Neuroimaging in alcohol use disorder: From mouse to man.
- Authors
- Fritz, Michael; Klawonn, Anna M; Zahr, Natalie M
- Year
- 2022
- Journal
- Journal of neuroscience research
- PMID
- 31006907
- DOI
- 10.1002/jnr.24423
- PMCID
- PMC6810809
This article provides an overview of recent advances in understanding the effects of alcohol use disorders (AUD) on the brain from the perspective of magnetic resonance imaging (MRI) research in preclinical models and clinical studies. As a noninvasive investigational tool permitting assessment of morphological, metabolic, and hemodynamic changes over time, MRI offers insight into the dynamic course of alcoholism beginning with initial exposure through periods of binge drinking and escalation, sobriety, and relapse and has been useful in differential diagnosis of neurological diseases associated with AUD. Structural MRI has revealed acute and chronic effects of alcohol on both white and gray matter volumes. MR Spectroscopy, able to quantify brain metabolites in vivo, has shed light on biochemical alterations associated with alcoholism. Diffusion tensor imaging permits microstructural characterization of white matter fiber tracts. Functional MRI has allowed for elucidation of hemodynamicΒ responses at rest and during task engagement. Positron emission tomography, a non-MRI imaging tool, has led to a deeper understanding of alcohol-induced receptor and neurotransmitter changes during various stages of drinking and abstinence. Together, such in vivo imaging tools have expanded our understanding of the dynamic course of alcoholism including evidence for regional specificity of the effects of AUD, hints at mechanisms underlying the shift from casual to compulsive use of alcohol, and profound recovery with sustained abstinence.
(A) Brain scan of an alcoholic man with Wernickeβs encephalopathy showing the typical hypertensities in the mammilary bodies and colliculi (reprint with permission from (Sullivan & Zahr, 2008)). (B) Exemplary MRI pictures highliting morphological changes observed in KE (reprint with permission from (Zahr & Pfefferbaum, 2017)). (C) Representative images from a control subject and a patient with hepatic encephalopathy (reprint with permission from (Zahr & Pfefferbaum, 2017)). (D) MRI scans from healthy controls, uncomplicated alcoholics, and KE patients that also show signs of central pontine myelinolysis (reprint with permission from (Sullivan & Pfefferbaum, 2001)). (E) Thinning of the corpus callosum of older alcoholics indicating Marchiafava-Bignami disease (reprint with permission from (Pfefferbaum et al., 1996)).
(A) Morphological changes in a preclinical rat model of Wernickeβs encephalopathy and (B) Korsakoff syndrome (reprint with permission from (Pfefferbaum, Adalsteinsson, et al., 2007)). (C) MRI scans of a CCL4 treatment based preclinical animal model for hepathic encephalopathy (reprint with permission from (Zahr, Rohlfing, et al., 2016)).
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In this knowledge base
External
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| Effects of intermittent theta burst to the left dorsolateral prefrontal cortex on brain volumes and neurometabolites in people with alcohol use disorder: a preliminary investigation. | Durazzo TC et al. | β | 2025 | β |
| Escalation of Ethanol Drinking in Mice Is Associated With Neurochemical Changes in the Dorsal Striatum. | Baetscher E et al. | β | 2025 | β |
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| Predicting alcohol use disorder risk in firefighters using a multimodal deep learning model: a cross-sectional study. | Jang M et al. | β | 2025 | β |
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