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Personalized whole-brain activity patterns predict human corticospinal tract activation in real-time 个性化的全脑活动模式实时预测人类皮质脊髓束的激活。
IF 7.6 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-01-01 DOI: 10.1016/j.brs.2024.12.1193
Uttara U. Khatri , Kristen Pulliam , Muskan Manesiya , Melanie Vieyra Cortez , José del R. Millán , Sara J. Hussain

Background

Transcranial magnetic stimulation (TMS) interventions could feasibly treat stroke-related motor impairments, but their effects are highly variable. Brain state-dependent TMS approaches are a promising solution to this problem, but inter-individual variation in lesion location and oscillatory dynamics can make translating them to the poststroke brain challenging. Personalized brain state-dependent approaches specifically designed to address these challenges are needed.

Methods

As a first step towards this goal, we tested a novel machine learning-based EEG-TMS system that identifies personalized brain activity patterns reflecting strong and weak corticospinal tract (CST) activation (strong and weak CST states) in healthy adults in real-time. Participants completed a single-session study that included the acquisition of a TMS-EEG-EMG training dataset, personalized classifier training, and real-time EEG-informed single-pulse TMS during classifier-predicted personalized CST states.

Results

MEP amplitudes elicited in real-time during classifier-predicted personalized strong CST states were significantly larger than those elicited during corresponding weak and random CST states. MEP amplitudes elicited in real-time during classifier-predicted personalized strong CST states were also significantly less variable than those elicited during corresponding weak CST states. Personalized CST states lasted for ∼1–2 s at a time and ∼1 s elapsed between consecutive similar states. Individual participants exhibited unique differences in spectro-spatial EEG patterns between classifier-predicted personalized strong and weak CST states.

Conclusion

Our results show for the first time that personalized whole-brain EEG activity patterns predict CST activation in real-time in healthy humans. These findings represent a pivotal step towards using personalized brain state-dependent TMS interventions to promote poststroke CST function.
背景:经颅磁刺激(TMS)干预可以治疗脑卒中相关的运动障碍,但其效果是高度可变的。脑状态依赖的经颅磁刺激方法是解决这一问题的一个很有希望的方法,但病变位置和振荡动力学的个体间差异使得将它们转化为脑卒中后的大脑具有挑战性。个性化的大脑状态依赖方法需要专门设计来解决这些挑战。方法:作为实现这一目标的第一步,我们测试了一种新的基于机器学习的EEG-TMS系统,该系统可以实时识别健康成年人的个性化大脑活动模式,反映皮质脊髓束(CST)的强弱激活(强和弱CST状态)。参与者完成了一个单次的研究,包括获取TMS- eeg - emg训练数据集,个性化分类器训练,以及在分类器预测的个性化CST状态下实时的eeg通知单脉冲TMS。结果:在分类器预测的个性化强CST状态下,实时触发的MEP振幅显著大于相应的弱CST和随机CST状态下触发的MEP振幅。在分类器预测的个性化强CST状态下实时触发的MEP振幅也显著小于相应的弱CST状态下触发的MEP振幅。个性化的CST状态每次持续~ 1-2秒,连续的相似状态之间间隔~ 1秒。个体参与者在分类器预测的个性化强和弱CST状态之间表现出独特的频谱空间脑电图模式差异。结论:我们的研究结果首次表明,个性化的全脑脑电图活动模式可以实时预测健康人的CST激活。这些发现代表了使用个性化脑状态依赖的经颅磁刺激干预来促进脑卒中后CST功能的关键一步。
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引用次数: 0
Assessing cortical and subcortical excitability changes with interleaved TMS-fMRI
IF 7.6 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-01-01 DOI: 10.1016/j.brs.2024.12.008
Martin Tik
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引用次数: 0
Mapping primary motor cortex excitability by TMS-EEG/EMG integration
IF 7.6 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-01-01 DOI: 10.1016/j.brs.2024.12.009
Elisa Kallioniemi , Sara Määttä , Laura Säisänen , Jelena Hyppönen , Päivi Koskenkorva , Jukka Saari , Negar Namdar
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引用次数: 0
Results From A One-Year, Randomized, Sham-Controlled Trial of Vagus Nerve Stimulation In Patients With Treatment-Resistant Depression
IF 7.6 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-01-01 DOI: 10.1016/j.brs.2024.12.075
Charles Conway
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引用次数: 0
A Review of VNS Research and Clinical Findings Up to the Present
IF 7.6 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-01-01 DOI: 10.1016/j.brs.2024.12.073
Mark George
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引用次数: 0
Electrophysiological investigation of temporal interference brain stimulation
IF 7.6 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-01-01 DOI: 10.1016/j.brs.2024.12.019
Xiaoqi Zhu , Liang Zheng , Jonathan Howard , Birui Li , Garrido Maria Garcia , Liang Huang , Yanlong Zhang , Long Li , Nir Grossman , Tian Liu
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引用次数: 0
Individualised dosing for prefrontal TMS using EEG
IF 7.6 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-01-01 DOI: 10.1016/j.brs.2024.12.030
Vivien Czapla, Adriano Moffa, Roger Li, Donel Martin, Echo Xu, Xiaomin Xu, Yon Su, Ho Fung Chan, Stevan Nikolin
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引用次数: 0
Fast Depressive Symptom Improvement in Bipolar Disorder Type 1 after Stanford Accelerated Intelligent Neuromodulation Therapy: A Two-Site Feasibility and Safety Open Label Trial
IF 7.6 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-01-01 DOI: 10.1016/j.brs.2024.12.045
Jorge Almeida , Jennifer Siegel-Ramsay , Irving Reti , Nolan Williams , Brandon Bentzley , Kevin Li , Caitlin DuPont , Amy Bichlmeier , Alexa Comfort , Peter Zandi
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引用次数: 0
Virtual human retina: Simulating neural signalling, degeneration, and responses to electrical stimulation 虚拟人视网膜:模拟神经信号、退化和对电刺激的反应。
IF 7.6 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-01-01 DOI: 10.1016/j.brs.2025.01.013
Keith Ly , Michael L. Italiano , Mohit N. Shivdasani , David Tsai , Jia-Yi Zhang , Chunhui Jiang , Nigel H. Lovell , Socrates Dokos , Tianruo Guo

