Evidence map›Paper›PMID 42388696›Full record

Trial reportFrontiers in neurology

Effect and mechanism of repetitive transcranial magnetic stimulation of angular gyrus on patients with consciousness disorder.

Linghui Dong, Hui Li, Kaiyue Han, Zhiqing Tang, Xingxing Liao, Junzi Long, Xinyue Liu, Tao Lin, Hao Zhang

Abstract readClinical Trial
In one paragraph

Trial report in Frontiers in neurology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Linghui DongQilu Hospital of Shandong University, Jinan City, Shandong, China.
Hui LiDepartment of Rehabilitation Medicine, Capital Medical University Xuanwu Hospital, Beijing, China.
Kaiyue HanBeijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing, China.
Zhiqing TangBeijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing, China.
Xingxing LiaoBeijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing, China.
Junzi LongBeijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing, China.
Xinyue LiuQilu Hospital of Shandong University, Jinan City, Shandong, China.
Tao LinBeijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing, China.
Hao ZhangQilu Hospital of Shandong University, Jinan City, Shandong, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To determine whether high-frequency rTMS of the left angular gyrus improves behavioral signs of consciousness in prolonged disorders of consciousness (pDoC) and to identify network mechanisms and predictors of response. Methods: In a randomized, double-blind, sham-controlled crossover trial, patients with pDoC received 3 weeks of 20-Hz rTMS over the left angular gyrus and 3 weeks of sham stimulation in counterbalanced order, separated by a 1-week washout. Consciousness was evaluated using the Coma Recovery Scale-Revised (CRS-R). Resting-state fMRI was acquired at baseline and after each period to quantify network-level changes. Explainable machine-learning models related stimulation-induced network changes and baseline features to behavioral improvement. Results: Forty patients completed the trial. Behavioral improvement occurred more frequently during active than sham stimulation ( Conclusion: Left angular gyrus rTMS improved consciousness-related behaviors in a subset of pDoC patients, potentially mediated by DMN-SCN network reconfiguration; patients with stronger baseline within-DMN connectivity were more likely to benefit. Clinical trial registration: https://www.chictr.org.cn/index.html, identifier ChiCTR2300069980.

Indexed as

angular gyruscoma recovery scale–revisedexplainable machine learningprolonged disorders of consciousnessrepetitive transcranial magnetic stimulationresting-state fMRI

Identifiers

PMID42388696
PMCPMC13318575

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.