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. Author manuscript; available in PMC: 2016 Jan 31.
Published in final edited form as: Schizophr Res. 2014 Dec 24;161(0):329–339. doi: 10.1016/j.schres.2014.12.008

Table 1. DTI studies of healthy relatives of SZ and related disorders.

Authors Sample Mean age (years) ±SD Field strength Analysis method Abnormalities in relatives compared to healthy controls Additional modalities Comments/limitations
DeLisi et al., 2006 15 Relatives
25 HC
15 SZ
19.3 ± 4.6
23.7 ± 3.7
34.3 ± 10.7
1.5 T VBA
  • ADC didn't differ in the region of the body of the CC

Gray matter
Volumetric quantification
  • Several of the patients and relatives were biologic relatives

  • Relatives were still in the peak age of risk for SZ (defined as ages 12-30)

  • Only psychotic disorders excluded for relatives and HC

  • Family history of psychotic disorders excluded for HC

  • None of the relatives or HC were on antipsychotic or antidepressant medications

Hoptman et al., 2008 22 Relatives
37 HC
23 DSM-IV
SZ+ SZAF
20.1±4.1
23.1±4.0
36.8±11.0
1.5 T VBA Reduced FA in:
  • Left inferior frontal gyrus WM

  • Bilateral left posterior cingulate WM

  • Bilateral angular gyral WM

Increased FA in:
  • Left subgenual anterior cingulate

  • Bilateral pontine tegmental WM

  • Right middle/ superior frontal gyri

---
  • Most of the patients and relatives were biologic relatives

  • Relatives were still in the peak age of risk for SZ (defined as ages 12-30)

  • Fourteen relatives satisfied criteria for the prodrome, of those without the prodrome seven satisfied criteria for schizotypal personality disorder or had some schizotypal traits and five had a history (but not current) of major depression

  • Relatives have never experienced acute psychotic symptoms

  • Psychotic disorders and family history of psychotic disorders excluded for HC

  • None of the HC were currently taking medication for any psychiatric condition

  • There was a significant difference in sex distribution across groups

  • In this study some of the participants were recruited from the study De Lisiet al., 2006, but the sample size was enlarged.

Munoz Maniega et al., 2008 22 Relatives
51 HC
31 DSM-IV
SZ
30±3
35±11
37±10
1.5 T VBA
ROI
  • VBA showed that FA didn't differ significantly

  • Automatic ROI analysis showed that FA was reduced in the ALIC

---
  • Relatives had at least two or more first or second degree relatives with SZ

  • None of the relatives and patients were related

  • Not specified whether relatives or HC have another psychiatric illness, other than SZ or are taking medicine.

Hao et al., 2009 34 Siblings
32 HC
34 DSM-IV
SZ
25.8±7.1
26.6±6.0
25.4±5.9
1.5 T VBA Reduced FA in:
  • Left hippocampus

  • Left PFC

---
  • All of the patients and relatives were biologic relatives

  • All of the psychiatric disorders excluded for relatives and HC

  • First degree relatives of HC didn't have a history of any psychiatric disorder

Camchong et al., 2009 22 Relatives
30 HC
18 healthy
MZ twin pairs
48.5 ±8.2
43.8 ±11.4
3 T ROI
VBA
TBSS
  • ROI analysis and TBSS showed decreased FA in right genu of CC

  • VBA showed no differences

Correlation of FA values between healthy MZ twin pairs
  • Current alcohol or drug abuse, drug dependence, major depressive episode, current or previous use of anti-psychotic medications, a personal history of psychosis or BD, or an Axis II Cluster A personality disorder was excluded for all subjects

  • HC were excluded if they have a family history of psychosis or BD

Clark et al., 2011 20 Relatives
32 HC
31 DSM-IV
SZ
41.1 ±13.0
34.8 ±14.0
32.7 ±9.3
1.5 T ROI Decreased FA in:
  • The bilateral IFOF

  • The left ILF

  • The left tSLF

Age was not significantly different among these groups, but post-hoc analysis (age as a covariate) showed only decreased FA in the left ILF remained significant
There were no significant differences in ADC values
Genetic liability effects
Correlation with BPRS scores
  • None of the relatives were biologic relatives of the patients

  • No individual with a schizophrenia spectrum disorder or a psychotic disorder was included in relatives or HC

  • Six control and eight patient relatives met diagnostic criteria for additional Axis I or II diagnoses (mood disorders, anxiety disorder, attention-deficit/hyperactivity disorder, conduct disorders, antisocial personality disorder)

  • HC or relatives were not taking psychiatric medicine

  • HC were excluded if they had any evidence of drug abuse or alcoholism within six months

Phillips et al., 2011 49 Relatives
(P+S)
21 HC
54 HCR
(P+S)
26 DSM-IV
SZ
P: 54.4 ± 8.3
S: 30.1 ± 11.5
25.9 ± 6.7
P: 55.7 ± 8.5
S: 26.9 ± 9.8
29.5 ± 7.4
1.5 T VBA Decreased FA in:
  • bilateral temporal lobe

  • bilateral occipital lobe

Results didn't withstand permutation correction
Genetic liability effects
  • All of the psychiatric disorders were excluded for HC and HCR subjects

  • Recent or past history of significant and habitual drug abuse or alcoholism were excluded for all subjects

