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For: McCunn P, Richardson JD, Jetly R, Dunkley B. Diffusion Tensor Imaging Reveals White Matter Differences in Military Personnel Exposed to Trauma with and without Post-traumatic Stress Disorder. Psychiatry Res 2021;298:113797. [PMID: 33582526 DOI: 10.1016/j.psychres.2021.113797] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/30/2020] [Accepted: 02/06/2021] [Indexed: 10/22/2022]

For:	McCunn P, Richardson JD, Jetly R, Dunkley B. Diffusion Tensor Imaging Reveals White Matter Differences in Military Personnel Exposed to Trauma with and without Post-traumatic Stress Disorder. Psychiatry Res 2021;298:113797. [PMID: 33582526 DOI: 10.1016/j.psychres.2021.113797] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/30/2020] [Accepted: 02/06/2021] [Indexed: 10/22/2022]

Number

Cited by Other Article(s)

Zhu X, Kim Y, Ravid O, He X, Suarez-Jimenez B, Zilcha-Mano S, Lazarov A, Lee S, Abdallah CG, Angstadt M, Averill CL, Baird CL, Baugh LA, Blackford JU, Bomyea J, Bruce SE, Bryant RA, Cao Z, Choi K, Cisler J, Cotton AS, Daniels JK, Davenport ND, Davidson RJ, DeBellis MD, Dennis EL, Densmore M, deRoon-Cassini T, Disner SG, Hage WE, Etkin A, Fani N, Fercho KA, Fitzgerald J, Forster GL, Frijling JL, Geuze E, Gonenc A, Gordon EM, Gruber S, Grupe DW, Guenette JP, Haswell CC, Herringa RJ, Herzog J, Hofmann DB, Hosseini B, Hudson AR, Huggins AA, Ipser JC, Jahanshad N, Jia-Richards M, Jovanovic T, Kaufman ML, Kennis M, King A, Kinzel P, Koch SBJ, Koerte IK, Koopowitz SM, Korgaonkar MS, Krystal JH, Lanius R, Larson CL, Lebois LAM, Li G, Liberzon I, Lu GM, Luo Y, Magnotta VA, Manthey A, Maron-Katz A, May G, McLaughlin K, Mueller SC, Nawijn L, Nelson SM, Neufeld RWJ, Nitschke JB, O'Leary EM, Olatunji BO, Olff M, Peverill M, Phan KL, Qi R, Quidé Y, Rektor I, Ressler K, Riha P, Ross M, Rosso IM, Salminen LE, Sambrook K, Schmahl C, Shenton ME, Sheridan M, Shih C, Sicorello M, Sierk A, Simmons AN, Simons RM, Simons JS, Sponheim SR, Stein MB, Stein DJ, Stevens JS, Straube T, Sun D, Théberge J, Thompson PM, Thomopoulos SI, van der Wee NJA, van der Werff SJA, van Erp TGM, van Rooij SJH, van Zuiden M, Varkevisser T, Veltman DJ, Vermeiren RRJM, Walter H, Wang L, Wang X, Weis C, Winternitz S, Xie H, Zhu Y, Wall M, Neria Y, Morey RA. Neuroimaging-based classification of PTSD using data-driven computational approaches: A multisite big data study from the ENIGMA-PGC PTSD consortium. Neuroimage 2023;283:120412. [PMID: 37858907 PMCID: PMC10842116 DOI: 10.1016/j.neuroimage.2023.120412] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2023] [Revised: 09/10/2023] [Accepted: 10/16/2023] [Indexed: 10/21/2023] Open

Abstract

BACKGROUND

Recent advances in data-driven computational approaches have been helpful in devising tools to objectively diagnose psychiatric disorders. However, current machine learning studies limited to small homogeneous samples, different methodologies, and different imaging collection protocols, limit the ability to directly compare and generalize their results. Here we aimed to classify individuals with PTSD versus controls and assess the generalizability using a large heterogeneous brain datasets from the ENIGMA-PGC PTSD Working group.

METHODS

We analyzed brain MRI data from 3,477 structural-MRI; 2,495 resting state-fMRI; and 1,952 diffusion-MRI. First, we identified the brain features that best distinguish individuals with PTSD from controls using traditional machine learning methods. Second, we assessed the utility of the denoising variational autoencoder (DVAE) and evaluated its classification performance. Third, we assessed the generalizability and reproducibility of both models using leave-one-site-out cross-validation procedure for each modality.

