Evidence map›Paper›PMID 35221884›Full record

ArticleFrontiers in neuroscience2021

A Real-World Observation of Antipsychotic Effects on Brain Volumes and Intrinsic Brain Activity in Schizophrenia.

Yifan Chen, Fay Y Womer, Ruiqi Feng, Xizhe Zhang, Yanbo Zhang, Jia Duan, Miao Chang, Zhiyang Yin, Xiaowei Jiang, Shengnan Wei and 3 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in neuroscience, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 29% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
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  3. Review
  4. Article
  5. Article
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

13 authors at 4 institutions in 2 countries.

Yifan ChenDepartment of Psychiatry, The First Affiliated Hospital of China Medical University, Shenyang, China.
Fay Y WomerDepartment of Psychiatry, Washington University School of Medicine, St. Louis, MO, United States.
Ruiqi FengDepartment of Psychiatry, The First Affiliated Hospital of China Medical University, Shenyang, China.
Xizhe ZhangEarly Intervention Unit, Department of Psychiatry, Affiliated Nanjing Brain Hospital, Nanjing Medical University, Nanjing, China.
Yanbo ZhangFunctional Brain Imaging Institute of Nanjing Medical University, Nanjing, China.
Jia DuanDepartment of Psychiatry, The First Affiliated Hospital of China Medical University, Shenyang, China.
Miao ChangDepartment of Psychiatry, The First Affiliated Hospital of China Medical University, Shenyang, China.
Zhiyang YinDepartment of Psychiatry, The First Affiliated Hospital of China Medical University, Shenyang, China.
Xiaowei JiangDepartment of Psychiatry, The First Affiliated Hospital of China Medical University, Shenyang, China.
Shengnan WeiDepartment of Psychiatry, The First Affiliated Hospital of China Medical University, Shenyang, China.
Yange WeiDepartment of Psychiatry, The First Affiliated Hospital of China Medical University, Shenyang, China.
Yanqing TangDepartment of Psychiatry, The First Affiliated Hospital of China Medical University, Shenyang, China.
Fei WangDepartment of Psychiatry, The First Affiliated Hospital of China Medical University, Shenyang, China.
China Medical University · CNNanjing Medical University · CNNanjing Brain Hospital · CNWashington University in St. Louis · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe confounding effects of antipsychotics that led to the inconsistencies of neuroimaging findings have long been the barriers to understanding the pathophysiology of schizophrenia (SZ). Although it is widely accepted that antipsychotics can alleviate psychotic symptoms during the early most acute phase, the longer-term effects of antipsychotics on the brain have been unclear. This study aims to look at the susceptibility of different imaging measures to longer-term medicated status through real-world observation.

methodsWe compared gray matter volume (GMV) with amplitude of low-frequency fluctuations (ALFFs) in 89 medicated-schizophrenia (med-SZ), 81 unmedicated-schizophrenia (unmed-SZ), and 235 healthy controls (HC), and the differences were explored for relationships between imaging modalities and clinical variables. We also analyzed age-related effects on GMV and ALFF values in the two patient groups (med-SZ and unmed-SZ).

resultsMed-SZ demonstrated less GMV in the prefrontal cortex, temporal lobe, cingulate gyri, and left insula than unmed-SZ and HC (

conclusionGMV loss appeared to be pronounced to longer-term antipsychotics, whereby imbalanced alterations in regional low-frequency fluctuations persisted unaffected by antipsychotic treatment. Our findings may help to understand the disease course of SZ and potentially identify a reliable neuroimaging feature for diagnosis.

Indexed as

amplitude of low frequency fluctuationsantipsychoticsgray matter volumesreal-world observationschizophrenia

Identifiers

PMID35221884
PMCPMC8863862
OpenAlexW4211004951

What OpenQuestion holds

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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.