Insular and Hippocampal Gray Matter Volume Reductions in Patients with Major Depressive Disorder
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{"title"=>"Insular and hippocampal gray matter volume reductions in patients with major depressive disorder", "type"=>"journal", "authors"=>[{"first_name"=>"Mirjam", "last_name"=>"Stratmann", "scopus_author_id"=>"55293767400"}, {"first_name"=>"Carsten", "last_name"=>"Konrad", "scopus_author_id"=>"36892125000"}, {"first_name"=>"Harald", "last_name"=>"Kugel", "scopus_author_id"=>"26643516600"}, {"first_name"=>"Axel", "last_name"=>"Krug", "scopus_author_id"=>"24166628400"}, {"first_name"=>"Sonja", "last_name"=>"Schöning", "scopus_author_id"=>"24922212800"}, {"first_name"=>"Patricia", "last_name"=>"Ohrmann", "scopus_author_id"=>"6602678052"}, {"first_name"=>"Christina", "last_name"=>"Uhlmann", "scopus_author_id"=>"55905880400"}, {"first_name"=>"Christian", "last_name"=>"Postert", "scopus_author_id"=>"6508243294"}, {"first_name"=>"Thomas", "last_name"=>"Suslow", "scopus_author_id"=>"7006752467"}, {"first_name"=>"Walter", "last_name"=>"Heindel", "scopus_author_id"=>"7103087624"}, {"first_name"=>"Volker", "last_name"=>"Arolt", "scopus_author_id"=>"56247579900"}, {"first_name"=>"Tilo", "last_name"=>"Kircher", "scopus_author_id"=>"55724907000"}, {"first_name"=>"Udo", "last_name"=>"Dannlowski", "scopus_author_id"=>"13806470600"}], "year"=>2014, "source"=>"PLoS ONE", "identifiers"=>{"scopus"=>"2-s2.0-84904627419", "doi"=>"10.1371/journal.pone.0102692", "sgr"=>"84904627419", "isbn"=>"1932-6203 (Electronic) 1932-6203 (Linking)", "pmid"=>"25051163", "issn"=>"19326203", "pui"=>"373596218"}, "id"=>"9d03c7f7-ae6b-3d8d-9126-797f69ff992d", "abstract"=>"BACKGROUND: Major depressive disorder is a serious psychiatric illness with a highly variable and heterogeneous clinical course. Due to the lack of consistent data from previous studies, the study of morphometric changes in major depressive disorder is still a major point of research requiring additional studies. The aim of the study presented here was to characterize and quantify regional gray matter abnormalities in a large sample of clinically well-characterized patients with major depressive disorder. METHODS: For this study one-hundred thirty two patients with major depressive disorder and 132 age- and gender-matched healthy control participants were included, 35 with their first episode and 97 with recurrent depression. To analyse gray matter abnormalities, voxel-based morphometry (VBM8) was employed on T1 weighted MRI data. We performed whole-brain analyses as well as a region-of-interest approach on the hippocampal formation, anterior cingulate cortex and amygdala, correlating the number of depressive episodes. RESULTS: Compared to healthy control persons, patients showed a strong gray-matter reduction in the right anterior insula. In addition, region-of-interest analyses revealed significant gray-matter reductions in the hippocampal formation. The observed alterations were more severe in patients with recurrent depressive episodes than in patients with a first episode. The number of depressive episodes was negatively correlated with gray-matter volume in the right hippocampus and right amygdala. CONCLUSIONS: The anterior insula gray matter structure appears to be strongly affected in major depressive disorder and might play an important role in the neurobiology of depression. The hippocampal and amygdala volume loss cumulating with the number of episodes might be explained either by repeated neurotoxic stress or alternatively by higher relapse rates in patients showing hippocampal atrophy.", "link"=>"http://www.mendeley.com/research/insular-hippocampal-gray-matter-volume-reductions-patients-major-depressive-disorder-4", "reader_count"=>112, "reader_count_by_academic_status"=>{"Unspecified"=>3, "Professor > Associate Professor"=>3, "Student > Doctoral Student"=>26, "Researcher"=>18, "Student > Ph. D. Student"=>21, "Student > Postgraduate"=>4, "Student > Master"=>11, "Other"=>4, "Student > Bachelor"=>17, "Lecturer"=>1, "Lecturer > Senior Lecturer"=>1, "Professor"=>3}, "reader_count_by_user_role"=>{"Unspecified"=>3, "Professor > Associate Professor"=>3, "Student > Doctoral Student"=>26, "Researcher"=>18, "Student > Ph. D. Student"=>21, "Student > Postgraduate"=>4, "Student > Master"=>11, "Other"=>4, "Student > Bachelor"=>17, "Lecturer"=>1, "Lecturer > Senior Lecturer"=>1, "Professor"=>3}, "reader_count_by_subject_area"=>{"Unspecified"=>11, "Biochemistry, Genetics and Molecular Biology"=>4, "Agricultural and Biological Sciences"=>14, "Medicine and Dentistry"=>29, "Neuroscience"=>17, "Arts and Humanities"=>1, "Pharmacology, Toxicology and Pharmaceutical Science"=>2, "Physics and Astronomy"=>1, "Psychology"=>32, "Immunology and Microbiology"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>29}, "Neuroscience"=>{"Neuroscience"=>17}, "Physics and Astronomy"=>{"Physics and Astronomy"=>1}, "Psychology"=>{"Psychology"=>32}, "Immunology and Microbiology"=>{"Immunology and Microbiology"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>14}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>4}, "Unspecified"=>{"Unspecified"=>11}, "Pharmacology, Toxicology and Pharmaceutical Science"=>{"Pharmacology, Toxicology and Pharmaceutical Science"=>2}, "Arts and Humanities"=>{"Arts and Humanities"=>1}}, "reader_count_by_country"=>{"United States"=>1, "Brazil"=>1, "United Kingdom"=>1, "Germany"=>1}, "group_count"=>5}

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Figshare

  • {"files"=>["https://ndownloader.figshare.com/files/1605079"], "description"=>"<p>Contrasts: A) MDD patients (n = 132) versus healthy controls (n = 132), B) patients with first depressive episode (n = 35) versus healthy controls (n = 35), C) patients with recurrent depressive episodes (n = 97) versus healthy controls (n = 97) and D) patients with first depressive episode (n = 35) versus patients with recurrent depressive episodes (n = 97). Analyses where conducted at p<0.01, uncorrected, k = 109 voxels.</p><p>ROI: region of interest.</p><p>MDD: major depressive disorder.</p><p>Con: controls; Pat: patients.</p><p>L: left; R: right.</p>", "links"=>[], "tags"=>["anatomy", "nervous system", "neuroanatomy", "Diagnostic medicine", "Diagnostic radiology", "Magnetic resonance imaging", "Mental health and psychiatry", "Adolescent psychiatry", "Mood disorders", "region-of-interest", "roi", "hippocampus", "parahippocampal", "gyrus"], "article_id"=>1114348, "categories"=>["Biological Sciences"], "users"=>["Mirjam Stratmann", "Carsten Konrad", "Harald Kugel", "Axel Krug", "Sonja Schöning", "Patricia Ohrmann", "Christina Uhlmann", "Christian Postert", "Thomas Suslow", "Walter Heindel", "Volker Arolt", "Tilo Kircher", "Udo Dannlowski"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0102692.t004", "stats"=>{"downloads"=>4, "page_views"=>12, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Results_of_region_of_interest_ROI_analyses_of_the_ROI_hippocampus_parahippocampal_gyrus_bilaterally_/1114348", "title"=>"Results of region-of-interest (ROI) analyses of the ROI hippocampus + parahippocampal gyrus bilaterally.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-07-22 03:05:21"}
  • {"files"=>["https://ndownloader.figshare.com/files/1605074"], "description"=>"<p>Contrasts: A) all MDD patients (n = 132) versus healthy controls (n = 132), B) patients with first depressive episode (n = 35) versus healthy controls (n = 35), C) patients with recurrent depressive episodes (n = 97) versus healthy controls (n = 97). Analyses where conducted at p<0.001, uncorrected, k = 139 voxels.</p><p>MDD: major depressive disorder.</p><p>Con: controls; Pat: patients.</p><p>STG: superior temporal gyrus.</p><p>SPL: superior parietal lobule.</p><p>MTG: middle temporal gyrus.</p><p>L: left; R: right.</p>", "links"=>[], "tags"=>["anatomy", "nervous system", "neuroanatomy", "Diagnostic medicine", "Diagnostic radiology", "Magnetic resonance imaging", "Mental health and psychiatry", "Adolescent psychiatry", "Mood disorders", "voxel-based", "morphometry"], "article_id"=>1114343, "categories"=>["Biological Sciences"], "users"=>["Mirjam Stratmann", "Carsten Konrad", "Harald Kugel", "Axel Krug", "Sonja Schöning", "Patricia Ohrmann", "Christina Uhlmann", "Christian Postert", "Thomas Suslow", "Walter Heindel", "Volker Arolt", "Tilo Kircher", "Udo Dannlowski"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0102692.t003", "stats"=>{"downloads"=>0, "page_views"=>9, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Results_of_whole_brain_voxel_based_morphometry_VBM_analyses_/1114343", "title"=>"Results of whole brain voxel-based morphometry (VBM) analyses.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-07-22 03:05:21"}
