Evidence map›Paper›PMID 34651464›Full record

ArticleBrain and behavior2021

Network-based rTMS to modulate working memory: The difficult choice of effective parameters for online interventions.

Lysianne Beynel, Moritz Dannhauer, Hannah Palmer, Susan A Hilbig, Courtney A Crowell, Joyce E-H Wang, Andrew M Michael, Eleanor A Wood, Bruce Luber, Sarah H Lisanby and 4 more

Abstract read
In one paragraph

Article in Brain and behavior, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–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.

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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
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

14 authors.

Lysianne BeynelDepartment of Psychiatry and Behavioral Science, Duke University School of Medicine, Durham, North Carolina, USA.ORCID 0000-0001-8670-7178
Moritz DannhauerDepartment of Psychiatry and Behavioral Science, Duke University School of Medicine, Durham, North Carolina, USA.
Hannah PalmerDepartment of Psychiatry and Behavioral Science, Duke University School of Medicine, Durham, North Carolina, USA.
Susan A HilbigDepartment of Psychiatry and Behavioral Science, Duke University School of Medicine, Durham, North Carolina, USA.
Courtney A CrowellDepartment of Psychiatry and Behavioral Science, Duke University School of Medicine, Durham, North Carolina, USA.
Joyce E-H WangDepartment of Psychiatry and Behavioral Science, Duke University School of Medicine, Durham, North Carolina, USA.
Andrew M MichaelDuke Institute for Brain Sciences, Duke University School of Medicine, Durham, North Carolina, USA.
Eleanor A WoodDepartment of Psychiatry and Behavioral Science, Duke University School of Medicine, Durham, North Carolina, USA.
Bruce LuberNoninvasive Neuromodulation Unit, Experimental Therapeutics and Pathophysiology Branch, National Institute of Mental Health, Bethesda, Maryland, USA.
Sarah H LisanbyNoninvasive Neuromodulation Unit, Experimental Therapeutics and Pathophysiology Branch, National Institute of Mental Health, Bethesda, Maryland, USA.
Angel V PeterchevDepartment of Psychiatry and Behavioral Science, Duke University School of Medicine, Durham, North Carolina, USA.
Roberto CabezaCenter for Cognitive Neuroscience, Duke University, Durham, North Carolina, USA.
Simon W DavisCenter for Cognitive Neuroscience, Duke University, Durham, North Carolina, USA.
Lawrence G AppelbaumDepartment of Psychiatry and Behavioral Science, Duke University School of Medicine, Durham, North Carolina, USA.

Funding

Non-invasive Neuromodulation Unit (NNU)ZIAMH002955 · NIMH · NATIONAL INSTITUTE OF MENTAL HEALTH · PI ZARATE, CARLOS · 2016 to 2025
$40.3M
Using fMRI-guided TMS to increase central executive function in older adults - Administrative SupplementU01AG050618 · NIA · DUKE UNIVERSITY · PI APPELBAUM, LAWRENCE G., CABEZA, ROBERTO · 2016 to 2019
$2.3M
Using fMRI-guided TMS to increase central executive function in older adultsR01AG050618 · NIA · DUKE UNIVERSITY · PI APPELBAUM, LAWRENCE G., CABEZA, ROBERTO · 2015 to 2015
$497k
Intramural NIH HHS ZIA MH002955NIA NIH HHS R01 AG050618NIA NIH HHS U01 AG050618
6 · The paper itself

Abstract

backgroundOnline repetitive transcranialmagnetic stimulation (rTMS) has been shown to modulate working memory (WM) performance in a site-specific manner, with behavioral improvements due to stimulation of the dorsolateral prefrontal cortex (DLPFC), and impairment from stimulation to the lateral parietal cortex (LPC). Neurobehavioral studies have demonstrated that subprocesses of WM allowing for the maintenance and manipulation of information in the mind involve unique cortical networks. Despite promising evidence of modulatory effects of rTMS on WM, no studies have yet demonstrated distinct modulatory control of these two subprocesses. The current study therefore sought to explore this possibility through site-specific stimulation during an online task invoking both skills.

methodsTwenty-nine subjects completed a 4-day protocol, in which active or sham 5Hz rTMS was applied over the DLPFC and LPC in separate blocks of trials while participants performed tasks that required either maintenance alone, or both maintenance and manipulation (alphabetization) of information. Stimulation targets were defined individually based on fMRI activation and structural network properties. Stimulation amplitude was adjusted using electric field modeling to equate induced current in the target region across participants.

resultsDespite the use of advanced techniques, no significant differences or interactions between active and sham stimulation were found. Exploratory analyses testing stimulation amplitude, fMRI activation, and modal controllability showed nonsignificant but interesting trends with rTMS effects.

conclusionWhile this study did not reveal any significant behavioral changes in WM, the results may point to parameters that contribute to positive effects, such as stimulation amplitude and functional activation.

Indexed as

Internet-Based InterventionMemory, Short-TermDorsolateral Prefrontal CortexHumansPrefrontal CortexTranscranial Magnetic StimulationDLPFCparietal cortexrepetitive transcranial magnetic stimulationworking memory

Identifiers

PMID34651464
PMCPMC8613413

What OpenQuestion holds

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LicenceCC BY
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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.