  • Age was similar between HC and patient siblings, HC and patient parents, and between patients and their siblings

Knöchel et al., 2012b 16 Relatives
15 HC
16 DSM-IV
SZ
41.9± 8.6
39.3 ± 11.0
37.6 ± 7.8
3 T ROI Decreased FA in:
  • The whole CC

  • The inferior genu

  • The superior genu(p=0.051)

  • The isthmus

Increased ADC in:
  • The Whole CC

  • The isthmus (p=0.053)

Volumetric quantification
Correlation between clinical characteristics and FA values and volume
  • The patients and the relatives weren't biologic relatives

  • Any psychiatric disorder including Axis I and Axis II disorders according to DSM-IV were excluded for relatives and HC

Knöchel et al., 2012a 18 Relatives
22 HC
28 DSM-IV
SZ
39.4 ± 10.8
41.9 ± 10.5
40.8 ± 12.0
3 T VBA
ROI
TBSS
  • VBA showed that FA didn't differ significantly

  • ROI analysis showed that FA was significantly reduced in:

  1. commissural fibers(including CC)

  2. Association fibers(IFOF, left SLF, left IC,UF)

  3. Cingulum bundles

  • ROI analysis showed that FA was significantly increased in AF

Correlation between FA values and clinical characteristics
  • Any psychiatric disorder including Axis I and Axis II disorders according to DSM-IV were excluded for relatives and HC

  • Family history of SZ excluded for HC

Boos et al., 2013 123 Siblings
109 HC
126 DSM-IV
SZ+SZAF+S
ZFM
26.7± 6.4
27.3± 8.2
26.6± 5.6
1.5 T TBSS FA was increased in the left and right AF Age × illness interaction
Correlation between FA values and clinical characteristics
  • Siblings who met DSM-IV criteria for (related diagnoses of) SZ or substance dependence were excluded from the study.

  • Some of the siblings had bipolar disorder (n= 3), major depression (n=22) or other psychiatric disorders (n= 5).

  • None of the HC met the criteria for any DSM-IV axis I disorder at the time of inclusion

  • Groups differed significantly in sex distribution and WAIS IQ

Domen et al., 2013 93 Siblings
80 HC
85 DSM-IV
SZ and related disorders
29.4± 8.8
30.8± 10.8
28.3± 7.0
3 T VBA TBSS Although mean FA values of siblings were generally lower than HC, these differences were not signifficant Cannabis and other drug use
AP medication
History of affective disorder
  • Most of the patients and relatives were biologic relatives

  • Some of the HC subjects were biologic relatives

  • Relatives and HC didn't have a lifetime diagnosis of any non-affective psychotic disorder

  • Family history of psychotic disorders were excluded for HC

  • 18 relatives and 12 HC had a history of major depressive disorder

  • Three siblings and three HC used antidepressants and one HC used benzodiazepines.

  • None of the siblings or HC met the criteria for a current depressive episode

Goghari et al., 2014 24 Relatives
27 HC
25 SZ+SZAF
40.2± 15.0
40.7± 11.1
41.3± 10.8
3 T VBA Along-tract analysis
  • VBA showed that FA didn't differ significantly

  • Along-tract analysis showed increased FA in the right fimbria of the fornix

Relationship between DTI metrics and clinical characteristics
  • Some of the patients and relatives were biological relatives

  • None of the participants had a current drug/alcohol dependence/abuse

  • Relatives and HC didn't have a lifetime diagnosis of a psychotic disorder or bipolar disorder or history of antipsychotic medication use

  • But some of the relatives and HC were receiving antidepressants, antianxiety or other psychiatric medications

  • No relatives or HC met criteria for a Cluster A disorder

Prasad et al., 2014 21 Relatives
29 HC
39 SZ+SZAF
23.0± 4.1
27.1± 6.8
26.8± 8.5
3T TBSS
  • FA was decreased in forceps minor

  • RD was decreased in the left SLF and forceps minor**

Cognitive measures and diffusion metrics
  • Substance abuse in the previous

  • month or dependence 6 months prior to enrolment were excluded for all groups

  • Not specified whether relatives or HC have another psychiatric illness, other than SZ or are taking medicine.

*

presumed typo in the publication;

**

results shown here are taken from the tables in this manuscript;

HC, healthy controls; HCR, relatives of healthy controls; SZ, schizophrenia; SZAF, schizoaffective disorder; SZFM, schizophreniform disorder; BD, bipolar disorders; P, parents; S, siblings; MZ, monozygotic; DTI, Diffusion tensor imaging; ROI, region of interest; VBA, voxel based analysis; TBSS, tract-based spatial statistics; FA, fractional anisotropy; ADC, apparent diffusion coefficient; WM, white matter; CC, corpus callosun; PFC, prefrontal cortex; IC, internal capsule; ALIC, anterior limb of internal capsules; AF, arcuate fasciculus; UF, uncnate fasciculus; SLF, superior longitudinal fasciculus; tSLF, temporal superior longitudinal fasciculus; ILF, inferior longitudinal fasciculus; IFOF, inferior fronto-occipital fasciculus; DSM-IV, Diagnostic and Statistical Manual of Mental Disorders Fourth Edition; BPRS, Brief Psychiatric Rating Scale; AP, antipsychotic; WAIS, The Wechsler Adult Intelligence Scale; IQ, intelligence quotient.