Evidence map›Paper›PMID 35413648›Full record

ArticleNeuroImage. Clinical2022

Detection of advanced brain aging in schizophrenia and its structural underpinning by using normative brain age metrics.

Chang-Le Chen, Tzung-Jeng Hwang, Yu-Hung Tung, Li-Ying Yang, Yung-Chin Hsu, Chih-Min Liu, Yi-Tin Lin, Ming-Hsien Hsieh, Chen-Chung Liu, Yi-Ling Chien and 2 more

Abstract read
In one paragraph

Article in NeuroImage. Clinical, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing 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

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

  1. Pooled it
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  3. BrainAGE, brain health, and mental disorders: A systematic review.Neuroscience and biobehavioral reviews · 2024
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  13. Resting-state functional connectivity correlates of brain structural aging in schizophrenia.European archives of psychiatry and clinical neuroscience · 2025
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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.

Chang-Le ChenInstitute of Medical Device and Imaging, College of Medicine, National Taiwan University, Taipei, Taiwan; Department of Bioengineering, University of Pittsburgh, Pittsburgh, PA, USA.
Tzung-Jeng HwangDepartment of Psychiatry, National Taiwan University Hospital, Taipei, Taiwan.
Yu-Hung TungDepartment of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan.
Li-Ying YangInstitute of Medical Device and Imaging, College of Medicine, National Taiwan University, Taipei, Taiwan.
Yung-Chin HsuAcroViz Inc., Taipei, Taiwan.
Chih-Min LiuDepartment of Psychiatry, National Taiwan University Hospital, Taipei, Taiwan.
Yi-Tin LinDepartment of Psychiatry, National Taiwan University Hospital, Taipei, Taiwan.
Ming-Hsien HsiehDepartment of Psychiatry, National Taiwan University Hospital, Taipei, Taiwan.
Chen-Chung LiuDepartment of Psychiatry, National Taiwan University Hospital, Taipei, Taiwan.
Yi-Ling ChienDepartment of Psychiatry, National Taiwan University Hospital, Taipei, Taiwan.
Hai-Gwo HwuDepartment of Psychiatry, National Taiwan University Hospital, Taipei, Taiwan.
Wen-Yih Isaac TsengInstitute of Medical Device and Imaging, College of Medicine, National Taiwan University, Taipei, Taiwan; AcroViz Inc., Taipei, Taiwan; Department of Medical Imaging, National Taiwan University Hospital, Taipei, Taiwan; Molecular Imaging Center, National Taiwan University, Taipei, Taiwan. Electronic address: wytseng@ntu.edu.tw.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Conceptualizing mental disorders as deviations from normative functioning provides a statistical perspective for understanding the individual heterogeneity underlying psychiatric disorders. To broaden the understanding of the idiosyncrasy of brain aging in schizophrenia, we introduced an imaging-derived brain age paradigm combined with normative modeling as novel brain age metrics. We constructed brain age models based on GM, WM, and their combination (multimodality) features of 482 normal participants. The normalized predicted age difference (nPAD) was estimated in 147 individuals with schizophrenia and their 130 demographically matched controls through normative models of brain age metrics and compared between the groups. Regression analyses were also performed to investigate the associations of nPAD with illness duration, onset age, symptom severity, and intelligence quotient. Finally, regional contributions to advanced brain aging in schizophrenia were investigated. The results showed that the individuals exhibited significantly higher nPAD (P < 0.001), indicating advanced normative brain age than the normal controls in GM, WM, and multimodality models. The nPAD measure based on WM was positively associated with the negative symptom score (P = 0.009), and negatively associated with the intelligence quotient (P = 0.039) and onset age (P = 0.006). The imaging features that contributed to nPAD mostly involved the prefrontal, temporal, and parietal lobes, especially the precuneus and uncinate fasciculus. This study demonstrates that normative brain age metrics could detect advanced brain aging and associated clinical and neuroanatomical features in schizophrenia. The proposed nPAD measures may be useful to investigate aberrant brain aging in mental disorders and their brain-phenotype relationships.

Indexed as

SchizophreniaWhite MatterAgingBenchmarkingBrainHumansMagnetic Resonance ImagingBrain ageMachine learningMagnetic resonance imagingMultimodalityNormative modelSchizophrenia

Identifiers

PMID35413648
PMCPMC9018160

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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.