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Study M322

Study name

Zhang YF 2015

Title

A MRS study of metabolic alterations in the frontal white matter of major depressive disorder patients with the treatment of SSRIs

Overall design

This study focused on the observation of any potential changes in the metabolite levels of the ventral prefrontal white matter in major depressive disorder (MDD) patients who have received antidepressant treatment. Female patients diagnosed as MDD according to Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) criteria with the scores of 18 and above on the 24-item Hamilton Depression Rating Scale (HDRS) were recruited (depression group, n = 17). In addition, healthy volunteers were recruited as normal control (control group, n = 19). Proton magnetic resonance spectroscopy (1H-MRS)scanning was performed on both control and patient groups before SSRIs treatment. The patient group received the second MRS examination about 12 weeks after applying paroxetine treatment (20 mg/d). MRS studies were performed on a 3.0 T MR system, single voxel PRESS spectroscopy with chemical-shift selective saturation water suppression. The volume of interest was localized at the bilateral ventral prefrontal white matter regions (voxel size: 2 x 2 x 2 mm(3)). The spectral data analysis was performed by using the instrument manufacturer supplied software. Metabolite quantification was reported relative to total creatine as the reference peak.

Study Type

Type1;

Type2;

Data available

Unavailable

Organism

Human;

Categories of depression

Depressive disorder; Depression; Depression;

Criteria for depression

DSM-IV diagnosed MDD, HAMD-24 >= 18

Sample size

36

Tissue

Central; Brain; Ventral prefrontal white matter;

Platform

MRS; MRS: 3.0 T MR system (General Electric, Excite Signa HD 3.0 T);

PMID

25934495

DOI

10.1186/s12888-015-0489-7

Citation

Zhang Y, Han Y, Wang Y, et al. A MRS study of metabolic alterations in the frontal white matter of major depressive disorder patients with the treatment of SSRIs. BMC Psychiatry 2015;15:99.

Metabolite

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