This work may not be copied, distributed, displayed, published, reproduced, transmitted, modified, posted, sold, licensed, or used for commercial purposes. By downloading this file, you are agreeing to the publisher’s Terms & Conditions.

Original Research

Brain Imaging in Adolescents and Young Adults With First-Episode Psychosis: A Retrospective Cohort Study

Sean Andrea, BSc, MD; Michael Papirny, BSc, MD, FRCPC; and Thomas Raedler, MD

Published: November 5, 2019

Article Abstract

Objective: Despite the lack of clear guidelines, neuroimaging (computed tomography [CT] or magnetic resonance imaging [MRI]) is frequently performed in subjects presenting with first-episode psychosis (FEP). The objective of this study was to determine if the use of neuroimaging adds diagnostic yield in adolescents and young adults presenting with FEP.

Methods: The sample consisted of 443 subjects aged 15-24 with FEP (DSM-IV-TR and DSM-5) and no focal neurologic findings. Consecutive charts from January 1, 1998, to June 30, 2016, were reviewed retrospectively. A positive finding was defined as a result leading to urgent follow-up or intervention.

Results: Twenty-five (5.6%) of 443 subjects showed incidental findings unrelated to psychosis. The prevalence of positive findings from neuroimaging was 0%, indicating no diagnostic yield from neuroimaging.

Conclusions: Routine neuroimaging did not provide diagnostic information leading to a change in clinical management and should not be recommended in the investigation of FEP.

Volume: 80

Quick Links: Assessment Methods , Neuroimaging

Continue Reading…

Subscribe to read the entire article

$40.00

Buy this Article as a PDF

References

Sign-up to stay
up-to-date today!

SUBSCRIBE

Already registered? Sign In

Original Research

Telehealth of Coordinated Specialty Care in Early Psychosis During COVID-19

As the COVID-19 pandemic emerged in 2020, access to in-person clinical care was restricted. This study explored...

Read More...