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Diagnostic and Predictive Applications of Functional Near-Infrared Spectroscopy for Major Depressive Disorder: A
Cyrus S H Ho1, Lucas J H Lim1, A Q Lim2
1Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Frontiers in Psychiatry
|June 2, 2020
Summary
Functional near-infrared spectroscopy (fNIRS) shows promise for diagnosing major depressive disorder (MDD) and predicting treatment response. This neuroimaging technique reveals distinct cerebral hemodynamic changes in individuals with MDD, aiding symptom correlation and treatment monitoring.
Area of Science:
- Neuroscience
- Medical Imaging
- Psychiatry
Background:
- Major Depressive Disorder (MDD) lacks a definitive biomarker, necessitating advanced diagnostic tools.
- Functional Near-Infrared Spectroscopy (fNIRS) is emerging as a potential neuroimaging biomarker for MDD.
- This review systematically evaluates fNIRS applications in MDD diagnosis, symptom correlation, and treatment monitoring.
Approach:
- A comprehensive literature search was conducted across major databases (PubMed, EMBASE, ScienceDirect, Cochrane Library) for studies published between 1980 and June 2019.
- Included studies utilized fNIRS to assess cerebral hemodynamic variations in individuals with MDD.
- Study quality was assessed using the Newcastle-Ottawa Scale.
Key Points:
- fNIRS consistently identified attenuated cerebral hemodynamic changes in individuals with MDD compared to healthy controls.
- fNIRS signals demonstrated potential in correlating with specific depression symptoms.
- The technique shows promise for monitoring treatment responses in MDD patients.
Conclusions:
- fNIRS offers a promising, non-invasive approach for the diagnosis and treatment monitoring of MDD.
- Further research with larger sample sizes and standardized methodologies is recommended.
- Integrating fNIRS with other neuroimaging techniques and longitudinal studies could enhance its clinical utility.
Keywords:
diagnosticfunctional near-infrared spectroscopymajor depressive disorderpredictionsystematic review
