PMID- 28587813 OWN - NLM STAT- MEDLINE DCOM- 20181031 LR - 20220409 IS - 1573-2509 (Electronic) IS - 0920-9964 (Linking) VI - 192 DP - 2018 Feb TI - Abnormal regional homogeneity as a potential imaging biomarker for adolescent-onset schizophrenia: A resting-state fMRI study and support vector machine analysis. PG - 179-184 LID - S0920-9964(17)30315-8 [pii] LID - 10.1016/j.schres.2017.05.038 [doi] AB - OBJECTIVE: Structural and functional abnormalities have been reported in the brain of patients with adolescent-onset schizophrenia (AOS). The brain regional functional synchronization in patients with AOS remains unclear. METHODS: We analyzed resting-state functional magnetic resonance scans in 48 drug-naive patients with AOS and 31 healthy controls by using regional homogeneity (ReHo), a measurement that reflects brain local functional connectivity or synchronization and indicates regional integration of information processing. Then, receiver operating characteristic curves and support vector machines were used to evaluate the effect of abnormal regional homogeneity in differentiating patients from controls. RESULTS: Patients with AOS showed significantly increased ReHo values in the bilateral superior medial prefrontal cortex (MPFC) and significantly decreased ReHo values in the left superior temporal gyrus (STG), right precentral lobule, right inferior parietal lobule (IPL), and left paracentral lobule when compared with controls. A combination of the ReHo values in bilateral superior MPFC, left STG, and right IPL was able to discriminate patients from controls with the sensitivity of 88.24%, specificity of 91.89%, and accuracy of 90.14%. CONCLUSION: The brain regional functional synchronization abnormalities exist in drug-naive patients with AOS. A combination of ReHo values in these abnormal regions might serve as potential imaging biomarker to identify patients with AOS. CI - Copyright (c) 2017 Elsevier B.V. All rights reserved. FAU - Wang, Shuai AU - Wang S AD - Department of Psychiatry, the Second Xiangya Hospital, Central South University, Changsha, China; Mental Health Institute of the Second Xiangya Hospital, Central South University, Changsha, China; National Clinical Research Center on Mental Disorders, Changsha, China; National Technology Institute on Mental Disorders, Changsha, China; Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, China. FAU - Zhang, Yan AU - Zhang Y AD - Henan Key Laboratory of Biological Psychiatry, Henan Mental Hospital, Second Affiliated Hospital of Xinxiang Medical University, Xinxiang, China. FAU - Lv, Luxian AU - Lv L AD - Henan Key Laboratory of Biological Psychiatry, Henan Mental Hospital, Second Affiliated Hospital of Xinxiang Medical University, Xinxiang, China. FAU - Wu, Renrong AU - Wu R AD - Department of Psychiatry, the Second Xiangya Hospital, Central South University, Changsha, China; Mental Health Institute of the Second Xiangya Hospital, Central South University, Changsha, China; National Clinical Research Center on Mental Disorders, Changsha, China; National Technology Institute on Mental Disorders, Changsha, China; Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, China. FAU - Fan, Xiaoduo AU - Fan X AD - UMass Memorial Medical Center, UMass Medical School, Worcester, USA. FAU - Zhao, Jingping AU - Zhao J AD - Department of Psychiatry, the Second Xiangya Hospital, Central South University, Changsha, China; Mental Health Institute of the Second Xiangya Hospital, Central South University, Changsha, China; National Clinical Research Center on Mental Disorders, Changsha, China; National Technology Institute on Mental Disorders, Changsha, China; Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, China; Henan Key Laboratory of Biological Psychiatry, Henan Mental Hospital, Second Affiliated Hospital of Xinxiang Medical University, Xinxiang, China. Electronic address: zhaojingpingcsu@163.com. FAU - Guo, Wenbin AU - Guo W AD - Department of Psychiatry, the Second Xiangya Hospital, Central South University, Changsha, China; Mental Health Institute of the Second Xiangya Hospital, Central South University, Changsha, China; National Clinical Research Center on Mental Disorders, Changsha, China; National Technology Institute on Mental Disorders, Changsha, China; Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, China. Electronic address: guowenbin76@163.com. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20170603 PL - Netherlands TA - Schizophr Res JT - Schizophrenia research JID - 8804207 SB - IM MH - Adolescent MH - Brain/*diagnostic imaging/pathology MH - Brain Mapping MH - Case-Control Studies MH - Female MH - Humans MH - Magnetic Resonance Imaging/*methods MH - Male MH - Neural Pathways/diagnostic imaging MH - ROC Curve MH - *Rest MH - Schizophrenia/*diagnostic imaging MH - *Support Vector Machine OTO - NOTNLM OT - Adolescent-onset schizophrenia OT - Biomarker OT - Regional homogeneity OT - Resting-state functional magnetic resonance OT - Support vector machine EDAT- 2017/06/08 06:00 MHDA- 2018/11/01 06:00 CRDT- 2017/06/08 06:00 PHST- 2016/07/13 00:00 [received] PHST- 2017/05/04 00:00 [revised] PHST- 2017/05/30 00:00 [accepted] PHST- 2017/06/08 06:00 [pubmed] PHST- 2018/11/01 06:00 [medline] PHST- 2017/06/08 06:00 [entrez] AID - S0920-9964(17)30315-8 [pii] AID - 10.1016/j.schres.2017.05.038 [doi] PST - ppublish SO - Schizophr Res. 2018 Feb;192:179-184. doi: 10.1016/j.schres.2017.05.038. Epub 2017 Jun 3.