Structural neuroimaging in patients with anorexia nervosa
https://doi.org/10.31363/2313-7053-2022-56-4-45-51
Abstract
The paper analyzes domestic and foreign literature on aspects of diagnosis, pathogenesis, neuroimaging data in patients with anorexia nervosa. The results of the examination of the brain of patients with anorexia nervosa using magnetic resonance imaging 43 patients with anorexia nervosa aged 14 to 19 years were examined. The control group consisted of 31 healthy volunteers. Post-processing was carried out using MR voxel-based morphometry. The total volumes of the brain, as well as the volumes of various structures were analyzed in patients with anorexia nervosa in comparison with healthy volunteers. In general, patients with AN showed an increase in the total amount of CSF, a decrease in the volume of gray matter, mainly due to the cortex of the left hemisphere, and white matter, and there was no statistically significant ventriculodilatation, i. e. there is an expansion of external liquor spaces. As a result of the study, MR-morphometric analysis revealed significant differences in the thickness of the left hemisphere cortex, in absence of differences in the thickness of the right hemisphere cortex. At the same time, in patients with anorexia was detected a decrease in the thickness of precuneus cortex, superior frontal and anterior medial cortex, precentral, inferior temporal, inferior parietal and lateral occipital cortex. And the insula cortex in patients with anorexia was significantly thicker than in the control group.
About the Authors
R. V. GrebenshchikovaRussian Federation
Ruslana V. Grebenshchikova
St. Petersburg
N. I. Ananyeva
Russian Federation
Natalia I. Ananyeva
St. Petersburg
A. A. Pichikov
Russian Federation
Aleksei A. Pichikov
St. Petersburg
D. N. Iskhakov
Russian Federation
Dmitrii N. Iskhakov
St. Petersburg
L. V. Lukina
Russian Federation
Larisa V. Lukina
St. Petersburg
References
1. Ananyeva N. I., Ezhova R. V., Galsman I. Eю, Davletkhanova M. A., Rostovtseva T. M., Stulov I. K. et al. Hippocampus: MRI anatomy, structural variants. 2015;1: 39-44. Luchevaya diagnostika i terapiya. (In Russ.). URL: https://radiag.bmoc-spb.ru/jour/article/view/136?locale=ru_RU
2. Ananyeva N. I., Salomatina T. A., Popov Yu. V., Pichikov A. A., Akhmerova L. R., Andreev E. V. Resting state FMRI and voxel-based morphometry in patients with anorexia nervosa. Luchevaya diagnostika i terapiya. 2019; S1: 26-27. (In Russ.).
3. Ananyeva N. I., Ezhova R. V., Ganzenko M. A. Gender and age features of hippocampal anatomy in patients with depressive disorders using MRI morphometry. Psikhicheskoe zdorov’e. 2016; 14 (9): 18-25. (In Russ.).
4. Vasserman L. I., Anayeva N. I., Ivanov M. V., Sorokina A. V., Ershov B. B. et al. Complex diagnostics of endogenous depressions with use neuroimaging and cognitive indicators. Obozrenie psikhiatrii i meditsinskoi psikhologii imeni V. M. Bekhtereva. 2014; 2: 39-44. (In Russ.).
5. Voronkov L. V., Trufanov A. G., Fokin V. A., Litvinenko I. V., Odinak M. M., Efimtsev A. Y. et al. The possibilities of voxel-based morphometry in non-tumor brain diseases. Vestnik Rossiiskoi voenno-meditsinskoi akademii. 2012; 1: 203-207. (In Russ.).
6. Ezhova R. V., Shmeleva L. M., Ananyeva N. I., Kissin M. Ya., Davletkhanova M. A., Galsman I. E. The applying of voxel morphometry for diagnosis of lesions limbic structures in temporal lobe epilepsy with affective disorders. Obozrenie psikhiatrii i meditsinskoi psikhologii im. V. M. Bekhtereva. 2013; 2: 23-31. (In Russ.).
