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Updated: May 2, 2026
Automatic Detection of Highly Organized Theta Oscillations in the Murine EEG
Published on: March 10, 2017
Complexity of resting cortical activity predicts neurophysiological responses to theta-burst stimulation but fails to
Matthew Herbert Ning1, Haoqi Sun2, Brice Passera1
1Berenson-Allen Center for Noninvasive Brain Stimulation, Beth Israel Deaconess Medical Center, Boston, Massachusetts, United States of America.
Background:
Substantial variability in individual responses to intermittent theta-burst stimulation (iTBS) limits its clinical efficacy, yet neurophysiological mechanisms underlying this variability remain unclear. While most machine-learning studies have focused on modeling behavioral or clinical effects of repetitive transcranial magnetic stimulation (rTMS), the few studies examining neurophysiological outcomes utilized limited feature sets in single-visit settings, which captured only inter-subject variability and most importantly lacked independent validation sets.
Methods:
To address these gaps, we employed supervised machine learning models that integrated baseline resting-state EEG (rsEEG) features and baseline transcranial magnetic stimulation (TMS)-evoked measures, including motor-evoked potentials (MEPs) and TMS-evoked potentials (TEPs), to predict neurophysiological responses to a single iTBS session applied over the primary motor cortex in two independent test-retest studies of healthy adults. We also employed statistical and reliability analysis to understand the statistical relationship between resting state EEG and responses to iTBS.
Results:
Internal cross-validation within the training cohort yielded promising binary classification performance (accuracy: 81%), identifying coarse-grained multiscale distribution entropy of rsEEG as the most robust predictor of local cortical excitability changes indexed by the 100-131ms window of TEPs. However, predictive performance markedly declined upon external validation (accuracy: 69%), reflecting unstable relationships between predictors and outcomes likely driven by substantial intra- and inter-individual variability of iTBS-induced changes in neurophysiological outcomes.
Conclusions:
These findings emphasize that while EEG complexity measures can capture baseline brain states relevant for neuromodulation to a certain degree, the inherent instability of single-session iTBS effects significantly constrains model generalizability and underscores the necessity of test-retest paradigm to avoid overly optimistic performance estimates. Future studies with multi-session and individualized stimulation protocols are urgently needed to better characterize neurophysiological mechanisms underlying rTMS effects and ultimately enhance its therapeutic potential.
