Reference | Ctrl | SZ | Method | Brain region results/effect size |
Kambeitz et al 16 | 265 | 278 | D2-like receptor availability | No change in D2 receptors in extrastriatal temporal cortex, thalamus or substantia nigra |
Yilmaz et al 19 | – | 206 | PET/SPECT D2 occupancy | Antipsychotics at 60%–80% occupancy in the striatum are correlated (1.35) with improvement of psychotic symptoms. |
Howes et al 21 | 231 | 251 | PET PDA (L-DOPA uptake) | Presynaptic dopamine is elevated in the striatum (large effect size=0.79). |
Minzenberg et al 24 | 623 | 594 | ALE fMRI executive function | Decreased activation in DLPFC, VLPFC, ACC, medial dorsal thalamus |
Bernard et al 13 | 707 | 583 | ALE during emotion, executive function, language, motor, reward and working memory tasks | 46% decreased activation in the basal ganglia during tasks requiring coordination with the frontal cortex |
Kühn and Gallinat 18 | 282 | 285 | 95 of 285 off antipsychotics ALE resting state fMRI | Hypoactivation of the left hippocampus in the default mode network |
Radua et al 15 | 1) 439 2) 175 3) 159 | 1) 478 2) 183 3) 155 | fMRI of monetary reward; correlation with positive and negative symptoms: 1) anticipation 2) feedback 3) prediction error | Hypoactivation of ventral striatum during feedback (r=−0.56 to −0.57) and reward anticipation (r=−0.5 to −0.7) that was correlated with negative symptoms (r=−0.41) |
Adriano et al 22 | 1) 2130 2) 562 3) 896 | 1) 1617 2) 388 3) 739 | MRI volumetric analysis 1) All patients mixed 2) First-episode SZ 3) Chronic SZ | Hippocampal reduction effect size (−0.48 to −0.65) |
Ellison-Wright and Bullmore 26 | 383 | 407 | DTI fractional anisotropy connectivity | Reduction in left deep white matter tract connectivity in frontal (SGCWM DBS target) and temporal lobes |
Sayo et al 20 | 72* | 72* | Ventricular-to-brain ratio SZ vs controls | Increased 0.3-fold in lateral ventricles |
Merritt et al 14 | 1451 | 1686 | Glutamate proton magnetic resonance spectroscopy To measure glutamate and metabolites | Increased glutamate and metabolites in basal ganglia, thalamus and hippocampus (effect size 0.32–0.63) |
Kegeles et al 23 | 18 | 18 | PET synaptic DA | Increased presynaptic DA 0.67-fold in associative striatum. No change in ventral or sensorimotor striatum |
Eisenberg et al 12 | 30 | 3-week atypical antipsychotics effects: 1) PET presynaptic DA 2) PET rCBF 3) executive function subscale PANSS | Antipsychotic-induced increase in both presynaptic DA, and rCBF in VS and decreased executive function in VS | |
Lahti et al 25 | 29 | PET rCBF responder (n=13) vs poor responder (n=16) to antipsychotics | Increased rCBF in VS in responders | |
Schobel et al 17 | 19 | Prodromal (9 converted to psychotic vs 10 who did not) 1. CBV (2 time points) 2. volume (2 time points) | Decreased cerebral blood volume in the CA1 and subiculum and decreased volume in hippocampus |
Bold denotes meta-analysis.
*72 studies included with patients and control subjects.
ACC, anterior cingulate cortex; ALE, activation likelihood estimate; AS, associative striatum; CA1, cornu ammonis 1; CBV, cerebral blood volume; Ctrl, controls; D2, dopamine D2-like receptor; DA, dopamine; DBS, deep brain stimulation; DLPFC, dorsolateral prefrontal cortex; DTI, diffusion tensor imaging; fMRI, functional MRI; L-DOPA, L-3,4-dihydroxyphenylalanine; PANSS, Positive and Negative Syndrome Scale; PDA, presynaptic dopamine; PET, positron emission tomography; rCBF, regional cerebral blood flow; SGCWM, subgenual cingulate white matter; SN, substantia nigra; SPECT, single-photon emission CT; SZ, schizophrenia; T, thalamus; TC, temporal cortex; TL, temporal lobe; VLPFC, ventrolateral prefrontal cortex; VS, ventral striatum.