Evidence map›Paper›PMID 34818580›Full record

ArticleBrain stimulation

Multi-locus transcranial magnetic stimulation system for electronically targeted brain stimulation.

Jaakko O Nieminen, Heikki Sinisalo, Victor H Souza, Mikko Malmi, Mikhail Yuryev, Aino E Tervo, Matti Stenroos, Diego Milardovich, Juuso T Korhonen, Lari M Koponen and 1 more

Open access · goldAbstract 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. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
4.5field-weighted citation impact, top 4% 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

26 citing papers in PubMed, 83 citations in OpenAlex.

  1. Clinical utility and prospective of TMS-EEG: Updated review from an international expert group.Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology · 2026
    Review
  2. Article
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  5. Optimizing and assessing multichannel TMS focality.bioRxiv : the preprint server for biology · 2025
    Article
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  10. Multi-coil TMS for preclinical applications in ultra-high-field MRI.Imaging neuroscience (Cambridge, Mass.) · 2025
    Article
  11. Article
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  14. Clinical diagnostic utility of transcranial magnetic stimulation in neurological disorders. Updated report of an IFCN committee.Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology · 2023
    Review
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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

11 authors at 4 institutions in 3 countries.

Jaakko O NieminenDepartment of Neuroscience and Biomedical Engineering, Aalto University School of Science, Espoo, Finland; BioMag Laboratory, HUS Medical Imaging Center, University of Helsinki and Helsinki University Hospital, Helsinki, Finland. Electronic address: jaakko.nieminen@aalto.fi.
Heikki SinisaloDepartment of Neuroscience and Biomedical Engineering, Aalto University School of Science, Espoo, Finland; BioMag Laboratory, HUS Medical Imaging Center, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Victor H SouzaDepartment of Neuroscience and Biomedical Engineering, Aalto University School of Science, Espoo, Finland; BioMag Laboratory, HUS Medical Imaging Center, University of Helsinki and Helsinki University Hospital, Helsinki, Finland; School of Physiotherapy, Federal University of Juiz de Fora, Juiz de Fora, MG, Brazil.
Mikko MalmiDepartment of Neuroscience and Biomedical Engineering, Aalto University School of Science, Espoo, Finland; BioMag Laboratory, HUS Medical Imaging Center, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Mikhail YuryevDepartment of Neuroscience and Biomedical Engineering, Aalto University School of Science, Espoo, Finland.
Aino E TervoDepartment of Neuroscience and Biomedical Engineering, Aalto University School of Science, Espoo, Finland; BioMag Laboratory, HUS Medical Imaging Center, University of Helsinki and Helsinki University Hospital, Helsinki, Finland; AMI Centre, Aalto NeuroImaging, Aalto University School of Science, Espoo, Finland.
Matti StenroosDepartment of Neuroscience and Biomedical Engineering, Aalto University School of Science, Espoo, Finland.
Diego MilardovichDepartment of Neuroscience and Biomedical Engineering, Aalto University School of Science, Espoo, Finland; Institute for Microelectronics, Technische Universität Wien, Vienna, Austria.
Juuso T KorhonenDepartment of Neuroscience and Biomedical Engineering, Aalto University School of Science, Espoo, Finland.
Lari M KoponenDepartment of Neuroscience and Biomedical Engineering, Aalto University School of Science, Espoo, Finland.
Risto J IlmoniemiDepartment of Neuroscience and Biomedical Engineering, Aalto University School of Science, Espoo, Finland; BioMag Laboratory, HUS Medical Imaging Center, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
University of Helsinki · FIAalto University · FITU Wien · ATUniversidade Federal de Juiz de Fora · BR

Funding

European Research Council 810377
6 · The paper itself

Abstract

backgroundTranscranial magnetic stimulation (TMS) allows non-invasive stimulation of the cortex. In multi-locus TMS (mTMS), the stimulating electric field (E-field) is controlled electronically without coil movement by adjusting currents in the coils of a transducer.

objectiveTo develop an mTMS system that allows adjusting the location and orientation of the E-field maximum within a cortical region.

methodsWe designed and manufactured a planar 5-coil mTMS transducer to allow controlling the maximum of the induced E-field within a cortical region approximately 30 mm in diameter. We developed electronics with a design consisting of independently controlled H-bridge circuits to drive up to six TMS coils. To control the hardware, we programmed software that runs on a field-programmable gate array and a computer. To induce the desired E-field in the cortex, we developed an optimization method to calculate the currents needed in the coils. We characterized the mTMS system and conducted a proof-of-concept motor-mapping experiment on a healthy volunteer. In the motor mapping, we kept the transducer placement fixed while electronically shifting the E-field maximum on the precentral gyrus and measuring electromyography from the contralateral hand.

resultsThe transducer consists of an oval coil, two figure-of-eight coils, and two four-leaf-clover coils stacked on top of each other. The technical characterization indicated that the mTMS system performs as designed. The measured motor evoked potential amplitudes varied consistently as a function of the location of the E-field maximum.

conclusionThe developed mTMS system enables electronically targeted brain stimulation within a cortical region.

Indexed as

Motor CortexTranscranial Magnetic StimulationElectromyographyEvoked Potentials, MotorHumansStereotaxic TechniquesCoilElectric fieldMotor mappingmTMSMulti-locusTranscranial magnetic stimulationTransducer

Identifiers

PMID34818580
PMCPMC8807400
OpenAlexW3215500666

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.