Evidence map›Paper›PMID 25800248›Full record

ReviewSchizophrenia bulletin2015

Magnetic resonance imaging and the prediction of outcome in first-episode schizophrenia: a review of current evidence and directions for future research.

Paola Dazzan, Celso Arango, Wolfgang Fleischacker, Silvana Galderisi, Birte Glenthøj, Stephan Leucht, Andreas Meyer-Lindenberg, Rene Kahn, Dan Rujescu, Iris Sommer and 2 more

Abstract readReview
In one paragraph

Review in Schizophrenia bulletin, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

45 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  6. Structural alteration of neurons in schizophrenia and its relation with auditory hallucination.European psychiatry : the journal of the Association of European Psychiatrists · 2026
    Article
  7. [Illness duration-related developmental trajectory of progressive cerebral gray matter changes in schizophrenia].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2025
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  18. A multivariate neuromonitoring approach to neuroplasticity-based computerized cognitive training in recent onset psychosis.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2021
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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

12 authors.

Paola DazzanDepartment of Psychosis Studies, Institute of Psychiatry; National Institute for Health Research (NIHR) Mental Health Biomedical Research Centre at South London and Maudsley NHS Foundation Trust and King's College London, London, UK; paola.dazzan@kcl.ac.uk.
Celso ArangoChild and Adolescent Psychiatry Department, Hospital General Universitario Gregorio Marañón, IiSGM, School of Medicine, Universidad Complutense, CIBERSAM, Madrid, Spain;
Wolfgang FleischackerDepartment of Psychiatry and Psychotherapy, Medical University Innsbruck, Austria;
Silvana GalderisiUniversity of Naples SUN, Largo Madonna delle Grazie, Naples, Italy;
Birte GlenthøjFaculty of Health and Medical Sciences, Center for Neuropsychiatric Schizophrenia Research & Center for Clinical Intervention and Neuropsychiatric Schizophrenia Research, Psychiatric Hospital Center Glostrup, University of Copenhagen, Copenhagen, Denmark;
Stephan LeuchtDepartment of Psychiatry and Psychotherapy, Technische Universität München, München, Germany;
Andreas Meyer-LindenbergCentral Institute of Mental Health, Medical Faculty Mannheim/University of Heidelberg, Mannheim, Germany;
Rene KahnDepartment of Psychiatry, Brain Center Rudolf Magnus, UMC Utrecht, Utrecht, The Netherlands;
Dan RujescuDepartment of Psychiatry, University of Halle, Halle, Germany.
Iris SommerDepartment of Psychiatry, Brain Center Rudolf Magnus, UMC Utrecht, Utrecht, The Netherlands;
Inge WinterDepartment of Psychiatry, Brain Center Rudolf Magnus, UMC Utrecht, Utrecht, The Netherlands;
Philip McGuireDepartment of Psychosis Studies, Institute of Psychiatry; National Institute for Health Research (NIHR) Mental Health Biomedical Research Centre at South London and Maudsley NHS Foundation Trust and King's College London, London, UK;

Funding

MRF_ C0439
6 · The paper itself

Abstract

unlabelledMagnetic Resonance Imaging (MRI) measures are promising outcome markers for schizophrenia, since regional frontal and temporal grey matter volumes reductions, and enlargement of the ventricles, have been associated with outcome in this disorder. However, a number of methodological issues have limited the potential clinical utility of these findings. This article reviewed studies that examined brain structure at illness onset as a predictor of outcome, discusses the limitations of the findings, and highlights the challenges that would need to be addressed if structural data are to inform the management of an individual patient.

methodsUsing a set of a priori criteria, we systematically searched Medline and EMBASE databases for articles evaluating brain structure at the time of the first psychotic episode and assessed response to treatment, symptomatic outcome, or functional outcome at any point in the first 12 months of illness.

resultsThe 11 studies identified suggest that alterations in medial temporal and prefrontal cortical areas, and in the networks that connect them with subcortical structures, are promising neuroanatomical markers of poor symptomatic and functional outcomes.

conclusionNeuroimaging data, possibly in combination with other biomarkers of disease, could help stratifying patients with psychoses to generate patient clusters clinically meaningful, and useful to detect true therapeutic effects in clinical trials. Optimization of Treatment and Management of Schizophrenia in Europe (OPTiMiSE), a large multicenter study funded by the FP7 European Commission, could generate these much-needed findings.

Indexed as

Outcome Assessment, Health CareBrainHumansMagnetic Resonance ImagingSchizophreniabrain structureMRIOPTiMiSEpsychosistreatment response

Identifiers

PMID25800248
PMCPMC4393706

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.