Evidence map›Paper›PMID 41041680›Full record

ArticleFrontiers in neurology2025

High-definition brain stimulation targeting separate regions leads to differential word retrieval outcomes in patients with primary progressive aphasia: a pilot study.

Christine Sofka Dugas, Hsueh-Sheng Chiang, Paulina Devora, Katelyn Lucas-Mendoza, Christine Abasi, Ashna Adhikari, Trung Nguyen, Alexander Frolov, Brendan J Kelley, Christian LoBue and 2 more

Registry-linked trialAbstract read
In one paragraph

Article in Frontiers in neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05368350 (Treating Primary Progressive Aphasia and Apraxia of Speech With High Definition Transcranial Direct Current Stimulation), which is not on this map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

NCT05368350 naactive not recruitingnot on this map

Treating Primary Progressive Aphasia and Apraxia of Speech With High Definition Transcranial Direct Current Stimulation (HDtDCS-PPA/PAOS)

TypeinterventionalSponsorThe University of Texas at DallasRan2022 to 2027Enrolled12ConditionsPrimary Progressive Aphasia, Apraxia of SpeechArmshigh-definition transcranial direct current stimulation (HD-tDCS)
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Review
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

12 authors.

Christine Sofka Dugas *Department of Behavioral and Brain Sciences, The University of Texas at Dallas, Richardson, TX, United States.
Hsueh-Sheng Chiang *Department of Neurology, Berenson-Allen Center for Noninvasive Brain Stimulation, Beth Israel Deaconess Medical Center, Boston, MA, United States.
Paulina DevoraDepartment of Behavioral and Brain Sciences, The University of Texas at Dallas, Richardson, TX, United States.
Katelyn Lucas-MendozaDepartment of Behavioral and Brain Sciences, The University of Texas at Dallas, Richardson, TX, United States.
Christine AbasiDepartment of Behavioral and Brain Sciences, The University of Texas at Dallas, Richardson, TX, United States.
Ashna AdhikariDepartment of Behavioral and Brain Sciences, The University of Texas at Dallas, Richardson, TX, United States.
Trung NguyenDepartment of Neurology, University of Texas Southwestern Medical Center, Dallas, TX, United States.
Alexander FrolovDepartment of Neurology, University of Texas Southwestern Medical Center, Dallas, TX, United States.
Brendan J KelleyDepartment of Neurology, University of Texas Southwestern Medical Center, Dallas, TX, United States.
Christian LoBueDepartment of Psychiatry, University of Texas Southwestern Medical Center, Dallas, TX, United States.
Raksha A MudarDepartment of Speech and Hearing Science, University of Illinois Urbana-Champaign, Champaign, IL, United States.
John HartDepartment of Behavioral and Brain Sciences, The University of Texas at Dallas, Richardson, TX, United States.

Funding

Using High Definition transcranial Direct Current Stimulation Guided by Electrophysiology and Diffusion Tensor Imaging to Treat Verbal Retrieval Deficits Secondary to Chronic Traumatic Brain InjuryR00DC020185 · NIDCD · BETH ISRAEL DEACONESS MEDICAL CENTER · PI Hsueh-Sheng Chiang · 2025 to 2026
$498k
NIDCD NIH HHS R00 DC020185
6 · The paper itself

Abstract

Background: Word retrieval deficits are the most prominent symptoms reported in primary progressive aphasia (PPA) and related syndromes. Current treatments, such as speech and language therapy, have shown limited success, highlighting the need for alternative non-pharmacological interventions with high-definition transcranial direct current stimulation (HD-tDCS) emerging as a promising tool. Objective: This study aimed to evaluate the effects of HD-tDCS on word retrieval function in individuals with PPA by comparing two stimulation sites: the pre-supplementary motor area (pre-SMA) and the left inferior frontal gyrus (LIFG), and to assess the relative benefits of each site. Methods: Eight individuals with PPA underwent 10 sessions of open-label HD-tDCS targeting either the LIFG ( Results: LIFG stimulation yielded statistically significant improvements in phonemic fluency at immediate post testing compared to baseline, with 25-50% showing clinically meaningful improvement. Clinically meaningful improvement was observed in category fluency in 25-50% of the patients receiving stimulation at either site. Lastly, electrophysiological measures indicated HD-tDCS targeting LIFG differentially modulated event-related potential effects during non-verbal Go-NoGo tasks. Conclusion: This research provides preliminary evidence supporting the use of both traditional (LIFG) and alternative (pre-SMA) stimulation sites for treating word retrieval deficits in individuals with PPA. The findings also suggest potential neural mechanisms of HD-tDCS intervention, which can inform future designs of non-invasive brain stimulation for cognitive symptoms in PPA. Clinical trial registration: Clinicaltrials.gov, identifier NCT05368350.

Indexed as

apraxia of speechEEGLIFG stimulationpre-SMA stimulationprimary progressive aphasiatranscranial direct current simulationword retrieval deficits

Identifiers

PMID41041680
PMCPMC12484069

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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.