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Research ArticleConfirmation, Novel Tools and Methods

Persistent Enhancement of Hippocampal Network Connectivity by Parietal rTMS Is Reproducible

Michael Freedberg, Jack A. Reeves, Andrew C. Toader, Molly S. Hermiller, Joel L. Voss and Eric M. Wassermann
eNeuro 7 October 2019, 6 (5) ENEURO.0129-19.2019; https://doi.org/10.1523/ENEURO.0129-19.2019
Michael Freedberg
1National Institute of Neurological Disorders and Stroke, Bethesda, MD 20892
2Henry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, MD 20817
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Jack A. Reeves
1National Institute of Neurological Disorders and Stroke, Bethesda, MD 20892
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Andrew C. Toader
1National Institute of Neurological Disorders and Stroke, Bethesda, MD 20892
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Molly S. Hermiller
6Northwestern University Interdepartmental Neuroscience Program, Northwestern University, Chicago, Illinois 60611
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Joel L. Voss
3Northwestern University Interdepartmental Neuroscience Program, Northwestern University, Chicago, Illinois
4Ken and Ruth Davee Department of Neurology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois 60611
5Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, Illinois 60611
6Northwestern University Interdepartmental Neuroscience Program, Northwestern University, Chicago, Illinois 60611
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Eric M. Wassermann
1National Institute of Neurological Disorders and Stroke, Bethesda, MD 20892
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Article Figures & Data

Figures

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  • Figure 1.
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    Figure 1.

    Seed locations from PPC (top; N = 15) and vertex groups (bottom; N = 8).

  • Figure 2.
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    Figure 2.

    Regions showing significant change in hippocampal FC following PPC rTMS from the current study (FDR corrected, q = 0.05).

  • Figure 3.
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    Figure 3.

    A, Average change in hippocampal-LPOC FC for subjects receiving PPC stimulation (left bar) and vertex stimulation (middle bar). Average DLPFC-LPOC FC changes for subjects receiving PPC stimulation is represented by the right bar. B, Mean changes in hippocampal FC within 17 segregated networks from Yeo et al. (2011) after PPC rTMS in this study and Wang et al., and change in GC within networks from both studies. Error bars represent the standard error of the mean; *p < 0.05, ***p < 0.0001.

  • Figure 4.
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    Figure 4.

    Histogram representing the result of 1000 group mean differences using eight subjects from each group, where the eight PPC subjects are randomly sampled each time. The black dotted lines represent the upper (0.2536) and lower (0.1098) limit of 95% of the distribution. The observed mean difference between the PPC and vertex group is shown by the red line (0.1795).

  • Figure 5.
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    Figure 5.

    Effect size of increases in hippocampal FC within three representative networks from Yeo et al. (2011) after PPC rTMS in this study and Wang et al. Network 1 includes cuneus and retrosplenial cortex. Network 2 includes somatosensory areas. Network 3 includes superior temporal areas.

  • Figure 6.
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    Figure 6.

    Scatterplot of PPC rTMS-induced hippocampal FC [z(r)] changes across networks from Yeo et al. (2011). Each dot represents the rTMS-induced hippocampal FC change from the current study (x-axis) and Wang et al. (y-axis) within one of the 17 networks from Yeo et al. (2011). The black line represents the regression line across individual data points.

  • Figure 7.
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    Figure 7.

    Correlation matrices of regions demonstrating significant (p < 0.01) changes in hippocampal (A) and global (B) FC. Matrices are sorted by baseline FC with the highest values represented at the top of the matrices on the y-axis and to the left on the x-axis. Color bars aligned with each axis represent AAL-defined regions. C, D, Identical to A, B but are sorted by region.

  • Figure 8.
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    Figure 8.

    A, Scatterplot of baseline hippocampal FC for regions demonstrating significant (p < 0.01) changes in hippocampal FC and average rTMS-induced FC change in those regions. B, Scatterplot of baseline GC for regions demonstrating significant (p < 0.01) changes in GC and average rTMS-induced internode GC change in those regions.

Tables

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    Table 1.

