Di Chiaro, N. V. | bioRxiv Science

bioRxiv2026

Development and Validation of the Transcranial Magnetic Stimulation Reporting Assessment Tool(TMS-RAT)

HighlightsO_LIWe introduce the TMS-RAT, a reporting (assessment) tool for TMS studies C_LIO_LIDeveloped within a community-informed, iterative process rating 333 TMS studies C_LIO_LIEmpirically evaluated for usability, inter-rater, and test-retest reliability C_LIO_LIA validated subset enables reliable retrospective assessment of reporting C_LIO_LIThe modular structure enables use across a wide range of TMS study designs C_LI BackgroundA standardised tool for comprehensive reporting can improve transparency, support consistent documentation, and enable comparison across transcranial magnetic stimulation (TMS) studies. The most used reporting checklist lacks clear definitions of full reporting and was not initially evaluated for usability or inter-rater reliability. A scoping review of studies using this checklist shows that its items are reported only 50% of the time, suggesting that method descriptions are often incomplete. MethodsWe developed the TMS Reporting Assessment Tool (TMS-RAT), a comprehensive reporting framework that provides clear definitions and examples for its items, covering a wide range of TMS protocols. We tested the usability and reliability of the TMS-RAT by rating all studies published between 1991 and 2025 using afferent conditioning (n = 333), a protocol encompassing many reporting categories identified during tool development. Seventeen independent raters contributed across three development phases, a validation phase, and a retest phase, with naive raters introduced in each phase. Iterative refinements of the tool were informed by inter-rater reliability, qualitative rater feedback, and consultation with external TMS experts. ResultsWe present two versions of the tool: the 72-item TMS-RAT v1.0, designed to guide comprehensive reporting, and the TMS-RAT v1.1, a subset of 50 items with the highest inter-rater (overall AC1 = 0.78, range = [0.60-0.99]) and test-retest reliability (overall AC1 = 0.82, range = [0.65-1.0]), intended for retrospective evaluation of reporting in systematic reviews, meta-analyses. ConclusionThe TMS-RAT is a comprehensive, reliable tool that seeks to improve transparency and reproducibility in TMS research.

neuroscience↗

bioRxiv2024

Stimulation of the Frontal Aslant Tract's origin in the caudal superior frontal gyrus alters ongoing spontaneous rhythmic activity independently from the effector. Evidence from tractography-guided Transcranial Magnetic Stimulation.

the crown of the human Superior Frontal Gyrus (SFG-crown) is a functionally independent region, nestled between the dorsal premotor and supplementary motor cortices, that supports internally-timed action control. The unique SFG-crowns connectivity fingerprint by the Frontal Aslant Tract (FAT), suggests a caudal-rostral pattern of increasing abstractness of action representations. Coherently, since the mid-portion of the caudal SFG contains a representation of action strategies that involve internal timing, we hypothesized that the caudal portion of the SFG may be involved in action execution of internally-timed actions. To test this, we asked 21 healthy participants to perform a self-paced tapping movement with the right index finger or a self-paced articulation of the syllable /da/ while applying online single-pulse TMS to the posterior, middle and anterior origins of the FAT in the left SFG-crown. Results showed that effective TMS (compared to sham) impacted rhythm production in both tasks, only when applied to the posterior SFG region, by reducing the probability of motor events in the 200 ms following TMS. The present data support the hypothesis, that the posterior SFG-crown, associated with the most posterior origin of the FAT fibers, is involved in the production of internally-timed actions, in an effector-independent modality, suggesting a domain-general role in the execution of internally-timed movements.

neuroscience↗