Can MRI Contribute to the Understanding and Therapy of Mental Diseases?

Resumo

The nowadays most accepted hypothesis of the origin of mental diseases is an impaired connectivity between various brain areas. Magnetic resonance tractography reveals structural connectivities through neuronal fibers and resting state functional imaging allows one to visualize functional connectivities. The detection of the small signal changes needs the highest sensitivity and the magnetic resonance imaging scans must be repeated as fast as possible. Statistical evaluation and cross correlation of the signals in all voxels show synchrony of signal-level fluctuations even in remote brain areas. This makes it possible to establish brain networks. The most important of them are the default mode network, the salience network, and the central executive network. Applications to schizophrenia and depression will be discussed. In deep brain stimulation, the excitation, currently used for therapy of Parkinson’s disease, is now introduced for therapy of major depressive disorder and can be taylored to the necessary brain location.