4.7 Review

The future of functional MRI in clinical medicine

Journal

NEUROIMAGE
Volume 62, Issue 2, Pages 1267-1271

Publisher

ACADEMIC PRESS INC ELSEVIER SCIENCE
DOI: 10.1016/j.neuroimage.2012.01.026

Keywords

Psychiatry; Neurology; Therapeutics; Translational; Genetic; Drug

Ask authors/readers for more resources

In the last 20 years or so, functional MRI has matured very rapidly from being an experimental imaging method in the hands of a few labs to being a very widely available and widely used workhorse of cognitive neuroscience and clinical neuroscience research internationally. FMRI studies have had a considerable impact on our understanding of brain system phenotypes of neurological and psychiatric disorders; and some impact already on development of new therapeutics. However, the direct benefit of fMRI to individual patients with brain disorders has so far been minimal. Here I provide a personal perspective on what has already been achieved, and imagine how the further development of fMRI over the medium term might lead to even greater engagement with clinical medicine. (C) 2012 Elsevier Inc. All rights reserved.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.7
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Article Psychology, Developmental

Stratification of adolescents across mental phenomena emphasizes the importance of transdiagnostic distress: a replication in two general population cohorts

Jan Stochl, Hannah Jones, Emma Soneson, Adam P. Wagner, Golam M. Khandaker, Stanley Zammit, Jon Heron, Gemma Hammerton, Edward T. Bullmore, Ray Dolan, Peter Fonagy, Ian M. Goodyer, J. Perez, Peter B. Jones

Summary: Characterizing patterns of mental phenomena in epidemiological studies of adolescents can provide insight into the latent organization of psychiatric disorders. This avoids the biases of chronicity and selection inherent in clinical samples, guides models of shared aetiology within psychiatric disorders and informs the development and implementation of interventions.

EUROPEAN CHILD & ADOLESCENT PSYCHIATRY (2023)

Review Biotechnology & Applied Microbiology

Immune targets for therapeutic development in depression: towards precision medicine

Wayne C. Drevets, Gayle M. Wittenberg, Edward T. Bullmore, Husseini K. Manji

Summary: Compelling evidence suggests that immune mechanisms play a role in the pathogenesis of major depressive disorder (MDD) and drugs targeting immune targets have shown efficacy in improving depressive symptoms. By defining narrower patient subgroups based on biology, the treatment response rates can be increased, which is a major advancement in clinical psychiatry.

NATURE REVIEWS DRUG DISCOVERY (2022)

Review Neurosciences

Prefrontal connectomics: from anatomy to human imaging

Suzanne N. Haber, Hesheng Liu, Jakob Seidlitz, Ed Bullmore

Summary: This review discusses the fundamental importance of prefrontal cortical connectivity to information processing and disorders of cognition, emotion, and behavior. It introduces the methods used to study monosynaptic prefrontal cortical connections in non-human primates and MRI-derived measurements of network organization in humans. The review also demonstrates how tract-tracing studies can inform the composition of prefrontal cortex nodes and hubs.

NEUROPSYCHOPHARMACOLOGY (2022)

Article Neuroimaging

Choroid plexus enlargement is associated with neuroinflammation and reduction of blood brain barrier permeability in depression

Noha Althubaity, Julia Schubert, Daniel Martins, Tayyabah Yousaf, Maria A. Nettis, Valeria Mondelli, Carmine Pariante, Neil A. Harrison, Edward T. Bullmore, Danai Dima, Federico E. Turkheimer, Mattia Veronese

Summary: The study found that depressed individuals have increased choroid plexus volume, which is associated with brain inflammation but not with peripheral inflammatory markers. The volume of choroid plexus is positively correlated with PET binding in other brain regions, suggesting that changes in brain barriers may play a role in inflammation in depression.

NEUROIMAGE-CLINICAL (2022)

Article Psychiatry

Associations between COVID-19 pandemic impact, dimensions of behavior and eating disorders: A longitudinal UK-based study

Konstantinos Ioannidis, Roxanne W. Hook, Anna Wiedemann, Junaid Bhatti, Katarzyna Czabanowska, Andres Roman-Urrestarazu, Jon E. Grant, Ian M. Goodyer, Peter Fonagy, Edward T. Bullmore, Peter B. Jones, Samuel R. Chamberlain

Summary: This study examines the impact of the COVID-19 pandemic on individuals with eating disorders, identifying a significant association between family conflict, impulsiveness traits, and concurrent eating disorder symptoms.

