Table 4

Functional imaging studies of individuals at risk for bipolar disorder: imaging results

StudyYearAreas analyzedFWHMTeslaAntipMain findings
Cecil et al.532003Frontal cortex, frontal white matter, cerebellar vermis1.51.5YLower levels of cerebellar NAA and creatine and elevated frontal mI levels for children with a mood disorder than healthy children.
Gallelli et al.542005Dorsolateral prefrontal cortex?3YNo significant group differences in prefrontal NAA/creatine rations or in additional metabolites (myoinositol, choline)
Krüger et al.552006Whole brain + ROIs10?NHR showed increased RBF in the medial frontal cortex while patients showed decreased RBF
Hajek et al.382008Prefrontal cortices?1.5NNo significant differences in choline, creatine, NAA, myoinositol of HR
Drapier et al.562008Whole brain?1.5NDuring the 2-back task the HR showed greater activation in the left frontal pole than controls
Costafreda et al.572009Inferior frontal gyrus81.5NNo significant differences in HR individuals as compared with controls
Thermenos et al.582010Whole brain + ROIs81.5NHR failed to suppress activation in the left anterior insula, in the orbitofrontal cortex and superior parietal cortex and showed greater activation than BD in the left frontopolar cortex
Allin et al.592010Whole brain?1.5NBD and HR showed similar deficits of deactivation in retrosplenial cortex and reduced activation of left prefrontal cortex
Singh et al.602010Anterior cingulate, orbitofrontal cortex?3YNo significant differences between HR and C
Surguladze et al.612010Whole brain + ROIs?1.5NActivity in medial prefrontal cortex, left putamen and amygdala is greater in BD and in HR as compared with controls
  • Antip = antipsychotic exposure; BD = bipolar disorder; C = controls; FWHM = full-width at half-maximum; HR = high risk for bipolar disorder; N = no; NAA = N-acetylaspartate; RBF = regional blood flow; ROI = region of interest; SVC = small volume correction; Y = yes.