Evidence map›Paper›PMID 39317797›Full record

ArticleNature neuroscience2024

A potential target for noninvasive neuromodulation of PTSD symptoms derived from focal brain lesions in veterans.

Shan H Siddiqi, Noah S Philip, Stephan T Palm, David M Carreon, Amanda R Arulpragasam, Jennifer Barredo, Heather Bouchard, Michael A Ferguson, Jordan H Grafman, Rajendra A Morey and 1 more

Registry-linked trialAbstract read
In one paragraph

Article in Nature neuroscience, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07245641 (Targeted Accelerated TMS for Post-Traumatic Stress Disorder), which is not on this map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing 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.

NCT07245641 narecruitingnot on this mapstarted 2025, after this paper: background citation

Targeted Accelerated TMS for Post-Traumatic Stress Disorder

TypeinterventionalSponsorBrigham and Women's HospitalRan2025 to 2028Enrolled40ConditionsPost Traumatic Stress Disorder (PTSD)ArmsTranscranial Magnetic Stimulation
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Review
  6. Article
  7. Observational
  8. Review
  9. Article
  10. Review
  11. Article
  12. Advancing TMS for PTSD - From networks to individuals.Transcranial magnetic stimulation (2024) · 2025
    Article
  13. Article
  14. Review
  15. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Shan H SiddiqiCenter for Brain Circuit Therapeutics, Brigham and Women's Hospital, Boston, MA, USA. shan.siddiqi@mgh.harvard.edu.ORCID http://orcid.org/0000-0002-0967-9289
Noah S PhilipCenter for Neurorestoration and Neurotechnology, Providence VA Healthcare System, Providence, RI, USA.ORCID http://orcid.org/0000-0002-4889-8775
Stephan T PalmCenter for Brain Circuit Therapeutics, Brigham and Women's Hospital, Boston, MA, USA.ORCID http://orcid.org/0009-0000-8345-5470
David M CarreonAcacia Mental Health, Sunnyvale, CA, USA.
Amanda R ArulpragasamCenter for Neurorestoration and Neurotechnology, Providence VA Healthcare System, Providence, RI, USA.
Jennifer BarredoCenter for Neurorestoration and Neurotechnology, Providence VA Healthcare System, Providence, RI, USA.
Heather BouchardDepartment of Psychiatry, Duke University School of Medicine, Durham, NC, USA.ORCID http://orcid.org/0000-0002-3646-6334
Michael A FergusonCenter for Brain Circuit Therapeutics, Brigham and Women's Hospital, Boston, MA, USA.
Jordan H GrafmanDepartments of Physical Medicine and Rehabilitation, Northwestern Feinberg School of Medicine, Chicago, IL, USA.ORCID http://orcid.org/0000-0001-8645-4457
Rajendra A MoreyDepartment of Psychiatry, Duke University School of Medicine, Durham, NC, USA.
Michael D FoxCenter for Brain Circuit Therapeutics, Brigham and Women's Hospital, Boston, MA, USA.ORCID http://orcid.org/0000-0001-8848-6399

