Towards Precision Medicine in Psychosis: Benefits and Challenges of Multimodal Multicenter Studies—PSYSCAN: Translating Neuroimaging Findings From Research into Clinical Practice

Author:

Tognin Stefania12,van Hell Hendrika H3,Merritt Kate1,Winter-van Rossum Inge3,Bossong Matthijs G3,Kempton Matthew J1,Modinos Gemma1,Fusar-Poli Paolo145,Mechelli Andrea1ORCID,Dazzan Paola1,Maat Arija3,de Haan Lieuwe6,Crespo-Facorro Benedicto789,Glenthøj Birte1011,Lawrie Stephen M12,McDonald Colm13,Gruber Oliver14,van Amelsvoort Therese15,Arango Celso16,Kircher Tilo17,Nelson Barnaby1819,Galderisi Silvana20,Bressan Rodrigo21,Kwon Jun S22,Weiser Mark2324,Mizrahi Romina252627,Sachs Gabriele28,Maatz Anke29,Kahn René330,McGuire Phillip125, ,McGuire Philip315,Tognin Stefania31,Fusar-Poli Paolo315,Kempton Matthew31,Modinos Gemma31,Merritt Kate31,Mechelli Andrea31,Dazzan Paola31,Gifford George31,Petros Natalia31,Antoniades Mathilde31,De Micheli Andrea31,Vieira Sandra31,Spencer Tom J31,Scarpazza Cristina31,Hird Emily31,Kahn Rene3233,Maat Arija32,van Hell Erika32,Winter Inge32,Cahn Wiepke32,Schnack Hugo32,de Haan Lieuwe34,Siegmann Dieuwke34,Barkhof Jana34,Hendriks Lotte34,de Wit Iris34,Crespo-Facorro Benedicto3536,Tordesillas-Gutierrez Diana3536,Setien-Suero Esther3536,Ayesa-Arriola Rosa3536,Suarez-Pinilla Paula3536,Ramirez-Bonilla MariaLuz3536,Garcia-de la foz Victor Ortiz3536,Glenthøj Birte3738,Erlang Sørensen Mikkel37,Tangmose Karen3738,Schæbel Helle37,Broberg Brian37,Rostrup Egill3739,Lawrie Stephen12,McDonald Colm13,Hallahan Brian13,Cannon Dara13,McLoughlin James13,Finnegan Martha13,Gruber Oliver14,van Amelsvoort Therese1540,Deckers Danny1540,Marcelis Machteld1540,Vingerhoets Claudia15,Arango Celso41,Díaz-Caneja Covadonga M41,Ayora Miriam41,Janssen Joost41,Rodríguez-Jiménez Roberto42,Díaz-Marsá Marina43,Kircher Tilo44,Falkenberg Irina44,Bitsch Florian44,Berger Philipp44,Sommer Jens4445,Raab Kyeon44,Jakobi Babette44,Nelson Barnaby4619,McGorry Patrick4619,Amminger Paul4619,McHugh Meredith4619,Galderisi Silvana47,Mucci Armida47,Bucci Paola47,Piegari Giuseppe47,Pietrafesa Daria47,Nicita Alessia47,Patriarca Sara47,Bressan Rodrigo48,Zugman André48,Gadelha Ary48,Rodrigues da Cunha Graccielle48,Soo Kwon Jun49,Kevin Cho Kang I k49,Young Lee Tae49,Kim Minah49,Bin Kwak Yoo49,Jeong Hwang Wu49,Weiser Mark50,Mizrahi Romina515253,Kiang Michael515253,Gerritsen Cory5253,Maheandiran Margaret52,Ahmed Sarah5152,Prce Ivana52,Lepock Jenny5152,Sachs Gabriele54,Willeit Matthäus54,Lenczowski Marzena54,Sauerzopf Ullrich54,Weidenauer Ana54,Furtner-Srajer Julia55,Kirschner Matthias5657,Maatz Anke56,Burrer Achim56,Stämpfli Philipp56,Huber Naemi56,Kaiser Stefan5859,Kawohl Wolfram60,Brammer Michael61,Young Jonathan6231,Bullmore Edward63,Morgan Sarah63

