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Updated: Jun 15, 2026

Neuroimaging-Guided TMS–EEG for Real-Time Cortical Network Mapping
Published on: June 13, 2025
Local brain-state dependency of effective connectivity: a pilot TMS-EEG study
Ida Granö1,2, Tuomas P Mutanen1,2, Aino Tervo1,2
1Department of Neuroscience and Biomedical Engineering, Aalto University School of Science, Espoo, Finland.
Cortical effective connectivity measured by transcranial magnetic stimulation (TMS) depends on the phase of spontaneous brain oscillations. This finding may inform future closed-loop brain stimulation paradigms.
Area of Science:
- Neuroscience
- Brain Stimulation
- Electrophysiology
Background:
- Spontaneous cortical oscillations modulate responses to transcranial magnetic stimulation (TMS).
- The influence of these oscillations on cortical effective connectivity remains largely unexplored.
- This pilot study investigates the impact of spontaneous oscillations on TMS-evoked potentials (TEPs).
Purpose of the Study:
- To investigate how spontaneous cortical oscillations affect cortical effective connectivity.
- To establish a foundation for future research on phase-dependent TMS effects.
- To explore the relationship between neural oscillations and TMS-induced neural activity.
Main Methods:
- TMS was applied to the left primary motor cortex and right pre-supplementary motor area in three subjects.
- Electroencephalography (EEG) was used to record brain activity.
- Trials were classified based on the phase of mu and beta rhythms, and differences in global mean-field amplitude (GMFA) and cortical spreading of TEPs were analyzed.
Main Results:
- Global mean-field amplitude (GMFA) was significantly affected by oscillation phase in 4 out of 12 datasets.
- Significant phase effects on GMFA were observed at various time points post-stimulus (before 50 ms, 50–100 ms, and after 100 ms).
- Source estimation revealed complex spatial differences in the cortical spreading of TMS-evoked activity between phase classes.
Conclusions:
- Cortical effective connectivity, as measured by TMS-evoked potentials, appears to be dependent on the phase of local cortical oscillations.
- This study provides crucial insights for developing future closed-loop brain stimulation strategies.
- The findings highlight the importance of considering ongoing neural oscillations in TMS research.
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