RESULTS

We found lower performance in classifying PTSD vs. controls with data from over 20 sites (60 % test AUC for s-MRI, 59 % for rs-fMRI and 56 % for d-MRI), as compared to other studies run on single-site data. The performance increased when classifying PTSD from HC without trauma history in each modality (75 % AUC). The classification performance remained intact when applying the DVAE framework, which reduced the number of features. Finally, we found that the DVAE framework achieved better generalization to unseen datasets compared with the traditional machine learning frameworks, albeit performance was slightly above chance.

CONCLUSION

These results have the potential to provide a baseline classification performance for PTSD when using large scale neuroimaging datasets. Our findings show that the control group used can heavily affect classification performance. The DVAE framework provided better generalizability for the multi-site data. This may be more significant in clinical practice since the neuroimaging-based diagnostic DVAE classification models are much less site-specific, rendering them more generalizable.

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Affiliation(s)

Xi Zhu Department of Psychiatry, Columbia University Medical Center, New York, NY, USA; New York State Psychiatric Institute, New York, NY, USA
Yoojean Kim New York State Psychiatric Institute, New York, NY, USA
Orren Ravid New York State Psychiatric Institute, New York, NY, USA
Xiaofu He Department of Psychiatry, Columbia University Medical Center, New York, NY, USA
Benjamin Suarez-Jimenez University of Rochester, Rochester, NY, USA
Sigal Zilcha-Mano University of Haifa, Haifa, Israel
Amit Lazarov Tel-Aviv University, Tel Aviv, Israel
Seonjoo Lee Department of Psychiatry, Columbia University Medical Center, New York, NY, USA; New York State Psychiatric Institute, New York, NY, USA
Chadi G Abdallah Baylor College of Medicine, Houston, TX, USA; Yale University School of Medicine, New Haven, CT, USA
Michael Angstadt University of Michigan, Ann Arbor, MI, USA
Christopher L Averill Baylor College of Medicine, Houston, TX, USA; Yale University School of Medicine, New Haven, CT, USA
C Lexi Baird Duke University, Durham, NC, USA
Lee A Baugh Sanford School of Medicine, University of South Dakota, Vermillion, SD, USA
Jennifer U Blackford Munroe-Meyer Institute, University of Nebraska Medical Center, Omaha, NE, USA
Jessica Bomyea University of California San Diego, La Jolla, CA, USA
Steven E Bruce Center for Trauma Recovery, Department of Psychological Sciences, University of Missouri-St. Louis, St. Louis, MO, USA
Richard A Bryant School of Psychology, University of New South Wales, Sydney, NSW, Australia
Zhihong Cao Department of Radiology, The Affiliated Yixing Hospital of Jiangsu University, Yixing, Jiangsu, China
Kyle Choi University of California San Diego, La Jolla, CA, USA
Josh Cisler Department of Psychiatry, University of Texas at Austin, Austin, TX, USA
Andrew S Cotton University of Toledo, Toledo, OH, USA
Judith K Daniels University of Groningen, Groningen, The Netherlands
Nicholas D Davenport Minneapolis VA Health Care System, Minneapolis, MN, USA
Richard J Davidson University of Wisconsin-Madison, Madison, WI, USA
Michael D DeBellis Duke University, Durham, NC, USA
Emily L Dennis University of Utah School of Medicine, Salt Lake City, UT, USA
Maria Densmore Departments of Psychology and Psychiatry, Neuroscience Program, Western University, London, ON, Canada; Department of Psychology, University of British Columbia, Okanagan, Kelowna, British Columbia, Canada
Terri deRoon-Cassini Medical College of Wisconsin, Milwaukee, WI, USA
Seth G Disner Minneapolis VA Health Care System, Minneapolis, MN, USA
Wissam El Hage UMR 1253, CIC 1415, University of Tours, CHRU de Tours, INSERM, France
Amit Etkin Stanford University, Stanford, CA, USA
Negar Fani Emory University Department of Psychiatry and Behavioral Sciences, Atlanta, GA, USA
Kelene A Fercho Civil Aerospace Medical Institute, US Federal Aviation Administration, Oklahoma City, OK, USA
Jacklynn Fitzgerald Marquette University, Milwaukee, WI, USA
Gina L Forster Brain Health Research Centre, Department of Anatomy, University of Otago, Dunedin, New Zealand
Jessie L Frijling Department of Psychiatry, Amsterdam University Medical Centers, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands
