PMID- 25883891 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200929 IS - 2196-2979 (Print) IS - 2196-2979 (Electronic) VI - 2015 DP - 2015 Mar 6 TI - Neuroimaging Biomarkers for Psychosis. PG - 1-10 AB - BACKGROUND: Biomarkers provide clinicians with a predictable model for the diagnosis, treatment and follow-up of medical ailments. Psychiatry has lagged behind other areas of medicine in the identification of biomarkers for clinical diagnosis and treatment. In this review, we investigated the current state of neuroimaging as it pertains to biomarkers for psychosis. METHODS: We reviewed systematic reviews and meta-analyses of the structural (sMRI), functional (fMRI), diffusion-tensor (DTI), Positron emission tomography (PET) and spectroscopy (MRS) studies of subjects at-risk or those with an established schizophrenic illness. Only articles reporting effect-sizes and confidence intervals were included in an assessment of robustness. RESULTS: Out of the identified meta-analyses and systematic reviews, 21 studies met the inclusion criteria for assessment. There were 13 sMRI, 4 PET, 3 MRS, and 1 DTI studies. The search terms included in the current review encompassed familial high risk (FHR), clinical high risk (CHR), First episode (FES), Chronic (CSZ), schizophrenia spectrum disorders (SSD), and healthy controls (HC). CONCLUSIONS: Currently, few neuroimaging biomarkers can be considered ready for diagnostic use in patients with psychosis. At least in part, this may be related to the challenges inherent in the current symptom-based approach to classifying these disorders. While available studies suggest a possible value of imaging biomarkers for monitoring disease progression, more systematic research is needed. To date, the best value of imaging data in psychoses has been to shed light on questions of disease pathophysiology, especially through the characterization of endophenotypes. FAU - Hager, Brandon M AU - Hager BM AD - Massachusetts Mental Health Center Division of Public Psychiatry, Beth Israel Deaconess Medical Center, Department of Psychiatry, Harvard Medical School, 75 Fenwood Road, 5th Floor, Boston, MA 02115 USA (617) 754-1244. FAU - Keshavan, Matcheri S AU - Keshavan MS AD - Massachusetts Mental Health Center Division of Public Psychiatry, Beth Israel Deaconess Medical Center, Department of Psychiatry, Harvard Medical School, 75 Fenwood Road, 5th Floor, Boston, MA 02115 USA (617) 754-1256. LA - eng GR - R01 MH078113/MH/NIMH NIH HHS/United States GR - R01 MH092440/MH/NIMH NIH HHS/United States GR - R01 MH096942/MH/NIMH NIH HHS/United States PT - Journal Article PL - Switzerland TA - Curr Behav Neurosci Rep JT - Current behavioral neuroscience reports JID - 101626570 PMC - PMC4394385 MID - NIHMS669768 OTO - NOTNLM OT - MRS OT - PET OT - fMRI OT - neuroimaging biomarkers OT - psychosissMRI COIS- Conflict of Interest Brandon Hager and Matcheri Keshavan have no relevant disclosures. EDAT- 2015/04/18 06:00 MHDA- 2015/04/18 06:01 PMCR- 2016/03/06 CRDT- 2015/04/18 06:00 PHST- 2015/04/18 06:00 [entrez] PHST- 2015/04/18 06:00 [pubmed] PHST- 2015/04/18 06:01 [medline] PHST- 2016/03/06 00:00 [pmc-release] PST - ppublish SO - Curr Behav Neurosci Rep. 2015 Mar 6;2015:1-10.