Cited by 701Schizophrenia research and treatmentAdvanced Neuroimaging Techniques and ApplicationsFunctional Brain Connectivity Studies

Widespread white matter microstructural differences in schizophrenia across 4322 individuals: results from the ENIGMA schizophrenia DTI working group

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Kelly, S, Jahanshad, N, Zalesky, A, Kochunov, P, Agartz, I, Alloza, C, Andreassen, O A, Arango, C +150 more·2018·Molecular Psychiatry

Abstract

The regional distribution of white matter (WM) abnormalities in schizophrenia remains poorly understood, and reported disease effects on the brain vary widely between studies. In an effort to identify commonalities across studies, we perform what we believe is the first ever large-scale coordinated study of WM microstructural differences in schizophrenia. Our analysis consisted of 2359 healthy controls and 1963 schizophrenia patients from 29 independent international studies; we harmonized the processing and statistical analyses of diffusion tensor imaging (DTI) data across sites and meta-analyzed effects across studies. Significant reductions in fractional anisotropy (FA) in schizophrenia patients were widespread, and detected in 20 of 25 regions of interest within a WM skeleton representing all major WM fasciculi. Effect sizes varied by region, peaking at (d=0.42) for the entire WM skeleton, driven more by peripheral areas as opposed to the core WM where regions of interest were defined. The anterior corona radiata (d=0.40) and corpus callosum (d=0.39), specifically its body (d=0.39) and genu (d=0.37), showed greatest effects. Significant decreases, to lesser degrees, were observed in almost all regions analyzed. Larger effect sizes were observed for FA than diffusivity measures; significantly higher mean and radial diffusivity was observed for schizophrenia patients compared with controls. No significant effects of age at onset of schizophrenia or medication dosage were detected. As the largest coordinated analysis of WM differences in a psychiatric disorder to date, the present study provides a robust profile of widespread WM abnormalities in schizophrenia patients worldwide. Interactive three-dimensional visualization of the results is available at www.enigma-viewer.org.

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  • Effect size was not correlated with ROI size, consistent with prior studies of other disorders.

    “Effect size was not correlated with ROI size (Supplementary Figure S13), consistent with prior studies of other disorders (Kelly et al., 2018).”
  • The ENIGMA Schizophrenia DTI Working Group identified widespread, although modest, microstructural differences involving association, commissural, and projection pathways in 4,322 individuals.

    “Schizophrenia remains the best-established example: the ENIGMA Schizophrenia DTI Working Group identified widespread, although modest, microstructural differences involving association, commissural, and projection pathways in 4,322 individuals (Kelly et al., 2018).”

    From 40 Years of diffusion MRI in the brain: From history to emerging frontiers (2026) · cites this paper as Kelly et al., 2018