COMPREHENSIVE PSYCHIATRY (2022)

Article Multidisciplinary Sciences

Brain charts for the human lifespan

R. A. I. Bethlehem, J. Seidlitz, S. R. White, J. W. Vogel, K. M. Anderson, C. Adamson, S. Adler, G. S. Alexopoulos, E. Anagnostou, A. Areces-Gonzalez, D. E. Astle, B. Auyeung, M. Ayub, J. Bae, G. Ball, S. Baron-Cohen, R. Beare, S. A. Bedford, V. Benegal, F. Beyer, J. Blangero, M. Blesa Cabez, J. P. Boardman, M. Borzage, J. F. Bosch-Bayard, N. Bourke, V. D. Calhoun, M. M. Chakravarty, C. Chen, C. Chertavian, G. Chetelat, Y. S. Chong, J. H. Cole, A. Corvin, M. Costantino, E. Courchesne, F. Crivello, V. L. Cropley, J. Crosbie, N. Crossley, M. Delarue, R. Delorme, S. Desrivieres, G. A. Devenyi, M. A. Di Biase, R. Dolan, K. A. Donald, G. Donohoe, K. Dunlop, A. D. Edwards, J. T. Elison, C. T. Ellis, J. A. Elman, L. Eyler, D. A. Fair, E. Feczko, P. C. Fletcher, P. Fonagy, C. E. Franz, L. Galan-Garcia, A. Gholipour, J. Giedd, J. H. Gilmore, D. C. Glahn, I. M. Goodyer, P. E. Grant, N. A. Groenewold, F. M. Gunning, R. E. Gur, R. C. Gur, C. F. Hammill, O. Hansson, T. Hedden, A. Heinz, R. N. Henson, K. Heuer, J. Hoare, B. Holla, A. J. Holmes, R. Holt, H. Huang, K. Im, J. Ipser, C. R. Jack, A. P. Jackowski, T. Jia, K. A. Johnson, P. B. Jones, D. T. Jones, R. S. Kahn, H. Karlsson, L. Karlsson, R. Kawashima, E. A. Kelley, S. Kern, K. W. Kim, M. G. Kitzbichler, W. S. Kremen, F. Lalonde, B. Landeau, S. Lee, J. Lerch, J. D. Lewis, J. Li, W. Liao, C. Liston, M. V. Lombardo, J. Lv, C. Lynch, T. T. Mallard, M. Marcelis, R. D. Markello, S. R. Mathias, B. Mazoyer, P. McGuire, M. J. Meaney, A. Mechelli, N. Medic, B. Misic, S. E. Morgan, D. Mothersill, J. Nigg, M. Q. W. Ong, C. Ortinau, R. Ossenkoppele, M. Ouyang, L. Palaniyappan, L. Paly, P. M. Pan, C. Pantelis, M. M. Park, T. Paus, Z. Pausova, D. Paz-Linares, A. Pichet Binette, K. Pierce, X. Qian, J. Qiu, A. Qiu, A. Raznahan, T. Rittman, A. Rodrigue, C. K. Rollins, R. Romero-Garcia, L. Ronan, M. D. Rosenberg, D. H. Rowitch, G. A. Salum, T. D. Satterthwaite, H. L. Schaare, R. J. Schachar, A. P. Schultz, G. Schumann, M. Scholl, D. Sharp, R. T. Shinohara, I. Skoog, C. D. Smyser, R. A. Sperling, D. J. Stein, A. Stolicyn, J. Suckling, G. Sullivan, Y. Taki, B. Thyreau, R. Toro, N. Traut, K. A. Tsvetanov, N. B. Turk-Browne, J. J. Tuulari, C. Tzourio, E. Vachon-Presseau, M. J. Valdes-Sosa, P. A. Valdes-Sosa, S. L. Valk, T. van Amelsvoort, S. N. Vandekar, L. Vasung, L. W. Victoria, S. Villeneuve, A. Villringer, P. E. Vertes, K. Wagstyl, Y. S. Wang, S. K. Warfield, V. Warrier, E. Westman, M. L. Westwater, H. C. Whalley, A. V. Witte, N. Yang, B. Yeo, H. Yun, A. Zalesky, H. J. Zar, A. Zettergren, J. H. Zhou, H. Ziauddeen, A. Zugman, X. N. Zuo, E. T. Bullmore, A. F. Alexander-Bloch

Summary: Neuroimaging has become a widely used tool in brain research, but there is currently a lack of reference standards to quantify individual differences over time. In this study, researchers created an open resource that benchmarks brain morphology using a large dataset of MRI scans. The brain charts identified neurodevelopmental milestones and showed high individual stability and robustness to technical and methodological differences.

