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Functional Magnetic Resonance Imaging Studies in Bipolar Disorder

Published online by Cambridge University Press:  07 November 2014

Abstract

Abnormalities in brain activation using functional magnetic resonance imaging (fMRI) during cognitive and emotional tasks have been identified in bipolar disorder patients, in frontal, subcortical and limbic regions. Several studies also indicate that mood state may be differentiated by lateralization of brain activation in fronto-limbic regions. The interpretation of fMRI studies in bipolar disorder is limited by the choice of regions of interest, medication effects, comorbidity, and task performance. These studies suggest that there is a complex alteration in regions important for neural networks underlying cognition and emotional processing in bipolar disorder. However, measuring changes in specific brain regions does not identify how these neural networks are affected. New analytical techniques of fMRI data are needed in order to resolve some of these issues and identify how changes in neural networks relate to cognitive and emotional processing in bipolar disorder.

Type
Review Articles
Copyright
Copyright © Cambridge University Press 2006

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References

REFERENCES

1.Sapin, LR, Berrettini, WH, Nurnberger, JI Jr, Rothblat, LA. Mediational factors underlying cognitive changes and laterality in affective illness. Biol Psychiatry. 1987;22:979986.Google Scholar
2.Altshuler, LL. Bipolar disorder: are repeated episodes associated with neuroanatomic and cognitive changes? Biol Psychiatry. 1993;33:563565.CrossRefGoogle ScholarPubMed
3.Sweeney, JA, Wetzler, S, Stokes, P, Kocsis, J. Cognitive functioning in depression. J Clin Psychol. 1989;45:836842.Google Scholar
4.Brown, GW, Moran, P. Clinical and psychosocial origins of chronic depressive episodes. I: A community survey. Br J Psychiatry. 1994;165:447456.Google Scholar
5.Hornak, J, Rolls, ET, Wade, D. Face and voice expression identification in patients with emotional and behavioural changes following ventral frontal lobe damage. Neuropsychologia. 1996;34:247261.Google Scholar
6.Kessing, LV. Cognitive impairment in the euthymic phase of affective disorder. Psychol Med. 1998;28:10271038.CrossRefGoogle ScholarPubMed
7.Murphy, FC, Sahakian, BJ, Rubinsztein, JS, et al.Emotional bias and inhibitory control processes in mania and depression. Psychol Med. 1999;29:13071321.CrossRefGoogle ScholarPubMed
8.Austin, MP, P, , Goodwin, GM. Cognitive deficits in depression: possible implications for functional neuropathology. Br J Psychiatry. 2001;178:200206.Google Scholar
9.Coffman, JA, Bornstein, RA, Olson, SC, Schwarzkopf, SB, Nasrallah, HA. Cognitive impairment and cerebral structure by MRI in bipolar disorder. Biol Psychiatry. 1990;27:11881196.Google Scholar
10.Joseph, R. Frontal lobe psychopathology: mania, depression, confabulation, catatonia, perseveration, obsessive compulsions, and schizophrenia. Psychiatry. 1999;62:138172.CrossRefGoogle ScholarPubMed
11.Murphy, FC, Sahakian, BJ. Neuropsychology of bipolar disorder. Br J Psychiatry Suppl. 2001;41:s120s127.Google Scholar
12.Mayberg, HS. Limbic-cortical dysregulation: a proposed model of depression. J Neuropsychiatry Clin Neurosci. 1997;9:471481.Google Scholar
13.Davidson, RJ. Anterior electrophysiological asymmetries, emotion, and depression: conceptual and methodological conundrums. Psychophysiology. 1998;35:607614.Google Scholar
14.Blumberg, HP, Stern, E, Martinez, D, et al.Increased anterior cingulate and caudate activity in bipolar mania. Biol Psychiatry. 2000;48:10451052.CrossRefGoogle ScholarPubMed
