Evidence map›Paper›PMID 36948900›Full record

ArticleBiological psychiatry2024

Tractography-Based Modeling Explains Treatment Outcomes in Patients Undergoing Deep Brain Stimulation for Obsessive-Compulsive Disorder.

Ron Gadot, Ningfei Li, Ben Shofty, Michelle Avendano-Ortega, Sarah McKay, Kelly R Bijanki, Meghan E Robinson, Garrett Banks, Nicole Provenza, Eric A Storch and 3 more

Erratum issuedAbstract read
In one paragraph

Article in Biological psychiatry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–field-weighted citation impact
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

18 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. A Multi-Symptom Circuit Architecture of Obsessive-Compulsive Disorder.medRxiv : the preprint server for health sciences · 2025
    Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Reciprocal projections between the globus pallidus externa and cortex span motor and nonmotor regions.Proceedings of the National Academy of Sciences of the United States of America · 2025
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  12. Article
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  18. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors.

Ron GadotDepartment of Neurosurgery, Baylor College of Medicine, Houston, Texas.
Ningfei LiDepartment of Neurology, Movement Disorder and Neuromodulation Unit, Charité Universitätsmedizin, Berlin, Germany.
Ben ShoftyDepartment of Neurosurgery, University of Utah, Salt Lake City, Utah.
Michelle Avendano-OrtegaDepartment of Psychiatry & Behavioral Sciences, Baylor College of Medicine, Houston, Texas.
Sarah McKayDepartment of Psychiatry & Behavioral Sciences, Baylor College of Medicine, Houston, Texas.
Kelly R BijankiDepartment of Neurosurgery, Baylor College of Medicine, Houston, Texas.
Meghan E RobinsonDepartment of Neurosurgery, Baylor College of Medicine, Houston, Texas.
Garrett BanksDepartment of Neurosurgery, Baylor College of Medicine, Houston, Texas.
Nicole ProvenzaDepartment of Neurosurgery, Baylor College of Medicine, Houston, Texas.
Eric A StorchDepartment of Psychiatry & Behavioral Sciences, Baylor College of Medicine, Houston, Texas.
Wayne K GoodmanDepartment of Psychiatry & Behavioral Sciences, Baylor College of Medicine, Houston, Texas.
Andreas HornBrigham and Women's Hospital, Harvard Medical School, Boston, Massachussetts.
Sameer A ShethDepartment of Neurosurgery, Baylor College of Medicine, Houston, Texas. Electronic address: sameer.sheth@bcm.edu.

Funding

Toward Connectomic Deep Brain Stimulation in Obsessive Compulsive DisorderR01MH130666 · NIMH · BRIGHAM AND WOMEN'S HOSPITAL · PI MICHAEL D FOX · 2022 to 2026
$3.9M
NIMH NIH HHS R01 MH130666
6 · The paper itself

Abstract

backgroundDeep brain stimulation (DBS) is an established and expanding therapy for treatment-refractory obsessive-compulsive disorder. Previous work has suggested that a white matter circuit providing hyperdirect input from the dorsal cingulate and ventrolateral prefrontal regions to the subthalamic nucleus could be an effective neuromodulatory target.

methodsWe tested this concept by attempting to retrospectively explain through predictive modeling the ranks of clinical improvement as measured by the Yale-Brown Obsessive Compulsive Scale (Y-BOCS) in 10 patients with obsessive-compulsive disorder who underwent DBS to the ventral anterior limb of internal capsule with subsequent programming uninformed by the putative target tract.

resultsRank predictions were carried out using the tract model by a team that was completely uninvolved in DBS planning and programming. Predicted Y-BOCS improvement ranks significantly correlated with actual Y-BOCS improvement ranks at the 6-month follow-up (r = 0.75, p = .013). Predicted score improvements correlated with actual Y-BOCS score improvements (r = 0.72, p = .018).

conclusionsHere, we provide data in a first-of-its-kind report suggesting that normative tractography-based modeling can blindly predict treatment response in DBS for obsessive-compulsive disorder.

Indexed as

Deep Brain StimulationDiffusion Tensor ImagingObsessive-Compulsive DisorderAdultFemaleHumansInternal CapsuleMaleMiddle AgedRetrospective StudiesTreatment OutcomeDeep brain stimulationObsessive-compulsive disorderOutcomePredictionTractographyWhite matter

Identifiers

PMID36948900
PMCPMC10387502

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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.