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Matilainen N, Kataja J, Laakso I. Verification of neuronavigated TMS accuracy using structured-light 3D scans. Phys Med Biol 2024; 69:085004. [PMID: 38479018 DOI: 10.1088/1361-6560/ad33b8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2024] [Accepted: 03/13/2024] [Indexed: 04/04/2024]
Abstract
Objective.To investigate the reliability and accuracy of the manual three-point co-registration in neuronavigated transcranial magnetic stimulation (TMS). The effect of the error in landmark pointing on the coil placement and on the induced electric and magnetic fields was examined.Approach.The position of the TMS coil on the head was recorded by the neuronavigation system and by 3D scanning for ten healthy participants. The differences in the coil locations and orientations and the theoretical error values for electric and magnetic fields between the neuronavigated and 3D scanned coil positions were calculated. In addition, the sensitivity of the coil location on landmark accuracy was calculated.Main results.The measured distances between the neuronavigated and 3D scanned coil locations were on average 10.2 mm, ranging from 3.1 to 18.7 mm. The error in angles were on average from two to three degrees. The coil misplacement caused on average a 29% relative error in the electric field with a range from 9% to 51%. In the magnetic field, the same error was on average 33%, ranging from 10% to 58%. The misplacement of landmark points could cause a 1.8-fold error for the coil location.Significance.TMS neuronavigation with three landmark points can cause a significant error in the coil position, hampering research using highly accurate electric field calculations. Including 3D scanning to the process provides an efficient method to achieve a more accurate coil position.
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Affiliation(s)
- Noora Matilainen
- Department of Electrical Engineering and Automation, Aalto University, Espoo, Finland
| | - Juhani Kataja
- Department of Electrical Engineering and Automation, Aalto University, Espoo, Finland
| | - Ilkka Laakso
- Department of Electrical Engineering and Automation, Aalto University, Espoo, Finland
- Aalto Neuroimaging, Aalto University, Espoo, Finland
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Matilainen N, Kataja J, Laakso I. Predicting the hotspot location and motor threshold prior to transcranial magnetic stimulation using electric field modelling. Phys Med Biol 2023; 69:015012. [PMID: 37816371 DOI: 10.1088/1361-6560/ad0219] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2023] [Accepted: 10/10/2023] [Indexed: 10/12/2023]
Abstract
Objective.To investigate whether the motor threshold (MT) and the location of the motor hotspot in transcranial magnetic stimulation (TMS) can be predicted with computational models of the induced electric field.Approach.Individualized computational models were constructed from structural magnetic resonance images of ten healthy participants, and the induced electric fields were determined with the finite element method. The models were used to optimize the location and direction of the TMS coil on the scalp to produce the largest electric field at a predetermined cortical target location. The models were also used to predict how the MT changes as the magnetic coil is moved to various locations over the scalp. To validate the model predictions, the motor evoked potentials were measured from the first dorsal interosseous (FDI) muscle with TMS in the ten participants. Both computational and experimental methods were preregistered prior to the experiments.Main results.Computationally optimized hotspot locations were nearly as accurate as those obtained using manual hotspot search procedures. The mean Euclidean distance between the predicted and the measured hotspot locations was approximately 1.3 cm with a 0.8 cm bias towards the anterior direction. Exploratory analyses showed that the bias could be removed by changing the cortical target location that was used for the prediction. The results also indicated a statistically significant relationship (p< 0.001) between the calculated electric field and the MT measured at several locations on the scalp.Significance.The results show that the individual TMS hotspot can be located using computational analysis without stimulating the subject or patient even once. Adapting computational modelling would save time and effort in research and clinical use of TMS.
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Affiliation(s)
- Noora Matilainen
- Department of Electrical Engineering and Automation, Aalto University, Espoo, Finland
| | - Juhani Kataja
- Department of Electrical Engineering and Automation, Aalto University, Espoo, Finland
| | - Ilkka Laakso
- Department of Electrical Engineering and Automation, Aalto University, Espoo, Finland
- Aalto Neuroimaging, Aalto University, Espoo, Finland
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Matilainen N, Blomberg H, Sollerhed AC, Einberg EL, Garmy P. Longitudinal Study on Correlations Between Body Image, Physical Activity, and the Subjective Well-Being Among Adolescents Aged 14-16. J Sch Nurs 2023:10598405231191281. [PMID: 37525564 DOI: 10.1177/10598405231191281] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/02/2023] Open
Abstract
This study examined the relationship between physical activity, body image, and subjective well-being among Swedish adolescents over time. Surveying 2308 students, with 137 providing longitudinal data, we conducted a multivariate logistic regression analysis. No significant correlations were found between physical activity (p = .268), body functioning (p = .567), or body appearance (p = .075) at age 14 and subjective well-being at age 16. Among control variables, sex (p = .038) and subjective well-being at age 14 (p = .013) showed significant correlations, while economic status did not (p = .39). The correlation between a positive subjective well-being at age 14 and age 16 indicates the importance of impacting the sense of well-being early. Further longitudinal studies are needed to explore the potential long-term correlation between body image and adolescent subjective well-being.
