TMS combined with EEG: Recommendations and open issues for data collection and analysis
Open accessAbstract
Transcranial magnetic stimulation (TMS) evokes neuronal activity in the targeted cortex and connected brain regions. The evoked brain response can be measured with electroencephalography (EEG). TMS combined with simultaneous EEG (TMS-EEG) is widely used for studying cortical reactivity and connectivity at high spatiotemporal resolution. Methodologically, the combination of TMS with EEG is challenging, and there are many open questions in the field. Different TMS-EEG equipment and approaches for data collection and analysis are used. The lack of standardization may affect reproducibility and limit the comparability of results produced in different research laboratories. In addition, there is controversy about the extent to which auditory and somatosensory inputs contribute to transcranially evoked EEG. This review provides a guide for researchers who wish to use TMS-EEG to study the reactivity of the human cortex. A worldwide panel of experts working on TMS-EEG covered all aspects that should be considered in TMS-EEG experiments, providing methodological recommendations (when possible) for effective TMS-EEG recordings and analysis. The panel identified and discussed the challenges of the technique, particularly regarding recording procedures, artifact correction, analysis, and interpretation of the transcranial evoked potentials (TEPs). Therefore, this work offers an extensive overview of TMS-EEG methodology and thus may promote standardization of experimental and computational procedures across groups.
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TMS-EEG generates a TEP whose amplitude and spatio-temporal characteristics reflect activity of cortical circuits within the stimulated cortex and interconnected areas.
“This generates a TMS-evoked EEG potential (TEP), the amplitude and spatio-temporal characteristics of which reflect activity of cortical circuits within the stimulated cortex and interconnected areas (HernandezPavon et al. 2023).”
From Mild traumatic brain injury alters function in the dorsolateral prefrontal cortex: a TMS-EEG study (2025) · cites this paper as Hernandez-Pavon et al. 2023
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Mild traumatic brain injury alters function in the dorsolateral prefrontal cortex: a TMS-EEG study
Moore, E., Webb, E., Sasaki, R., Rogasch, N. C., Foo, N., Semmler, J. G., & Opie, G. M. (2025) · doi:10.1101/2025.05.22.655676 · Cited by 3 · see citing works
Self-citation
- Authors
- Hernandez-Pavon, J. C., Veniero, D., Bergmann, T. O., Belardinelli, P., Bortoletto, M., Casarotto, S., Casula, E. P., Farzan, F., Fecchio, M., Julkunen, P., Kallioniemi, E., Lioumis, P., Metsomaa, J., Miniussi, C., Mutanen, T. P., Rocchi, L., Rogasch, N. C., Shafi, M. M., Siebner, H. R., Thut, G., Zrenner, C., Ziemann, U., & Ilmoniemi, R. J.
- Affiliations
- Northwestern University (US)
- University of Nottingham (GB)
- Leibniz Institute for Resilience Research (DE)
- University of Trento (IT)
- Centro San Giovanni di Dio Fatebenefratelli (IT)
- University of Milan (IT)
- University of Rome Tor Vergata (IT)
- Simon Fraser University (CA)
- Massachusetts General Hospital (US)
- University of Eastern Finland (FI)
- New Jersey Institute of Technology (US)
- University of Helsinki (FI)
- University of Copenhagen (DK)
- University of Cagliari (IT)
- South Australian Health and Medical Research Institute (AU)
- Beth Israel Deaconess Medical Center (US)
- University of Glasgow (GB)
- Centre for Addiction and Mental Health (CA)
- Hertie Institute for Clinical Brain Research (DE)
- Corresponding author
- Veniero, Domenica
- ORCID
- Hernandez-Pavon, Julio C.
- Veniero, Domenica
- Bergmann, Til Ole
- Belardinelli, Paolo
- Bortoletto, Marta
- Casarotto, Silvia
- Casula, Elias P.
- Farzan, Faranak
- Fecchio, Matteo
- Julkunen, Petro
- Kallioniemi, Elisa
- Lioumis, Pantelis
- Metsomaa, Johanna
- Miniussi, Carlo
- Mutanen, Tuomas P.
- Rocchi, Lorenzo
- Rogasch, Nigel C.
- Shafi, Mouhsin M.
- Siebner, Hartwig R.
- Thut, Gregor
- Zrenner, Christoph
- Ziemann, Ulf
- Ilmoniemi, Risto J.
- Venue
- Brain Stimulation
- Publisher
- Elsevier BV
- Published
- 2023-03
- Volume
- 16
- Issue
- 2
- Pages
- 567-593
- ISSN
- 1876-4754 (ISSN-L)
- 1935-861X
- OpenAlex
- W4321487178
- Cited by
- 238
- References
- 12
- Citations by year
- 2026: 72 · 2025: 74 · 2024: 64 · 2023: 28
- FWCI
- 6.21
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Brain stimulation (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Research at the University of Copenhagen (University of Copenhagen) (publishedVersion, cc-by-nc-nd)
- ENLIGHTEN (Jurnal Bimbingan dan Konseling Islam) (acceptedVersion, other-oa)
- Archivio Istituzionale della Ricerca (Universita Degli Studi Di Milano) (submittedVersion, other-oa)
- Informationszentrum Lebenswissenschaften (ZB MED) (submittedVersion, cc-by-nc-nd)
- UNICA IRIS Institutional Research Information System (University of Cagliari) (submittedVersion, other-oa)
- Institutional Research Information System (Università degli Studi di Trento) (submittedVersion, cc-by-nc-nd)
- Repository@Nottingham (University of Nottingham) (submittedVersion, cc-by-nc-nd)
- Aaltodoc (Aalto University) (submittedVersion, cc-by-nc-nd)
- Cineca Institutional Research Information System (Tor Vergata University) (submittedVersion, cc-by-nc-nd)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Työväentutkimus Vuosikirja (submittedVersion)
- Repository@Nottingham (University of Nottingham) (submittedVersion)
- Funders
- Academy of Finland (321631)
- Lundbeckfonden (R186-2015-2138)
- H. Lundbeck A/S (R186-2015-2138)
- Topics
- Life Sciences › Neuroscience › Neurology › Transcranial Magnetic Stimulation Studies
- Life Sciences › Neuroscience › Cognitive Neuroscience › EEG and Brain-Computer Interfaces
- Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
- Keywords
- TMS-EEG, transcranial magnetic stimulation, EEG, method standardization, artifact removal, auditory input, somatosensory input, cortical reactivity, cortical connectivity, reproducibility
- MeSH terms
- Data Collection, Electroencephalography, Evoked Potentials, Humans, Reproducibility of Results, Transcranial Magnetic Stimulation
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