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Study M336

Study name

Baeken C 2017

Title

The impact of accelerated high frequency rTMS on brain neurochemicals in treatment-resistant depression: insights from 1H MR spectroscopy

Overall design

Right-handed antidepressant-free unipolar treatment resistant depressed (TRD) patients (depression group, n = 18) participated in this sham-controlled accelerated high frequency (aHF)-rTMS 1H MR spectroscopy study applied to the left dorsolateral prefrontal cortex (DLPFC). Baseline measurements were compared to age- and gender-matched healthy controls (control group, n = 18). Patients received 20 real or sham HF-rTMS sessions (5 sessions/day for 4 days) in the first week and the other condition in the second treatment week. 1H MR spectroscopy scans were performed at baseline (T0), after the first week (T1) and at the end of the treatment protocol after the second week (T2). We explicitly focused on neurochemical concentrations in the bilateral DLPFC and rostral anterior cingulate cortex (rACC). Metabolite quantification was reported relative to brain water concentration.

Study Type

Type1;

Type2;

Data available

Unavailable

Organism

Human;

Categories of depression

Depressive disorder; Treatment-resistant depression; Treatment-resistant depression;

Criteria for depression

ICD-10 diagnosed MDD

Sample size

36

Tissue

Central; Brain; Dorsolateral prefrontal cortex;

Central; Brain; Rostral anterior cingulate cortex;

Platform

MRS; MRS: 3 T Philips MRI scanner (Achieva, software level 2.5, Philips, Best, NL);

PMID

28738276

DOI

10.1016/j.clinph.2017.06.243

Citation

Baeken C, Lefaucheur JP, Van Schuerbeek P. The impact of accelerated high frequency rTMS on brain neurochemicals in treatment-resistant depression: insights from 1H MR spectroscopy. Clin Neurophysiol 2017;128(9):1664-72.

Metabolite

Glutamate and Glutamine;