1. Functional connectivity of the left DLPFC to striatum predicts treatment response of depression to TMS
- Author
-
Michael Avissar, Matteo Respino, Marc J. Dubin, Irena Ilieva, Conor Liston, Faith M. Gunning, and Fon Powell
- Subjects
Adult ,Male ,Frontostriatal ,medicine.medical_treatment ,Biophysics ,Stimulation ,Striatum ,Treatment resistant depression ,behavioral disciplines and activities ,Article ,lcsh:RC321-571 ,Functional connectivity ,03 medical and health sciences ,Depressive Disorder, Treatment-Resistant ,0302 clinical medicine ,Predictive Value of Tests ,Cortex (anatomy) ,medicine ,Humans ,lcsh:Neurosciences. Biological psychiatry. Neuropsychiatry ,Depression (differential diagnoses) ,General Neuroscience ,fMRI ,Middle Aged ,medicine.disease ,Magnetic Resonance Imaging ,Transcranial Magnetic Stimulation ,030227 psychiatry ,Frontal Lobe ,Transcranial magnetic stimulation ,Neostriatum ,medicine.anatomical_structure ,Diffusion Tensor Imaging ,Treatment Outcome ,nervous system ,Brain stimulation ,TMS ,Antidepressant ,Female ,Neurology (clinical) ,Nerve Net ,Psychology ,Neuroscience ,Treatment-resistant depression ,030217 neurology & neurosurgery ,Diffusion MRI - Abstract
Background: Repetitive transcranial magnetic stimulation (TMS) is a non-invasive, safe, and efficacious treatment for depression. TMS has been shown to normalize abnormal functional connectivity of cortico-cortical circuits in depression and baseline functional connectivity of these circuits predicts treatment response. Less is known about the relationship between functional connectivity of frontostriatal circuits and treatment response. Objective/Hypothesis: We investigated whether baseline functional connectivity of distinct frontostriatal circuits predicted response to TMS. Methods: Resting-state fMRI (rsfMRI) was acquired in 27 currently depressed subjects with treatment resistant depression and 27 healthy controls. Depressed subjects were treated with 5 weeks of daily TMS over the left dorsolateral prefrontal cortex (DLPFC). The functional connectivity between limbic, executive, rostral motor, and caudal motor regions of frontal cortex and their corresponding striatal targets were determined at baseline using an existing atlas based on diffusion tensor imaging. TMS treatment response was measured by percent reduction in the 24-item Hamilton Depression Rating Scale (HAMD24). In an exploratory analysis, correlations were determined between baseline functional connectivity and TMS treatment response. Results: Seven cortical clusters belonging to the executive and rostral motor frontostriatal projections had reduced functional connectivity in depression compared to healthy controls. No frontostriatal projections showed increased functional connectivity in depression (voxel-wise p
- Published
- 2017