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A progressive post-onset decrease in gray matter volume 1.5 years after first hospitalization in
schizophrenia has been shown in superior temporal gyrus (STG). However, it is still controversial
whether progressive volume reduction occurs in chronic schizophrenia in the STG and amygdala–
hippocampal complex (AHC), structures found to be abnormal in chronic schizophrenia. These
structureswere measured at two time points in 16 chronic schizophrenia patients and 20 normal
comparison subjects using manual tracing with high spatial resolution magnetic resonance
imaging(MRI).Average interscan intervalwas 3.1 years for schizophrenia patients and 1.4 years for
healthy comparison subjects.
Cross-sectional comparisons showed smaller relative volumes in schizophrenia compared with
controls in posterior STG and AHC. An ANCOVA with interscan interval as a covariate showed
there was no statistically significant progression of volume reduction in either the STG or AHC
in the schizophrenia group compared with normal subjects. In the schizophrenia group, volume
change in the left anterior AHC significantly correlated with PANSS negative symptoms.
These data, and separately reported first episode data from our laboratory, suggest marked
progression at the initial stage of schizophrenia, but less in chronic schizophrenia.

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