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Memory systems

Can TMS boost hippocampal network connectivity during remembering?

Warren KN, Hermiller MS, Nilakantan AS, et al. · eLife · 2019

Open access · cc by · source: Europe PMC

In 32 adults, five days of 20 Hz TMS aimed at a hippocampal-connected parietal site increased posterior-medial connectivity during autobiographical retrieval versus rest, and medial temporal increases predicted better episodic memory.

Study at a glance

Design
Human experiment — Between-group PMN vs PFC TMS target (n = 16 each) with within-subject real vs sham 20 Hz rTMS; fMRI during rest and autobiographical retrieval
N
N=32 · 32 adults analyzed (22 female; mean age 25.6); 16 PMN-targeted, 16 PFC control; two extra discarded for motion
Population
Healthy adults 18–34 years with normal vision and no neurological/psychiatric history, eligible for MRI/TMS
Outcome
Task-dependent fMRI connectivity in PMN vs ATN and separate episodic memory (item/context) performance

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Key findings

PMN-targeted stimulation increased PMN connectivity during retrieval versus rest. The effect was absent in ATN and after PFC-targeted stimulation. Task-dependent MTL connectivity predicted improved performance on a separate episodic memory test.

Methodology

Assigned 16 adults to PMN-targeted parietal TMS and 16 to an out-of-network PFC target. Each completed five daily 20 Hz sessions of real and sham (subthreshold, counterbalanced). fMRI connectivity was compared during autobiographical retrieval versus rest in PMN and ATN.

Limitations

A small healthy-young-adult TMS study cannot show that this protocol treats amnesia or that benefits last beyond the experimental week.

How this study connects

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