Evidence map›Paper›PMID 29576498›Full record

ArticleBrain stimulation

Evidence of transcranial direct current stimulation-generated electric fields at subthalamic level in human brain in vivo.

Pratik Y Chhatbar, Steven A Kautz, Istvan Takacs, Nathan C Rowland, Gonzalo J Revuelta, Mark S George, Marom Bikson, Wuwei Feng

Registry-linked trialAbstract read
In one paragraph

Article in Brain stimulation. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04780152 (Assessment of Efficacy and Safety of Anodal Transcranial Direct Current Stimulation), which is not on this map. Cited by 49 papers.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed
–field-weighted citation impact
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.

NCT04780152 phase2 / phase3unknown statusnot on this map

Assessment of Efficacy and Safety of Anodal Transcranial Direct Current Stimulation (TDCS) in Pediatric and Teenage Patients With Major Depressive Disorder During COVID-19 Pandemics

TypeinterventionalSponsorEl Instituto Nacional de Neurologia y Neurocirugia Manuel Velasco SuarezRan2021 to 2022Enrolled172ConditionsMajor Depressive DisorderArmsTranscranial Direct Current Stimulation, Placebo-simulation of transcranial direct current stimulation, Fluoxetine Tablets
3 · Its place in the literature

Who cites it

49 citing papers in PubMed.

  1. Trial
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  11. Dopamine Alters the Effect of Brain Stimulation on Decision-Making.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2023
    Article
  12. Review
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  16. Review
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  18. Frontiers in human neuroscience · 2022
    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

8 authors.

Pratik Y ChhatbarDepartment of Neurology, College of Medicine, Medical University of South Carolina, Charleston, SC, USA.
Steven A KautzDepartment of Health Science & Research, College of Health Professions, Medical University of South Carolina, Charleston, SC, USA; Ralph H. Johnson VA Medical Center, Charleston, SC, USA.
Istvan TakacsDepartment of Neurosurgery, College of Medicine, Medical University of South Carolina, Charleston, SC, USA.
Nathan C RowlandDepartment of Neurosurgery, College of Medicine, Medical University of South Carolina, Charleston, SC, USA.
Gonzalo J RevueltaDepartment of Neurology, College of Medicine, Medical University of South Carolina, Charleston, SC, USA.
Mark S GeorgeRalph H. Johnson VA Medical Center, Charleston, SC, USA; Brain Stimulation Laboratory, Department of Psychiatry and Behavioral Science, College of Medicine, Medical University of South Carolina, Charleston, SC, USA.
Marom BiksonDepartment of Biomedical Engineering, The City College of The City University of New York, New York, NY, USA.
Wuwei FengDepartment of Neurology, College of Medicine, Medical University of South Carolina, Charleston, SC, USA; Department of Health Science & Research, College of Health Professions, Medical University of South Carolina, Charleston, SC, USA. Electronic address: feng@musc.edu.

Funding

Treating Depression and Enhancing Locomotor Recovery Post-strokeP20GM109040 · NIGMS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI KAUTZ, STEVEN A. · 2014 to 2024
$23.5M
Techniques DevelopmentP2CHD086844 · NICHD · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI BOGER, HEATHER A · 2015 to 2024
$12.7M
A tool-box to control and enhance tDCS spatial precisionR01MH111896 · NIMH · CITY COLLEGE OF NEW YORK · PI BIKSON, MAROM · 2016 to 2019
$2.2M
The coupled vascular hypothesis for transcranial direct current stimulation (tDCS)R01NS101362 · NINDS · CITY COLLEGE OF NEW YORK · PI BIKSON, MAROM · 2017 to 2021
$1.7M
South Carolina Collaborative Alliance for Stroke Trials (SC-CoAST)U10NS086490 · NINDS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI JAUCH, EDWARD C · 2013 to 2017
$1.6M
Identification of Gait and Imaging Markers for Freezing of Gait in Parkinson's DiseaseK23NS091391 · NINDS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI REVUELTA, GONZALO JAVIER · 2015 to 2019
$982k
NICHD NIH HHS P2C HD086844NIGMS NIH HHS P20 GM109040NIMH NIH HHS R01 MH111896NINDS NIH HHS K23 NS091391NINDS NIH HHS R01 NS101362NINDS NIH HHS U10 NS086490
6 · The paper itself

Abstract

backgroundTranscranial direct current stimulation (tDCS) is a promising brain modulation technique for several disease conditions. With this technique, some portion of the current penetrates through the scalp to the cortex and modulates cortical excitability, but a recent human cadaver study questions the amount. This insufficient intracerebral penetration of currents may partially explain the inconsistent and mixed results in tDCS studies to date. Experimental validation of a transcranial alternating current stimulation-generated electric field (EF) in vivo has been performed on the cortical (using electrocorticography, ECoG, electrodes), subcortical (using stereo electroencephalography, SEEG, electrodes) and deeper thalamic/subthalamic levels (using DBS electrodes). However, tDCS-generated EF measurements have never been attempted.

objectiveWe aimed to demonstrate that tDCS generates biologically relevant EF as deep as the subthalamic level in vivo.

methodsPatients with movement disorders who have implanted deep brain stimulation (DBS) electrodes serve as a natural experimental model for thalamic/subthalamic recordings of tDCS-generated EF. We measured voltage changes from DBS electrodes and body resistance from tDCS electrodes in three subjects while applying direct current to the scalp at 2 mA and 4 mA over two tDCS montages.

resultsVoltage changes at the level of deep nuclei changed proportionally with the level of applied current and varied with different tDCS montages.

conclusionsOur findings suggest that scalp-applied tDCS generates biologically relevant EF. Incorporation of these experimental results may improve finite element analysis (FEA)-based models.

Indexed as

Brain WavesElectromagnetic FieldsTranscranial Direct Current StimulationAdultFemaleHumansMaleThalamusBody resistanceDeep brain stimulationDose-dependenceTranscranial direct current stimulationVoltage-current relationship

Identifiers

PMID29576498
PMCPMC6019625

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Registered trials

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.