Radiomic features of gray matter in never-treated first-episode schizophrenia
Radiomic features of gray matter in never-treated first-episode schizophrenia
复制标题
未经治疗的首发精神分裂症灰质的放射组学特征
DOI:
10.1093/cercor/bhac474
复制
发表时间:
2022-12-13
期刊:
影响因子:
3.7
通讯作者:
Lui,Su
中科院分区:
文献类型:
--
作者:
Zhu,Fei;Xiao,Yuan;Lui,Su
Alterations of radiomic features (RFs) in gray matter are observed in schizophrenia, of which the results may be limited by small study samples and confounding effects of drug therapies. We tested for RFs alterations of gray matter in never-treated first-episode schizophrenia (NT-FES) patients and examined their associations with known gene expression profiles. RFs were examined in the first sample with 197 NT-FES and 178 healthy controls (HCs) and validated in the second independent sample (90 NT-FES and 74 HCs). One-year follow-up data were available from 87 patients to determine whether RFs were associated with treatment outcomes. Associations between identified RFs in NT-FES and gene expression profiles were evaluated. NT-FES exhibited alterations of 30 RFs, with the greatest involvement of microstructural heterogeneity followed by measures of brain region shape. The identified RFs were mainly located in the central executive network, frontal-temporal network, and limbic system. Two baseline RFs with the involvement of microstructural heterogeneity predicted treatment response with moderate accuracy (78% for the first sample, 70% for the second sample). Exploratory analyses indicated that RF alterations were spatially related to the expression of schizophrenia risk genes. In summary, the present findings link brain abnormalities in schizophrenia with molecular features and treatment response.