Evidence map›Paper›PMID 32620886›Full record

Trial reportNature communications2020

A unified connectomic target for deep brain stimulation in obsessive-compulsive disorder.

Ningfei Li, Juan Carlos Baldermann, Astrid Kibleur, Svenja Treu, Harith Akram, Gavin J B Elias, Alexandre Boutet, Andres M Lozano, Bassam Al-Fatly, Bryan Strange and 9 more

Open access · goldAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Nature communications, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 164 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
164citing papers in PubMed, 6 pooled it
20.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

164 citing papers in PubMed, 6 syntheses or guidelines pooled it, 322 citations in OpenAlex.

  1. Pooled it
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  11. Observational
  12. Associations among mediodorsal thalamic-ventrolateral prefrontal cortical white matter fiber dispersion and OCD-related incompleteness.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
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104 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors at 9 institutions in 5 countries.

Ningfei LiCharité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Movement Disorders and Neuromodulation Unit, Department for Neurology, Charitéplatz 1, 10117 Berlin, Germany. ningfei.li@charite.de.ORCID http://orcid.org/0000-0003-3315-3591
Juan Carlos BaldermannDepartment of Psychiatry and Psychotherapy, Department of Neurology, University of Cologne, Medical Faculty, Cologne, Germany.
Astrid KibleurUniv. Grenoble Alpes, 38000, Grenoble, France.
Svenja TreuLaboratory for Clinical Neuroscience, Centre for Biomedical Technology, Universidad Politecnica de Madrid, Madrid, Spain.
Harith AkramDepartment of Clinical and Movement Neurosciences, UCL Queen Square Institute of Neurology, London, UK.ORCID http://orcid.org/0000-0002-2899-628X
Gavin J B EliasUniversity Health Network, Toronto, ON, Canada.
Alexandre BoutetUniversity Health Network, Toronto, ON, Canada.ORCID http://orcid.org/0000-0001-6942-5195
Andres M LozanoUniversity Health Network, Toronto, ON, Canada.
Bassam Al-FatlyCharité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Movement Disorders and Neuromodulation Unit, Department for Neurology, Charitéplatz 1, 10117 Berlin, Germany.ORCID http://orcid.org/0000-0003-0067-6177
Bryan StrangeLaboratory for Clinical Neuroscience, Centre for Biomedical Technology, Universidad Politecnica de Madrid, Madrid, Spain.ORCID http://orcid.org/0000-0001-6476-4091
Juan A BarciaHospital Clínico San Carlos, Neurosurgery Department, Universidad Complutense de Madrid, Madrid, Spain.
Ludvic ZrinzoDepartment of Clinical and Movement Neurosciences, UCL Queen Square Institute of Neurology, London, UK.ORCID http://orcid.org/0000-0002-6013-4946
Eileen JoyceDepartment of Clinical and Movement Neurosciences, UCL Queen Square Institute of Neurology, London, UK.ORCID http://orcid.org/0000-0003-0469-2844
Stephan ChabardesUniv. Grenoble Alpes, 38000, Grenoble, France.
Veerle Visser-VandewalleDepartment of Stereotactic and Functional Neurosurgery, University of Cologne, Cologne, Germany.
Mircea PolosanUniv. Grenoble Alpes, 38000, Grenoble, France.
Jens KuhnDepartment of Psychiatry and Psychotherapy, Department of Neurology, University of Cologne, Medical Faculty, Cologne, Germany.
Andrea A KühnCharité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Movement Disorders and Neuromodulation Unit, Department for Neurology, Charitéplatz 1, 10117 Berlin, Germany.
Andreas HornCharité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Movement Disorders and Neuromodulation Unit, Department for Neurology, Charitéplatz 1, 10117 Berlin, Germany.ORCID http://orcid.org/0000-0002-0695-6025
Humboldt-Universität zu Berlin · DENational Hospital for Neurology and Neurosurgery · GBUniversity Health Network · CAUniversity of Cologne · DEUniversidad Politécnica de Madrid · ESCapgemini (France) · FRInserm · FRUniversidad Complutense de Madrid · ESUniversité Grenoble Alpes · FR

Funding

Mapping the Human Connectome: Structure, Function, and HeritabilityU54MH091657 · NIMH · WASHINGTON UNIVERSITY · PI UGURBIL, KAMIL, VAN ESSEN, DAVID C · 2010 to 2014
$34.7M
Medical Research Council MR/J012009/1NIMH NIH HHS U54 MH091657
6 · The paper itself

Abstract

Multiple surgical targets for treating obsessive-compulsive disorder with deep brain stimulation (DBS) have been proposed. However, different targets may modulate the same neural network responsible for clinical improvement. We analyzed data from four cohorts of patients (N = 50) that underwent DBS to the anterior limb of the internal capsule (ALIC), the nucleus accumbens or the subthalamic nucleus (STN). The same fiber bundle was associated with optimal clinical response in cohorts targeting either structure. This bundle connected frontal regions to the STN. When informing the tract target based on the first cohort, clinical improvements in the second could be significantly predicted, and vice versa. To further confirm results, clinical improvements in eight patients from a third center and six patients from a fourth center were significantly predicted based on their stimulation overlap with this tract. Our results show that connectivity-derived models may inform clinical improvements across DBS targets, surgeons and centers. The identified tract target is openly available in atlas form.

Indexed as

Models, NeurologicalAdultConnectomeDeep Brain StimulationElectrodes, ImplantedFemaleFollow-Up StudiesHumansInternal CapsuleMagnetic Resonance ImagingMaleMiddle AgedNerve NetNucleus AccumbensObsessive-Compulsive DisorderPostoperative Period

Identifiers

PMID32620886
PMCPMC7335093
OpenAlexW3040235203

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.