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Neuro-Cardiac-Guided TMS (NCG-TMS): Probing DLPFC-sgACC-vagus nerve connectivity using heart rate - First results.

Abstract：

BACKGROUND:Given that many studies suggest a role of DLPFC-sgACC connectivity in depression and prior research demonstrating that neuromodulation of either of these nodes modulates parasympathetic activity and results in a heart rate deceleration, a new method is proposed to individualize localization of the DLPFC. This can, among others, be useful for rTMS treatment of depression. METHODS:Ten healthy subjects received three trains of 10Hz rTMS randomly over 7 target regions (10-20 system). RESULTS:Overall, F3 and F4 expressed the largest heart rate deceleration, in line with studies suggesting these are the best 10-20 sites to target the DLPFC. On the individual level, 20-40% subjects expressed the largest heart rate deceleration at FC3 or FC4, indicating individual differences as to the 'optimal site for stimulation'. CONCLUSIONS:These results show that the NCG-TMS method is valid to localize the entry into the DLPFC-sgACC network.

journal_name

Brain Stimul

journal_title

Brain stimulation

authors

Iseger TA,Padberg F,Kenemans JL,Gevirtz R,Arns M

doi

10.1016/j.brs.2017.05.002

subject

Has Abstract

pub_date

2017-01-01 00:00:00

pages

1006-1008

issue

5

eissn

1935-861X

issn

1876-4754

pii

S1935-861X(17)30793-3

journal_volume

10

pub_type

信件

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