Skip to main content
Log in

Olfactory sulcal depth and olfactory bulb volume in patients with schizophrenia: an MRI study

  • Original Research
  • Published:
Brain Imaging and Behavior Aims and scope Submit manuscript

Abstract

The current report used structural magnetic resonance imaging (MRI) to objectively measure olfactory bulb volume and olfactory sulcal depth in patients diagnosed with chronic schizophrenia and healthy controls. Additional measures were obtained to assess olfactory function. The olfactory bulb and sulcus were manually traced on structural 3T MRIs for 25 right-handed male patients diagnosed with chronic schizophrenia and 25 matched male healthy controls. A sub-set of subjects received the University of Pennsylvania Smell Identification Test (UPSIT). Olfactory bulb volume was significantly decreased in patients with schizophrenia compared to healthy controls, as was their performance on the UPSIT. Additionally, a positive correlation was seen in patients between right bulb volume and UPSIT scores. Overall, our findings support earlier research studies showing morphometric and functional changes in the olfactory system in patients with schizophrenia.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  • Abolmaali, N. D., Hietschold, V., Vogl, T. J., Huttenbrink, K. B., & Hummel, T. (2002). MR evaluation in patients with isolated anosmia since birth or early childhood. American Journal of Neuroradiology, 23, 157–163.

    PubMed  Google Scholar 

  • Amsterdam, J. D., Settle, R. G., Doty, R. L., Abelman, E., & Winokur, A. (1987). Taste and smell perception in depression. Biological Psychiatry, 22, 1481–1485.

    Article  PubMed  CAS  Google Scholar 

  • Andreasen, N. C. (1983). The scale for the assessment of negative symptoms (SANS). Iowa: The University of Iowa.

    Google Scholar 

  • Andreasen, N. C. (1984). The scale for the assessment of positive symptoms (SAPS). Iowa: The University of Iowa.

    Google Scholar 

  • Bellas, D. N., Novelly, R. A., & Eskanazi, B. (1989). Olfactory lateralization and identification in right hemisphere lesions and control patients. Neuropsychologia, 9, 1187–1191.

    Article  Google Scholar 

  • Brewer, W. J., Pantelis, C., Anderson, V., Velakoulis, D., Singh, B., Copolov, D. L., et al. (2001). Stability of olfactory identification deficits in neuroleptic-naïve patients with first-episode psychosis. The American Journal of Psychiatry, 158, 107–115.

    Article  PubMed  CAS  Google Scholar 

  • Brewer, W. J., Wood, S. J., McGorry, P. D., Francey, S. M., Phillips, L. J., Yung, A. R., et al. (2003). Impairment of olfactory identification ability in individuals at ultra-high risk for psychosis who later develop schizophrenia. The American Journal of Psychiatry, 160, 1970–1794.

    Article  Google Scholar 

  • Crespo-Facorro, B., Kim, J., Andreasen, N. D., O’Leary, D. S., Watkins, G. L., Ponto, L. L., et al. (2001). Neural mechanisms of anhedonia in schizophrenia: a PET study of response to unpleasant and pleasant odors. JAMA, 286, 427–435.

    Article  PubMed  CAS  Google Scholar 

  • First, M. B., Spitzer, R. L., Gibbon, M., Williams, J. B. W., Davies, M., Borus, J., et al. (1995). The structured clinical interview for DSM-III-R personality disorders (SCID-II). Part II: multi-site test-retest reliability study. Journal of Personality Disorders, 9(2), 92–104.

    Article  Google Scholar 

  • First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (1997). Structured clinical interview for DSM-IV axis I disorders-clinician version (SCID-CV). American Psychiatric Press.

  • Frye, R. E., Schwartz, B. S., & Doty, R. L. (1990). Dose-related effects of cigarette smoking on olfactory function. Journal of the American Medical Association, 263(9), 1233–1236.

    Article  PubMed  CAS  Google Scholar 

  • Fulbright, R. K., Skudlarski, P., Lacadie, C. M., et al. (1998). Functional MR imaging of regional brain responses to pleasant and unpleasant odors. AJNR. American Journal of Neuroradiology, 19, 1721–1726.