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Affiliation(s)
- Noora Matilainen
- Department of Nursing and Health Sciences, Faculty of Health Sciences, Kristianstad University, Kristianstad, Sweden
| | - Hugo Blomberg
- Department of Nursing and Health Sciences, Faculty of Health Sciences, Kristianstad University, Kristianstad, Sweden
| | - Ann-Christin Sollerhed
- Department of Primary Teacher Education, Faculty of Education, Kristianstad University, Kristianstad, Sweden
| | - Eva-Lena Einberg
- Department of Nursing and Health Sciences, Faculty of Health Sciences, Kristianstad University, Kristianstad, Sweden
| | - Pernilla Garmy
- Department of Nursing and Health Sciences, Faculty of Health Sciences, Kristianstad University, Kristianstad, Sweden
- Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden
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Atilgan H, Koi JXJ, Wong E, Laakso I, Matilainen N, Pasqualotto A, Tanaka S, Chen SHA, Kitada R. Functional relevance of the extrastriate body area for visual and haptic object recognition: a preregistered fMRI-guided TMS study. Cereb Cortex Commun 2023; 4:tgad005. [PMID: 37188067 PMCID: PMC10176024 DOI: 10.1093/texcom/tgad005] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2023] [Revised: 03/22/2023] [Accepted: 03/27/2023] [Indexed: 05/17/2023] Open
Abstract
The extrastriate body area (EBA) is a region in the lateral occipito-temporal cortex (LOTC), which is sensitive to perceived body parts. Neuroimaging studies suggested that EBA is related to body and tool processing, regardless of the sensory modalities. However, how essential this region is for visual tool processing and nonvisual object processing remains a matter of controversy. In this preregistered fMRI-guided repetitive transcranial magnetic stimulation (rTMS) study, we examined the causal involvement of EBA in multisensory body and tool recognition. Participants used either vision or haptics to identify 3 object categories: hands, teapots (tools), and cars (control objects). Continuous theta-burst stimulation (cTBS) was applied over left EBA, right EBA, or vertex (control site). Performance for visually perceived hands and teapots (relative to cars) was more strongly disrupted by cTBS over left EBA than over the vertex, whereas no such object-specific effect was observed in haptics. The simulation of the induced electric fields confirmed that the cTBS affected regions including EBA. These results indicate that the LOTC is functionally relevant for visual hand and tool processing, whereas the rTMS over EBA may differently affect object recognition between the 2 sensory modalities.
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Affiliation(s)
- Hicret Atilgan
- Psychology, School of Social Sciences, Nanyang Technological University, 48 Nanyang Avenue, Singapore 639818, Singapore
| | - J X Janice Koi
- Psychology, School of Social Sciences, Nanyang Technological University, 48 Nanyang Avenue, Singapore 639818, Singapore
| | - Ern Wong
- IMT School for Advanced Studies Lucca, Piazza S. Francesco, 19, 55100 Lucca LU, Italy
| | - Ilkka Laakso
- Department of Electrical Engineering and Automation, Aalto University, Otakaari 3, 02150 Espoo, Finland
| | - Noora Matilainen
- Department of Electrical Engineering and Automation, Aalto University, Otakaari 3, 02150 Espoo, Finland
| | - Achille Pasqualotto
- Faculty of Human Sciences, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8577, Japan
| | - Satoshi Tanaka
- Department of Psychology, Hamamatsu University School of Medicine, 1-20-1 Handayama, Higashi Ward, Hamamatsu, Shizuoka 431-3192, Japan
| | - S H Annabel Chen
- Psychology, School of Social Sciences, Nanyang Technological University, 48 Nanyang Avenue, Singapore 639818, Singapore
- Centre for Research and Development in Learning, Nanyang Technological University, 61 Nanyang Drive, Singapore 637335, Singapore
- Lee Kong Chian School of Medicine (LKCMedicine), Nanyang Technological University, 11 Mandalay Road, Singapore 308232, Singapore
| | - Ryo Kitada
- Corresponding author: Graduate School of Intercultural Studies, Kobe University, 12-1 Tsurukabuto, Nada Ward, Kobe, Hyogo 657-0013, Japan.
