Evidence map›Paper›PMID 38410745›Full record

ArticleFrontiers in aging neuroscience2024

Repetitive transcranial magnetic stimulation regulates effective connectivity patterns of brain networks in the spectrum of preclinical Alzheimer's disease.

Xuhong Liang, Chen Xue, Darui Zheng, Qianqian Yuan, Wenzhang Qi, Yiming Ruan, Shanshan Chen, Yu Song, Huimin Wu, Xiang Lu and 2 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in aging neuroscience, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
4.8field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
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  4. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 4 institutions in 1 country.

Xuhong LiangDepartment of Radiology, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China.
Chen XueDepartment of Radiology, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China.
Darui ZhengDepartment of Radiology, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China.
Qianqian YuanDepartment of Radiology, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China.
Wenzhang QiDepartment of Radiology, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China.
Yiming RuanDepartment of Radiology, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China.
Shanshan ChenDepartment of Neurology, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China.
Yu SongDepartment of Neurology, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China.
Huimin WuDepartment of Neurology, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China.
Xiang LuDepartment of Neurology, Northern Jiangsu People's Hospital, Clinical Medical College, Yangzhou University, Yangzhou, China.
Chaoyong XiaoDepartment of Radiology, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China.
Jiu ChenDepartment of Radiology, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China.
Nanjing Brain Hospital · CNNanjing Medical University · CNNanjing Drum Tower Hospital · CNNorthern Jiangsu People's Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Subjective cognitive decline (SCD) and amnestic mild cognitive impairment (aMCI) are considered as the spectrum of preclinical Alzheimer's disease (AD), with abnormal brain network connectivity as the main neuroimaging feature. Repetitive transcranial magnetic stimulation (rTMS) has been proven to be an effective non-invasive technique for addressing neuropsychiatric disorders. This study aims to explore the potential of targeted rTMS to regulate effective connectivity within the default mode network (DMN) and the executive control network (CEN), thereby improving cognitive function. Methods: This study included 86 healthy controls (HCs), 72 SCDs, and 86 aMCIs. Among them, 10 SCDs and 11 aMCIs received a 2-week rTMS course of 5-day, once-daily. Cross-sectional analysis with the spectral dynamic causal model (spDCM) was used to analyze the DMN and CEN effective connectivity patterns of the three groups. Afterwards, longitudinal analysis was conducted on the changes in effective connectivity patterns and cognitive function before and after rTMS for SCD and aMCI, and the correlation between them was analyzed. Results: Cross-sectional analysis showed different effective connectivity patterns in the DMN and CEN among the three groups. Longitudinal analysis showed that the effective connectivity pattern of the SCD had changed, accompanied by improvements in episodic memory. Correlation analysis indicated a negative relationship between effective connectivity from the left angular gyrus (ANG) to the anterior cingulate gyrus and the ANG.R to the right middle frontal gyrus, with visuospatial and executive function, respectively. In patients with aMCI, episodic memory and executive function improved, while the effective connectivity pattern remained unchanged. Conclusion: This study demonstrates that PCUN-targeted rTMS in SCD regulates the abnormal effective connectivity patterns in DMN and CEN, thereby improving cognition function. Conversely, in aMCI, the mechanism of improvement may differ. Our findings further suggest that rTMS is more effective in preventing or delaying disease progression in the earlier stages of the AD spectrum. Clinical Trial Registration: http://www.chictr.org.cn, ChiCTR2000034533.

Indexed as

amnestic mild cognitive impairmentdynamic causal modeleffective connectivityrepetitive transcranial magnetic stimulationsubjective cognitive decline

Identifiers

PMID38410745
PMCPMC10894951
OpenAlexW4391750484

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.