Abstract

Using C-11 labelled N-Methyl spiperone as a dopamine (DA) D2 receptor ligand, we propose to examine patients with bipolar major affective disorder longitudinally with PET scans. Patients will be scanned in the euthymic, hypo-manic and depressed states. When possible, patients will be rescanned and compared to themselves in different phases of the illness. They will also be compared to other patients in the same phase of illness, including a majority of drug-free patients, and normal controls, to assess changes in central dopaminergic mechanisms associated with the phases of the disease, and their relationship to psychopathological, pharmacological, biochemical, psychological and structural brain findings on CT. This may aid in subtyping the illness, and amplify understanding of the etiology and treatment of affective disorder. The role of the DA system in affective disorder has been raised, but remains unresolved. The use of the PET to image the D2 receptor in vivo will provide further useful information to support or weaken this assertion.

  Funding Agency

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Research Project (R01)
Project #
5R01MH040391-02
Application #
3378535
Study Section
(PCBB)
Project Start
1986-03-01
Project End
1989-02-28
Budget Start
1987-03-01
Budget End
1988-02-29
Support Year
2
Fiscal Year
1987
Total Cost
Indirect Cost

  Institution

Name
Johns Hopkins University
Department
Type
Schools of Medicine
DUNS #
045911138
City
Baltimore
State
MD
Country
United States
Zip Code
21218

  Publications

Barta, P E; Powers, R E; Aylward, E H et al. (1997) Quantitative MRI volume changes in late onset schizophrenia and Alzheimer's disease compared to normal controls. Psychiatry Res 68:65-75
Barta, P E; Petty, R G; McGilchrist, I et al. (1995) Asymmetry of the planum temporale: methodological considerations and clinical associations. Psychiatry Res 61:137-50
Schlaepfer, T E; Harris, G J; Tien, A Y et al. (1995) Structural differences in the cerebral cortex of healthy female and male subjects: a magnetic resonance imaging study. Psychiatry Res 61:129-35
Aylward, E H; Roberts-Twillie, J V; Barta, P E et al. (1994) Basal ganglia volumes and white matter hyperintensities in patients with bipolar disorder. Am J Psychiatry 151:687-93
Aylward, E H; Reiss, A; Barta, P E et al. (1994) Magnetic resonance imaging measurement of posterior fossa structures in schizophrenia. Am J Psychiatry 151:1448-52
Schlaepfer, T E; Harris, G J; Tien, A Y et al. (1994) Decreased regional cortical gray matter volume in schizophrenia. Am J Psychiatry 151:842-8
Harris, G J; Pearlson, G D; McArthur, J C et al. (1994) Altered cortical blood flow in HIV-seropositive individuals with and without dementia: a single photon emission computed tomography study. AIDS 8:495-9
Pearlson, G D; Tune, L E; Wong, D F et al. (1993) Quantitative D2 dopamine receptor PET and structural MRI changes in late-onset schizophrenia. Schizophr Bull 19:783-95
Woodruff, P W; Pearlson, G D; Geer, M J et al. (1993) A computerized magnetic resonance imaging study of corpus callosum morphology in schizophrenia. Psychol Med 23:45-56
Harris, G J; Pearlson, G D; Peyser, C E et al. (1992) Putamen volume reduction on magnetic resonance imaging exceeds caudate changes in mild Huntington's disease. Ann Neurol 31:69-75

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