Magnetic resonance imaging of the dopamine system in schizophrenia – A scoping review

For decades, aberrant dopamine transmission has been proposed to play a central role in schizophrenia pathophysiology. These theories are supported by human in vivo molecular imaging studies of dopamine transmission, particularly positron emission tomography. However, there are several downsides to...

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Main Authors: Julia Schulz, Juliana Zimmermann, Christian Sorg, Aurore Menegaux, Felix Brandl
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-09-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2022.925476/full
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author Julia Schulz
Julia Schulz
Juliana Zimmermann
Juliana Zimmermann
Christian Sorg
Christian Sorg
Christian Sorg
Aurore Menegaux
Aurore Menegaux
Felix Brandl
Felix Brandl
Felix Brandl
author_facet Julia Schulz
Julia Schulz
Juliana Zimmermann
Juliana Zimmermann
Christian Sorg
Christian Sorg
Christian Sorg
Aurore Menegaux
Aurore Menegaux
Felix Brandl
Felix Brandl
Felix Brandl
author_sort Julia Schulz
collection DOAJ
description For decades, aberrant dopamine transmission has been proposed to play a central role in schizophrenia pathophysiology. These theories are supported by human in vivo molecular imaging studies of dopamine transmission, particularly positron emission tomography. However, there are several downsides to such approaches, for example limited spatial resolution or restriction of the measurement to synaptic processes of dopaminergic neurons. To overcome these limitations and to measure complementary aspects of dopamine transmission, magnetic resonance imaging (MRI)-based approaches investigating the macrostructure, metabolism, and connectivity of dopaminergic nuclei, i.e., substantia nigra pars compacta and ventral tegmental area, can be employed. In this scoping review, we focus on four dopamine MRI methods that have been employed in patients with schizophrenia so far: neuromelanin MRI, which is thought to measure long-term dopamine function in dopaminergic nuclei; morphometric MRI, which is assumed to measure the volume of dopaminergic nuclei; diffusion MRI, which is assumed to measure fiber-based structural connectivity of dopaminergic nuclei; and resting-state blood-oxygenation-level-dependent functional MRI, which is thought to measure functional connectivity of dopaminergic nuclei based on correlated blood oxygenation fluctuations. For each method, we describe the underlying signal, outcome measures, and downsides. We present the current state of research in schizophrenia and compare it to other disorders with either similar (psychotic) symptoms, i.e., bipolar disorder and major depressive disorder, or dopaminergic abnormalities, i.e., substance use disorder and Parkinson’s disease. Finally, we discuss overarching issues and outline future research questions.
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spelling doaj.art-f21fd2ef0d6e48c89c659a4818752cd42022-12-22T04:03:27ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402022-09-011310.3389/fpsyt.2022.925476925476Magnetic resonance imaging of the dopamine system in schizophrenia – A scoping reviewJulia Schulz0Julia Schulz1Juliana Zimmermann2Juliana Zimmermann3Christian Sorg4Christian Sorg5Christian Sorg6Aurore Menegaux7Aurore Menegaux8Felix Brandl9Felix Brandl10Felix Brandl11Department of Neuroradiology, School of Medicine, Technical University of Munich, Munich, GermanyTUM-NIC Neuroimaging Center, School of Medicine, Technical University of Munich, Munich, GermanyDepartment of Neuroradiology, School of Medicine, Technical University of Munich, Munich, GermanyTUM-NIC Neuroimaging Center, School of Medicine, Technical University of Munich, Munich, GermanyDepartment of Neuroradiology, School of Medicine, Technical University of Munich, Munich, GermanyTUM-NIC Neuroimaging Center, School of Medicine, Technical University of Munich, Munich, GermanyDepartment of Psychiatry and Psychotherapy, School of Medicine, Technical University of Munich, Munich, GermanyDepartment of Neuroradiology, School of Medicine, Technical University of Munich, Munich, GermanyTUM-NIC Neuroimaging Center, School of Medicine, Technical University of Munich, Munich, GermanyDepartment of Neuroradiology, School of Medicine, Technical University of Munich, Munich, GermanyTUM-NIC Neuroimaging Center, School of Medicine, Technical University of Munich, Munich, GermanyDepartment of Psychiatry and Psychotherapy, School of Medicine, Technical University of Munich, Munich, GermanyFor decades, aberrant dopamine transmission has been proposed to play a central role in schizophrenia pathophysiology. These theories are supported by human in vivo molecular imaging studies of dopamine transmission, particularly positron emission tomography. However, there are several downsides to such approaches, for example limited spatial resolution or restriction of the measurement to synaptic processes of dopaminergic neurons. To overcome these limitations and to measure complementary aspects of dopamine transmission, magnetic resonance imaging (MRI)-based approaches investigating the macrostructure, metabolism, and connectivity of dopaminergic nuclei, i.e., substantia nigra pars compacta and ventral tegmental area, can be employed. In this scoping review, we focus on four dopamine MRI methods that have been employed in patients with schizophrenia so far: neuromelanin MRI, which is thought to measure long-term dopamine function in dopaminergic nuclei; morphometric MRI, which is assumed to measure the volume of dopaminergic nuclei; diffusion MRI, which is assumed to measure fiber-based structural connectivity of dopaminergic nuclei; and resting-state blood-oxygenation-level-dependent functional MRI, which is thought to measure functional connectivity of dopaminergic nuclei based on correlated blood oxygenation fluctuations. For each method, we describe the underlying signal, outcome measures, and downsides. We present the current state of research in schizophrenia and compare it to other disorders with either similar (psychotic) symptoms, i.e., bipolar disorder and major depressive disorder, or dopaminergic abnormalities, i.e., substance use disorder and Parkinson’s disease. Finally, we discuss overarching issues and outline future research questions.https://www.frontiersin.org/articles/10.3389/fpsyt.2022.925476/fulldopamineschizophreniamagnetic resonance imagingsubstantia nigraventral tegmental area
spellingShingle Julia Schulz
Julia Schulz
Juliana Zimmermann
Juliana Zimmermann
Christian Sorg
Christian Sorg
Christian Sorg
Aurore Menegaux
Aurore Menegaux
Felix Brandl
Felix Brandl
Felix Brandl
Magnetic resonance imaging of the dopamine system in schizophrenia – A scoping review
Frontiers in Psychiatry
dopamine
schizophrenia
magnetic resonance imaging
substantia nigra
ventral tegmental area
title Magnetic resonance imaging of the dopamine system in schizophrenia – A scoping review
title_full Magnetic resonance imaging of the dopamine system in schizophrenia – A scoping review
title_fullStr Magnetic resonance imaging of the dopamine system in schizophrenia – A scoping review
title_full_unstemmed Magnetic resonance imaging of the dopamine system in schizophrenia – A scoping review
title_short Magnetic resonance imaging of the dopamine system in schizophrenia – A scoping review
title_sort magnetic resonance imaging of the dopamine system in schizophrenia a scoping review
topic dopamine
schizophrenia
magnetic resonance imaging
substantia nigra
ventral tegmental area
url https://www.frontiersin.org/articles/10.3389/fpsyt.2022.925476/full
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