Neural Primacy of the Salience Processing System in Schizophrenia

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Neural Primacy of the Salience Processing System in Schizophrenia Lena Palaniyappan, Molly Simmonite, Thomas P. White, Elizabeth B. Liddle, Peter F. Liddle  Neuron  Volume 79, Issue 4, Pages 814-828 (August 2013) DOI: 10.1016/j.neuron.2013.06.027 Copyright © 2013 The Authors Terms and Conditions

Figure 1 Granger Causal Influence to and from the Right Anterior Insula (A) The influence of right anterior insula on the rest of the brain (x to y). (B) The influence of regions from the rest of the brain on right anterior insula (y to x). The figures show the results of the one-sample t test of GCA maps on all subjects (patients and controls). Illustrations drawn on a single subject structural image showing axial slices using xjview at p < 0.001 uncorrected, k = 30. Color bar shows a scale of T values. Warm colors suggest excitatory influence, while cold colors suggest inhibitory influence. See also Tables S2, S5, and S6 and Figures S4 and S5. Neuron 2013 79, 814-828DOI: (10.1016/j.neuron.2013.06.027) Copyright © 2013 The Authors Terms and Conditions

Figure 2 Group Differences in Granger Causal Influences Top: (1) group differences in Granger causality to (y to x) and from (x to y) the right anterior insula in patients with schizophrenia compared to healthy controls. Illustrations drawn on a single subject structural image with slices selected for the best display of regions showing differences in the two-sample t test. Color bar shows a scale of T values. Blue-green areas show regions where patients had reduced y to x path coefficients (i.e., less excitatory influence on the insula) than controls, while red-yellow-colored areas show regions where patients had reduced x-to-y (i.e., less excitatory influence from the insula) path coefficients than controls. (A) Surface-rendered image showing right DLPFC region with most significant reduction in the Granger causal influence from the right anterior insula. (B) Precuneus (x = −4). (C) Hippocampal formation (y = −6). (D) Bilateral visual cortex (z = 18). Bottom: (2) group differences in Granger causality to (y to x) and from (x to y) the right DLPFC in patients with schizophrenia compared to healthy controls. Illustrations drawn on a single subject structural with slices selected for the best display of regions showing differences in the two-sample t test. Left: group differences in x-to-y maps; right: group differences in y-to-x maps. Color bar shows a scale of T values. Blue areas show regions where patients had greater (i.e., less inhibitory) path coefficients than controls, while red-colored areas show regions where controls had greater (i.e., more excitatory) path coefficients than patients. See also Table S7 and Figure S3. Neuron 2013 79, 814-828DOI: (10.1016/j.neuron.2013.06.027) Copyright © 2013 The Authors Terms and Conditions

Figure 3 Granger Causal Influence to and from the Right Dorsolateral Prefrontal Cortex (A) The influence of right dorsolateral prefrontal cortex (rDLPFC) on the rest of the brain (x to y). (B) The influence of rest of the brain on rDLPFC (y to x). The figures show the results of the one-sample t test of GCA maps on all subjects (patients and controls). Illustrations drawn on a single subject structural image showing axial slices using xjview at p < 0.001 uncorrected, k = 30. Color bar shows a scale of T values. Warm colors suggest excitatory influence, while cold colors suggest inhibitory influence. See also Table S3. Neuron 2013 79, 814-828DOI: (10.1016/j.neuron.2013.06.027) Copyright © 2013 The Authors Terms and Conditions

Figure 4 Functional Connectivity of the Right Anterior Insula Top: (1) functional connectivity of the right anterior insula. The figure depicts the results of the one-sample t test of z-transformed voxelwise correlation maps on all subjects (patients and controls). Illustrations drawn on a single subject structural image showing coronal slices using MRICron at familywise error-corrected p < 0.05, k = 30. Color bar shows a scale of T values. Red-colored areas show positive correlation, while green-colored areas show anticorrelation with the seed region. Bottom: (2) group differences in functional connectivity of the right anterior insula in patients with schizophrenia compared to healthy controls. Illustrations drawn on a single subject structure with slices selected for the best display of regions showing differences in the two-sample t test. Color bar shows a scale of T values. Red-yellow-colored areas show regions where patients had greater Fisher’s r-to-z correlation scores than controls, while green-blue-colored areas show regions where patients had lower z Fisher’s r-to-z scores than controls. (A and B) Amygdala/parahippocampal region (y = −6, z = −21). (C) Surface-rendered image showing left superior temporal pole. (D) Magnified cut section (x = 6) of surface-rendered image showing periaqueductal gray matter. (E) Left middle frontal region (z = 42). (F) Right posterior insula (y = −12). See also Table S4 and Figure S2. Neuron 2013 79, 814-828DOI: (10.1016/j.neuron.2013.06.027) Copyright © 2013 The Authors Terms and Conditions