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Structural Magnetic Resonance Imaging in Bipolar Disorder: An International Collaborative Mega-Analysis of Individual Adult Patient Data

Research output: Contribution to journalConference paper

Brian Hallahan, John Newell, Jair C. Soares, Paolo Brambilla, Stephen M. Strakowski, David E. Fleck, Tuula Kieseppa, Lori L. Altshuler, Alex Fornito, Gin S. Malhi, Andrew M. McIntosh, Deborah A. Yurgelun-Todd, Kevin S. Labar, Verinder Sharma, Glenda M. MacQueen, Robin M. Murray, Colm McDonald

Original languageEnglish
Pages (from-to)326 - 335
Number of pages10
JournalBiological psychiatry
Volume69
Issue number4
DOIs
Publication statusPublished - 15 Feb 2011
Event8th International Conference on Bipolar Disorder - Pittsburgh, PA
Duration: 25 Jun 200927 Jun 2009

King's Authors

Abstract

Background: There is substantial inconsistency in results of brain structural magnetic resonance imaging studies in adult bipolar disorder. This is likely consequent upon limited statistical power of studies together with their clinical and methodological heterogeneity. The current study was undertaken to perform an international collaborative mega-analysis of regional volumetric measurements of individual patient and healthy subject data, to optimize statistical power, detect case-control differences, assess the association of psychotropic medication usage with brain structural variation, and detect other possible sources of heterogeneity.

Methods: Eleven international research groups contributed published and unpublished data on 321 individuals with bipolar disorder land 442 healthy subjects. We used linear mixed effects regression models to evaluate differences in brain structure between patient groups.

Results: Individuals with bipolar disorder had increased right lateral ventricular, left temporal lobe, and right putamen volumes. Bipolar patients taking lithium displayed significantly increased hippocampal and amygdala volume compared with patients not treated with lithium and healthy comparison subjects. Cerebral volume reduction was significantly associated with illness duration in bipolar individuals.

Conclusions: The application of mega-analysis to bipolar disorder imaging identified lithium use and illness duration as substantial and consistent sources of heterogeneity, with lithium use associated with regionally specific increased brain volume.

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