Evidence map›Paper›PMID 25261565›Full record

ArticleSchizophrenia bulletin2015

Heterogeneity of structural brain changes in subtypes of schizophrenia revealed using magnetic resonance imaging pattern analysis.

Tianhao Zhang, Nikolaos Koutsouleris, Eva Meisenzahl, Christos Davatzikos

Open access · greenAbstract read
In one paragraph

Article in Schizophrenia bulletin, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 3 pooled it
7.8field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

51 citing papers in PubMed, 3 syntheses or guidelines pooled it, 93 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Detecting neuroimaging biomarkers for schizophrenia: a meta-analysis of multivariate pattern recognition studies.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2015
    Pooled it
  4. Trial
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  8. Review
  9. Frontal Disorders and Consciousness: A Review.Current neurology and neuroscience reports · 2025
    Review
  10. Article
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  14. Article
  15. Dissociation between neuroanatomical and symptomatic subtypes in schizophrenia.European psychiatry : the journal of the Association of European Psychiatrists · 2023
    Article
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  17. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 2 countries.

Tianhao ZhangCenter for Biomedical Image Computing and Analytics, and Department of Radiology, University of Pennsylvania, Philadelphia, PA; These authors contributed equally to the article; tianhao.zhang@uphs.upenn.edu.
Nikolaos KoutsoulerisDepartment of Psychiatry and Psychotherapy, Ludwig-Maximilians-University, Munich, Germany; These authors contributed equally to the article;
Eva MeisenzahlDepartment of Psychiatry and Psychotherapy, Ludwig-Maximilians-University, Munich, Germany; These authors shared the senior coauthorship.
Christos DavatzikosCenter for Biomedical Image Computing and Analytics, and Department of Radiology, University of Pennsylvania, Philadelphia, PA; These authors shared the senior coauthorship.
Ludwig-Maximilians-Universität München · DEUniversity of Pennsylvania · US

Funding

COMPUTATIONAL NEUROANATOMY OF AGING USING SHAPE ANALYSISR01AG014971 · NIA · UNIVERSITY OF PENNSYLVANIA · PI DAVATZIKOS, CHRISTOS · 1999 to 2015
$3.5M
Quantitative Behavioral and Imaging Phenotypes of Amotivation in SchizophreniaR01MH101111 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI WOLF, DANIEL H · 2013 to 2016
$1.6M
NIA NIH HHS R01AG14971NIMH NIH HHS R01 MH101111
6 · The paper itself

Abstract

backgroundSchizophrenia is a multifaceted mental disorder characterized by cognitive, perceptual, and affective symptom dimensions. This heterogeneity at the phenomenological level may be subserved by complex and heterogeneous patterns of structural abnormalities. Thus, delineating such patterns may improve the insight into the variability of disease and facilitate future magnetic resonance imaging-based diagnosis.

methodsWe aimed to identify structurally complex signatures that directly differentiate patients with predominantly negative (pNEG), positive (pPOS), and disorganized (pDIS) symptoms using Optimally-Discriminative Voxel-Based Analysis (ODVBA). ODVBA is a new analytical framework for group analysis, which showed to have superior sensitivity and specificity over conventional voxel-based morphometric approaches, thus facilitating the identification of subtle neuroanatomical signatures delineating different subgroups.

resultspPOS were characterized by pronounced gray matter (GM) volume reductions in the ventromedial prefrontal cortex (vmPFC), which herein is defined to include the orbitofrontal cortex, and in occipitotemporal GM and parts of the lingual gyrus. pNEG was found to have vmPFC reduction but to a lesser degree than pPOS and with a relative sparing of the more medial vmPFC regions, compared to pDIS; it also had significantly less cerebellar GM. pDIS showed relatively highest GM volume preservation among three subtypes.

conclusionsAlthough a common prefronto-perisylvian GM reduction pattern was present at the whole-group level, marked morphometric differences emerged between the three subgroups, including reduced cerebellar GM in pNEG and reduced vmPFC and occipitotemporal GM in pPOS. Besides deepening our insight into the neurobiological underpinnings of clinical heterogeneity, these results also identify important imaging biomarkers that may aid patient stratification.

Indexed as

Schizophrenic PsychologyAdultBrainCase-Control StudiesCerebellumFemaleGray MatterHumansImage Processing, Computer-AssistedMagnetic Resonance ImagingMaleOrgan SizePrefrontal CortexSchizophreniaYoung AdultODVBApatient stratificationvolume reductionvoxel-based morphometry

Identifiers

PMID25261565
PMCPMC4266302
OpenAlexW2145728067

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.