PMID- 36565569 OWN - NLM STAT- MEDLINE DCOM- 20230120 LR - 20230323 IS - 1879-0046 (Electronic) IS - 0376-8716 (Linking) VI - 243 DP - 2023 Feb 1 TI - Brain recovery of the NAc fibers and prediction of craving changes in person with heroin addiction: A longitudinal study. PG - 109749 LID - S0376-8716(22)00486-0 [pii] LID - 10.1016/j.drugalcdep.2022.109749 [doi] AB - BACKGROUND: Progress have been made in brain function recovery after long-term abstinence in person with heroin addiction (PHA). However, less is known about whether the nucleus accumbens (NAc) white matter pathways can recover in PHA by prolonged abstinence. METHODS: Forty-two PHA and Thirty-nine age- and gender- matched healthy controls (HCs) were recruited. Two MRI scans were obtained at baseline (PHA1) and 8-month follow-up (PHA2). We employed tractography atlas-based analysis (TABS) method to investigate fractional anisotropy (FA) changes in NAc fiber tracts (i.e., Insula-NAc, ventral tegmental area (VTA)-NAc, medial prefrontal cortex (MPFC)-NAc) in PHA. A partial least square regression (PLSR) analysis was carried to explore whether FA of NAc fiber tracts can predict longitudinal craving changes. RESULTS: Relative to HCs, lower FA was found in the right Insula-NAc and VTA-NAc fiber tracts in PHA1, and PHA2 showed increased FA values in these tracts compared with PHA1. Furthermore, changes of FA of NAc fiber tracts can predict longitudinal craving changes (r = 0.51). Additionally, craving changes can also be predicted from FA changes in the left Insula-NAc (r = 0.601) and VTA-NAc (r = 0.384) fiber alone. CONCLUSIONS: Results indicated that the right Insula-NAc and VTA-NAc fiber tracts are potential biomarkers for brain recovery. Prediction of craving changes highlighted the utility of structural markers to inform clinical decision-making of treatment for PHA. CI - Copyright (c) 2022 Elsevier B.V. All rights reserved. FAU - Lu, Ling AU - Lu L AD - Center for Brain Imaging, School of Life Science and Technology, Xidian University, Xi'an, Shaanxi 710126, China; Engineering Research Center of Molecular and Neuro Imaging Ministry of Education, Xi'an, Shaanxi, 710071, China. FAU - Yang, Wenhan AU - Yang W AD - Department of Radiology, Second Xiangya Hospital of Central South University, Changsha, China. FAU - Zhao, Desheng AU - Zhao D AD - Center for Brain Imaging, School of Life Science and Technology, Xidian University, Xi'an, Shaanxi 710126, China; Engineering Research Center of Molecular and Neuro Imaging Ministry of Education, Xi'an, Shaanxi, 710071, China. FAU - Wen, Xinwen AU - Wen X AD - Center for Brain Imaging, School of Life Science and Technology, Xidian University, Xi'an, Shaanxi 710126, China; Engineering Research Center of Molecular and Neuro Imaging Ministry of Education, Xi'an, Shaanxi, 710071, China. FAU - Liu, Jun AU - Liu J AD - Department of Radiology, Second Xiangya Hospital of Central South University, Changsha, China. Electronic address: junliu123@csu.edu.cn. FAU - Liu, Jixin AU - Liu J AD - Center for Brain Imaging, School of Life Science and Technology, Xidian University, Xi'an, Shaanxi 710126, China; Engineering Research Center of Molecular and Neuro Imaging Ministry of Education, Xi'an, Shaanxi, 710071, China. Electronic address: liujixin@xidian.edu.cn. FAU - Yuan, Kai AU - Yuan K AD - Center for Brain Imaging, School of Life Science and Technology, Xidian University, Xi'an, Shaanxi 710126, China; Engineering Research Center of Molecular and Neuro Imaging Ministry of Education, Xi'an, Shaanxi, 710071, China; International Joint Research Center for Advanced Medical Imaging and Intelligent Diagnosis and Treatment & Xi'an Key Laboratory of Intelligent Sensing and Regulation of trans-Scale Life Information, School of Life Science and Technology, Xidian University, Xi'an, Shaanxi 710126, China; Information Processing Laboratory, School of Information Engineering, Inner Mongolia University of Science and Technology, Baotou, Inner Mongolia, 014010, China. Electronic address: kyuan@xidian.edu.cn. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20221219 PL - Ireland TA - Drug Alcohol Depend JT - Drug and alcohol dependence JID - 7513587 SB - IM MH - Humans MH - *Heroin Dependence MH - Craving MH - Longitudinal Studies MH - Brain/diagnostic imaging MH - Nucleus Accumbens OTO - NOTNLM OT - Craving OT - Fiber tracts OT - Heroin OT - Nucleus accumbens OT - Prediction OT - Recovery COIS- Conflict of Interest All authors declare that they have no conflict of interest. EDAT- 2022/12/25 06:00 MHDA- 2023/01/21 06:00 CRDT- 2022/12/24 18:14 PHST- 2022/08/17 00:00 [received] PHST- 2022/11/14 00:00 [revised] PHST- 2022/12/07 00:00 [accepted] PHST- 2022/12/25 06:00 [pubmed] PHST- 2023/01/21 06:00 [medline] PHST- 2022/12/24 18:14 [entrez] AID - S0376-8716(22)00486-0 [pii] AID - 10.1016/j.drugalcdep.2022.109749 [doi] PST - ppublish SO - Drug Alcohol Depend. 2023 Feb 1;243:109749. doi: 10.1016/j.drugalcdep.2022.109749. Epub 2022 Dec 19.