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Since ketamine elicits rapid antidepressant and antianhedonic effects in MDD, this study sought to investigate how serial ketamine infusion (SKI) treatment modulates static and dynamic functional connectivity (FC) in Hb and NAc functional networks.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      MDD participants (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a058, mean age\u00a0=\u00a040.7 years, female\u00a0=\u00a028) received four ketamine infusions (0.5\u00a0mg\/kg) 2\u22123 times weekly. Resting\u2010state functional magnetic resonance imaging (fMRI) scans and clinical assessments were collected at baseline and 24\u00a0h post\u2010SKI. Static FC (sFC) and dynamic FC variability (dFCv) were calculated from left and right Hb and NAc seeds to all other brain regions. Changes in FC pre\u2010to\u2010post SKI, and correlations with changes with mood and anhedonia were examined. Comparisons of FC between patients and healthy controls (HC) at baseline (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a055, mean age\u00a0=\u00a032.6, female\u00a0=\u00a031), and between HC assessed twice (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a016) were conducted as follow\u2010up analyses.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Following SKI, significant increases in left Hb\u2010bilateral visual cortex FC, decreases in left Hb\u2010left inferior parietal cortex FC, and decreases in left NAc\u2010right cerebellum FC occurred. Decreased dFCv between left Hb and right precuneus and visual cortex, and decreased dFCv between right NAc and right visual cortex both significantly correlated with improvements in mood ratings. Decreased FC between left Hb and bilateral visual\/parietal cortices as well as increased FC between left NAc and right visual\/parietal cortices both significantly correlated with improvements in anhedonia. No differences were observed between HC at baseline or over time.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Subanesthetic ketamine modulates functional pathways linking the Hb and NAc with visual, parietal, and cerebellar regions in MDD. Overlapping effects between Hb and NAc functional systems were associated with ketamine's therapeutic response.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/brb3.3511","type":"journal-article","created":{"date-parts":[[2024,6,19]],"date-time":"2024-06-19T03:13:32Z","timestamp":1718766812000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Modulation of habenular and nucleus accumbens functional connectivity by ketamine in major depression"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7998-1128","authenticated-orcid":false,"given":"Brandon","family":"Taraku","sequence":"first","affiliation":[{"name":"Ahmanson\u2010Lovelace Brain Mapping Center, Department of Neurology University of California Los Angeles  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joana 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