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Matilainen N, Kataja J, Laakso I. Can we predict the motor threshold and hotspot location prior to TMS? Brain Stimul 2023. [DOI: 10.1016/j.brs.2023.01.794] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/17/2023] Open
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Kataja J, Matilainen N, Laakso I. Millimeter scale somatotopic mapping with TMS. Brain Stimul 2023. [DOI: 10.1016/j.brs.2023.01.779] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/17/2023] Open
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Matilainen N, Soldati M, Laakso I. The Effect of Inter-pulse Interval on TMS Motor Evoked Potentials in Active Muscles. Front Hum Neurosci 2022; 16:845476. [PMID: 35392119 PMCID: PMC8980278 DOI: 10.3389/fnhum.2022.845476] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2021] [Accepted: 02/24/2022] [Indexed: 11/18/2022] Open
Abstract
Objective The time interval between transcranial magnetic stimulation (TMS) pulses affects evoked muscle responses when the targeted muscle is resting. This necessitates using sufficiently long inter-pulse intervals (IPIs). However, there is some evidence that the IPI has no effect on the responses evoked in active muscles. Thus, we tested whether voluntary contraction could remove the effect of the IPI on TMS motor evoked potentials (MEPs). Methods In our study, we delivered sets of 30 TMS pulses with three different IPIs (2, 5, and 10 s) to the left primary motor cortex. These measurements were performed with the resting and active right hand first dorsal interosseous muscle in healthy participants (N = 9 and N = 10). MEP amplitudes were recorded through electromyography. Results We found that the IPI had no significant effect on the MEP amplitudes in the active muscle (p = 0.36), whereas in the resting muscle, the IPI significantly affected the MEP amplitudes (p < 0.001), decreasing the MEP amplitude of the 2 s IPI. Conclusions These results show that active muscle contraction removes the effect of the IPI on the MEP amplitude. Therefore, using active muscles in TMS motor mapping enables faster delivery of TMS pulses, reducing measurement time in novel TMS motor mapping studies.
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Affiliation(s)
- Noora Matilainen
- Department of Electrical Engineering and Automation, Aalto University, Espoo, Finland
- *Correspondence: Noora Matilainen
| | - Marco Soldati
- Department of Electrical Engineering and Automation, Aalto University, Espoo, Finland
| | - Ilkka Laakso
- Department of Electrical Engineering and Automation, Aalto University, Espoo, Finland
- Aalto Neuroimaging, Aalto University, Espoo, Finland
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Kataja J, Soldati M, Matilainen N, Laakso I. A probabilistic transcranial magnetic stimulation localization method. J Neural Eng 2021; 18. [PMID: 34475274 DOI: 10.1088/1741-2552/ac1f2b] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2021] [Accepted: 08/05/2021] [Indexed: 12/15/2022]
Abstract
Objective.Transcranial magnetic stimulation (TMS) can be used to safely and noninvasively activate brain tissue. However, the characteristic parameters of the neuronal activation have been largely unclear. In this work, we propose a novel neuronal activation model and develop a method to infer its parameters from measured motor evoked potential signals.Approach.The connection between neuronal activation due to an induced electric field and a measured motor threshold is modeled. The posterior distribution of the model parameters are inferred from measurement data using Bayes' formula. The measurements are the active motor thresholds obtained with multiple stimulating coil locations, and the parameters of the model are the location, preferred direction of activation, and threshold electric field value of the activation site. The posterior distribution is sampled using a Markov chain Monte Carlo method. We quantify the plausibility of the model by calculating the marginal likelihood of the measured thresholds. The method is validated with synthetic data and applied to motor threshold measurements from the first dorsal interosseus muscle in five healthy participants.Main results.The method produces a probability distribution for the activation location, from which a minimal volume where the activation occurs with 95% probability can be derived. For eight or nine stimulating coil locations, the smallest such a volume obtained was approximately 100 mm3. The 95% probability volume intersected the pre-central gyral crown and the anterior wall of the central sulcus, and the preferred direction was perpendicular to the central sulcus, both findings being consistent with the literature. Furthermore, it was not possible to rule out if the activation occurred either in the white or grey matter. In one participant, two distinct activations sites were found while others exhibited a unique site.Significance.The method is both generic and robust, and it lays a foundation for a framework that enables accurate analysis and characterization of TMS activation mechanisms.
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Affiliation(s)
- Juhani Kataja
- Department of Electrical Engineering and Automation, Aalto University, Espoo, Finland
| | - Marco Soldati
- Department of Electrical Engineering and Automation, Aalto University, Espoo, Finland
| | - Noora Matilainen
- Department of Electrical Engineering and Automation, Aalto University, Espoo, Finland
| | - Ilkka Laakso
- Department of Electrical Engineering and Automation, Aalto University, Espoo, Finland.,Aalto Neuroimaging, Aalto University, Espoo, Finland
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