Department of Psychiatry and Psychotherapy, University Hospital, LMU, Nussbaumstrasse 7, 80336 Munich, Germany.
Department of Psychiatry and Psychotherapy, University Hospital, LMU, Nussbaumstrasse 7, 80336 Munich, Germany.
Brain Stimul. 2018 Sep-Oct;11(5):998-1007. doi: 10.1016/j.brs.2018.05.001. Epub 2018 May 4.
BACKGROUND: Transcranial direct current stimulation (tDCS) of the prefrontal cortex (PFC) has been widely applied in cognitive neurosciences and advocated as a therapeutic intervention, e.g. in major depressive disorder. Although several targets and protocols have been suggested, comparative studies of tDCS parameters, particularly electrode montages and their cortical targets, are still lacking. OBJECTIVE: This study investigated a priori hypotheses on specific effects of prefrontal-tDCS montages by using multimodal functional magnetic resonance imaging (fMRI) in healthy participants. METHODS: 28 healthy male participants underwent three common active-tDCS montages and sham tDCS in a pseudo-randomized order, comprising a total of 112 tDCS-fMRI sessions. Active tDCS was applied at 2 mA for 20 min. Before and after tDCS, a resting-state fMRI (RS fMRI) was recorded, followed by a task fMRI with a delayed-response working-memory (DWM) task for assessing cognitive control over emotionally negative or neutral distractors. RESULTS: After tDCS with a cathode-F3/anode-F4 montage, RS-fMRI connectivity decreased in a medial part of the left PFC. Also, after the same stimulation condition, regional brain activity during DWM retrieval decreased more in this area after negative than after neutral distraction, and responses to the DWM task were faster, independent of distractor type. CONCLUSION: The current study does not confirm our a priori hypotheses on direction and localization of polarity-dependent tDCS effects using common bipolar electrode montages over PFC regions, but it provides evidence for montage-specific effects on multimodal neurophysiological and behavioral outcome measures. Systematic research on the actual targets and the respective dose-response relationships of prefrontal tDCS is warranted.
背景:经颅直流电刺激(tDCS)对前额叶皮层(PFC)的刺激已广泛应用于认知神经科学,并被提倡作为一种治疗干预措施,例如在重度抑郁症中。尽管已经提出了几种靶点和方案,但 tDCS 参数的比较研究,特别是电极布局及其皮质靶点的研究仍然缺乏。 目的:本研究通过健康参与者的多模态功能磁共振成像(fMRI),对前额叶 tDCS 布局的特定效果进行了预先假设的检验。 方法:28 名健康男性参与者以伪随机顺序接受了三种常见的主动 tDCS 布局和假 tDCS,共进行了 112 次 tDCS-fMRI 测试。主动 tDCS 以 2mA 进行 20 分钟。在 tDCS 前后,进行静息状态 fMRI(RS fMRI)记录,然后进行一项延迟反应工作记忆(DWM)任务的任务 fMRI,以评估对情绪消极或中性分心物的认知控制。 结果:在前额叶 F3 阴极/F4 阳极布局的 tDCS 后,RS-fMRI 连接性在左侧 PFC 的一个内侧部分减少。同样,在相同的刺激条件下,在 DWM 检索期间,该区域的脑区活动在处理负性分心物时比中性分心物时减少更多,并且对 DWM 任务的反应更快,与分心物类型无关。 结论:本研究使用常见的双极电极布局对 PFC 区域的极性依赖性 tDCS 效应的方向和定位没有证实我们的先验假设,但它为多模态神经生理和行为结果测量提供了布局特异性效应的证据。有必要对前额叶 tDCS 的实际靶点和各自的剂量反应关系进行系统研究。
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