Background:As one of the leading causes of global disability,major depressive disorder(MDD)places a noticeable burden on individuals and society.Despite the great expectation on finding accurate biomarkers and effecti...Background:As one of the leading causes of global disability,major depressive disorder(MDD)places a noticeable burden on individuals and society.Despite the great expectation on finding accurate biomarkers and effective treatment targets of MDD,studies in applying functional magnetic resonance imaging(fMRI)are still faced with challenges,including the representational ambiguity,small sample size,low statistical power,relatively high false positive rates,etc.Thus,reviewing studies with solid methodology may help achieve a consensus on the pathology of MDD.Methods:In this systematic review,we screened fMRI studies on MDD through strict criteria to focus on reliable studies with sufficient sample size,adequate control of head motion,and a proper multiple comparison control strategy.Results:We found consistent evidence regarding the dysfunction within and among the default mode network(DMN),the frontoparietal network(FPN),and other brain regions.However,controversy remains,probably due to the heterogeneity of participants and data processing strategies.Conclusion:Future studies are recommended to apply a comprehensive set of neuro-behavioral measurements,consider the heterogeneity of MDD patients and other potentially confounding factors,apply surface-based neuroscientific network fMRI approaches,and advance research transparency and open science by applying state-ofthe-art pipelines along with open data sharing.展开更多
基金This work was supported by the National Key R&D Program of China(2017YFC1309902 to CY)the National Natural Science Foundation of China(81671774,81630031 to CY)+4 种基金the 13th Five-year Informatization Plan of Chinese Academy of Sciences(XXH13505 to CY)the Key Research Program of the Chinese Academy of Sciences(ZDBS-SSWJSC006 to CY)Beijing Nova Program of Science and Technology(Z191100001119104 to CY)Scientific Foundation of Institute of Psychology,Chinese Academy of Sciences(Y9CX422005 to XC),China Postdoctoral Science Foundation(2019M660847 to XC)China National Postdoctoral Program for Innovative Talents(BX20200360 to XC)。
文摘Background:As one of the leading causes of global disability,major depressive disorder(MDD)places a noticeable burden on individuals and society.Despite the great expectation on finding accurate biomarkers and effective treatment targets of MDD,studies in applying functional magnetic resonance imaging(fMRI)are still faced with challenges,including the representational ambiguity,small sample size,low statistical power,relatively high false positive rates,etc.Thus,reviewing studies with solid methodology may help achieve a consensus on the pathology of MDD.Methods:In this systematic review,we screened fMRI studies on MDD through strict criteria to focus on reliable studies with sufficient sample size,adequate control of head motion,and a proper multiple comparison control strategy.Results:We found consistent evidence regarding the dysfunction within and among the default mode network(DMN),the frontoparietal network(FPN),and other brain regions.However,controversy remains,probably due to the heterogeneity of participants and data processing strategies.Conclusion:Future studies are recommended to apply a comprehensive set of neuro-behavioral measurements,consider the heterogeneity of MDD patients and other potentially confounding factors,apply surface-based neuroscientific network fMRI approaches,and advance research transparency and open science by applying state-ofthe-art pipelines along with open data sharing.
