Evidence map›Paper›PMID 38383418›Full record

ArticleTrials2024

Efficacy of functional magnetic resonance imaging-guided personalized repetitive transcranial magnetic stimulation (fMRI-rTMS) in depressive patients with emotional blunting: study protocol for a randomized controlled trial.

Yuyu Zhang, Nailong Tang, Lei Lei, Runxin Lv, Yaochi Zhang, Nian Liu, Haixia Chen, Min Cai, Huaning Wang

Open access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 49% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

9 authors at 2 institutions in 1 country.

Yuyu ZhangDepartment of Psychiatry, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Nailong TangDepartment of Psychiatry, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Lei LeiDepartment of Psychiatry, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Runxin LvDepartment of Psychiatry, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Yaochi ZhangDepartment of Psychiatry, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Nian LiuDepartment of Psychiatry, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Haixia ChenDepartment of Psychiatry, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Min CaiDepartment of Psychiatry, Xijing Hospital, Fourth Military Medical University, Xi'an, China. mincai8787@hotmail.com.
Huaning WangDepartment of Psychiatry, Xijing Hospital, Fourth Military Medical University, Xi'an, China. xskzhu@fmmu.edu.cn.
Air Force Medical University · CNXijing Hospital · CN

Funding

Key Programme (CN) 82330043
6 · The paper itself

Abstract

backgroundEmotional blunting is a symptom that has always been present in depressed patients. Repetitive transcranial magnetic stimulation (rTMS) is a safe and effective supplementary therapy for treating depression. However, the effectiveness and brain imaging processes of functional magnetic resonance imaging-guided personalized rTMS (fMRI-rTMS) in the treatment of depression with emotional blunting have not been observed in randomized controlled trials.

methodsThis study is a randomized, controlled, double-blind, and single-center clinical trial in which 80 eligible depressed patients with emotional blunting will be randomly assigned to two groups: a functional magnetic resonance imaging-guided personalized rTMS (fMRI-rTMS) group and a control group. Individuals in the fMRI-rTMS group (n = 40) will receive high-frequency rTMS (10 Hz, 120% MT). The main target of stimulation will be the area most relevant to the functional connectivity of the right medial prefrontal cortex (mPFC) and amygdala. The control group (n = 40) will receive sham stimulation, with a coil flipped to 90 degrees relative to the vertical scalp. All patients will receive 15 consecutive days of treatment, with each session lasting half an hour per day, followed by 8 weeks of follow-up. The primary outcome is the comparison of Oxford Depression Questionnaire (ODQ) scores between these two groups at different time points. The secondary outcomes include evaluating other clinical scales and assessing the differences in brain imaging changes between the two groups before and after treatment. DISCUSSION: This trial aims to examine the effects of functional magnetic resonance imaging-guided personalized rTMS (fMRI-rTMS) intervention on depressed patients experiencing emotional blunting and to elucidate the potential mechanism behind it. The results will provide new evidence for using fMRI-rTMS in treating depression with emotional blunting in the future.

trial registrationClinicalTrials.gov INCT05555940. Registered on 13 September 2022 at http://clinicaltrials.gov .

Indexed as

DepressionTranscranial Magnetic StimulationBrainDouble-Blind MethodHumansMagnetic Resonance ImagingPrefrontal CortexRandomized Controlled Trials as TopicTreatment OutcomeDepressionEmotional bluntingFMRI-rTMSRandomized controlled trial

Identifiers

PMID38383418
PMCPMC10880253
OpenAlexW4392003209

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.