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Related Concept Videos

Brain Imaging01:14

Brain Imaging

376
Brain imaging technologies provide critical insights into both the structure and function of the human brain, enabling medical professionals and researchers to diagnose, study, and treat neurological disorders or psychiatric disorders more effectively.
These technologies include computerized axial tomography (CAT or CT scans), positron-emission tomography (PET scans),  magnetic resonance imaging (MRI),  functional magnetic resonance imaging (fMRI), and Transcranial Magnetic...
376

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Related Experiment Video

Updated: Oct 8, 2025

Localizing Function-specific Targets for Transcranial Magnetic Stimulation in the Absence of Navigation Equipment
09:30

Localizing Function-specific Targets for Transcranial Magnetic Stimulation in the Absence of Navigation Equipment

Published on: May 23, 2025

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Using diffusion tensor imaging to effectively target TMS to deep brain structures.

Bruce Luber1, Simon W Davis2, Zhi-De Deng3

  • 1Noninvasive Neuromodulation Unit, Experimental Therapeutics & Pathophysiology Branch, National Institute of Mental Health, National Institutes of Health, Bethesda, MD, United States.

Neuroimage
|January 2, 2022
PubMed
Summary
This summary is machine-generated.

This study introduces a new method for transcranial magnetic stimulation (TMS) to target deep brain regions like Brodmann area 25 (BA25). By individualizing coil placement using brain imaging, researchers achieved reliable, intensity-dependent activation of BA25, offering new therapeutic possibilities.

Keywords:
ConnectivityDiffusion imaging tractographySubgenual cingulate cortexTMSTargetingdeep brain stimulation

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Area of Science:

  • Neuroscience
  • Neuromodulation
  • Brain Imaging

Background:

  • Transcranial magnetic stimulation (TMS) is a key tool for studying brain function and treating neurological/psychiatric disorders.
  • Current TMS approaches primarily affect superficial cortical areas, limiting deep brain target engagement.
  • Bridging the gap to deep brain structures is crucial for expanding TMS therapeutic potential.

Purpose of the Study:

  • To develop and validate a novel, individualized TMS protocol for non-invasively activating specific deep brain targets.
  • To target right Brodmann area 25 (BA25), a region implicated in psychiatric disorders.
  • To overcome the depth limitations of conventional TMS by leveraging brain network connectivity.

Main Methods:

  • Utilized diffusion imaging tractography to identify a right frontal pole cortical site connected to BA25.
  • Employed concurrent TMS-fMRI interleaving in ten subjects.
  • Applied single TMS pulses at varying intensities (80-140% motor threshold) to the individualized frontal pole target.

Main Results:

  • Nine out of ten subjects showed a significant, linear increase in BA25 BOLD activation with increasing TMS intensity.
  • Demonstrated dosage-dependent activation of the deep brain target (BA25) via superficial stimulation.
  • Confirmed the efficacy of individualized coil placement for engaging connected deep brain structures.

Conclusions:

  • Individualized TMS coil placement, guided by neuroimaging, can effectively modulate deep brain targets.
  • This approach leverages network properties to overcome TMS depth limitations, enhancing therapeutic potential.
  • Combining advanced imaging with TMS offers a promising strategy for non-invasive neuromodulation of deep brain circuits.