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Updated: Feb 19, 2026

Individualized rTMS Treatment for Depression using an fMRI-Based Targeting Method
Published on: August 2, 2021
Neuroplasticity: from MRI to depressive symptoms
Philippe Fossati1, Andrei Radtchenko, Patrice Boyer
1CNRS UMR 7593, Pavillon Clérambault, Groupe Hospitalier Pitié-Salpétrière, 75013 Paris, France.
Depression is linked to reduced gray matter volume and impaired neural plasticity in key brain areas. Antidepressant treatments may reverse these changes, potentially restoring cognitive function.
Area of Science:
- Neuroscience
- Psychiatry
- Neuroimaging
Background:
- Depression is associated with significant brain alterations, including reduced gray matter volume in the prefrontal cortex, hippocampus, and striatum.
- These changes may stem from increased neural apoptosis and dysregulated neurotrophic factor synthesis, such as brain-derived neurotrophic factor (BDNF).
- Reduced neurotrophic factors correlate with increased apoptosis and cognitive deficits observed in depression.
Purpose of the Study:
- To investigate the morphological and functional brain changes in depression.
- To explore the role of neurotrophic factors and neural plasticity in depressive disorders.
- To examine the potential reversibility of these brain dysregulations with antidepressant treatment.
Main Methods:
- Structural magnetic resonance imaging (MRI) to assess gray matter volume.
- Analysis of neurotrophic factor synthesis (e.g., BDNF mRNA) and apoptosis.
- Evaluation of neural plasticity, including synaptic connectivity and long-term potentiation (LTP).
Main Results:
- Observed reduction in gray matter volume in the prefrontal cortex, hippocampus, and striatum of depressed patients.
- Evidence suggests decreased neurotrophic factor expression and increased apoptosis in critical brain regions.
- Neural plasticity, including LTP, is diminished in the context of depression.
Conclusions:
- Brain structural and functional deficits in depression are linked to neurotrophic factor deficits and impaired neural plasticity.
- Antidepressant treatments show promise in reversing these changes, potentially restoring hippocampal-prefrontal cortex communication and cognitive function.
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