Evidence map›Paper›PMID 30311317›Full record

ArticleHuman brain mapping2019

Quantifying the axonal pathways directly stimulated in therapeutic subcallosal cingulate deep brain stimulation.

Bryan Howell, Ki Sueng Choi, Kabilar Gunalan, Justin Rajendra, Helen S Mayberg, Cameron C McIntyre

Registry-linked trialAbstract read
In one paragraph

Article in Human brain mapping, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05773755 (Deep Brain Stimulation for Treatment Resistant Depression), which is not on this map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
4.6field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05773755 narecruitingnot on this mapstarted 2023, after this paper: background citation

Deep Brain Stimulation for Treatment Resistant Depression: Exploration of Local Field Potentials (LFPs) With the Medtronic Percept PC System

TypeinterventionalSponsorHelen Mayberg, MDRan2023 to 2028Enrolled20ConditionsMajor Depressive Disorder, Treatment Resistant DepressionArmsMedtronic Percept PC DBS system
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 58 citations in OpenAlex.

  1. Trial
  2. Field potential 1/Journal of neurophysiology · 2019
    Trial
  3. Article
  4. Article
  5. A review of diffusion MRI in mood disorders: mechanisms and predictors of treatment response.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2024
    Review
  6. Article
  7. Subcallosal cingulate deep brain stimulation evokes two distinct cortical responses via differential white matter activation.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
  8. Aperiodic neural activity is a biomarker for depression severity.medRxiv : the preprint server for health sciences · 2023
    Article
  9. Article
  10. Article
  11. Article
  12. Mitigating Mismatch Compression in Differential Local Field Potentials.IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society · 2023
    Article
  13. Review
  14. Causal mapping of human brain function.Nature reviews. Neuroscience · 2022
    Review
  15. Circuit-Targeted Neuromodulation for Anhedonia.Current topics in behavioral neurosciences · 2022
    Review
  16. Article
  17. Review
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Bryan HowellDepartment of Biomedical Engineering, Case Western Reserve University, Cleveland, Ohio.
Ki Sueng ChoiDepartment of Psychiatry and Behavioral Science, Emory University, Atlanta, Georgia.
Kabilar GunalanDepartment of Biomedical Engineering, Case Western Reserve University, Cleveland, Ohio.
Justin RajendraScientific and Statistical Computational Core, National Institute of Mental Health, Bethesda, Maryland.
Helen S MaybergDepartment of Psychiatry and Behavioral Science, Emory University, Atlanta, Georgia.
Cameron C McIntyreDepartment of Biomedical Engineering, Case Western Reserve University, Cleveland, Ohio.ORCID 0000-0003-0932-854X
Emory University · USCase Western Reserve University · USNational Institute of Mental Health · US

Funding

MEDICAL SCIENTIST TRAINING PROGRAMT32GM007250 · NIGMS · CASE WESTERN RESERVE UNIVERSITY · PI HUANG, ALEX YEE-CHEN · 1985 to 2023
$33.4M
Electrophysiological Biomarkers to Optimize DBS for DepressionUH3NS103550 · NINDS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI MAYBERG, HELEN S, RIVA-POSSE, PATRICIO · 2017 to 2023
$7.7M
Integrated Neural Engineering and Rehabilitation Training ProgramT32EB004314 · NIBIB · CASE WESTERN RESERVE UNIVERSITY · PI Jeffrey R Capadona, Robert F. Kirsch · 2004 to 2026
$6.1M
Tractography-Activation Models for Neuropsychiatric Deep StimulationR01MH102238 · NIMH · DUKE UNIVERSITY · PI MCINTYRE, CAMERON · 2014 to 2025
$4.5M
NRSA Training CoreTL1TR002549 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI HARDING, CLIFFORD V · 2018 to 2022
$2.9M
Clinical and Translational Science Collaborative of ClevelandTL1TR000441 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI KONSTAN, MICHAEL W. · 2012 to 2016
$2.8M
Computational models of subcallosal cingulate deep brain stimulationF32NS096839 · NINDS · CASE WESTERN RESERVE UNIVERSITY · PI HOWELL, BRYAN · 2016 to 2018
$164k
Dana FoundationHope for Depression Research FoundationNCATS NIH HHS TL1 TR000441NCATS NIH HHS TL1 TR002549NIBIB NIH HHS T32 EB004314NIGMS NIH HHS T32 GM007250NIH HHS T32 EB004314NIH HHS T32 GM007250NIH HHS TL1 TR000441NIH HHS UH3 NS103550NIMH NIH HHS R01 MH102238NINDS NIH HHS F32 NS096839NINDS NIH HHS UH3 NS103550U.S. Department of Education GAANN P200A100112
6 · The paper itself

Abstract

Deep brain stimulation (DBS) of the subcallosal cingulate (SCC) is an emerging experimental therapy for treatment-resistant depression. New developments in SCC DBS surgical targeting are focused on identifying specific axonal pathways for stimulation that are estimated from patient-specific computational models. This connectomic-based biophysical modeling strategy has proven successful in improving the clinical response to SCC DBS therapy, but the DBS models used to date have been relatively simplistic, limiting the precision of the pathway activation estimates. Therefore, we used the most detailed patient-specific foundation for DBS modeling currently available (i.e., field-cable modeling) to evaluate SCC DBS in our most recent cohort of six subjects, all of which were responders to the therapy. We quantified activation of four major pathways in the SCC region: forceps minor (FM), cingulum bundle (CB), uncinate fasciculus (UF), and subcortical connections between the frontal pole and the thalamus or ventral striatum (FP). We then used the percentage of activated axons in each pathway as regressors in a linear model to predict the time it took patients to reach a stable response, or TSR. Our analysis suggests that stimulation of the left and right CBs, as well as FM are the most likely therapeutic targets for SCC DBS. In addition, the right CB alone predicted 84% of the variation in the TSR, and the correlation was positive, suggesting that activation of the right CB beyond a critical percentage may actually protract the recovery process.

Indexed as

Deep Brain StimulationAdultAgedAxonsDepressive Disorder, Treatment-ResistantDiffusion Tensor ImagingFemaleGyrus CinguliHumansImage Interpretation, Computer-AssistedMaleMiddle AgedNeural Pathwayscomputational modelconnectomicpathway activation

Identifiers

PMID30311317
PMCPMC6859839
OpenAlexW2897729977

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.