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  4. Investigating the interaction between white matter and brain state on tDCS-induced changes in brain network activity
 
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Investigating the interaction between white matter and brain state on tDCS-induced changes in brain network activity
File(s)
1-s2.0-S1935861X21002060-main.pdf (2.41 MB)
Published version
OA Location
https://www.brainstimjrnl.com/article/S1935-861X(21)00206-0/fulltext
Author(s)
Kurtin, Danielle L
Violante, Ines R
Zimmerman, Karl
Leech, Robert
Hampshire, Adam
more
Type
Journal Article
Abstract
BACKGROUND: Transcranial direct current stimulation (tDCS) is a form of noninvasive brain stimulation whose potential as a cognitive therapy is hindered by our limited understanding of how participant and experimental factors influence its effects. Using functional MRI to study brain networks, we have previously shown in healthy controls that the physiological effects of tDCS are strongly influenced by brain state. We have additionally shown, in both healthy and traumatic brain injury (TBI) populations, that the behavioral effects of tDCS are positively correlated with white matter (WM) structure. OBJECTIVES: In this study we investigate how these two factors, WM structure and brain state, interact to shape the effect of tDCS on brain network activity. METHODS: We applied anodal, cathodal and sham tDCS to the right inferior frontal gyrus (rIFG) of healthy (n = 22) and TBI participants (n = 34). We used the Choice Reaction Task (CRT) performance to manipulate brain state during tDCS. We acquired simultaneous fMRI to assess activity of cognitive brain networks and used Fractional Anisotropy (FA) as a measure of WM structure. RESULTS: We find that the effects of tDCS on brain network activity in TBI participants are highly dependent on brain state, replicating findings from our previous healthy control study in a separate, patient cohort. We then show that WM structure further modulates the brain-state dependent effects of tDCS on brain network activity. These effects are not unidirectional - in the absence of task with anodal and cathodal tDCS, FA is positively correlated with brain activity in several regions of the default mode network. Conversely, with cathodal tDCS during CRT performance, FA is negatively correlated with brain activity in a salience network region. CONCLUSIONS: Our results show that experimental and participant factors interact to have unexpected effects on brain network activity, and that these effects are not fully predictable by studying the factors in isolation.
Date Issued
2021-09-01
Date Acceptance
2021-08-05
Citation
Brain Stimulation, 2021, 14 (5), pp.1261-1270
URI
http://hdl.handle.net/10044/1/91452
DOI
https://www.dx.doi.org/10.1016/j.brs.2021.08.004
ISSN
1876-4754
Publisher
Elsevier
Start Page
1261
End Page
1270
Journal / Book Title
Brain Stimulation
Volume
14
Issue
5
Copyright Statement
©2021 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
License URL
http://creativecommons.org/licenses/by/4.0/
Sponsor
Imperial College Healthcare NHS Trust- BRC Funding
Imperial College Healthcare NHS Trust- BRC Funding
Imperial College Healthcare NHS Trust- BRC Funding
National Institute for Health Research
Wellcome Trust
Wellcome Trust
UK DRI Ltd
Wellcome Trust
National Institute of Health and Medical Research
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/34438046
PII: S1935-861X(21)00206-0
Grant Number
RDC04 79560
RDA03_79560
RDC04
NIHR-RP-011-048
103045/Z/13/Z
103429/Z/13/Z
'CR & T IMP'
103429/Z/13/Z
Subjects
Default mode network
Magnetic resonance imaging
Salience network
Stimulation
Traumatic brain injury
White matter structure
Publication Status
Published
Coverage Spatial
United States
Date Publish Online
2021-08-24
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