15.Goodwin, FK, Jamison, KR. Manic-Depressive Psychoses. New York, NY: Oxford University Press, 1990.Google Scholar
16.Adler, CM, Holland, SK, Schmithorst, V, Tuchfarber, MJ, Strakowski, SM. Changes in neuronal activation in patients with bipolar disorder during performance of a working memory task. Bipolar Disord. 2004;6:540549.Google Scholar
17.Strakowski, SM, Adler, CM, Holland, SK, Mills, N, DelBello, MP. A preliminary FMRI study of sustained attention in euthymic, unmedicated bipolar disorder. Neuropsychopharmacology 2004;29:17341740.Google Scholar
18.Strakowski, SM, Adler, CM, Holland, SK, Mills, NP, DelBello, MP, Eliassen, JC. Abnormal FMRI brain activation in euthymic bipolar disorder patients during a counting Stroop interference task. Am J Psychiatry. 2005;162:16971705.Google Scholar
19.Gruber, SA, Rogowska, J, Yurgelun-Todd, DA. Decreased activation of the anterior cingulate in bipolar patients: an fMRI study. J Affect Disord. 2004;82:191201.Google Scholar
20.Frangou, S. The Maudsley Bipolar Disorder Project. Epilepsia. 2005;46(suppl 4):1925.Google Scholar
21.Monks, PJ, Thompson, JM, Bullmore, ET, et al.A functional MRI study of working memory task in euthymic bipolar disorder: evidence for task-specific dysfunction. Bipolar Disord. 2004;6:550564.CrossRefGoogle ScholarPubMed
22.Blumberg, HP, Leung, HC, Skudlarski, P, et al.A functional magnetic resonance imaging study of bipolar disorder: state- and trait-related dysfunction in ventral prefrontal cortices. Arch Gen Psychiatry. 2003;60:601609.CrossRefGoogle ScholarPubMed
23.Blumberg, HP, Martin, A, Kaufman, J, et al.Frontostriatal abnormalities in adolescents with bipolar disorder: preliminary observations from functional MRI. Am J Psychiatry. 2003;160:13451347.Google Scholar
24.Chang, K, Adleman, NE, Dienes, K, Simeonova, DI, Menon, V, Reiss, A. Anomalous prefrontal-subcortical activation in familial pediatric bipolar disorder: a functional magnetic resonance imaging investigation. Arch Gen Psychiatry. 2004;61:781792.CrossRefGoogle ScholarPubMed
25.Cummings, JL. Frontal-subcortical circuits and human behavior. Arch Neurol. 1993;50:873880.CrossRefGoogle ScholarPubMed
26.Caligiuri, MP, Brown, GG, Meloy, MJ, et al.An fMRI study of affective state and medication on cortical and subcortical brain regions during motor performance in bipolar disorder. Psychiatry Res. 2003;123:171182.Google Scholar
27.Caligiuri, MP, Brown, GG, Meloy, MJ, et al.A functional magnetic resonance imaging study of cortical asymmetry in bipolar disorder. Bipolar Disord. 2004;6:183196.Google Scholar
28.Yurgelun-Todd, DA, Gruber, SA, Kanayama, G, Killgore, WD, Baird, AA, Young, AD. fMRI during affect discrimination in bipolar affective disorder. Bipolar Disord. 2000;2(3 pt 2):237248.Google Scholar
29.Mitchell, RL, Elliott, R, Barry, M, Cruttenden, A, Woodruff, PW. Neural response to emotional prosody in schizophrenia and in bipolar affective disorder. Br J Psychiatry. 2004;184:223230.Google Scholar
30.Lawrence, NS, Williams, AM, Surguladze, S, et al.Subcortical and ventral prefrontal cortical neural responses to facial expressions distinguish patients with bipolar disorder and major depression. Biol Psychiatry. 2004;55:578587.Google Scholar
31.Elliott, R, Ogilvie, A, Rubinsztein, JS, Calderon, G, Dolan, RJ, Sahakian, BJ. Abnormal ventral frontal response during performance of an affective go/no go task in patients with mania. Biol Psychiatry. 2004;55:11631170.CrossRefGoogle ScholarPubMed
32.Lennox, BR, Jacob, R, Calder, AJ, Lupson, V, Bullmore, ET. Behavioural and neurocognitive responses to sad facial affect are attenuated in patients with mania. Psychol Med. 2004;34:795802.Google Scholar