Elbert Geuze Brain Research and Innovation Centre, Ministry of Defence, Utrecht, The Netherlands
Atilla Gonenc Cognitive and Clinical Neuroimaging Core, McLean Hospital, Belmont, MA, USA
Evan M Gordon Department of Radiology, Washington University School of Medicine, St. Louis, MO, USA
Staci Gruber Cognitive and Clinical Neuroimaging Core, McLean Hospital, Belmont, MA, USA
Daniel W Grupe University of Wisconsin-Madison, Madison, WI, USA
Jeffrey P Guenette Division of Neuroradiology, Brigham and Women's Hospital, Boston, MA, USA
Courtney C Haswell Duke University, Durham, NC, USA
Ryan J Herringa School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, USA
Julia Herzog Heidelberg University, Heidelberg, Germany
David Bernd Hofmann University of Münster, Münster, Germany
Bobak Hosseini University of Illinois at Chicago, Chicago, IL, USA
Anna R Hudson Ghent University, Ghent, Belgium
Ashley A Huggins Duke University, Durham, NC, USA
Jonathan C Ipser University of Cape Town, Cape Town, South Africa
Neda Jahanshad Imaging Genetics Center, Mark and Mary Stevens Neuroimaging and Informatics Institute, Keck School of Medicine of the University of Southern California, Marina del Rey, CA, USA
Meilin Jia-Richards Department of Psychology and Neuroscience, Baylor University, Waco, TX, USA
Tanja Jovanovic Wayne State University School of Medicine, Detroit, MI, USA
Milissa L Kaufman Division of Women's Mental Health, McLean Hospital, Belmont, MA, USA
Mitzy Kennis Brain Research and Innovation Centre, Ministry of Defence, Utrecht, The Netherlands
Anthony King University of Michigan, Ann Arbor, MI, USA
Philipp Kinzel Department of Child and Adolescent Psychiatry, Psychosomatic and Psychotherapy, Ludwig Maximilian University of Munich, Munich, Germany; Psychiatry Neuroimaging Laboratory, Brigham and Women's Hospital, Boston, MA, USA
Saskia B J Koch Donders Institute for Brain, Cognition and Behavior, Centre for Cognitive Neuroimaging, Radboud University Nijmegen, Nijmegen, The Netherlands
Inga K Koerte Department of Child and Adolescent Psychiatry, Psychosomatic and Psychotherapy, Ludwig Maximilian University of Munich, Munich, Germany; Psychiatry Neuroimaging Laboratory, Brigham and Women's Hospital, Boston, MA, USA
Sheri M Koopowitz University of Cape Town, Cape Town, South Africa
Mayuresh S Korgaonkar Westmead Institute for Medical Research, Westmead, NSW, Australia
John H Krystal Yale University School of Medicine, New Haven, CT, USA
Ruth Lanius Department of Neuroscience, Western University, London, ON, Canada
Christine L Larson University of Wisconsin-Milwaukee, Milwaukee, WI, USA
Lauren A M Lebois McLean Hospital, Belmont, MA, USA; Harvard Medical School, Boston, MA, USA
Gen Li Institute of Psychology, Chinese Academy of Sciences, Beijing, China
Israel Liberzon Psychiatry and Behavioral Science, Texas A&M University Health Science Center, College Station, TX, USA
Guang Ming Lu Department of Medical Imaging, Jinling Hospital, Medical School of Nanjing University, Nanjing, Jiangsu, China
Yifeng Luo Department of Radiology, The Affiliated Yixing Hospital of Jiangsu University, Yixing, Jiangsu, China
Vincent A Magnotta University of Iowa, Iowa City, IA, USA
Antje Manthey Charité Universitätsmedizin Berlin Campus Charite Mitte: Charite Universitatsmedizin Berlin, Berlin, Germany
Adi Maron-Katz Stanford University, Stanford, CA, USA
Geoffery May VISN 17 Center of Excellence for Research on Returning War Veterans, Waco, TX, USA
Katie McLaughlin Harvard University, Boston, MA, USA
Sven C Mueller Ghent University, Ghent, Belgium
Laura Nawijn Department of Psychiatry, Amsterdam University Medical Centers, VU University Medical Center, VU University, Amsterdam, The Netherlands
Steven M Nelson Department of Pediatrics, University of Minnesota, Minneapolis, MN, USA
Richard W J Neufeld Departments of Psychology and Psychiatry, Neuroscience Program, Western University, London, ON, Canada; Department of Psychology, University of British Columbia, Okanagan, Kelowna, British Columbia, Canada
Jack B Nitschke University of Wisconsin-Madison, Madison, WI, USA
Erin M O'Leary University of Toledo, Toledo, OH, USA
Bunmi O Olatunji Department of Psychology, Vanderbilt University, Nashville, TN, USA
Miranda Olff Department of Psychiatry, Amsterdam University Medical Centers, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands
Matthew Peverill University of Washington, Seattle, WA, USA
K Luan Phan Department of Psychiatry and Behavioral Health, Ohio State University, Columbus, OH, USA
