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Chronometric interleaved TMS-fMRI shows state-dependent network effects underlying speech production
Maria Vasileiadi1, Anna-Lisa Schuler2, Michael Woletz1
1Center for Medical Physics and Biomedical Engineering, Medical University of Vienna, Austria.
Brain Stimulation
|December 20, 2025
Summary
Transcranial magnetic stimulation (TMS) during speech's linguistic phase amplified brain activity, causing speech arrest. This challenges the "virtual lesion" model, showing state-dependent overactivation, not suppression.
Area of Science:
- Neuroscience
- Cognitive Science
- Speech Processing
Background:
- Speech production involves complex cortical networks.
- Causal dynamics within speech networks are not fully understood.
- The temporal specificity of transcranial magnetic stimulation (TMS) effects on speech is unclear.
Purpose of the Study:
- To investigate the causal role of specific brain regions in speech production.
- To explore how the timing of TMS during speech impacts behavior and neural activity.
- To challenge the traditional
- virtual lesion
- model of TMS.
Main Methods:
- Developed a novel chronometric interleaved TMS-fMRI paradigm.
- Delivered TMS to the left superior temporal gyrus (STG) during object naming.
- Stimulated during early conceptual and later linguistic processing stages, recording BOLD responses.
Main Results:
- TMS during linguistic processing caused speech arrest and increased activation in language areas (IFG, STG).
- Stimulation during conceptual processing had minimal neural effects.
- Speech disruption resulted from state-dependent overactivation, not suppression.
Conclusions:
- TMS can amplify neural activity in a state-dependent manner, challenging the
- virtual lesion
- view.
- Established a novel framework for temporally precise causal mapping of speech networks.
- Highlighted the critical role of cognitive state in brain responses to stimulation.

