Evidence map›Paper›PMID 39562009›Full record

ReviewBrain : a journal of neurology2024

The emerging field of non-invasive brain stimulation in Alzheimer's disease.

Giacomo Koch, Daniele Altomare, Alberto Benussi, Lucie Bréchet, Elias P Casula, Alessandra Dodich, Michela Pievani, Emiliano Santarnecchi, Giovanni B Frisoni

Abstract readReview
In one paragraph

Review in Brain : a journal of neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 2 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

44 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  6. Article
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  9. Organizing healthcare delivery in the era of disease-modifying therapies for Alzheimer's Disease: an Italian RAND/UCLA consensus.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Article
  10. Article
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  13. [Inductance calculation method for transcranial magnetic stimulation figure-8 coils Accounting for spatial mutual inductance].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2026
    Article
  14. Review
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  17. [Finite-element simulation and experimental investigation of nanosecond transcranial pulsed electric field propagation and distribution in a three-dimensional brain model].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2026
    Article
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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.

Giacomo KochExperimental Neuropsychophysiology Lab, Santa Lucia Foundation IRCCS, 00179 Rome, Italy.ORCID 0000-0001-6155-9439
Daniele AltomareDepartment of Clinical and Experimental Sciences, University of Brescia, 25123 Brescia, Italy.
Alberto BenussiNeurology Unit, Department of Medical, Surgical and Health Sciences, University of Trieste, 34127 Trieste, Italy.ORCID 0000-0002-8703-6940
Lucie BréchetDepartment of Basic Neurosciences, Faculty of Medicine, University of Geneva, 1205 Geneva, Switzerland.
Elias P CasulaExperimental Neuropsychophysiology Lab, Santa Lucia Foundation IRCCS, 00179 Rome, Italy.
Alessandra DodichCenter for Mind/Brain Sciences (CIMeC), University of Trento, 38068 Rovereto, Italy.
Michela PievaniLaboratory Alzheimer's Neuroimaging and Epidemiology, IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, 25123 Brescia, Italy.
Emiliano SantarnecchiPrecision Neuroscience and Neuromodulation Program, Gordon Center for Medical Imaging, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, 02114 Boston, USA.
Giovanni B FrisoniLaboratory of Neuroimaging of Aging (LANVIE), University of Geneva, 1205 Geneva, Switzerland.

Funding

European Union's Horizon 2020 research and innovation programmeItalian Ministry of University
6 · The paper itself

Abstract

Treating cognitive impairment is a holy grail of modern clinical neuroscience. In the past few years, non-invasive brain stimulation is increasingly emerging as a therapeutic approach to ameliorate performance in patients with cognitive impairment and as an augmentation approach in persons whose cognitive performance is within normal limits. In patients with Alzheimer's disease, better understanding of brain connectivity and function has allowed for the development of different non-invasive brain stimulation protocols. Recent studies have shown that transcranial stimulation methods enhancing brain plasticity with several modalities have beneficial effects on cognitive functions. Amelioration has been shown in preclinical studies on behaviour of transgenic mouse models for Alzheimer's pathology and in clinical studies with variable severity of cognitive impairment. While the field is still grappling with issues related to the standardization of target population, frequency, intensity, treatment duration and stimulated region, positive outcomes have been reported on cognitive functions and on markers of brain pathology. Here we review the most encouraging protocols based on repetitive transcranial magnetic stimulation, transcranial direct current stimulation, transcranial alternating current stimulation, visual-auditory stimulation, photobiomodulation and transcranial focused ultrasound, which have demonstrated efficacy to enhance cognitive functions or slow cognitive decline in patients with Alzheimer's disease. Beneficial non-invasive brain stimulation effects on cognitive functions are associated with the modulation of specific brain networks. The most promising results have been obtained targeting key hubs of higher-level cognitive networks, such as the frontal-parietal network and the default mode network. The personalization of stimulation parameters according to individual brain features sheds new light on optimizing non-invasive brain stimulation protocols for future applications.

Indexed as

Alzheimer DiseaseTranscranial Direct Current StimulationTranscranial Magnetic StimulationAnimalsBrainHumansAlzheimer’s diseasephotobiomodulationtranscranial alternating current stimulationtranscranial direct current stimulationtranscranial focused ultrasoundtranscranial magnetic stimulation

Identifiers

PMID39562009
PMCPMC11734340

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.