%0 Journal Article %@ 1438-8871 %I JMIR Publications %V 27 %N %P e64687 %T Real-Time fMRI Neurofeedback Modulation of Dopaminergic Midbrain Activity in Young Adults With Elevated Internet Gaming Disorder Risk: Randomized Controlled Trial %A Gu,Anqi %A Chan,Cheng Lam %A Xu,Xiaolei %A Dexter,Joseph P %A Becker,Benjamin %A Zhao,Zhiying %+ Centre for Cognitive and Brain Sciences, Institute of Collaborative Innovation, University of Macau, N21 Research building, Macau, 99078, China, 853 8822 9182, zhiyingzhao@um.edu.mo %K real-time functional magnetic resonance imaging neurofeedback %K internet gaming disorder %K craving %K reward processing %K ventral tegmental area %D 2025 %7 29.1.2025 %9 Research Letter %J J Med Internet Res %G English %X This study provides preliminary evidence for real-time functional magnetic resonance imaging neurofeedback (rt-fMRI NF) as a potential intervention approach for internet gaming disorder (IGD). In a preregistered, randomized, single-blind trial, young individuals with elevated IGD risk were trained to downregulate gaming addiction–related brain activity. We show that, after 2 sessions of neurofeedback training, participants successfully downregulated their brain responses to gaming cues, suggesting the therapeutic potential of rt-fMRI NF for IGD (Trial Registration: ClinicalTrials.gov NCT06063642; https://clinicaltrials.gov/study/NCT06063642). %R 10.2196/64687 %U https://www.jmir.org/2025/1/e64687 %U https://doi.org/10.2196/64687