Effect of group-based vs individualized stimulation site selection on reliability of network-targeted TMS

Background: Transcranial magnetic stimulation (TMS) is a widely used technique for the noninvasive assessment and manipulation of brain activity and behavior. Although extensively used for research and clinical purposes, recent studies have questioned the reliability of TMS findings because of the h...

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Main Authors: Arianna Menardi, Recep A. Ozdemir, Davide Momi, Ehsan Tadayon, Pierre Boucher, Antonino Vallesi, Alvaro Pascual-Leone, Mouhsin M. Shafi, Emiliano santarnecchi
Format: Article
Language:English
Published: Elsevier 2022-12-01
Series:NeuroImage
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1053811922008357
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author Arianna Menardi
Recep A. Ozdemir
Davide Momi
Ehsan Tadayon
Pierre Boucher
Antonino Vallesi
Alvaro Pascual-Leone
Mouhsin M. Shafi
Emiliano santarnecchi
author_facet Arianna Menardi
Recep A. Ozdemir
Davide Momi
Ehsan Tadayon
Pierre Boucher
Antonino Vallesi
Alvaro Pascual-Leone
Mouhsin M. Shafi
Emiliano santarnecchi
author_sort Arianna Menardi
collection DOAJ
description Background: Transcranial magnetic stimulation (TMS) is a widely used technique for the noninvasive assessment and manipulation of brain activity and behavior. Although extensively used for research and clinical purposes, recent studies have questioned the reliability of TMS findings because of the high inter-individual variability that has been observed. Objective: In this study, we compared the efficacy and reliability of different targeting scenarios on the TMS-evoked response. Methods: 24 subjects underwent a single pulse stimulation protocol over two parietal nodes belonging to the Dorsal Attention (DAN) and Default Mode (DMN) Networks respectively. Across visits, the stimulated target for both networks was chosen either based on group-derived networks’ maps or personalized network topography based on individual anatomy and functional profile. All stimulation visits were conducted twice, one month apart, during concomitant electroencephalography recording. Results: At the network level, we did not observe significant differences in the TMS-evoked response between targeting conditions. However, reliable patterns of activity were observed— for both networks tested— following the individualized targeting approach. When the same analyses were carried out at the electrode space level, evidence of reliable patterns was observed following the individualized stimulation of the DAN, but not of the DMN. Conclusions: Our findings suggest that individualization of stimulation sites might ensure reliability of the evoked TMS-response across visits. Furthermore, individualized stimulation sites appear to be of foremost importance in highly variable, high order task-positive networks, such as the DAN.
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spelling doaj.art-8b6dc77ee499473384587cae02a8ae582022-12-22T04:40:32ZengElsevierNeuroImage1095-95722022-12-01264119714Effect of group-based vs individualized stimulation site selection on reliability of network-targeted TMSArianna Menardi0Recep A. Ozdemir1Davide Momi2Ehsan Tadayon3Pierre Boucher4Antonino Vallesi5Alvaro Pascual-Leone6Mouhsin M. Shafi7Emiliano santarnecchi8Precision Neuroscience & Neuromodulation Program, Gordon Center for Medical Imaging, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA; Department of Neuroscience & Padova Neuroscience Center, University of Padova, Padova, Italy; Corresponding authors: Arianna Menardi, Department of Neuroscience & Padova Neuroscience Center, University of Padova, Via G. Orus, 2, Padova, Italy 35129.Berenson-Allen Center for Noninvasive Brain Stimulation, Department of Neurology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, USABerenson-Allen Center for Noninvasive Brain Stimulation, Department of Neurology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, USA; Department of Neuroscience, Imaging and Clinical Sciences, University “G. d'Annunzio”, Chieti, ItalyBerenson-Allen Center for Noninvasive Brain Stimulation, Department of Neurology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, USABerenson-Allen Center for Noninvasive Brain Stimulation, Department of Neurology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, USADepartment of Neuroscience & Padova Neuroscience Center, University of Padova, Padova, ItalyDepartment of Neurology, Harvard Medical School, Boston, MA, USA; Hinda and Arthur Marcus Institute for Aging Research and Deanna and Sidney Wolk Center for Memory Health, Hebrew SeniorLife, Rosindale, MA, USA; Guttmann Brain Health Institut, Barcelona, SpainBerenson-Allen Center for Noninvasive Brain Stimulation, Department of Neurology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, USAPrecision Neuroscience & Neuromodulation Program, Gordon Center for Medical Imaging, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA; Emiliano Santarnecchi, Department of Radiology, Gordon Center for Medical Imaging, Harvard Medical School, 55 Fruit Street, Boston, MA 02114.Background: Transcranial magnetic stimulation (TMS) is a widely used technique for the noninvasive assessment and manipulation of brain activity and behavior. Although extensively used for research and clinical purposes, recent studies have questioned the reliability of TMS findings because of the high inter-individual variability that has been observed. Objective: In this study, we compared the efficacy and reliability of different targeting scenarios on the TMS-evoked response. Methods: 24 subjects underwent a single pulse stimulation protocol over two parietal nodes belonging to the Dorsal Attention (DAN) and Default Mode (DMN) Networks respectively. Across visits, the stimulated target for both networks was chosen either based on group-derived networks’ maps or personalized network topography based on individual anatomy and functional profile. All stimulation visits were conducted twice, one month apart, during concomitant electroencephalography recording. Results: At the network level, we did not observe significant differences in the TMS-evoked response between targeting conditions. However, reliable patterns of activity were observed— for both networks tested— following the individualized targeting approach. When the same analyses were carried out at the electrode space level, evidence of reliable patterns was observed following the individualized stimulation of the DAN, but not of the DMN. Conclusions: Our findings suggest that individualization of stimulation sites might ensure reliability of the evoked TMS-response across visits. Furthermore, individualized stimulation sites appear to be of foremost importance in highly variable, high order task-positive networks, such as the DAN.http://www.sciencedirect.com/science/article/pii/S1053811922008357Transcranial magnetic stimulationReliabilityPersonalized interventionsDorsal attention networkDefault Mode Network
spellingShingle Arianna Menardi
Recep A. Ozdemir
Davide Momi
Ehsan Tadayon
Pierre Boucher
Antonino Vallesi
Alvaro Pascual-Leone
Mouhsin M. Shafi
Emiliano santarnecchi
Effect of group-based vs individualized stimulation site selection on reliability of network-targeted TMS
NeuroImage
Transcranial magnetic stimulation
Reliability
Personalized interventions
Dorsal attention network
Default Mode Network
title Effect of group-based vs individualized stimulation site selection on reliability of network-targeted TMS
title_full Effect of group-based vs individualized stimulation site selection on reliability of network-targeted TMS
title_fullStr Effect of group-based vs individualized stimulation site selection on reliability of network-targeted TMS
title_full_unstemmed Effect of group-based vs individualized stimulation site selection on reliability of network-targeted TMS
title_short Effect of group-based vs individualized stimulation site selection on reliability of network-targeted TMS
title_sort effect of group based vs individualized stimulation site selection on reliability of network targeted tms
topic Transcranial magnetic stimulation
Reliability
Personalized interventions
Dorsal attention network
Default Mode Network
url http://www.sciencedirect.com/science/article/pii/S1053811922008357
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