Evidence map›Paper›PMID 27198848›Full record

ArticleHuman brain mapping2016

A comprehensive tractography study of patients with bipolar disorder and their unaffected siblings.

Emma Sprooten, Jennifer Barrett, D Reese McKay, Emma E Knowles, Samuel R Mathias, Anderson M Winkler, Margaret S Brumbaugh, Stefanie Landau, Lindsay Cyr, Peter Kochunov and 1 more

Abstract read
In one paragraph

Article in Human brain mapping, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Evaluating endophenotypes for bipolar disorder.International journal of bipolar disorders · 2021
    Review
  7. Article
  8. Article
  9. Making Sense of Connectivity.The international journal of neuropsychopharmacology · 2019
    Review
  10. Diffusion imaging markers of bipolar versus general psychopathology risk in youth at-risk.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2018
    Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. Article
  17. Review
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

11 authors.

Emma SprootenDepartment of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, New York.
Jennifer BarrettOlin Neuropsychiatry Research Center, Institute of Living, Hartford Hospital, Hartford, Connecticut.
D Reese McKayDepartment of Psychiatry, Yale University School of Medicine, New Haven, Connecticut.
Emma E KnowlesDepartment of Psychiatry, Yale University School of Medicine, New Haven, Connecticut.
Samuel R MathiasDepartment of Psychiatry, Yale University School of Medicine, New Haven, Connecticut.
Anderson M WinklerOxford Centre for Functional MRI Of the Brain, University of Oxford, Oxford, United Kingdom.ORCID 0000-0002-4169-9781
Margaret S BrumbaughOlin Neuropsychiatry Research Center, Institute of Living, Hartford Hospital, Hartford, Connecticut.
Stefanie LandauOlin Neuropsychiatry Research Center, Institute of Living, Hartford Hospital, Hartford, Connecticut.
Lindsay CyrOlin Neuropsychiatry Research Center, Institute of Living, Hartford Hospital, Hartford, Connecticut.
Peter KochunovDepartment of Psychiatry, University of Maryland School of Medicine, Maryland Psychiatric Research Center, Baltimore, Maryland.
David C GlahnDepartment of Psychiatry, Yale University School of Medicine, New Haven, Connecticut.

Funding

Training U54EB020403 · NIBIB · UNIVERSITY OF SOUTHERN CALIFORNIA · PI THOMPSON, PAUL M · 2014 to 2018
$10.1M
SOLAR-Eclipse Computational Tools for Imaging GeneticsR01EB015611 · NIBIB · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI KOCHUNOV, PETER V. · 2012 to 2024
$5.0M
Amish Connectome Project on Mental IllnessU01MH108148 · NIMH · UNIVERSITY OF MARYLAND BALTIMORE · PI HONG, L ELLIOT ELLIOT, KOCHUNOV, PETER V. · 2015 to 2018
$4.3M
Influence of Psychosis on Brain-Behavior Endophenotypes for Bipolar DisorderR01MH080912 · NIMH · YALE UNIVERSITY · PI GLAHN, DAVID C · 2008 to 2012
$2.6M
NIBIB NIH HHS R01 EB015611NIBIB NIH HHS U54 EB020403NIMH NIH HHS R01 MH080912NIMH NIH HHS U01 MH108148
6 · The paper itself

Abstract

backgroundDiffusion tensor imaging studies show reductions in fractional anisotropy (FA) in individuals with bipolar disorder and their unaffected siblings. However, the use of various analysis methods is an important source of between-study heterogeneity. Using tract-based spatial statistics, we previously demonstrated widespread FA reductions in patients and unaffected relatives. To better interpret the neuroanatomical pattern of this previous finding and to assess the influence of methodological heterogeneity, we here applied tractography to the same sample.

methodsDiffusion-weighted images were acquired for 96 patients, 69 unaffected siblings and 56 controls. We applied TRACULA, an extension of a global probabilistic tractography algorithm, to automatically segment 18 major fiber tracts. Average FA within each tract and at each cross-section along each tract was compared between groups.

resultsPatients had reduced FA compared to healthy controls and their unaffected siblings in general, and in particular in the parietal part of the superior longitudinal fasciculus. In unaffected siblings, FA was nominally reduced compared to controls in the corpus callosum. Point-wise analyses indicated that similar effects were present along extended sections, but with variable effect sizes. Current symptom severity negatively correlated with FA in several fronto-limbic association tracts.

conclusionsThe differential sensitivity of analysis techniques likely explains between-study heterogeneity in anatomical localization of FA reductions. The present tractography analysis confirms the presence of overall FA reductions in patients with bipolar disorder, which are most pronounced in the superior longitudinal fasciculus. Unaffected siblings may display similar, albeit more subtle and anatomically restricted FA reductions. Hum Brain Mapp 37:3474-3485, 2016. © 2016 Wiley Periodicals, Inc.

Indexed as

SiblingsAdultAlgorithmsBipolar DisorderBrainComorbidityDiffusion Magnetic Resonance ImagingDiffusion Tensor ImagingFemaleGenetic Predisposition to DiseaseHumansImage Interpretation, Computer-AssistedMaleNeural PathwaysOrgan SizePattern Recognition, Automatedbipolar disorderdiffusion tensor imagingendophenotypesfractional anisotropymood disorderssuperior longitudinal fasciculustractographyunaffected relativeswhite matter

Identifiers

PMID27198848
PMCPMC5496097

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Registered trials

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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.