01.12.2012 Aufrufe

Stand der Ursachen - Mitteldeutsche Psychiatrietage 2011

Stand der Ursachen - Mitteldeutsche Psychiatrietage 2011

Stand der Ursachen - Mitteldeutsche Psychiatrietage 2011

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Poster | Schizophrenie<br />

P09<br />

Increased radial diffusivity and decreased activation in association with decision<br />

making un<strong>der</strong> uncertainty in schizophrenia: A combined fMRI–DTI study<br />

K. Koch, Jena<br />

Background: The disor<strong>der</strong> of schizophrenia is associated with often widespread changes in white matter<br />

structure. Most studies investigated changes in fractional anisotropy (FA) while alterations in radial or axial<br />

diffusivity have barely been investigated until now. The present study aimed at investigating radial<br />

diffusivity as a potential marker of dysmyelination in direct relation to abnormalities in neural activation.<br />

Methods: Neural activation in association with decision making un<strong>der</strong> uncertainty was investigated in<br />

schizophrenia patients and linked to radial diffusivity as measured by DTI.<br />

Results: Decision making un<strong>der</strong> uncertainty was associated with a significantly decreased activation in a<br />

fronto-striato-cingulate network in patients. Structurally, patients exhibited increased radial diffusivity in<br />

temporal white matter which was negatively correlated with activation in parts of the fronto-striatocingulate<br />

network.<br />

Conclusions: Present d ata indicate that altered diffusivity within relevant white matter networks may be<br />

closely linked to abnormal neural activation in schizophrenia.<br />

8. <strong>Mitteldeutsche</strong> <strong>Psychiatrietage</strong> | 71

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