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Related Experiment Video

Updated: Jan 8, 2026

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Multi-Site Theta-tACS Improves Memory and Language Performance and Associated Local and Remote Functional

Zhiwei Guo1,2, Yi Jiang1, Jiayuan He1

  • 1National Clinical Research Center for Geriatrics, West China Biomedical Big Data Center, West China Hospital, Sichuan University, Chengdu, China.

CNS Neuroscience & Therapeutics
|December 19, 2025
PubMed
Summary

Multi-site transcranial alternating current stimulation (tACS) significantly improved cognitive functions in mild cognitive impairment (MCI) patients more than single-site tACS. This approach enhances brain network connectivity, offering a promising therapeutic strategy for MCI.

Keywords:
functional connectivitymild cognitive impairmentregional homogeneitytranscranial alternating current stimulationworking memory training

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Area of Science:

  • Neuroscience
  • Neuromodulation
  • Cognitive Science

Background:

  • Mild cognitive impairment (MCI) may benefit from multi-site noninvasive brain stimulation.
  • The effectiveness of transcranial alternating current stimulation (tACS) in a multi-site paradigm for MCI is not well-established.
  • Investigating multi-site tACS effects on MCI and its neural mechanisms is crucial.

Purpose of the Study:

  • To evaluate the therapeutic effects of multi-site tACS on cognitive functions in MCI patients.
  • To explore the underlying neural mechanisms of multi-site tACS in MCI.
  • To compare multi-site tACS with single-site tACS and sham stimulation.

Main Methods:

  • A 20-day parallel, sham-controlled trial involving 60 MCI participants.
  • Participants received multi-site tACS (prefrontal gyrus and precuneus), single-site tACS (precuneus), or sham stimulation, combined with working memory training.
  • Cognitive assessments and functional magnetic resonance imaging (fMRI) were used to evaluate changes in regional homogeneity (Reho) and resting-state networks (RSNs).

Main Results:

  • Multi-site tACS led to superior improvements in verbal fluency and recognition memory compared to sham.
  • Significant ReHo changes were observed in the superior frontal gyrus (SFG) and superior temporal gyrus (STG) in the multi-site group.
  • Multi-site tACS modulated functional connectivity in the default mode network (DMN), executive control network (ECN), and frontoparietal network (FPN), with correlations to cognitive improvements.

Conclusions:

  • Multi-site tACS is more effective than single-site tACS for enhancing cognitive functions in MCI patients.
  • The enhanced efficacy of multi-site tACS is linked to its broader modulation of cognition-related brain networks.
  • Multi-site tACS presents a promising neuromodulatory strategy for treating MCI.