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Functional and Structural MR Imaging in Neuropsychiatric Disorders, Part 1: Imaging Techniques and Their Application in Mild Cognitive Impairment and Alzheimer Disease - AJNR News Digest
May 2013
Review Articles

Functional and Structural MR Imaging in Neuropsychiatric Disorders, Part 1: Imaging Techniques and Their Application in Mild Cognitive Impairment and Alzheimer Disease

Sophia Mueller

Sophia Mueller

Tracing the functional and structural connectivity within the brain may provide means to see whether psychiatric illness is fundamentally routed in “connectopathies”—connectional abnormalities that lead to brain dysfunction. So far, only a few studies have combined functional and structural network explorations to ask this very basic question of how anatomic variability affects functional differences. The development of functional MRI and diffusion-based anatomic mapping techniques (eg, DTI), together with the possibility of computational modeling diversity in connectivity patterns, open new avenues for the discovery of brain function and pathway structures in vivo that provide insight into psychological mechanisms of psychiatric diseases.

The scope of our AJNR review articles was to give a brief methodologic overview of functional and structural neuroimaging methods, to summarize important findings in common neuropsychiatric disorders such as Alzheimer disease (AD), schizophrenia, and autism, and to delineate the first successful multimodal neuroimaging approaches in these diseases.

However, when embarking towards the discovery of altered neural connectivity in disease, it is essential to have a profound understanding of the connectional architecture of the human brain and its “normal” range of variability. Therefore, our current research focuses on multimodal brain imaging aimed at understanding individual differences in functional connectivity architecture and underlying anatomy. Understanding the normal range of individual variability in the human brain will help us identify and potentially treat regions likely to form abnormal circuitry, as manifested in neuropsychiatric disorders. In our recent study we could demonstrate that individual differences in mental domains, such as personality traits, can be linked to brain regions of high variability in functional connections.1

As a next step, we aim to identify brain regions that show high test-retest reliability and high sensitivity to individual differences in anatomic measures—such as sulcal depth and cortical thickness—and in intrinsic functional connectivity. Areas showing high reliability as well as high sensitivity to individual differences in both anatomic and functional connectivity are most likely to qualify as multimodal imaging biomarkers of brain disease.

The development of robust imaging biomarkers will be further facilitated by the use of sufficiently large datasets from multicenter collaborations. The recent emergence of resting-state fMRI, especially, as a broadly available imaging modality has lead to a momentum towards open data sharing. Such publicly available datasets exist for AD2 and for ADHD (http://fcon_1000.projects.nitrc.org/indi/adhd200/). As we believe that this is a crucial development in the field, we have contributed our imaging datasets of high-functioning subjects with autism and their matched controls to the Autism Brain Imaging Data Exchange initiative, a consortium effort dedicated to aggregating and sharing previously collected MRI datasets from individuals with autism.3 The announcing manuscript, providing the results of an initial connectivity analysis of a sample over 500 high-functioning subjects with autism and their age-matched typical controls, will be published in Molecular Psychiatry shortly.

References

  1. Mueller S, Wang D, Fox MD, et al. Individual Variability in Functional Connectivity Architecture of the Human Brain. Neuron 2013;77:586-95. doi: 10.1016/j.neuron.2012.12.028
  2. Di Martino A. The Autism Brain Imaging Data Exchange (ABIDE) consortium: open sharing of autism resting state fMRI. In: 18th Annual Meeting of the Organization for Human Brain Mapping, Beijing, China.
  3. Jack CR Jr, Bernstein MA, Fox NC, et al. The Alzheimer's Disease Neuroimaging Initiative (ADNI): MRI methods. J Magn Reson Imaging 2008;27:685-91. doi: 10.1002/jmri.21049

 

Read this article at AJNR.org . . .