题名 | Is depression a disconnection syndrome? Meta-analysis of diffusion tensor imaging studies in patients with MDD |
作者 | |
发表日期 | 2013-01 |
发表期刊 | JOURNAL OF PSYCHIATRY & NEUROSCIENCE 影响因子和分区 |
语种 | 英语 |
原始文献类型 | Article |
其他关键词 | LATE-LIFE DEPRESSION ; WHITE-MATTER ABNORMALITIES ; MICROSTRUCTURAL ABNORMALITIES ; MOOD DISORDERS ; BRAIN ; CIRCUITS ; HODOLOGY ; CONNECTIVITY ; ANISOTROPY ; UPDATE |
摘要 | Background: Many studies using diffusion tensor imaging (DTI) have demonstrated impaired white matter integrity in patients with major depressive disorder (MDD), with significant results found in diverse brain regions. We sought to identify whether there are consistent changes of regional white matter integrity in patients with MDD, as shown by decreased fractional anisotropy in DTI. Method: A systematic search strategy was used to identify relevant whole brain voxel-based DTI studies of patients with MDD in relation to comparison groups. Relevant databases were searched for studies published between January 1994 and February 2011 using combinations of the terms DTI or diffusion tensor; whole brain or voxel-based; and depress*. Using the studies that met our inclusion criteria, we performed a meta-analysis of the coordinates of decreased fractional anisotropy using the activation likelihood estimation (ALE) method, which detects 3-dimensional conjunctions of coordinates from multiple studies, weighted by sample size. We then used DTIquery software for fibre tracking to locate the fascicles involved in each region. Results: We included 11 studies with a combined sample of 231 patients with MDD and 261 comparison participants, providing 50 coordinates of decreased fractional anisotropy. Our meta-analysis identified 4 consistent locations of decreased fractional anisotropy in patients with MDD: white matter in the right frontal lobe, right fusiform gyrus, left frontal lobe and right occipital lobe. Fibre tracking showed that the main fascicles involved were the right inferior longitudinal fasciculus, right inferior fronto-occipital fasciculus, right posterior thalamic radiation and interhemispheric fibres running through the genu and body of the corpus callosum. Limitations: The number of studies included was relatively small, and the DTI data acquisition and analysis techniques were heterogeneous. The ALE method cannot handle studies with no significant group differences. Conclusion: Voxel-based analysis of DTI studies of patients with MDD consistently identified decreased fractional anisotropy in the white matter fascicles connecting the prefrontal cortex within cortical (frontal, temporal and occipital lobes) and subcortical areas (amygdala and hippocampus). This is strong evidence for the involvement of these neural circuits in the pathology of MDD. |
资助项目 | National Natural Science FoundationNational Natural Science Foundation of China (NSFC) [81171488, 81030027]; National Key Technologies R&D Program of ChinaNational Key Technology R&D Program [2012BAI01B03] |
出版者 | CMA-CANADIAN MEDICAL ASSOC |
出版地 | OTTAWA |
ISSN | 1180-4882 |
EISSN | 1488-2434 |
卷号 | 38期号:1页码:49-56 |
DOI | 10.1503/jpn.110180 |
页数 | 8 |
WOS类目 | Neurosciences ; Psychiatry |
WOS研究方向 | Neurosciences & Neurology ; Psychiatry |
WOS记录号 | WOS:000318039600007 |
收录类别 | SSCI ; SCIE ; SCOPUS |
URL | 查看原文 |
PubMed ID | 226913 |
SCOPUSEID | 2-s2.0-84871566294 |
ESI高被引论文 | 2020-01 ; 2020-03 ; 2020-05 ; 2020-09 ; 2020-11 ; 2021-01 ; 2021-03 ; 2021-05 ; 2021-07 ; 2021-09 ; 2021-11 ; 2022-01 ; 2022-03 ; 2022-05 ; 2022-07 ; 2022-09 ; 2022-11 ; 2023-01 ; 2023-03 ; 2023-05 ; 2023-07 ; 2023-09 ; 2023-11 ; 2024-01 ; 2024-03 |
社科自定义期刊分类 | D类 |
通讯作者地址 | [Gong, Qiyong]Huaxi MR Research Center (HMRRC),Department of Radiology,West China Hospital of Sichuan University,No. 37 Guo Xue Xiang,China |
Scopus学科分类 | Psychiatry and Mental Health;Biological Psychiatry;Pharmacology (medical) |
引用统计 | |
文献类型 | 期刊论文 |
条目标识符 | https://kms.wmu.edu.cn/handle/3ETUA0LF/2846 |
专题 | 第一临床医学院(信息与工程学院)、附属第一医院_精神病与精神卫生学 |
通讯作者 | Gong, Qiyong |
作者单位 | 1.Huaxi MR Research Center (HMRRC),Department of Radiology,West China Hospital of Sichuan University,China; 2.Department of Psychiatry,Wenzhou Medical School,China; 3.Department of Psychiatry,State Key Lab of Biotherapy,West China Hospital of Sichuan University,China; 4.Neuropsychology and Applied Cognitive Neuroscience Laboratory and Key Laboratory of Mental Health,Institute of Psychology,Chinese Academy of Sciences,China; 5.Magnetic Resonance and Image Analysis Research Centre (MARIARC),Institute of Ageing and Chronic Disease,University of Liverpool,United Kingdom |
推荐引用方式 GB/T 7714 | Liao, Yi,Huang, Xiaoqi,Wu, Qizhu,et al. Is depression a disconnection syndrome? Meta-analysis of diffusion tensor imaging studies in patients with MDD[J]. JOURNAL OF PSYCHIATRY & NEUROSCIENCE,2013,38(1):49-56. |
APA | Liao, Yi., Huang, Xiaoqi., Wu, Qizhu., Yang, Chuang., Kuang, Weihong., ... & Gong, Qiyong. (2013). Is depression a disconnection syndrome? Meta-analysis of diffusion tensor imaging studies in patients with MDD. JOURNAL OF PSYCHIATRY & NEUROSCIENCE, 38(1), 49-56. |
MLA | Liao, Yi,et al."Is depression a disconnection syndrome? Meta-analysis of diffusion tensor imaging studies in patients with MDD".JOURNAL OF PSYCHIATRY & NEUROSCIENCE 38.1(2013):49-56. |
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