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Mutanen, T.

Publications and source records attributed to Mutanen, T..

2 recordsLinked to original sources

Predictive modeling of TMS-evoked responses: Unraveling instantaneous excitability states

Transcranial magnetic stimulation (TMS) combined with electroencephalography (EEG) and electromyography (EMG) provides a unique window into instantaneous cortical and corticospinal excitability states. We investigated 50 healthy participants to determine how fluctuations in pre-stimulus brain activity influence single-trial TMS-evoked potentials (TEPs) and motor-evoked potentials (MEPs). We developed a novel automated source-level TEP extraction method using individualized spatiotemporal priors that is robust against poor single-trial signal-to-noise ratios (SNRs) and ongoing oscillations. TEP and MEP amplitudes were predicted with linear mixed-effects models based on pre-stimulation EEG band-powers (theta to gamma), while accounting for temporal drifts (within-session trends), coil control, and inter-subject differences. We found that higher pre-stimulus sensorimotor alpha, beta, and gamma power were each associated with larger TEPs, indicating a more excitable cortical state. Increases in alpha and gamma power immediately before stimulation specifically predicted larger MEPs, reflecting increased corticospinal excitability. These results reveal relationships between ongoing oscillatory brain states and TMS response amplitudes, identifying EEG biomarkers of high- and low-excitability states. In conclusion, our study demonstrates the feasibility of single-trial source-level TMS-EEG analysis and shows that spontaneous alpha-, beta-, and gamma-band oscillations modulate motor cortical and corticospinal responsiveness. These findings pave the way for EEG-informed, brain-state-dependent TMS protocols to optimize neuromodulatory interventions in clinical and research applications.

neuroscience↗

EPICURUS: E-field-based spatial filtering procedure for an accurate estimation of local EEG activity evoked by Transcranial Magnetic Stimulation

BackgroundThe concurrent use of Transcranial magnetic stimulation and electroencephalography (TMS-EEG) is increasingly integrated into research and clinical protocols. However, a reliable isolation of EEG responses that are locally evoked by TMS at the targeted cortical sites independent from contaminating sources, remains challenging. MethodsHere we introduce EPICURUS, a novel spatial filtering approach for TMS-EEG that uses individualized MRI-based simulations of the TMS-induced electric field (E-field) to define the spatial extent of locally evoked activity. This method guides the reconstruction of EEG signals originating from the direct stimulation site while minimizing crosstalk from distant, non-targeted sources. ResultsIn synthetic simulations and a human TMS-EEG dataset, EPICURUS preserved early-latency TMS-evoked local activity while substantially attenuating later components, consistent with suppression of non-local activity. ConclusionBy leveraging the spatial precision of individualized E-field modeling, EPICURUS may enhance the specificity of EEG signal reconstruction, offering a promising tool for improving the spatiotemporal resolution of local early and late cortical local responses directly elicited by TMS.

neuroscience↗