Document Detail


Incidental radiological findings on brain magnetic resonance imaging in first-episode psychosis and chronic schizophrenia.
MedLine Citation:
PMID:  12366466     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To investigate whether patients with first-episode psychosis or chronic schizophrenia have an increased incidence of magnetic resonance imaging (MRI) brain abnormalities compared with control subjects. METHOD: Totally 340 clinical MRI reports [Controls (n=98), first-episode psychoses (n=152), chronic schizophrenia (n=90)] were reported by a neuroradiologist blind to diagnosis and subsequently categorized using referral criteria (immediate, urgent, routine or no referral). RESULTS: Thirty percent of all scans were reported by a neuroradiologist as abnormal, but the majority required no referral. Patients with chronic schizophrenia were more likely to have clinically significant abnormal scans than patients with first episode psychosis or control subjects. In four patients the MRI findings led to the discovery of previously unsuspected pathology. CONCLUSION: Patients with chronic schizophrenia have an increased prevalence of incidental brain abnormalities. A small proportion of patients with chronic schizophrenia and first-episode psychosis benefitted directly from MRI scanning.
Authors:
D I Lubman; D Velakoulis; P D McGorry; D J Smith; W Brewer; G Stuart; P Desmond; B Tress; C Pantelis
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Acta psychiatrica Scandinavica     Volume:  106     ISSN:  0001-690X     ISO Abbreviation:  Acta Psychiatr Scand     Publication Date:  2002 Nov 
Date Detail:
Created Date:  2002-10-07     Completed Date:  2003-03-25     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0370364     Medline TA:  Acta Psychiatr Scand     Country:  Denmark    
Other Details:
Languages:  eng     Pagination:  331-6     Citation Subset:  IM    
Affiliation:
Cognitive Neuropsychiatry Research & Academic Unit, The University of Melbourne & Sunshine Hospital, Melbourne, Australia. dan.lubman@mh.org.au
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MeSH Terms
Descriptor/Qualifier:
Adult
Brain / pathology*
Female
Humans
Incidental Findings
Magnetic Resonance Imaging*
Male
Psychotic Disorders / diagnosis*
Schizophrenia / diagnosis*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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