The DOI matches its Crossref record; 28 of the 28 references it cites were found in a registry or an index.
Deep Brain Stimulation for Depression Informed by Intracranial Recordings
Open accessAbstract
The success of deep brain stimulation (DBS) for treating Parkinson's disease has led to its application to several other disorders, including treatment-resistant depression. Results with DBS for treatment-resistant depression have been heterogeneous, with inconsistencies largely driven by incomplete understanding of the brain networks regulating mood, especially on an individual basis. We report results from the first subject treated with DBS for treatment-resistant depression using an approach that incorporates intracranial recordings to personalize understanding of network behavior and its response to stimulation. These recordings enabled calculation of individually optimized DBS stimulation parameters using a novel inverse solution approach. In the ensuing double-blind, randomized phase incorporating these bespoke parameter sets, DBS led to remission of symptoms and dramatic improvement in quality of life. Results from this initial case demonstrate the feasibility of this personalized platform, which may be used to improve surgical neuromodulation for a vast array of neurologic and psychiatric disorders.
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“A case study of combined VC/VS and SCC DBS reports remission until 75 weeks follow-up of combined stimulation and differential response-profiles.”
From Deep brain stimulation for depression. (2022) · cites this paper as [77]
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“SCC stimulation reduced “mental noise” and produced calmness and attention and VC/VS stimulation produced energy and motivation [77].”
From Deep brain stimulation for depression. (2022) · cites this paper as [77]
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Citations
Cites
Selective Cortical Undercutting As a Means of Modifying and Studying Frontal Lobe Function in Man
Scoville, W. B. (1949) · Journal of neurosurgery · doi:10.3171/jns.1949.6.1.0065 · Cited by 7,374
Resting-state connectivity biomarkers define neurophysiological subtypes of depression
Drysdale, A. T., Grosenick, L., Downar, J., Dunlop, K., Mansouri, F., Meng, Y., Fetcho, R. N., Zebley, B., Oathes, D. J., Etkin, A., et al. (2017) · Nature Medicine · doi:10.1038/nm.4246 · Cited by 2,170 · cited 3×
“sEEG electrodes targeted downstream depression-relevant frontotemporal network regions: bilateral dorsolateral prefrontal cortex (dlPFC), ventrolateral and ventromedial prefrontal cortex (vlPFC, vmPFC), orbitofrontal cortex (OFC), anterior cingulate cortex (ACC), and mesial temporal lobe (MTL) (20, 21).”
Dalgleish, T. (2004) · Nature Reviews Neuroscience · doi:10.1038/nrn1432 · Cited by 1,849
Deep Brain Stimulation of the Ventral Capsule/Ventral Striatum for Treatment-Resistant Depression
Malone, D. A., Dougherty, D. D., Rezai, A. R., Carpenter, L. L., Friehs, G. M., Eskandar, E. N., Rauch, S. L., Rasmussen, S. A., Machado, A. G., Kubu, C. S., et al. (2009) · Biological Psychiatry · doi:10.1016/j.biopsych.2008.08.029 · Cited by 897 · cited 3×
“To fully investigate the distinct contributions of these networks, we targeted the DBS leads to two previously studied regions, the subcallosal cingulate (SCC) (2, 3) and the ventral capsule/ventral striatum (VC/VS) (4, 5).”
Precision psychiatry: a neural circuit taxonomy for depression and anxiety
Williams, L. M. (2016) · The Lancet Psychiatry · doi:10.1016/s2215-0366(15)00579-9 · Cited by 641 · cited 5×
“Stereo-EEG recording contacts (white) sample regions within depression-relevant frontotemporal networks, including dlPFC and dmPFC (blue), dACC (green), vmPFC (yellow), OFC (pink), and MTL (red).”
InfluentialHoltzheimer, P. E., Husain, M. M., Lisanby, S. H., Taylor, S. F., Whitworth, L. A., McClintock, S., Slavin, K. V., Berman, J., McKhann, G. M., Patil, P. G., et al. (2017) · The Lancet Psychiatry · doi:10.1016/s2215-0366(17)30371-1 · Cited by 577 · cited 1×
“Previous open-label studies of DBS for TRD have demonstrated encouraging results (2-5), but two recent pivotal trials were aborted after interim analyses raised concern for futility (6, 7).”
