Evidence map›Paper›PMID 30887865›Full record

Trial reportJournal of psychopharmacology (Oxford, England)2019

Dose-dependent effects of the selective serotonin reuptake inhibitor citalopram: A combined SPECT and phMRI study.

Anouk Schrantee, Michelle M Solleveld, Hilde Schwantje, Willem B Bruin, Henk-Jan Mm Mutsaerts, Sofie M Adriaanse, Paul Lucassen, Jan Booij, Liesbeth Reneman

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of psychopharmacology (Oxford, England), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.9field-weighted citation impact, top 26% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 10 citations in OpenAlex.

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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

9 authors at 2 institutions in 1 country.

Anouk Schrantee1 Amsterdam University Medical Centers, Academic Medical Center, Department of Radiology and Nuclear Medicine, Amsterdam, The Netherlands.ORCID 0000-0002-4035-4845
Michelle M Solleveld1 Amsterdam University Medical Centers, Academic Medical Center, Department of Radiology and Nuclear Medicine, Amsterdam, The Netherlands.
Hilde Schwantje1 Amsterdam University Medical Centers, Academic Medical Center, Department of Radiology and Nuclear Medicine, Amsterdam, The Netherlands.
Willem B Bruin3 Amsterdam University Medical Centers, Academic Medical Center, Department of Psychiatry, Amsterdam, The Netherlands.
Henk-Jan Mm Mutsaerts1 Amsterdam University Medical Centers, Academic Medical Center, Department of Radiology and Nuclear Medicine, Amsterdam, The Netherlands.ORCID 0000-0003-0894-0307
Sofie M Adriaanse1 Amsterdam University Medical Centers, Academic Medical Center, Department of Radiology and Nuclear Medicine, Amsterdam, The Netherlands.
Paul Lucassen2 Swammerdam Institute for Life Sciences, University of Amsterdam, Amsterdam, The Netherlands.
Jan Booij1 Amsterdam University Medical Centers, Academic Medical Center, Department of Radiology and Nuclear Medicine, Amsterdam, The Netherlands.
Liesbeth Reneman1 Amsterdam University Medical Centers, Academic Medical Center, Department of Radiology and Nuclear Medicine, Amsterdam, The Netherlands.
Amsterdam UMC Location University of Amsterdam · NLUniversity of Amsterdam · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSerotonin transporter blockers, like citalopram, dose-dependently bind to the serotonin transporter. Pharmacological magnetic resonance imaging (phMRI) can be used to non-invasively monitor effects of serotonergic medication. Although previous studies showed that phMRI can measure the effect of a single dose of serotoninergic medication, it is currently unclear whether it can also detect dose-dependent effects.

aimsTo investigate the dose-dependent phMRI response to citalopram and compared this with serotonin transporter occupancy, measured with single photon emission computed tomography (SPECT).

methodsForty-five healthy females were randomized to pre-treatment with placebo, a low (4 mg) or clinically standard (16 mg) oral citalopram dose. Prior to citalopram, and 3 h after, subjects underwent SPECT scanning. Subsequently, a phMRI scan with a citalopram challenge (7.5 mg intravenously) was conducted. Change in cerebral blood flow in response to the citalopram challenge was assessed in the thalamus and occipital cortex (control region).

resultsCitalopram dose-dependently affected serotonin transporter occupancy, as measured with SPECT. In addition, citalopram dose-dependently affected the phMRI response to intravenous citalopram in the thalamus (but not occipital cortex), but phMRI was less sensitive in distinguishing between groups than SPECT. Serotonin transporter occupancy showed a trend-significant correlation to thalamic cerebral blood flow change.

conclusionThese results suggest that phMRI likely suffers from higher variation than SPECT, but that these techniques probably also assess different functional aspects of the serotonergic synapse; therefore phMRI could complement positron emission tomography/SPECT for measuring effects of serotonergic medication.

Indexed as

AdultCerebrovascular CirculationCitalopramFemaleHumansMagnetic Resonance ImagingOccipital LobePositron-Emission TomographySelective Serotonin Reuptake InhibitorsSerotoninSerotonin Plasma Membrane Transport ProteinsThalamusTomography, Emission-Computed, Single-PhotonYoung AdultCitalopramSelective Serotonin Reuptake InhibitorsSerotoninSerotonin Plasma Membrane Transport ProteinsCitalopramphMRIserotoninSPECT

Identifiers

PMID30887865
PMCPMC6572584
OpenAlexW2924813814

What OpenQuestion holds

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Registered trials

None linked

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.