Dorsolateral and ventrolateral prefrontal cortex structural changes relative to suicidal ideation in patients with depression

2020 ◽  
Vol 32 (2) ◽  
pp. 84-91
Author(s):  
Ran Zhang ◽  
Shengnan Wei ◽  
Miao Chang ◽  
Xiaowei Jiang ◽  
Yanqing Tang ◽  
...  
Keyword(s):  
Prefrontal Cortex ◽  
Suicidal Ideation ◽  
Structural Changes ◽  
Gray Matter Volume ◽  
Major Depressive ◽  
Left Dlpfc ◽  
Healthy Control ◽  
Left And Right ◽  
And Gender ◽  
The Right

AbstractThe prefrontal cortex (PFC) is enormously important in suicide and major depressive disorder (MDD). However, little is known about the structural alterations in the brains of people with MDD and suicidal ideation. We examined the gray matter volume (GMV) of the PFC of individuals with MDD and suicidal ideation to determine if PFC volumetric differences contribute to suicidal ideation in patients with MDD. Thirty-five subjects with MDD and suicidal ideation, 38 subjects with MDD but without suicidal ideation, and 43 age- and gender-matched healthy control (HC) subjects underwent T1-weighted imaging. A voxel-based morphometric analysis was conducted to compare the PFC GMVs of the three groups. Further GMV reductions in the left and right dorsolateral PFC (DLPFC) and right ventrolateral PFC (VLPFC) were detected in the MDD with suicidal ideation group compared with those in the HC group and the MDD without suicidal ideation group, whereas the MDD without suicidal ideation group only exhibited significant differences in the left DLPFC relative to the HC group. Our findings demonstrated that left DLPFC reductions were associated with MDD and suicidal ideation, and diminished GMV reductions in the right DLPFC and right VLPFC were only associated with suicidal ideation. These results help us better understand the neuropathological changes in MDD with suicidal ideation.

scholarly journals Brain Functional and Structural Alterations in Women With Bipolar Disorder and Suicidality

2021 ◽  
Vol 12 ◽  
Author(s):  
Huiling Guo ◽  
Ran Zhang ◽  
Pengshuo Wang ◽  
Luheng Zhang ◽  
Zhiyang Yin ◽  
...  
Keyword(s):  
Bipolar Disorder ◽  
Prefrontal Cortex ◽  
Gray Matter Volume ◽  
Low Frequency ◽  
Neural Mechanism ◽  
Women Patients ◽  
History Of ◽  
Left And Right ◽  
The Right ◽  
Neuroimaging Techniques

Objective: Suicide is the leading cause of death from bipolar disorder (BD). At least 25–50% of the patients with BD will attempt suicide, with suicide rates much higher in women patients than in men. It is crucial to explore the potential neural mechanism underlying suicidality in women with BD, which will lead to understanding and detection of suicidality and prevent death and injury from suicide.Methods: Brain function and structure were measured by amplitude of low-frequency fluctuation (ALFF) and gray matter volume (GMV) in 155 women [30 women with BD and a history of suicidality, 50 women with BD without suicidality, and 75 healthy controls (HC)]. The differences in ALFF and GMV across the BD with suicidality, BD without suicidality, and HC groups were investigated.Results: BD with suicidality showed significantly increased ALFF in the left and right cuneus compared with BD without suicidality and HC groups. Moreover, the GMV in the left lateral prefrontal cortex and left cuneus in BD with suicidality were significantly lower than those in BD without suicidality and HC groups, while the GMV of the right ventral prefrontal cortex was significantly decreased in both BD with and without suicidality groups.Conclusions: This study, combining functional and structural neuroimaging techniques, may help to identify specific pathophysiological changes in women with BD and suicidality. Increased ALFF and less GMV in cuneus might represent the neuroimaging features of suicidality in women with BD. Investigating this potential neuromarker for suicidality in women with BD may lead to the ability to prevent suicidality.

The relationship between gray matter changes in schizophrenia patients and the number of psychotic episodes

2011 ◽  
Vol 26 (S2) ◽  
pp. 952-952
Author(s):  
G. Rubeša ◽  
R. Antulov ◽  
A. Ružić Baršic ◽  
J. Lerga ◽  
D. Miletić
Keyword(s):  
Gray Matter ◽  
Structural Changes ◽  
Gray Matter Volume ◽  
Statistical Parametric Mapping ◽  
Brodmann Area ◽  
Mapping Technique ◽  
Brodmann Areas ◽  
And Gender ◽  
The Right ◽  
The Relationship

