{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:43:04Z","timestamp":1787013784363,"version":"build-2736575974"},"reference-count":77,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2019,9,4]],"date-time":"2019-09-04T00:00:00Z","timestamp":1567555200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Psychiatr Scand"],"published-print":{"date-parts":[[2019,11]]},"abstract":"\n Objective<\/jats:title>\n \n To examine the clinical outcomes of\n ECT<\/jats:styled-content>\n unilateral placements compared in prior studies and apply insights from computational modelling to understand differences between placements.\n <\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n PubMed, Embase, Scopus and Psyc\n INFO<\/jats:styled-content>\n and reference lists were systematically searched for studies of depressed patients where two unilateral placements were compared and clinical outcomes were reported. Computational modelling was done to generate electric field maps for each unilateral placement identified in the systematic review.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n A total of 29 studies met criteria for inclusion. Eight studies reported efficacy outcomes and 23 studies reported cognitive outcomes. Most studies found no significant difference in efficacy between right unilateral (\n RUL<\/jats:styled-content>\n ) and left unilateral (\n LUL<\/jats:styled-content>\n )\n ECT<\/jats:styled-content>\n , and no difference was found between temporo\u2010parietal and fronto\u2010temporal\n ECT<\/jats:styled-content>\n . For the majority of studies,\n RUL<\/jats:styled-content>\n placements had better verbal anterograde memory outcomes compared with the\n LUL<\/jats:styled-content>\n placements. There was some evidence suggestive of cognitive advantages for fronto\u2010frontal and fronto\u2010parietal placements relative to temporo\u2010parietal\n ECT<\/jats:styled-content>\n .\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n \n For efficacy, studies mainly focused on the comparison of right vs. left hemispheric stimulation, with the available evidence suggesting no substantive difference.\n RUL<\/jats:styled-content>\n placements tended to have better verbal anterograde memory outcomes relative to\n LUL<\/jats:styled-content>\n placements, though limited differences were found between the\n RUL<\/jats:styled-content>\n placements.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/acps.13089","type":"journal-article","created":{"date-parts":[[2019,8,16]],"date-time":"2019-08-16T12:18:30Z","timestamp":1565957910000},"page":"408-425","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["A systematic review and computational modelling analysis of unilateral montages in electroconvulsive therapy"],"prefix":"10.1111","volume":"140","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8452-0390","authenticated-orcid":false,"given":"D.","family":"Martin","sequence":"first","affiliation":[{"name":"Black Dog Institute Sydney NSW Australia"},{"name":"School of Psychiatry University of New South Wales Sydney NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F.","family":"Lin","sequence":"additional","affiliation":[{"name":"Black Dog Institute Sydney NSW Australia"},{"name":"School of Psychiatry University of New South Wales Sydney NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Bai","sequence":"additional","affiliation":[{"name":"Graduate School of Biomedical Engineering University of New South Wales Sydney NSW Australia"},{"name":"Department of Electrical and Computer Engineering Technical University of Munich (TUM) Munich Germany"},{"name":"Munich School of BioEngineering TUM Garching Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Moffa","sequence":"additional","affiliation":[{"name":"School of Psychiatry University of New South Wales Sydney NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2314-2629","authenticated-orcid":false,"given":"R.","family":"Taylor","sequence":"additional","affiliation":[{"name":"School of Psychiatry University of New South Wales Sydney NSW Australia"},{"name":"Concord Centre for Mental Health Concord NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Nikolin","sequence":"additional","affiliation":[{"name":"Black Dog Institute Sydney NSW Australia"},{"name":"School of Psychiatry University of New South Wales Sydney NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Bull","sequence":"additional","affiliation":[{"name":"Black Dog Institute Sydney NSW Australia"},{"name":"HNE Mental Health Waratah NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Dokos","sequence":"additional","affiliation":[{"name":"Graduate School of Biomedical Engineering University of New South Wales Sydney NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C. 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