Evidence map›Paper›PMID 35636708›Full record

ArticleBrain stimulation

A high-density theta burst paradigm enhances the aftereffects of transcranial magnetic stimulation: Evidence from focal stimulation of rat motor cortex.

Qinglei Meng, Hieu Nguyen, Antonia Vrana, Simone Baldwin, Charlotte Qiong Li, Antonia Giles, Jun Wang, Yihong Yang, Hanbing Lu

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 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 23% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

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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

9 authors at 2 institutions in 1 country.

Qinglei MengNeuroimaging Research Branch, National Institute on Drug Abuse (NIDA) Intramural Research Program, Baltimore, MD, USA.
Hieu NguyenNeuroimaging Research Branch, National Institute on Drug Abuse (NIDA) Intramural Research Program, Baltimore, MD, USA.
Antonia VranaNeuroimaging Research Branch, National Institute on Drug Abuse (NIDA) Intramural Research Program, Baltimore, MD, USA.
Simone BaldwinNeuroimaging Research Branch, National Institute on Drug Abuse (NIDA) Intramural Research Program, Baltimore, MD, USA.
Charlotte Qiong LiNeuroimaging Research Branch, National Institute on Drug Abuse (NIDA) Intramural Research Program, Baltimore, MD, USA.
Antonia GilesNeuroimaging Research Branch, National Institute on Drug Abuse (NIDA) Intramural Research Program, Baltimore, MD, USA.
Jun WangPower and Energy System Laboratory, University of Nebraska-Lincoln, Nebraska, USA.
Yihong YangNeuroimaging Research Branch, National Institute on Drug Abuse (NIDA) Intramural Research Program, Baltimore, MD, USA. Electronic address: yihongyang@mail.nih.gov.
Hanbing LuNeuroimaging Research Branch, National Institute on Drug Abuse (NIDA) Intramural Research Program, Baltimore, MD, USA. Electronic address: luha@mail.nih.gov.
National Institute on Drug Abuse · USUniversity of Nebraska–Lincoln · US

Funding

Neuroimaging of preclinical models of substance use disordersZIADA000638 · NIDA · NATIONAL INSTITUTE ON DRUG ABUSE · PI YANG, YIHONG · 2021 to 2025
$12.5M
Intramural NIH HHS Z99 DA999999
6 · The paper itself

Abstract

backgroundTheta burst stimulation (TBS) is an efficient noninvasive neuromodulation paradigm that has been widely adopted, clinically. However, the efficacy of TBS treatment remains similarly modest as conventional 10 Hz repetitive transcranial magnetic stimulation (rTMS). OBJECTIVE/HYPOTHESIS: To develop a new TBS paradigm that enhances the effects of TMS administration while maintaining high time-efficiency.

methodsWe describe here a new TMS paradigm, named High-Density Theta Burst Stimulation (hdTBS). This paradigm delivers up to 6 pulses per burst, as opposed to only 3 in conventional TBS, while maintaining the inter-burst interval of 200 ms (or 5 Hz) - a critical parameter in inducing long-term potentiation. This paradigm was implemented on a TMS stimulator developed in-house; its physiological effects were assessed in the motor cortex of awake rats using a rodent specific focal TMS coil. Microwire electrodes were implanted into each rat's limb muscles to longitudinally record motor-evoked potential (MEP). Four different TBS paradigms (3, 4, 5 or 6 pulses per burst, 200 s per session) were tested; MEP signals were recorded immediately before (baseline) and up to 35 min post each TBS session.

resultsWe developed a stimulator based on a printed-circuit board strategy. The stimulator was able to deliver stable outputs of up to 6 pulses per burst. Animal experiments (n = 15) revealed significantly different aftereffects induced by the four TBS paradigms (Friedman test, p = 0.018). Post hoc analysis further revealed that, in comparison to conventional 3-pulse TBS, 5- and 6-pulse TBS enhanced the aftereffects of MEP signals by 56% and 92%, respectively, while maintaining identical time efficiency. CONCLUSION(S): A new stimulation paradigm is proposed, implemented and tested in the motor cortex of awake rats using a focal TMS coil developed in the lab. We observed enhanced aftereffects as assessed by MEP, with no obvious adverse effects, suggesting the translational potentials of this paradigm.

Indexed as

Motor CortexTranscranial Magnetic StimulationAnimalsEvoked Potentials, MotorLong-Term PotentiationMuscle, SkeletalRatsTheta Rhythm

Identifiers

PMID35636708
PMCPMC9357274
OpenAlexW4282039831

What OpenQuestion holds

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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.