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Image testing in psychiatrics: a bibliografic review

Published online by Cambridge University Press:  01 September 2022

M.D.C. Molina Liétor ,
I. Cuevas Iñiguez ,
A. Sanz Giancola  and
C. Alvarez Garcia
M.D.C. Molina Liétor*
Affiliation:
Hospital Universitario Príncipe de Asturias, Psiquiatría, Alcalá de Henares, Spain
I. Cuevas Iñiguez
Affiliation:
Hospital Principe de Asturias, Psiquiatría, Alcala de Henares, Spain
A. Sanz Giancola
Affiliation:
Hospital Universitario Príncipe de Asturias, Psychiatry, Alcalá de Henares, Spain
C. Alvarez Garcia
Affiliation:
Hospital Universitario Príncipe de Asturias, Psychiatry, Alcalá de Henares, Spain
*
*Corresponding author.

Abstract

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Introduction

Psychoradiology is a term that describes a growing interest in relating psychiatry and radiological images, proposing a radiological approach in the management of major psychiatric illnesses. This includes the diagnosis, the planning of the treatment and the study of the clinical course.

Objectives

The objective of this communication is to review the current status of the importance and indications of neuroimaging tests in psychiatry.

Methods

A literature review has been carried out to review this issue.

Results

In schizophrenia, longitudinal studies have been carried out that compare the anatomical structures between a first psychotic episode and in a chronic state, locating regional changes that progress as the disease does. Anatomical alterations have also been detected among patients with a predominance of positive symptoms or negative symptoms. Although more and more studies demonstrate a certain common genetic and radiological basis between bipolar disorder and schizophrenia, imaging techniques can also show specific findings that differentiate one pathology from the other. The neuroimaging tests used in psychiatry are: • Brain CT, recommended when a first psychotic episode is suspected. • MRI: recommended in processes of cognitive deterioration, to evaluate white matter and for pregnant patients. It is also recommended to evaluate injuries that could have a poor prognosis with the application of electroconvulsive therapy. • Functional tests (PET and SPECT) are often used to screen some types of dementia such as Alzheimer’s or for research.

Conclusions

New advances and knowledge in psychiatry and radiology must be integrated for better clinical practice.

Disclosure

No significant relationships.

Keywords

NeuroimagingPsychoradiology
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S641 - S642
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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