Evidence map›Paper›PMID 37891643›Full record

ArticleJournal of medical case reports2023

Durable effects of deep brain ultrasonic neuromodulation on major depression: a case report.

Thomas S Riis, Daniel A Feldman, Lily C Vonesh, Jefferson R Brown, Daniela Solzbacher, Jan Kubanek, Brian J Mickey

Registry-linked trialOpen access · goldAbstract readCase Reports
In one paragraph

Article in Journal of medical case reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05301036 (Personalized Ultrasonic Brain Stimulation for Depression), which is not on this map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 2 pooled it
5.6field-weighted citation impact, top 3% 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.

NCT05301036 phase1 / phase2active not recruitingnot on this map

Personalized Ultrasonic Brain Stimulation for Depression: A Pilot Study of Target Engagement and Mood Effects

TypeinterventionalSponsorUniversity of UtahRan2022 to 2024Enrolled20ConditionsMajor Depressive EpisodeArmsDiadem prototype
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 51 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Review
  6. Article
  7. Noninvasive Suppression of Responses to Threat Using Focused Ultrasonic Waves.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2026
    Article
  8. Review
  9. Review
  10. Review
  11. Article
  12. Article
  13. Review
  14. Review
  15. Article
  16. Article
  17. A Physiological Marker for Deep Brain Ultrasonic Neuromodulation.Neuromodulation : journal of the International Neuromodulation Society · 2025
    Article
  18. What can neuroimaging of neuromodulation reveal about the basis of circuit therapies for psychiatry?Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2024
    Review
  19. Listening for the beat: Low intensity ultrasound modulates heartbeat evoked potentials.Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology · 2024
    Article
  20. Review
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

7 authors at 1 institution in 1 country.

Thomas S RiisDepartment of Biomedical Engineering, University of Utah, Salt Lake City, USA. tom.riis@utah.edu.
Daniel A FeldmanDepartment of Psychiatry, Huntsman Mental Health Institute, University of Utah, Salt Lake City, USA.
Lily C VoneshDepartment of Psychiatry, Huntsman Mental Health Institute, University of Utah, Salt Lake City, USA.
Jefferson R BrownDepartment of Psychiatry, Huntsman Mental Health Institute, University of Utah, Salt Lake City, USA.
Daniela SolzbacherDepartment of Psychiatry, Huntsman Mental Health Institute, University of Utah, Salt Lake City, USA.
Jan KubanekDepartment of Biomedical Engineering, University of Utah, Salt Lake City, USA.ORCID http://orcid.org/0000-0003-0527-5559
Brian J MickeyDepartment of Biomedical Engineering, University of Utah, Salt Lake City, USA.
University of Utah · US

Funding

Noninvasive Targeted NeuromodulationRF1NS128569 · NINDS · UNIVERSITY OF UTAH · PI KUBANEK, JAN · 2022 to 2022
$1.4M
Ultrasonic Neuromodulation: From Mechanism To Optimal ApplicationR00NS100986 · NINDS · UNIVERSITY OF UTAH · PI KUBANEK, JAN · 2019 to 2021
$729k
NINDS NIH HHS R00NS100986NINDS NIH HHS RF1 NS128569NINDS NIH HHS RF1NS128569
6 · The paper itself

Abstract

backgroundSevere forms of depression have been linked to hyperactivity of the subcallosal cingulate cortex. The ability to stimulate the subcallosal cingulate cortex or associated circuits noninvasively and directly would maximize the number of patients who could receive treatment. To this end, we have developed an ultrasound-based device for effective noninvasive modulation of deep brain circuits. Here we describe an application of this tool to an individual with treatment-resistant depression. CASE PRESENTATION: A 30-year-old Caucasian woman with severe treatment-resistant non-psychotic depression was recruited into a clinical study approved by the Institutional Review Board of the University of Utah. The patient had a history of electroconvulsive therapy with full remission but without sustained benefit. Magnetic resonance imaging was used to coregister the ultrasound device to the subject's brain anatomy and to evaluate neural responses to stimulation. Brief, 30-millisecond pulses of low-intensity ultrasound delivered into the subcallosal cingulate cortex target every 4 seconds caused a robust decrease in functional magnetic resonance imaging blood-oxygen-level-dependent activity within the target. Following repeated stimulation of three anterior cingulate targets, the patient's depressive symptoms resolved within 24 hours of the stimulation. The patient remained in remission for at least 44 days afterwards.

conclusionsThis case illustrates the potential for ultrasonic neuromodulation to precisely engage deep neural circuits and to trigger a durable therapeutic reset of those circuits. Trial registration ClinicalTrials.gov, NCT05301036. Registered 29 March 2022, https://clinicaltrials.gov/ct2/show/NCT05301036.

Indexed as

Deep Brain StimulationMajor Depressive DisorderAdultBrainDepressionFemaleHumansUltrasonicsDepressionNeuromodulationUltrasound

Identifiers

PMID37891643
PMCPMC10612153
OpenAlexW4387968318

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.