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Keute, M.

Publications and source records attributed to Keute, M..

4 recordsLinked to original sources

Evaluating phasic transcutaneous vagus nerve stimulation (taVNS) with pupil dilation: the importance of stimulation intensity and sensory perception

The efficacy of transcutaneous auricular vagus nerve stimulation (taVNS) as a non-invasive method to modulate physiological markers of noradrenergic activity of the Locus Coeruleus (LC), such as pupil dilation, is increasingly more discussed. However, taVNS studies show high heterogeneity of stimulation effects. Therefore, a taVNS setup was established here to test different frequencies (10 Hz and 25 Hz) and intensities (3 mA and 5 mA) during phasic stimulation (3 s) with time-synchronous recording of pupil dilation in younger adults. Specifically, phasic real taVNS and higher intensity led to increased pupil dilation, which is consistent with phasic invasive VNS studies in animals. The results also suggest that the influence of intensity on pupil dilation may be stronger than that of frequency. However, there was an attenuation of taVNS-induced pupil dilation when differences in perception of sensations were considered. Specifically, pupil dilation during phasic stimulation increased with perceived stimulation intensity. The extent to which the effect of taVNS induces pupil dilation and the involvement of sensory perception in the stimulation process are discussed here and require more extensive research. Additionally, it is crucial to strive for comparable stimulation sensations during systematic parameter testing in order to investigate possible effects of phasic taVNS on pupil dilation in more detail.

neuroscience↗

Brain signal complexity and aperiodicity predict human corticospinal excitability

BackgroundTranscranial magnetic stimulation (TMS) holds promise for brain modulation with relevant scientific and therapeutic applications, but it is limited by response variability. Targeting state-dependent EEG features such as phase and power shows potential, but uncertainty remains about the suitable brain states. ObjectiveThis study evaluated broadband EEG measures (BEMs), including the aperiodic exponent (AE) and entropy measures (CTW, LZ), as alternatives to band-limited features, such as power and phase, for predicting corticospinal excitability (CSE). MethodsTMS was delivered with randomly applied single pulses targeting the left primary motor cortex in 34 healthy participants while simultaneously recording EEG and EMG signals. Broadband and band-limited EEG features were evaluated for their ability to predict CSE using motor evoked potentials (MEPs) from the right extensor digitorum communis muscle as the outcome measure. ResultsBEMs (AE, CTW) significantly predicted CSE, comparable to beta-band power and phase, the most predictive and spatially specific band-limited markers of motor cortex CSE. Unlike these localized CSE markers at the site of stimulation, BEMs captured more global brain states and greater within-subject variability, indicating sensitivity to dynamic state changes. Notably, CTW was associated with high CSE, while AE was linked to low CSE. ConclusionThis study reveals BEMs as robust predictors of CSE that circumvent challenges of band-limited EEG features, such as narrowband filtering and phase estimation. They may reflect more general markers of brain excitability. With their slower timescale and broader sensitivity, BEMs are promising biomarkers for state-dependent TMS applications, particularly in therapeutic contexts.

neuroscience↗

Phase-specific stimulation reveals consistent sinusoidal modulation of human corticospinal excitability along the oscillatory beta cycle

The responsiveness of neuronal populations to incoming information fluctuates. Retrospective analyses of randomly applied stimuli reveal a neural input-output relationship along the intrinsic oscillatory cycle. Prospectively harnessing this biological mechanism would necessitate frequency- and phase-specificity, intra- and inter-individual consistency, and instantaneous access to the oscillatory cycle. We used a novel real-time approach to electroencephalography-triggered transcranial magnetic stimulation to precisely target 8 equidistant phases of the oscillatory cycle in the human motor cortex of male and female healthy participants. The phase-dependency of corticospinal excitability was investigated in ten different intrinsic frequencies (4, 8, 12, 16, 20, 24, 28, 32, 36, and 40Hz) and indexed by motor-evoked potentials (MEP) in the corresponding forearm muscle. On both the individual and group level, we detected a consistent sinusoidal MEP modulation along the oscillatory cycle at 24Hz ({chi}22 =9.2, p=.01), but not at any other target frequency (all {chi}22 <5, all p>.08). Moreover, cross-validations showed also at 24Hz the highest consistency of the optimal phase between prospective (real-time) and retrospective (out-of-sample) testing (r=.605, p<.001), and across experimental sessions on three different days (r[&ge;].45). The optimal corticospinal signal transmission was at the transition from the trough to the rising flank of the oscillatory 24Hz cycle. Integrating real-time measurement and brain stimulation revealed that the sinusoidal input-output relationship of corticospinal signal transmission is frequency- and phase specific, and consistent within and across individuals and sessions. In future, this approach allows to selectively and repetitively target windows of increased responsiveness, and to thereby investigate potential cumulative effects on plasticity induction.

neuroscience↗

Phase-specific stimulation of the human brain with real-time measurement instead of prediction

BackgroundThe responsiveness of the human brain to external input fluctuates. Timing the external perturbation with regard to the oscillatory brain state may improve the intended stimulation effects. However, current brain state-dependent interventions targeting phases of the oscillatory cycle need to apply prediction algorithms to compensate for latencies between measurement and stimulation, and are therefore imprecise. ObjectiveWe investigated the phase-specific precision of a novel non-predictive approach on the basis of integrated real-time measurement and brain stimulation. MethodsApplying a simulation, we estimated the circular standard deviation (SD) to hit 2, 4, 8, 16 or 32 equidistant phase bins of the oscillatory cycle with high precision. Furthermore, we used electroencephalography-triggered transcranial magnetic stimulation in healthy subjects to empirically determine the precision of hitting the targeted phase of the oscillatory cycle for 10 different frequencies from 4Hz to 40Hz using our approach. ResultsThe simulation revealed that SDs of less than 17.6{degrees}, 9.7{degrees}, 5.1{degrees}, 2.5{degrees}, and 1.3{degrees} were necessary to precisely hit 2, 4, 8, 16, and 32 distinct phase bins of the oscillatory cycle. By completing measurement, signal-processing and stimulation with a round-time of 1ms, our empirical approach achieved SDs of 0.4{degrees} at 4Hz to 4.3{degrees} at 40Hz. This facilitates selective targeting of 32 phases (at 4Hz), 16 phases (at 8, 12, 16, 20, 24Hz) and 8 phases (at 28, 32, 36, 40Hz), respectively. ConclusionIntegrated real-time measurement and stimulation circumvents the need for prediction and results in more precise phase-specific brain stimulation than with state-of-the-art procedures.

neuroscience↗