Evidence map›Paper›PMID 28495634›Full record

ArticleNeuroImage2017

Network-targeted cerebellar transcranial magnetic stimulation improves attentional control.

Michael Esterman, Michelle Thai, Hidefusa Okabe, Joseph DeGutis, Elyana Saad, Simon E Laganiere, Mark A Halko

Abstract read
In one paragraph

Article in NeuroImage, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 1 synthesis or guideline pooled it, 73 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
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  5. Review
  6. An update on the effects of cerebellar transcranial magnetic stimulation on cognitive function.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Review
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  15. Re-examining the Mysterious Role of the Cerebellum in Pain.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2024
    Review
  16. Article
  17. Article
  18. Functional Segregation of the Human Cerebellum in Social Cognitive Tasks Revealed by TMS.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2023
    Article
  19. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Michael EstermanNeuroimaging Research for Veterans (NeRVe) Center, VA Boston Healthcare System, United States; Boston Attention and Learning Laboratory, VA Boston Healthcare System, United States; Geriatric Research Education and Clinical Center (GRECC), Boston Division VA Healthcare System, United States; Department of Psychiatry, Boston University School of Medicine, United States. Electronic address: esterman@bu.edu.
Michelle ThaiBoston Attention and Learning Laboratory, VA Boston Healthcare System, United States.
Hidefusa OkabeBoston Attention and Learning Laboratory, VA Boston Healthcare System, United States.
Joseph DeGutisBoston Attention and Learning Laboratory, VA Boston Healthcare System, United States; Department of Psychiatry, Harvard Medical School, United States.
Elyana SaadBoston Attention and Learning Laboratory, VA Boston Healthcare System, United States; Department of Psychiatry, Harvard Medical School, United States.
Simon E LaganiereBerenson-Allen Center for Noninvasive Brain Stimulation, Beth Israel Deaconess Medical Center, United States.
Mark A HalkoBerenson-Allen Center for Noninvasive Brain Stimulation, Beth Israel Deaconess Medical Center, United States.
VA Boston Healthcare System · USBerenson Allen Center for Noninvasive Brain Stimulation · USBeth Israel Deaconess Medical Center · US

Funding

Dose Dependent Response of Cerebellar Transcranial Magnetic StimulationR01MH111868 · NIMH · MCLEAN HOSPITAL · PI HALKO, MARK A · 2016 to 2019
$1.7M
Neural Mechanisms of Attention in PTSD and Comorbid TBIIK2CX000706 · VA · VA BOSTON HEALTH CARE SYSTEM · PI ESTERMAN, MICHAEL · 2014 to 2018
–
CSRD VA IK2 CX000706NIMH NIH HHS R01 MH111868
6 · The paper itself

Abstract

Developing non-invasive brain stimulation interventions to improve attentional control is extremely relevant to a variety of neurological and psychiatric populations, yet few studies have identified reliable biomarkers that can be readily modified to improve attentional control. One potential biomarker of attention is functional connectivity in the core cortical network supporting attention - the dorsal attention network (DAN). We used a network-targeted cerebellar transcranial magnetic stimulation (TMS) procedure, intended to enhance cortical functional connectivity in the DAN. Specifically, in healthy young adults we administered intermittent theta burst TMS (iTBS) to the midline cerebellar node of the DAN and, as a control, the right cerebellar node of the default mode network (DMN). These cerebellar targets were localized using individual resting-state fMRI scans. Participants completed assessments of both sustained (gradual onset continuous performance task, gradCPT) and transient attentional control (attentional blink) immediately before and after stimulation, in two sessions (cerebellar DAN and DMN). Following cerebellar DAN stimulation, participants had significantly fewer attentional lapses (lower commission error rates) on the gradCPT. In contrast, stimulation to the cerebellar DMN did not affect gradCPT performance. Further, in the DAN condition, individuals with worse baseline gradCPT performance showed the greatest enhancement in gradCPT performance. These results suggest that temporarily increasing functional connectivity in the DAN via network-targeted cerebellar stimulation can enhance sustained attention, particularly in those with poor baseline performance. With regard to transient attention, TMS stimulation improved attentional blink performance across both stimulation sites, suggesting increasing functional connectivity in both networks can enhance this aspect of attention. These findings have important implications for intervention applications of TMS and theoretical models of functional connectivity.

Indexed as

AttentionCerebellumFemaleHumansMagnetic Resonance ImagingMaleNeural PathwaysTranscranial Magnetic StimulationYoung Adult

Identifiers

PMID28495634
PMCPMC5973536
OpenAlexW2613477659

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.