NATURE (2022)

Article Multidisciplinary Sciences

Sexually divergent development of depression-related brain networks during healthy human adolescence

Lena Dorfschmidt, Richard A. Bethlehem, Jakob Seidlitz, Frantisek Vasa, Simon R. White, Rafael Romero-Garcia, Manfred G. Kitzbichler, Athina R. Aruldass, Sarah E. Morgan, Ian M. Goodyer, Peter Fonagy, Peter B. Jones, Ray J. Dolan, Neil A. Harrison, Petra E. Vertes, Edward T. Bullmore

Summary: Sexual differences in human brain development play a role in the incidence of depression during adolescence. By analyzing fMRI data from 298 healthy adolescents, the study found that females had a more disruptive pattern of brain network development compared to males. This finding provides important insights into the understanding of the mechanisms underlying adolescent depression.

SCIENCE ADVANCES (2022)

Article Multidisciplinary Sciences

Adolescent development of multiscale structural wiring and functional interactions in the human connectome

Bo-Yong Park, Casey Paquola, Richard A. Bethlehem, Oualid Benkarim, Bratislav Misic, Jonathan Smallwood, Edward T. Bullmore, Boris C. Bernhardt

Summary: This study analyzed the development of structural and functional brain networks in adolescents and found that multiple corticocortical structural networks continue to differentiate in youth. Regions with more similar structural wiring were more likely to be functionally coupled. Additionally, increased structural differentiation was associated with reduced functional interactions, illustrating the interaction between brain structure and function in adolescent development.

PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA (2022)

Article Psychiatry

Why Is Non-suicidal Self-injury More Common in Women? Mediation and Moderation Analyses of Psychological Distress, Emotion Dysregulation, and Impulsivity

Nina M. Lutz, Sharon A. S. Neufeld, Roxanne W. Hook, Peter B. Jones, Edward T. Bullmore, Ian M. Goodyer, Tamsin J. Ford, Samuel R. Chamberlain, Paul O. Wilkinson

Summary: Non-suicidal self-injury (NSSI) is more common among women, possibly due to their higher levels of psychological distress. Women also show significant differences in sensation seeking and positive urgency compared to men. Psychological distress partially mediates the relationship between gender and NSSI.

ARCHIVES OF SUICIDE RESEARCH (2023)

Article Clinical Neurology

Brain injury in COVID-19 is associated with dysregulated innate and adaptive immune responses

Edward J. Needham, Alexander L. Ren, Richard J. Digby, Emma J. Norton, Soraya Ebrahimi, Joanne G. Outtrim, Doris A. Chatfield, Anne E. Manktelow, Maya M. Leibowitz, Virginia F. J. Newcombe, Rainer Doffinger, Gabriela Barcenas-Morales, Claudia Fonseca, Michael J. Taussig, Rowan M. Burnstein, Romit J. Samanta, Cordelia Dunai, Nyarie Sithole, Nicholas J. Ashton, Henrik Zetterberg, Magnus Gisslen, Arden Eden, Emelie Marklund, Peter J. M. Openshaw, Jake Dunning, Michael J. Griffiths, Jonathan Cavanagh, Gerome Breen, Sarosh R. Irani, Anne Elmer, Nathalie Kingston, Charlotte Summers, John R. Bradley, Leonie S. Taams, Benedict D. Michael, Edward T. Bullmore, Kenneth G. C. Smith, Paul A. Lyons, Alasdair J. Coles, David K. Menon

Summary: COVID-19 and influenza are both associated with brain injury, particularly in severe cases. The brain injury occurs in the context of dysregulated immune responses, with no single pathogenic mechanism clearly responsible. Blood biomarkers can be used to assess the extent and duration of brain injury.