    PubMed  CAS  Google Scholar 

  • Good, K. P., Martzke, J. S., Honer, W. G., & Kopala, L. C. (1998). Left nostril identification impairment in a subgroup of male patients with schizophrenia. Schizophrenia Research, 33, 35–43.

    Article  PubMed  CAS  Google Scholar 

  • Heaton, R. K. (1981). Wisconsin card sorting test, manual. Odessa: Psychological Assessment Resources.

    Google Scholar 

  • Heine, O., & Galaburda, A. M. (1986). Olfactory asymmetry in the rat brain. Experimental Neurology, 91, 392–398.

    Article  PubMed  CAS  Google Scholar 

  • Hollingshead, A. B. (1965). Two factor index of social position. New Haven: Yale University. Unpublished manuscript.

    Google Scholar 

  • Hummel, T., Damm, M., Vent, J., Schmidt, M., Theissen, P., Larsson, M., et al. (2003). Depth of olfactory sulcus and olfactory function. Brain Research, 975, 85–89.

    Article  PubMed  CAS  Google Scholar 

  • Hurtwitz, T., Kopala, L., Clark, C., & Jones, B. (1988). Olfactory deficits in schizophrenia. Biological Psychiatry, 23, 123–128.

    Article  Google Scholar 

  • Jones-Gotman, M., & Zatorre, R. J. (1993). Odor recognition memory in humans: role of right temporal and orbitofrontal regions. Brain and Cognition, 22, 182–198.

    Article  PubMed  CAS  Google Scholar 

  • Katotomichelakis, M., Balatsouras, D., Tripsianis, G., Gavris, S., Marondias, N., Danielides, V., et al. (2007). The effect of smoking on the olfactory function. Rhinology, 45(4), 273–280.

    PubMed  Google Scholar 

  • Kay, S. R., Fiszbein, A., & Opler, L. A. (1987). The positive and negative syndrome scale (PANSS) for schizophrenia. Schizophrenia Bulletin, 13, 261–276.

    PubMed  CAS  Google Scholar 

  • Kopala, L., & Clark, C. (1990). Implications of olfactory agnosia for understanding sex differences in schizophrenia. Schizophrenia Bulletin, 16(2), 255–261.

    PubMed  CAS  Google Scholar 

  • Kopala, L., Clark, C., & Hurwitz, T. A. (1993). Olfactory deficits in neuroleptic naïve patients with schizophrenia. Schizophrenia Research, 8, 245–250.

    Article  PubMed  CAS  Google Scholar 

  • Kopala, L. C., Good, K. P., & Honer, W. G. (1994). Olfactory hallucinations and olfactory identification ability in patients with schizophrenia and other psychiatric disorders. Schizophrenia Research, 12, 205–211.

    Article  PubMed  CAS  Google Scholar 

  • Kopala, L. C., Good, K., Goldner, E. M., & Birmingham, C. L. (1995). Olfactory identification ability in anorexia nervosa. Journal of Psychiatry & Neuroscience, 20, 283–286.

    CAS  Google Scholar 

  • Kopala, L., Good, K., Martzke, J., & Hurwitz, T. (1995). Olfactory deficits in schizophrenia is not a function of task complexity. Schizophrenia Research, 17, 195–199.

    Article  PubMed  CAS  Google Scholar 

  • Kopala, L. C., Good, K. P., Morrison, K., Bassett, A. S., Alda, M., & Honer, W. G. (2001). Impaired olfactory identification in relatives of patients with familial schizophrenia. The American Journal of Psychiatry, 158, 1286–1290.

    Article  PubMed  CAS  Google Scholar 

  • Lezak, M. D. (1995). Neuropsychological assessment (3rd ed.). Oxford: Oxford University Press.

    Google Scholar 

  • Mesholam, R. I., Moberg, P. J., Mahr, R. N., & Doty, R. L. (2001). Olfaction in neurodegenerative disease. A meta-analysis of olfactory functioning in Alzheimer’s and Parkinson’s diseases. Archives of Neurology, 55, 84–90.

    Article  Google Scholar 

  • Moberg, P. J., Agrin, R., Gur, R. E., Gur, R. C., Turetsky, B. I., & Doty, R. L. (1999). Olfactory dysfunction in schizophrenia: a qualitative and quantitative review. Neuropsychopharmacology, 21, 325–340.

