Using retinal signals to predict response to transcranial magnetic stimulation

Project Type(s):

Principal Investigator(s):
  • Katherine Liang, MD, PhD

Depression can be difficult to treat, and even effective therapies do not work for everyone. Transcranial magnetic stimulation (TMS) is a noninvasive treatment that can help people whose depression has not improved with medications or psychotherapy, but patients often undergo daily treatments for several weeks before knowing whether it will work for them. At present, clinicians have no objective biological test to help predict who is most likely to benefit.

This project will test whether a simple, noninvasive eye test called an electroretinogram (ERG) can provide an early biological signal of TMS response. Because the retina is part of the nervous system, changes in retinal activity may reflect changes in brain function. The study will measure ERG signals before TMS and early in the treatment course, then compare those changes with improvement in depression symptoms. If successful, this work could help advance psychiatric care from trial and error toward more personalized treatment decisions, allowing patients to receive effective care sooner and helping clinicians use TMS more efficiently.


Project Period:
January 1, 2027 — December 31, 2027

Accepting Trainees?

Yes - We don't have funding to contribute

Funding Type(s):
Philanthropy

Funder(s):
Garvey Institute for Brain Health Solutions

Geographic Area(s):
King County, Seattle/Puget Sound, University of Washington

Practice Type(s):
Neuromodulation, Outpatient, Veterans Health Administration

Patient Population(s):
Adults, Veterans

Targeted Condition(s):
Depression