The integrated understanding of structural and functional connectomes in depression: A multimodal meta-analysis of graph metrics

J Affect Disord. 2021 Dec 1:295:759-770. doi: 10.1016/j.jad.2021.08.120. Epub 2021 Sep 4.

Abstract

Background: From the perspective of information processing, an integrated understanding of the structural and functional connectomes in depression patients is important, a multimodal meta-analysis is required to detect the robust alterations in graph metrics across studies.

Methods: Following a systematic search, 952 depression patients and 1447 controls in nine diffusion magnetic resonance imaging (dMRI) and twelve rest state functional MRI (rs-fMRI) studies with high methodological quality met the inclusion criteria and were included in the meta-analysis.

Results: Regarding the dMRI results, no significant differences of meta-analytic metrics were found; regarding the rs-fMRI results, the modularity and local efficiency were found to be significantly lower in the depression group than in the controls (Hedge's g = -0.330 and -0.349, respectively).

Conclusion: Our findings suggested a lower modularity and network efficiency in the rs-fMRI network in depression patients, indicating that the pathological imbalances in brain connectomes needs further exploration.

Limitations: Included number of trials was low and heterogeneity should be noted.

Keywords: Brain connectome; Depression; Diffusion MRI; Graph theory; Meta-analysis; Rest state functional MRI.

Publication types

  • Meta-Analysis
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Benchmarking
  • Brain / diagnostic imaging
  • Connectome*
  • Depression
  • Humans
  • Magnetic Resonance Imaging