Fleck David E, Nandagopal Jayasree, Cerullo Michael A, Eliassen James C, DelBello Melissa P, Adler Caleb M, Strakowski Stephen M
Division of Bipolar Disorders Research, Department of Psychiatry, University of Cincinnati, Cincinnati, OH 45267-0559, USA.
Top Magn Reson Imaging. 2008 Apr;19(2):131-42. doi: 10.1097/RMR.0b013e3181808152.
Although advances in the clinical criteria of various axis I psychiatric disorders are continually being made, there is still considerable overlap in the clinical features, and diagnosis is often challenging. As a result, there has been substantial interest in using morphometric magnetic resonance imaging to better characterize these diseases and inform diagnosis. Region of interest and voxel-based morphometry studies are reviewed herein to examine the extent to which these goals are being met across various psychiatric disorders. It is concluded based on the studies reviewed that specific patterns of regional loss, although present in certain axis I disorders, are not, as yet, diagnostically useful. However, advances in outcome and treatment monitoring show considerably more promise for rapid application in psychiatry.
尽管各类轴I精神障碍的临床标准在不断进步,但临床特征仍存在大量重叠,诊断往往具有挑战性。因此,人们对使用形态计量磁共振成像来更好地表征这些疾病并为诊断提供依据产生了浓厚兴趣。本文回顾了感兴趣区域和基于体素的形态计量学研究,以考察在各种精神障碍中这些目标的实现程度。基于所回顾的研究得出结论,尽管特定的区域萎缩模式存在于某些轴I障碍中,但目前在诊断上并无用处。然而,在结果和治疗监测方面的进展显示出在精神病学中快速应用的更大前景。