  • {"files"=>["https://ndownloader.figshare.com/files/1605083"], "description"=>"<div><p>Background</p><p>Major depressive disorder is a serious psychiatric illness with a highly variable and heterogeneous clinical course. Due to the lack of consistent data from previous studies, the study of morphometric changes in major depressive disorder is still a major point of research requiring additional studies. The aim of the study presented here was to characterize and quantify regional gray matter abnormalities in a large sample of clinically well-characterized patients with major depressive disorder.</p><p>Methods</p><p>For this study one-hundred thirty two patients with major depressive disorder and 132 age- and gender-matched healthy control participants were included, 35 with their first episode and 97 with recurrent depression. To analyse gray matter abnormalities, voxel-based morphometry (VBM8) was employed on T1 weighted MRI data. We performed whole-brain analyses as well as a region-of-interest approach on the hippocampal formation, anterior cingulate cortex and amygdala, correlating the number of depressive episodes.</p><p>Results</p><p>Compared to healthy control persons, patients showed a strong gray-matter reduction in the right anterior insula. In addition, region-of-interest analyses revealed significant gray-matter reductions in the hippocampal formation. The observed alterations were more severe in patients with recurrent depressive episodes than in patients with a first episode. The number of depressive episodes was negatively correlated with gray-matter volume in the right hippocampus and right amygdala.</p><p>Conclusions</p><p>The anterior insula gray matter structure appears to be strongly affected in major depressive disorder and might play an important role in the neurobiology of depression. The hippocampal and amygdala volume loss cumulating with the number of episodes might be explained either by repeated neurotoxic stress or alternatively by higher relapse rates in patients showing hippocampal atrophy.</p></div>", "links"=>[], "tags"=>["anatomy", "nervous system", "neuroanatomy", "Diagnostic medicine", "Diagnostic radiology", "Magnetic resonance imaging", "Mental health and psychiatry", "Adolescent psychiatry", "Mood disorders", "hippocampal", "reductions", "patients", "depressive"], "article_id"=>1114352, "categories"=>["Biological Sciences"], "users"=>["Mirjam Stratmann", "Carsten Konrad", "Harald Kugel", "Axel Krug", "Sonja Schöning", "Patricia Ohrmann", "Christina Uhlmann", "Christian Postert", "Thomas Suslow", "Walter Heindel", "Volker Arolt", "Tilo Kircher", "Udo Dannlowski"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0102692", "stats"=>{"downloads"=>2, "page_views"=>9, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Insular_and_Hippocampal_Gray_Matter_Volume_Reductions_in_Patients_with_Major_Depressive_Disorder_/1114352", "title"=>"Insular and Hippocampal Gray Matter Volume Reductions in Patients with Major Depressive Disorder", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-07-22 03:05:21"}
  • {"files"=>["https://ndownloader.figshare.com/files/1605081"], "description"=>"<p>Analyses where conducted at p<0.001, uncorrected, k = 139 voxels for whole brain analysis, k = 109 voxels for ROI hippocampus + parahippocampal gyrus bilaterally, k = 10 for ROI amygdala bilaterally.</p><p>ROI: region of interest.</p><p>SFG: superior frontal gyrus.</p><p>L: left; R: right.