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Study M1080

Study name

Wang RC 2022

Title

Quantitative magnetic resonance spectroscopy of depression: the value of short-term metabolite changes in predicting treatment response

Overall design

The aim of this study was to explore the correlation between short-term metabolite changes and subsequent treatment response in major depressive disorder (MDD) by detecting the hippocampus dynamically with quantitative magnetic resonance spectroscopy (MRS) combined with a novel voxel-placement technique. In the test set, 74 patients with MDD (MDD group) and 20 healthy controls (control group) were included. Subjects underwent MRS once a week during 6 weeks of treatment. Metabolite quantification was reported in absolute concentrations. The association between hippocampal metabolite changes and clinical response was analyzed. After enrollment, all MDD patients were treated with citalopram for 3 weeks to observe the efficacy. Treatment responders continued to maintain the medication, and treatment non-responders were switched to the next stage for augmented treatment with bupropion. The subjects were then divided into refractory depression group (n = 26) and non-refractory depression group (n = 41) according to a HAMD score reduction rate of 50% after 6 weeks of individualized treatment.

Study Type

Type1;

Type2;

Type4;

Data available

Unavailable

Organism

Human;

Categories of depression

Depressive disorder; Depression; Depression;

Criteria for depression

DSM-IV diagnosed MDD, HAMD-17 >= 17

Sample size

94

Tissue

Central; Brain; Hippocampus;

Platform

MRS; MRS: Siemens 3.0T Trio MR scanner;

PMID

36523438

DOI

10.3389/fnins.2022.1025882

Citation

Wang R, Shen Y, Li G, et al. Quantitative magnetic resonance spectroscopy of depression: the value of short-term metabolite changes in predicting treatment response. Front Neurosci. 2022 Nov 29;16:1025882.

Metabolite

N-Acetyl-L-aspartic acid;

Glutamate and Glutamine;

Choline-containing compounds;