Evidence map›Paper›PMID 37560755›Full record

ArticleMedComm2023

The acute effects of repetitive transcranial magnetic stimulation on laminar diffusion anisotropy of neocortical gray matter.

Wenjing Zhang, Naici Liu, Youjin Zhao, Chenyang Yao, Dan Yang, Chengmin Yang, Hui Sun, Xia Wei, John A Sweeney, Huilou Liang and 3 more

Abstract read
In one paragraph

Article in MedComm, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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

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

13 authors.

Wenjing ZhangDepartment of Radiology and Functional and Molecular Imaging Key Laboratory of Sichuan Province West China Hospital of Sichuan University Chengdu China.
Naici LiuDepartment of Radiology and Functional and Molecular Imaging Key Laboratory of Sichuan Province West China Hospital of Sichuan University Chengdu China.
Youjin ZhaoDepartment of Radiology and Functional and Molecular Imaging Key Laboratory of Sichuan Province West China Hospital of Sichuan University Chengdu China.
Chenyang YaoDepartment of Radiology and Functional and Molecular Imaging Key Laboratory of Sichuan Province West China Hospital of Sichuan University Chengdu China.
Dan YangDepartment of Radiology and Functional and Molecular Imaging Key Laboratory of Sichuan Province West China Hospital of Sichuan University Chengdu China.
Chengmin YangDepartment of Radiology and Functional and Molecular Imaging Key Laboratory of Sichuan Province West China Hospital of Sichuan University Chengdu China.
Hui SunDepartment of Radiology and Functional and Molecular Imaging Key Laboratory of Sichuan Province West China Hospital of Sichuan University Chengdu China.
Xia WeiDepartment of Radiology and Functional and Molecular Imaging Key Laboratory of Sichuan Province West China Hospital of Sichuan University Chengdu China.
John A SweeneyHuaxi MR Research Center (HMRRC) West China Hospital of Sichuan University Chengdu China.
Huilou LiangGE Healthcare MR Research Beijing China.
Miaoqi ZhangGE Healthcare MR Research Beijing China.
Qiyong GongDepartment of Radiology and Functional and Molecular Imaging Key Laboratory of Sichuan Province West China Hospital of Sichuan University Chengdu China.
Su LuiDepartment of Radiology and Functional and Molecular Imaging Key Laboratory of Sichuan Province West China Hospital of Sichuan University Chengdu China.ORCID https://orcid.org/0000-0003-3541-1769

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Repetitive transcranial magnetic stimulation (rTMS) is increasingly used to treat neuropsychiatric disorders. Inhibitory and excitatory regimens have been both adopted but the exact mechanism of action remains unclear, and investigating their differential effects on laminar diffusion profiles of neocortex may add important evidence. Twenty healthy participants were randomly assigned to receive a low-frequency/inhibitory or high-frequency/excitatory rTMS targeting the left dorsolateral prefrontal cortex (DLPFC). With the brand-new submillimeter diffusion tensor imaging of whole brain and specialized surface-based laminar analysis, fractional anisotropy (FA) and mean diffusion (MD) profiles of cortical layers at different cortical depths were characterized before/after rTMS. Inhibitory and excitatory rTMS both showed impacts on diffusion metrics of somatosensory, limbic, and sensory regions, but different patterns of changes were observed-increased FA with inhibitory rTMS, whereas decreased FA with excitatory rTMS. More importantly, laminar analysis indicated laminar specificity of changes in somatosensory regions during different rTMS patterns-inhibitory rTMS affected the superficial layers contralateral to the DLPFC, while excitatory rTMS led to changes in the intermediate/deep layers bilateral to the DLPFC. These findings provide novel insights into acute neurobiological effects on diffusion profiles of rTMS that may add critical evidence relevant to different protocols of rTMS on neocortex.

Indexed as

diffusion tensor imagingdorsolateral prefrontal cortexfractional anisotropymagnetic resonance imagingmean diffusionrepetitive transcranial magnetic stimulation

Identifiers

PMID37560755
PMCPMC10407029

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Registered trials

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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.