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Towards precision medicine in psychosis: Benefits and challenges of multimodal multicenter studies - PSYSCAN: Translating neuroimaging findings from research into clinical practice

  • the PSYSCAN Consortium
  • King's College London
  • South London and Maudsley NHS Foundation Trust
  • Utrecht University
  • University of Pavia
  • University of Amsterdam
  • Hospital Universitario Virgen del Rocio
  • Hospital Universitario Marques de Valdecilla
  • Universidad de Cantabria
  • Imaging of Mood- and Anxiety-Related Disorders (IMARD)
  • University of Copenhagen
  • University of Edinburgh
  • University of Galway
  • Heidelberg University 
  • Maastricht University
  • GGZE Mental Health Care
  • Complutense University
  • Hospital General Universitario Gregorio Marañon
  • University of Marburg
  • ORYGEN Youth Health
  • University of Melbourne
  • University of Campania Luigi Vanvitelli
  • Universidade Federal de São Paulo
  • Seoul National University
  • Sheba Medical Center at Tel Hashomer
  • Tel Aviv University
  • University of Toronto
  • Medical University of Vienna
  • University of Zurich
  • Icahn School of Medicine at Mount Sinai

Research output: Contribution to journalArticlepeer-review

66 Scopus citations

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.

Original languageEnglish
Pages (from-to)432-441
Number of pages10
JournalSchizophrenia Bulletin
Volume46
Issue number2
DOIs
StatePublished - 1 Mar 2020

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

Keywords

  • MRI
  • PSYSCAN
  • clinical high risk of psychosis
  • first episode of psychosis
  • machine learning
  • neuroimaging
  • prediction
  • psychosis

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