Transcranial Magnetic Stimulation- Electroencephalography for Biomarker Discovery in Psychiatry

被引:11
作者
Farzan, Faranak [1 ,2 ,3 ]
机构
[1] Simon Fraser Univ, Sch Mechatron Syst Engn, EBrain Lab, Surrey, BC, Canada
[2] Univ Toronto, Dept Psychiat, Toronto, ON, Canada
[3] Ctr Addict & Mental Hlth, Toronto, ON, Canada
基金
加拿大健康研究院;
关键词
DEFICIT HYPERACTIVITY DISORDER; DORSOLATERAL PREFRONTAL CORTEX; NATURAL OSCILLATORY FREQUENCY; INTERVAL CORTICAL INHIBITION; MOTOR CORTEX; BIPOLAR DISORDER; SCHIZOPHRENIA-PATIENTS; GAMMA-OSCILLATIONS; EVOKED-POTENTIALS; TMS-EMG;
D O I
10.1016/j.biopsych.2023.12.018
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
Current diagnosis and treatment of psychiatric illnesses are still based on behavioral observations and self-reports, commonly leading to prolonged untreated illness. Biological markers (biomarkers) may offer an opportunity to revolutionize clinical psychiatry practice by helping provide faster and potentially more effective therapies. Transcranial magnetic stimulation concurrent with electroencephalography (TMS-EEG) is a noninvasive brain mapping methodology that can assess the functions and dynamics of specific brain circuitries in awake humans and aid in biomarker discovery. This article provides an overview of TMS-EEG-based biomarkers that may hold potential in psychiatry. The methodological readiness of the TMS-EEG approach and steps in the validation of TMS-EEG biomarkers for clinical utility are discussed. Biomarker discovery with TMS-EEG is in the early stages, and several validation steps are still required before clinical implementations are realized. Thus far, TMS-EEG predictors of response to magnetic brain stimulation treatments in particular have shown promise for translation to clinical practice. Larger-scale studies can confirm validation followed by biomarker-informed trials to assess added value compared to existing practice.
引用
收藏
页码:564 / 580
页数:17
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