    Article  PubMed  CAS  Google Scholar 

  • Moberg, P. J., Arnold, S. E., Doty, R. L., Gur, R. E., Basderston, C. C., & Roalf, D. R. (2006). Olfactory functioning in schizophrenia: relationship to clinical, neuropsychological, and volumetric MRI measures. Journal of Clinical and Experimental Neuropsychology, 28, 1444–1461.

    Article  PubMed  Google Scholar 

  • Negoias, S., Croy, I., Gerver, J., Puschmann, S., Petrowski, J., & Hummel, T. (2010). Reduced olfactory bulb volume and olfactory sensitivity in patients with acute major depression. Neuroscience, 169, 415–421.

    Article  PubMed  CAS  Google Scholar 

  • Nestor, P. G., Shenton, M. E., McCarley, R. W., Haimson, J., Smith, R. S., O’Donnell, B., et al. (1993). Neuropsychological correlates of MRI temporal lobe abnormalities in schizophrenia. The American Journal of Psychiatry, 150(12), 1849–1855.

    PubMed  CAS  Google Scholar 

  • Nguyen, A. D., Shenton, M. E., & Levitt, J. J. (2010). Olfactory dysfunction in schizophrenia: a review of neuroanatomy and psychophysiological measurements. Harvard Review of Psychiatry, 18(5), 279–292.

    Article  PubMed  Google Scholar 

  • Oldfield, R. C. (1971). The assessment and analysis of handedness: the Edinburgh inventory. Neuropsychologia, 9, 97–113.

    Article  PubMed  CAS  Google Scholar 

  • Reitan, R., & Wolfson, D. (1985). The halstead-reitan neuropsychological test battery. Tucson: Neuropsychology Press.

    Google Scholar 

  • Rombaux, P. H., Potier, H., Markessis, E., Dupez, T., & Hummel, T. (2010). Olfactory bulb volume and depth of olfactory sulcus in patients with idiopathic olfactory loss. European Archives of Otorhinolaryngology, 10, 1551–1556.

    Article  Google Scholar 

  • Rupp, C. I. (2003). Dysfunction in olfactory processing in schizophrenia. Current Opinion in Psychiatry, 16, 181–185.

    Article  Google Scholar 

  • Rupp, C. I., Fleischhacker, W. W., Kemmler, G., Oberbauer, H., Wcholtz, A. R., Wanko, C., et al. (2005). Various bilateral olfactory deficits in male patients with schizophrenia. Schizophrenia Bulletin, 31(1), 155–165.

    Article  PubMed  Google Scholar 

  • Seidman, L. J., Talbot, N. L., Kalinowki, A. G., McCarley, R. W., & Tsuang, M. T. (1992). Neuropsychological probes of fronto-limbic system dysfunction in schizophrenia: olfactory identification and wisconsin card sorting performance. Schizophrenia Research, 6, 55–65.

    Article  Google Scholar 

  • Skosnik, P. D., Spatz-Glenn, L., & Park, S. (2001). Cannabis use is associated with schizotypy and attentional disinhibition. Schizophrenia Research, 48, 83–92.

    Article  PubMed  CAS  Google Scholar 

  • Sobel, N., Khan, R. M., Saltman, A., Sullivan, E. V., & Gabrieli, J. D. (1999). The world smells different to each nostril. Nature, 402, 35.

    Article  PubMed  CAS  Google Scholar 

  • Tulsky, D. S., Saklofske, D. H., Wilkins, C., & Weiss, L. G. (2001). Development of a general ability index for the wechsler adult intelligence scale. Psychological Assessment, 13(4), 566–571.

    Article  PubMed  CAS  Google Scholar 

  • Turetsky, B. I., & Moberg, P. J. (2009). An odor specific threshold deficit implicates abnormal intracellular cyclic-AMP signaling in schizophrenia. The American Journal of Psychiatry, 166, 226–233.

    Article  PubMed  Google Scholar 

  • Turetsky, B. I., Moberg, P. J., Youse, D. M., Doty, R. L., Arnold, S. E., & Gur, R. E. (2000). Reduced olfactory bulb volume in patients with schizophrenia. The American Journal of Psychiatry, 157, 828–830.

