Evidence map›Paper›PMID 34974116›Full record

ArticleNeuroImage2022

Using diffusion tensor imaging to effectively target TMS to deep brain structures.

Bruce Luber, Simon W Davis, Zhi-De Deng, David Murphy, Andrew Martella, Angel V Peterchev, Sarah H Lisanby

Open access · goldAbstract read
In one paragraph

Article in NeuroImage, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
4.7field-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

28 citing papers in PubMed, 58 citations in OpenAlex.

  1. Trial
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  6. Neurodevelopmental considerations for transcranial magnetic stimulation trials in youth.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Review
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  8. Article
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  11. Review
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  13. Article
  14. Brain network pathophysiology in dystonia.Dystonia (Lausanne, Switzerland) · 2025
    Article
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  16. Review
  17. 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 2 institutions in 1 country.

Bruce LuberNoninvasive Neuromodulation Unit, Experimental Therapeutics & Pathophysiology Branch, National Institute of Mental Health, National Institutes of Health, Bethesda, MD, United States. Electronic address: bruce.luber@nih.gov.
Simon W DavisDepartment of Neurology, Duke University School of Medicine, Durham, NC, United States.
Zhi-De DengNoninvasive Neuromodulation Unit, Experimental Therapeutics & Pathophysiology Branch, National Institute of Mental Health, National Institutes of Health, Bethesda, MD, United States; Department of Psychiatry & Behavioral Sciences, Duke University School of Medicine, Durham, NC, United States.
David MurphyDepartment of Psychiatry & Behavioral Sciences, Duke University School of Medicine, Durham, NC, United States.
Andrew MartellaDepartment of Psychiatry & Behavioral Sciences, Duke University School of Medicine, Durham, NC, United States.
Angel V PeterchevDepartment of Psychiatry & Behavioral Sciences, Duke University School of Medicine, Durham, NC, United States; Department of Biomedical Engineering, Duke University, Durham, NC, United States; Department of Electrical and Computer Engineering, Duke University, Durham, NC, United States; Department of Neurosurgery, Duke University School of Medicine, Durham, NC, United States.
Sarah H LisanbyNoninvasive Neuromodulation Unit, Experimental Therapeutics & Pathophysiology Branch, National Institute of Mental Health, National Institutes of Health, Bethesda, MD, United States; Department of Psychiatry & Behavioral Sciences, Duke University School of Medicine, Durham, NC, United States.
Duke University · USNational Institute of Mental Health · US

Funding

Non-invasive Neuromodulation Unit (NNU)ZIAMH002955 · NIMH · NATIONAL INSTITUTE OF MENTAL HEALTH · PI ZARATE, CARLOS · 2016 to 2025
$40.3M
Dissecting the stress circuits of the paraventricular nucleus of the thalamusZIAMH002950 · NIMH · NATIONAL INSTITUTE OF MENTAL HEALTH · PI PENZO, MARIO · 2016 to 2025
$17.5M
Rational Design of TMS for NeuromodulationR01NS088674 · NINDS · DUKE UNIVERSITY · PI PETERCHEV, ANGEL V, SOMMER, MARC A · 2014 to 2018
$3.1M
Rational Dosing for Electric and Magnetic Seizure TherapyR01MH091083 · NIMH · DUKE UNIVERSITY · PI PETERCHEV, ANGEL V · 2010 to 2015
$1.9M
Bilateral Brain Dynamics Supporting Cognition in Normal Aging and DementiaK01AG053539 · NIA · DUKE UNIVERSITY · PI DAVIS, SIMON W · 2017 to 2021
$518k
Using network-guided TMS to ameliorate memory deficits in early Alzheimer's diseaseR21AG058161 · NIA · DUKE UNIVERSITY · PI DAVIS, SIMON W · 2020 to 2020
$431k
Intramural NIH HHS Z99 MH999999Intramural NIH HHS ZIA MH002950NIA NIH HHS K01 AG053539NIA NIH HHS R21 AG058161NIMH NIH HHS R01 MH091083NINDS NIH HHS R01 NS088674
6 · The paper itself

Abstract

TMS has become a powerful tool to explore cortical function, and in parallel has proven promising in the development of therapies for various psychiatric and neurological disorders. Unfortunately, much of the inference of the direct effects of TMS has been assumed to be limited to the area a few centimeters beneath the scalp, though clearly more distant regions are likely to be influenced by structurally connected stimulation sites. In this study, we sought to develop a novel paradigm to individualize TMS coil placement to non-invasively achieve activation of specific deep brain targets of relevance to the treatment of psychiatric disorders. In ten subjects, structural diffusion imaging tractography data were used to identify an accessible cortical target in the right frontal pole that demonstrated both anatomic and functional connectivity to right Brodmann area 25 (BA25). Concurrent TMS-fMRI interleaving was used with a series of single, interleaved TMS pulses applied to the right frontal pole at four intensity levels ranging from 80% to 140% of motor threshold. In nine of ten subjects, TMS to the individualized frontal pole sites resulted in significant linear increase in BOLD activation of BA25 with increasing TMS intensity. The reliable activation of BA25 in a dosage-dependent manner suggests the possibility that the careful combination of imaging with TMS can make use of network properties to help overcome depth limitations and allow noninvasive brain stimulation to influence deep brain structures.

Indexed as

Brain MappingDeep Brain StimulationDiffusion Tensor ImagingTranscranial Magnetic StimulationAdultBrainFemaleGyrus CinguliHumansMalePrefrontal CortexYoung AdultConnectivitydeep brain stimulationDiffusion imaging tractographySubgenual cingulate cortexTargetingTMS

Identifiers

PMID34974116
PMCPMC8851689
OpenAlexW4200167463

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.