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Theta Transcranial Alternating Current Stimulation Over the Dorsomedial Prefrontal Cortex Does Not Enhance Long-Term

Dima Chitic1,2, Krasimir S Zdravkov1, Vasiliki Dounavi1

  • 1Department of Psychology, University of Groningen, Groningen, the Netherlands.

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|February 11, 2026
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Summary

This study found that theta transcranial alternating current stimulation (tACS) in the dorsomedial prefrontal cortex did not enhance long-term memory (LTM) retrieval for visual images. Stimulating theta oscillations did not affect recognition accuracy regardless of image memorability.

Keywords:
dorsomedial prefrontal cortexlong‐term memorytheta oscillationstranscranial alternating current stimulation

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Area of Science:

  • Neuroscience
  • Cognitive Psychology
  • Brain Stimulation

Background:

  • Long-term memory (LTM) retrieval is linked to neural oscillations in the theta frequency range (3-8 Hz).
  • The dorsomedial prefrontal cortex (dmPFC) is implicated in LTM retrieval, but causal evidence is limited.
  • The influence of stimulus memorability on LTM retrieval and its modulation by brain stimulation remains underexplored.

Purpose of the Study:

  • To investigate the causal role of theta oscillations in the dmPFC during LTM retrieval.
  • To examine whether modulating dmPFC theta activity using transcranial alternating current stimulation (tACS) affects recognition accuracy.
  • To determine if stimulus memorability moderates the effect of tACS on LTM retrieval.

Main Methods:

  • Thirty-three healthy volunteers underwent 4 Hz tACS or sham stimulation targeting the dmPFC during a visual image retrieval task.
  • Participants memorized 300 images (faces, scenes, items) and were tested for recognition 1 hour later.
  • Recognition accuracy was assessed by distinguishing between previously seen and new images, with varying memorability levels.

Main Results:

  • No significant effect of 4 Hz tACS on LTM recognition accuracy was observed.
  • A significant effect of stimulus memorability was found, but it did not interact with tACS.
  • tACS did not influence performance on either low- or high-memorable images.

Conclusions:

  • The study does not support an active role for 4 Hz theta oscillations in the dmPFC for image LTM retrieval under the tested conditions.
  • The null finding suggests that the specific stimulation parameters and task may limit the generalizability of theta's role in LTM retrieval.
  • Further research is needed to explore the precise mechanisms and conditions under which dmPFC theta oscillations contribute to LTM.