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Using MRI spectroscopy, Port can measure levels of chemicals such as n-acetyl aspartate, which is found only in neurons, or glutamate, which stimulates nerve-cell activity. When Port used the technique across many areas of the brain in bipolar patients and compared the results to those from healthy controls, he came up with a chemical fingerprint that seemed to be an indicator of bipolar disorder.
"When we compared all the bipolar patients in any mood state with their matched normal control subjects, we found that two areas of the brain were significantly different," Port says. Port and his team also identified changes in many regions of the brains of people with bipolar disorder that indicated whether they were in a manic state or depressed. "We found a chemical measure of the mood state," he says.
So has Port found the long-sought diagnostic test for bipolar disorder? Does his chemical fingerprint reliably identify people who have bipolar disorder and exclude those who don't?
Maybe, but he can't be sure yet. "We think we're on to something good," he says, but "we have to check it and make sure it will be clinically useful." It's a question of trying the technique with enough patients to be sure that it is statistically valid -- that it won't produce too many false positives or false negatives. It doesn't have to be perfect, but it has to be good enough to add useful information to what psychiatrists can discern through their traditional methods of diagnosis, interviews, and analyses of patient histories.
If Port is correct, however, and the technique proves itself, it would be a landmark in psychiatric research: a diagnostic test for bipolar disorder. And if the technique works with bipolar disorder, it could be adaptable to other psychiatric illnesses.
Port and others are also experimenting with diffusion tensor imaging. DTI measures water diffusion in the brain. Water flows through the brain as it does anywhere else -- along the path of least resistance. In the brain, that's along the axons, the neurons' long tails, which convey electrical signals to other neurons. (It's from the fatty, white insulation that surrounds most axons that "white matter" takes its name; the rest of the neuron, and uninsulated axons, together constitute "gray matter.")
Port is just beginning to research the technique. But eventually researchers will be able to use "DTI clinically to look for diseases that interfere with white matter -- amyotrophic lateral sclerosis [Lou Gehrig's disease] and schizophrenia," Port says.
Guest (Robert)
I'm developing a documentary film about bipolar disorder and looking for comment, new research papers, experts etc.... please response to:
rmbardy@yahoo.com
thanks!
Robert
Guest (GIna Betti)
Chemical Fingerprints of Mental Illness
Can this technology potentially diagnose Tourettes Syndrome? And then potentially lead to new studies of how to treat it?
Guest (Port and his team )
MRI to detect Bipolar disorder
I have suffered with Bipolar 1 for many years, and have taken meds for depression. They have never worked, so out of fustration I always say i will be alright and stop taking meds altoghther. I am willing to do whatever it takes in a clinical trial, or whatever, so I can get this illiness under control. I think it has gotten even worse since I lost my Mother to cancer 3 months ago.
Please help!
Chris
e-mail address ERSImports@aol.com
Manufacturing in the United States is in trouble. That's bad news not just for the country's economy but for the future of innovation.
Guest (O. Cockburn, Ph.D.)
Dx bipolar with MRI
Mental health provider who thoroughly enjoys reviewing research in my field of interest; however, I may not live long enough to see medically-oriented research put into the hands of its clinical practitioners. You see, it's really all about the money and who is willing to pay for the procedure. "Prevention/early detection" are still outlaw terms for program payors - what a shame!
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Guest (Robert)
documentary film about bd
I'm developing a documentary film about bipolar disorder... perhaps raising awareness of the particular issue you raise would be a good sub-topic to explore in the "what's being done" section of the film...
to lear more about the film, please see:
www.moonbeamgirl.com
I'd appreciate hearing from you.
Robert
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Guest (Barbara)
re: early detection
I am a 38 year old woman with bipolar and have a 12 year old who is most likely bipolar as well. However, with her age, I am not yet willing for her to go into treatment due to the unknown of which is the right/wrong meds, etc. It would be a godsend if this could be used to diagnose people, especially younger people, early so that they do not have to live a life filled with the doubt that comes along with bipolar.
I truly hope to see this come to fruition!
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