The effect of tissue anisotropy on the radial and tangential components of the electric field in transcranial direct current stimulation.

Transcranial direct current stimulation (tDCS) is considered to be a promising technique for noninvasive brain stimulation and brain disease therapy. Recent studies have investigated the distribution of the electric field (EF) magnitude over gyri and sulci and the effect of tissue homogeneity with isotropic electrical conductivities. However, it is well known that the skull and white matter (WM) are highly anisotropic electrically, requiring investigations of their anisotropic effects on the magnitude and the directional components of the induced EF due to the high dependency between neuromodulation and the EF direction. In this study, we investigated the effects of the skull and WM anisotropy on the radial and tangential components of the EF via gyri-specific high-resolution finite element head models. For tDCS, three configurations were investigated: the conventional rectangular pad electrode, a 4(cathodes) +1(anode) ring configuration, and a bilateral configuration. The results showed that the skull anisotropy has a crucial influence on the distribution of the radial EF component. The affected cortical regions by the radial EF were reduced about 22 % when considering the skull anisotropy in comparison with the regions with the skull isotropy. On the other hand, the WM anisotropy strongly alters the EF directionality, especially within the sulci. The electric current tends to flow radially to the cortical surface with the WM anisotropy. This effect increases the affected cortical areas by the radial EF component within the sulcal regions. Our results suggest that one must examine the distribution of the EF components in tDCS, not just the magnitude of the EF alone.