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Persistent Enhancement of Hippocampal Network Connectivity by Parietal rTMS Is Reproducible

机译:通过顶叶rTMS持久增强海马网络连接性是可重现的

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摘要

found that that five daily sessions of repetitive transcranial magnetic stimulation (rTMS) of the posterior parietal cortex (PPC) significantly increased functional connectivity (FC) in a network centered on the hippocampus, and caused a correlated increase in memory performance. However, this finding has not been reproduced independently and the requirement for five sessions has not been validated. We aimed to reproduce the imaging results of this experiment, focusing on hippocampal FC changes and using fewer days of rTMS. We measured resting state FC before and after three (N = 9) or four (N = 6) consecutive daily PPC rTMS sessions, using similar delivery parameter settings as . Eight subjects received 3 d of rTMS delivered to the vertex as a control. We employed whole-brain and hypothesis-based statistical approaches to test for hippocampal FC changes. Additionally, we calculated FC in 17 brain networks to determine whether the topographic pattern of FC change was similar between studies. We did not include behavioral testing in this study. PPC, but not vertex, rTMS caused significant changes in hippocampal FC to the same regions as in the previous study. Brain-wide changes in hippocampal FC significantly exceeded changes in global connectedness, indicating that the effect of PPC rTMS was specific to the hippocampal network. Baseline hippocampal FC, measured before receiving stimulation, predicted the degree of rTMS-induced hippocampal FC as in the previous study. These findings reproduce the imaging findings of and show that FC enhancement can occur after only three to four sessions of PPC rTMS.
机译:发现每天进行五次重复的经颅顶叶皮质(PPC)的经颅颅磁刺激(rTMS),可以显着提高以海马为中心的网络中的功能连接性(FC),并引起相关的记忆功能增强。但是,此发现尚未独立复制,并且五次会议的要求尚未得到验证。我们旨在重现该实验的成像结果,重点是海马FC的变化,并使用更少的rTMS天。我们使用与相似的投放参数设置,在连续三个(N = 9)或四个(N = 6)每日PPC rTMS会话之前和之后测量静止状态FC。八名受试者接受了3 d的rTMS传递到顶点作为对照。我们采用了基于全脑和基于假设的统计方法来测试海马FC的变化。此外,我们在17个大脑网络中计算了FC,以确定研究之间FC变化的地形模式是否相似。我们没有在这项研究中包括行为测试。 PPC(而非顶点)rTMS导致海马FC的显着变化至与先前研究相同的区域。海马FC的全脑变化大大超过了总体连通性的变化,这表明PPC rTMS的作用是海马网络特有的。与之前的研究一样,在接受刺激之前测量的基线海马FC可预测rTMS诱导的海马FC的程度。这些发现重现了PPC rTMS的影像学发现,并表明FC增强仅在三到四次PPC rTMS之后即可发生。

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