Evidence map›Paper›PMID 41662983›Full record

ArticleNeuroImage2026

Pulse waveform and current direction alter network-level TMS-induced functional connectivity: Evidence from TMS-EEG.

Delia Lucarelli, Giacomo Guidali, Roberto Guidotti, Giulia Pieramico, Nadia Bolognini, Gian Luca Romani, Vittorio Pizzella, Laura Marzetti

Abstract read
In one paragraph

Article in NeuroImage, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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

2 citing papers in PubMed.

  1. Article
  2. 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

8 authors.

Delia LucarelliDepartment of Neuroscience, Imaging and Clinical Sciences, G. d'Annunzio University of Chieti-Pescara, Chieti, Italy; Institute for Advanced Biomedical Technologies, G. d'Annunzio University of Chieti-Pescara, Chieti, Italy.
Giacomo GuidaliDepartment of Psychology and Milan Center for Neuroscience - NeuroMI, University of Milano-Bicocca, Milano, Italy. Electronic address: giacomo.guidali@unimib.it.
Roberto GuidottiDepartment of Neuroscience, Imaging and Clinical Sciences, G. d'Annunzio University of Chieti-Pescara, Chieti, Italy; Institute for Advanced Biomedical Technologies, G. d'Annunzio University of Chieti-Pescara, Chieti, Italy.
Giulia PieramicoInstitute for Advanced Biomedical Technologies, G. d'Annunzio University of Chieti-Pescara, Chieti, Italy; Department of Engineering and Geology, G. d'Annunzio University of Chieti-Pescara, Pescara, Italy.
Nadia BologniniDepartment of Psychology and Milan Center for Neuroscience - NeuroMI, University of Milano-Bicocca, Milano, Italy; Laboratory of Neuropsychology, Department of Neurorehabilitation Sciences, IRCCS Istituto Auxologico Italiano, Milano, Italy.
Gian Luca RomaniInstitute for Advanced Biomedical Technologies, G. d'Annunzio University of Chieti-Pescara, Chieti, Italy.
Vittorio PizzellaDepartment of Neuroscience, Imaging and Clinical Sciences, G. d'Annunzio University of Chieti-Pescara, Chieti, Italy; Institute for Advanced Biomedical Technologies, G. d'Annunzio University of Chieti-Pescara, Chieti, Italy.
Laura MarzettiInstitute for Advanced Biomedical Technologies, G. d'Annunzio University of Chieti-Pescara, Chieti, Italy; Department of Engineering and Geology, G. d'Annunzio University of Chieti-Pescara, Pescara, Italy. Electronic address: laura.marzetti@unich.it.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Functional connectivity analyses of electroencephalographic (EEG) data during concurrent transcranial magnetic stimulation (TMS) can offer valuable insight into large-scale network dynamics. Still, the influence of TMS features on these measurements remains poorly understood. This study investigates the impact of key TMS parameters - pulse waveform and current direction - on the induced EEG functional connectivity of the motor system in the alpha and beta frequency bands. We analyzed data from 32 healthy participants retrieved from an open-access repository. Left primary motor cortex (M1) was stimulated at rest while varying TMS pulse waveform (monophasic, biphasic) and current direction (posterior-to-anterior - PA, anterior-to-posterior - AP). TMS-induced functional connectivity patterns were examined across experimental conditions to assess differences given by the distinct parameters used. In the alpha-band, TMS-induced left M1 connectivity was associated with a widespread network characterized by right-lateralized (i.e., contralateral to TMS site) communication to sensorimotor regions independent of stimulation features. Beta-band connectivity was more localized, with condition-dependent variations. Monophasic pulses led to stronger connectivity than biphasic pulses in the alpha band, with AP currents inducing the most significant modulation. In biphasic conditions, PA-AP stimulation produced the most substantial connectivity modulation in the alpha-band and the weakest in the beta-band, while AP-PA reversed this pattern. Our findings highlight that TMS parameters can significantly modulate M1 oscillatory dynamics. The selective activation of distinct functional networks could represent a vital source of variability in TMS applications, emphasizing the importance of carefully choosing TMS features and supporting the evidence that motor system interregional communication follows frequency-specific patterns.

Indexed as

ElectroencephalographyMotor CortexNerve NetTranscranial Magnetic StimulationAdultAlpha RhythmBeta RhythmFemaleHumansMaleYoung AdultAlpha bandBeta bandCurrent directionFunctional connectivityMotor systemPulse waveformTMS-EEG

Identifiers

PMID41662983
PMCPMC12932261

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.