Evidence map›Paper›PMID 36087363›Full record

ArticlePsychiatry research2022

Larger gray matter volumes in neuropsychiatric long-COVID syndrome.

Bianca Besteher, Marlene Machnik, Marie Troll, Antonia Toepffer, Ani Zerekidze, Tonia Rocktäschel, Carina Heller, Zora Kikinis, Stefan Brodoehl, Kathrin Finke and 5 more

Open access · hybridAbstract read
In one paragraph

Article in Psychiatry research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 3 pooled it
9.8field-weighted citation impact, top 1% 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

60 citing papers in PubMed, 3 syntheses or guidelines pooled it, 83 citations in OpenAlex.

  1. Pooled it
  2. Post-COVID-19 conditions: a systematic review on advanced magnetic resonance neuroimaging findings.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
    Pooled it
  3. Pathophysiological Mechanisms in Long COVID: A Mixed Method Systematic Review.International journal of environmental research and public health · 2024
    Pooled it
  4. Article
  5. Resting-state functional connectivity and cognitive impairment after COVID-19 infection: Evidence from a large-scale fMRI study.European psychiatry : the journal of the Association of European Psychiatrists · 2026
    Article
  6. Article
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  11. Gene expression and gray matter volume changes in Post-COVID-19 olfactory dysfunction: a transcriptomic-neuroimaging study.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
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  17. DRIPS: Domain Randomisation for Image-based Perivascular spaces Segmentation.medRxiv : the preprint server for health sciences · 2025
    Article
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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

15 authors at 2 institutions in 2 countries.

Bianca BesteherDepartment of Psychiatry and Psychotherapy, Jena University Hospital, Philosophenweg 3, Jena 07743, Germany. Electronic address: bianca.besteher@med.uni-jena.de.
Marlene MachnikDepartment of Psychiatry and Psychotherapy, Jena University Hospital, Philosophenweg 3, Jena 07743, Germany.
Marie TrollDepartment of Psychiatry and Psychotherapy, Jena University Hospital, Philosophenweg 3, Jena 07743, Germany.
Antonia ToepfferDepartment of Psychiatry and Psychotherapy, Jena University Hospital, Philosophenweg 3, Jena 07743, Germany.
Ani ZerekidzeDepartment of Psychiatry and Psychotherapy, Jena University Hospital, Philosophenweg 3, Jena 07743, Germany.
Tonia RocktäschelDepartment of Psychiatry and Psychotherapy, Jena University Hospital, Philosophenweg 3, Jena 07743, Germany.
Carina HellerDepartment of Psychiatry and Psychotherapy, Jena University Hospital, Philosophenweg 3, Jena 07743, Germany; Department of Psychiatry, Brigham and Women's Hospital, Harvard Medical School, Boston, USA; Department of Clinical Psychology, Friedrich-Schiller-University Jena, Germany.
Zora KikinisDepartment of Psychiatry, Brigham and Women's Hospital, Harvard Medical School, Boston, USA.
Stefan BrodoehlDepartment of Neurology, Jena University Hospital, Germany.
Kathrin FinkeDepartment of Neurology, Jena University Hospital, Germany.
Philipp A ReukenDepartment of Internal Medicine IV, Gastroenterology, Hepatology and Infectious Diseases, Jena University Hospital, Germany.
Nils OpelDepartment of Psychiatry and Psychotherapy, Jena University Hospital, Philosophenweg 3, Jena 07743, Germany.
Andreas StallmachDepartment of Internal Medicine IV, Gastroenterology, Hepatology and Infectious Diseases, Jena University Hospital, Germany.
Christian GaserDepartment of Psychiatry and Psychotherapy, Jena University Hospital, Philosophenweg 3, Jena 07743, Germany; Department of Neurology, Jena University Hospital, Germany.
Martin WalterDepartment of Psychiatry and Psychotherapy, Jena University Hospital, Philosophenweg 3, Jena 07743, Germany.
Jena University Hospital · DEBrigham and Women's Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Neuropsychiatric symptoms are the most common sequelae of long-COVID. As accumulating evidence suggests an impact of survived SARS-CoV-2-infection on brain physiology, it is necessary to further investigate brain structural changes in relation to course and neuropsychiatric symptom burden in long-COVID. To this end, the present study investigated 3T-MRI scans from long-COVID patients suffering from neuropsychiatric symptoms (n = 30), and healthy controls (n = 20). Whole-brain comparison of gray matter volume (GMV) was conducted by voxel-based morphometry. To determine whether changes in GMV are predicted by neuropsychiatric symptom burden and/or initial severity of symptoms of COVID-19 and time since onset of COVID-19 stepwise linear regression analysis was performed. Significantly enlarged GMV in long-COVID patients was present in several clusters (spanning fronto-temporal areas, insula, hippocampus, amygdala, basal ganglia, and thalamus in both hemispheres) when compared to controls. Time since onset of COVID-19 was a significant regressor in four of these clusters with an inverse relationship. No associations with clinical symptom burden were found. GMV alterations in limbic and secondary olfactory areas are present in long-COVID patients and might be dynamic over time. Larger samples and longitudinal data in long-COVID patients are required to further clarify the mediating mechanisms between COVID-19, GMV and neuropsychiatric symptoms.

Indexed as

COVID-19Gray MatterBrainHumansMagnetic Resonance ImagingPost-Acute COVID-19 SyndromeSARS-CoV-2COVID-19Long-COVIDNeuroimagingVBM

Identifiers

PMID36087363
PMCPMC9444315
OpenAlexW4295490255

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.