    Article  PubMed  CAS  Google Scholar 

  • Turetsky, B. I., Moberg, P. J., Arnold, S. E., Doty, R. L., & Gur, R. E. (2003). Low olfactory bulb volume in first-degree relatives of patients with schizophrenia. The American Journal of Psychiatry, 160, 703–708.

    Article  PubMed  Google Scholar 

  • Turetsky, B. I., Moberg, P. J., Owzar, K., Johnson, S. C., Doty, R. L., & Gur, R. E. (2003). Physiologic impairment of olfactory stimulus processing in schizophrenia. Biological Psychiatry, 53, 403–411.

    Article  PubMed  Google Scholar 

  • Turetsky, B. I., Crutchley, P., Walker, J., Gur, R. E., & Moberg, P. J. (2009). Depth of olfactory sulcus: a marker of early embryonic disruption in schizophrenia? Schizophrenia Research, 115(1), 8–11.

    Article  PubMed  Google Scholar 

  • Turetsky, B. I., Curtchley, P., Walker, J., Gur, R. E., & Moberg, P. J. (2009). Scents and nonsense: olfactory dysfunction in schizophrenia. Schizophrenia Bulletin, 35(6), 1117–1131.

    Article  PubMed  Google Scholar 

  • Turetsky, B. I., Hahn, C. G., Arnold, S. E., & Moberg, P. J. (2009). Olfactory receptor neuron dysfunction in schizophrenia. Neuropsychopharmacology, 34(3), 767–774.

    Article  PubMed  CAS  Google Scholar 

  • Wechsler, D. (1997). Wechsler memory scale (3rd ed.). Brace: Harcourt.

    Google Scholar 

  • Wilkinson, G. S. (1993). The wide range achievement test: manual (3rd ed.). Wilmington: Wide Range.

    Google Scholar 

  • Wu, J., Buchsbaum, M. S., Moy, K., Denlea, N., Kesslak, P., Tseng, H., et al. (1993). Olfactory memory in unmedicated schizophrenics. Schizophrenia Research, 9, 41–47.

    Article  PubMed  CAS  Google Scholar 

  • Yousem, D. M., Geckle, R. J., Bilker, W. B., & Doty, R. L. (1998). Olfactory bulb and rat and temporal lobe volumes: normative data across decades. Annual N Y Academy Science, 855, 546–555.

    Article  CAS  Google Scholar 

  • Zatorre, R. J., Jones-Gotman, M., Evans, A. C., & Meyer, E. (1992). Functional localization and lateralization of human olfactory cortex. Nature, 360, 339–340.

    Article  PubMed  CAS  Google Scholar 

Download references

Acknowledgment

We wish to thank Jorge Alvorado BS for his work with the olfactory sulcus reliability and tracing procedure and Fawad Taj, MD for his work on reliability with the olfactory sulcus. We also wish to thank Doug Terry BA for his advice on biostatistics, as well as Lindsay F Morra BA, Jenna M Mezin, BA and Shannon Sorenson, BA for their work with administering the UPSIT tests.

This work was supported in part by VA Merit Awards (JJL, MES, RWM), by a VA Schizophrenia Center Grant (RWM, MES), by a K05 Award supported by the National Institute of Mental Health (MH 070047 to MES), by an R01 Award supported by the National Institute of Mental Health (MH 50740 to MES), and by support from an NIH Mental Health Center for Clinical Interventional Development and Applied Research (P50 11P50 MH 080272; RWM, MES).

Disclosure

The authors of this empirical paper report no conflict of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to James J. Levitt.

Additional information

Authorship: The authors affirm having had full access to all data from the study; both from what is reported and what is unreported, and also that the authors had complete freedom to direct this study’s analysis and reporting, without influence from the sponsors. The corresponding authors also affirm that there was no editorial direction or censorship from any sponsors.

Statement: This empirical article represents original materials, it has not been previously published, and it is not under consideration for publication elsewhere.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Nguyen, A.D., Pelavin, P.E., Shenton, M.E. et al. Olfactory sulcal depth and olfactory bulb volume in patients with schizophrenia: an MRI study. Brain Imaging and Behavior 5, 252–261 (2011). https://doi.org/10.1007/s11682-011-9129-0

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11682-011-9129-0

Keywords

Navigation