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Ermolova, M.

Publications and source records attributed to Ermolova, M..

4 recordsLinked to original sources

Predictive modeling of TMS-evoked responses: Unraveling instantaneous excitability states

Transcranial magnetic stimulation (TMS) combined with electroencephalography (EEG) and electromyography (EMG) provides a unique window into instantaneous cortical and corticospinal excitability states. We investigated 50 healthy participants to determine how fluctuations in pre-stimulus brain activity influence single-trial TMS-evoked potentials (TEPs) and motor-evoked potentials (MEPs). We developed a novel automated source-level TEP extraction method using individualized spatiotemporal priors that is robust against poor single-trial signal-to-noise ratios (SNRs) and ongoing oscillations. TEP and MEP amplitudes were predicted with linear mixed-effects models based on pre-stimulation EEG band-powers (theta to gamma), while accounting for temporal drifts (within-session trends), coil control, and inter-subject differences. We found that higher pre-stimulus sensorimotor alpha, beta, and gamma power were each associated with larger TEPs, indicating a more excitable cortical state. Increases in alpha and gamma power immediately before stimulation specifically predicted larger MEPs, reflecting increased corticospinal excitability. These results reveal relationships between ongoing oscillatory brain states and TMS response amplitudes, identifying EEG biomarkers of high- and low-excitability states. In conclusion, our study demonstrates the feasibility of single-trial source-level TMS-EEG analysis and shows that spontaneous alpha-, beta-, and gamma-band oscillations modulate motor cortical and corticospinal responsiveness. These findings pave the way for EEG-informed, brain-state-dependent TMS protocols to optimize neuromodulatory interventions in clinical and research applications.

neuroscience↗

Plasticity of interhemispheric motor cortex connectivity induced by brain state-dependent cortico-cortical paired-associative stimulation

Transcallosal connectivity between the hand areas of the two primary motor cortices (M1) is important for coordination of unimanual and bimanual hand motor function. Effective connectivity of this M1-M1 pathway can be tested in the form of short-interval interhemispheric inhibition (SIHI) using dual-coil transcranial magnetic stimulation (TMS). Recently, we and others have demonstrated that the phase of the ongoing sensorimotor {micro}-rhythm has significant impact on corticospinal excitability as measured by motor evoked potential (MEP) amplitude, and repetitive TMS of the high-excitability state (trough of the {micro}-rhythm) but not other states resulted in long-term potentiation-like MEP increase. Here, we tested to what extent the phase of the ongoing {micro}-rhythm in the two M1 cortices affects long-term change in SIHI. In healthy subjects we applied cortico-cortical paired associative stimulation (ccPAS) in four different {micro}-phase conditions in the left conditioning M1 and right test M1 (trough-trough, trough-positive peak, positive peak-trough, random phase). We found long-term strengthening of SIHI but no differential effect of phase conditions. Findings point to a distinct regulation of plasticity of corticospinal vs. M1-M1 connectivity. The observed ccPAS-induced strengthening of effective M1-M1 connectivity (SIHI) may be utilized for therapeutic applications that potentially benefit from modification of interhemispheric excitation/inhibition balance.

neuroscience↗

Decoding Motor Excitability in TMS using EEG-Features:An Exploratory Machine Learning Approach

BackgroundWith the burgeoning interest in personalized treatments for brain network disorders, closed-loop transcranial magnetic stimulation (TMS) represents a promising frontier. Relying on the real-time adjustment of stimulation parameters based on brain signal decoding, the success of this approach depends on the identification of precise biomarkers for timing the stimulation optimally. ObjectiveWe aimed to develop and validate a supervised machine learning framework for the individualized prediction of motor excitability states, leveraging a broad spectrum of sensor and source space EEG features. MethodsOur approach integrates multi-scale EEG feature extraction and selection within a nested cross-validation scheme, tested on a cohort of 20 healthy participants. We assessed the frameworks performance across different classifiers, feature sets, and experimental protocols to ensure robustness and generalizability. ResultsPersonalized classifiers demonstrated a statistically significant mean predictive accuracy of 72 {+/-} 11%. Consistent performance across various testing conditions highlighted the sufficiency of sensor-derived features for accurate excitability state predictions. Subtype analysis revealed distinct clusters linked to specific brain regions and oscillatory features as well as the need for a more extensive feature set for effective biomarker identification than conventionally considered. ConclusionsOur machine learning framework effectively identifies predictive biomarkers for motor excitability, holding potential to enhance the efficacy of personalized closed-loop TMS interventions. While the clinical applicability of our findings remains to be validated, the consistent performance across diverse testing conditions and the efficacy of sensor-only features suggest promising avenues for clinical research and wider applications in brain signal classification.

neuroscience↗

The influence of learning on robustness of working memory to distractors

Inhibition of irrelevant information is a crucial process within the working memory (WM) system. In the present study, we explored how inhibition of distractors is learned within a Sternberg-like WM task and how this learning process affects readout performance. We introduced distractors of varying strength as well as novel stimuli to a classic Sternberg task. Our findings show that the length of the training period affected obstructiveness of distractors as well as differences between WM loads. Significant differences between conditions observed early on in accuracy became void after general ceiling performance was reached. Moreover, accuracy and reaction times, which are commonly used as readouts of WM performance, were affected differently by training. While both improved significantly, only accuracy exhibited differential dependency of experimental conditions on training. It is essential to consider these dynamics when introducing a WM task which requires a long training period.

neuroscience↗