A Systematic Characterization of Structural Brain Changes in Schizophrenia

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ORIGINAL ARTICLE

A Systematic Characterization of Structural Brain Changes in Schizophrenia Wasana Ediri Arachchi1,2 • Yanmin Peng1 • Xi Zhang1 • Wen Qin3 Chuanjun Zhuo3,4 • Chunshui Yu1,3,5 • Meng Liang1



Received: 5 November 2019 / Accepted: 13 February 2020  Shanghai Institutes for Biological Sciences, CAS 2020

Abstract A systematic characterization of the similarities and differences among different methods for detecting structural brain abnormalities in schizophrenia, such as voxel-based morphometry (VBM), tensor-based morphometry (TBM), and projection-based thickness (PBT), is important for understanding the brain pathology in schizophrenia and for developing effective biomarkers for a diagnosis of schizophrenia. However, such studies are still lacking. Here, we performed VBM, TBM, and PBT analyses on T1-weighted brain MR images acquired from 116 patients with schizophrenia and 116 healthy controls.

We found that, although all methods detected wide-spread structural changes, different methods captured different information – only 10.35% of the grey matter changes in cortex were detected by all three methods, and VBM only detected 11.36% of the white matter changes detected by TBM. Further, pattern classification between patients and controls revealed that combining different measures improved the classification accuracy (81.9%), indicating that fusion of different structural measures serves as a better neuroimaging marker for the objective diagnosis of schizophrenia.

Wasana Ediri Arachchi and Yanmin Peng have contributed equally to this work.

Keywords Voxel-based morphometry  Tensor-based morphometry  Deformation-based morphometry  Cortical thickness  Multivariate pattern analysis  Structural MRI  Schizophrenia

Electronic supplementary material The online version of this article (https://doi.org/10.1007/s12264-020-00520-8) contains supplementary material, which is available to authorized users. & Meng Liang [email protected] 1

School of Medical Imaging and Tianjin Key Laboratory of Functional Imaging, Tianjin Medical University, Tianjin 300203, China

2

Department of Radiography and Radiotherapy, Faculty of Allied Health Sciences, General Sir John Kotelawala Defence University, Ratmalana 10390, Sri Lanka

3

Department of Radiology and Tianjin Key Laboratory of Functional Imaging, Tianjin Medical University General Hospital, Tianjin 300052, China

4

Department of Psychiatric-Neuroimaging-Genetics and Comorbidity Laboratory, Tianjin Mental Health Center, Tianjin Anding Hospital, Tianjin 300222, China

5

CAS Center for Excellence in Brain Science and Intelligence Technology, Chinese Academy of Sciences, Shanghai 200031, China

Introduction Schizophrenia is a severe chronic illness associated with psychosis, thought disorganization, cognitive impairment, and altered motor function [1, 2]. It seems that patients have lost touch with reality and this leads to considerable impact on their health and well-being as well as their surrounding environment [3