Optimization of TMS target engagement: current state and future perspectives

Neuromodulation is based on the principle that brain stimulation produces plastic changes in cerebral circuitry. Given the intersubject structural and functional variability, neuromodulation has a personalized effect in the brain. Moreover, because of cerebral dominance and interhemispheric function...

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Main Authors: Pantelis Lioumis, Timo Roine, Ida Granö, Dogu Baran Aydogan, Elena Ukharova, Victor H. Souza, Dubravko Kičić, Risto J. Ilmoniemi, Nikos Makris
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Neuroscience
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Online Access:https://www.frontiersin.org/articles/10.3389/fnins.2025.1517228/full
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author Pantelis Lioumis
Pantelis Lioumis
Pantelis Lioumis
Timo Roine
Timo Roine
Ida Granö
Dogu Baran Aydogan
Dogu Baran Aydogan
Elena Ukharova
Victor H. Souza
Dubravko Kičić
Risto J. Ilmoniemi
Nikos Makris
Nikos Makris
Nikos Makris
Nikos Makris
author_facet Pantelis Lioumis
Pantelis Lioumis
Pantelis Lioumis
Timo Roine
Timo Roine
Ida Granö
Dogu Baran Aydogan
Dogu Baran Aydogan
Elena Ukharova
Victor H. Souza
Dubravko Kičić
Risto J. Ilmoniemi
Nikos Makris
Nikos Makris
Nikos Makris
Nikos Makris
author_sort Pantelis Lioumis
collection DOAJ
description Neuromodulation is based on the principle that brain stimulation produces plastic changes in cerebral circuitry. Given the intersubject structural and functional variability, neuromodulation has a personalized effect in the brain. Moreover, because of cerebral dominance and interhemispheric functional and structural differences in the same individual, the characterization of specific brain circuitries involved is currently not feasible. This notion is extremely important for neuromodulation treatments applied in neuropsychiatry. Specifically, the efficacy of the neuromodulation treatments is critically dependent on the anatomical precision of the brain target and the circuitry which has been affected by the TMS intervention. Furthermore, for a complete understanding of how the brain behaves under stimulation, the characterization of its neurophysiological response is necessary as well. This goal can be achieved with TMS–EEG guided by current multimodal neuroimaging techniques in real time, namely MRI-based anatomical segmentation and diffusion MRI-based tractographic analysis.
format Article
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institution Kabale University
issn 1662-453X
language English
publishDate 2025-01-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Neuroscience
spelling doaj-art-d3caa2a59afc4af3a86c0be1518bbd672025-01-29T06:46:08ZengFrontiers Media S.A.Frontiers in Neuroscience1662-453X2025-01-011910.3389/fnins.2025.15172281517228Optimization of TMS target engagement: current state and future perspectivesPantelis Lioumis0Pantelis Lioumis1Pantelis Lioumis2Timo Roine3Timo Roine4Ida Granö5Dogu Baran Aydogan6Dogu Baran Aydogan7Elena Ukharova8Victor H. Souza9Dubravko Kičić10Risto J. Ilmoniemi11Nikos Makris12Nikos Makris13Nikos Makris14Nikos Makris15Department of Neuroscience and Biomedical Engineering, Aalto University School of Science, Espoo, FinlandBioMag Laboratory, HUS Medical Imaging Center, Aalto University, University of Helsinki and Helsinki University Hospital, Helsinki, FinlandCognitive Brain Research Unit, Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Helsinki, FinlandDepartment of Neuroscience and Biomedical Engineering, Aalto University School of Science, Espoo, FinlandAdvanced Magnetic Imaging Centre, Aalto University, Espoo, FinlandDepartment of Neuroscience and Biomedical Engineering, Aalto University School of Science, Espoo, FinlandDepartment of Neuroscience and Biomedical Engineering, Aalto University School of Science, Espoo, FinlandA.I. Virtanen Institute for Molecular Sciences, University of Eastern Finland, Kuopio, FinlandDepartment of Neuroscience and Biomedical Engineering, Aalto University School of Science, Espoo, FinlandDepartment of Neuroscience and Biomedical Engineering, Aalto University School of Science, Espoo, FinlandDepartment of Neuroscience and Biomedical Engineering, Aalto University School of Science, Espoo, FinlandDepartment of Neuroscience and Biomedical Engineering, Aalto University School of Science, Espoo, FinlandDepartment of Neuroscience and Biomedical Engineering, Aalto University School of Science, Espoo, FinlandDepartments of Psychiatry and Neurology, A. Martinos Center for Biomedical Imaging, Center for Morphometric Analysis, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United StatesDepartment of Anatomy and Neurobiology, Boston University School of Medicine, Boston, MA, United StatesPsychiatric Neuroimaging Laboratory, Harvard Medical School, Brigham and Women’s Hospital, Boston, MA, United StatesNeuromodulation is based on the principle that brain stimulation produces plastic changes in cerebral circuitry. Given the intersubject structural and functional variability, neuromodulation has a personalized effect in the brain. Moreover, because of cerebral dominance and interhemispheric functional and structural differences in the same individual, the characterization of specific brain circuitries involved is currently not feasible. This notion is extremely important for neuromodulation treatments applied in neuropsychiatry. Specifically, the efficacy of the neuromodulation treatments is critically dependent on the anatomical precision of the brain target and the circuitry which has been affected by the TMS intervention. Furthermore, for a complete understanding of how the brain behaves under stimulation, the characterization of its neurophysiological response is necessary as well. This goal can be achieved with TMS–EEG guided by current multimodal neuroimaging techniques in real time, namely MRI-based anatomical segmentation and diffusion MRI-based tractographic analysis.https://www.frontiersin.org/articles/10.3389/fnins.2025.1517228/fullTMS–EEGtarget engagementdMRI (diffusion magnetic resonance imaging)structural connectivityneurophysiological signatures of brain circuits
spellingShingle Pantelis Lioumis
Pantelis Lioumis
Pantelis Lioumis
Timo Roine
Timo Roine
Ida Granö
Dogu Baran Aydogan
Dogu Baran Aydogan
Elena Ukharova
Victor H. Souza
Dubravko Kičić
Risto J. Ilmoniemi
Nikos Makris
Nikos Makris
Nikos Makris
Nikos Makris
Optimization of TMS target engagement: current state and future perspectives
Frontiers in Neuroscience
TMS–EEG
target engagement
dMRI (diffusion magnetic resonance imaging)
structural connectivity
neurophysiological signatures of brain circuits
title Optimization of TMS target engagement: current state and future perspectives
title_full Optimization of TMS target engagement: current state and future perspectives
title_fullStr Optimization of TMS target engagement: current state and future perspectives
title_full_unstemmed Optimization of TMS target engagement: current state and future perspectives
title_short Optimization of TMS target engagement: current state and future perspectives
title_sort optimization of tms target engagement current state and future perspectives
topic TMS–EEG
target engagement
dMRI (diffusion magnetic resonance imaging)
structural connectivity
neurophysiological signatures of brain circuits
url https://www.frontiersin.org/articles/10.3389/fnins.2025.1517228/full
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