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Summary Task 9 - Transcranial Magnetic Stimulation

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Summary of Task 9 of Methods of Cognitive Neuroscience

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  • 30 maart 2024
  • 12
  • 2023/2024
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TASK 9: TRANSCRANIAL MAGNETIC
STIMULATION
FUNCTIONAL PRINCIPLES OF TMS & TDCS

TMS

 TMS effects typically small – alter RT but don’t elicit overt behaviour

HOW DOES TMS WORK?

1. Stimulator (capacitor) produces a very strong current,
which gets discharged through a thick cable &
runs into electromagnetic coil
2. A change in electric current in the wire of the coil
generates a magnetic field perpendicular to the
current
 The greater rate of change in electric current, the greater the magnetic field
 Magnet field builds up quickly & decays quickly, because current goes back to
capacitor
3. Magnetic field can induce a secondary electric current perpendicular to itself to flow in
another wire placed nearby
4. Secondary current is induced in the neurons below the stimulation site  depolarisation
 Induced electric current caused by making them fire in same way they would
when responding to stimuli in environment
5. Magnetic field acts as bridge between electric current in stimulating coil & current
induced in the brain


 If stimulated neurons have critical cognitive function – stimulating them will disrupt
that function
 Virtual / reversible lesion – effects are quickly reversed
 Effect of TMS can be thought of as inducing “noise” into neural processes
 Induces activity that is random with respect to goal-state of area stimulated
 Induces disorder rather than order  disrupting task performance
 Neurons are activated from both internal source (task demands) & external source
(TMS) with the latter disrupting the former
 If region not involved in task  no interference

STIMULATION CHARACTERISTICS & PARAMETERS

 Stimulation parameters – physical properties of the applied magnetic stimulation: (1) pulse
intensity, (2) pulse amplitude, (3) pulse frequency, (4) duration, (5) rise time, (6)
magnetic field distribution, (7) pulse wave form, (8) peak magnetic energy

,  Changes can affect different stimulation characteristics in very different ways
 Stimulation characteristics – induced physiological effect of TMS: (1) strength & distribution
of induced electrical field, (2) depth of penetration, (3) accuracy of stimulation
 Determined by physical & physiological factors (e.g., coil geometry, size, scalp
shape, scalp-cortex distance, anatomical properties, conductivity of stimulated
tissue
 Stimulation strength vs. distance
 Strong charge  signal goes more in depth BUT gets logarithmically weaker the
deeper it goes
 Limited to a few cm of stimulation – direct stimulation only works for cortex
 We can reach underlying structures indirectly by findings part of the cortex
connected to them

TDCS

 Transcranial direct current stimulation (tDCS)
 Uses very weak electrical current  more distorted signal than TMS
 Direct current involves flow of electric charge from positive side (anode) to negative
site (cathode)
 Stimulating pad placed over region of interest & control pad place in a site of no
interest
 After period of stimulation – cognitive task is performed & can be compared with
sham stimulation
 OR anodal & cathodal stimulation can be directly contrasted
 Cathodal tDCS stimulation tends to disrupt performance – affects glutamate system
 Anodal tDCS stimulation tends to enhance performance – affects GABA system
o Repeated sessions used for cognitive enhancement & neurorehabilitation
 Immediate effects vs. aftereffects – have to be considered separately
 Immediate effects – believed to occur on resting membrane potential rather than
modulation at the synapse
 Aftereffects – likely to occur due to changes in synaptic plasticity influencing
learning & perhaps affecting different neurotransmitter systems
 Safety guidelines: upper limits on size of current & surface area of stimulating electrodes
 If current concentrated on small electrode – can cause skin irritations
 Very little discomfort otherwise – participants can’t tell whether machine is
switched on / used as sham  makes it possible to compare active trials to sham
conditions


TMS COILS, PROTOCOLS & ASSOCIATED RISKS

COILS

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