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Authors
Kelly, S., Jahanshad, N., Zalesky, A., Kochunov, P., Agartz, I., Alloza, C., Andreassen, O. A., Arango, C., Banaj, N., Bouix, S., Bousman, C. A., Brouwer, R. M., Bruggemann, J., Bustillo, J., Cahn, W., Calhoun, V, Cannon, D., Carr, V, Catts, S., Chen, J., Chen, J.-X., Chen, X., Chiapponi, C., Cho, K. K., Ciullo, V, Corvin, A. S., Crespo-Facorro, B., Cropley, V, De Rossi, P., Diaz-Caneja, C. M., Dickie, E. W., Ehrlich, S., Fan, F.-M., Faskowitz, J., Fatouros-Bergman, H., Flyckt, L., Ford, J. M., Fouche, J.-P., Fukunaga, M., Gill, M., Glahn, D. C., Gollub, R., Goudzwaard, E. D., Guo, H., Gur, R. E., Gur, R. C., Gurholt, T. P., Hashimoto, R., Hatton, S. N., Henskens, F. A., Hibar, D. P., Hickie, I. B., Hong, L. E., Horacek, J., Howells, F. M., Hulshoff Pol, H. E., Hyde, C. L., Isaev, D., Jablensky, A., Jansen, P. R., Janssen, J., Jönsson, E. G., Jung, L. A., Kahn, R. S., Kikinis, Z., Liu, K., Klauser, P., Knöchel, C., Kubicki, M., Lagopoulos, J., Langen, C., Lawrie, S., Lenroot, R. K., Lim, K. O., Lopez-Jaramillo, C., Lyall, A., Magnotta, V, Mandl, R. C. W., Mathalon, D. H., McCarley, R. W., McCarthy-Jones, S., McDonald, C., McEwen, S., McIntosh, A., Melicher, T., Mesholam-Gately, R. I., Michie, P. T., Mowry, B., Mueller, B. A., Newell, D. T., O'Donnell, P., Oertel-Knöchel, V, Oestreich, L., Paciga, S. A., Pantelis, C., Pasternak, O., Pearlson, G., Pellicano, G. R., Pereira, A., Pineda Zapata, J., Piras, F., Potkin, S. G., Preda, A., Rasser, P. E., Roalf, D. R., Roiz, R., Roos, A., Rotenberg, D., Satterthwaite, T. D., Savadjiev, P., Schall, U., Scott, R. J., Seal, M. L., Seidman, L. J., Shannon Weickert, C., Whelan, C. D., Shenton, M. E., Kwon, J. S., Spalletta, G., Spaniel, F., Sprooten, E., Stäblein, M., Stein, D. J., Sundram, S., Tan, Y., Tan, S., Tang, S., Temmingh, H. S., Westlye, L. T., Tønnesen, S., Tordesillas-Gutierrez, D., Doan, N. T., Vaidya, J., van Haren, N. E. M., Vargas, C. D., Vecchio, D., Velakoulis, D., Voineskos, A., Voyvodic, J. Q., Wang, Z., Wan, P., Wei, D., Weickert, T. W., Whalley, H., White, T., Whitford, T. J., Wojcik, J. D., Xiang, H., Xie, Z., Yamamori, H., Yang, F., Yao, N., Zhang, G., Zhao, J., van Erp, T. G. M., Turner, J., Thompson, P. M., & Donohoe, G.
Affiliations
  • University of Southern California (US)
  • The University of Melbourne (AU)
  • University of Maryland, Baltimore (US)
  • Oslo University Hospital (NO)
  • University of Edinburgh (GB)
  • University of Oslo (NO)
  • Universidad Complutense de Madrid (ES)
  • Fondazione Santa Lucia (IT)
  • University Medical Center Utrecht (NL)
  • UNSW Sydney (AU)
  • University of New Mexico (US)
  • Mind Research Network (US)
  • Ollscoil na Gaillimhe – University of Galway (IE)
  • The University of Queensland (AU)
  • Beijing HuiLongGuan Hospital (CN)
  • Pfizer (United States) (US)
  • Seoul National University (KR)
  • Centre for Addiction and Mental Health (CA)
  • University Hospital Carl Gustav Carus (DE)
  • National Institute for Physiological Sciences (JP)
  • Trinity College Dublin (IE)
  • Hartford Hospital (US)
  • Harvard University (US)
  • University of California, Irvine (US)
  • Zhumadian Central Hospital (CN)
  • University of Pennsylvania (US)
  • Molecular Research Center for Children's Mental Development (JP)
  • The University of Sydney (AU)
  • Hunter Medical Research Institute (AU)
  • University of Cape Town (ZA)
  • The University of Western Australia (AU)
  • Erasmus MC (NL)
  • Goethe University Frankfurt (DE)
  • Brigham and Women's Hospital (US)
  • University of Minnesota (US)
  • University of Iowa (US)
  • University of California, Los Angeles (US)
  • Charles University (CZ)
  • Beth Israel Deaconess Medical Center (US)
  • Royal Children's Hospital (AU)
  • Baylor College of Medicine (US)
  • Florey Institute of Neuroscience and Mental Health (AU)
  • Chongqing Three Gorges Central Hospital (CN)
  • Universidad de Antioquia (CO)
  • The Royal Melbourne Hospital (AU)
  • The University of Osaka (JP)
  • Yale University (US)
  • Georgia State University (US)
Corresponding author
Kelly, S
Venue
Molecular Psychiatry
Published
2017-10-17
Volume
23
Issue
5
Pages
1261-1269
ISSN
  • 1359-4184 (ISSN-L)
  • 1476-5578
OpenAlex
W2767050687
Cited by
701
References
8
Citations by year
2026: 70 · 2025: 70 · 2024: 77 · 2023: 70 · 2022: 87 · 2021: 104 · 2020: 106 · 2019: 71 · 2018: 42 · 2017: 4
FWCI
50.34
Type
journal article
Language
en
Open access
Locations
  • Molecular Psychiatry (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
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  • ARAN (University of Galway Research Repository) (Ollscoil na Gaillimhe – University of Galway) (submittedVersion, cc-by-nc-nd)
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Funders
  • National Science Foundation (1117079)
  • Wellcome Trust (104036/Z/14/Z)
  • Hunter Medical Research Institute
  • Office of Health and Medical Research (1117079)
  • Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung
  • Ministero della Salute
  • Norges Forskningsråd
  • NSW Ministry of Health (1117079)
  • National Institutes of Health (5u24rr025736-02)
  • Medical Research Council
  • National Health and Medical Research Council (1117079)
  • Helse Sør-Øst RHF
  • National Institute of Mental Health (R01MH112180, P50MH080272, R21MH106793, U01MH108148)
  • National Institute of Biomedical Imaging and Bioengineering (U54EB020403, R01EB015611, P41EB015922)
  • National Center for Research Resources (U24RR021992, U24-RR025736)
  • H2020 European Research Council (677467)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
  • Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Advanced Neuroimaging Techniques and Applications
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Functional Brain Connectivity Studies
Keywords
schizophrenia, white matter microstructure, fractional anisotropy, mean diffusivity, radial diffusivity, corpus callosum, corona radiata, diffusion tensor imaging
MeSH terms
Adult, Aged, Aged, 80 and over, Brain, Corpus Callosum, Female, Humans, Image Processing, Computer-Assisted, Male, Middle Aged, Schizophrenia, Cohort Studies, Diffusion Magnetic Resonance Imaging, Young Adult, Diffusion Tensor Imaging, White Matter

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