Rongfeng Qi Department of Medical Imaging, Jinling Hospital, Medical School of Nanjing University, Nanjing, Jiangsu, China
Yann Quidé School of Psychology, University of New South Wales, Sydney, NSW, Australia; Neuroscience Research Australia, Randwick, NSW, Australia
Ivan Rektor Masaryk University, Brno, Czechia
Kerry Ressler McLean Hospital, Belmont, MA, USA; Harvard Medical School, Boston, MA, USA
Pavel Riha Masaryk University, Brno, Czechia
Marisa Ross Northwestern Neighborhood and Networks Initiative, Northwestern University Institute for Policy Research, Evanston, IL, USA
Isabelle M Rosso McLean Hospital, Belmont, MA, USA; Harvard Medical School, Boston, MA, USA
Lauren E Salminen Imaging Genetics Center, Mark and Mary Stevens Neuroimaging and Informatics Institute, Keck School of Medicine of the University of Southern California, Marina del Rey, CA, USA
Kelly Sambrook University of Washington, Seattle, WA, USA
Christian Schmahl Heidelberg University, Heidelberg, Germany
Martha E Shenton Psychiatry Neuroimaging Laboratory, Brigham and Women's Hospital, Boston, MA, USA
Margaret Sheridan University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
Chiahao Shih University of Toledo, Toledo, OH, USA
Maurizio Sicorello Heidelberg University, Heidelberg, Germany
Anika Sierk Charité Universitätsmedizin Berlin Campus Charite Mitte: Charite Universitatsmedizin Berlin, Berlin, Germany
Alan N Simmons Center of Excellence for Stress and Mental Health, VA San Diego Healthcare System, San Diego, CA, USA
Raluca M Simons University of South Dakota, Vermillion, SD, USA
Jeffrey S Simons University of South Dakota, Vermillion, SD, USA
Scott R Sponheim Minneapolis VA Health Care System, Minneapolis, MN, USA; University of Minnesota, Minneapolis, MN, USA
Murray B Stein University of California San Diego, La Jolla, CA, USA
Dan J Stein University of Cape Town, Cape Town, South Africa
Jennifer S Stevens Emory University Department of Psychiatry and Behavioral Sciences, Atlanta, GA, USA
Thomas Straube University of Münster, Münster, Germany
Delin Sun Duke University, Durham, NC, USA
Jean Théberge Departments of Psychology and Psychiatry, Neuroscience Program, Western University, London, ON, Canada; Department of Psychology, University of British Columbia, Okanagan, Kelowna, British Columbia, Canada
Paul M Thompson Imaging Genetics Center, Mark and Mary Stevens Neuroimaging and Informatics Institute, Keck School of Medicine of the University of Southern California, Marina del Rey, CA, USA
Sophia I Thomopoulos Imaging Genetics Center, Mark and Mary Stevens Neuroimaging and Informatics Institute, Keck School of Medicine of the University of Southern California, Marina del Rey, CA, USA
Nic J A van der Wee Leiden University Medical Center, Leiden, The Netherlands
Steven J A van der Werff Leiden University Medical Center, Leiden, The Netherlands
Theo G M van Erp University of California, Irvine, Irvine, CA, USA
Sanne J H van Rooij Emory University Department of Psychiatry and Behavioral Sciences, Atlanta, GA, USA
Mirjam van Zuiden Department of Psychiatry, Amsterdam University Medical Centers, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands
Tim Varkevisser Brain Research and Innovation Centre, Ministry of Defence, Utrecht, The Netherlands
Dick J Veltman Department of Psychiatry, Amsterdam University Medical Centers, VU University Medical Center, VU University, Amsterdam, The Netherlands
Robert R J M Vermeiren Leiden University Medical Center, Leiden, The Netherlands
Henrik Walter Charité Universitätsmedizin Berlin Campus Charite Mitte: Charite Universitatsmedizin Berlin, Berlin, Germany
Li Wang Institute of Psychology, Chinese Academy of Sciences, Beijing, China; Department of Psychology, University of Chinese Academy of Sciences, Beijing, China
Xin Wang University of Toledo, Toledo, OH, USA
Carissa Weis Medical College of Wisconsin, Milwaukee, WI, USA
Sherry Winternitz Division of Women's Mental Health, McLean Hospital, Belmont, MA, USA
Hong Xie University of Toledo, Toledo, OH, USA
Ye Zhu Institute of Psychology, Chinese Academy of Sciences, Beijing, China
Melanie Wall Department of Psychiatry, Columbia University Medical Center, New York, NY, USA; New York State Psychiatric Institute, New York, NY, USA
Yuval Neria Department of Psychiatry, Columbia University Medical Center, New York, NY, USA
Rajendra A Morey Duke University, Durham, NC, USA

