RecruitingNot ApplicableNCT06633913

Concurrent TMS-fMRI

Neural Effects of Transcranial Magnetic Stimulation Using Concurrent Functional Magnetic Resonance Imaging


Sponsor

Jing Jiang

Enrollment

97 participants

Start Date

Apr 19, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

The goal of this clinical trial is to examine the neural mechanisms underlying transcranial magnetic stimulation (TMS) using concurrent functional magnetic resonance imaging (fMRI) in both healthy controls (HCs) and patients with high negative affect symptoms, such as depression. Approximately half male and half female participants aged 18-65 will be recruited. The main questions it aims to answer are: 1. Is the acute/transient effect induced by single-pulse TMS related to the long-term modulatory effect induced by repetitive TMS (rTMS)? 2. Do any of these effects predict negative affect symptoms, such as depression? Participants will: 1. Complete several tests to assess their cognitive abilities and emotional states 2. Undergo several brain scans, including resting-state fMRI, structural MRI, diffusion tensor imaging (DTI), and task fMRI 3. Have two different types of TMS sequences, single-pulse and repetitive pulses, administered to specific brain regions while undergoing fMRI


Eligibility

Min Age: 18 YearsMax Age: 65 Years

Plain Language Summary

Simplified for easier understanding

This study is using a combination of two brain imaging technologies — transcranial magnetic stimulation (TMS, a non-invasive brain stimulation tool) and functional MRI — at the same time to better understand how the brain responds to stimulation in people with major depressive disorder (MDD). The study also includes healthy volunteers for comparison. The goal is to learn more about the brain circuits involved in depression. **You may be eligible if...** - You are between 18 and 65 years old and speak English - You have been diagnosed with major depressive disorder (for patient group) - OR you have no history of psychiatric illness and have low scores on depression and anxiety questionnaires (for healthy volunteer group) - You are able to understand and consent to research participation **You may NOT be eligible if...** - You have epilepsy or a seizure disorder - You have metal implants in your head, skull, or face near the stimulation target - You have a pacemaker, defibrillator, or non-MRI-compatible implanted device - You have metal fragments in your body (bullets, shrapnel) - You are claustrophobic or have uncontrolled high blood pressure - You are pregnant - You take opiates, blood pressure medications, or medications that affect blood flow - You have a history of stroke, brain surgery, brain tumor, or significant traumatic brain injury - You are unwilling to abstain from illicit drugs or alcohol before scans Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

DEVICEspTMS-TBS-spTMS

This study uses fMRI in combination with single-pulse TMS (spTMS) and theta-burst stimulation (TBS) to determine if the two effects coming from each are related to one another, and if there will be changes in brain activity when undergoing spTMS that are induced by TBS. Additionally, by stimulating the dlPFC in both patients and healthy controls with this paradigm, researchers are able to specifically compare the after-TBS single-pulse TMS-evoked brain responses with before-TBS responses to observe if TBS will change neural pathways disrupted in those who display high negative affect (e.g. depression).


Locations(1)

University of Iowa Carver College of Medicine

Iowa City, Iowa, United States

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NCT06633913


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