Individual resting-state network functional connectivity predicts treatment improvement of repetitive transcranial magnetic stimulation in major depressive disorder: A pilot study

Psychiatry Res. 2024 Jan:331:115616. doi: 10.1016/j.psychres.2023.115616. Epub 2023 Nov 20.

Abstract

The current pilot study aimed to exploratively investigate whether individual functional connectivity (FC) of the rTMS stimulation site with resting-state networks could predict the individual efficacy of rTMS treatment. We found that rTMS induced an increase of the FC between the stimulation site and the limbic network (LN) in healthy participants, and that this individualized FC was negatively correlated with the rTMS treatment improvement in MDD patients. Moreover, the LN successfully guided the personalized rTMS therapy. These findings highlighted the crucial role of the LN in understanding the mechanisms underlying rTMS treatment improvement, and the personalized therapy in MDD patients.

Keywords: Major depressive disorder; Repetitive transcranial magnetic stimulation; Resting-state network.

MeSH terms

  • Depressive Disorder, Major* / diagnostic imaging
  • Depressive Disorder, Major* / therapy
  • Humans
  • Magnetic Resonance Imaging
  • Pilot Projects
  • Prefrontal Cortex
  • Transcranial Magnetic Stimulation*
  • Treatment Outcome