PMID- 28971301 OWN - NLM STAT- MEDLINE DCOM- 20190211 LR - 20190215 IS - 1931-7565 (Electronic) IS - 1931-7557 (Linking) VI - 12 IP - 4 DP - 2018 Aug TI - Distinctive pretreatment features of bilateral nucleus accumbens networks predict early response to antidepressants in major depressive disorder. PG - 1042-1052 LID - 10.1007/s11682-017-9773-0 [doi] AB - The pretreatment neuroimaging markers from the resting-state brain network that could predict the early response to antidepressants are still unclear. The aim of the present study was to identify the performance of reward network features for discriminating patients with a dampened response to antidepressants. A total of 81 major depressive disorder (MDD) patients (44 patients with treatment-responsive depression (RD) and 37 patients with non-responding depression (NRD)) and 43 healthy controls (HC) underwent resting-state functional magnetic resonance imaging scans and clinical estimates. Bilateral nucleus accumbens (NAcc)-based networks were constructed for further functional connectivity (FC) analysis. The FC of the right superior frontal gyrus (SFG) (area under curve (AUC) = 0.837) and left parahippocampus (AUC = 0.770) within the left NAcc reward network, as well as the FC of the left SFG (AUC = 0.827) within the right NAcc reward network, could distinguish NRD subjects from RD subjects relatively well. Taken together, when considering the distinctive connectional pattern of the bilateral reward circuits, the synthetical differentiating effect was achieved to an optimal performance for discriminating NRD patients (AUC = 0.869), with balanced sensitivity (0.838) and specificity (0.818). The distinct pretreatment characteristics of the reward network make specific contributions to the early response to antidepressants and establish a promising imaging predictor for the classification of early efficacy. FAU - Hou, Zhenghua AU - Hou Z AD - Department of Psychosomatics & Psychiatry, Institute of Psychosomatic Medicine, Affiliated Zhongda Hospital, School of Medicine, Southeast University, Nanjing, 210009, China. FAU - Gong, Liang AU - Gong L AD - Department of Neurology, Institute of Neuropsychology, Affiliated Zhongda Hospital, School of Medicine, Southeast University, Nanjing, 210009, China. FAU - Zhi, Mengmeng AU - Zhi M AD - Department of Endocrinology, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, 210009, China. FAU - Yin, Yingying AU - Yin Y AD - Department of Psychosomatics & Psychiatry, Institute of Psychosomatic Medicine, Affiliated Zhongda Hospital, School of Medicine, Southeast University, Nanjing, 210009, China. FAU - Zhang, Yuqun AU - Zhang Y AD - Department of Psychosomatics & Psychiatry, Institute of Psychosomatic Medicine, Affiliated Zhongda Hospital, School of Medicine, Southeast University, Nanjing, 210009, China. FAU - Xie, Chunming AU - Xie C AD - Department of Neurology, Institute of Neuropsychology, Affiliated Zhongda Hospital, School of Medicine, Southeast University, Nanjing, 210009, China. FAU - Yuan, Yonggui AU - Yuan Y AD - Department of Psychosomatics & Psychiatry, Institute of Psychosomatic Medicine, Affiliated Zhongda Hospital, School of Medicine, Southeast University, Nanjing, 210009, China. yygylh2000@sina.com. LA - eng GR - 81371488/National Natural Science Foundation of China/ GR - 2016YFC1306702/National Key Research and Development Program of China/ GR - 201706090193/the State Scholarship Fund of the China Scholarship Council/ GR - 201706090199/the State Scholarship Fund of the China Scholarship Council/ GR - YBJJ1742/the Scientific Research Foundation of the Graduate School of Southeast University/ GR - YBJJ1743/the Scientific Research Foundation of the Graduate School of Southeast University/ PT - Journal Article PL - United States TA - Brain Imaging Behav JT - Brain imaging and behavior JID - 101300405 RN - 0 (Antidepressive Agents) SB - IM MH - Antidepressive Agents/*therapeutic use MH - Brain Mapping MH - Depressive Disorder, Major/*diagnostic imaging/drug therapy/*physiopathology MH - Depressive Disorder, Treatment-Resistant/diagnostic imaging/drug therapy/physiopathology MH - Female MH - Humans MH - *Magnetic Resonance Imaging MH - Male MH - Middle Aged MH - Neural Pathways/diagnostic imaging/physiopathology MH - Nucleus Accumbens/*diagnostic imaging/*physiopathology MH - Prognosis MH - Reward MH - Time Factors OTO - NOTNLM OT - Antidepressant response OT - Depression OT - Imaging predictor OT - Nucleus accumbens OT - Reward network EDAT- 2017/10/04 06:00 MHDA- 2019/02/12 06:00 CRDT- 2017/10/04 06:00 PHST- 2017/10/04 06:00 [pubmed] PHST- 2019/02/12 06:00 [medline] PHST- 2017/10/04 06:00 [entrez] AID - 10.1007/s11682-017-9773-0 [pii] AID - 10.1007/s11682-017-9773-0 [doi] PST - ppublish SO - Brain Imaging Behav. 2018 Aug;12(4):1042-1052. doi: 10.1007/s11682-017-9773-0.