Table 2

GABA/W concentration, grey matter, white matter, and CSF percentages before and after TMS

Timing; mean ± SD or no. (%)
Measure; groupPre-TMSPost-TMS
All participants, n = 23
 ACC GABA/W2.66 × 10−3 ± 0.53 × 10−32.98 × 10−3 ± 0.60 × 10−3*
 ACC Glx/W2.14 × 10−3 ± 0.41 × 10−32.15 × 10−3 ± 0.43 × 10−3
 ACC water1.75 × 1012 ± 0.52 × 10121.79 × 1012 ± 0.48 × 1012
 Grey matter53.1 (2.8)52.8 (2.9)
 White matter31.5 (2.9)32.0 (3.2)
 CSF15.4 (2.1)15.1 (2.0)
TMS responders, n = 8
 ACC GABA/W2.68 × 10−3 ± 0.66 × 10−33.08 × 10−3 ± 0.60 × 10−3
 ACC Glx/W1.98 × 10−3 ± 0.44 × 10−32.16 × 10−3 ± 0.32 × 10−3
 ACC water1.71 × 1012 ± 0.47 × 10121.90 × 1012 ± 0.48 × 1012
 Grey matter51.4 (2.3)50.7 (2.0)
 White matter32.3 (1.9)33.9 (2.2)
 CSF16.3 (1.0)15.4 (1.9)
TMS nonresponders, n = 15
 ACC GABA/W2.65 × 10−3 ± 0.48 × 10−32.92 × 10−3 ± 0.61 × 10−3
 ACC Glx/W2.23 × 10−3 ± 0.38 × 10−32.14 × 10−3 ± 0.49 × 10−3
 ACC water1.77 × 1012 ± 0.56 × 10121.73 × 1012 ± 0.49 × 1012
 Grey matter53.9 (2.7)54.0 (2.6)
 White matter31.1 (3.3)31.0 (3.2)
 CSF15.0 (2.5)15.0 (2.1)
  • ACC = anterior cingulate cortex; CSF = cerebrospinal fluid; GABA/W = γ-aminobutyric acid level relative to unsuppressed voxel tissue water; Glx = combined resonance of glutamate and glutamine; SD = standard deviation; TMS = transcranial magnetic stimulation.

  • * Significantly increased ACC GABA in the whole group before compared with after TMS (p = 0.01).