medRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2023,
Volume and Issue:
unknown
Published: Dec. 17, 2023
Abstract
Importance
Understanding
the
mechanisms
of
major
depressive
disorder
(MDD)
improvement
is
a
key
challenge
to
determine
effective
personalized
treatments.
Objective
To
perform
secondary
analysis
quantifying
neural-to-symptom
relationships
in
MDD
as
function
antidepressant
treatment.
Design
Double
blind
randomized
controlled
trial.
Setting
Multicenter.
Participants
Patients
with
early
onset
recurrent
depression
from
public
Establishing
Moderators
and
Biosignatures
Antidepressant
Response
Clinical
Care
(EMBARC)
study.
Interventions
Either
sertraline
or
placebo
during
8
weeks
(stage
1),
according
response
second
line
treatment
for
additional
2).
Main
Outcomes
Measures
identify
data-driven
pattern
symptom
variations
these
two
stages,
we
performed
Principal
Component
Analysis
(PCA)
on
individual
items
four
clinical
scales
measuring
depression,
anxiety,
suicidal
ideas
manic-like
symptoms,
resulting
univariate
measure
improvement.
We
then
investigated
how
initial
neural
factors
predicted
this
stage
1.
do
so,
extracted
resting-state
global
brain
connectivity
(GBC)
at
baseline
level
using
whole-brain
functional
network
parcellation.
In
turn,
computed
linear
model
each
parcel
scores
1
group.
Results
192
patients
(127
women),
age
37.7
years
old
(standard
deviation:
13.5),
were
included.
The
first
PC
(PC1)
capturing
20%
variation
was
similar
across
groups
2,
suggesting
reproducible
PC1
patients’
significantly
differed
1,
whereas
no
difference
evidenced
between
Global
Impressions
(CGI).
Baseline
GBC
correlated
sertraline,
but
not
Conclusions
Relevance
Using
reduction
symptoms
scales,
identified
common
profile
sertraline.
However,
patterns
that
mapped
onto
distinguished
placebo.
Our
results
underscore
mapping
circuits
vital
detect
treatment-responsive
profiles
may
aid
optimal
patient
selection
future
trials.
Key
Points
Question
What
antidepressants
placebo?
Findings
has
shared
behavioral
geometry
differs
terms
intensity
group
only.
Meaning
There
signature
can
be
more
robustly
by
neurobehavioral
features
when
it
pharmacologically
induced.
Journal of Magnetic Resonance Imaging,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Sept. 25, 2024
Background
Traditional
neuroimaging
studies
have
primarily
emphasized
analysis
at
the
group
level,
often
neglecting
specificity
individual
level.
Recently,
there
has
been
a
growing
interest
in
differences
brain
connectivity.
Investigating
individual‐specific
connectivity
is
important
for
understanding
mechanisms
of
major
depressive
disorder
(MDD)
and
variations
among
individuals.
Purpose
To
integrate
individualized
functional
structural
with
machine
learning
techniques
to
distinguish
people
MDD
healthy
controls
(HCs).
Study
Type
Prospective.
Subjects
A
total
182
patients
157
HCs
verification
cohort
including
54
46
HCs.
Field
Strength/Sequence
3.0
T/T1‐weighted
imaging,
resting‐state
MRI
echo‐planar
sequence,
diffusion
tensor
imaging
single‐shot
spin
echo.
Assessment
Functional
networks
from
rs‐fMRI
DTI
data
were
constructed,
respectively.
Based
on
these
networks,
(IFC)
(ISC)
extracted
using
common
orthogonal
basis
extraction
(COBE).
Subsequently,
multimodal
canonical
correlation
combined
joint
independent
component
(mCCA
+
jICA)
was
conducted
fusion
identify
unique
components
(ICs)
across
multiple
modes.
These
ICs
utilized
generate
features,
support
vector
(SVM)
model
implemented
classification
MDD.
Statistical
Tests
The
between
compared
two‐sample
t
test,
significance
threshold
set
P
<
0.05.
established
tested
evaluated
receiver
operating
characteristic
(ROC)
curve.
Results
performance
constructed
feature
after
multisequence
increased
72.2%
90.3%.
Furthermore,
prediction
showed
significant
predictive
power
assessing
severity
depression
(
r
=
0.544).
Data
Conclusion
integration
IFC
ISC
through
enhances
our
capacity
MDD,
highlighting
advantages
approach
underscoring
its
research.
Level
Evidence
1
Technical
Efficacy
Stage
2
Translational Psychiatry,
Journal Year:
2024,
Volume and Issue:
14(1)
Published: Aug. 7, 2024
People
affected
by
psychotic,
depressive
and
developmental
disorders
are
at
a
higher
risk
for
alcohol
tobacco
use.
However,
the
further
associations
between
alcohol/tobacco
use
symptoms/cognition
in
these
remain
unexplored.
