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Updated: Jul 30, 2025

Brain State-dependent Brain Stimulation with Real-time Electroencephalography-Triggered Transcranial Magnetic Stimulation
Published on: August 20, 2019
Why is everyone talking about brain state?
Abigail S Greene1, Corey Horien1, Daniel Barson2
1Interdepartmental Neuroscience Program, Yale School of Medicine, New Haven, CT 06520, USA; MD/PhD program, Yale School of Medicine, New Haven, CT 06520, USA.
Abstract:
The rapid and coordinated propagation of neural activity across the brain provides the foundation for complex behavior and cognition. Technical advances across neuroscience subfields have advanced understanding of these dynamics, but points of convergence are often obscured by semantic differences, creating silos of subfield-specific findings. In this review we describe how a parsimonious conceptualization of brain state as the fundamental building block of whole-brain activity offers a common framework to relate findings across scales and species. We present examples of the diverse techniques commonly used to study brain states associated with physiology and higher-order cognitive processes, and discuss how integration across them will enable a more comprehensive and mechanistic characterization of the neural dynamics that are crucial to survival but are disrupted in disease.
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