To Wing Ting, De Ridder Dirk, Hart John, Vanneste Sven
School of Behavioral and Brain Sciences, The University of Texas at Dallas, Richardson, TX, United States.
Department of Surgical Sciences, Section of Neurosurgery, Dunedin School of Medicine, University of Otago, Dunedin, New Zealand.
Front Hum Neurosci. 2018 Apr 13;12:128. doi: 10.3389/fnhum.2018.00128. eCollection 2018.
: Non-invasive neuromodulation techniques, such as repetitive Transcranial Magnetic Stimulation (rTMS) and transcranial Direct Current Stimulation (tDCS), have increasingly been investigated for their potential as treatments for neurological and psychiatric disorders. Despite widespread dissemination of these techniques, the underlying therapeutic mechanisms and the ideal stimulation site for a given disorder remain unknown. Increasing evidence support the possibility of non-invasive neuromodulation affecting a brain network rather than just the local stimulation target. In this article, we present evidence in a clinical setting to support the idea that non-invasive neuromodulation changes brain networks. : This article addresses the idea that non-invasive neuromodulation modulates brain networks, rather than just the local stimulation target, using neuromodulation studies in tinnitus and major depression as examples. We present studies that support this hypothesis from different perspectives. : Studies stimulating the same brain region, such as the dorsolateral prefrontal cortex (DLPFC), have shown to be effective for several disorders and studies using different stimulation sites for the same disorder have shown similar results. These findings, as well as results from studies investigating brain network connectivity on both macro and micro levels, suggest that non-invasive neuromodulation affects a brain network rather than just the local stimulation site targeted. We propose that non-invasive neuromodulation should be approached from a network perspective and emphasize the therapeutic potential of this approach through the modulation of targeted brain networks.
非侵入性神经调节技术,如重复经颅磁刺激(rTMS)和经颅直流电刺激(tDCS),因其作为神经和精神疾病治疗方法的潜力而受到越来越多的研究。尽管这些技术已广泛传播,但其潜在的治疗机制以及针对特定疾病的理想刺激部位仍不清楚。越来越多的证据支持非侵入性神经调节影响脑网络而非仅仅是局部刺激靶点的可能性。在本文中,我们在临床环境中提供证据,以支持非侵入性神经调节改变脑网络这一观点。
本文以耳鸣和重度抑郁症的神经调节研究为例,探讨非侵入性神经调节调节脑网络而非仅仅是局部刺激靶点这一观点。我们从不同角度展示支持这一假设的研究。
刺激同一脑区(如背外侧前额叶皮层,DLPFC)的研究已表明对多种疾病有效,而针对同一疾病使用不同刺激部位的研究也显示了相似结果。这些发现以及在宏观和微观层面研究脑网络连接性的研究结果表明,非侵入性神经调节影响脑网络而非仅仅是靶向的局部刺激部位。我们建议应从网络角度看待非侵入性神经调节,并通过调节靶向脑网络强调这种方法的治疗潜力。