IntroductionA significant amount of evidence from structural brain imaging studies provide new insights into the neuroanatomical basis of schizophrenia.ObjectivesTo investigate whole brain gray matter (GM) differences between schizophrenia patients grouped according to the number of psychotic episodes and normal controls (NC).AimTo determine regions of GM differences in schizophrenia patients grouped according to the number of psychotic episodes.MethodsA group of 53 schizophrenia patients (23 with up to 3 psychotic episodes, 15 with 4 to 6 and 15 with 7 or more psychotic episodes) and 35 age and gender matched NC were included. Voxel-based morphometry (VBM) is an adaptation of the statistical parametric mapping technique that allows investigators to quantitatively examine brain structural changes. VBM data of schizophrenia patients divided into 3 groups: up to 3, 4 to 6 and 7 or more episodes were compared with NC.ResultsPatients with up to 3 episodes had reduced gray matter volume (GMV) in the right claustrum, right Brodmann areas 6 and 13 and left Brodmann area 10, patients with 4 to 6 episodes in left Brodmann areas 25, 35 and 37 and in right Brodmann area 13, and those with 7 or more episodes showed decreased GMV in left substantia nigra and left Brodmann area 10 compared with NC.ConclusionGMV reduction in schizophrenia varies depending on the number of psychotic episodes. The affection of different brain areas indicates separated neurobiological mechanisms underlying the stage and the progression of illness.

scholarly journals Gray matter volume alterations associated with suicidal ideation and suicide attempts in patients with mood disorders

2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Pengshuo Wang ◽  
Ran Zhang ◽  
Xiaowei Jiang ◽  
Shengnan Wei ◽  
Fei Wang ◽  
...  
Keyword(s):  
Suicidal Ideation ◽  
Mood Disorders ◽  
Gray Matter ◽  
Suicidal Behavior ◽  
Suicide Attempts ◽  
Gray Matter Volume ◽  
Middle Frontal Gyrus ◽  
Left And Right ◽  
Magnetic Resonance Imaging Mri ◽  
Post Hoc

Abstract Background Mood disorders are severe mental disorders related to increased suicidal behavior. Finding neural features for suicidal behavior, including suicide attempts (SAs) and suicidal ideation (SI), in mood disorders may be helpful in preventing suicidal behavior. Methods Subjects consisted of 70 patients with mood disorders and suicidal behavior, 128 patients with mood disorders without suicidal behavior (mood disorders control, MC), and 145 health control (HC) individuals. All participants underwent structural magnetic resonance imaging (MRI). We used voxel-based morphometry (VBM) techniques to examine gray matter volumes (GMVs). Results Significant differences were found in GMVs of the left and right middle frontal gyrus among the patients with mood disorders and suicidal behavior, MC, and HC. Post hoc comparisons showed significant differences in the GMVs of the above regions across all three groups (P < 0.01): HC > MC > mood disorders with suicidal behavior. However, there were no significant differences in the GMVs of the left and right middle frontal gyrus between the mood disorders with SI and mood disorders with SAs groups. Conclusions These findings provide evidence that abnormal regional GMV in the middle frontal gyrus is associated with suicidal behavior in mood disorders. Further investigation is warranted to determine whether the GMV alterations in mood disorders with SI are different from these in mood disorders with SAs.

scholarly journals The Contribution of the Dorsolateral Prefrontal Cortex in Full and Divided Encoding: A Paired-Pulse Transcranial Magnetic Stimulation Study

2010 ◽  
Vol 23 (3) ◽  
pp. 107-115 ◽  
Author(s):  
Sophie Blanchet ◽  
Geneviève Gagnon ◽  
Cyril Schneider
Keyword(s):  
Prefrontal Cortex ◽  
Dorsolateral Prefrontal Cortex ◽  
Verbal Material ◽  
Paired Pulse ◽  
Attentional Resources ◽  
Sham Condition ◽  
Left Dlpfc ◽  
Dorsolateral Prefrontal ◽  
Episodic Encoding ◽  
The Right

This research investigated the contribution of the dorsolateral prefrontal cortex (DLPFC) in the attentional resources in episodic encoding for both verbal and non-verbal material. Paired-pulse transcranial magnetic stimulations (TMS) were used to interfere transiently with either the left or right DLPFC during encoding under full attention (FA) or under divided attention (DA) in a recognition paradigm using words and random shapes. Participants recognized fewer items after TMS over the left DLPFC than over the right DLPFC during FA encoding. However, TMS over the left DLPFC did not impair performance when compared to sham condition. Conversely, participants produced fewer items after TMS over the right DLPFC in DA encoding compared to sham condition, but not compared to TMS over the left DLPFC. These effects were found for both words and random shapes. These results suggest that the right DLPFC play an important role in successful encoding with a concomitant task regardless of the type of material.

scholarly journals Lateral comparisons using Fishman's skeletal maturation assessment