We
identified
multimodal
brain
networks
involving
(n
=
707)
281)
via
supervised
fusion
evaluated
if
symptoms
cognition
people
with
psychotic
(schizophrenia/schizoaffective
disorder/bipolar,
n
178/134/143),
(major
disorder,
260)
(autism
spectrum
disorder/attention
deficit
hyperactivity
421/346)
disorders.
Alcohol
scores
were
used
as
references
to
guide
functional
structural
imaging
identify
associated
patterns.
Correlation
analyses
extracted
features
or
performed
evaluate
relationships
6
psychiatric
Results
showed
that
(1)
default
mode
network
(DMN)
salience
(SN)
use,
whereas
DMN
fronto-limbic
(FLN)
use;
(2)
fronto-basal
ganglia
(FBG)
related
correlated
symptom
psychosis;
(3)
middle
temporal
cortex
was
depression;
(4)
symptom,
SN
limbic
system
(LB)
In
summary,
abnormalities
DMN,
FLN
had
significant
likely
different
networks.
Further
understanding
of
may
assist
clinicians
development
future
approaches
improve
among
medRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2023,
Volume and Issue:
unknown
Published: April 26, 2023
Cocaine
use
disorder
(CUD)
is
a
prevalent
substance
abuse
disorder,
and
repetitive
transcranial
magnetic
stimulation
(rTMS)
has
shown
potential
in
reducing
cocaine
cravings.
However,
robust
replicable
biomarker
for
CUD
phenotyping
lacking,
the
association
between
brain
phenotypes
treatment
response
remains
unclear.
Our
study
successfully
established
cross-validated
functional
connectivity
signature
accurate
phenotyping,
using
resting-state
resonance
imaging
from
discovery
cohort,
demonstrated
its
generalizability
an
independent
replication
cohort.
We
identified
FCs
involving
increased
visual
network
dorsal
attention
network,
frontoparietal
control
ventral
as
well
decreased
default
mode
limbic
patients
compared
to
healthy
controls.
These
abnormal
connections
correlated
significantly
with
other
drug
history
cognitive
dysfunctions,
e.g.,
non-planning
impulsivity.
further
confirmed
prognostic
of
discriminative
rTMS
found
that
treatment-predictive
mainly
involved
networks.
findings
provide
new
insights
into
neurobiological
mechanisms
response,
offering
promising
targets
future
therapeutic
development.
medRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2024,
Volume and Issue:
unknown
Published: April 12, 2024
Major
depressive
disorder
(MDD)
is
a
common
and
often
severe
condition
that
profoundly
diminishes
quality
of
life
for
individuals
across
ages
demographic
groups.
Unfortunately,
current
antidepressant
psychotherapeutic
treatments
exhibit
limited
efficacy
unsatisfactory
response
rates
in
substantial
number
patients.
The
development
effective
therapies
MDD
hindered
by
the
insufficiently
understood
heterogeneity
within
its
elusive
underlying
mechanisms.
To
address
these
challenges,
we
present
target-oriented
multimodal
fusion
framework
robustly
predicts
integrating
structural
functional
connectivity
data
(sertraline:
R
2022 13th International Conference on Computing Communication and Networking Technologies (ICCCNT),
Journal Year:
2023,
Volume and Issue:
unknown
Published: July 6, 2023
By
fusing
clinical
information
with
functional
magnetic
resonance
imaging
(fFMRI)
pictures,
this
study
describes
a
novel
method
for
predicting
changes
in
cerebral
blood
flow
during
brain
strokes.
The
FMRI
data
and
patient-specific
variables,
such
as
age,
gender,
medical
history,
are
combined
via
feature
fusion
the
proposed
technique.
As
result,
model
developed
can
accurately
forecast
that
occur
efficiency
of
suggested
strategy
is
shown
by
experimental
findings.
performance
greatly
enhanced
when
characteristics
opposed
to
just
one
source.
findings
have
important
ramifications
increasing
accuracy
stroke
diagnosis
treatment
and,
eventually,
bettering
patient
outcomes.
results
showed
high
level
after
was
much
combining
using
only
these
sources.
This
emphasizes
value
including
pertinent
management
stroke.
Psychiatry Research,
Journal Year:
2024,
Volume and Issue:
340, P. 116092 - 116092
Published: July 27, 2024
Treatment-resistant
depression
(TRD)
is
defined
as
patients
diagnosed
with
having
a
history
of
failure
different
antidepressants
an
adequate
dosage
and
treatment
duration.
The
NMDA
receptor
antagonist
ketamine
rapidly
reduces
depressive
symptoms
in
TRD.
We
examined
neural
correlates
response
to
TRD
through
systematic
review
brain
magnetic
resonance
imaging
(MRI)
studies.
A
comprehensive
search
PubMed
was
performed
using
"ketamine
AND
resonance."
time
span
for
the
database
queries
"Start
date:
2018/01/01;
End
2024/05/31."
Total
41
original
articles
comprising
1,396
587
healthy
controls
(HC)
were
included.
Diagnosis
made
Structured
Clinical
Interview
DSM
Disorders
(SCID),
Mini-International
Neuropsychiatric
(MINI),
and/or
clinical
assessment
by
psychiatrists.
