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. Author manuscript; available in PMC: 2018 Feb 2.
Published in final edited form as: Lancet Psychiatry. 2016 Mar 4;3(5):451–463. doi: 10.1016/S2215-0366(15)00540-4

Table 3. Treatment resistant versus treatment responder studies.

ACC – anterior cingulate cortex; CNR – clozapine non responder; dMPFC – dorsomedial prefrontal cortex; MFG - Middle frontal gyrus; nAVH – individuals not experiencing auditory halluccinations PCC – posterior cingulate cortex. PCG – post central gyrus, RS – responders to non-clozapine antipsychotics. STG – superior temporal gyrus. Superior frontal gyrus. SMG – supramarginal gyrus. TG – temporal gyrus,TR – treatment resistant. vMPFC – ventromedial prefrontal cortex.

Authors Year Modality Effect of interest Effect size
Anderson et al. 2015 Structural MRI ↓ global GM in TR/CNR 0.84 (TR vs R)
GM in TR vs R: in TG, PCG, MFG, SFG, SMG gyrus and lateral occipital cortex
GM CNR vs R: in right parietal operculum and left cerebellum
TR vs CNR: no significant differences
Kubera et al. 2014 Structural MRI GM in TR-AVH compared to nAVH across a structural network involving predominantly medial frontal, orbitofrontal and superior temporal regions.
Lawrie et al. 1995 Structural MRI Whole brain volume in TRS 0.41 (ns)
Right temporal lobe volume in TR 0.46 (ns)
Mitelman et al. 2005 Structural MRI GM in posterior cingulate and retrosplenial cortices in TR
Molina et al. 2008a Structural MRI and EEG GM at baseline in TR Frontal: 0.87
Occipital: 0.81
WM at baseline in TRS Frontal: 1.13
Parietal: 1.35
Occipital: 1.43
in GM longitudinally in TR compared to R Frontal: 1.95
Parietal: 2.11
Occipital: 1.81
in WM longitudinally in TR compared to R Frontal: 1.18
Parietal: 1.65
Occipital: 1.22
Quaranatelli et al. 2014 Structural MRI GM in TR at left PCG and SFG (dorsolateral); and bilateral middle frontal gyrus.
Zugman et al. 2013 Structural MRI GM in DLPFC in TR
Alonso-Solis et al. 2015 MRI- Resting state FC in TR between dMPFC: and central opercular cortex, insular cortex, precentral gyrus and STG; and between the temporal pole: and cerebellum.
FC in TR between vMPFC: and paracingulate cortex, ACC, and subcallosal cortex; and between hippocampal formation and: PCC, and precuneus complex.
Wolf et al. 2012 MRI – Arterial spin labelling rCBF in TR-AVH compared to nAVH in the left STG and right SMG, TPC.
Bartlett et al. 1998 FDG PET (haloperidol challenge) Whole brain metabolic rate in TR 1.2
Left DLPFC metabolic rate in TR 1.05
Right DLPFC metabolic rate in TR 0.87
Left Temporal Cortex metabolic rate in TR 1.19
Demjaha et al. 2012 F-DOPA PET whole striatum dopamine synthesis capacity in TR 1.11
associative subdivion dopamine synthesis capacity in TR 1.31
↓ limbic subdivision dopamine synthesis capacity in TR 1.04
sensorimotor subdivision (ns)
Lawrie et al. 1995 99mTc-HMPAO SPECT No significant differences in perfusion between TR and R.
Goldstein et al. 2015 1H-MRS TR shows and CNR shows ↑↑ Glx/CR in DLPFC 3.99 (CNR vs R)
Glx/Cr in TR (clozapine responders) compared to R and CNR in putamen. 3.31(TR vs R)
4.00 (TR vs CNR)
Demjaha et al. 2014 1H-MRS anterior cingulate glutamate in TR compared to R 0.70 (ns)
Lee et al. 2006 EEG Beta1 in TR 0.61
Beta2 in TR 0.69
gamma-beta2 and beta3 correlation in TRS but not RS in posterior and anterior electrodes range of r=0.42-0.61
Lee et al. 2008 EEG ↑ gamma frequency in TR at D2 (i.e. more chaotic) in right frontal electrode Fp2 0.58
beta frequency in TR at D2 (i.e. less chaotic) in left parietal electrode P3 0.7
Molina et al. 2008a EEG TR have P300 amplitude 0.53 (ns)
Ramos et al. 2001 EEG TR have temporal alpha2, temporal beta1, temporal beta2, occipital beta2
TRS have intrahemispheric correlation in Fp2-F4
TRS have intrahemispheric correlation between F8-T4