Reduced cortical thickness in first episode schizophrenia.

Objective: Previous morphometric studies are suggesting altered cortical thickness mainly in prefronto-temporal regions in first episode schizophrenia. In an extension of these earlier studies, we used an entire cortex vertex-wise approach and an automated clustering for the detection and exact quan...

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Published in:Schizophrenia Research Vol. 116; no. 2/3; pp. 204 - 210
Main Authors: Schultz CC, Koch K, Wagner G, Roebel M, Schachtzabel C, Gaser C, Nenadic I, Reichenbach JR, Sauer H, Schlösser RG, Schultz, C Christoph, Koch, Kathrin, Wagner, Gerd, Roebel, Martin, Schachtzabel, Claudia, Gaser, Christian, Nenadic, Igor, Reichenbach, Jürgen R, Sauer, Heinrich, Schlösser, Ralf G M
Format: research Journal Article
Published: Elsevier B.V. Feb2010
Online Access:View this record in EBSCOhost
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      dt: Feb2010
      vid: 116
      iid: 2/3
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      pub: Elsevier B.V.
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        10.1016/j.schres.2009.11.001
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        atl: Reduced cortical thickness in first episode schizophrenia.
      aug:
        au:
          Schultz CC
          Koch K
          Wagner G
          Roebel M
          Schachtzabel C
          Gaser C
          Nenadic I
          Reichenbach JR
          Sauer H
          Schlösser RG
          Schultz, C Christoph
          Koch, Kathrin
          Wagner, Gerd
          Roebel, Martin
          Schachtzabel, Claudia
          Gaser, Christian
          Nenadic, Igor
          Reichenbach, Jürgen R
          Sauer, Heinrich
          Schlösser, Ralf G M
        affil: Department of Psychiatry and Psychotherapy, Friedrich-Schiller-University Jena, Philosophenweg 3, 07740 Jena, Germany
      sug:
        subj:
          Brain Mapping
          Cerebral Cortex Pathology
          Schizophrenia
          Adult
          Case Control Studies
          Cluster Analysis
          Female
          Dominance, Cerebral Physiology
          Human
          Image Processing, Computer Assisted Methods
          Magnetic Resonance Imaging Methods
          Male
          Psychological Tests
          Young Adult
          Adult: 19-44 years
          Female
          Male
      ab: Objective: Previous morphometric studies are suggesting altered cortical thickness mainly in prefronto-temporal regions in first episode schizophrenia. In an extension of these earlier studies, we used an entire cortex vertex-wise approach and an automated clustering for the detection and exact quantification of cortical thickness alterations in first episode schizophrenia.Methods: A group of 54 patients with first episode schizophrenia according to DSM-IV and 54 age and gender matched healthy control subjects were included. All participants underwent high-resolution T1-weighted MRI scans on a 1.5 T scanner. Cortical thickness was estimated as the distance between the gray-white matter border and the pial surface using an automated computerized algorithm (Freesurfer Software). Statistical cortical maps were created to estimate differences of cortical thickness between groups based on this entire cortex analysis.Results: Significant cortical thinning was observed in first episode schizophrenia patients relative to controls in a number of cortical areas including the dorsolateral and frontopolar cortices, the anterior cingulate cortex, a ventrolateral-orbitofrontal cluster, as well as the superior temporal cortices and superior parietal lobe. Cortical thinning within these regions was on average 4.4-5.7% with strongest reductions in orbitofrontal regions (7.1%).Conclusions: The present findings suggest widespread reduction of cortical thickness, mostly in heteromodal cortices of fronto-temporal networks to be present at an early stage of schizophrenia. Taken together, the present morphometric data in first episode schizophrenia provide further evidence for potential neurodevelopmental deficits and disruption of cortical maturation in this disorder.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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