Reduced white matter integrity correlated with cortico-subcortical gray matter deficits in schizophrenia.
BACKGROUND
The pathology of schizophrenia is thought to involve multiple brain regions and the connections among them. Although a number of MRI studies have demonstrated gray matter reductions and abnormal white matter integrity in schizophrenia, to date no study has investigated their association in the whole brain.


METHODS
Twenty-seven schizophrenia patients and 33 healthy controls were recruited. Voxelwise group comparison of white matter fractional anisotropy (FA) was performed using tract-based spatial statistics (TBSS). Comparison of gray matter concentration (GMC) was performed using voxel-based morphometry (VBM). Voxelwise correlational analyses were performed for patients inside a significant GMC reduction mask created by VBM, using simple regression models with mean FA values of each significant TBSS cluster as explanatory variables.


RESULTS
TBSS revealed FA reduction in left prefrontal and occipital regions in the patients. Mean FA values of both areas revealed significant correlation with gray matter reduction in multiple cortical and subcortical areas, with overlapping but different patterns.


CONCLUSIONS
Voxelwise correlational analysis of white and gray matter pathology, as performed here, further elucidated the pathophysiology of schizophrenia, and provided a novel view of the "disconnection hypothesis" of schizophrenia.
Miyata
Jun
J
Department of Neuropsychiatry, Graduate School of Medicine, Kyoto University, Shogoin-Kawaharacho 54, Kyoto 606-8507, Japan. miyata10@kuhp.kyoto-u.ac.jp
Hirao
Kazuyuki
K
Namiki
Chihiro
C
Fujiwara
Hironobu
H
Shimizu
Mitsuaki
M
Fukuyama
Hidenao
H
Sawamoto
Nobukatsu
N
Hayashi
Takuji
T
Murai
Toshiya
T
D000328:Adult; D016880:Anisotropy; D001921:Brain / Q000473:pathology*; D001931:Brain Mapping; D005260:Female; D006801:Humans; D007091:Image Processing, Computer-Assisted / Q000379:methods; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D012559:Schizophrenia / Q000473:pathology*; D013223:Statistics as Topic