Adaptive Recruitment Curve Analysis Using Bayesian Modeling
Enhancing Speed and Accuracy of Motor Evoked Potential Recruitment Curve Analysis Using Hierarchical Bayesian Modeling
Columbia University
10 participants
May 11, 2026
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
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
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Interventions
Standard uniform distribution sampling used as a baseline comparison.
Expected Information Gain (EIG) active sampling algorithm for recruitment curve estimation.
A refined expected information gain algorithm/variance reduction algorithm focused on specific parameters of the recruitment curve.
Algorithm: Adaptive threshold hunting using the Parameter Estimation by Sequential Testing (PEST) algorithm.
The proposed algorithms will deliver stimulation by using this magnetic stimulation methodology.
The proposed algorithms will deliver stimulation by using this electrical stimulation methodology.
Locations(1)
View Full Details on ClinicalTrials.gov
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NCT07561372