    Statistics table indicating the results of all analyses

    ManuscriptFigureSampleData typeData structureType of testMultiple comparison correctionProgramStatisticsp valuesConfidence intervals
    aCurrentSpacing between stimulation sessionsNon-normal distributionMann–Whitney (between groups; PPC group: participants receiving 3 vs 4 d of stimulation)RW = 36p = 0.327Mean = 0.1092, 95% CI [–0.0743, 0.2110]
    bCurrentAverage motion displacementNon-normal distributionWilcox rank-sum (all subjects; post vs pre)RV = 167p = 0.194Mean = 0.0074 95% CI [–0.0032, 0.0204]
    cCurrentAverage motion displacementNon-normal distributionMann–Whitney (parietal vs vertex)RW = 199.5p = 0.350Mean = –0.0099 95% CI [–0.0225, 0.0096]
    dCurrentNumber of censored trialsNon-normal distributionWilcox rank-sum (all subjects; post vs pre)RV = 118.5p = 0.155Mean = 2.5000 95% CI [–0.9999, 6.5000]
    eCurrentNumber of censored trialsNon-normal distributionMann–Whitney (parietal vs vertex)RW = 218.5p = 0.604Mean = –2.1121 95% CI [–3.0000, 0.00004]
    f2CurrentWhole-brain FC analysis, retrosplenial cortexNon-normal distributionWilcox rank-sum (within-groups; PPC group, post hoc test, post vs pre active stimulation)BonferroniRV = 7p = 1.16 × 10–3Mean = 0.1697, 95% CI [0.0654, 0.2590]
    g2CurrentWhole-brain FC analysis, fusiform gyrusNon-normal distributionWilcox rank-sum (within-groups; PPC group, post hoc test, post vs pre active stimulation)BonferroniRV = 4p = 4.27 × 10–4Mean = 0.1475, 95% CI [0.0951, 0.2132]
    h2CurrentWhole-brain FC analysis, lateral PCNon-normal distributionWilcox rank-sum (within-groups; PPC group, post hoc test, post vs pre active stimulation)BonferroniRV = 1p = 1.22 × 10–4Mean = 0.1331, 95% CI [0.0777, 0.2034]
    i2CurrentWhole-brain FC analysis, superior PCNon-normal distributionWilcox rank-sum (within-groups; PPC group, post hoc test, post vs pre active stimulation)BonferroniRV = 2p = 1.83 × 10–4Mean = 0.1682, 95% CI [0.0815, 0.2294]
    j3ACurrentHippocampal-LPOC FC changes (a priori)Non-normal distributionWilcox rank-sum (within-groups; PPC group, post vs pre active stimulation)RV = 95p = 0.048Mean = 0.0867, 95% CI [0.0013, 0.2053]
    k3ACurrentHippocampal-LPOC FC changes (a priori)Non-normal distributionMann–Whitney (between groups; PPC group vs vertex group)RW = 93p = 0.034Mean = 0.1367, 95% CI [0.0195, 0.3257]
    l4CurrentHippocampal-LPOC FC changesNon-normal distributionPermutation test (between groups; PPC group vs vertex group)RObserved mean difference = 0.179595% of distribution [0.1098, 0.2536]
    m3ACurrentHippocampal-LPOC FC changes (a priori)Non-normal distributionWilcox rank-sum (within groups; vertex group, post vs pre active stimulation)RV = 7p = 0.148Mean = –0.0477, 95% CI [–0.0554, 0.2357]
    n3ACurrentDLPFC-LPOC FC changes (a priori)Non-normal distributionWilcox rank-sum (within groups; PPC group, post vs pre active stimulation)RV = 81p = 0.252Mean = 0.0444, 95% CI [–0.0344, 0.1270]
    o3ACurrentDLPFC and Hippocampal-LPOC changes (a priori)Non-normal distributionWilcox rank-sum (within groups; PPC group, DLPFC-LPOC vs hippocampal-LPOC FC)RV = 75p = 0.421Mean = 0.0344, 95% CI [–0.0636, 0.1593]
    pCurrentGC-LPOC changes (a priori)Non-normal distributionWilcox rank-sum (within groups; PPC group, post vs pre active stimulation)RV = 94p = 0.055Mean = 0.0179, 95% CI [–0.0006, 0.0434]
    qCurrentGC and Hippocampal-FC changes (a priori)Non-normal distributionWilcox rank-sum (within groups; PPC group, post vs pre active stimulation)RV = 92p = 0.073Mean = 0.0641, 95% CI [–0.0066, 0.1547]
    rCurrentDLPFC and hippocampal target changes (control analysis)Normally distributedPaired t test (within-groups; PPC group, post vs per active stimulation)Rt(14) = 0.949p = 0.359Mean = 0.048 95% CI [–0.061, 0.157]