7. Magonov E. P., Kataeva G. V., Trofimova T. N. Modern automatic methods for intracranial volume quantification in mri-based brain morphometry. Vestnik Novgorodskogo gosudarstvennogo universiteta im. Yaroslava Mudrogo. 2015; 2 (85): 98-104. (In Russ.).
8. Mazaeva N. A. Anorexia nervosa: review of the foreign publications. Part 2. Clinico-biological correlations, prognosis and management. Psikhiatriya i psikhofarmakoterapiya. 2019; 21 (4): 4-12. (In Russ.).
9. Pichikov A. A., Popov Yu. V. Algoritmy okazaniya statsionarnoi pomoshchi devushkam-podrostkam s nervnoi anoreksiei. Diagnostika i lechenie psihicheskih i narkologicheskih rasstrojstv: sovremennye podhody. Sbornik metodicheskih rekomendacij. SPb.: Izdatel’sko-poligraficheskaya kompaniya «KOSTA», 2018. (In Russ.).
10. Pichikov A. A., Popov Yu. V. Anorexia nervosa in adolescent girls: variants of the disease, recurrence factors and suicidal risk at early stages of treatment. Obozrenie psihiatrii i medicinskoj psihologii im. V. M. Bekhtereva. 2017; 4: 41-50. (In Russ.)
11. Pyr’eva E. A., Sorvacheva T. N., Volkova L. Y., Koltunov I. E., Petryaikina E. E., Usacheva E. L. et al. Modern approaches to the management of patients with anorexia nervosa in hospital. Zhurnal im. G. N. Speranskogo. 2015; 94 (5): 41-47. (In Russ.).
12. – Trufanov G. E., Shamrei V. K., Odinak M. M., Fokin V. A., Abritalin E. Y., Litvintsev B. S. et al. Usage of modern techniques of neuroimaging in diagnostics of addictive disorders. Vestnik Rossiiskoi voenno-meditsinskoi akademii. 2013; 4: 61-66. (In Russ.).
13. Alfano V., Mele G., Cotugno A., Longarzo M. Multimodal neuroimaging in anorexia nervosa. Journal of Neuroscience Research. 2020; 98 (11): 2178-2207. doi: 10.1002/jnr.24674
14. Fortier C. B., Leritz E. C., Salat D. H., et al. Reduced Cortical Thickness in Abstinent Alcoholics and Association with Alcoholic Behavior. Alcoholism: Clinical and Experimental Research. 2011; 35 (12): 2193-2201. doi:10.1111/j.1530-0277.2011.01576.x
15. Herzog D. B., Hopkins J. D., Burns C. D. A follow-up study of 33 subdiagnostic eating disordered women. International Journal of Eating Disorders. 1993; 14 (3): 261-267. doi: 10.1002/1098-108x(199311)14:3<261::aid-eat2260140304>3.0.co;2-n
16. Joos A. A. B., Perlov E., Büchert M., et al. Magnetic resonance spectroscopy of the anterior cingulate cortex in eating disorders. Psychiatry Res. 2011; 191 (3): 196-200. doi: 10.1016/j.pscychresns.2010.10.004
17. Kawakami I., Iritani S., Riku Y., et al. Neuropathological investigation of patients with prolonged anorexia nervosa. Psychiatry and Clinical Neurosciences. 2022; 76 (5): 187-194. doi:10.1111/pcn.13340
18. Squeglia L. M. et al. Brain volume reductions in adolescent heavy drinkers. Developmental cognitive neuroscience. 2014; 9: 117-125. doi:10.1016/j.dcn.2014.02.005
Review
For citations:
Grebenshchikova R.V., Ananyeva N.I., Pichikov A.A., Iskhakov D.N., Lukina L.V. Structural neuroimaging in patients with anorexia nervosa. V.M. BEKHTEREV REVIEW OF PSYCHIATRY AND MEDICAL PSYCHOLOGY. 2022;56(4):45-51. (In Russ.) https://doi.org/10.31363/2313-7053-2022-56-4-45-51