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Wu L, Wang Z, Zhou X, Kong Q, Zhang Y, Xu S, Huang H, Luo X. Mismatch of MRI White Matter Hyperintensities and Gait Function in Patients With Cerebral Small Vessel Disease. J Magn Reson Imaging 2023. [PMID: 37921545 DOI: 10.1002/jmri.29121] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2023] [Revised: 10/24/2023] [Accepted: 10/25/2023] [Indexed: 11/04/2023] Open

Abstract

BACKGROUND

Cerebral small vessel disease (CSVD) is closely related to gait disorders. Previous studies have found a negative correlation between the severity of MRI white matter hyperintensities (WMH) and gait speed. However, not every individual with WMH experiences a gait disorder.

PURPOSE

To investigate the mechanisms underlying the mismatch between the severity of MRI WMH and gait impairment, in particular in subjects with severe WMH (Fazekas 3, scale 0-3) resulting from vascular disease.

STUDY TYPE

Cohort.

POPULATION

54 subjects with severe WMH and gait disorder (WMH-GD; 29 males) and 114 subjects with severe WMH with no gait disorder (WMH-nGD; 60 males).

FIELD STRENGTH/SEQUENCE

3T/diffusion tensor imaging (DTI), and T1-weighted, T2-weighted, FLAIR, DWI, SWI.

ASSESSMENT

Trace-based spatial statistics analysis (TBSS) approach (fractional anisotropy, FA; mean diffusivity; radial diffusivity; axial diffusivity); Cognitive assessment; Conventional MRI markers of CSVD (WMH, enlarged perivascular spaces, lacunae, and cerebral microbleeds); Gait parameters (gait speed; cadence; stride length; gait cycle duration; step duration; time-up-and-go test, TUG). Gait disorder was defined as a TUG time exceeding 12 sec.

STATISTICAL TESTS

The t-tests, Mann-Whitney U tests, Chi-square tests, and partial correlation analysis (Pearson or Spearman) were used. P < 0.05 with threshold-free cluster enhancement corrected was considered statistically significant for TBSS.

RESULTS

After adjusting for age, sex, height, and other conventional MRI markers of CSVD, the WMH-nGD group showed significantly decreased FA values in the corpus callosum, bilateral superior longitudinal fasciculus, left corona radiata, and left posterior thalamic radiation. There was a significant association between FA values and TUG time, gait speed, and stride length in multiple WM tracts, independent of other conventional CSVD markers.

DATA CONCLUSION

This study provides evidence for microstructural damage of specific fibers in WMH-GD subjects compared to WMH-nGD subjects. This may explain the mismatch between WMH and gait impairment in subjects with severe WMH.

LEVEL OF EVIDENCE

1 TECHNICAL EFFICACY: Stage 3.

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Dong L, Liang HB, Du J, Wang Y, Zhou Q, Xin Z, Hu Y, Liu YS, Zhao R, Qiao Y, Zhou C, Liu JR, Du X. Microstructural Differences of the Cerebellum-Thalamus-Basal Ganglia-Limbic Cortex in Patients with Somatic Symptom Disorders: a Diffusion Kurtosis Imaging Study. CEREBELLUM (LONDON, ENGLAND) 2023;22:840-851. [PMID: 35986875 DOI: 10.1007/s12311-022-01461-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 08/14/2022] [Indexed: 06/15/2023]

Affiliation(s)

