Interesting Article/Obesity and MRIs
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http://www.medicalnewstoday.com/medicalnews.php?newsid=65452
Modern Imaging Unravels Causes Of Addictive Behaviour - A Possible
Basis For New Therapies?
What can radiology contribute to the treatment of obesity
(adipositas)? Evidently a great deal, as was made clear at the
European Congress of Radiology (ECR 2007) at Austria Center Vienna.
Whereas structural magnetic resonance tomography (sMRI) images only
the shape and volume of certain regions of the brain, functional
magnetic resonance tomography (fMRI) allows radiologists to observe
the brain in operation, as it were, and to unravel mysteries in the
process that could pave the way to new forms of therapy.
In fMRI research at the Department for Radiology at the Berliner
Charité (Professor Dr. Georg Bohner), it was recently found that the
saying 'you eat with your eyes' is true in a problematic way, at
least for obese individuals. Scientists examined the brain functions
of 13 highly obese females and 13 normal-weight females while the
subjects were shown slides of food of varying calorie content.
Whereas the normal-weight individuals displayed no neural activation
not also found in the obese subjects, visual exposure to culinary
delights did activate several areas of the brain in the obese
subjects that were not 'triggered' in the control group. The higher
the calories content of the depicted food, the greater the activation.
It was also found that the primary taste cortex, as well as parts of
the brain that belong to the body's so-called reward system, were
also activated in the obese subjects. Certain circuits in the brains
of the obese subjects also led to the release of the happiness
hormones dopamine and serotonin at the mere thought of food. It is a
vicious circle, because without food, there is no reward and feelings
of unpleasure arise.
"Quite similar mechanisms were found in the brain functions of
gambling addicts," noted Professor Dr. Stefan Sunaert, a physician
from the Department of Radiology at the Catholic University of Leuven
in Belgium. "That means we can now also use fMRI as a diagnostic and
control instrument for addiction therapies. A before/after comparison
of the scans would have to show whether a psychological treatment
aimed at disassociating emotional satisfaction from food had really
been effective." Professor Sunaert also noted the possibility of
developing new treatment strategies utilising fMRI. "Medicinal
therapies with serotonin inhibitors are conceivable, as are therapies
with substances that have a direct effect on the hypothalamus and
that eliminate the feeling of hunger. Another possibility would be to
use electrodes to stimulate the brain directly, especially the
capsula anterior and the nucleus accumbens, the main pleasure centre
of the brain. Tests on people with obsessive compulsive disorder,
OCD, have shown that their desire to engage in these behaviours
ceases when the centre of pleasure is activated in another way. We
can evaluate all these phenomena much more quickly now, because we
can actually see whether neural activation is normalising."