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To: Jeffrey Epstein <[email protected]>
Subject: MRI Shows How Facial Expressions Can Help Diagnose Bipolar or Depression
Date: Thu, 06 Sep 2018 05:52:03 +0000
MRI Shows How Facial Expressions Can
Help Diagnose Bipolar or Depression
By Rick Naucrt Phll
— 1 min read
2 ,MRI Shows Flow Facial Expressions Can Help Diagnose Bipolar or Depression
Brain imaging technology that traces the way neurons react when a person processes
facial expressions such as anger, fear, sadness, disgust and happiness can help
determine if a person has bipolar disorder or depression.
Investigators say neurons in the brain structure called the amygdala play a key role in
processing emotion. Using magnetic resonance imaging (MRI), nerve cells in this brain
area are shown to respond differently to facial expressions depending on whether the
person has bipolar disorder or depression.
In people with bipolar disorder, the left side of the amygdala is less active and less
connected with other parts of the brain than in people with depression. Lead researcher
Dr. Mayuresh Korgaonkar from the University of Sydney believes these differences
could potentially be used in the future to differentiate bipolar disorder from depressive
disorders.
Overall, the findings from this study had 80 percent accuracy in making this
distinction. The research appears in the journal Biological Psychiatry: Cognitive
Neuroscience and Neurolmaging.
The ability to distinguish between two similar mental disorders that respond to
different treatment methods is important. "Mental illness, particularly bipolar disorder
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and depression, can be difficult to diagnose as many conditions have similar
symptoms," Dr Korgaonkar said.
"These two illness are virtually identical except that in bipolar individuals also
experience mania.
"This means distinguishing them can be difficult and presents a major clinical
challenge as treatment varies considerably depending on the primary diagnosis.
"The wrong diagnosis can be dangerous, leading to poor social and economic outcomes
for the patient as they undergo treatment for a completely different disorder. Identifying
brain markers that could reliably tell them apart would have immense clinical benefit.
"Such a marker could help us better understand both these disorders, identify risk
factors for developing these disorders, and potentially enable clear diagnosis from early
onset," Korgaonkar said.
Experts believe approximately 60 percent of patients with bipolar disorder are initially
misdiagnosed as having major depressive disorder. Moreover, an accurate diagnosis of
bipolar disorder may take up to a decade to be established.
The reason for this is that among individuals with bipolar disorder the depressive phase
of the illness is the first to present. And, bipolar depression is similar to major
depression in terms of clinical symptoms.
Researchers said emotion processing is a core problem underlying both these disorders.
Investigators are now implementing phase 2 of the study to improve identification of
the markers in a larger cohort of patients.
Source: Westmead Institute for Medical Research
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