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  • Research Article4
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  • Brain Stimulation: Basic, Translational, and Clinical Research in Neuromodulation7

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  • Depression2
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  • Full length article
    Open Access

    Functional connectivity of the anterior cingulate cortex predicts treatment outcome for rTMS in treatment-resistant depression at 3-month follow-up

    Brain Stimulation: Basic, Translational, and Clinical Research in Neuromodulation
    Vol. 13Issue 1p206–214Published online: October 18, 2019
    • Ruiyang Ge
    • Jonathan Downar
    • Daniel M. Blumberger
    • Zafiris J. Daskalakis
    • Fidel Vila-Rodriguez
    Cited in Scopus: 35
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      Repetitive transcranial magnetic stimulation (rTMS) is a first-line treatment for treatment-resistant depression (TRD). The mechanisms of action of rTMS are not fully understood, and no biomarkers are available to assist in clinical practice to predict response to rTMS. This study aimed to demonstrate that after-rTMS clinical improvement is associated with functional connectivity (FC) changes of the subgenual cingulate cortex (sgACC) and rostral anterior cingulate (rACC), and FC of sgACC and rACC might serve as potential predictors for treatment response.
      Functional connectivity of the anterior cingulate cortex predicts treatment outcome for rTMS in treatment-resistant depression at 3-month follow-up
    • Full length article
      Open Access

      Cardiovascular differences between sham and active iTBS related to treatment response in MDD

      Brain Stimulation: Basic, Translational, and Clinical Research in Neuromodulation
      Vol. 13Issue 1p167–174Published online: October 9, 2019
      • Tabitha A. Iseger
      • Martijn Arns
      • Jonathan Downar
      • Daniel M. Blumberger
      • Zafiris J. Daskalakis
      • Fidel Vila-Rodriguez
      Cited in Scopus: 18
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        Heart rate in MDD is often dysregulated, expressed in overall higher heart rates (HR) and lower heart rate variability (HRV). Interestingly, HR decelerations have been reported after stimulation of the DLPFC using rTMS, suggesting connectivity between the DLPFC and the heart. Recently, a new form of rTMS called theta burst stimulation (TBS) has been developed. One form of TBS, intermittent TBS (iTBS), delivers 600 pulses in just 3 min.
        Cardiovascular differences between sham and active iTBS related to treatment response in MDD
      • Short communication
        Open Access

        Impact of prior treatment on remission with intermittent theta burst versus high-frequency repetitive transcranial magnetic stimulation in treatment resistant depression

        Brain Stimulation: Basic, Translational, and Clinical Research in Neuromodulation
        Vol. 12Issue 6p1553–1555Published online: July 17, 2019
        • Jonathan H. Hsu
        • Jonathan Downar
        • Fidel Vila-Rodriguez
        • Zafiris J. Daskalakis
        • Daniel M. Blumberger
        Cited in Scopus: 8
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          Multiple prior treatment failures are associated with reduced rates of remission to subsequent antidepressant treatment, including rTMS. The degree of treatment resistance that is especially predictive of inferior outcome is uncertain. Intermittent theta burst stimulation (iTBS) is a newer form of rTMS where less is known regarding clinical predictors of remission. The THREE-D study demonstrated that iTBS is non-inferior to 10 Hz rTMS for the treatment of depression.
        • Correspondence

          Safety, tolerability and effectiveness of a novel 20 Hz rTMS protocol targeting dorsomedial prefrontal cortex in major depression: An open-label case series

          Brain Stimulation: Basic, Translational, and Clinical Research in Neuromodulation
          Vol. 12Issue 5p1319–1321Published online: June 20, 2019
          • Jean-Philippe Miron
          • Kfir Feffer
          • Robin F.H. Cash
          • Dorsa Derakhshan
          • John Min Seok Kim
          • Peter Fettes
          • Peter Giacobbe
          • Daniel M. Blumberger
          • Zafiris J. Daskalakis
          • Jonathan Downar
          Cited in Scopus: 10
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            Repetitive transcranial magnetic stimulation (rTMS) of the dorsomedial prefrontal cortex (DMPFC) in treatment-resistant depression (TRD) has been recently studied as an alternative to conventional dorsolateral prefrontal cortex (DLPFC) rTMS [1,2]. Across both targets, intermittent theta-burst stimulation (iTBS) reduces treatment duration while achieving comparable outcomes to conventional 10 Hz stimulation [1,3]. However, iTBS can require more costly devices than conventional high-frequency rTMS, and the consistency of excitatory effect varies across individuals [4].
            Safety, tolerability and effectiveness of a novel 20 Hz rTMS protocol targeting dorsomedial prefrontal cortex in major depression: An open-label case series
          • Full length article