Introduction

Current brain-based visual prostheses pose significant challenges impeding adoption such as the necessarily complex surgeries and occurrence of more substantial side effects due to the sensitivity of the brain. This has led to much effort toward vision restoration being focused on the more approachable part of the brain - the retina. Here we introduce a novel, parameterised simulation platform that enables study of human retinal degeneration and optimization of stimulation strategies. The platform bears immense potential for patient-specific tailoring and serves to enhance artificial vision solutions for individuals with visual impairments.

Material and method

Our virtual retina is developed using the software package, NEURON. This virtual retina platform supports large-scale simulations of over 10,000 neurons whilst upholding strong biological plausibility with multiple important visual pathways and detailed network properties. The comprehensive three-dimensional model includes photoreceptors, horizontal cells, bipolar cells, amacrine cells, and midget and parasol retinal ganglion cells, with comprehensive network connectivity across various eccentricities (1 mm–5 mm from the fovea) in the human retina. The model is constructed using electrophysiology, immunohistology, and optical coherence tomography imaging data from healthy and degenerate human retinas. We validated our model by replicating numerous experimental observations from human and primate retina, with a particular focus on retinal degeneration.

Result

We simulated interactions between diseased retinas and state-of-the-art retinal implants, shedding light on the limitations of commercial retinal prostheses. Our results suggested that appropriate stimulation settings with intraretinal prototype devices could leverage network-mediated activation to achieve activation mosaics more alike that of the retina's response to natural light, promoting the prospect of more naturalistic vision. Our study additionally highlights the importance of controlling inhibitory circuits in the retinal network to induce functionally relevant retinal activity.

Conclusion

This study demonstrates the potential of this software package and highlights its utility as a valuable tool for engineers, scientists, and clinicians in the design and optimization of retinal stimulation devices for both research and educational applications.
目前基于大脑的视觉假体面临着巨大的挑战,阻碍了其应用,如必须进行复杂的手术,以及由于大脑的敏感性而产生更大的副作用。这导致视力恢复的努力集中在大脑中更容易接近的部分——视网膜上。在这里,我们介绍了一个新的,参数化的仿真平台,使研究人类视网膜变性和优化刺激策略。该平台在针对特定患者的定制方面具有巨大的潜力,并有助于为视力受损的个人提供更好的人工视觉解决方案。材料和方法:我们的虚拟视网膜是使用软件包神经元开发的。这个虚拟视网膜平台支持超过10,000个神经元的大规模模拟,同时具有多个重要的视觉通路和详细的网络特性,具有强大的生物学合理性。全面的三维模型包括光感受器、水平细胞、双极细胞、无突细胞、小和伞状视网膜神经节细胞,在人类视网膜的各种偏心(距中央凹1毫米至5毫米)具有全面的网络连接。该模型是利用健康和退化的人视网膜的电生理学、免疫组织学和光学相干断层成像数据构建的。我们通过复制人类和灵长类动物视网膜的大量实验观察来验证我们的模型,特别关注视网膜变性。结果:我们模拟了病变视网膜和最先进的视网膜植入物之间的相互作用,揭示了商业视网膜假体的局限性。我们的研究结果表明,使用视网膜内原型装置的适当刺激设置可以利用网络介导的激活来实现更类似于视网膜对自然光反应的激活马赛克,从而促进更自然的视觉前景。我们的研究还强调了控制视网膜网络中的抑制回路以诱导功能相关的视网膜活动的重要性。结论:本研究证明了该软件包的潜力,并强调了其作为工程师、科学家和临床医生在设计和优化研究和教育应用的视网膜刺激装置方面的有价值的工具的实用性。
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引用次数: 0
Temporal Complexity as a Biomarker for Antidepressant Response: Insights from the Distance-Scaled Complexity Index (DSCI) in Stanford Neuromodulation Therapy
IF 7.6 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-01-01 DOI: 10.1016/j.brs.2024.12.048
Andrew Geoly , Afik Faerman , Ian Kratter , John Coetzee , Cammie Rolle , Manish Saggar
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引用次数: 0
期刊
Brain Stimulation
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