Affiliation:

1. Department of Psychosis Studies, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London, UK

2. Outreach and Support in South London (OASIS), South London and Maudsley NHS Foundation Trust, London, UK

3. Department of Psychiatry, University Medical Center Utrecht Brain Center, Utrecht, the Netherlands

4. Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy

5. National Institute for Health Research, Maudsley Biomedical Research Centre, South London and Maudsley NHS Foundation Trust, London, UK

6. Department Early Psychosis, Psychiatry, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands

7. CIBERSAM, Department of Psychiatry, University Hospital Virgen del Rocío, Sevilla, Spain

8. IDIVAL, Marqués de Valdecilla University Hospital, Santander, Spain

9. School of Medicine, University of Cantabria, Santander, Spain

10. Centre for Neuropsychiatric Schizophrenia Research (CNSR), Mental Health Centre Glostrup, University of Copenhagen, Glostrup, Denmark

11. Centre for Clinical Intervention and Neuropsychiatric Schizophrenia Research (CINS), Mental Health Centre Glostrup, University of Copenhagen, Glostrup, Denmark

12. Division of Psychiatry, University of Edinburgh, Royal Edinburgh Hospital, Edinburgh, UK

13. Centre for Neuroimaging & Cognitive Genomics (NICOG), NCBES Galway Neuroscience Centre, National University of Ireland Galway, Galway, Ireland

14. Section for Experimental Psychopathology and Neuroimaging, Department of General Psychiatry, Heidelberg University, Heidelberg, Germany

15. Department of Psychiatry and Neuropsychology, Maastricht University, Maastricht, The Netherlands

16. Department of Child and Adolescent Psychiatry, Institute of Psychiatry and Mental Health, Hospital General Universitario Gregorio Marañon, CIBERSAM, School of Medicine, Universidad Complutense, Madrid, Spain

17. Department of Psychiatry, University of Marburg, Marburg, Germany

18. Orygen, The National Centre of Excellence in Youth Mental Health, Melbourne, Australia

19. Centre for Youth Mental Health, The University of Melbourne, Melbourne, Australia

20. Department of Psychiatry, University of Campania Luigi Vanvitelli, Naples, Italy

21. Interdisciplinary Lab for Clinical Neurosciences (LiNC), Department of Psychiatry, Universidade Federal de Sao Paulo (UNIFESP), Sao Paulo, Brazil

22. Department of Psychiatry, Seoul National University College of Medicine, Seoul, Korea

23. Department of Psychiatry, Sheba Medical Center, Tel Hashomer, Israel

24. Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel

25. Institute of Medical Science, University of Toronto, Toronto, Canada

26. Centre for Addiction and Mental Health, Toronto, Canada

27. Department of Psychiatry, University of Toronto, Toronto, Canada

28. Department of Psychiatry and Psychotherapy, Medical University of Vienna, Vienna, Austria

29. Department of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric Hospital, University of Zurich, Zurich, Switzerland

30. Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY

31. Department of Psychosis Studies, Institute of Psychiatry, Psychology & Neuroscience, King’s College London, De Crespigny Park, Denmark Hill, London, UK

32. University Medical Center, Division of Neurosciences, Department of Psychiatry, Heidelberglaan, CX Utrecht, The Netherlands

33. Department of Psychiatry and Behavioral Health System, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, New York, NY

34. Amsterdam UMC, University of Amsterdam, Psychiatry, Department Early Psychosis, Meibergdreef, Amsterdam, The Netherlands

35. CIBERSAM, Department of Psychiatry, University Hospital Virgen del Rocío, Sevilla; Marqués de Valdecilla University Hospital, IDIVAL. School of Medicine, University of Cantabria, Santander, Spain

36. CIBERSAM, Centro Investigación Biomédica en Red Salud Mental, Spain

37. Centre for Neuropsychiatric Schizophrenia Research (CNSR) & Centre for Clinical Intervention and Neuropsychiatric Schizophrenia Research (CINS), Mental Health Centre Glostrup, University of Copenhagen, Glostrup, Denmark

