TABLE 2

Neuroimaging Findings in PTSD Studies

StudyImagingMain findings
(46)18F-FDG PETIncreased metabolism in right amygdala in danger-based trauma vs. control groups; increased metabolism in precuneus in non–danger-based trauma vs. danger group
(47)Functional MRIIncreased activation of basolateral relative to centromedial amygdala in PTSD group
(48)15O-CO2 PETDecreased regional cerebral blood flow in medial prefrontal cortex in veterans with PTSD during mental imagery of trauma-unrelated stressful personal experiences
(63)Resting-state functional MRIOxytocin decreased amygdala–left ventrolateral prefrontal cortex functional connectivity after trauma script–driven imagery vs. neutral script–driven imagery; oxytocin increased amygdala–insula functional connectivity and decreased amygdala–ventromedial prefrontal cortex functional connectivity in both groups; placebo-treated participants had increased amygdala–left ventrolateral prefrontal cortex functional connectivity after trauma script–driven imagery
(50)SPECT and 18F-FDG PETDecreased perfusion and metabolism in left hippocampus and basal ganglia in PTSD group; increased cerebellar metabolism in PTSD group
(51)MRI and 18F-AV-45 PETSlightly decreased superior parietal volume in TBI + PTSD group vs. controls; decreased odds of amyloid positivity based on cortical amyloid SUV ratio in PTSD group vs. controls; no evidence for increased brain amyloid associated with TBI; no evidence for medial temporal lobe atrophy in PTSD or TBI vs. controls
(54)Functional MRIDecreased functional connectivity between left ventral anterior insula and anterior cingulate cortex; decreased functional connectivity between right posterior insula and left inferior parietal lobe
(56)SPECTHyperperfused default-mode network in PTSD group; hypoperfused default-mode network in TBI group
(55)11C-flumazenil PET and MRIIncreased benzodiazepine receptor binding potential in precuneus and dorsal anterior cingulate cortex in PTSD subjects vs. healthy controls
(57)18F-AV-45 PETIncreased amyloid accumulation in frontal, occipital, and temporal lobes of PTSD group, in white matter of TBI + PTSD group, and in cerebellum and precuneus of TBI group
(59)Active-task functional MRIIncreased activation of dorsal anterior cingulate cortex, insula, and amygdala in response to trauma-unrelated negative stimuli predicted PTSD persistence after trauma-focused therapy