2014 ◽  
Vol 85 (3) ◽  
pp. 408-412 ◽  
Author(s):  
Abraham N. Safer ◽  
Peter Homel ◽  
David D. Chung
Keyword(s):  
Bone Development ◽  
Surgical Patients ◽  
Skeletal Maturation ◽  
Age And Gender ◽  
Left Hand ◽  
Right Hand ◽  
Significant Difference ◽  
Left And Right ◽  
And Gender ◽  
The Right

ABSTRACT Objective:  To assess lateral differences between ossification events and stages of bone development in the hands and wrists utilizing Fishman's skeletal maturation indicators (SMIs). Materials and Methods:  The skeletal ages of 125 subjects, aged 8 to 20 years, were determined with left and right hand-wrist radiographs using Fishman's SMI assessment. Each subject was also given the Edinburgh Handedness Questionnaire to assess handedness. The skeletal ages of both hand-wrist radiographs were analyzed against each other, handedness, chronologic age, and gender. Results:  There were no significant differences overall in right and left SMI scores (P  =  .70); 79% of all patients showed no difference in right and left SMI scores, regardless of handedness, gender, or age. However, when patients were categorized based on clinical levels of SMI score for the right hand-wrist, there was a significant difference (P  =  .01) between the SMI 1-3 group and the SMI 11 group. Subjects in the SMI 1-3 group were more likely to show a left &gt; right SMI score, while subjects in the SMI 11 group were likely to show a right &gt; left SMI score. Conclusion:  Although no significant overall lateral differences in SMI scores were noted, it may be advisable to obtain a left hand-wrist radiograph and/or additional diagnostic information to estimate completion of growth in young surgical patients.

scholarly journals Near-Infrared Spectroscopy Reveals Abnormal Hemodynamics in the Left Dorsolateral Prefrontal Cortex of Menopausal Depression Patients

2017 ◽  
Vol 2017 ◽  
pp. 1-10 ◽  
Author(s):  
Xiang-Yun Ma ◽  
Yong-Jun Wang ◽  
Bo Xu ◽  
Kun Feng ◽  
Gao-Xiang Sun ◽  
...  
Keyword(s):  
Prefrontal Cortex ◽  
Infrared Spectroscopy ◽  
Near Infrared Spectroscopy ◽  
Near Infrared ◽  
Verbal Fluency Task ◽  
Left Dlpfc ◽  
Significant Difference ◽  
The Difference ◽  
The Right ◽  
Menopausal Depression

Background/Objective. Menopausal depression (MD) is characterized by depressive symptoms along with hormonal fluctuations. We investigate brain function alteration between major depressive disorder (MDD) and MD.Methods. The difference in oxygenated hemoglobin (Oxy-Hb) for the prefrontal cortex (PFC) was compared retrospectively among 90 females presented with 30 MDD, 30 MD, and 30 healthy controls (HCs) using verbal fluency task (VFT) with near-infrared spectroscopy (NIRS).Results. We observed a significant difference in Oxy-Hb alteration in the left dorsolateral PFC (DLPFC) using VFT with NIRS (channel 18,P=0.007) between the MD and MDD groups. A significant difference in Oxy-Hb levels was observed among the three groups in the bilateral DLPFC (channels 18, 27, 33, 39, 41, and 45;P<0.05). Compared to the HCs, the MD group presented lower Oxy-Hb activation in the right DLPFC (channel 41;P=0.048) and the left DLPFC (channels 18, 39, and 45;P<0.05), and the MDD group presented lower Oxy-Hb activation in the right DLPFC (channels 27, 33, and 41;P<0.05) and the left DLPFC (channels 39 and 45;P<0.05).Conclusion. Abnormal hemodynamics of the left DLPFC can differentiate MD from MDD by NIRS.

scholarly journals Handedness and gender influence blood pressure in young healthy men and women: A pilot study

2016 ◽  
Vol 50 (1) ◽  
pp. 10-15 ◽  
Author(s):  
I Rueda ◽  
I Banegas ◽  
I Prieto ◽  
R Wangensteen ◽  
AB Segarra ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Sex Hormones ◽  
Sex Steroids ◽  
Menstrual Phase ◽  
Men And Women ◽  
Left Handed ◽  
Gender Influence ◽  
Left And Right ◽  
And Gender ◽  
The Right

AbstractObjective. The type and level of sex steroids influence blood pressure (BP). It has been suggested that functional brain asymmetries may be influenced by sex hormones. In addition, there are inter-arm differences in BP not yet related with handedness. In this study, we hypothesize a possible association between sex hormones, handedness, and inter-arm differences in blood pressure.Methods. To analyze this hypothesis, we measured BP in the left and right arm of the left and right handed adult young men and women in menstrual and ovulatory phase and calculated their mean arterial pressure (MAP).Results. Significant differences depending on sex, arm, handedness or phase of the cycle were observed. MAP was mostly higher in men than in women. Remarkably, in women, the highest levels were observed in the left handed in menstrual phase. Interestingly, the level of handedness correlated negatively with MAP measured in the left arm of right-handed women in the ovulatory phase but positively with the MAP measured in the right arm of right-handed women in the menstrual phase.Conclusions. These results may reflect an asymmetrical modulatory influence of sex hormones in BP control.

