Atmaram Sakhardande Kasturi, Pathak Harsh, Manohar Harshini, Sreeraj Vanteemar S, Venkatasubramanian Ganesan, Kommu John Vijay Sagar
Department of Child and Adolescent Psychiatry, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bengaluru, Karnataka, India.
Department of Psychiatry, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bengaluru, Karnataka, India.
Indian J Psychiatry. 2025 Mar;67(3):346-349. doi: 10.4103/indianjpsychiatry.indianjpsychiatry_972_24. Epub 2025 Mar 14.
The dorsolateral prefrontal cortex (DLPFC) is implicated in neuropsychiatric disorders. It is a primary target region for noninvasive brain stimulation (NIBS). BeamF3 is a simplified method of localization of DLPFC for neuromodulation. However, the accuracy of this method has not been examined in children.
To compare the localization of DLPFC via BeamF3 and 10-20 electroencephalogram (EEG) systems in adolescents with neuropsychiatric disorders.
Twenty adolescents (10-15 years) were recruited from the in-patient child and adolescent psychiatry unit of our center. DLPFC localization was done and compared between the BeamF3 and 10-20 EEG systems. DLPFC localization based on the BeamF3 method at anterior/anterolateral/lateral position was compared with 10-20 EEG systems in 70% of adolescents.
The mean difference in DLPFC localization was 1.10 ± 0.81 cm (0-3 cm), with a difference of ≥1 cm in 70% of adolescents. This study found a difference between Beam F3 and 10-20 EEG systems in terms of localization of DLPFC in adolescents.
Comparison of these methods with MRI-guided methods may be necessary, especially when highly focal stimulation is desired for treatment in adolescents.
背外侧前额叶皮质(DLPFC)与神经精神疾病有关。它是无创脑刺激(NIBS)的主要目标区域。BeamF3是一种用于神经调节的DLPFC简化定位方法。然而,该方法在儿童中的准确性尚未得到检验。
比较神经精神疾病青少年中通过BeamF3和10-20脑电图(EEG)系统对DLPFC的定位。
从我们中心的儿童和青少年精神科住院部招募了20名青少年(10-15岁)。对DLPFC进行定位,并在BeamF3和10-20 EEG系统之间进行比较。在70%的青少年中,将基于BeamF3方法在前部/前外侧/外侧位置的DLPFC定位与10-20 EEG系统进行比较。
DLPFC定位的平均差异为1.10±0.81厘米(0-3厘米),70%的青少年差异≥1厘米。本研究发现Beam F3和10-20 EEG系统在青少年DLPFC定位方面存在差异。
可能有必要将这些方法与MRI引导的方法进行比较,特别是当希望对青少年进行高度局部刺激治疗时。