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Auditory cortex hyperconnectivity before rTMS is correlated with tinnitus improvement.

E Kim1, H Kang1, T-S Noh2

  • 1Department of Nuclear Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea; Biomedical Research Institute, Seoul National University Hospital, Seoul, Republic of Korea.

Neurologia
|March 16, 2021
PubMed
Summary
This summary is machine-generated.

Resting-state functional connectivity in the auditory cortex before repetitive transcranial magnetic stimulation (rTMS) predicts tinnitus treatment success. Increased connectivity suggests better outcomes for tinnitus patients undergoing rTMS therapy.

Keywords:
AcúfenosConectomaConnectomeEstimulación magnética transcraneal repetitivaFmriIndividual variabilityRMfRepetitive transcranial magnetic stimulationTinnitusVariabilidad individual

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Area of Science:

  • Neuroscience
  • Medical Imaging
  • Auditory System

Background:

  • Repetitive transcranial magnetic stimulation (rTMS) is a potential tinnitus treatment, but its effectiveness varies.
  • Predicting rTMS response in tinnitus patients remains a challenge.

Purpose of the Study:

  • To investigate the relationship between pre-treatment resting-state functional connectivity and rTMS effectiveness in tinnitus.
  • To identify neuroimaging biomarkers for predicting rTMS outcomes in tinnitus.

Main Methods:

  • 1-Hz rTMS was applied to the left primary auditory cortex (A1) and dorsolateral prefrontal cortex (DLPFC) in tinnitus patients and controls.
  • Resting-state functional magnetic resonance imaging (fMRI) was used to assess functional connectivity before rTMS.
  • Seed-based connectivity analyses were performed using rTMS target areas as seeds.

Main Results:

  • Tinnitus patients exhibited altered functional connectivity in auditory and frontoparietal areas compared to controls.
  • Increased left A1 hyperconnectivity before rTMS correlated significantly with tinnitus improvement.
  • No significant correlation was found between left DLPFC connectivity and tinnitus improvement.

Conclusions:

  • Pre-treatment oversynchronization of left A1 connectivity is associated with positive rTMS outcomes for tinnitus.
  • Resting-state functional connectivity may serve as a predictive biomarker for rTMS therapy in tinnitus.