Evidence map›Paper›PMID 37609394›Full record

ArticleHeliyon2023

Personalized repetitive transcranial magnetic stimulation (prtms®) for post-traumatic stress disorder (ptsd) in military combat veterans.

Milan T Makale, Shaghayegh Abbasi, Chad Nybo, Jason Keifer, Lori Christman, J Kaci Fairchild, Jerome Yesavage, Kenneth Blum, Mark S Gold, David Baron and 4 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Heliyon, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07526285 (Personalized Repetitive Transcranial Magnetic Stimulation), which is not on this map. Cited by 14 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 3 pooled it
2.8field-weighted citation impact, top 9% 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.

NCT07526285 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Personalized Repetitive Transcranial Magnetic Stimulation (PrTMS) for Treatment of Post-Traumatic Stress Disorder (PTSD)

TypeinterventionalSponsorMassachusetts General HospitalRan2026 to 2029Enrolled100ConditionsPosttraumatic Stress Disorder (PTSD)ArmsTranscranial Magnetic Stimulation, Transcranial Magnetic Stimulation Sham
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 3 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. Pooled it
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  3. Pooled it
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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

14 authors at 11 institutions in 3 countries.

Milan T MakaleDepartment of Radiation Medicine and Applied Sciences, University of California San Diego, La Jolla, CA, 92093, USA.
Shaghayegh AbbasiDepartment of Electrical Engineering, University of Portland, Portland, OR, 97203, USA.
Chad NyboCrossTx Inc., Bozeman, MT, 59715, USA.
Jason KeiferBrain Health Hawaii, Honolulu, HI, 96816, USA.
Lori ChristmanStatKing Clinical Services, Fairfield, OH, 45014, USA.
J Kaci FairchildPsychiatry and Behavioral Sciences, Stanford University, Stanford, CA, 94305, USA.
Jerome YesavagePsychiatry and Behavioral Sciences, Stanford University, Stanford, CA, 94305, USA.
Kenneth BlumDivision of Addiction Research & Education, Center for Sports, Exercise & Global Mental Health, Western University Health Sciences, Pomona, USA.
Mark S GoldDepartment of Psychiatry, Washington University School of Medicine, St. Louis, MO, USA.
David BaronDivision of Addiction Research & Education, Center for Sports, Exercise & Global Mental Health, Western University Health Sciences, Pomona, USA.
Jean Lud CadetMolecular Neuropsychiatry Research Branch, National Institute on Drug Abuse, Intramural Research Program, National Institutes of Health, Baltimore, MD, USA.
Igor ElmanCambridge Health Alliance, Harvard Medical School, Cambridge, MA, USA.
Catherine A DennenDepartment of Family Medicine, Jefferson Health Northeast, Philadelphia, PA, USA.
Kevin T MurphyPeakLogic Inc., Del Mar, CA, 92130, USA.
Stanford University · USCambridge Health Alliance · USEötvös Loránd University · HUHawaii Department of Health · USMcKing Consulting (United States) · USNational Institutes of Health · USThomas Jefferson University Hospital · USUniversity of California San Diego · USUniversity of Portland · USWashington University in St. Louis · USWestern University of Health Sciences · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Emerging data suggest that post-traumatic stress disorder (PTSD) arises from disrupted brain default mode network (DMN) activity manifested by dysregulated encephalogram (EEG) alpha oscillations. Hence, we pursued the treatment of combat veterans with PTSD (n = 185) using an expanded form of repetitive transcranial magnetic stimulation (rTMS) termed personalized-rTMS (PrTMS). In this treatment methodology spectral EEG based guidance is used to iteratively optimize symptom resolution via (1) stimulation of multiple motor sensory and frontal cortical sites at reduced power, and (2) adjustments of cortical treatment loci and stimulus frequency during treatment progression based on a proprietary frequency algorithm (PeakLogic, Inc. San Diego) identifying stimulation frequency in the DMN elements of the alpha oscillatory band. Following 4 - 6 weeks of PrTMS® therapy in addition to routine PTSD therapy, veterans exhibited significant clinical improvement accompanied by increased cortical alpha center frequency and alpha oscillatory synchronization. Full resolution of PTSD symptoms was attained in over 50% of patients. These data support DMN involvement in PTSD pathophysiology and suggest a role in therapeutic outcomes. Prospective, sham controlled PrTMS® trials may be warranted to validate our clinical findings and to examine the contribution of DMN targeting for novel preventive, diagnostic, and therapeutic strategies tailored to the unique needs of individual patients with both combat and non-combat PTSD.

Indexed as

Alpha oscillationsAutomatic cognitionContextualDefault mode networkEEGExperience-basedFast thinkingImplicitIntuitivePower spectrumPTSDPTSD checklist for DSM-5 (PCL-5)rTMS

Identifiers

PMID37609394
PMCPMC10440537
OpenAlexW4385623378

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.