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Related Concept Videos

Brain Imaging01:14

Brain Imaging

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Brain imaging technologies provide critical insights into both the structure and function of the human brain, enabling medical professionals and researchers to diagnose, study, and treat neurological disorders or psychiatric disorders more effectively.
These technologies include computerized axial tomography (CAT or CT scans), positron-emission tomography (PET scans),  magnetic resonance imaging (MRI),  functional magnetic resonance imaging (fMRI), and Transcranial Magnetic...
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Depression: Overview01:18

Depression: Overview

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Depression is a prevalent mental illness marked by persistent sadness and lack of interest in previously enjoyable activities. It can take several forms, including major depression, persistent depressive disorder, and bipolar I and II disorders. Symptoms range from emotional changes like chronic worry to physical changes like sleep disturbances and suicidal thoughts. From a neurobiological perspective, depression is believed to be triggered by abnormalities in the brain's prefrontal cortex,...
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Human Genetics01:28

Human Genetics

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Human genetics provides a profound framework for understanding the interplay between genetic predispositions and human psychology. At the heart of this discipline lies the study of how genes influence physical traits, behaviors, and susceptibility to diseases. Each person carries a unique genetic code that subtly or significantly shapes their psychological and behavioral landscape.
The complex relationship between genetics and psychology is observable through common biological components such...
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A neuroimaging-based precision medicine framework for depression.

Yao Xiao1, Fay Y Womer2, Shuai Dong3

  • 1Early Intervention Unit, Department of Psychiatry, Affiliated Nanjing Brain Hospital, Nanjing Medical University, Nanjing, China; Functional Brain Imaging Institute of Nanjing Medical University, Nanjing, China.

Asian Journal of Psychiatry
|November 22, 2023
PubMed
Summary

This study identified two depression subtypes using brain imaging (ALFF) and treated them with targeted repetitive transcranial magnetic stimulation (rTMS), showing significant symptom improvement and normalized brain activity.

Keywords:
DepressionMachine learningPrecision medicineResting-state functional MRITranscranial magnetic stimulationYouth

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Area of Science:

  • Neuroscience
  • Psychiatry
  • Medical Imaging

Background:

  • Current depression diagnosis relies on subjective symptoms, leading to heterogeneity.
  • Objective neuroimaging biomarkers are needed for precise depression subtyping and treatment.

Purpose of the Study:

  • To develop and validate a neuroimaging-based subtyping system for depression.
  • To implement a precise repetitive transcranial magnetic stimulation (rTMS) strategy tailored to these subtypes.
  • To evaluate the clinical efficacy of subtype-specific rTMS.

Main Methods:

  • Two-stage study involving neuroimaging (ALFF) and Gaussian Mixture Model for subtyping depression.
  • Identification of subtype-specific rTMS targets in 238 patients and 66 controls.
  • Clinical application of precise rTMS in 72 hospitalized depressed youths, with MRI and clinical assessments.

Main Results:

  • Two subtypes identified: archetypal and atypical depression, based on distinct ALFF patterns.
  • Dorsomedial prefrontal cortex targeted for archetypal; occipital cortex for atypical depression.
  • Normalized ALFF and high symptom response rates (90% archetypal, 70.73% atypical) post-rTMS.

Conclusions:

  • A precision medicine framework for depression using neurobiomarkers and targeted rTMS was successfully developed.
  • The framework demonstrated promising results, creating a closed loop for subtyping, treatment, and evaluation.
  • Further randomized controlled trials are recommended to confirm findings.