Evidence map›Paper›PMID 42147009›Full record

ArticleFrontiers in psychiatry2026

Combinatorial effects of multi-site stimulation on depression-related brain regions: clinical data analysis and predictive modeling.

Atefeh Ghazavi, Koorosh Mirpour, Masoud Soroush, Eleonora Bartoli, Nisha Giridharan, Denise Oswalt, Nicole R Provenza, Anusha Allawala, Wayne Goodman, Sameer A Sheth and 1 more

Abstract read
In one paragraph

Article in Frontiers in psychiatry, 2026. 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
–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

1 citing paper in PubMed.

  1. Article
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

11 authors.

Atefeh GhazaviDepartment of Neurological Surgery, University of Texas Southwestern, Dallas, TX, United States.
Koorosh MirpourDepartment of Neurological Surgery, University of Texas Southwestern, Dallas, TX, United States.
Masoud SoroushDepartment of Computer Science and Electrical Engineering, University of Maryland Baltimore County, Baltimore, MD, United States.
Eleonora BartoliDepartment of Neurosurgery, Baylor College of Medicine, Houston, TX, United States.
Nisha GiridharanDepartment of Neurosurgery, Baylor College of Medicine, Houston, TX, United States.
Denise OswaltDepartment of Neurosurgery, University of Pennsylvania, Philadelphia, PA, United States.
Nicole R ProvenzaDepartment of Neurosurgery, Baylor College of Medicine, Houston, TX, United States.
Anusha AllawalaDepartment of Neurological Surgery, University of California San Francisco, San Francisco, CA, United States.
Wayne GoodmanDepartment of Psychiatry, Baylor College of Medicine, Houston, TX, United States.
Sameer A ShethDepartment of Neurosurgery, Baylor College of Medicine, Houston, TX, United States.
Nader PouratianDepartment of Neurological Surgery, University of Texas Southwestern, Dallas, TX, United States.

Funding

Deep brain stimulation for depression using directional current steering an individualized network targetingUH3NS103549 · NINDS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GOODMAN, WAYNE K, POURATIAN, NADER · 2017 to 2025
$8.7M
NINDS NIH HHS UH3 NS103549
6 · The paper itself

Abstract

Background: Despite growing evidence supporting deep brain stimulation (DBS) for treatment- resistant depression (TRD), how stimulation delivered across hemispheres or across multiple targets interact to shape large-scale network activity remains poorly characterized. Objective: Using a unique opportunity to simultaneously stimulate the subcallosal cingulate (SCC) and ventral capsule/ventral striatum (VC/VS) in subjects with TRD while recording neural activity across putative prefrontal networks underlying depression via intracranial electrodes, we investigated whether bilateral or multi-target stimulation has additive, synergistic/super-additive, or antagonistic/sub-additive effects on power modulation across depression-related brain networks. Methods: Four DBS leads, and ten stereo-electroencephalography (sEEG) leads were implanted in depression-related prefrontal brain regions in three subjects with TRD. Power modulation in response to unilateral and bilateral stimulation, as well as interaction classes of combinatorial stimulations, were evaluated across various combinations of frequency bands and region of interests (ROI) using marginal predictions from a linear mixed-effects model which were then used as input for machine learning classifiers to predict the additive interaction class of combinatorial stimulations. Results: Bilateral and multi-target stimulation produced additive or sub-additive interactions in most cases. A decision tree classifier identified ROI as the most important feature for predicting interaction class, followed by stimulation target and spectral frequency band.

Indexed as

additive interactiondeep brain stimulationlocal field potentialmulti-target stimulationstereo-electroencephalographytreatment resistant depression

Identifiers

PMID42147009
PMCPMC13171579

What OpenQuestion holds

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Registered trials

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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.