Advances in neurodegenerative and psychiatric imaging: introductory editorial.
Free AccessAdvances in neurodegenerative and psychiatric imaging special feature: EditorialAdvances in neurodegenerative and psychiatric imaging: introductory editorialAmy L. Kotsenas, Meike W. Vernooij and John D. PortAmy L. KotsenasDepartment of Radiology, Mayo Clinic, Rochester, MN, USASearch for more papers by this author, Meike W. VernooijErasmus MC University Medical Center, Rotterdam, NetherlandsSearch for more papers by this author and John D. PortDepartment of Radiology, Mayo Clinic, Rochester, MN, USASearch for more papers by this authorPublished Online:19 Aug 2019https://doi.org/10.1259/bjr.20199003SectionsPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack Citations ShareShare onFacebookTwitterLinked InEmail AboutThis BJR special feature focuses on advances in neurodegenerative and psychiatric imaging, both leading causes of disability around the world. This special feature explores the neurobiologic basis of these diseases, describes challenges as we move into an era of precision medicine, reviews cutting-edge preclinical research on neuroimaging in these fields and presents new clinical imaging information of interest to readers of BJR.Psychiatric illness remains one of the most prevalent disease categories in the world. The most recent Global Burden of Disease report published by the World Health Organization showed that 1 in 4 people will suffer through an episode of major depression in their lifetime, and 1 in 17 people are currently suffering with a major psychiatric disorder.1 Approximately 816,000 suicides were committed in 2016,2 many of which were associated with an underlying psychiatric disorder. There is a clear clinical and ethical need to help diagnose and treat people with psychiatric illness.Despite decades of research including numerous imaging studies of psychiatric disease, we still have little understanding of the underlying neurobiology of these disorders. In this special feature, we will explore the reasons why this is so, and touch on the state-of-the-art research currently being performed in an attempt to move the field forward.The first article by Anderson et al3 nicely reviews the limitations of past psychiatric imaging studies, explaining why there is a relative lack of psychiatric imaging biomarkers. They then present a number of strategies for future psychiatric imaging studies, including more advanced scanning methods, longitudinal studies and big data.The next article by Yi et al4 explores the preclinical world of psychiatric imaging, describing several current animal and molecular models of psychiatric illness. They explain how confounding factors are controlled in these animal models, generating imaging findings that can serve as a crucial experimental bridge for understanding the genetic and environmental basis of human psychiatric illness.The article by Sugrue and Desikan5 bridges the preclinical to the clinical realm of psychiatric imaging, reviewing recent developments in behavioral genetics and neuroscience that help to lay the foundation for present/future human “precision” psychiatric imaging. Their review provides a detailed look at some of the functional networks and circuitry underlying psychiatric illness.The next three reviews focus on some of the most recent studies of psychiatric functional imaging. The first article by Tanabe et al6 extensively details the structural and neurotransmitter components of the human reward system, with evidence acquired from both functional MRI and positron emission tomography (PET). Fatima et al7 next explore how those reward circuits are disrupted in the setting of cannabis use disorder. Finally, the article by Port et al8 explores a more subtle theory of how a neurotransmitter imbalance may explain the clinical behaviors observed in autism spectrum disorder.The final article on psychiatric imaging by Huang et al9 provides an inspiring look at the future of psychoradiology, i.e. the clinical application of psychiatric neuroimaging. This paper gives examples of where neuroimaging is being used in clinical practice to help with the diagnosis and management of psychiatric disease in a patient population. The paper provides some thoughts on how psychoradiology can be integrated into the radiology community.The section on imaging of neurodegeneration in this special feature starts with an overview from Dumba and colleagues of the role in current clinical practice of PET in the evaluation of cognitive impairment.10 Clinical indication, acquisition and interpretation of 18F-fluorodeoxyglucose and amyloid PET/CT are discussed, as well as common pitfalls. This review is complemented by two research articles, one by Fakhry-Darian et al11 and one by Curry and colleagues.12 Both illustrate how the use of quantification of 18F-florbetapir PET/CT (either by using thresholds as in Fakhry-Darian et al11 or by using quantitative software