Dougherty, D. D., Rezai, A. R., Carpenter, L. L., Howland, R. H., Bhati, M. T., O’Reardon, J. P., Eskandar, E. N., Baltuch, G. H., Machado, A. D., Kondziolka, D., et al. (2015) · Biological Psychiatry · doi:10.1016/j.biopsych.2014.11.023 · Cited by 558 · cited 2×
“stimulation injected energy and motivation (5, 7, 14, 16, 22).”
Riva-Posse, P., Choi, K. S., Holtzheimer, P. E., Crowell, A. L., Garlow, S. J., Rajendra, J. K., McIntyre, C. C., Gross, R. E., & Mayberg, H. S. (2018) · Molecular Psychiatry · doi:10.1038/mp.2017.59 · Cited by 441 · cited 14×
“Network-Minded Implant Surgery The initial surgery consisted of intracranially implanting 4 DBS leads (bilateral SCC and VC/VS) and 10 sEEG electrodes (Supplementary Information).”
InfluentialSelf-citationLozano, A. M., Giacobbe, P., Hamani, C., Rizvi, S. J., Kennedy, S. H., Kolivakis, T. T., Debonnel, G., Sadikot, A. F., Lam, R. W., Howard, A. K., et al. (2012) · Journal of Neurosurgery · doi:10.3171/2011.10.jns102122 · Cited by 356
Bergfeld, I. O., Mantione, M., Hoogendoorn, M. L. C., Ruhé, H. G., Notten, P., van Laarhoven, J., Visser, I., Figee, M., de Kwaasteniet, B. P., Horst, F., et al. (2016) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2016.0152 · Cited by 336 · cited 2×
“To fully investigate the distinct contributions of these networks, we targeted the DBS leads to two previously studied regions, the subcallosal cingulate (SCC) (2, 3) and the ventral capsule/ventral striatum (VC/VS) (4, 5).”
Technique, Results, and Complications Related to Robot-Assisted Stereoelectroencephalography
Gonzalez-Martinez, J. A., Bulacio, J. C., Thompson, S., Gale, J. T., Smithason, S., Najm, I., & Bingaman, W. E. (2015) · Neurosurgery · doi:10.1227/neu.0000000000001034 · Cited by 318 · cited 1×
“Our trial utilizes stereo-EEG (sEEG), a percutaneous method for placing recording electrodes within the brain and interpreting network-wide activity (13).”
State-dependent responses to intracranial brain stimulation in a patient with depression
Scangos, K. W., Makhoul, G. S., Sugrue, L. P., Chang, E. F., & Krystal, A. D. (2021) · Nature Medicine · doi:10.1038/s41591-020-01175-8 · Cited by 243 · cited 1×
“Although routinely used in epilepsy, the intracranial EEG platform has rarely been used for other disorders (11, 12).”
Mood variations decoded from multi-site intracranial human brain activity
Sani, O. G., Yang, Y., Lee, M. B., Dawes, H. E., Chang, E. F., & Shanechi, M. M. (2018) · Nature Biotechnology · doi:10.1038/nbt.4200 · Cited by 235 · cited 1×
“14 stimulation to modulate them are the subject of active investigation (23-25).”
Modeling behaviorally relevant neural dynamics enabled by preferential subspace identification
Sani, O. G., Abbaspourazad, H., Wong, Y. T., Pesaran, B., & Shanechi, M. M. (2020) · Nature Neuroscience · doi:10.1038/s41593-020-00733-0 · Cited by 163 · cited 1×
“14 stimulation to modulate them are the subject of active investigation (23-25).”
Vitek, J. L., Jain, R., Chen, L., Tröster, A. I., Schrock, L. E., House, P. A., Giroux, M., Hebb, A. O., Farris, S., Whiting, D. M., et al. (2020) · The Lancet Neurology · doi:10.1016/s1474-4422(20)30108-3 · Cited by 153 · cited 1×
“The success of deep brain stimulation (DBS) in treating movement disorders such as Parkinson’s disease (1) has led to interest in its application to several psychiatric disorders including treatment-resistant depression (TRD).”
Yang, Y., Qiao, S., Sani, O. G., Sedillo, J. I., Ferrentino, B., Pesaran, B., & Shanechi, M. M. (2021) · Nature Biomedical Engineering · doi:10.1038/s41551-020-00666-w · Cited by 139
Choi, K. S., Riva‐Posse, P., Gross, R. E., & Mayberg, H. S. (2015) · JAMA Neurology · doi:10.1001/jamaneurol.2015.2564 · Cited by 136 · cited 1×
“stimulation injected energy and motivation (5, 7, 14, 16, 22).”