</p>", "links"=>[], "tags"=>["anatomy", "nervous system", "neuroanatomy", "Diagnostic medicine", "Diagnostic radiology", "Magnetic resonance imaging", "Mental health and psychiatry", "Adolescent psychiatry", "Mood disorders", "episodes", "region-of-interest", "roi", "hippocampus", "parahippocampal", "gyrus", "bilaterally", "amygdala"], "article_id"=>1114350, "categories"=>["Biological Sciences"], "users"=>["Mirjam Stratmann", "Carsten Konrad", "Harald Kugel", "Axel Krug", "Sonja Schöning", "Patricia Ohrmann", "Christina Uhlmann", "Christian Postert", "Thomas Suslow", "Walter Heindel", "Volker Arolt", "Tilo Kircher", "Udo Dannlowski"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0102692.t005", "stats"=>{"downloads"=>0, "page_views"=>6, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Negative_correlation_of_gray_matter_volume_with_increased_number_of_depressed_episodes_in_whole_brain_analysis_and_region_of_interest_ROI_analyses_of_the_ROI_hippocampus_parahippocampal_gyrus_bilaterally_and_of_the_ROI_amygdala_bilaterally_/1114350", "title"=>"Negative correlation of gray matter volume with increased number of depressed episodes in whole brain analysis and region-of-interest (ROI) analyses of the ROI hippocampus + parahippocampal gyrus bilaterally and of the ROI amygdala bilaterally.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-07-22 03:05:21"}
  • {"files"=>["https://ndownloader.figshare.com/files/1605063"], "description"=>"<p>Gray matter volume reductions in all MDD patients versus healthy controls (orange), and patients with recurrent depressive episodes versus healthy controls (red) (<a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0102692#pone-0102692-t003\" target=\"_blank\">Table 3</a>). (Whole brain analyses, p<0.001, k = 139; view: MNI: 36 23 -5).</p>", "links"=>[], "tags"=>["anatomy", "nervous system", "neuroanatomy", "Diagnostic medicine", "Diagnostic radiology", "Magnetic resonance imaging", "Mental health and psychiatry", "Adolescent psychiatry", "Mood disorders", "reductions"], "article_id"=>1114332, "categories"=>["Biological Sciences"], "users"=>["Mirjam Stratmann", "Carsten Konrad", "Harald Kugel", "Axel Krug", "Sonja Schöning", "Patricia Ohrmann", "Christina Uhlmann", "Christian Postert", "Thomas Suslow", "Walter Heindel", "Volker Arolt", "Tilo Kircher", "Udo Dannlowski"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0102692.g001", "stats"=>{"downloads"=>0, "page_views"=>1, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Gray_matter_volume_reductions_in_whole_brain_analysis_/1114332", "title"=>"Gray matter volume reductions in whole brain analysis.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2014-07-22 03:05:21"}
  • {"files"=>["https://ndownloader.figshare.com/files/1605077"], "description"=>"<p>SD  =  standard deviation.</p><p>MWT-B: Multiple-choice vocabulary test.</p><p>* Group differences were computed using independent sample t-test for continuous and Chi-square-test for categorial variables. The level of statistical significance was set at p<0.05.</p>", "links"=>[], "tags"=>["anatomy", "nervous system", "neuroanatomy", "Diagnostic medicine", "Diagnostic radiology", "Magnetic resonance imaging", "Mental health and psychiatry", "Adolescent psychiatry", "Mood disorders"], "article_id"=>1114346, "categories"=>["Biological Sciences"], "users"=>["Mirjam Stratmann", "Carsten Konrad", "Harald Kugel", "Axel Krug", "Sonja Schöning", "Patricia Ohrmann", "Christina Uhlmann", "Christian Postert", "Thomas Suslow", "Walter Heindel", "Volker Arolt", "Tilo Kircher", "Udo Dannlowski"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0102692.t001", "stats"=>{"downloads"=>3, "page_views"=>4, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Sociodemographic_characteristics_of_the_whole_sample_/1114346", "title"=>"Sociodemographic characteristics of the whole sample.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-07-22 03:05:21"}
