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Study M213

Study name

Renshaw PF 1997

Title

Basal ganglia choline levels in depression and response to fluoxetine treatment: an in vivo proton magnetic resonance spectroscopy study

Overall design

The aim of this study was to investigate proton magnetic resonance spectra of the basal ganglia in medication-free outpatients with major depression (depression group, n = 41), prior to starting an 8-week standardized trial of open-label fluoxetine 20 mg/day, and matched comparison subjects (control group, n = 22). Upon completing the trial, subjects were classified as treatment responders (responder group, n = 18) if they had a post-trial HDRS score showing at least a 50% decrease from their initial score and this post-trial score was less than 7. Depressed subjects without this improvement on the HDRS were considered nonresponders (nonresponder group, n = 23). The 1H-MR resonances for N-acetyl aspartate, creatine and phosphocreatine, and choline-containing compounds. Metabolite quantification was reported relative to total creatine as the reference peak.

Study Type

Type1;

Type2;

Type4;

Data available

Unavailable

Organism

Human;

Categories of depression

Depressive disorder; Depression; Depression;

Criteria for depression

DSM-III-R diagnosed MDD, HAMD-17 >= 16

Sample size

63

Tissue

Central; Brain; Basal ganglia;

Platform

MRS; MRS: Signa 1.5 T scanner (General Electric Medical Systems, Milwaukee, WI);

PMID

9099409

DOI

10.1016/S0006-3223(96)00256-9

Citation

Renshaw PF, Lafer B, Babb SM, et al. Basal ganglia choline levels in depression and response to fluoxetine treatment: an in vivo proton magnetic resonance spectroscopy study. Biol Psychiatry 1997;41(8):837-43.

Metabolite

Choline-containing compounds/(Creatine and Phosphocreatine) ratio;