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Updated: May 15, 2025

Transcranial Direct Current Stimulation and Simultaneous Functional Magnetic Resonance Imaging
Published on: April 27, 2014
Effects of Transcranial Magnetic Stimulation on Cognitive-Affective Task-Based Functional Connectivity
Merideth A Addicott1, Jonathan R Young2,3,4, L Gregory Appelbaum5
1Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA.
Repetitive transcranial magnetic stimulation (rTMS) can alter brain connectivity during cognitive tasks. Low-frequency rTMS modulated functional connectivity in brain regions associated with negative feedback, suggesting potential therapeutic applications.
Area of Science:
- Neuroscience
- Cognitive Science
- Neuromodulation
Background:
- Repetitive transcranial magnetic stimulation (rTMS) uses electromagnetic fields to induce electrical currents in the superficial cortex, potentially affecting functionally connected distal brain regions.
- Previous research indicated that rTMS targeting the postcentral gyrus influences resting-state functional connectivity with the posterior insula.
- The current study aimed to explore rTMS effects on task-based functional connectivity (TBFC) during a cognitive-affective distress task.
Purpose of the Study:
- To investigate if rTMS targeting the postcentral gyrus modulates task-based functional connectivity (TBFC) with the posterior insula during a cognitive-affective distress task.
- To compare the effects of 1 Hz and 10 Hz rTMS on TBFC during negative auditory feedback.
Main Methods:
- Twenty-five healthy participants were divided into 1 Hz (n=12) and 10 Hz (n=13) rTMS groups, receiving five consecutive daily sessions.
- Pre- and post-rTMS magnetic resonance imaging (MRI) scans were acquired while participants performed a cognitive-affective distress task with negative auditory feedback.
- Neuronavigation guided rTMS coil placement over the right postcentral gyrus; TBFC analysis used the bilateral auditory cortex as a seed region-of-interest.
Main Results:
- A significant group-by-session-by-condition interaction (FDR-corrected) was observed in a right putamen/posterior insula cluster.
- In the distress condition, the 1 Hz rTMS group exhibited significantly weaker negative TBFC post-rTMS (p = 0.005).
- The 10 Hz rTMS group showed no significant effect on TBFC during the distress condition.
Conclusions:
- This preliminary study suggests rTMS can modulate TBFC in distal brain regions involved in processing cognitive-affective negative feedback.
- The findings indicate that low-frequency rTMS may alter functional connectivity related to negative emotional processing.
- Future research should explore optimizing rTMS parameters (e.g., session number, pulse sequences) to enhance TBFC modulation and clinical outcomes.
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