RecruitingNot ApplicableNCT07561372

Adaptive Recruitment Curve Analysis Using Bayesian Modeling

Enhancing Speed and Accuracy of Motor Evoked Potential Recruitment Curve Analysis Using Hierarchical Bayesian Modeling


Sponsor

Columbia University

Enrollment

10 participants

Start Date

May 11, 2026

Study Type

INTERVENTIONAL

Conditions

Summary

The purpose of this study is to better understand how electrical or magnetic stimulation affect the nervous system by optimizing the way researchers measure muscle responses. The relationship between stimulation intensity and muscle response is described by "neural recruitment curves," which are critical for monitoring the state of the nervous system during therapies like transcranial magnetic stimulation (TMS) and spinal cord stimulation (SCS). This study tests a new, real-time computational approach based on our previously developed methods (Hierarchical Bayesian models) to estimate these recruitment curves more efficiently. The primary goal is to use this model to dynamically guide the experiment, automatically selecting the optimal stimulation intensities to test. The investigators hypothesize that this optimized approach will accurately estimate the entire recruitment curve, or specific targets components of it like the motor threshold, using significantly fewer samples than standard methods. By reducing the number of measurements required, this approach aims to decrease experimental time and minimize participant burden, making future TMS and SCS therapies and experiments more feasible and efficient.


Eligibility

Min Age: 18 YearsMax Age: 90 Years

Inclusion Criteria1

  • \- Healthy adults

Exclusion Criteria6

  • Presence of any neurological disorder
  • History of seizures
  • History of autonomic dysfunction
  • Current use of seizure-threshold lowering medications
  • Presence of metal implants
  • History of prior neurosurgical interventions

Interested in this trial?

Get notified about updates and connect with the research team.

Interventions

OTHERAlgorithm: Uniform Sampling

Standard uniform distribution sampling used as a baseline comparison.

OTHERAlgorithm: Expected Information Gain (EIG)

Expected Information Gain (EIG) active sampling algorithm for recruitment curve estimation.

OTHERAlgorithm: Focused-EIG/Variance-reduction

A refined expected information gain algorithm/variance reduction algorithm focused on specific parameters of the recruitment curve.

OTHERML-PEST

Algorithm: Adaptive threshold hunting using the Parameter Estimation by Sequential Testing (PEST) algorithm.

DEVICEMagPro X100 Transcranial Magnetic Stimulation

The proposed algorithms will deliver stimulation by using this magnetic stimulation methodology.

DEVICEDigitimer DS8R Transcutaneous Electrical stimulation

The proposed algorithms will deliver stimulation by using this electrical stimulation methodology.


Locations(1)

Columbia University Irving Medical Center

New York, New York, United States

View Full Details on ClinicalTrials.gov

For the most up-to-date information, visit the official listing.

Visit

NCT07561372