Abstract

Previous studies examining coherence and connectivity deviations in schizophrenia patients relied on standard coherence measures between recording sites (at the sensor level). A coherence source imaging (CSI) methodology where coherence is assessed within imaged brain structures (at the source level) was developed recently by our group and applied successfully for detecting coherent areas in the cortical networks of patients with epilepsy. We applied this Magnetoencephalography (MEG)-CSI technique to measure normal and pathological patterns of brain oscillations (biomarkers) in normal subjects and patients diagnosed with schizophrenia. Twelve patients diagnosed with schizophrenia and twelve healthy control subjects were studied. A ten-minute resting state MEG brain scan was performed with eyes open. MEG-CSI analysis was performed to identify the cortical areas that interacted strongly within the 3 - 50 Hz frequency range. Statistically significant increased regions of coherence were detected in schizophrenia patients compared to controls in the right inferior frontal gyrus (BA 47—pars orbitalis), left superior frontal gyrus (BA9— dorsolateral prefrontal cortex), right middle frontal gyrus (BA 10—anterior prefrontal cortex & BA 46—dorsolateral prefrontal cortex), and right cingulate gyrus (BA 24—ventral anterior cingulate cortex). These areas are involved in language, memory, decision making, empathy, executive and, higher cognitive functioning. We conclude that MEG-CSI can detect imaging biomarkers from resting state brain activity in schizophrenia patients that deviates from normal control subjects in several behaviorally salient brain regions. Analysis with MEG-CSI can provide biomarkers of abnormalities in the resting-state. The findings and procedures described can be used to probe the pathophysiology of schizophrenia and possibly detect subtypes.

Highlights

  • Schizophrenia is a psychiatric disorder that causes a patient to have remarkably different perceptions of reality than what is apparent to the people around them

  • This study demonstrated that the schizophrenia patients had increased functional connectivity between several regions in the frontal parietal network and regions belonging to the primary sensory processing

  • The comparison of the left hemisphere Brodmann’s Areas (BA) 10 values on the other hand showed no significant differences between groups (p > 0.05). These preliminay investigations show that areas of the frontal pole cortex (BA 10), dorsolateral prefrontal cortex (BA 9 and 46), orbitofrontal cortex (BA 10 and 47), and the anterior cingulate cortexes (BA 24) in patients with schizophrenia exhibit noticeably higher coherence levels in a resting state compared to controls

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Summary

Introduction

Schizophrenia is a psychiatric disorder that causes a patient to have remarkably different perceptions of reality than what is apparent to the people around them. This disorder affects approximately 1% of the world’s population (70 million) over the age of 18 [1]. It is primarily characterized by hallucinations (auditory, visual, tactile, gustatory, and olfactory), delusions, disordered thinking, irregular emotional expressions, and suicidal behavior [2]-[4]. The disorder is characterized by a wide range of symptoms including positive (non-deficit), negative (deficit) and cognitive disturbances [2]-[5]. There is currently no cure for schizophrenia, and the economic burden is high [10]

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