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Updated: May 16, 2025

Brain State-dependent Brain Stimulation with Real-time Electroencephalography-Triggered Transcranial Magnetic Stimulation
Published on: August 20, 2019
Investigating brain network dynamics in state-dependent stimulation: A concurrent electroencephalography and
Saeed Makkinayeri1, Roberto Guidotti2, Alessio Basti3
1Department of Neuroscience, Imaging and Clinical Sciences, G. d'Annunzio University of Chieti-Pescara, Chieti, Italy.
Brain network states significantly impact Transcranial Magnetic Stimulation (TMS) outcomes. Identifying these large-scale brain network dynamics with high precision is crucial for optimizing TMS effectiveness in clinical applications.
Area of Science:
- Systems neuroscience
- Neuroimaging
- Brain-computer interfaces
Background:
- Resting-state networks (RSNs) influence cognition and clinical symptoms.
- Brain stimulation targets are often selected based on RSNs.
- Current EEG methods lack spatial resolution for network-level characterization during TMS.
Purpose of the Study:
- Map brain networks with high spatial and temporal precision.
- Assess the impact of network-level states on Transcranial Magnetic Stimulation (TMS) outcomes.
- Explore the relationship between large-scale brain network dynamics and corticospinal excitability.
Main Methods:
- Hidden Markov Models applied to pre-stimulus, high-density EEG data during TMS.
- Source space analysis of EEG data targeting the left primary motor cortex.
- Correlation analysis between identified brain states, RSNs (Yeo atlas), and corticospinal excitability.
Main Results:
- Identified fast-dynamic, large-scale brain states with distinct spatiotemporal and spectral features mirroring RSNs.
- Demonstrated significant influence of different network engagements on corticospinal excitability.
- Observed increased motor evoked potentials when the sensorimotor network dominated baseline activity.
Conclusions:
- Advanced characterization of brain networks in EEG-TMS studies with high spatial and temporal resolution.
- Highlighted the importance of integrating large-scale network dynamics into TMS experimental design.
- Provided a foundation for more precise and effective TMS applications.
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