    SCurrentDLPFC and stimulus location changes (control analysis)Non-normal distributionWilcox rank-sum (within-groups; PPC group, post vs per active stimulation)RV = 68p = 0.679Mean = 0.026 95% CI [–0.103, 0.121]
    tCurrentChanges in PPC GCNon-normal distributionWilcox rank-sum (within-groups; PPC group, post vs per active stimulation)RV = 92p = 0.073Mean = 0.022 95% CI [–0.005, 0.050]
    u3BCurrentHippocampal FC changes within Yeo NetworksNormally distributedPaired t test (within groups; PPC group, post vs pre active stimulation)Rt(16) = 10.96p = 7.6 × 10–9Mean = 0.0900, 95% CI [0.0725, 0.1073]
    v3B Wang et al. (2014)Hippocampal FC changes within Yeo networksNormally distributedPaired t test (within groups; PPC group, post vs pre active stimulation)Rt(16) = 11.27p = 5.10 × 10–9Mean = 0.0169, 95% CI [0.0138, 0.0201]
    w3BBoth samplesHippocampal FC changes within Yeo networksNormally distributedPaired t test (between groups; current vs Wang, active stimulation)Rt(32) = 8.75p = 5.42 × 10–1095% CI [0.0560, 0.0900]
    x6Both samplesHippocampal FC changes within Yeo networksNon-Normally distributedSpearman correlation across samples (current and Wang)Rr = 0.51p = 0.03795% CI [0.0389, 0.7956]
    yBoth samplesGC changes within Yeo networksNon-Normally distributedSpearman correlation across samples (current and Wang)Rr = 0.16p = 0.53695% CI [–0.3419, 0.5989]
    z8CurrentHippocampal FC changes in significant regions (p < 0.01)Non-normal distributionSpearman correlation (within groups; baseline hippocampal FC and hippocampal-FC changes)Rr = 0.39p = 1.0 × 10–495% CI [0.2002, 0.5453]
    aaCurrentHippocampal FC changes in significant regions (p < 0.01), outlier removedNormally distributedPearson correlation (within groups; baseline hippocampal FC and hippocampal-FC changes)Rr(92) = 0.47p = 1.14 × 10–695% CI [0.2955, 0.6141]
    bb8CurrentGC changes in significant regions (p < 0.01)Non-normal distributionSpearman correlation (within groups; baseline GC and GC changes)Rr = –0.08p = 0.3995% CI [–0.2593, 0.1046]
    • Each analysis includes a letter indicator (“manuscript” column) linking the test in the table to the analysis in the text. The link to the corresponding figure, if any, and the sample used for the test are indicated in the “figure,” and “sample,” columns, respectively. The “current” sample includes tests using data from the current work, and the previous study is indicated as Wang et al. (2014), the dependent variables for each test are listed as “data type,” and the “data structure” column indicates whether the data are normally distributed. The type of test, contrast, and the groups used for the analysis are listed in the “type of test” column. The multiple correction method is listed under “multiple comparisons correction.” the program used to perform the analysis is included under “program.” The critical value and degrees of freedom are listed for each test under “statistics.” Finally, the p value and confidence intervals are listed in the final two columns. DLPFC, dorsolateral prefrontal cortex; GC, global connectedness; LPOC, left precuneus and medial occipital cortex.

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Persistent Enhancement of Hippocampal Network Connectivity by Parietal rTMS Is Reproducible
Michael Freedberg, Jack A. Reeves, Andrew C. Toader, Molly S. Hermiller, Joel L. Voss, Eric M. Wassermann
eNeuro 7 October 2019, 6 (5) ENEURO.0129-19.2019; DOI: 10.1523/ENEURO.0129-19.2019

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Persistent Enhancement of Hippocampal Network Connectivity by Parietal rTMS Is Reproducible
Michael Freedberg, Jack A. Reeves, Andrew C. Toader, Molly S. Hermiller, Joel L. Voss, Eric M. Wassermann
eNeuro 7 October 2019, 6 (5) ENEURO.0129-19.2019; DOI: 10.1523/ENEURO.0129-19.2019
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Keywords

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