Evidence map›Paper›PMID 41821264›Full record

ArticleBrain and behavior2026

Is Navigated Transcranial Magnetic Stimulation Capable of Detecting Different Motor Cell Clusters Within the Precentral Gyrus Using a Single Pulse Protocol?

Gregor Durner, Georg Colbus, Vera Marschal, Giulia Sestito, Hans-Georg Kesseler, Lennart Sannwald, Nadja Grübel, Christian Rainer Wirtz, Andrej Pala, Ralf Becker

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Article in Brain and behavior, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Gregor DurnerDepartment of Neurosurgery, University of Ulm, Günzburg, Germany.
Georg ColbusDepartment of Neurosurgery, University of Ulm, Günzburg, Germany.
Vera MarschalDepartment of Neurosurgery, University of Ulm, Günzburg, Germany.
Giulia SestitoDepartment of Neurosurgery, University of Ulm, Günzburg, Germany.
Hans-Georg KesselerDepartment of Neurosurgery, University of Ulm, Günzburg, Germany.
Lennart SannwaldDepartment of Neurosurgery, University of Ulm, Günzburg, Germany.
Nadja GrübelDepartment of Neurosurgery, University of Ulm, Günzburg, Germany.
Christian Rainer WirtzDepartment of Neurosurgery, University of Ulm, Günzburg, Germany.
Andrej PalaDepartment of Neurosurgery, University of Ulm, Günzburg, Germany.
Ralf BeckerDepartment of Neurosurgery, University of Augsburg, Augsburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveIn 2021, Rossi et al. developed a cortical mapping algorithm that enabled a reliable mapping of an anatomical subdivision of the precentral gyrus. This approach allowed for the differentiation between an anterior subregion, characterized by lower excitability and slower motor responses, and a posterior subregion (named "M1 proper"), exhibiting higher excitability and faster motor responses. Based on these findings, we conducted a navigated transcranial magnetic stimulation (nTMS) study to investigate whether this anatomical subdivision can also be identified using a non-invasive mapping technique.

methodsFifteen healthy volunteers were examined. Using nTMS, the motor cortex at the hand knob area was subdivided into four distinct strips aligned parallel to the central sulcus: s, precentral non-proper, precentral proper, and postcentral. After determining the resting motor threshold (RMT), 10 stimulation points in each strip were stimulated with 150% RMT. Electromyographic (EMG) amplitudes and latencies were recorded and compared across the four stimulation strips to detect potential differences.

resultsAlthough descriptively higher mean EMG amplitudes were observed in the precentral proper strip, generalized linear mixed-effects modeling revealed no statistically significant differences in EMG amplitude between the precentral proper and non-proper regions, nor across any of the four stimulation strips.

conclusionsUsing the applied protocol, a clear delineation between a functionally separated ventral and dorsal subdivision of the precentral gyrus could not be observed. However, it is noteworthy that the application of relatively high stimulation intensity may have masked subtle differences. Further examinations at the lower end of the stimulation spectrum (e.g., 90% or 100% RMT) or a specific paired pulse protocol may allow for a more precise differentiation between these two anatomical areas.

Indexed as

Brain MappingMotor CortexMotor NeuronsTranscranial Magnetic StimulationAdultElectromyographyEvoked Potentials, MotorFemaleHumansMaleYoung Adulthand knobM1motor mappingnTMS

Identifiers

PMID41821264
PMCPMC13093615

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