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前额叶皮质间歇性 theta 爆发刺激的剂量反应:一项 TMS-EEG 研究。

Dose-response of intermittent theta burst stimulation of the prefrontal cortex: A TMS-EEG study.

机构信息

Department of Psychology, University of Montreal, Montreal, Canada; The Royal's Institute of Mental Health Research, affiliated with the University of Ottawa, Ottawa, Canada.

Department of Psychiatry, Faculty of Health, University of California San Diego, La Jolla, USA.

出版信息

Clin Neurophysiol. 2022 Apr;136:158-172. doi: 10.1016/j.clinph.2021.12.018. Epub 2022 Jan 20.


DOI:10.1016/j.clinph.2021.12.018
PMID:35183861
Abstract

OBJECTIVE: Using concurrent transcranial magnetic stimulation (TMS) and electroencephalography (TMS-EEG), this study aims to compare the effect of three intermittent theta-burst stimulation (iTBS) doses on cortical activity in the left dorsolateral prefrontal (DLPFC) cortex. METHODS: Fourteen neurotypical participants took part in the following three experimental conditions: 600, 1200 and 1800 pulses. TMS-EEG recordings were conducted on the left DLPFC pre/post iTBS, including single-pulse TMS and short- and long-interval intracortical inhibition (SICI, LICI). TMS-evoked potentials (TEP) and event-related spectral perturbation (ERSP) were quantified. Linear mixed models were used to assess the effect of iTBS on brain activity. RESULTS: The effects of iTBS on DLPFC activity did not significantly differ between the three doses. Specifically, regardless of dose, iTBS modulated the amplitude of most TEP components (P30, N45, P60, P200), reduced SICI and LICI ratios of P30 and P200, and decreased ERSP power of theta oscillations. CONCLUSIONS: In neurotypical individuals, doubling or tripling the number of iTBS pulses does not result in stronger potentiation of prefrontal activity. However, all iTBS conditions induced significant modulations of DLPFC activity. SIGNIFICANCE: Replicating the study in clinical populations could help define optimal parameters for clinical applications.

摘要

目的:本研究采用经颅磁刺激(TMS)与脑电图(TMS-EEG)联合技术,旨在比较三种不同强度的间歇性 theta 爆发刺激(iTBS)对左侧背外侧前额叶(DLPFC)皮质活动的影响。

方法:14 名神经正常的参与者参与了以下三种实验条件:600、1200 和 1800 脉冲。TMS-EEG 记录在左 DLPFC 进行 iTBS 前后,包括单脉冲 TMS 和短程和长程皮质内抑制(SICI、LICI)。TMS 诱发电位(TEP)和事件相关频谱扰动(ERSP)被量化。线性混合模型用于评估 iTBS 对大脑活动的影响。

结果:三种剂量的 iTBS 对 DLPFC 活动的影响无显著差异。具体来说,无论剂量如何,iTBS 均调节了大多数 TEP 成分的振幅(P30、N45、P60、P200),降低了 P30 和 P200 的 SICI 和 LICI 比值,并降低了 theta 振荡的 ERSP 功率。

结论:在神经正常的个体中,将 iTBS 脉冲的数量增加一倍或三倍并不会导致前额叶活动的增强更强。然而,所有 iTBS 条件均引起 DLPFC 活动的显著调节。

意义:在临床人群中重复该研究有助于确定临床应用的最佳参数。

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引用本文的文献

[1]
Enhancing prefrontal modulation by phase-locking intermittent theta burst stimulation to a concurrent transcranial alternating current stimulation.

Imaging Neurosci (Camb). 2025-1-3

[2]
Assessing Neuromodulation Effects of Theta Burst Stimulation to the Prefrontal Cortex Using Transcranial Magnetic Stimulation Electroencephalography (TMS-EEG).

Eur J Neurosci. 2025-5

[3]
Feasibility, safety, and efficacy of high-dose intermittent theta burst stimulation in children with autism spectrum disorder: study protocol for a pilot randomized sham-controlled trial.

Front Psychiatry. 2025-3-31

[4]
Accelerated Theta-Burst Stimulation for Treatment-Resistant Depression: A Randomized Clinical Trial.

JAMA Psychiatry. 2025-5-1

[5]
Extended course accelerated intermittent theta burst stimulation as a substitute for depressed patients needing electroconvulsive therapy.

Neuropsychopharmacology. 2025-3

[6]
Prefrontal Oscillatory Slowing in Early-Course Schizophrenia Is Associated With Worse Cognitive Performance and Negative Symptoms: A Transcranial Magnetic Stimulation-Electroencephalography Study.

Biol Psychiatry Cogn Neurosci Neuroimaging. 2025-2

[7]
Efficacy of Using Intermittent Theta Burst Stimulation to Treat Negative Symptoms in Patients with Schizophrenia-A Systematic Review and Meta-Analysis.

Brain Sci. 2023-12-23

[8]
A dose-response characterization of transcranial magnetic stimulation intensity and evoked potential amplitude in the dorsolateral prefrontal cortex.

Sci Rep. 2023-10-30

[9]
A naturalistic study comparing the efficacy of unilateral and bilateral sequential theta burst stimulation in treating major depression - the U-B-D study protocol.

BMC Psychiatry. 2023-10-10

[10]
Using TMS-EEG to assess the effects of neuromodulation techniques: a narrative review.

Front Hum Neurosci. 2023-8-14

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