PMID- 26516617 OWN - NLM STAT- MEDLINE DCOM- 20160823 LR - 20210109 IS - 2162-3279 (Electronic) VI - 5 IP - 10 DP - 2015 Oct TI - Use of T1-weighted/T2-weighted magnetic resonance ratio images to elucidate changes in the schizophrenic brain. PG - e00399 LID - 10.1002/brb3.399 [doi] LID - e00399 AB - INTRODUCTION: One leading hypothesis suggests that schizophrenia (SZ) is a neurodevelopmental disorder caused by genetic defects in association with environmental risk factors that affect synapse and myelin formation. Recent magnetic resonance imaging (MRI) studies of SZ brain showed both gray matter (GM) reduction and white matter (WM) fractional anisotropy reduction. In this study, we used T1-weighted (T1w)/T2-weighted (T2w) MRI ratio images, which increase myelin-related signal contrast and reduce receiver-coil bias. METHODS: We measured T1w/T2w ratio image signal intensity in 29 patients with SZ and 33 healthy controls (HCs), and then compared them against bias-corrected T1w images. RESULTS: Mean T1w/T2w ratio signal intensity values across all SZ GM and WM voxels were significantly lower than those for the HC values (analysis of covariance with age, gender, handedness, and premorbid intelligence quotient as nuisance covariates). SZ mean WM T1w/T2w ratio values were related to Global Assessment of Functioning (GAF) scores and were inversely related to the positive psychotic symptoms of the Positive and Negative Syndrome Scale. Voxel-based analysis revealed significantly lower T1w/T2w ratio image signal intensity values in the right ventral putamen in SZ GM. T1w image intensities did not differ between the SZ and HC groups. CONCLUSIONS: T1-weighted/T2-weighted ratio imaging increased the detectability of SZ pathological changes. Reduced SZ brain signal intensity is likely due to diminished myelin content; therefore, mapping myelin-related SZ brain changes using T1w/T2w ratio images may be useful for studies of SZ brain abnormalities. FAU - Iwatani, Jun AU - Iwatani J AD - Department of Neuropsychiatry Graduate School of Wakayama Medical University 811-1 Kimiidera Wakayama 641-8509 Japan. FAU - Ishida, Takuya AU - Ishida T AD - Department of Neuropsychiatry Graduate School of Wakayama Medical University 811-1 Kimiidera Wakayama 641-8509 Japan ; Department of System Neurophysiology Graduate School of Wakayama Medical University 811-1 Kimiidera Wakayama 641-8509 Japan. FAU - Donishi, Tomohiro AU - Donishi T AD - Department of System Neurophysiology Graduate School of Wakayama Medical University 811-1 Kimiidera Wakayama 641-8509 Japan. FAU - Ukai, Satoshi AU - Ukai S AD - Department of Neuropsychiatry Graduate School of Wakayama Medical University 811-1 Kimiidera Wakayama 641-8509 Japan. FAU - Shinosaki, Kazuhiro AU - Shinosaki K AD - Department of Neuropsychiatry Graduate School of Wakayama Medical University 811-1 Kimiidera Wakayama 641-8509 Japan. FAU - Terada, Masaki AU - Terada M AD - Wakayama-Minami Radiology Clinic 870-2 Kimiidera Wakayama 641-0012 Japan. FAU - Kaneoke, Yoshiki AU - Kaneoke Y AD - Department of System Neurophysiology Graduate School of Wakayama Medical University 811-1 Kimiidera Wakayama 641-8509 Japan. LA - eng PT - Journal Article DEP - 20150925 PL - United States TA - Brain Behav JT - Brain and behavior JID - 101570837 SB - IM MH - Adult MH - Case-Control Studies MH - Cerebral Cortex/pathology MH - Female MH - Gray Matter/pathology MH - Humans MH - Magnetic Resonance Imaging/*methods MH - Male MH - Middle Aged MH - Myelin Sheath/pathology MH - Schizophrenia/diagnosis/*pathology MH - White Matter/pathology PMC - PMC4614056 OTO - NOTNLM OT - T1-weighted/T2-weighted ratio OT - magnetic resonance imaging OT - myelin OT - nucleus accumbens OT - schizophrenia OT - ventral putamen EDAT- 2015/10/31 06:00 MHDA- 2016/08/24 06:00 PMCR- 2015/09/25 CRDT- 2015/10/31 06:00 PHST- 2015/01/27 00:00 [received] PHST- 2015/07/27 00:00 [revised] PHST- 2015/08/23 00:00 [accepted] PHST- 2015/10/31 06:00 [entrez] PHST- 2015/10/31 06:00 [pubmed] PHST- 2016/08/24 06:00 [medline] PHST- 2015/09/25 00:00 [pmc-release] AID - BRB3399 [pii] AID - 10.1002/brb3.399 [doi] PST - epublish SO - Brain Behav. 2015 Sep 25;5(10):e00399. doi: 10.1002/brb3.399. eCollection 2015 Oct.