33.Chen, CH, Lennox, B, Jacob, R, et al.Explicit and implicit facial affect recognition in manic and depressed states of bipolar disorder: a functional magnetic resonance imaging study. Biol Psychiatry. 2006;59:3139.Google Scholar
34.Malhi, GS, Lagopoulos, J, Ward, PB, et al.Cognitive generation of affect in bipolar depression: an fMRI study. Eur J Neurosci. 2004;19:741754.Google Scholar
35.Malhi, GS, Lagopoulos, J, Sachdev, P, PB, , Ivanovski, B, Parker, GB. Cognitive generation of affect in hypomania: an fMRI study. Bipolar Disord. 2004;6:271285.CrossRefGoogle ScholarPubMed
36.Elliott, R, Rubinsztein, JS, Sahakian, BJ, Dolan, RJ. The neural basis of mood-congruent processing biases in depression. Arch Gen Psychiatry. 2002;59:597604.Google Scholar
37.Rajkowska, G, Halaris, A, Selemon, LD. Reductions in neuronal and glial density characterize the dorsolateral prefrontal cortex in bipolar disorder. Biol Psychiatry. 2001;49:741752.Google Scholar
38.Ongur, D, Drevets, WC, Price, JL. Glial reduction in the subgenual prefrontal cortex in mood disorders. Proc Natl Acad Sci U S A. 1998;95:1329013295.Google Scholar
39.Haldane, M, Frangou, S. New insights help define the pathophysiology of bipolar affective disorder: neuroimaging and neuropathology findings. Prog Neuropsychopharmacol Biol Psychiatry. 2004;28:943960.Google Scholar
40.Strakowski, SM, Delbello, MP, Adler, CM. The functional neuroanatomy of bipolar disorder: a review of neuroimaging findings. Mol Psychiatry. 2005;10:105116.Google Scholar
41.Brambilla, P, Nicoletti, M, Sassi, RB, et al.Corpus callosum signal intensity in patients with bipolar and unipolar disorder. J Neurol Neurosurg Psychiatry. 2004;75:221225.Google Scholar
42.Brambilla, P, Nicoletti, MA, Sassi, RB, et al.Magnetic resonance imaging study of corpus callosum abnormalities in patients with bipolar disorder. Biol Psychiatry. 2003;54:12941297.CrossRefGoogle ScholarPubMed
43.Schlaepfer, TE, Harris, GJ, Tien, AY, et al.Decreased regional cortical gray matter volume in schizophrenia. Am J Psychiatry. 1994;151:842848.Google Scholar
44.Zipursky, RB, Seeman, MV, Bury, A, Langevin, R, Wortzman, G, Katz, R. Deficits in gray matter volume are present in schizophrenia but not bipolar disorder. Schizophr Res. 1997;26:8592.Google Scholar
45.Davis, KA, Kwon, A, Cardenas, VA, Deicken, RF. Decreased cortical gray and cerebral white matter in male patients with familial bipolar I disorder. J Affect Disord. 2004;82:475485.Google Scholar
46.Kieseppa, T, van Erp, TG, Haukka, J, et al.Reduced left hemispheric white matter volume in twins with bipolar I disorder. Biol Psychiatry. 2003;54:896905.Google Scholar
47.Strakowski, SM, Wilson, DR, Tohen, M, Woods, BT, Douglass, AW, Stoll, AL. Structural brain abnormalities in first-episode mania. Biol Psychiatry 1993;33:602609.CrossRefGoogle ScholarPubMed
48.Ahn, KH, Lyoo, IK, Lee, HK, et al.White matter hyperintensities in subjects with bipolar disorder. Psychiatry Clin Neurosci. 2004;58:516521.Google Scholar
49.Altshuler, LL, Curran, JG, Hauser, P, Mintz, J, Denicoff, K, Post, R. T2 hyperintensities in bipolar disorder: magnetic resonance imaging comparison and literature meta-analysis. Am J Psychiatry. 1995;152:11391144.Google Scholar
50.Aylward, EH, Roberts-Twillie, JV, Barta, PE, et al.Basal ganglia volumes and white matter hyperintensities in patients with bipolar disorder. Am J Psychiatry. 1994;151:687693.Google Scholar
51.Woods, BT, Yurgelun-Todd, D, Mikulis, D, Pillay, SS. Age-related MRI abnormalities in bipolar illness: a clinical study. Biol Psychiatry. 1995;38:846847.Google Scholar