Four Deep Brain Stimulation Targets for Obsessive-Compulsive Disorder: Are They Different?
Haber, S. N., Yendiki, A., & Jbabdi, S. (2020) · Biological Psychiatry · doi:10.1016/j.biopsych.2020.06.031 · Cited by 134 · cited 1×
“Recent evidence correspondingly suggests that the brain networks associated with these two targets overlap but have distinct components (15-17).”
Intracranial EEG in the 21st Century
Jobst, B. C., Bartoloméi, F., Diehl, B., Frauscher, B., Kahane, P., Minotti, L., Sharan, A. D., Tardy, N., Worrell, G. A., & Gotman, J. (2020) · Epiliepsy currents/Epilepsy currents · doi:10.1177/1535759720934852 · Cited by 131 · cited 1×
“established approach of using intracranial electroencephalography (EEG) to individualize the understanding of epileptic networks (10).”
Bari, A., Mikell, C. B., Abosch, A., Ben‐Haim, S., Buchanan, R. J., Burton, A. W., Carcieri, S., Cosgrove, G. R., D’Haese, P.-F., Daskalakis, Z. J., et al. (2018) · Journal of Neurology Neurosurgery & Psychiatry · doi:10.1136/jnnp-2017-317082 · Cited by 72
Self-citationSanger, T. D., Liker, M. A., Arguelles, E., Deshpande, R., Maskooki, A., Ferman, D., Tongol, A., & Robison, A. (2018) · Brain Sciences · doi:10.3390/brainsci8070135 · Cited by 56 · cited 1×
“Although routinely used in epilepsy, the intracranial EEG platform has rarely been used for other disorders (11, 12).”
A Novel Framework for Network-Targeted Neuropsychiatric Deep Brain Stimulation
Allawala, A. B., Bijanki, K. R., Goodman, W. K., Cohn, J. F., Viswanathan, A., Yoshor, D., Borton, D. A., Pouratian, N., & Sheth, S. A. (2021) · Neurosurgery · doi:10.1093/neuros/nyab112 · Cited by 49 · cited 1×
“We devised a novel personalized medicine platform for DBS therapy development (9) and designed a clinical trial of DBS for TRD focused on this essential aspect: the need to achieve an individualized understanding of the specific brain networks contributing to a patient’s particular depressive phenotype and their respo…”
MethodSelf-citationTsolaki, E. C., Espinoza, R. T., & Pouratian, N. (2017) · Psychiatry Research Neuroimaging · doi:10.1016/j.pscychresns.2017.01.006 · Cited by 38 · cited 1×
“DBS leads were positioned to span the region of SCC and VC/VS with the joint maximal probability of connectivity with white matter tracts critically associated with each respective target, as we have previously described (18) (Supplementary Information).”
Self-citationRiva‐Posse, P., Inman, C. S., Choi, K. S., Crowell, A. L., Gross, R. E., Hamann, S. B., & Mayberg, H. S. (2019) · Brain stimulation · doi:10.1016/j.brs.2019.01.015 · Cited by 37 · cited 1×
“Recent evidence correspondingly suggests that the brain networks associated with these two targets overlap but have distinct components (15-17).”
BackgroundRapid Antidepressant Effects of Deep Brain Stimulation and Their Relation to Surgical Protocol
Riva-Posse, P., Crowell, A. L., Wright, K., Waters, A. C., Choi, K., Garlow, S. J., Holtzheimer, P. E., Gross, R. E., & Mayberg, H. S. (2020) · Biological Psychiatry · doi:10.1016/j.biopsych.2020.03.017 · Cited by 32 · cited 2×
“Recent evidence correspondingly suggests that the brain networks associated with these two targets overlap but have distinct components (15-17).”
Multi-Modal Neuroimaging Analysis and Visualization Tool (MMVT)Preprint
Felsenstein, O., Peled, N., Hahn, E., Rockhill, A. P., Frank, D., Libster, A. M., Nossenson, Y., Folsom, L., Gholipour, T., Macadams, K., et al. (2019) · arXiv (Cornell University) · doi:10.48550/arxiv.1912.10079 · Cited by 31
Deep Brain Stimulation for Depression
Filkowski, M. M., & Sheth, S. A. (2019) · Neurosurgery Clinics of North America · doi:10.1016/j.nec.2018.12.007 · Cited by 13 · cited 1×
“stimulation injected energy and motivation (5, 7, 14, 16, 22).”
