AUTHOR=Sun Jifei , Ma Yue , Du Zhongming , Wang Zhi , Guo Chunlei , Luo Yi , Chen Limei , Gao Deqiang , Li Xiaojiao , Xu Ke , Hong Yang , Xu Fengquan , Yu Xue , Xiao Xue , Fang Jiliang , Hou Xiaobing TITLE=Immediate Modulation of Transcutaneous Auricular Vagus Nerve Stimulation in Patients With Treatment-Resistant Depression: A Resting-State Functional Magnetic Resonance Imaging Study JOURNAL=Frontiers in Psychiatry VOLUME=Volume 13 - 2022 YEAR=2022 URL=https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2022.923783 DOI=10.3389/fpsyt.2022.923783 ISSN=1664-0640 ABSTRACT=This is the first study using rs-fMRI to observe the mechanism of the immediate effect of taVNS treatment in patients with TRD.The results of this study showed that the cortico-striatal-pallidal-thalamic (CSPT) circuit was abnormal in the TRD group compared to the HC group. After 30 min of immediate treatment with taVNS in the TRD group, ALFF was reduced in the left orbital area of middle frontal gyrus and right middle frontal gyrus, but increased in the right superior orbitofrontal gyrus. In addition, the ROI-based FC between the left orbital area of middle frontal gyrus with left middle frontal gyrus and right inferior temporal gyrus was significantly increased.