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Identifying 22q11.2 deletion syndrome and psychosis using resting-state connectivity patterns.
[22q11.2 deletion syndrome]
The
clinical
picture
associated
with
22
q
11
.
2
deletion
syndrome
(
22
q
11
DS
)
includes
mild
mental
retardation
and
an
increased
risk
of
schizophrenia
.
While
the
clinical
phenotype
has
been
related
to
structural
brain
network
alterations
,
there
is
only
scarce
information
about
functional
connectivity
in
22
q
11
DS
.
However
,
such
studies
could
lead
to
a
better
comprehension
of
the
disease
and
reveal
potential
biomarkers
for
psychosis
.
A
connectivity
decoding
approach
was
used
to
discriminate
between
42
patients
with
22
q
11
DS
and
41
controls
using
resting-
state
connectivity
.
The
same
method
was
then
applied
within
the
22
q
11
DS
group
to
identify
brain
connectivity
patterns
specifically
related
to
the
presence
of
psychotic
symptoms
.
An
accuracy
of
84
Â
%
was
achieved
in
differentiating
patients
with
22
q
11
DS
from
controls
.
The
discriminative
connections
were
widespread
,
but
predominantly
located
in
the
bilateral
frontal
and
right
temporal
lobes
,
and
were
significantly
correlated
to
IQ
.
An
88
Â
%
accuracy
was
obtained
for
identification
of
existing
psychotic
symptoms
within
the
patients
group
.
The
regions
containing
most
discriminative
connections
included
the
anterior
cingulate
cortex
(
ACC
)
,
the
left
superior
temporal
and
the
right
inferior
frontal
gyri
.
Functional
connectivity
alterations
in
22
q
11
DS
affect
mostly
frontal
and
right
temporal
lobes
and
are
related
to
the
syndrome
's
mild
mental
retardation
.
These
results
also
provide
evidence
that
resting-
state
connectivity
can
potentially
become
a
biomarker
for
psychosis
and
that
ACC
plays
an
important
role
in
the
development
of
psychotic
symptoms
.
Diseases
Validation
Diseases presenting
"psychosis"
symptom
22q11.2 deletion syndrome
child syndrome
homocystinuria without methylmalonic aciduria
hydrocephalus with stenosis of the aqueduct of sylvius
sneddon syndrome
This symptom has already been validated