Table 1.
Summary of the proposed pathophysiological domains, imaging modalities, main findings and emerging approaches in the schizophrenia literature.
Hypothesized measures | Imaging modality | Frequently replicated findings in schizophrenia | Emerging approaches | |
---|---|---|---|---|
Brain structure | Gray matter White matter tracts Synapse and neurite integrity |
Structural MRI DTI |
Widespread gray and white matter deficits, in particular in prefrontal and temporal regions, larger ventricles |
Machine learning analyses NODDI, synaptic vesicle imaging High field MRI (7T) Shape analyses |
Brain function | Cerebral blood flow Resting-state brain function Task-related brain function Neuroinflammation |
PET, SPECT, Resting state fMRI, ASL, Task-fMRI |
Prefrontal hypoperfusion Altered function of default mode networks Altered task-related activation of prefrontal and temporal regions |
Pseudo-continuous ASL Free water DTI |
Brain connectivity | Long and short range connectivity, Connectome organization |
fMRI, DTI | Decreased long and short range connectivity Reduced connectome efficiency and altered modularity |
Graph theory approaches |
Brain chemistry | Dopamine Serotonin Glutamate GABA Neuropil integrity Neuropil synthesis and metabolism |
PET PET, MRS 1H MRS 1H MRS, PET 1H MRS 31P MRS |
Increased presynaptic dopamine Variable alterations in regional glutamate and GABA levels Reductions in N-acetyl aspartate Alterations in membrane phospholipid metabolites |
High field MRS (7T) Neuromelanin MRI to investigate dopamine |
Genetics | Multi-factorial, polygenic | Structural MRI, DTI, |
Common variants associated with human hippocampal and intracranial volumes | Imaging genomics |
MRI: Magnetic resonance imaging; MRS: Magnetic resonance spectroscopy; PET: Positron emission tomography; fMRI: Functional Magnetic resonance Imaging; DTI: Diffusion tensor imaging; ASL: Arterial spin labelling; NODDI: Neurite orientation dispersion and density imaging; GABA: Gamma aminobutyric acid