Mielacher C, Scheele D, Hurlemann R
Abteilung für Medizinische Psychologie und Soziologie, Klinik und Poliklinik für Psychiatrie und Psychotherapie, Universitätsklinikum Bonn, Sigmund-Freud-Str. 25, 53105, Bonn, Deutschland.
Nervenarzt. 2015 Dec;86(12):1500-7. doi: 10.1007/s00115-015-4324-7.
Transcranial magnetic stimulation (TMS) is not only a highly elegant method for basic neuroscientific research that employs transient lesions to explore the relationship between brain structure and function but in a clinical context it is also a very promising approach to augmentation therapy in middle to severe grade depressive episodes. This overview illustrates the methodological basis of TMS and illuminates its neuromodulatory potential with reference to findings from recent studies on emotion regulation and social cognition. Against this empirical background, it becomes clear that preclinical studies on healthy participants are extremely important to develop innovative stimulation protocols and define functionally relevant target regions to be tested in clinical studies for therapeutic efficacy. Finally, the perspectives and limitations of functionally guided, individualized TMS neuronavigation will be explored based on task-independent connectivity and task-dependent activity measurements.
经颅磁刺激(TMS)不仅是基础神经科学研究中一种极为精妙的方法,它利用短暂性损伤来探究脑结构与功能之间的关系,而且在临床环境中,它也是一种非常有前景的中重度抑郁发作增强治疗方法。本综述阐述了TMS的方法学基础,并参照近期关于情绪调节和社会认知的研究结果,阐明了其神经调节潜力。基于这一实证背景,很明显,针对健康参与者的临床前研究对于开发创新的刺激方案以及确定在临床研究中测试治疗效果的功能相关目标区域极为重要。最后,将基于任务无关连接性和任务依赖活动测量来探讨功能引导的个体化TMS神经导航的前景和局限性。