Funding

Neuroimaging and Neuromodulation CoreP20GM130452 · NIGMS · BUTLER HOSPITAL (PROVIDENCE, RI) · PI GREENBERG, BENJAMIN D · 2019 to 2023
$11.3M
Using human brain connectivity to identify the causal neuroanatomical substrate of depression symptomsR01MH113929 · NIMH · BRIGHAM AND WOMEN'S HOSPITAL · PI MICHAEL D FOX · 2017 to 2026
$6.9M
Repetitive TMS-induced modulation of cortical excitability in ADR01MH115949 · NIMH · BETH ISRAEL DEACONESS MEDICAL CENTER · PI SHAFI, MOUHSIN · 2018 to 2022
$3.2M
Treating hyperexcitability in Alzheimer’s disease with levetiracetam to improve brain function and cognitionR01AG060987 · NIA · BETH ISRAEL DEACONESS MEDICAL CENTER · PI SHAFI, MOUHSIN · 2019 to 2023
$3.0M
Low intensity focused ultrasound: a new paradigm for depression and anxietyU01MH123427 · NIMH · OCEAN STATE RESEARCH INSTITUTE, INC. · PI PHILIP, NOAH STEPHEN · 2021 to 2024
$2.4M
A causal wiring diagram of transdiagnostic brain functionsR01MH136248 · NIMH · BRIGHAM AND WOMEN'S HOSPITAL · PI Shan Siddiqi · 2024 to 2026
$2.3M
Personalized circuit-based neuromodulation targets for depressionK23MH121657 · NIMH · BRIGHAM AND WOMEN'S HOSPITAL · PI SIDDIQI, SHAN · 2020 to 2024
$978k
Transdiagnostic memory, mood and motor circuits in Alzheimer's and neurodegenerative diseaseR56AG069086 · NIA · BRIGHAM AND WOMEN'S HOSPITAL · PI FOX, MICHAEL D · 2021 to 2021
$873k
Targeted modulation of symptom-specific brain circuits with transcranial magnetic stimulationR21MH126271 · NIMH · BRIGHAM AND WOMEN'S HOSPITAL · PI FOX, MICHAEL D · 2021 to 2022
$492k
VA RR&D Center for Neurorestoration and NeurotechnologyI50RX002864 · VA · PROVIDENCE VA MEDICAL CENTER · PI BENJAMIN D GREENBERG, LEIGH R HOCHBERG · 2018 to 2026
–
Pilot Testing of Theta-Burst Neuromodulation for Chronic PTSDI21RX002032 · VA · PROVIDENCE VA MEDICAL CENTER · PI PHILIP, NOAH STEPHEN · 2016 to 2018
–
CSRD VA I01 CX002293CSRD VA IK2 CX001824NIA NIH HHS R01 AG060987NIA NIH HHS R56 AG069086NIGMS NIH HHS P20 GM130452NIMH NIH HHS K23 MH121657NIMH NIH HHS R01 MH113929NIMH NIH HHS R01 MH115949NIMH NIH HHS R21 MH126271NIMH NIH HHS U01 MH123427RRD VA I21 RX002032RRD VA I50 RX002864U.S. Department of Health & Human Services | National Institutes of Health (NIH) R01AG060987U.S. Department of Health & Human Services | National Institutes of Health (NIH) R01MH115949U.S. Department of Health & Human Services | National Institutes of Health (NIH) R56AG069086U.S. Department of Health & Human Services | NIH | National Institute of Mental Health (NIMH) K23MH121657U.S. Department of Health & Human Services | NIH | National Institute of Mental Health (NIMH) R01MH113929U.S. Department of Health & Human Services | NIH | National Institute of Mental Health (NIMH) R01MH136248U.S. Department of Health & Human Services | NIH | National Institute of Mental Health (NIMH) R21MH126271
6 · The paper itself

Abstract

Neuromodulation trials for the treatment of posttraumatic stress disorder (PTSD) have yielded mixed results, and the optimal neuroanatomical target remains unclear. Here we analyzed three datasets to study brain circuitry causally linked to PTSD in military veterans. In veterans with penetrating traumatic brain injury, lesion locations that reduced probability of PTSD were preferentially connected to a circuit including the medial prefrontal cortex, amygdala and anterolateral temporal lobe. In veterans without lesions, PTSD was specifically associated with increased connectivity within this circuit. Reduced functional connectivity within this circuit after transcranial magnetic stimulation correlated with symptom reduction, even though the circuit was not directly targeted. This lesion-based 'PTSD circuit' may serve as a target for clinical trials of neuromodulation in veterans with PTSD.

Indexed as

Stress Disorders, Post-TraumaticTranscranial Magnetic StimulationVeteransAdultBrainBrain Injuries, TraumaticFemaleHumansMagnetic Resonance ImagingMaleMiddle Aged

Identifiers

PMID39317797
PMCPMC13284256

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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.