Evidence map›Paper›PMID 39607091›Full record

ArticleBrain and behavior2024

Resting-State Electroencephalogram Complexity Is Associated With Oral Ketamine Treatment Response: A Bayesian Analysis of Lempel-Ziv Complexity and Multiscale Entropy.

Jules S Mitchell, Toomas E Anijärv, Adem T Can, Megan Dutton, Daniel F Hermens, Jim Lagopoulos

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Article in Brain and behavior, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Jules S MitchellThompson Institute, University of Sunshine Coast, Birtinya, Queensland, Australia.ORCID 0000-0002-3086-7129
Toomas E AnijärvThompson Institute, University of Sunshine Coast, Birtinya, Queensland, Australia.ORCID 0000-0002-3650-4230
Adem T CanThompson Institute, University of Sunshine Coast, Birtinya, Queensland, Australia.
Megan DuttonThompson Institute, University of Sunshine Coast, Birtinya, Queensland, Australia.
Daniel F HermensThompson Institute, University of Sunshine Coast, Birtinya, Queensland, Australia.
Jim LagopoulosThompson Brain & Mind Healthcare, Birtinya, Queensland, Australia.

Funding

Australian Government
6 · The paper itself

Abstract

introductionSubanesthetic doses of ketamine are a promising novel treatment for suicidality; however, the evidence for predictive biomarkers is sparse. Recently, measures of complexity, including Lempel-Ziv complexity (LZC) and multiscale entropy (MSE), have been implicated in ketamine's therapeutic action. We evaluated electroencephalogram (EEG)-derived LZC and MSE differences between responders and nonresponders to oral ketamine treatment.

methodsA total of 31 participants received six single, weekly (titrated) doses of oral racemic ketamine (0.5-3 mg/kg) and underwent EEG scans at baseline (Week 0), post-treatment (Week 6), and follow-up (Week 10). Resting-state (eyes closed and open) recordings were processed in EEGLAB, and complexity metrics were extracted using the Neurokit2 package. Participants were designated responders or nonresponders by clinical response (Beck Suicide Scale [BSS] score reduction of ≥ 50% from baseline to the respective timepoint or score ≤ 6) and then compared in terms of complexity across resting-state conditions and time.

resultsEmploying a Bayesian mixed effects model, we found strong evidence that LZC was higher in the eyes-open compared to eyes-closed condition, as were MSE scales 1-3. At a global level, responders displayed elevated eyes-open baseline complexity compared to nonresponders, with these values decreasing from baseline to post-treatment (Week 6) in responders only. Exploratory analyses revealed that the elevated baseline eyes-open LZC in responders was spatially localized to the left frontal lobe (F1, AF3, FC1, and F3).

conclusionEEG-complexity metrics may be sensitive biomarkers for evaluating and predicting oral ketamine treatment response, with the left prefrontal cortex bein a possible treatment response region.

Indexed as

Bayes TheoremElectroencephalographyEntropyKetamineAdministration, OralAdultBrainExcitatory Amino Acid AntagonistsFemaleHumansMaleMiddle AgedSuicidal IdeationYoung AdultExcitatory Amino Acid AntagonistsKetaminecomplexityelectroencephalogramketaminesuicidality

Identifiers

PMID39607091
PMCPMC11603427

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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.