Liao Dong Department of Psychology, Shanghai University of Sport, Shanghai, 200438, China Shanghai Key Laboratory of Magnetic Resonance and Department of Physics, School of Physics and Electronic Science, East China Normal University, Shanghai, 200062, China
Huai-Bin Liang Department of Neurology &Jiuyuan Municipal Stroke Center, Shanghai 9Th People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200011, China Clinical Research Center, Shanghai Jiao Tong University School of Medicine, Shanghai, 200011, China
Jiaxin Du Centre for Advanced Imaging, The University of Queensland, St Lucia, QLD, 4072, Australia
Yingying Wang Department of Psychology, Shanghai University of Sport, Shanghai, 200438, China
Qichen Zhou Department of Psychology, Shanghai University of Sport, Shanghai, 200438, China
Ziyue Xin Department of Psychology, Shanghai University of Sport, Shanghai, 200438, China
Yue Hu Department of Neurology &Jiuyuan Municipal Stroke Center, Shanghai 9Th People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200011, China Clinical Research Center, Shanghai Jiao Tong University School of Medicine, Shanghai, 200011, China
Yi-Sheng Liu Department of Neurology &Jiuyuan Municipal Stroke Center, Shanghai 9Th People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200011, China
Rong Zhao Department of Neurology &Jiuyuan Municipal Stroke Center, Shanghai 9Th People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200011, China Clinical Research Center, Shanghai Jiao Tong University School of Medicine, Shanghai, 200011, China
Yuan Qiao Department of Neurology &Jiuyuan Municipal Stroke Center, Shanghai 9Th People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200011, China Clinical Research Center, Shanghai Jiao Tong University School of Medicine, Shanghai, 200011, China
Chenglin Zhou Department of Psychology, Shanghai University of Sport, Shanghai, 200438, China
Jian-Ren Liu Department of Neurology &Jiuyuan Municipal Stroke Center, Shanghai 9Th People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200011, China. Clinical Research Center, Shanghai Jiao Tong University School of Medicine, Shanghai, 200011, China.
Xiaoxia Du Department of Psychology, Shanghai University of Sport, Shanghai, 200438, China.

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Rojczyk P, Seitz-Holland J, Kaufmann E, Sydnor VJ, Kim CL, Umminger LF, Wiegand TLT, Guenette JP, Zhang F, Rathi Y, Bouix S, Pasternak O, Fortier CB, Salat D, Hinds SR, Heinen F, O’Donnell LJ, Milberg WP, McGlinchey RE, Shenton ME, Koerte IK. Sleep Quality Disturbances Are Associated with White Matter Alterations in Veterans with Post-Traumatic Stress Disorder and Mild Traumatic Brain Injury. J Clin Med 2023;12:2079. [PMID: 36902865 PMCID: PMC10004675 DOI: 10.3390/jcm12052079] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2023] [Revised: 03/02/2023] [Accepted: 03/03/2023] [Indexed: 03/09/2023] Open

Affiliation(s)