Self-citationDeep Brain Electrode Externalization and Risk of Infection: A Systematic Review and Meta-Analysis
Kashanian, A., Rohatgi, P., Chivukula, S., Sheth, S. A., & Pouratian, N. (2020) · Operative Neurosurgery · doi:10.1093/ons/opaa268 · Cited by 12 · cited 1×
“The DBS leads were externalized (19) to provide”
Self-citation
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Cingulate dynamics track depression recovery with deep brain stimulation
Alagapan, S., Choi, K. S., Heisig, S., Riva‐Posse, P., Crowell, A. L., Tiruvadi, V., Obatusin, M., Veerakumar, A., Waters, A. C., Gross, R. E., et al. (2023) · Nature · doi:10.1038/s41586-023-06541-3 · Cited by 278
Deep brain stimulation for depression.
Figee, M., Riva-Posse, P., Choi, K. S., Bederson, L., Mayberg, H. S., & Kopell, B. H. (2022) · Neurotherapeutics · doi:10.1007/s13311-022-01270-3 · Cited by 175
New and emerging approaches to treat psychiatric disorders
Scangos, K. W., State, M. W., Miller, A. H., Baker, J. T., & Williams, L. M. (2023) · Nature Medicine · doi:10.1038/s41591-022-02197-0 · Cited by 164
Bio-inspired electronics: Soft, biohybrid, and “living” neural interfaces
Boufidis, D., Garg, R., Angelopoulos, E., Cullen, D. K., & Vitale, F. (2025) · Nature Communications · doi:10.1038/s41467-025-57016-0 · Cited by 183
“…20 , responsive neurostimulation 21,22 , speech decoding 23 – 25 , and motor recovery following spinal cord injury 26 , closed-loop sensory-motor interfaces for prosthetic control 27,28 , as well as deep brain stimulation (DBS) for Parkinson ’ s Disease 29,30 and neuropsychiatric conditions 14,31 .”
Topalovic, U., Barclay, S., Ling, C., Alzuhair, A., Yu, W., Hokhikyan, V., Chandrakumar, H., Rozgic, D., Jiang, W., Basir-Kazeruni, S., et al. (2023) · Nature Neuroscience · doi:10.1038/s41593-023-01260-4 · Cited by 99
Self-citation
Metadata
- Authors
- Sheth, S. A., Bijanki, K. R., Metzger, B., Allawala, A., Pirtle, V., Adkinson, J. A., Myers, J., Mathura, R. K., Oswalt, D., Tsolaki, E., Xiao, J., Noecker, A., Strutt, A. M., Cohn, J. F., McIntyre, C. C., Mathew, S. J., Borton, D., Goodman, W., & Pouratian, N.
- Affiliations
- Baylor College of Medicine (US)
- Brown University (US)
- University of California, Los Angeles (US)
- Case Western Reserve University (US)
- University of Pittsburgh (US)
- The University of Texas Southwestern Medical Center (US)
- Corresponding author
- Sheth, Sameer A.
- ORCID
- Venue
- Biological Psychiatry
- Publisher
- Elsevier BV
- Published
- 2022-08
- Volume
- 92
- Issue
- 3
- Pages
- 246-251
- ISSN
- 0006-3223 (ISSN-L)
- PMC
- PMC9124238
- OpenAlex
- W3215550599
- Cited by
- 158
- References
- 28
- Citations by year
- 2026: 26 · 2025: 32 · 2024: 51 · 2023: 39 · 2022: 10
- FWCI
- 11.96
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Biological Psychiatry (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Digital Commons-TMC (Texas Medical Center) (submittedVersion)
- eScholarship (California Digital Library) (submittedVersion, cc-by-nc-nd)
- Funders
- Robert and Janice Mcnair Foundation
- Dana Foundation
- Medtronic
- National Institutes of Health (K01 MH116364, UH3 NS103549, R01 MH114854, R21 NS104953, R01 MH106700, R01 NS105690, UH3 NS100549)
- Sage Therapeutics
- Topics
- Health Sciences › Medicine › Clinical Neurology › Deep Brain Stimulation and Movement Disorders
- Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
- Life Sciences › Neuroscience › Neurology › Transcranial Magnetic Stimulation Studies
- Keywords
- deep brain stimulation, treatment-resistant depression, intracranial recordings, personalized neuromodulation, inverse solution, stimulation parameter optimization, depression remission
- MeSH terms
- Depression, Double-Blind Method, Humans, Parkinson Disease, Quality of Life, Deep Brain Stimulation, Depressive Disorder, Treatment-Resistant
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