Dazzan, Paola, Reinders, AAT Simone, Shatzi, Vasiliki, Carletti, Francesco, Arango, Celso, Fleischhacker, Wolfgang, Galderisi, Silvana, Mucci, Armida, Glenthoj, Birte, Egerton, Alice, Barker, Gareth, Leucht, Stefan, Meyer-Lindenberg, Andreas, Kahn, René S, Rujescu, Dan, Sommer, Iris, Winter, Inge, McGuire, Philip
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5887310/
http://dx.doi.org/10.1093/schbul/sby014.129
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author Dazzan, Paola
Reinders, AAT Simone
Shatzi, Vasiliki
Carletti, Francesco
Arango, Celso
Fleischhacker, Wolfgang
Galderisi, Silvana
Mucci, Armida
Glenthoj, Birte
Egerton, Alice
Barker, Gareth
Leucht, Stefan
Meyer-Lindenberg, Andreas
Kahn, René S
Rujescu, Dan
Sommer, Iris
Winter, Inge
McGuire, Philip
author_facet Dazzan, Paola
Reinders, AAT Simone
Shatzi, Vasiliki
Carletti, Francesco
Arango, Celso
Fleischhacker, Wolfgang
Galderisi, Silvana
Mucci, Armida
Glenthoj, Birte
Egerton, Alice
Barker, Gareth
Leucht, Stefan
Meyer-Lindenberg, Andreas
Kahn, René S
Rujescu, Dan
Sommer, Iris
Winter, Inge
McGuire, Philip
author_sort Dazzan, Paola
collection PubMed
description BACKGROUND: The response to antipsychotic treatment in patients with psychosis is difficult to predict on the basis of the patient’s clinical features. As a result, patients are generally treated in a similar way, even though their response can vary dramatically. Recent neuroimaging studies suggest that the pattern of brain abnormalities in patients with psychosis may vary in relation to treatment response. However, in many of these studies, patients had already been treated, and it was unclear if this had contributed to the findings. METHODS: In Optimise we obtained a structural Magnetic Resonance Imaging data from n=203 minimally treated patients at their first presentation for a psychotic episode. All patients then started treatment with standard doses of amisulpride. After 4 weeks, 56% were in symptomatic remission. RESULTS: We identified brain neoplasms in 3 patients, but the most common radiological findings were non-specific white matter T2-weighted hyperintensities (n=48); cavum septi pelludici (n=34); and arachnoid cysts (n=9). Cortical thickness, surface area, and gyrification were measured using Freesurfer (). Preliminary analyses applying machine learning to these measures at baseline indicated that symptomatic remission at 4 weeks could be predicted with an accuracy of 64%. DISCUSSION: These findings suggest that radiological assessment can identify abnormalties that require an alternative to conventional treatment in a minority of patients. In most patients with psychosis, neuroimaging abnormalities may be better detected using statistical approaches, and these have greater potential for the stratification of patients according to future antipsychotic response.
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spelling pubmed-58873102018-04-11 31.3 CLINICAL UTILITY OF MRI SCANNING IN FIRST EPISODE PSYCHOSIS Dazzan, Paola Reinders, AAT Simone Shatzi, Vasiliki Carletti, Francesco Arango, Celso Fleischhacker, Wolfgang Galderisi, Silvana Mucci, Armida Glenthoj, Birte Egerton, Alice Barker, Gareth Leucht, Stefan Meyer-Lindenberg, Andreas Kahn, René S Rujescu, Dan Sommer, Iris Winter, Inge McGuire, Philip Schizophr Bull Abstracts BACKGROUND: The response to antipsychotic treatment in patients with psychosis is difficult to predict on the basis of the patient’s clinical features. As a result, patients are generally treated in a similar way, even though their response can vary dramatically. Recent neuroimaging studies suggest that the pattern of brain abnormalities in patients with psychosis may vary in relation to treatment response. However, in many of these studies, patients had already been treated, and it was unclear if this had contributed to the findings. METHODS: In Optimise we obtained a structural Magnetic Resonance Imaging data from n=203 minimally treated patients at their first presentation for a psychotic episode. All patients then started treatment with standard doses of amisulpride. After 4 weeks, 56% were in symptomatic remission. RESULTS: We identified brain neoplasms in 3 patients, but the most common radiological findings were non-specific white matter T2-weighted hyperintensities (n=48); cavum septi pelludici (n=34); and arachnoid cysts (n=9). Cortical thickness, surface area, and gyrification were measured using Freesurfer (). Preliminary analyses applying machine learning to these measures at baseline indicated that symptomatic remission at 4 weeks could be predicted with an accuracy of 64%. DISCUSSION: These findings suggest that radiological assessment can identify abnormalties that require an alternative to conventional treatment in a minority of patients. In most patients with psychosis, neuroimaging abnormalities may be better detected using statistical approaches, and these have greater potential for the stratification of patients according to future antipsychotic response. Oxford University Press 2018-04 2018-04-01 /pmc/articles/PMC5887310/ http://dx.doi.org/10.1093/schbul/sby014.129 Text en © Maryland Psychiatric Research Center 2018. http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Abstracts
Dazzan, Paola
Reinders, AAT Simone
Shatzi, Vasiliki
Carletti, Francesco
Arango, Celso
Fleischhacker, Wolfgang
Galderisi, Silvana
Mucci, Armida
Glenthoj, Birte
Egerton, Alice
Barker, Gareth
Leucht, Stefan
Meyer-Lindenberg, Andreas
Kahn, René S
Rujescu, Dan
Sommer, Iris
Winter, Inge
McGuire, Philip
31.3 CLINICAL UTILITY OF MRI SCANNING IN FIRST EPISODE PSYCHOSIS
title 31.3 CLINICAL UTILITY OF MRI SCANNING IN FIRST EPISODE PSYCHOSIS
title_full 31.3 CLINICAL UTILITY OF MRI SCANNING IN FIRST EPISODE PSYCHOSIS
title_fullStr 31.3 CLINICAL UTILITY OF MRI SCANNING IN FIRST EPISODE PSYCHOSIS
title_full_unstemmed 31.3 CLINICAL UTILITY OF MRI SCANNING IN FIRST EPISODE PSYCHOSIS
title_short 31.3 CLINICAL UTILITY OF MRI SCANNING IN FIRST EPISODE PSYCHOSIS
title_sort 31.3 clinical utility of mri scanning in first episode psychosis
topic Abstracts
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5887310/
http://dx.doi.org/10.1093/schbul/sby014.129
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