Patients
affective
psychotic
disorders
excluded.
Most
studies
applied
[0.5mg/kg
racemic
0.25mg/kg
S-ketamine]
diluted
60cc
normal
saline
via
intravenous
infusion
over
40
min
one
time,
four
times,
or
six
times
spaced
2–3
days
apart
2
weeks.
outcome
either
remission,
response,
percentage
changes
symptoms.
Brain
MRI
T2*-weighted
(resting-state
task
performance),
arterial
spin
labeling,
diffusion
weighted
imaging,
T1-weighted
acquired
at
baseline
mainly
1–3days
after
administration.
Only
study
results
replicated
≥
included
default-mode,
salience,
fronto-parietal,
subcortical,
limbic
networks
regarded
meaningful.
Putative
brain-based
markers
found
structural/functional
features
(subgenual
ACC,
hippocampus,
cingulum
bundle-hippocampal
portion;
anhedonia/suicidal
ideation),
salience
(dorsal
insula,
bundle-cingulate
gyrus
thought
rumination/suicidal
fronto-parietal
(dorsolateral
prefrontal
cortex,
superior
longitudinal
fasciculus;
default-mode
(posterior
cingulate
cortex;
rumination),
subcortical
(striatum;
anhedonia/thought
rumination)
networks.
limbic,
could
be
useful
predicting
better
relief
anhedonia,
rumination,
suicidal
ideation.
medRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2024,
Volume and Issue:
unknown
Published: Sept. 24, 2024
Abstract
Major
depressive
disorder
(MDD)
is
a
global
health
challenge
with
high
prevalence.
Further,
many
diagnosed
MDD
are
treatment
resistant
to
traditional
antidepressants.
Repetitive
transcranial
magnetic
stimulation
(rTMS)
offers
promise
as
an
alternative
solution,
but
identifying
objective
biomarkers
for
predicting
response
remains
underexplored.
Electroencephalographic
(EEG)
recordings
cost-effective
neuroimaging
approach,
EEG
analysis
methods
often
do
not
consider
patient-specific
variations
and
fail
capture
complex
neuronal
dynamics.
To
address
this,
we
propose
data-driven
approach
combining
iterated
masking
empirical
mode
decomposition
(itEMD)
sparse
Bayesian
learning
(SBL).
Our
results
demonstrated
significant
prediction
of
rTMS
outcomes
using
this
(Protocol
1:
r=0.40,
p<0.01;
Protocol
2:
r=0.26,
p<0.05).
From
the
decomposition,
obtained
three
key
oscillations:
IMF-Alpha,
IMF-Beta,
remaining
residue.
We
also
identified
spatial
patterns
associated
two
protocols:
1
(10Hz
left
DLPFC),
important
areas
include
frontal
parietal
regions,
while
2
(1Hz
right
frontal,
regions
crucial.
Additionally,
our
exploratory
found
few
correlations
between
oscillation
specific
predictive
features
personality
measures.
This
study
highlights
potential
machine
learning-driven
personalized
prediction,
offering
pathway
improved
patient
outcomes.
Archives of Neuroscience,
Journal Year:
2024,
Volume and Issue:
11(4)
Published: Oct. 22, 2024
Background:
Obsessive-compulsive
disorder
(OCD)
is
characterized
by
alterations
in
brain
connectivity,
particularly
within
the
default
mode
network
(DMN)
and
salience
(SN).
Investigating
these
connectivity
differences
can
provide
a
deeper
understanding
of
neural
mechanisms
underlying
OCD.
Methods:
This
cross-sectional
study
involved
58
patients
diagnosed
with
OCD
38
healthy
control
subjects,
totaling
96
participants.
Resting-state
functional
MRI
(fMRI)
data
were
acquired
analyzed
using
CONN
toolbox
to
examine
intrinsic
resting-state
networks.
Graph
theory
metrics
applied
evaluate
node
connections
overall
topology.
Clinical
symptoms
assessed
Yale-Brown
Obsessive-Compulsive
Scale
(Y-BOCS),
their
correlations
patterns
graph-theory
parameters
analyzed.
Results:
The
controls
matched
terms
age,
gender,
marital
status,
socioeconomic
handedness.
However,
had
significantly
worse
general
health,
quality
life,
higher
levels
depression
anxiety.
Network
analyses
revealed
altered
whole-brain
patients,
DMN
frontoparietal
network.
most
significant
between-group
observed
between
posterior
parietal
cortex
(PPC)
precuneus.
Disruptions
DMN,
specifically
medial
prefrontal
cingulate
cortex,
changes
SN
involving
anterior
insula
correlated
severity
symptoms.
Conclusions:
findings
suggest
that
associated
distinct
which
may
play
critical
role
disorder's
pathophysiology.
These
disruptions
offer
potential
targets
for
therapeutic
intervention.
Further
research
needed
explore
larger
cohorts
at
various
stages
better
understand
clinical
significance.