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Study M225

Study name

Kumar A 2002

Title

Frontal white matter biochemical abnormalities in late-life major depression detected with proton magnetic resonance spectroscopy

Overall design

The aim of this study was to examine the biochemical correlates of late-life major depression in the frontal gray and white matter by using single-voxel proton spectroscopy. Elderly patients with major depression (depression group, n = 20) and comparison subjects (control group, n = 18) similar in age and gender to the patients were scanned on a 1.5-T magnetic resonance scanner with head coil. Voxels were placed in the left dorsolateral white matter and bilaterally in the anterior cingulate gray matter. Absolute levels of N-acetylaspartate, choline, myo-inositol, and creatine were estimated with the LC-Model algorithm. Ratios of metabolite to creatine levels were computed from the absolute values. Both mean absolute levels and mean ratios of metabolite to creatine levels were compared across groups. Both mean absolute levels and mean ratios of metabolite to total creatine levels were compared.

Study Type

Type1;

Data available

Unavailable

Organism

Human;

Categories of depression

Depressive disorder; Geriatric depression; Geriatric depression;

Criteria for depression

DSM-IV diagnosed MDD, HAMD-17 >= 15

Sample size

38

Tissue

Central; Brain; Anterior cingulate gray matter;

Central; Brain; Dorsolateral white matter;

Platform

MRS; MRS: GE 1.5-T MRI/magnetic resonance spectroscopy scanner (General Electric Medical Systems, Waukesha, Wis.);

PMID

11925302

DOI

10.1176/appi.ajp.159.4.630

Citation

Kumar A, Thomas A, Lavretsky H, et al. Frontal white matter biochemical abnormalities in late-life major depression detected with proton magnetic resonance spectroscopy. Am J Psychiatry 2002;159(4):630-6.

Metabolite

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

myo-Inositol/(Creatine and Phosphocreatine) ratio;