Cortical grey matter reductions associated with treatment-resistant chronic unipolar depression

1998 ◽  
Vol 172 (6) ◽  
pp. 527-532 ◽  
Author(s):  
Premal J. Shah ◽  
Klaus P. Ebmeier ◽  
Michael F. Glabus ◽  
Guy M. Goodwin

BackgroundThe aetiology of treatment-resistant major depression is little understood; its apparent intractability may reflect brain abnormality.MethodMagnetic resonance images of the brains of 20 subjects with major depression lasting for two years or more were compared with 20 healthy control subjects and 20 other subjects who had completely recovered from depression. Subjects were individually matched for age, gender, years of education and premorbid IQ. Grey matter was segmented from the images, and compared between groups on a voxel-by-voxel basis.ResultsSubjects with chronic depression showed reduced grey matter density in the left temporal cortex including the hippocampus. There was also a trend for reduction in the right hippocampus. Left hippocampal grey matter density was correlated with measures of verbal memory, supporting the functional significance of the observed magnetic resonance imaging changes.ConclusionsOur results potentially challenge the accepted view of depression as a functional and fully reversible illness, implying instead that more permanent brain changes may be associated with chronicity. Confirmatory longitudinal and prospective studies are required to determine whether these differences pre-date the onset of depression or are the result of the chronic illness process or its treatment.

Author(s):  
Sandra Manninen ◽  
Tomi Karjalainen ◽  
Lauri J. Tuominen ◽  
Jarmo Hietala ◽  
Valtteri Kaasinen ◽  
...  

AbstractPositron emission tomography (PET) can be used for in vivo measurement of specific neuroreceptors and transporters using radioligands, while voxel-based morphometric analysis of magnetic resonance images allows automated estimation of local grey matter densities. However, it is not known how regional neuroreceptor or transporter densities are reflected in grey matter densities. Here, we analyzed brain scans retrospectively from 325 subjects and compared grey matter density estimates with three different neuroreceptors and transporter availabilities. µ-opioid receptors (MORs) were measured with [11C]carfentanil (162 scans), dopamine D2 receptors with [11C]raclopride (91 scans) and serotonin transporters (SERT) with [11C]MADAM (72 scans). The PET data were modelled with simplified reference tissue model. Voxel-wise correlations between binding potential and grey matter density images were computed. Regional binding of all the used radiotracers was associated with grey matter density in region and ligand-specific manner independently of subjects’ age or sex. These data show that grey matter density and MOR and D2R neuroreceptor / SERT availability are correlated, with effect sizes (r2) ranging from 0.04 to 0.69. This suggests that future studies comparing PET outcome measure different groups (such as patients and controls) should take grey matter density differences between the groups into account.


2001 ◽  
Vol 179 (4) ◽  
pp. 330-334 ◽  
Author(s):  
Jae-Jin Kim ◽  
Myung Chul Lee ◽  
Jaeseok Kim ◽  
In Young Kim ◽  
Sun I. Kim ◽  
...  

BackgroundAlthough a number of functional imaging studies are in agreement in suggesting orbitofrontal and subcortical hyperfunction in the pathophysiology of obsessive–compulsive disorder (OCD), the structural findings have been contradictory.AimsTo investigate grey matter abnormalities in patients with OCD by employing a novel voxel-based analysis of magnetic resonance images.MethodStatistical parametric mapping was utilised to compare segmented grey matter images from 25 patients with OCD with those from 25 matched controls.ResultsIncreased regional grey matter density was found in multiple cortical areas, including the left orbitofrontal cortex, and in subcortical areas, including the thalamus. On the other hand, regions of reduction were confined to posterior parts of the brain, such as the left cuneus and the left cerebellum.ConclusionsIncreased grey matter density of frontal–subcortical circuits, consonant with the hypermetabolic findings from functional imaging studies, seems to exist in patients with OCD, and cerebellar dysfunction may be involved in the pathophysiology of OCD.


Pain ◽  
2014 ◽  
Vol 155 (3) ◽  
pp. 566-573 ◽  
Author(s):  
Nichole M. Emerson ◽  
Fadel Zeidan ◽  
Oleg V. Lobanov ◽  
Morten S. Hadsel ◽  
Katherine T. Martucci ◽  
...  

2008 ◽  
Vol 103 (1-3) ◽  
pp. 319-321 ◽  
Author(s):  
Emmanuel Stip ◽  
Adham Mancini-Marïe ◽  
Cherine Fahim ◽  
Lahcen Ait Bentaleb ◽  
Genevieve Létourneau ◽  
...  

2017 ◽  
Vol 13 (7) ◽  
pp. P1493
Author(s):  
Kacie Deters ◽  
Shannon L. Risacher ◽  
Kaj Blennow ◽  
Henrik Zetterberg ◽  
Michael Weiner ◽  
...  

Neuroscience ◽  
2009 ◽  
Vol 163 (4) ◽  
pp. 1102-1108 ◽  
Author(s):  
J. Peters ◽  
M. Dauvermann ◽  
C. Mette ◽  
P. Platen ◽  
J. Franke ◽  
...  

2016 ◽  
Vol 12 ◽  
pp. P288-P288
Author(s):  
Gennady V. Roshchupkin ◽  
Hazel I. Zonneveld ◽  
Hieab H.H. Adams ◽  
Meike W. Vernooij ◽  
Wiro J. Niessen ◽  
...  

2013 ◽  
Vol 219 (1) ◽  
pp. 353-366 ◽  
Author(s):  
Clara E. James ◽  
Mathias S. Oechslin ◽  
Dimitri Van De Ville ◽  
Claude-Alain Hauert ◽  
Céline Descloux ◽  
...  

2007 ◽  
Vol 191 (3) ◽  
pp. 224-228 ◽  
Author(s):  
Michaelc. Craig ◽  
Shahid H. Zaman ◽  
Eileen M. Daly ◽  
William J. Cutter ◽  
Dene M. W. Robertson ◽  
...  

BackgroundOur understanding of anatomical differences in people with autistic-spectrum disorder, is based on mixed-gender or male samples.AimsTo study regional grey-matter and white-matter differences in the brains of women with autistic-spectrum disorder.MethodWe compared the brain anatomy of 14 adult women with autistic-spectrum disorder with 19 controls using volumetric magnetic resonance imaging and voxel-based morphometry Results Women with autistic-spectrum disorder had a smaller density bilaterally of grey matter in the frontotemporal cortices and limbic system, and of white matter in the temporal lobes (anterior) and pons. In contrast, they had a larger white-matter density bilaterally in regions of the association and projection fibres of the frontal, parietal, posterior temporal and occipital lobes, in the commissural fibres of the corpus callosum (splenium) and cerebellum (anterior lobe). Further, we found a negative relationship between reduced grey-matter density in right limbic regions and social communication ability.ConclusionsWomen with autistic-spectrum disorder have significant differences in brain anatomy from controls, in brain regions previously reported as abnormal in adult men with the disorder. Some anatomical differences may be related to clinical symptoms.


Sign in / Sign up

Export Citation Format

Share Document