Philine Rojczyk Psychiatry Neuroimaging Laboratory, Department of Psychiatry, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA 02145, USA cBRAIN, Department of Child and Adolescent Psychiatry, Psychosomatics, and Psychotherapy, Ludwig-Maximilians-University, 80336 Munich, Germany
Johanna Seitz-Holland Psychiatry Neuroimaging Laboratory, Department of Psychiatry, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA 02145, USA Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA
Elisabeth Kaufmann Psychiatry Neuroimaging Laboratory, Department of Psychiatry, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA 02145, USA cBRAIN, Department of Child and Adolescent Psychiatry, Psychosomatics, and Psychotherapy, Ludwig-Maximilians-University, 80336 Munich, Germany Department of Neurology, Ludwig-Maximilians-University, 81377 Munich, Germany
Valerie J. Sydnor Psychiatry Neuroimaging Laboratory, Department of Psychiatry, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA 02145, USA
Cara L. Kim Psychiatry Neuroimaging Laboratory, Department of Psychiatry, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA 02145, USA cBRAIN, Department of Child and Adolescent Psychiatry, Psychosomatics, and Psychotherapy, Ludwig-Maximilians-University, 80336 Munich, Germany
Lisa F. Umminger Psychiatry Neuroimaging Laboratory, Department of Psychiatry, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA 02145, USA cBRAIN, Department of Child and Adolescent Psychiatry, Psychosomatics, and Psychotherapy, Ludwig-Maximilians-University, 80336 Munich, Germany
Tim L. T. Wiegand Psychiatry Neuroimaging Laboratory, Department of Psychiatry, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA 02145, USA cBRAIN, Department of Child and Adolescent Psychiatry, Psychosomatics, and Psychotherapy, Ludwig-Maximilians-University, 80336 Munich, Germany
Jeffrey P. Guenette Psychiatry Neuroimaging Laboratory, Department of Psychiatry, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA 02145, USA Department of Radiology, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA 02115, USA
Fan Zhang Department of Radiology, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA 02115, USA
Yogesh Rathi Psychiatry Neuroimaging Laboratory, Department of Psychiatry, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA 02145, USA Department of Radiology, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA 02115, USA
Sylvain Bouix Psychiatry Neuroimaging Laboratory, Department of Psychiatry, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA 02145, USA Department of Software Engineering and IT, École de Technologie Supérieure, Montreal, QC H3C 1K3, Canada
Ofer Pasternak Psychiatry Neuroimaging Laboratory, Department of Psychiatry, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA 02145, USA Department of Radiology, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA 02115, USA
Catherine B. Fortier Translational Research Center for TBI and Stress Disorders (TRACTS) and Geriatric Research, Education and Clinical Center (GRECC), VA Boston Healthcare System, Boston, MA 02130, USA Department of Psychiatry, Harvard Medical School, Boston, MA 02215, USA
David Salat Translational Research Center for TBI and Stress Disorders (TRACTS) and Geriatric Research, Education and Clinical Center (GRECC), VA Boston Healthcare System, Boston, MA 02130, USA Neuroimaging Research for Veterans (NeRVe) Center, VA Boston Healthcare System, Boston, 02115 MA, USA Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Department of Radiology, Boston, MA 02129, USA
Sidney R. Hinds Department of Neurology, Uniformed Services University, Bethesda, MD 20814, USA
Florian Heinen Department of Pediatric Neurology and Developmental Medicine and LMU Center for Children with Medical Complexity, Dr. von Hauner Children’s Hospital, Ludwig-Maximilians-University, 80337 Munich, Germany
Lauren J. O’Donnell Department of Radiology, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA 02115, USA
William P. Milberg Translational Research Center for TBI and Stress Disorders (TRACTS) and Geriatric Research, Education and Clinical Center (GRECC), VA Boston Healthcare System, Boston, MA 02130, USA Department of Psychiatry, Harvard Medical School, Boston, MA 02215, USA Neuroimaging Research for Veterans (NeRVe) Center, VA Boston Healthcare System, Boston, 02115 MA, USA
Regina E. McGlinchey Translational Research Center for TBI and Stress Disorders (TRACTS) and Geriatric Research, Education and Clinical Center (GRECC), VA Boston Healthcare System, Boston, MA 02130, USA Department of Psychiatry, Harvard Medical School, Boston, MA 02215, USA Neuroimaging Research for Veterans (NeRVe) Center, VA Boston Healthcare System, Boston, 02115 MA, USA
Martha E. Shenton Psychiatry Neuroimaging Laboratory, Department of Psychiatry, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA 02145, USA Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA Department of Radiology, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA 02115, USA
Inga K. Koerte Psychiatry Neuroimaging Laboratory, Department of Psychiatry, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA 02145, USA cBRAIN, Department of Child and Adolescent Psychiatry, Psychosomatics, and Psychotherapy, Ludwig-Maximilians-University, 80336 Munich, Germany Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA Graduate School of Systemic Neurosciences, Ludwig-Maximilians-University, 82152 Munich, Germany

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Marcolini S, Rojczyk P, Seitz-Holland J, Koerte IK, Alosco ML, Bouix S. Posttraumatic Stress and Traumatic Brain Injury: Cognition, Behavior, and Neuroimaging Markers in Vietnam Veterans. J Alzheimers Dis 2023;95:1427-1448. [PMID: 37694363 PMCID: PMC10578246 DOI: 10.3233/jad-221304] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/24/2023] [Indexed: 09/12/2023]

Abstract

BACKGROUND

Posttraumatic stress disorder (PTSD) and traumatic brain injury (TBI) are common in Veterans and linked to behavioral disturbances, increased risk of cognitive decline, and Alzheimer's disease.

OBJECTIVE

We studied the synergistic effects of PTSD and TBI on behavioral, cognitive, and neuroimaging measures in Vietnam war Veterans.

METHODS

Data were acquired at baseline and after about one-year from male Veterans categorized into: PTSD, TBI, PTSD+TBI, and Veteran controls without PTSD or TBI. We applied manual tractography to examine white matter microstructure of three fiber tracts: uncinate fasciculus (N = 91), cingulum (N = 87), and inferior longitudinal fasciculus (N = 95). ANCOVAs were used to compare Veterans' baseline behavioral and cognitive functioning (N = 285), white matter microstructure, amyloid-β (N = 230), and tau PET (N = 120). Additional ANCOVAs examined scores' differences from baseline to follow-up.

