NIH Clinical Research Studies

Protocol Number: 90-M-0014

Active Accrual, Protocols Recruiting New Patients

Title:
Studies of Frontal Lobe Function During Cognitive Stimulation as Measured with Oxygen-15 Water Positron Emission Tomography in Normal Subjects and Neuropsychiatric Patients
Number:
90-M-0014
Summary:
The purpose of this study is to use brain imaging technology to investigate the role of the frontal lobe of the brain in the thinking of individuals with schizophrenia and other neuropsychiatric disorders and healthy volunteers.

Participants in this study will undergo a positron emission tomography (PET) scan of the brain while performing neuropsychological tests. Some of the tests involve cognitive operations that depend upon the frontal cortex. Interactions between frontal lobe activation, cognitive behavior, and neuropharmacology will be assessed by measuring regional cerebral blood flow (rCBF) during treatment with drugs that may affect frontal lobe physiology.

Sponsoring Institute:
National Institute of Mental Health (NIMH)
Recruitment Detail
Type: Active Accrual Of New Subjects
Gender: Male & Female
Referral Letter Required: No
Population Exclusion(s): None

Eligibility Criteria:
INCLUSION CRITERIA:

Control subjects with history of psychiatric or neurologic disorders or medical illness or surgeries that might have relevance to the investigation of brain physiology will be excluded.

Normal subjects taking medications with relevance to cerebral blood flow and metabolism will be excluded from study.

Patients with schizophrenia will be recruited from the inpatient population of the NIMH at NIH.

Patients with history of neurological illness other than those of interest to the study, or other medical illness or surgery that might have impact on the study of brain physiology, will be excluded.

Additional neuropsychiatric patients (those with affective disorder, Tourette's Syndrome, Huntington's Disease, Parkinson's Disease, Alzheimer's Disease, special genetic disorders (e.g. William's Syndrome), and other neuropsychiatric patients) will be recruited from the medical community, from NIH inpatient and outpatient services, and through the National Alliance for the Mentally Ill (NAMI).

All subjects will be asked to refrain from nicotine and caffeine for four hours prior to the PET scan.

In the case of female subjects of childbearing age and potential, a urine pregnancy test will be obtained within 24 hours prior to the PET scan.

Subjects will be queried for history of metal objects in the head or neck and for other contraindications as listed in the consent form and will only be studied if such history is negative.

To acclimate subjects to the testing procedure and to ensure comprehension and ability to cooperate with the study, subjects will practice all tasks, except those to which they must be naive, with equipment similar to that used during the PET scan. In particular, psychotic patients or those for whom cooperation is otherwise difficult will be further screened and acclimated with a "dry run" in the PET scanner. Subjects who are unable to cooperate will be excluded from the study.

Special Instructions:
e-mail: Karen.berman@nih.gov or access the web: http://cbdb.nimh.nih.gov/patients
Keywords:
Neuropsychology
Cerebral Blood Flow
Cognitive Disorders
Prefrontal Cortex
Hormones
Psychosis
Neuroimaging
Brain Scan
Healthy Volunteers
Schizophrenia
Recruitment Keywords:
None
Conditions:
Healthy
Schizophrenia
Investigational Drug(s):
Oxygen-15 Water
Investigational Device(s):
None

Contacts:
E. Anne Riley, MSW
National Institutes of Health
Building 10
Room 3C101
10 Center Drive
Bethesda, Maryland 20892
Phone: (888) 674-6464
Fax: (301) 402-5503
Electronic Address: anne.riley@nih.gov

Citations:
Regional cortical blood flow in monozygotic twins discordant and concordant for schizophrenia

Modulation of cognition-specific cortical activity by gonadal steroids: A PET study in women

Dextroamphetamine enhances "neural network specific" physiological signals: A PET rCBF study

Active Accrual, Protocols Recruiting New Patients

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