Psychoradiological Biomarkers for Psychopharmaceutical Effects

Neuroimaging Clin N Am. 2020 Feb;30(1):53-63. doi: 10.1016/j.nic.2019.09.006. Epub 2019 Nov 11.

Abstract

The application of personalized medicine to psychiatry is challenging. Psychoradiology could provide biomarkers based on objective tests in support of the diagnostic classifications and treatment planning. We review potential psychoradiological biomarkers for psychopharmaceutical effects. Although none of the biomarkers reviewed are yet of sufficient clinical utility to inform the selection of a specific pharmacologic compound for an individual patient, there is strong consensus that advanced multimodal approaches will contribute to discovery of novel treatment predictors in psychiatric disorders. Progress has been sufficient to warrant enthusiasm, in which application of neuroimaging-based biomarkers would represent a paradigm shift and modernization of psychiatric practice.

Keywords: Antidepressants; Predictive imaging biomarkers; Psychoradiology; Stimulants; Treatment response.

Publication types

  • Review

MeSH terms

  • Anxiety Disorders / diagnostic imaging
  • Anxiety Disorders / drug therapy
  • Attention Deficit Disorder with Hyperactivity / diagnostic imaging
  • Attention Deficit Disorder with Hyperactivity / drug therapy
  • Biomarkers*
  • Depressive Disorder, Major / diagnostic imaging
  • Depressive Disorder, Major / drug therapy
  • Humans
  • Mental Disorders / diagnostic imaging*
  • Mental Disorders / drug therapy*
  • Neuroimaging / methods*
  • Precision Medicine
  • Prognosis
  • Psychiatry / methods
  • Psychotropic Drugs / therapeutic use*
  • Radiology / methods

Substances

  • Biomarkers
  • Psychotropic Drugs