Intracranial closed-loop neuromodulation as an intervention for neuropsychiatric disorders: an overview

Recent technological advances in intracranial brain stimulation have enhanced the potential of neuromodulation for addressing neuropsychiatric disorders. We present a review of the methodology and the preliminary outcomes of the pioneering studies exploring intracranial biomarker detection and close...

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Main Authors: Jenna Langbein, Ujwal Boddeti, Weizhen Xie, Alexander Ksendzovsky
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Psychiatry
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Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1479240/full
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author Jenna Langbein
Ujwal Boddeti
Weizhen Xie
Alexander Ksendzovsky
author_facet Jenna Langbein
Ujwal Boddeti
Weizhen Xie
Alexander Ksendzovsky
author_sort Jenna Langbein
collection DOAJ
description Recent technological advances in intracranial brain stimulation have enhanced the potential of neuromodulation for addressing neuropsychiatric disorders. We present a review of the methodology and the preliminary outcomes of the pioneering studies exploring intracranial biomarker detection and closed-loop neuromodulation to modulate high-symptom severity states in neuropsychiatric disorders. We searched PubMed, Scopus, Web of Science, Embase, and PsycINFO/PsycNet, followed by the reference and citation lists of retrieved articles. This search strategy yielded a total of 583 articles, of which 5 articles met the inclusion criteria, focusing on depression, obsessive-compulsive disorder, post-traumatic stress disorder, and binge eating disorder. We discuss the methodology of biomarker identification, the biomarkers identified, and the preliminary treatment outcomes for closed-loop neuromodulation. Successful biomarker identification hinges on investigating across various setting. Targeted neuromodulation, either directed at the biomarker or within its associated neural network, offers a promising treatment approach. Future research should seek to understand the mechanisms underlying the effects of neuromodulation as well as the long-term viability of these treatment effects across different neuropsychiatric conditions.
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spelling doaj-art-55fafd4ccf5e4af2adf97da5e1e14c4c2025-01-30T06:22:09ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402025-01-011610.3389/fpsyt.2025.14792401479240Intracranial closed-loop neuromodulation as an intervention for neuropsychiatric disorders: an overviewJenna Langbein0Ujwal Boddeti1Weizhen Xie2Alexander Ksendzovsky3Department of Neurosurgery, School of Medicine, University of Maryland, Baltimore, MD, United StatesDepartment of Neurosurgery, School of Medicine, University of Maryland, Baltimore, MD, United StatesDepartment of Psychology, University of Maryland, College Park, MD, United StatesDepartment of Neurosurgery, School of Medicine, University of Maryland, Baltimore, MD, United StatesRecent technological advances in intracranial brain stimulation have enhanced the potential of neuromodulation for addressing neuropsychiatric disorders. We present a review of the methodology and the preliminary outcomes of the pioneering studies exploring intracranial biomarker detection and closed-loop neuromodulation to modulate high-symptom severity states in neuropsychiatric disorders. We searched PubMed, Scopus, Web of Science, Embase, and PsycINFO/PsycNet, followed by the reference and citation lists of retrieved articles. This search strategy yielded a total of 583 articles, of which 5 articles met the inclusion criteria, focusing on depression, obsessive-compulsive disorder, post-traumatic stress disorder, and binge eating disorder. We discuss the methodology of biomarker identification, the biomarkers identified, and the preliminary treatment outcomes for closed-loop neuromodulation. Successful biomarker identification hinges on investigating across various setting. Targeted neuromodulation, either directed at the biomarker or within its associated neural network, offers a promising treatment approach. Future research should seek to understand the mechanisms underlying the effects of neuromodulation as well as the long-term viability of these treatment effects across different neuropsychiatric conditions.https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1479240/fullclosed loop neuromodulationneuropsychaitric disordersneural circuitneural networkDBS (deep brain stimulation)RNS = responsive neurostimulation
spellingShingle Jenna Langbein
Ujwal Boddeti
Weizhen Xie
Alexander Ksendzovsky
Intracranial closed-loop neuromodulation as an intervention for neuropsychiatric disorders: an overview
Frontiers in Psychiatry
closed loop neuromodulation
neuropsychaitric disorders
neural circuit
neural network
DBS (deep brain stimulation)
RNS = responsive neurostimulation
title Intracranial closed-loop neuromodulation as an intervention for neuropsychiatric disorders: an overview
title_full Intracranial closed-loop neuromodulation as an intervention for neuropsychiatric disorders: an overview
title_fullStr Intracranial closed-loop neuromodulation as an intervention for neuropsychiatric disorders: an overview
title_full_unstemmed Intracranial closed-loop neuromodulation as an intervention for neuropsychiatric disorders: an overview
title_short Intracranial closed-loop neuromodulation as an intervention for neuropsychiatric disorders: an overview
title_sort intracranial closed loop neuromodulation as an intervention for neuropsychiatric disorders an overview
topic closed loop neuromodulation
neuropsychaitric disorders
neural circuit
neural network
DBS (deep brain stimulation)
RNS = responsive neurostimulation
url https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1479240/full
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AT ujwalboddeti intracranialclosedloopneuromodulationasaninterventionforneuropsychiatricdisordersanoverview
AT weizhenxie intracranialclosedloopneuromodulationasaninterventionforneuropsychiatricdisordersanoverview
AT alexanderksendzovsky intracranialclosedloopneuromodulationasaninterventionforneuropsychiatricdisordersanoverview