RESULTS

Veterans with PTSD and PTSD+TBI, but not Veterans with TBI only, exhibited poorer behavioral and cognitive functioning at baseline than controls. The groups did not differ in baseline white matter, amyloid-β, or tau, nor in behavioral and cognitive functioning, and tau accumulation change. Progression of white matter abnormalities of the uncinate fasciculus in Veterans with PTSD compared to controls was observed; analyses in TBI and PTSD+TBI were not run due to insufficient sample size.

CONCLUSIONS

PTSD and PTSD+TBI negatively affect behavioral and cognitive functioning, while TBI does not contribute independently. Whether progressive decline in uncinate fasciculus microstructure in Veterans with PTSD might account for cognitive decline should be further studied. Findings did not support an association between PTSD, TBI, and Alzheimer's disease pathology based on amyloid and tau PET.

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Suo X, Lei D, Li W, Sun H, Qin K, Yang J, Li L, Kemp GJ, Gong Q. Psychoradiological abnormalities in treatment-naive noncomorbid patients with posttraumatic stress disorder. Depress Anxiety 2022;39:83-91. [PMID: 34793618 PMCID: PMC9298779 DOI: 10.1002/da.23226] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/22/2021] [Revised: 09/23/2021] [Accepted: 10/26/2021] [Indexed: 02/06/2023] Open

Kritikos M, Huang C, Clouston SAP, Pellecchia AC, Mejia-Santiago S, Carr MA, Hagan T, Kotov R, Gandy S, Sano M, Horton M, Bromet EJ, Lucchini RG, Luft BJ. DTI Connectometry Analysis Reveals White Matter Changes in Cognitively Impaired World Trade Center Responders at Midlife. J Alzheimers Dis 2022;89:1075-1089. [PMID: 35964183 PMCID: PMC9730899 DOI: 10.3233/jad-220255] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]

Affiliation(s)

Minos Kritikos Program in Public Health and Department of Family, Population, and Preventive Medicine, Renaissance School of Medicine at Stony Brook University, Stony Brook, NY, USA
Chuan Huang Department of Radiology, Renaissance School of Medicine at Stony Brook, Stony Brook, NY
Sean A. P. Clouston Program in Public Health and Department of Family, Population, and Preventive Medicine, Renaissance School of Medicine at Stony Brook University, Stony Brook, NY, USA,Correspondence: Dr. Sean Clouston, Program in Public Health, 101 Nichols Rd., Health Sciences Center, #3-071, Renaissance School of Medicine at Stony Brook University, Stony Brook, NY, 11794, USA. Telephone: (631) 444-6593. . Facsimile: (631) 444-3480
Alison C. Pellecchia Stony Brook World Trade Center Wellness Program, Renaissance School of Medicine at Stony Brook University, Stony Brook, NY, USA
Stephanie Mejia-Santiago Stony Brook World Trade Center Wellness Program, Renaissance School of Medicine at Stony Brook University, Stony Brook, NY, USA
Melissa A. Carr Stony Brook World Trade Center Wellness Program, Renaissance School of Medicine at Stony Brook University, Stony Brook, NY, USA
Thomas Hagan Department of Radiology, Renaissance School of Medicine at Stony Brook, Stony Brook, NY
Roman Kotov Department of Psychiatry, Renaissance School of Medicine at Stony Brook University, Stony Brook, NY, USA
Sam Gandy James J Peters VA Medical Center, 130 West Kingsbridge Road, Bronx NY, 10468,Department of Psychiatry and Mount Sinai Alzheimer’s Disease Research Center, Icahn School of Medicine at Mount Sinai, New York, NY, USA,Center for Cognitive Health and Department of Neurology, Icahn School of Medicine at Mount Sinai, New York, NY, USA
Mary Sano Department of Psychiatry and Mount Sinai Alzheimer’s Disease Research Center, Icahn School of Medicine at Mount Sinai, New York, NY, USA,Center for Cognitive Health and Department of Neurology, Icahn School of Medicine at Mount Sinai, New York, NY, USA
Megan Horton Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinair, New York, NY, USA
Evelyn J. Bromet Department of Psychiatry, Renaissance School of Medicine at Stony Brook University, Stony Brook, NY, USA
Roberto G. Lucchini Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinair, New York, NY, USA
Benjamin J. Luft Stony Brook World Trade Center Wellness Program, Renaissance School of Medicine at Stony Brook University, Stony Brook, NY, USA,Department of Medicine, Renaissance School of Medicine at Stony Brook University, Stony Brook, NY, USA

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