Rostral anterior cingulate cortex is a structural correlate of repetitive TMS treatment response in depression
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Background Repetitive transcranial magnetic stimulation (rTMS) is an effective treatment for medication-refractory major depression, yet the mechanisms of action for this intervention are poorly understood. Here we investigate cerebral cortex thickness as a possible biomarker of rTMS treatment response.Methods Longitudinal change in cortical thickness is evaluated relative to clinical outcomes across 48 participants in 2 cohorts undergoing left dorsolateral prefrontal cortex rTMS as a treatment for depression.Results Our results reveal changes in thickness in a region of the left rostral anterior cingulate cortex that correlate with clinical response, with this region becoming thicker in patients who respond favorably to rTMS and thinner in patients with a less favorable response. Moreover, the baseline cortical thickness in this region correlates with rTMS treatment response - those patients with thinner cortex before treatment tended to have the most clinical improvement.Conclusions This study is the first analysis of longitudinal cortical thickness change with rTMS as a treatment for depression with similar results across two cohorts. These results support further investigation into the use of structural MRI as a possible biomarker of rTMS treatment response.
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Reduction in depressive symptoms after left dorsolateral prefrontal cortex repetitive transcranial magnetic stimulation treatment was associated with increases in perigenual anterior cingulate cortex thickness.
“Finally, reduction in depressive symptoms after left dlPFC rTMS treatment was associated with increases in pgACC thickness (Fig. 4b) [90].”
From Prefrontal cortex and depression (2022) · cites this paper as [90]
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- Authors
- Boes, A. D., Uitermarkt, B. D., Albazron, F. M., Lan, M. J., Liston, C., Pascual-Leone, A., Dubin, M. J., & Fox, M. D.
- Affiliations
- University of Iowa Hospitals and Clinics (US)
- Columbia University Irving Medical Center (US)
- Weill Cornell Medicine (US)
- Beth Israel Deaconess Medical Center (US)
- Corresponding author
- Boes, Aaron D.
- ORCID
- Venue
- Brain Stimulation
- Publisher
- Elsevier BV
- Published
- 2018-05
- Volume
- 11
- Issue
- 3
- Pages
- 575-581
- ISSN
- 1876-4754 (ISSN-L)
- 1935-861X
- PMC
- PMC6136654
- OpenAlex
- W2791663567
- Cited by
- 94
- References
- 34
- Citations by year
- 2026: 6 · 2025: 10 · 2024: 14 · 2023: 14 · 2022: 18 · 2021: 15 · 2020: 9 · 2019: 5 · 2018: 3
- FWCI
- 3.60
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Brain stimulation (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- National Institutes of Health (K12HD027748-24, K12NS098482, K23NS083741, R01 MH113929, R01 MH100186, R01 HD069776, R01 NS073601, R21 MH099196, R21 NS085491, R21 HD07616)
- Sidney R. Baer, Jr. Foundation
- Roy J. Carver Trust
- Nancy Lurie Marks Foundation
- Mather’s Foundation (29943)
- Sidney R. Baer Jr. Foundation
- National Centres of Competence in Research
- National Center for Advancing Translation Sciences, National Institutes of Health (UL1 RR025758)
- Topics
- Life Sciences › Neuroscience › Neurology › Transcranial Magnetic Stimulation Studies
- Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
- Health Sciences › Medicine › Psychiatry and Mental health › Electroconvulsive Therapy Studies
- Keywords
- repetitive transcranial magnetic stimulation, major depressive disorder, rostral anterior cingulate cortex, cortical thickness, treatment response biomarkers, dorsolateral prefrontal cortex, structural MRI
- MeSH terms
- Depressive Disorder, Major, Major Depressive Disorder, Female, Gyrus Cinguli, Humans, Hypertrophy, Magnetic Resonance Imaging, Male, Middle Aged, Treatment Outcome, Prefrontal Cortex, Transcranial Magnetic Stimulation, Neuroimaging, Depressive Disorder, Treatment-Resistant
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