Effects of electrode drift in transcranial direct current stimulation
Open accessAbstract
Background Conventional transcranial direct current stimulation (tDCS) methods involve application of weak electrical current through electrodes encased in saline-soaked sponges affixed to the head using elastic straps. In the absence of careful preparation, electrodes can drift from their original location over the course of a tDCS session. Objective The current paper investigates the influence of electrode drift on distribution of electric fields generated by conventional tDCS. Methods MRI-derived finite element models of electric fields produced by tDCS were used to investigate the influence of incremental drift in electrodes for two of the most common electrode montages used in the literature: M1/SO (motor to contralateral supraorbital) and F3/F4 (bilateral frontal). Based on these models, we extracted predicted current intensity from 20 representative structures in the brain. Results Results from separate RM-ANOVAs for M1/SO and F3/F4 montages demonstrated that 5% incremental drift in electrode position significantly changed the distribution of current delivered by tDCS to the human brain (F's > 8.6, P's < 0.001). Pairwise comparisons demonstrated that as little as 5% drift was able to produce significant differences in current intensity in structures distributed across the brain (P's < 0.03). Conclusions Drift in electrode position during a session of tDCS produces significant alteration in the intensity of stimulation delivered to the brain. Elimination of this source of variability will facilitate replication and interpretation of tDCS findings. Furthermore, measurement and statistically accounting for drift may prove important for better characterizing the effects of tDCS on the human brain and behavior.
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1-1.5cm electrode shifts can significantly alter current distribution in the brain.
“For instance, 1–1.5cm electrode shifts can significantly alter current distribution in the brain [54].”
From Primary outcome from the augmenting cognitive training in older adults study (ACT): A tDCS and cognitive training randomized clinical trial (2023) · cites this paper as [54]
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References 38 · Cited by 93
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- Authors
- Woods, A. J., Bryant, V., Sacchetti, D., Gervits, F., & Hamilton, R.
- Affiliations
- University of Florida (US)
- University of Pennsylvania (US)
- Corresponding author
- Woods, Adam J.
- Venue
- Brain Stimulation
- Publisher
- Elsevier BV
- Published
- 2015-05
- Volume
- 8
- Issue
- 3
- Pages
- 515-519
- ISSN
- 1876-4754 (ISSN-L)
- 1935-861X
- PMC
- PMC4461479
- OpenAlex
- W2003741166
- Cited by
- 93
- References
- 38
- Citations by year
- 2026: 7 · 2025: 7 · 2024: 7 · 2023: 9 · 2022: 5 · 2021: 13 · 2020: 8 · 2019: 11 · 2018: 7 · 2017: 10 · 2016: 5 · 2015: 4
- FWCI
- 3.30
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Brain stimulation (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- National Center for Advancing Translational Sciences (UL1 TR000064, KL2 TR000065)
- National Institutes of Health
- Evelyn F. McKnight Brain Research Foundation
- Topics
- Life Sciences › Neuroscience › Neurology › Transcranial Magnetic Stimulation Studies
- Health Sciences › Medicine › Psychiatry and Mental health › Electroconvulsive Therapy Studies
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuroscience and Neural Engineering
- Keywords
- transcranial direct current stimulation, electrode drift, electric field distribution, finite element analysis, electrode montage, replication
- MeSH terms
- Brain, Electrodes, Humans, Magnetic Resonance Imaging, Models, Neurological, Reproducibility of Results, Finite Element Analysis, Transcranial Direct Current Stimulation
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