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Updated: Sep 21, 2025

Neuroimaging-Guided TMS–EEG for Real-Time Cortical Network Mapping
Published on: June 13, 2025
Identifying novel biomarkers with TMS-EEG - Methodological possibilities and challenges
Elisa Kallioniemi1, Zafiris J Daskalakis2
1Department of Psychiatry, UT Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX 75390, United States.
This review explores transcranial magnetic stimulation combined with electroencephalography (TMS-EEG) as a tool for developing brain disorder biomarkers. It summarizes current protocols, possibilities, and challenges for this neurophysiological method.
Area of Science:
- Neuroscience
- Neurophysiology
- Biomarker Discovery
Background:
- Biomarkers are crucial for diagnosing brain disorders and creating treatments.
- Neurophysiological tools are advancing biomarker development.
- Understanding neurotransmitter systems and brain connectivity is key.
Purpose of the Study:
- To review the current state of biomarker development using combined transcranial magnetic stimulation and electroencephalography (TMS-EEG).
- To summarize existing TMS-EEG protocols.
- To discuss the potential and challenges of TMS-EEG for biomarker discovery.
Main Methods:
- Review of existing literature on TMS-EEG protocols.
- Analysis of TMS-EEG's capability in assessing neurotransmitter systems (inhibitory and excitatory).
- Evaluation of TMS-EEG for mapping effective connectivity in the brain.
Main Results:
- TMS-EEG is an emerging neurophysiological tool with potential for biomarker identification.
- The method can probe inhibitory and excitatory neurotransmitter systems.
- Effective brain connectivity can be assessed using TMS-EEG.
Conclusions:
- Combined TMS-EEG offers a promising avenue for developing novel biomarkers for brain disorders.
- Further research and standardized protocols are needed to overcome current challenges.
- This methodology holds potential for advancing our understanding and treatment of neurological conditions.
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