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Thalamic nuclei volumes across psychiatric and neurological disorders: a multi-site magnetic resonance imaging study.

Thalamic nuclei volumes across psychiatric and neurological disorders: a multi-site magnetic resonance imaging study.

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Oslo, NO · Author affiliation

Centre for Precision Psychiatry, Institute of Clinical Medicine, University of Oslo & Division of Mental Health and Addiction, Oslo University Hospital, Oslo, Norway. makimarttunen.veronica@gmail.com.
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Drammen, NO · Author affiliation

Division of Mental Health and Addiction, Vestre Viken Hospital Trust, Drammen, Norway.
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Vilnius, LT · Author affiliation

Department of Electronic Systems, Vilnius Tech, Vilnius, Lithuania.
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Lübeck, DE · Author affiliation

Department of Psychiatry and Psychotherapy, Department of Psychosomatics and Psychotherapy, Centre of Integrative Psychiatry, Schleswig-Holstein University Hospital, Campus Lübeck, Lübeck, Germany.
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London, GB · Author affiliation

Institute of Psychiatry, King's College, London, UK.
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Nijmegen, NL · Author affiliation

Department of Cognitive Neuroscience, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Nijmegen, The Netherlands.
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Stockholm, SE · Author affiliation

Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet & Stockholm Health Care Services, Stockholm Region, Stockholm, Sweden.
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Uppsala, SE · Author affiliation

Department of medical sciences, Psychosis Research and Preventive Psychiatry, Uppsala University, Uppsala, Sweden.
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Tübingen, DE · Author affiliation

Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital of Psychiatry and Psychotherapy, Tübingen, Germany.
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Göttingen, DE · Author affiliation

PFH - Private University of Applied Sciences, Department of Psychology (Clinical Psychology), Göttingen, Germany.
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Groningen, NL · Author affiliation

Department of Child and Adolescent Psychiatry, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
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Würzburg, DE · Author affiliation

Division of Molecular Psychiatry, Center of Mental Health, University of Würzburg, Würzburg, Germany.
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Maastricht, NL · Author affiliation

Department of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience (MHeNS), Maastricht University, Maastricht, The Netherlands.
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Amsterdam, NL · Author affiliation

Emma Children's Hospital, Amsterdam UMC location University of Amsterdam, Department of Pediatrics, Emma Children's Hospital Amsterdam UMC Follow-Me program & Emma Neuroscience Group, Meibergdreef 9, Amsterdam, The Netherlands.
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Basel, CH · Author affiliation

Department of Clinical Research (DKF), University of Basel, Basel, Switzerland.
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Mannheim, DE · Author affiliation

Hector Institute for Artificial Intelligence in Psychiatry, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
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Heidelberg, DE · Author affiliation

Hector Institute for Artificial Intelligence in Psychiatry, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
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Original abstract

The human thalamus is an integrative hub for multiple cortical and subcortical circuits involved in sensory processing and higher cognitive functions. Thalamic volume differences have been reported across multiple psychiatric and neurological disorders, but previous studies have typically relied on small samples, focused on one or a limited number of disorders, or investigated the thalamus as a whole without considering its functional subdivisions. In this multi-site study, we compared thalamic nuclei volumes across mild cognitive impairment (MCI), dementia (DEM), major depressive disorder, schizophrenia spectrum disorder (SCZ), clinical high risk for schizophrenia, bipolar spectrum disorder, autism spectrum disorder, attention-deficit/hyperactivity disorder, Parkinson's disease, multiple sclerosis (MS), and healthy controls (N > 8000). Using structural MRI, we segmented 25 bilateral thalamic nuclei, corresponding to six anatomical groups. Linear models revealed that anterior, medial and lateral regions of the thalamus were significantly smaller in several conditions, with largest effects observed for MCI, DEM, SCZ and MS. In contrast, the ventral and intralaminar groups were relatively normal. This pattern of effects largely corresponds to the canonical functional subdivision of the thalamus into higher-order and sensory regions. At the level of individual nuclei, the clinical conditions were associated with distinct patterns of alterations, while left and right lateral geniculate nuclei were implicated in six of the disorders, suggesting a possible relation with circadian and sleep disturbances. Together, the results highlight a role for the higher-order thalamus in common brain disorders and a differential involvement at the nuclei level, refining our understanding of thalamic pathology across common brain disorders.

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