School of Medicine Publications and Presentations

A comprehensive tractography study of patients with bipolar disorder and their unaffected siblings

Document Type

Article

Publication Date

10-1-2016

Abstract

Background

Diffusion tensor imaging studies show reductions in fractional anisotropy (FA) in individuals with bipolar disorder and their unaffected siblings. However, the use of various analysis methods is an important source of between‐study heterogeneity. Using tract‐based spatial statistics, we previously demonstrated widespread FA reductions in patients and unaffected relatives. To better interpret the neuroanatomical pattern of this previous finding and to assess the influence of methodological heterogeneity, we here applied tractography to the same sample.

Methods

Diffusion‐weighted images were acquired for 96 patients, 69 unaffected siblings and 56 controls. We applied TRACULA, an extension of a global probabilistic tractography algorithm, to automatically segment 18 major fiber tracts. Average FA within each tract and at each cross‐section along each tract was compared between groups.

Results

Patients had reduced FA compared to healthy controls and their unaffected siblings in general, and in particular in the parietal part of the superior longitudinal fasciculus. In unaffected siblings, FA was nominally reduced compared to controls in the corpus callosum. Point‐wise analyses indicated that similar effects were present along extended sections, but with variable effect sizes. Current symptom severity negatively correlated with FA in several fronto‐limbic association tracts.

Conclusions

The differential sensitivity of analysis techniques likely explains between‐study heterogeneity in anatomical localization of FA reductions. The present tractography analysis confirms the presence of overall FA reductions in patients with bipolar disorder, which are most pronounced in the superior longitudinal fasciculus. Unaffected siblings may display similar, albeit more subtle and anatomically restricted FA reductions.

Comments

Copyright © 2016 Wiley Periodicals, Inc.

First Page

3474

Last Page

85

Publication Title

Human brain mapping

DOI

10.1002/hbm.23253

Academic Level

faculty

Mentor/PI Department

Office of Human Genetics

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