packages for automated evaluation in Curry et al12) may assist physicians in their reporting, and potentially increase diagnostic accuracy.Extracting quantitative information from imaging studies is developing at high pace, and Goodkin and colleagues describe a comprehensive model framework (the Quantitative Neuroimaging Initiative) for the technical and clinical validation of such quantitative information into the clinical neuroradiology workflow, using as an example the diagnostic evaluation of dementia.13The next two reviews in this special feature describe how advanced image acquisition and/or image processing techniques may impact our ability to diagnose neurodegenerative disease (e.g. nigrosome-1 imaging for idiopathic Parkinson’s disease by Kim et al,14) or as presented by Nackaerts and colleagues help us better understand the neural correlates of therapeutic interventions such as neurorehabilitation, or even predict the outcome of such therapies in patients with neurodegeneration.15 These concepts are further supported by a full paper by Rubbert et al,16 describing how imaging-derived network connectivity measures may be helpful to discriminate Parkinson’s disease patients from healthy controls, thus illustrating how data-driven new imaging markers may ultimately prove useful in clinical practice.The final review paper describes a relatively new root to the tree of neurodegenerative diseases: chronic traumatic encephalopathy, which appears to have taken epidemic proportions in contact sports athletes. Dallmeier et al17 describe how (advanced) neuroimaging techniques have promise to aid in the early detection of chronic traumatic encephalopathy.It is clear that neurodegenerative and psychiatric imaging provide both challenges and new opportunities for the neuroimaging community. This special feature presents state of the art reviews as well as cutting-edge research in these emerging neuroimaging fields. We hope this collection will assist readers of BJR in their own clinical care of these patients as well as inspire ongoing and innovative new research in this rapidly evolving arena.REFERENCES1. GBD 2016 Disease and Injury Incidence and Prevalence Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 328 diseases and injuries for 195 countries, 1990-2016: a systematic analysis for the global burden of disease study 2016. Lancet 2017; 390: 1211–59. doi: https://doi.org/10.1016/S0140-6736(17)32154-2 Crossref Medline ISI, Google Scholar2. GBD 2016 Causes of Death Collaborators. Global, regional, and national age-sex specific mortality for 264 causes of death, 1980-2016: a systematic analysis for the global burden of disease study 2016. Lancet 2017; 390: 1151–210. doi: https://doi.org/10.1016/S0140-6736(17)32152-9 Crossref Medline ISI, Google Scholar3. Anderson AN, , King JB, , Anderson JS. Neuroimaging in psychiatry and neurodevelopment: why the emperor has no clothes. Br J Radiol 2019; 20180910. doi: https://doi.org/10.1259/bjr.20180910 Link ISI, Google Scholar4. Yi SY, , Barnett BR, , Yu J-PJ. Preclinical neuroimaging of gene-environment interactions in psychiatric disease. Br J Radiol 2019; 20180885. doi: https://doi.org/10.1259/bjr.20180885 Link ISI, Google Scholar5. Sugrue LP, , Desikan RS. Precision neuroradiology: mapping the nodes and networks that link genes to behaviour. 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Goodkin O, , Pemberton H, , Vos SB, , Prados F, , Sudre CH, , Moggridge J, , et al.. The quantitative neuroradiology initiative framework: application to dementia. Br J Radiol 2019; 20190365. doi: https://doi.org/10.1259/bjr.20190365 Link ISI, Google Scholar14. Kim EY, , Sung YH, , Lee J. Nigrosome 1 imaging: technical considerations and clinical applications. Br J Radiol 2019; 20180842. doi: https://doi.org/10.1259/bjr.20180842 Link ISI, Google Scholar15. Nackaerts E, , D'Cruz N, , Dijkstra BW, , Gilat M, , Kramer T, , Nieuwboer A, , et al.. Towards understanding neural network signatures of motor skill learning in Parkinson's disease and healthy aging. Br J Radiol 2019; 20190071. doi: https://doi.org/10.1259/bjr.20190071 Link ISI, Google Scholar16. Rubbert C, , Mathys C, , Jockwitz C, , Hartmann CJ, , Eickhoff SB, , Hoffstaedter F, , et al.. Machine-learning identifies Parkinson's disease patients based on resting-state between-network functional connectivity. Br J Radiol 2019; 20180886. doi: https://doi.org/10.1259/bjr.20180886 Link ISI, Google Scholar17. Dallmeier JD, , Meysami S, , Merrill DA, , Raji CA. Emerging advances of in vivo detection of chronic traumatic encephalopathy and traumatic brain injury. Br J Radiol 2019; 20180925. doi: https://doi.org/10.1259/bjr.20180925 Link ISI, Google Scholar Next article FiguresReferencesRelatedDetails Volume 92, Issue 1101September 2019 © 2019 The Authors. Published by the British Institute of Radiology History Published onlineAugust 19,2019 Metrics Download PDF
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