Junhong Liu1 and Jingliang Cheng1
1The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China
Synopsis
So far, there is
no consensus on the cause of obsessive-compulsive disorder(OCD). We
used a data-driven method, independent component analysis (ICA), to study the
change of whole brain resting-state functional connectivity of first-episode
and treatment-naïve patients with OCD. Three abnormal resting-state networks,
posterior default-mode network, right frontoparietal network and lateral visual
network, have been found in patients. In addition, patients showed increased functional
connection in bilateral cuneus, right inferior parietal lobule and right middle
occipital lobule compared with controls. It’s considered that changes of
abnormal resting-state networks might reveal the possible neural mechanism of
OCD.
Introduction
Obsessive-compulsive
disorder (OCD) is a psychological disorder with an estimated lifetime prevalence
of 1% to 3%,1 characterized by uncontrollable obsessive thoughts,
compulsive behavior and compulsions to counteract these thoughts and behavior
clinically. 2 As known that, OCD is among the leading causes of
functional disability worldwide, but the neurobiology and aetiological origins
of it is not clear. Recently, a specific network of
cortical-striatal-thalamic-cortical (CSTC) circuits has been suggested in the
pathophysiology of OCD. 3 However, many of the previous
resting-state functional magnetic resonance imaging (rs-fMRI) studies in OCD
depended on prior knowledge. Whether there are any other OCD-related functional
changes occurring besides the CSTC circuits remains unknown. This study intend
to investigate the whole brain rs-fMRI connectivity alternation of first-episode
and treatment-naïve OCD patients by independent component analysis (ICA) to
explore the pathophysiology of OCD.Methods
A
total of 47 subjects were recruited including 23 drug-naive OCD patients and 24
healthy controls with matched age, gender, handedness and education level in
this study. OCD patients were diagnosed through Structured Clinical
Interview for DSM-IV Axis I Disorders-Non-patient Edition (SCID-I) by an
experienced psychiatric chief physician.
MRI datasets were acquired on a 3T GE Discovery 750
System (GE Healthcare, Milwaukee, MI, USA) scanner equipped with an 8-channel
parallel head coil. Functional MRI data were obtained via a gradient echo-planar imaging sequence (repetition time = 2000 ms;
echo time = 30 ms; slices = 32; thickness = 4 mm; resolution matrix =64 × 64;
flip angle = 90º; field of view = 220 × 220 mm2; slice gap = 0.5
mm., 180 time
points, 5760 images in acquisition , 6 minutes total time). Subjects were
instructed to stay alert and relaxed with eyes closed and no body motion during
imaging sessions.
Standard image data preparation and pre-processing
were performed with MRIcroN software (http://www.mricro.com) and DPARSFA software based on MATLAB 2012b (http://www.mathworks.com). Group ICA was using rs-fMRI image with the Group ICA of fMRI Toolbox
(GIFT) (http://icatb.sourceforge.net). Statistical
analysis was carried out with SPM8 software (http://www.fil.ion.ucl.ac.uk/spm). One-sample T-test(family wise error correction, p<0.05) was performed to make masks of networks component,
and two-sample T-test(alphasim correction, p<0.05) was performed to seek the significant difference of
functional networks between OCD patients and controls. Results
10
masks of resting-state networks were found in both groups. The resting-state
networks, posterior default-mode network (pDMN), right frontoparietal network
(RFP) and lateral visual network(lVN), appeared significantly difference
compared with control group, were shown in Figure 1.
The
current results showed that the functional connectivity (FC) of pDMN network in
OCD patients was higher than that in healthy controls in bilateral cuneus(T=3.822,P=0.005)(Figure 2). The FC of
RFP network in the right inferior parietal lobule was higher than that in healthy
controls(T=5.291,P=0.005)(Figure 3). Besides,
the FC of lVN in the right middle occipital lobule was higher than that in healthy
controls(T=4.614,P=0.005)(Figure 4).
The alternation of FC had no correlation with Y-BOCS scores.Discussion
The
results of whole brain resting states functional networks in OCD patients
without drug and psychosocial interventions showed more objective and reliable
information for psychological mechanism of OCD. Noise was removed effectively,
and altered brain connectivity between the first-episode and treatment-naïve
OCD patients and health controls was found without any priori assumptions and
model driven by using ICA. This study revealed that there were three abnormal
resting state networks, pDMN, RFP and lVN, which mainly represented increased
functional connectivity in OCD patients.Conclusion
Our current provided
further evidence of FC abnormalities that are not only present in the classical
CSTC circuit but also besides the CSTC circuit, which may represent the complex
interaction of abnormally functional organization of networks in OCD. It is believe that
this noninvasive method might be useful for exploring the pathophysiology of OCD.Acknowledgements
No acknowledgement found.References
1. Ruscio AM, et al. (2010). The epidemiology of obsessive—compulsive disorder in
the National Comorbidity Survey Replicatio. Mol Psychiatry. 15:53-63.
2. Burdick KE, et al. (2008). Neurocognitive profile analysis
in obsessive compulsive disorder. J Int Neuropsychol Soc. 14:640–645.
3. Menzies L, et al. (2008). Integrating
evidence from neuroimaging and neuropsychological studies of
obsessive-compulsive disorder: the orbitofronto-striatal model revisited. Neurosci
Biobehav Rev. 32:525-549.