52.Dupont, RM, Jernigan, TL, Butters, N, et al.Subcortical abnormalities detected in bipolar affective disorder using magnetic resonance imaging. Clinical and neuropsychological significance. Arch Gen Psychiatry. 1990;47:5559.Google Scholar
53.Adler, CM, Holland, SK, Schmithorst, V, et al.Abnormal frontal white matter tracts in bipolar disorder: a diffusion tensor imaging study. Bipolar Disord. 2004;6:197203.Google Scholar
54.Beyer, JL, Taylor, WD, Macfall, JR, et al.Cortical white matter microstructural abnormalities in bipolar disorder. Neuropsychopharmacology. 2005;30:22252229.Google Scholar
55.Haznedar, MM, Roversi, F, Pallanti, S, et al.Fronto-thalamo-striatal gray and white matter volumes and anisotropy of their connections in bipolar spectrum illnesses. Biol Psychiatry. 2005;57:733742.Google Scholar
56.Drevets, WC, Price, JL, Simpson, JR Jr, et al.Subgenual prefrontal cortex abnormalities in mood disorders. Nature. 1997;386:824827.Google Scholar
57.Yurgelun-Todd, DA, Waternaux, CM, Cohen, BM, Gruber, SA, English, CD, Renshaw, PF. Functional magnetic resonance imaging of schizophrenic patients and comparison subjects during word production. Am J Psychiatry. 1996;153:200205.Google Scholar
58.Curtis, VA, Bullmore, ET, Brammer, MJ, et al.Attenuated frontal activation during a verbal fluency task in patients with schizophrenia. Am J Psychiatry. 1998;155:10561063.Google Scholar
59.Volz, H, Gaser, C, Hager, F, et al.Decreased frontal activation in schizophrenics during stimulation with the continuous performance test–a functional magnetic resonance imaging study. Eur Psychiatry. 1999;14:1724.Google Scholar
60.Barch, DM, Carter, CS, Braver, TS, et al.Selective deficits in prefrontal cortex function in medication-naive patients with schizophrenia. Arch Gen Psychiatry. 2001;58:280288.Google Scholar
61.Callicott, JH, Bertolino, A, Mattay, VS, et al.Physiological dysfunction of the dorsolateral prefrontal cortex in schizophrenia revisited. Cereb Cortex. 2000;10:10781092.Google Scholar
62.Sharma, T. Insights and treatment options for psychiatric disorders guided by functional MRI. J Clin Invest. 2003;112:1018.CrossRefGoogle ScholarPubMed
63.Manoach, DS. Prefrontal cortex dysfunction during working memory performance in schizophrenia: reconciling discrepant findings. Schizophr Res. 2003;60:285298.Google Scholar
64.Elliott, R, Baker, SC, Rogers, RD, et al.Prefrontal dysfunction in depressed patients performing a complex planning task: a study using positron emission tomography. Psychol Med. 1997;27:931942.Google Scholar
65.George, MS, Ketter, TA, Parekh, PI, et al.Blunted left cingulate activation in mood disorder subjects during a response interference task (the Stroop). J Neuropsychiatry Clin Neurosci. 1997;9:5563.Google Scholar
66.Harvey, PO, Fossati, P, Pochon, JB, et al.Cognitive control and brain resources in major depression: an fMRI study using the n-back task. Neuroimage. 2005;26:860869.Google Scholar
67.Hugdahl, K, Rund, BR, Lund, A, et al.Brain activation measured with fMRI during a mental arithmetic task in schizophrenia and major depression. Am J Psychiatry. 2004;161:286293.Google Scholar
68.Okada, G, Okamoto, Y, Morinobu, S, Yamawaki, S, Yokota, N. Attenuated left prefrontal activation during a verbal fluency task in patients with depression. Neuropsychobiology. 2003;47:2126.Google Scholar
69.Wagner, G, Sinsel, E, Sobanski, T, et al.Cortical inefficiency in patients with unipolar depression: an event-related fMRI study with the Stroop task. Biol Psychiatry. 2006 (in press).Google Scholar
70.Curtis, VA, Dixon, TA, Morris, RG, et al.Differential frontal activation in schizophrenia and bipolar illness during verbal fluency. J Affect Disord. 2001;66:111121.CrossRefGoogle ScholarPubMed