  • {"files"=>["https://ndownloader.figshare.com/files/1605072"], "description"=>"<p>MDD: major depressive disorder.</p><p>SD  =  standard deviation.</p><p>MWT-B: Multiple-choice vocabulary test.</p><p>HDRS: Hamilton Depression Rating Scale.</p><p>BDI: Beck's Depression Inventory.</p><p>* Group differences were computed using independent sample t-test for continuous and Chi-square-test for categorial variables. The level of statistical significance was set at p<0.05.</p>", "links"=>[], "tags"=>["anatomy", "nervous system", "neuroanatomy", "Diagnostic medicine", "Diagnostic radiology", "Magnetic resonance imaging", "Mental health and psychiatry", "Adolescent psychiatry", "Mood disorders"], "article_id"=>1114341, "categories"=>["Biological Sciences"], "users"=>["Mirjam Stratmann", "Carsten Konrad", "Harald Kugel", "Axel Krug", "Sonja Schöning", "Patricia Ohrmann", "Christina Uhlmann", "Christian Postert", "Thomas Suslow", "Walter Heindel", "Volker Arolt", "Tilo Kircher", "Udo Dannlowski"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0102692.t002", "stats"=>{"downloads"=>0, "page_views"=>3, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Clinical_characteristics_of_the_patients_sample_n_8202_8202_132_/1114341", "title"=>"Clinical characteristics of the patients' sample (n = 132).", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-07-22 03:05:21"}
  • {"files"=>["https://ndownloader.figshare.com/files/1605070"], "description"=>"<p><b>A</b>: Sagittal view (MNI x  = −6) depicting gray matter volumes correlating with number of depressive episodes. (Region-of-interest analyses, p<0.01, k = 109; Color bar represents negative correlation coefficient -r. (L: left; R: right)). <b>B</b>: Scatter plot depicting the negative correlation (r = −0.237; p = 0.006) of the right hippocampal cluster values (left panel) and the number of depressive episodes (SSPS Statistics 15.0 software package).</p>", "links"=>[], "tags"=>["anatomy", "nervous system", "neuroanatomy", "Diagnostic medicine", "Diagnostic radiology", "Magnetic resonance imaging", "Mental health and psychiatry", "Adolescent psychiatry", "Mood disorders", "depressive", "episodes", "negatively", "correlated", "hippocampal"], "article_id"=>1114340, "categories"=>["Biological Sciences"], "users"=>["Mirjam Stratmann", "Carsten Konrad", "Harald Kugel", "Axel Krug", "Sonja Schöning", "Patricia Ohrmann", "Christina Uhlmann", "Christian Postert", "Thomas Suslow", "Walter Heindel", "Volker Arolt", "Tilo Kircher", "Udo Dannlowski"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0102692.g003", "stats"=>{"downloads"=>0, "page_views"=>10, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Number_of_depressive_episodes_is_negatively_correlated_with_the_right_hippocampal_gray_matter_volume_/1114340", "title"=>"Number of depressive episodes is negatively correlated with the right hippocampal gray matter volume.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2014-07-22 03:05:21"}
  • {"files"=>["https://ndownloader.figshare.com/files/1605066"], "description"=>"<p>Gray matter volume reduction in ROI gyrus+hippocampus bilaterally in all MDD patients versus healthy controls (orange), patients with first depressive episode versus healthy controls (yellow) and patients with recurrent depressive episodes versus healthy controls (red) (<a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0102692#pone-0102692-t004\" target=\"_blank\">Table 4</a>). (Region-of-interest analyses, p<0.01, k = 109; view: MNI: −27 −29 −20).</p>", "links"=>[], "tags"=>["anatomy", "nervous system", "neuroanatomy", "Diagnostic medicine", "Diagnostic radiology", "Magnetic resonance imaging", "Mental health and psychiatry", "Adolescent psychiatry", "Mood disorders", "reductions", "region-of", "parahippocampal"], "article_id"=>1114335, "categories"=>["Biological Sciences"], "users"=>["Mirjam Stratmann", "Carsten Konrad", "Harald Kugel", "Axel Krug", "Sonja Schöning", "Patricia Ohrmann", "Christina Uhlmann", "Christian Postert", "Thomas Suslow", "Walter Heindel", "Volker Arolt", "Tilo Kircher", "Udo Dannlowski"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0102692.g002", "stats"=>{"downloads"=>0, "page_views"=>18, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Gray_matter_volume_reductions_in_the_region_of_interest_ROI_parahippocampal_gyrus_hippocampus_bilaterally_/1114335", "title"=>"Gray matter volume reductions in the region-of interest (ROI) parahippocampal gyrus+hippocampus bilaterally.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2014-07-22 03:05:21"}

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Relative Metric

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