Thalamic Features Help Predict Treatment Response in Major Depressive Disorder

Published on June 1, 2022

Imagine you’re trying to find the perfect recipe for chocolate chip cookies. You know that everyone’s taste buds are different, so wouldn’t it be helpful if there were a way to predict which recipe would make each person the happiest? That’s exactly what scientists are trying to do with major depressive disorder (MDD) patients and antidepressant treatment. In this study, researchers used magnetic resonance imaging (MRI) to look at the thalamus, a part of the brain that shows abnormalities in MDD patients. By analyzing different features of the thalamus, like gray matter density and volume, they used a special type of analysis called multivariate pattern analysis (MVPA) to predict how well each patient would respond to treatment. The results showed that the density of gray matter in the thalamus was a good predictor of treatment response for MDD patients. This research is exciting because it could help doctors personalize treatments for individual patients, just like finding the perfect cookie recipe for each person’s unique taste buds!

Antidepressant treatment, as an important method in clinical practice, is not suitable for all major depressive disorder (MDD) patients. Although magnetic resonance imaging (MRI) studies have found thalamic abnormalities in MDD patients, it is not clear whether the features of the thalamus are suitable to serve as predictive aids for treatment responses at the individual level. Here, we tested the predictive value of gray matter density (GMD), gray matter volume (GMV), amplitude of low-frequency fluctuations (ALFF), and fractional ALFF (fALFF) of the thalamus using multivariate pattern analysis (MVPA). A total of 74 MDD patients and 44 healthy control (HC) subjects were recruited. Thirty-nine MDD patients and 35 HC subjects underwent scanning twice. Between the two scanning sessions, patients in the MDD group received selective serotonin reuptake inhibitor (SSRI) treatment for 3-month, and HC group did not receive any treatment. Gaussian process regression (GPR) was trained to predict the percentage decrease in the Hamilton Depression Scale (HAMD) score after treatment. The percentage decrease in HAMD score after SSRI treatment was predicted by building GPRs trained with baseline thalamic data. The results showed significant correlations between the true percentage of HAMD score decreases and predictions (p < 0.01, r2 = 0.11) in GPRs trained with GMD. We did not find significant correlations between the true percentage of HAMD score decreases and predictions in GMV (p = 0.16, r2 = 0.00), ALFF (p = 0.125, r2 = 0.00), and fALFF (p = 0.485, r2 = 0.10). Our results suggest that GMD of the thalamus has good potential as an aid in individualized treatment response predictions of MDD patients.

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