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Prompiengchai S, Dunlop K. Breakthroughs and challenges for generating brain network-based biomarkers of treatment response in depression. Neuropsychopharmacology 2024; 50:230-245. [PMID: 38951585 PMCID: PMC11525717 DOI: 10.1038/s41386-024-01907-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/29/2024] [Revised: 05/17/2024] [Accepted: 06/13/2024] [Indexed: 07/03/2024]
Abstract
Treatment outcomes widely vary for individuals diagnosed with major depressive disorder, implicating a need for deeper understanding of the biological mechanisms conferring a greater likelihood of response to a particular treatment. Our improved understanding of intrinsic brain networks underlying depression psychopathology via magnetic resonance imaging and other neuroimaging modalities has helped reveal novel and potentially clinically meaningful biological markers of response. And while we have made considerable progress in identifying such biomarkers over the last decade, particularly with larger, multisite trials, there are significant methodological and practical obstacles that need to be overcome to translate these markers into the clinic. The aim of this review is to review current literature on brain network structural and functional biomarkers of treatment response or selection in depression, with a specific focus on recent large, multisite trials reporting predictive accuracy of candidate biomarkers. Regarding pharmaco- and psychotherapy, we discuss candidate biomarkers, reporting that while we have identified candidate biomarkers of response to a single intervention, we need more trials that distinguish biomarkers between first-line treatments. Further, we discuss the ways prognostic neuroimaging may help to improve treatment outcomes to neuromodulation-based therapies, such as transcranial magnetic stimulation and deep brain stimulation. Lastly, we highlight obstacles and technical developments that may help to address the knowledge gaps in this area of research. Ultimately, integrating neuroimaging-derived biomarkers into clinical practice holds promise for enhancing treatment outcomes and advancing precision psychiatry strategies for depression management. By elucidating the neural predictors of treatment response and selection, we can move towards more individualized and effective depression interventions, ultimately improving patient outcomes and quality of life.
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Affiliation(s)
| | - Katharine Dunlop
- Centre for Depression and Suicide Studies, Unity Health Toronto, Toronto, ON, Canada.
- Keenan Research Centre for Biomedical Science, Unity Health Toronto, Toronto, ON, Canada.
- Department of Psychiatry and Institute of Medical Science, University of Toronto, Toronto, ON, Canada.
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Martin A. Supramodality does not specify the nature of conceptual representations. LANGUAGE, COGNITION AND NEUROSCIENCE 2023; 39:850-853. [PMID: 39184914 PMCID: PMC11343472 DOI: 10.1080/23273798.2023.2211691] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/02/2023] [Accepted: 05/03/2023] [Indexed: 08/27/2024]
Affiliation(s)
- Alex Martin
- Laboratory of Brain and Cognition, National Institute of mental health, NIH, Bethesda, MD, USA
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Kang D, In MH, Jo HJ, Halverson MA, Meyer NK, Ahmed Z, Gray EM, Madhavan R, Foo TK, Fernandez B, Black DF, Welker KM, Trzasko JD, Huston J, Bernstein MA, Shu Y. Improved Resting-State Functional MRI Using Multi-Echo Echo-Planar Imaging on a Compact 3T MRI Scanner with High-Performance Gradients. SENSORS (BASEL, SWITZERLAND) 2023; 23:4329. [PMID: 37177534 PMCID: PMC10181561 DOI: 10.3390/s23094329] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/17/2023] [Revised: 04/21/2023] [Accepted: 04/25/2023] [Indexed: 05/15/2023]
Abstract
In blood-oxygen-level-dependent (BOLD)-based resting-state functional (RS-fMRI) studies, usage of multi-echo echo-planar-imaging (ME-EPI) is limited due to unacceptable late echo times when high spatial resolution is used. Equipped with high-performance gradients, the compact 3T MRI system (C3T) enables a three-echo whole-brain ME-EPI protocol with smaller than 2.5 mm isotropic voxel and shorter than 1 s repetition time, as required in landmark fMRI studies. The performance of the ME-EPI was comprehensively evaluated with signal variance reduction and region-of-interest-, seed- and independent-component-analysis-based functional connectivity analyses and compared with a counterpart of single-echo EPI with the shortest TR possible. Through the multi-echo combination, the thermal noise level is reduced. Functional connectivity, as well as signal intensity, are recovered in the medial orbital sulcus and anterior transverse collateral sulcus in ME-EPI. It is demonstrated that ME-EPI provides superior sensitivity and accuracy for detecting functional connectivity and/or brain networks in comparison with single-echo EPI. In conclusion, the high-performance gradient enabled high-spatial-temporal resolution ME-EPI would be the method of choice for RS-fMRI study on the C3T.
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Affiliation(s)
- Daehun Kang
- Department of Radiology, Mayo Clinic, Rochester, MN 55905, USA; (D.K.)
| | - Myung-Ho In
- Department of Radiology, Mayo Clinic, Rochester, MN 55905, USA; (D.K.)
| | - Hang Joon Jo
- Department of Radiology, Mayo Clinic, Rochester, MN 55905, USA; (D.K.)
- Department of Physiology, Hanyang University, Seoul 04763, Republic of Korea
| | | | - Nolan K. Meyer
- Department of Radiology, Mayo Clinic, Rochester, MN 55905, USA; (D.K.)
- Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic, Rochester, MN 55905, USA
| | - Zaki Ahmed
- Department of Radiology, Mayo Clinic, Rochester, MN 55905, USA; (D.K.)
| | - Erin M. Gray
- Department of Radiology, Mayo Clinic, Rochester, MN 55905, USA; (D.K.)
| | | | | | | | - David F. Black
- Department of Radiology, Mayo Clinic, Rochester, MN 55905, USA; (D.K.)
| | - Kirk M. Welker
- Department of Radiology, Mayo Clinic, Rochester, MN 55905, USA; (D.K.)
| | - Joshua D. Trzasko
- Department of Radiology, Mayo Clinic, Rochester, MN 55905, USA; (D.K.)
| | - John Huston
- Department of Radiology, Mayo Clinic, Rochester, MN 55905, USA; (D.K.)
| | - Matt A. Bernstein
- Department of Radiology, Mayo Clinic, Rochester, MN 55905, USA; (D.K.)
| | - Yunhong Shu
- Department of Radiology, Mayo Clinic, Rochester, MN 55905, USA; (D.K.)
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Steel A, Garcia BD, Silson EH, Robertson CE. Evaluating the efficacy of multi-echo ICA denoising on model-based fMRI. Neuroimage 2022; 264:119723. [PMID: 36328274 DOI: 10.1016/j.neuroimage.2022.119723] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2022] [Revised: 09/30/2022] [Accepted: 10/30/2022] [Indexed: 11/05/2022] Open
Abstract
fMRI is an indispensable tool for neuroscience investigation, but this technique is limited by multiple sources of physiological and measurement noise. These noise sources are particularly problematic for analysis techniques that require high signal-to-noise ratio for stable model fitting, such as voxel-wise modeling. Multi-echo data acquisition in combination with echo-time dependent ICA denoising (ME-ICA) represents one promising strategy to mitigate physiological and hardware-related noise sources as well as motion-related artifacts. However, most studies employing ME-ICA to date are resting-state fMRI studies, and therefore we have a limited understanding of the impact of ME-ICA on complex task or model-based fMRI paradigms. Here, we addressed this knowledge gap by comparing data quality and model fitting performance of data acquired during a visual population receptive field (pRF) mapping (N = 13 participants) experiment after applying one of three preprocessing procedures: ME-ICA, optimally combined multi-echo data without ICA-denoising, and typical single echo processing. As expected, multi-echo fMRI improved temporal signal-to-noise compared to single echo fMRI, with ME-ICA amplifying the improvement compared to optimal combination alone. However, unexpectedly, this boost in temporal signal-to-noise did not directly translate to improved model fitting performance: compared to single echo acquisition, model fitting was only improved after ICA-denoising. Specifically, compared to single echo acquisition, ME-ICA resulted in improved variance explained by our pRF model throughout the visual system, including anterior regions of the temporal and parietal lobes where SNR is typically low, while optimal combination without ICA did not. ME-ICA also improved reliability of parameter estimates compared to single echo and optimally combined multi-echo data without ICA-denoising. Collectively, these results suggest that ME-ICA is effective for denoising task-based fMRI data for modeling analyzes and maintains the integrity of the original data. Therefore, ME-ICA may be beneficial for complex fMRI experiments, including voxel-wise modeling and naturalistic paradigms.
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Affiliation(s)
- Adam Steel
- Department of Psychology and Brain Sciences, Dartmouth College, 3 Maynard Street, Hanover, NH 03755, US.
| | - Brenda D Garcia
- Department of Psychology and Brain Sciences, Dartmouth College, 3 Maynard Street, Hanover, NH 03755, US
| | - Edward H Silson
- Psychology, School of Philosophy, Psychology, and Language Sciences, University of Edinburgh, Edinburgh EH8 9JZ, UK
| | - Caroline E Robertson
- Department of Psychology and Brain Sciences, Dartmouth College, 3 Maynard Street, Hanover, NH 03755, US
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Davis BR, Garza A, Church JA. Key considerations for child and adolescent MRI data collection. FRONTIERS IN NEUROIMAGING 2022; 1:981947. [PMID: 36312216 PMCID: PMC9615104 DOI: 10.3389/fnimg.2022.981947] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/29/2022] [Accepted: 08/16/2022] [Indexed: 11/15/2022]
Abstract
Cognitive neuroimaging researchers' ability to infer accurate statistical conclusions from neuroimaging depends greatly on the quality of the data analyzed. This need for quality control is never more evident than when conducting neuroimaging studies with children and adolescents. Developmental neuroimaging requires patience, flexibility, adaptability, extra time, and effort. It also provides us a unique, non-invasive way to understand the development of cognitive processes, individual differences, and the changing relations between brain and behavior over the lifespan. In this discussion, we focus on collecting magnetic resonance imaging (MRI) data, as it is one of the more complex protocols used with children and youth. Through our extensive experience collecting MRI datasets with children and families, as well as a review of current best practices, we will cover three main topics to help neuroimaging researchers collect high-quality datasets. First, we review key recruitment and retention techniques, and note the importance for consistency and inclusion across groups. Second, we discuss ways to reduce scan anxiety for families and ways to increase scan success by describing the pre-screening process, use of a scanner simulator, and the need to focus on participant and family comfort. Finally, we outline several important design considerations in developmental neuroimaging such as asking a developmentally appropriate question, minimizing data loss, and the applicability of public datasets. Altogether, we hope this article serves as a useful tool for those wishing to enter or learn more about developmental cognitive neuroscience.
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Affiliation(s)
| | | | - Jessica A. Church
- Department of Psychology, The University of Texas at Austin, Austin, TX, United States
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