            Transcranial direct current stimulation (tDCS) for depression in pregnancy: A pilot randomized controlled trial

            Brain Stimulation: Basic, Translational, and Clinical Research in Neuromodulation
            Vol. 12Issue 6p1475–1483Published online: June 19, 2019
            • Simone N. Vigod
            • Kellie E. Murphy
            • Cindy-Lee Dennis
            • Tim F. Oberlander
            • Joel G. Ray
            • Zafiris J. Daskalakis
            • and others
            Cited in Scopus: 17
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              Depression in pregnancy negatively affects maternal-child health. Transcranial direct current stimulation (tDCS), a non-invasive brain stimulation treatment for depression, has not been evaluated in pregnancy.
              Transcranial direct current stimulation (tDCS) for depression in pregnancy: A pilot randomized controlled trial
            • Correspondence
              Open Access

              Reproducibility in TMS–EEG studies: A call for data sharing, standard procedures and effective experimental control

              Brain Stimulation: Basic, Translational, and Clinical Research in Neuromodulation
              Vol. 12Issue 3p787–790Published online: January 19, 2019
              • Paolo Belardinelli
              • Mana Biabani
              • Daniel M. Blumberger
              • Marta Bortoletto
              • Silvia Casarotto
              • Olivier David
              • Debora Desideri
              • Amit Etkin
              • Fabio Ferrarelli
              • Paul B. Fitzgerald
              • Alex Fornito
              • Pedro C. Gordon
              • Olivia Gosseries
              • Sylvain Harquel
              • Petro Julkunen
              • Corey J. Keller
              • Vasilios K. Kimiskidis
              • Pantelis Lioumis
              • Carlo Miniussi
              • Mario Rosanova
              • Simone Rossi
              • Simone Sarasso
              • Wei Wu
              • Christoph Zrenner
              • Zafiris J. Daskalakis
              • Nigel C. Rogasch
              • Marcello Massimini
              • Ulf Ziemann
              • Risto J. Ilmoniemi
              Cited in Scopus: 57
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                A recent study by Conde, Tomasevic et al. (2019) [1] puts a spotlight on the subtleties of experimental design and analysis of studies involving TMS-evoked EEG potentials (TEPs), specifically focusing on the challenge of disentangling genuine cortical responses to TMS from those resulting from concomitant sensory activation. This is a relevant topic that the TMS–EEG community has previously identified [2] and addressed with different strategies [3–6]. Based on the similarity of the evoked EEG responses they obtained in real TMS at different sites and in sham conditions (auditory and somatosensory scalp stimulation), the authors of [1] inferred that TEPs can be significantly contaminated by the effects of concurrent, non-transcranial stimulation.
                Reproducibility in TMS–EEG studies: A call for data sharing, standard procedures and effective experimental control
              • Transcranial Magnetic Stimulation (TMS) Original Article
                Open Access

                rTMS of the Dorsomedial Prefrontal Cortex for Major Depression: Safety, Tolerability, Effectiveness, and Outcome Predictors for 10 Hz Versus Intermittent Theta-burst Stimulation

                Brain Stimulation: Basic, Translational, and Clinical Research in Neuromodulation
                Vol. 8Issue 2p208–215Published online: November 6, 2014
                • Nathan Bakker
                • Saba Shahab
                • Peter Giacobbe
                • Daniel M. Blumberger
                • Zafiris J. Daskalakis
                • Sidney H. Kennedy
                • and others
                Cited in Scopus: 147
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                  Conventional rTMS protocols for major depression commonly employ stimulation sessions lasting >30 min. However, recent studies have sought to improve costs, capacities, and outcomes by employing briefer protocols such as theta burst stimulation (iTBS).
                  rTMS of the Dorsomedial Prefrontal Cortex for Major Depression: Safety, Tolerability, Effectiveness, and Outcome Predictors for 10 Hz Versus Intermittent Theta-burst Stimulation
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