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Altered motor pathway integrity in schizophrenia

Published online by Cambridge University Press:  16 April 2020

T. Bracht
Affiliation:
University Hospital of Psychiatry, Bern, University Hospital Bern, Bern, Switzerland
S. Schnell
Affiliation:
University Hospital of Radiology, University Hospital Freiburg, Freiburg im Breisgau, Germany
A. Federspiel
Affiliation:
Department of Psychiatric Neurophysiology, Bern, Switzerland
K. Jann
Affiliation:
Department of Psychiatric Neurophysiology, Bern, Switzerland
N. Razavi
Affiliation:
Department of Psychiatric Neurophysiology, Bern, Switzerland
H. Horn
Affiliation:
Department of Psychiatric Neurophysiology, Bern, Switzerland
R. Wiest
Affiliation:
University Hospital of Neuroradiology, University Hospital Bern, Bern, Switzerland
T. Dierks
Affiliation:
Department of Psychiatric Neurophysiology, Bern, Switzerland
W. Strik
Affiliation:
University Hospital of Psychiatry, Bern, University Hospital Bern, Bern, Switzerland
T. Müller
Affiliation:
University Hospital of Psychiatry, Bern, University Hospital Bern, Bern, Switzerland
S. Walther
Affiliation:
University Hospital of Psychiatry, Bern, University Hospital Bern, Bern, Switzerland

Abstract

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Introduction

Motor symptoms are frequent in patients with schizophrenia. Although recent DTI studies point to white matter alterations of the motor system in schizophrenia little is known about specific changes.

Objectives

To date there is a lack of approaches with hypothesis driven quantification of specific anatomical fibre tracts. Therefore, we aimed to compare structural connectivity between specific parts of the motor system such as the pre-supplementary motor area (SMA), the SMA-proper, the primary motor cortex and the basal ganglia in patients with schizophrenia and in healthy controls in a DTI-fibre-tracking study.

Aims

It is the aim of this study to investigate whether fibre tract integrity of the motor system is altered in patients with schizophrenia.

Methods

DTI-data were measured in 21 patients with schizophrenia and in 21 healthy controls. Applying a probabilistic fibre tracking approach the most probable anatomical pathways between key regions of the motor system of each participant have been identified. The resulting probabilistic maps were normalized to obtain values between 0 and 1, normalized into the standard MNI-space and smoothed using an isotropic 3-mm Gaussian kernel. Group comparisons have been calculated using two-sample-t-tests.

Results

First results point to altered fibre tract microstructure of loops including cortical motor areas and the basal ganglia. The data analysis is preliminary. Definite results will be presented at the conference.

Conclusions

Altered motor behaviour might be reflected by altered white matter integrity of loops including cortical motor areas and the basal ganglia.

Type
P03-186
Copyright
Copyright © European Psychiatric Association 2011
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