38. University of Copenhagen, Faculty of Health and Medical Sciences, Dept. of Clinical Medicine, Copenhagen, Denmark

39. Functional Imaging Unit (FIUNIT), Rigshospitalet Glostrup, University of Copenhagen, Glostrup, Denmark

40. GGZE Mental Health Care, Eindhoven, The Netherlands

41. Servicio de Psiquiatría del Niño y del Adolescente, Hospital General Universitario Gregorio Marañon, Universidad Complutense Madrid, Spain; Centro de Investigación Biomédica en Red de Salud Mental, Madrid, Spain

42. Departmento de Psiquiatría, Instituto de Investigación Sanitaria Hospital 12 de Octubre (imas12), Madrid, Spain; CIBERSAM (Biomedical Research Networking Centre in Mental Health), Spain

43. Hospital Clínico de San Carlos, Universidad Complutense, Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Madrid, España

44. Dept of Psychiatry, University of Marburg, Rudolf-Bultmann-Straße 8, Marburg, Germany

45. Core-Facility Brainimaging, Faculty of Medicine, University of Marburg, Parkville, Victoria, Melbourne, Australia

46. Orygen, The National Centre of Excellence in Youth Mental Health, Parkville, Victoria, Melbourne, Australia

47. Department of Psychiatry, University of Campania Luigi Vanvitelli, Largo Madonna delle Grazie, Naples, Italy

48. Department of Psychiatry, Interdisciplinary Lab for Clinical Neurosciences (LiNC), Universidade Federal de Sao Paulo (UNIFESP), Sao Paulo, Brazil

49. Department of Psychiatry, Seoul National University College of Medicine, Dahakno, Jongno-gu, Seoul, Korea

50. Department of Psychiatry, Sheba Medical Center, Tel Hashomer, Israel; Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel

51. Institute of Medical Science, University of Toronto, Toronto, Ontario, Canada

52. Centre for Addiction and Mental Health, Toronto, Ontario, Canada

53. Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada

54. Department of Psychology, University of Toronto, Toronto, Ontario, Canada

55. Department of Psychiatry and Psychotherapy, Vienna, Austria

56. Medical University of Vienna, Department of Biomedical Imaging and Image-guided Therapy Währingergürtel, Vienna

57. Department of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric Hospital, University of Zurich, Switzerland

58. Montreal Neurological Institute, McGill University, Montreal, Quebec, Canada

59. Clinical and Experimental Psychopathology Laboratory, Faculty of Medicine, University of Geneva, Switzerland

60. Adult Psychiatry Division, Department of mental health and psychiatry, University Hospitals of Geneva, Switzerland

61. Department of Neuroimaging, Centre for Neuroimaging Sciences, Institute of Psychiatry, Psychology & Neuroscience, King’s College London, De Crespigny Park, Denmark Hill, London, UK

62. IXICO plc, London, UK

63. Department of Psychiatry, University of Cambridge, Cambridge, UK

Abstract

Abstract In the last 2 decades, several neuroimaging studies investigated brain abnormalities associated with the early stages of psychosis in the hope that these could aid the prediction of onset and clinical outcome. Despite advancements in the field, neuroimaging has yet to deliver. This is in part explained by the use of univariate analytical techniques, small samples and lack of statistical power, lack of external validation of potential biomarkers, and lack of integration of nonimaging measures (eg, genetic, clinical, cognitive data). PSYSCAN is an international, longitudinal, multicenter study on the early stages of psychosis which uses machine learning techniques to analyze imaging, clinical, cognitive, and biological data with the aim of facilitating the prediction of psychosis onset and outcome. In this article, we provide an overview of the PSYSCAN protocol and we discuss benefits and methodological challenges of large multicenter studies that employ neuroimaging measures.

Funder

European Union’s Seventh Framework Programme

Publisher

Oxford University Press (OUP)

Subject

Psychiatry and Mental health

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