Koychev Ivan, El-Deredy Wael, Deakin John Francis William
Neuroscience and Psychiatry Unit, School of Community Based Medicine, The University of Manchester, Manchester, M13 9PT, UK.
Expert Opin Med Diagn. 2011 Jul 1;5(4):357-368. doi: 10.1517/17530059.2011.586029.
Schizophrenia is currently diagnosed on the basis of patient reports and clinical observations. A diagnosis based on aetiology is inherently more reliable due to being closer to the disease process than the overt clinical manifestations. Accordingly, recent research in schizophrenia has focused on the development of biomarkers in a bit to improve the reliability and neurobiological relevance of the diagnosis. Visual information processing is one of these promising fields of recent biomarker research. AREAS COVERED: This article provides an overview of the available literature regarding deficits in schizophrenia detectable through psychophysical (contrast and motion sensitivity, visual backward-masking), ERP (P1 and N1 visual evoked potentials) and oscillatory (signal power and phase-locking factor of evoked oscilations) measures and their validity as trait or state biomarkers of the disease. The methodology included a search on articles related to visual information processing in schizophrenia on the PubMed database. EXPERT OPINION: Biomarker research in schizophrenia is a rapidly expanding area. Evidence exists to suggest that both psychotic and manic symptoms are associated with visual processing abnormalities. A specific impairment confined to the magnocellular component of the visual system might be a trait biomarker of schizophrenia.
精神分裂症目前是基于患者报告和临床观察进行诊断的。基于病因的诊断本质上更可靠,因为它比明显的临床表现更接近疾病过程。因此,近期精神分裂症研究聚焦于生物标志物的开发,以期提高诊断的可靠性和神经生物学相关性。视觉信息处理是近期生物标志物研究中这些有前景的领域之一。
本文概述了通过心理物理学(对比度和运动敏感性、视觉后向掩蔽)、事件相关电位(P1和N1视觉诱发电位)和振荡(诱发振荡的信号功率和锁相因子)测量可检测到的精神分裂症缺陷的现有文献,以及它们作为该疾病的特质或状态生物标志物的有效性。方法包括在PubMed数据库中搜索与精神分裂症视觉信息处理相关的文章。
精神分裂症的生物标志物研究是一个迅速扩展的领域。有证据表明,精神病性症状和躁狂症状均与视觉处理异常有关。局限于视觉系统大细胞成分的特定损伤可能是精神分裂症的特质生物标志物。