BRAIN (2022)

Article Multidisciplinary Sciences

Reliability of multi-site UK Biobank MRI brain phenotypes for the assessment of neuropsychiatric complications of SARS-CoV-2 infection: The COVID-CNS travelling heads study

Eugene Duff, Fernando Zelaya, Fidel Alfaro Almagro, Karla L. Miller, Naomi Martin, Thomas E. Nichols, Bernd Taschler, Ludovica Griffanti, Christoph Arthofer, Gwenaelle Douaud, Chaoyue Wang, Thomas W. Okell, Richard A. Bethlehem, Klaus Eickel, Matthias Guenther, David K. Menon, Guy Williams, Bethany Facer, David J. Lythgoe, Flavio Dell'Acqua, Greta K. Wood, Steven C. R. Williams, Gavin Houston, Simon S. Keller, Catherine Holden, Monika Hartmann, Lily George, Gerome Breen, Benedict D. Michael, Peter Jezzard, Stephen M. Smith, Edward T. Bullmore

Summary: This article describes the development and validation of a multi-modal brain MRI protocol based on the UK Biobank for the study of COVID-19. The results show that large, multi-site MRI datasets can be collected reliably across different sites and scanner manufacturers, providing a reliable technical support for COVID-19 research.

PLOS ONE (2022)

Editorial Material Neurosciences

Making Connections: Biological Mechanisms of Human Brain (Dys)connectivity

Edward T. Bullmore, Alex Fornito

BIOLOGICAL PSYCHIATRY (2023)

Article Psychiatry

Early-life stress biases responding to negative feedback and increases amygdala volume and vulnerability to later-life stress

Ethan G. Dutcher, Laura Lopez-Cruz, E. A. Claudia Pama, Mary-Ellen Lynall, Iris C. R. Bevers, Jolyon A. Jones, Shahid Khan, Stephen J. Sawiak, Amy L. Milton, Menna R. Clatworthy, Trevor W. Robbins, Edward T. Bullmore, Jeffrey W. Dalley

Summary: Early-life stress (ELS), particularly in the form of childhood neglect and abuse, has long-lasting effects on cognitive and neurobehavioral outcomes in rats. These effects interact with stress in adulthood and may be relevant for understanding the etiology of anxiety and depression in humans.

TRANSLATIONAL PSYCHIATRY (2023)

Article Neurosciences

Robust estimation of cortical similarity networks from brain MRI

Isaac Sebenius, Jakob Seidlitz, Varun Warrier, Richard A. I. Bethlehem, Aaron Alexander-Bloch, Travis T. Mallard, Rafael Romero Garcia, Edward T. Bullmore, Sarah E. Morgan

Summary: MIND is a new method that estimates within-subject similarity between cortical areas by comparing the divergence of their multivariate distributions of MRI features. Compared to previous methods, MIND networks are more reliable, consistent with cortical structure, and correlated with axonal connectivity. MIND networks are also more sensitive to aging and gene co-expression, and provide a biologically validated approach to cortical connectomics using MRI data.

NATURE NEUROSCIENCE (2023)

Article Neuroimaging

Hospitalisation for COVID-19 predicts long lasting cerebrovascular impairment: A prospective observational cohort study

Kamen A. Tsvetanov, Lennart R. B. Spindler, Emmanuel A. Stamatakis, Virginia F. J. Newcombe, Victoria C. Lupson, Doris A. Chatfield, Anne E. Manktelow, Joanne G. Outtrim, Anne Elmer, Nathalie Kingston, John R. Bradley, Edward T. Bullmore, James B. Rowe, David K. Menon

Summary: This study investigates the long-term impact of COVID-19 on cerebrovascular health and finds that severe acute COVID-19 is associated with chronic cerebrovascular impairment, which is related to cognitive function and mental wellbeing.

NEUROIMAGE-CLINICAL (2022)

Article Neurosciences

Solving large-scale MEG/EEG source localisation and functional connectivity problems simultaneously using state-space models

Jose Sanchez-Bornot, Roberto C. Sotero, J. A. Scott Kelso, Ozguer Simsek, Damien Coyle

Summary: This study proposes a multi-penalized state-space model for analyzing unobserved dynamics, using a data-driven regularization method. Novel algorithms are developed to solve the model, and a cross-validation method is introduced to evaluate regularization parameters. The effectiveness of this method is validated through simulations and real data analysis, enabling a more accurate exploration of cognitive brain functions.

NEUROIMAGE (2024)