PMID- 32777920 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200928 IS - 1738-3684 (Print) IS - 1976-3026 (Electronic) IS - 1738-3684 (Linking) VI - 17 IP - 8 DP - 2020 Aug TI - MRI-Based Multimodal Approach to the Assessment of Clinical Symptom Severity of Obsessive-Compulsive Disorder. PG - 777-785 LID - 10.30773/pi.2020.0124 [doi] AB - OBJECTIVE: This study assessed the associations of the abnormal brain activation and functional connectivity (FC) during memory processing and brain volume alteration in conjunction with psychiatric symptom severity in patients with obsessive-compulsive disorder (OCD). METHODS: Twenty-OCD patients and 20-healthy controls (HC) underwent T1-weighted and functional imaging underlying explicit memory task. RESULTS: In memory encoding, OCD patients showed higher activities in right/left (Rt./Lt.) inferior temporal gyrus (ITG), medial prefrontal cortex (MPFC), dorsolateral prefrontal cortex (DLPFC) and anterior cingulate cortex (ACC), compared with HC. In task-based FC, caudate (Cd) was positively connected with DLPFC and ITG in OCD, while HC showed different connectivities of Cd-ACC and Rt.-Lt. ITG. In memory retrieval, only Cd was activated in OCD patients. Cd was positively connected with DLPFC and vmPFC in OCD, but negatively connected between same brain areas in HC. OCD patients showed increased gray matter (GM) volumes of cerebellum, DLPFC, orbitofrontal cortex (OFC), hippocampus, Cd and ITG, and concurrently, increased white matter volumes of DLPFC. In OCD patients, GM volumes of Cd and OFC were positively correlated with HAMA and Y-BOCS. Functional activity changes of Cd in OCD were positively correlated with Y-BOCS. CONCLUSION: Our findings support to accessing clinical symptom and its severity linked by brain structural deformation and functional abnormality in OCD patients. FAU - Park, Shin-Eui AU - Park SE AD - Center for Research Equipment, Korea Basic Science Institute, Cheongju, Republic of Korea. FAU - Kim, Byeong-Chae AU - Kim BC AD - Department of Neurology, Chonnam National University Medical School, Gwangju, Republic of Korea. FAU - Yang, Jong-Chul AU - Yang JC AD - Department of Psychiatry, Research Institute of Clinical Medicine of Jeonbuk National University, Jeonju, Republic of Korea. FAU - Jeong, Gwang-Woo AU - Jeong GW AD - Department of Radiology, Chonnam National University Medical School, Gwangju, Republic of Korea. LA - eng GR - 2018R1A2B2006260/National Research Foundation of Korea/ GR - Ministry of Science and ICT/ GR - 2017-2022/Chonnam National University/ GR - Jeonbuk National University Hospital/ PT - Journal Article DEP - 20200812 PL - Korea (South) TA - Psychiatry Investig JT - Psychiatry investigation JID - 101242994 PMC - PMC7449838 OTO - NOTNLM OT - Explicit memory OT - Functional connectivity OT - Functional magnetic resonance imaging OT - Obsessive-compulsive disorder OT - Voxel-based morphometry COIS- The authors have no potential conflicts of interest to disclose. EDAT- 2020/08/12 06:00 MHDA- 2020/08/12 06:01 PMCR- 2020/08/01 CRDT- 2020/08/12 06:00 PHST- 2020/04/06 00:00 [received] PHST- 2020/05/31 00:00 [accepted] PHST- 2020/08/12 06:00 [pubmed] PHST- 2020/08/12 06:01 [medline] PHST- 2020/08/12 06:00 [entrez] PHST- 2020/08/01 00:00 [pmc-release] AID - pi.2020.0124 [pii] AID - pi-2020-0124 [pii] AID - 10.30773/pi.2020.0124 [doi] PST - ppublish SO - Psychiatry Investig. 2020 Aug;17(8):777-785. doi: 10.30773/pi.2020.0124. Epub 2020 Aug 12.