Evidence map›Paper›PMID 32534252›Full record

Trial reportBrain stimulation

Two weeks of image-guided left dorsolateral prefrontal cortex repetitive transcranial magnetic stimulation improves smoking cessation: A double-blind, sham-controlled, randomized clinical trial.

Xingbao Li, Karen J Hartwell, Scott Henderson, Bashar W Badran, Kathleen T Brady, Mark S George

3 registry-linked trialsOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report 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 3 registered trials, which are not on this map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
4.0field-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.

NCT02401672 nacompletednot on this map

Developing rTMS as a Potential Treatment for Nicotine Addiction

TypeinterventionalSponsorMedical University of South CarolinaRan2014 to 2018Enrolled42ConditionsNicotine DependenceArmsTranscranial magnetic stimulation
NCT04903028 narecruitingnot on this map

RTMS Manipulates Imbalanced Drive-reward and Executive Control Circuitry for Smoking Cessation

TypeinterventionalSponsorMedical University of South CarolinaRan2021 to 2027Enrolled64ConditionsTobacco Use, Cigarette SmokingArmsSham rTMS, Active rTMS 10 Hz DLPFC
NCT07050862 narecruitingnot on this map

Circuity-guided Repetitive Transcranial Magnetic Stimulation (rTMS) for Tobacco Use in Veterans: A Comparison of Insula-rTMS and Prefrontal-rTMS

TypeinterventionalSponsorVA Office of Research and DevelopmentRan2026 to 2030Enrolled56ConditionsTabacco Use Disorder, rTMSArmsTranscranial Magnetic Stimulation, Personalized-image-guided and E-field-modeling dose rTMS (precision TMS)
3 · Its place in the literature

Who cites it

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

  1. Pooled it
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  3. Comparing neuromodulation targets to reduce cigarette craving and withdrawal: a randomized clinical trial.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2025
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  20. Accelerated TMS - moving quickly into the future of depression treatment.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2024
    Review
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

6 authors at 1 institution in 1 country.

Xingbao LiDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, 29425, USA; Center for Biomedical Imaging, Medical University of South Carolina, Charleston, SC, 29425, USA. Electronic address: lixi@musc.edu.
Karen J HartwellDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, 29425, USA; Ralph H. Johnson VA Medical Center, Charleston, SC, 29401, USA.
Scott HendersonCenter for Biomedical Imaging, Medical University of South Carolina, Charleston, SC, 29425, USA.
Bashar W BadranDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, 29425, USA.
Kathleen T BradyDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, 29425, USA; Ralph H. Johnson VA Medical Center, Charleston, SC, 29401, USA.
Mark S GeorgeDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, 29425, USA; Ralph H. Johnson VA Medical Center, Charleston, SC, 29401, USA.
Medical University of South Carolina · US

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 THOMPSON, AIKO · 2015 to 2024
$12.7M
RTMS manipulates imbalanced drive-reward and executive control circuitry for smoking cessationUG3DA048507 · NIDA · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI LI, XINGBAO · 2021 to 2022
$711k
Developing rTMS as a Potential Treatment for Nicotine AddictionR21DA036752 · NIDA · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI LI, XINGBAO · 2014 to 2015
$408k
NICHD NIH HHS P2C HD086844NIDA NIH HHS R21 DA036752NIDA NIH HHS UG3 DA048507NIGMS NIH HHS P20 GM109040
6 · The paper itself

Abstract

backgroundPrevious studies have found that repetitive transcranial magnetic stimulation (rTMS) to the left dorsal lateral prefrontal cortex (LDLPFC) transiently reduces smoking craving, decreases cigarette consumption, and increases abstinence rates.

objectiveWe investigated whether 10 daily MRI-guided rTMS sessions over two weeks to the LDLPFC paired with craving cues could reduce cigarette consumption and induce smoking cessation.

methodsWe enrolled 42 treatment-seeking nicotine-dependent smokers (≥10 cigarettes per day) in a randomized, double-blind, sham-controlled trial. Participants received 10 daily sessions over 2 weeks of either active or sham MRI-guided rTMS (10Hz, 3000 pulses each session) to the LDLPFC concurrently with video smoking cues. The primary outcome was a reduction in biochemically confirmed cigarette consumption with a secondary outcome of abstinence on the target quit date. We also recorded cue-induced craving and withdrawal symptoms.

resultsCompared to sham (n = 17), participants receiving active rTMS (n = 21) smoked significantly fewer cigarettes per day during the 2-week treatment (mean [SD], 13.73[9.18] vs. 11.06[9.29], P < .005) and at 1-month follow-up (12.78[9.53] vs. 7.93[7.24], P < .001). Active rTMS participants were also more likely to quit by their target quit rate (23.81%vs. 0%, OR 11.67, 90% CL, 0.96-141.32, x

conclusionsDaily MRI-guided rTMS to the LDLPFC for 10 days reduces cigarette consumption and cued craving for up to one month and also increases the likelihood of smoking cessation.

trial registrationClinicalTrials.gov identifier: NCT02401672.

Indexed as

AdultDouble-Blind MethodFemaleFollow-Up StudiesHumansMagnetic Resonance ImagingMaleMiddle AgedPrefrontal CortexSmokingSmoking CessationSurveys and QuestionnairesTime FactorsTobacco Use DisorderTranscranial Magnetic StimulationAddictionDLPFCImage-guided TMSNicotineSmoking cessation

Identifiers

PMID32534252
PMCPMC7494651
OpenAlexW3034459001

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.