Evidence map›Paper›PMID 37836847›Full record

ArticleSensors (Basel, Switzerland)2023

Transcranial Magnetic Stimulation for the Treatment of Chemo Brain.

Phillip H Kuo, Allison Yu-Chin Chen, Rudolph J Rodriguez, Carol Stuehm, Pavani Chalasani, Nan-Kuei Chen, Ying-Hui Chou

Open access · goldAbstract readCase Reports
In one paragraph

Article in Sensors (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 11% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. 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

7 authors at 4 institutions in 1 country.

Phillip H KuoDepartments of Medical Imaging, Medicine, and Biomedical Engineering, University of Arizona, Tucson, AZ 85721, USA.
Allison Yu-Chin ChenBrain Imaging and TMS Laboratory, Department of Psychology, University of Arizona, Tucson, AZ 85721, USA.ORCID 0000-0002-5053-7688
Rudolph J RodriguezDepartment of Physics, University of Colorado, Boulder, CO 80301, USA.
Carol StuehmDepartment of Medical Imaging, University of Arizona, Tucson, AZ 85721, USA.
Pavani ChalasaniDivision of Hematology-Oncology, George Washington Cancer Center, Washington, DC 20037, USA.ORCID 0000-0002-7953-2979
Nan-Kuei ChenDepartment of Biomedical Engineering, University of Arizona, Tucson, AZ 85721, USA.
Ying-Hui ChouBrain Imaging and TMS Laboratory, Department of Psychology, Evelyn F McKnight Brain Institute, Arizona Center on Aging, BIO5 Institute, University of Arizona, Tucson, AZ 85721, USA.
University of Arizona · USBanner - University Medical Center Tucson · USGeorge Washington University · USUniversity of Colorado Boulder · US

Funding

Enhancement of Hippocampal Plasticity Using Repetitive Transcranial Magnetic StimulationR01AG062543 · NIA · UNIVERSITY OF ARIZONA · PI CHOU, YING-HUI · 2020 to 2024
$3.5M
Development of High-Speed and Quantitative Neuro MRI Technologies for Challenging Patient PopulationsR01NS102220 · NINDS · UNIVERSITY OF ARIZONA · PI CHEN, NAN-KUEI · 2018 to 2022
$2.1M
NIA NIH HHS R01 AG062543NINDS NIH HHS R01 NS102220
6 · The paper itself

Abstract

This pilot feasibility study aimed to evaluate the effects of transcranial magnetic stimulation (TMS) on chemotherapy-related cognitive impairment (CRCI), and we report here on the first patient.

backgroundDeleterious cognitive changes due to chemotherapy or CRCI are commonly referred to as "chemo brain". With the increasing survival of cancer patients, this poorly understood and inadequately treated condition will likewise have an increasing toll on individuals and society. Since there is no approved treatment for chemo brain, we have initiated a therapeutic trial using transcranial magnetic stimulation (TMS), a non-invasive brain stimulation technique approved in many countries for the treatment of neurologic and psychiatric conditions like migraine and depression. CASE PRESENTATION: A 58-year-old woman, diagnosed 7 years prior with left breast cancer, underwent partial mastectomy with sentinel lymph node biopsy. She then received four cycles of adjuvant chemotherapy followed by radiation therapy. Afterwards, she was on tamoxifen for 4 years and then switched to aromatase inhibitors. The patient's CRCI started during chemotherapy and severely impaired her quality of life for an additional two years. In the third year after chemotherapy, the CRCI partially cleared to stabilize to the level at the time of presentation for this trial. The patient continues to have memory difficulties and decreased concentration, which makes multi-tasking very difficult to impossible. She is reliant on memory aids at work and at home. The participant underwent 10 consecutive sessions of TMS during weekdays for 2 weeks. Stimulation was directed to the left dorsolateral prefrontal cortex. After TMS, the participant significantly improved in memory function on neuropsychological testing. While she reported no subjective differences in concentration or memory, she did report an improvement in her sleep. Functional magnetic resonance imaging of the brain before and after TMS showed increased resting-state functional connectivity between the stimulation site and several brain regions. Remarkably, after 6 years of chemo brain and remaining in the same position at work due to her inability to concentrate and multi-task, she applied for and received a promotion 5-6 months after her TMS treatments.

conclusionsThis first patient in the phase 1 clinical trial testing of TMS for the treatment of "chemo brain" provided important lessons for feasibility and insights into mechanisms of potential benefit.

Indexed as

Breast NeoplasmsTranscranial Magnetic StimulationBrainClinical Trials, Phase I as TopicFemaleHumansMagnetic Resonance ImagingMastectomyMiddle AgedQuality of Lifechemo brainchemotherapy-related cognitive impairmenttranscranial magnetic stimulation

Identifiers

PMID37836847
PMCPMC10575384
OpenAlexW4386963244

What OpenQuestion holds

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LicenceCC BY
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.