scholarly journals Daily and Intermittent Smoking Decrease Gray Matter Volume and Concentrations of Glutamate, Creatine, Myo-Inositol and N-acetylaspartate in the Prefrontal Cortex

2020 ◽  
Author(s):  
Paul Faulkner ◽  
Susanna Lucini Paioni ◽  
Petya Kozhuharova ◽  
Natasza Orlov ◽  
David J. Lythgoe ◽  
...  
Keyword(s):  
Prefrontal Cortex ◽  
Medial Prefrontal Cortex ◽  
Gray Matter ◽  
Smoking Status ◽  
Inferior Frontal Gyrus ◽  
Gray Matter Volume ◽  
Structural Mri ◽  
Resonance Spectroscopy ◽  
Matter Volume ◽  
The Right

AbstractCigarette smoking is still the largest contributor to disease and death worldwide. Successful cessation is hindered by decreases in prefrontal glutamate concentrations and gray matter volume due to daily smoking. Because non-daily, intermittent smoking also contributes greatly to disease and death, understanding whether infrequent tobacco use is associated with reductions in prefrontal glutamate concentrations and gray matter volume may aid public health. Eighty-five young participants (41 non-smokers, 24 intermittent smokers, 20 daily smokers, mean age ~23 years old), underwent 1H-magnetic resonance spectroscopy of the medial prefrontal cortex, as well as structural MRI to determine whole-brain gray matter volume. Compared to non-smokers, both daily and intermittent smokers exhibited lower concentrations of glutamate, creatine, N-acetylaspartate and myo-inositol in the medial prefrontal cortex, and lower gray matter volume in the right inferior frontal gyrus; these measures of prefrontal metabolites and structure did not differ between daily and intermittent smokers. Finally, medial prefrontal metabolite concentrations and right inferior frontal gray matter volume were positively correlated, but these relationships were not influenced by smoking status. This study provides the first evidence that both daily and intermittent smoking are associated with low concentrations of glutamate, creatine, N-acetylaspartate and myo-inositol, and low gray matter volume in the prefrontal cortex. Future tobacco cessation efforts should not ignore potential deleterious effects of intermittent smoking by considering only daily smokers. Finally, because low glutamate concentrations hinder cessation, treatments that can normalize tonic levels of prefrontal glutamate, such as N-acetylcysteine, may help intermittent and daily smokers to quit.

scholarly journals Transcranial Direct Current Stimulation (tDCS) Consequences on Dorsolateral Prefrontal Cortex in Reducing the Symptoms of the Obsessive-Compulsive Disorder

2021 ◽  
Author(s):  
Sina Shafiezadeh ◽  
◽  
Atiyeh Mohammadshirazi ◽  
Mansoureh Eshghi ◽  
Zahra Dokhaei ◽  
...  
Keyword(s):  
Prefrontal Cortex ◽  
Direct Current ◽  
Dorsolateral Prefrontal Cortex ◽  
Sham Group ◽  
P Value ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Left Dlpfc ◽  
Dorsolateral Prefrontal ◽  
The Right

Obsessive-Compulsive Disorder (OCD) is one of the most prevalent debilitating mental disorders that has a general rate of 2 to 3 percent prevalence. Previous studies indicated that there are abnormalities in the dorsolateral prefrontal cortex (DLPFC) of OCD patients, so we decided to use transcranial direct current stimulation (tDCS) to decline the symptoms of these patients. A total number of 24 OCD patients participated in this study with the hope of improvement after the application of tDCS. The subjects were randomly assigned into three groups as Sham, Right DLPFC, and Left DLPFC tDCS, and tDCS were applied for 5 consecutive days as in each session. The protocol was 2 mA current flow for two 15 minutes lasting period following by a 10 minutes rest in between (every session lasts for 40 minutes). Subsequently, the changes in obsessive-compulsive level and depression, anxiety, and stress followed that were evaluated via Yale-Brown and Depression Anxiety Stress Scale 21 (DASS-21) tests by comparing the results of pre-experiment and post-experiment. Ultimately, the results of the Yale-Brown test which evaluates OCD symptoms in Right DLPFC shows significant changes that have occurred after intervention with tDCS (average difference of the Right DLPFC with sham group -6.18 and P-value ≤ 0.01, and for the Left DLPFC with sham group 3.155 and P-value ≥ 0.05). The average DASS scores of pre and post-experiment in the Left DLPFC were -4.63, in the Right DLPFC was -6.62, and in the sham group was -5.13 subsequently. Hereupon, this study demonstrates that tDCS may cause improvements in OCD symptoms.

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