Evidence map›Paper›PMID 39576337›Full record

SynthesisEuropean journal of nuclear medicine and molecular imaging2025

EANM perspective on clinical PET and SPECT imaging in schizophrenia-spectrum disorders: a systematic review of longitudinal studies.

Antoine Rogeau, Anne Jetske Boer, Eric Guedj, Arianna Sala, Iris E Sommer, Mattia Veronese, Monique van der Weijden-Germann, EANM Neuroimaging Committee, Francesco Fraioli

Abstract readSystematic Review
In one paragraph

Synthesis in European journal of nuclear medicine and molecular imaging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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

6 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Biomarkers in schizophrenia - past, present and future.Romanian journal of morphology and embryology = Revue roumaine de morphologie et embryologie
    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

9 authors.

Antoine RogeauDepartment of Nuclear Medicine, Lille University Hospital, Lille, France. arogeau.pro@gmail.com.ORCID 0000-0002-3993-3954
Anne Jetske BoerDepartment of Neuroscience, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
Eric GuedjDepartment of Nuclear Medicine, Aix Marseille Univ, APHM, CNRS, Centrale Marseille, Institut Fresnel, Hôpital de La Timone, CERIMED, Marseille, France.
Arianna SalaComa Science Group, GIGA-Consciousness, University Hospital of Liège, Liège, Belgium.
Iris E SommerDepartment of Neuroscience, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
Mattia VeroneseDepartment of Information Engineering, University of Padua, Padua, Italy.
Monique van der Weijden-GermannDepartment of Neuroscience, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
EANM Neuroimaging Committee
Francesco FraioliInstitute of Nuclear Medicine, University College London Hospitals NHS Foundation Trust, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThere is a need for biomarkers in psychiatry to improve diagnosis, prognosis and management, and with confirmed value in follow-up care. Radionuclide imaging, given its molecular imaging characteristics, is well-positioned for translation to the clinic. This systematic review lays the groundwork for integrating PET and SPECT imaging in the clinical management of schizophrenia-spectrum disorders.

methodsSystematic search of PubMed, Embase, Web of Science and Cochrane library databases was conducted from the earliest date available until February 2024. The focus was on longitudinal studies evaluating PET or SPECT imaging in individuals with a schizophrenia-spectrum or another psychotic disorders. Quality assessment was done using the Newcastle-Ottawa Scale (NOS), NIH scale for before-after studies and Cochrane Risk of Bias tool version 2 (Cochrane RoB2). Studies were further categorised into three groups: preclinical and diagnosis, predicting disease course or personalising treatment.

resultsFifty-six studies were included in the systematic review investigating in total 1329 patients over a median of 3 months. Over two-thirds used PET tracers, whereas the remaining studies employed SPECT tracers. The most frequently investigated system was dopaminergic transmission, followed by cerebral metabolism and blood flow. [

conclusionMolecular imaging holds significant promise for real-life application in schizophrenia, with two particularly encouraging avenues being the prediction of conversion/response to antipsychotic medication and the improved management of antipsychotic dosage. Further longitudinal studies and clinical trials will be essential for validating both the clinical effectiveness and economic sustainability, as well as for exploring new applications.

Indexed as

Positron-Emission TomographySchizophreniaTomography, Emission-Computed, Single-PhotonHumansLongitudinal StudiesMolecular imagingNuclear medicinePETPsychiatryPsychosisSchizophreniaSPECTSSDSystematic review

Identifiers

PMID39576337
PMCPMC11754335

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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.