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Transcranial magnetic stimulation and the human brain
Abstract
Transcranial magnetic stimulation (TMS) is rapidly developing as a powerful, non-invasive tool for studying the human brain. A pulsed magnetic field creates current flow in the brain and can temporarily excite or inhibit specific areas. TMS of motor cortex can produce a muscle twitch or block movement; TMS of occipital cortex can produce visual phosphenes or scotomas. TMS can also alter the functioning of the brain beyond the time of stimulation, offering potential for therapy.
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MethodGenetic polymorphisms and the adequacy of brain stimulation: state of the art
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“TMS is a non-invasive method of inducing electrical current in the brain [ 99 ].”
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“…lesions” and to do so purposely and repetitively in the same or near identical conditions (Barker et al., 1985; for reviews see Bestmann, 2008; Hallett, 2000, 2007; Kobayashi and Pascual-Leone, 2003; Kähkönen and Ilmoniemi, 2004; Ridding and Rothwell, 2007; Stewart andWalsh, 2000; Terao…”
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“1985; Hallett 2000).”
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“Oneweek later, participants returned to do theTMS study while they were doing a muscle effort.”
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“TRANSCRANIAL magnetic stimulation (TMS) is rapidly developing as a no-invasive, non-painful, and safe tool for studying the physiology of the human brain and for brain therapy [1], [2].”
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“A peak-to-peak amplitude of MEP is an index of excitability of the corticospinal system (10).”
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“Despite the usefulness of the abovementioned parameters in studying the function and dysfunction of the neural pathways at rest and during activity [4–8], the variability of the MEP elicited by TMS or the “M-jiggle” [9–11], defined as the variation of the size of the evoked potential from one stimulus to the next, has…”
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“The threshold for these neurons is higher either because they are less excitable or because they are further from the site of TMS [14].”
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“On the other hand, TMS activates CS pathways trans-synaptically, so it is useful to study motor cortex excitability (Hallett 2000).”
BackgroundAltered neuromuscular control of a hand muscle in chronic rotator cuff tears
Berth, A., Pap, G., Neumann, W., & Awiszus, F. (2010) · Archives of Orthopaedic and Trauma Surgery · doi:10.1007/s00402-009-1012-8 · Cited by 7
“Transcranial magnetic stimulation (TMS) is a noninvasive technique to investigate the human motor cortex [13].”
MethodMotor potentials by magnetic stimulation in periventricular leukomalacia.
Santiago-Rodríguez, E., León-Castillo, C., Harmony, T., Fernandez-bouzas, A., & García-Gomar, M. (2009) · Pediatric Neurology · doi:10.1016/j.pediatrneurol.2008.10.019 · Cited by 7
“With this technique, a thorough evaluation of the corticospinal tract can be performed in various adult diseases that compromise this pathway, such as multiple sclerosis and motor-neuron disease [7,8].”
MethodNo effect of pulsed electromagnetic fields on PC12 and HL-60 cells
Sontag, W., & Kalka, D. (2006) · Radiation and Environmental Biophysics · doi:10.1007/s00411-006-0043-6 · Cited by 7
Kreuzer, P. M., Poeppl, T., Vielsmeier, V., Schecklmann, M., Langguth, B., & Lehner, A. (2021) · Progress in Brain Research · doi:10.1016/bs.pbr.2021.01.021 · Cited by 7
Future Shock: Telecommunications Technology and Infrastructure in Regional Research
Grubesic, T. H. (2017) · Advances in spatial science · doi:10.1007/978-3-319-50547-3_3 · Cited by 7
Basic Principles of rTMS in Motor Recovery After Stroke
Volz, L. J., & Grefkes, C. (2015) · Springer eBooks · doi:10.1007/978-3-319-25721-1_3 · Cited by 7
Fröhlich, F. (2016) · Elsevier eBooks · doi:10.1016/b978-0-12-801560-5.00015-x · Cited by 7
Tringali, S., Perrot, X., Collet, L., & Moulin, A. (2013) · Neurophysiologie clinique · doi:10.1016/j.neucli.2012.07.001 · Cited by 7
Li, J., Lu, X.-B., Du, S., Hu, W., Xiao, D., He, B., Su, C., Lin, S., Zhan, Q., Wu, H., et al. (2025) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2025.05.052 · Cited by 6
Caussat, T., Blair, B., & Oberman, L. M. (2025) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2025.1494811 · Cited by 6
Singh, S. (2024) · Universal Research Reports · doi:10.36676/urr.v11.i3.1287 · Cited by 6
Design and Validation of Miniaturized Repetitive Transcranial Magnetic Stimulation (rTMS) Head Coils
Abbasi, S., Alluri, S., Leung, V. W., Asbeck, P. M., & Makale, M. (2024) · Italian National Conference on Sensors · doi:10.3390/s24051584 · Cited by 6
Wei, Y.-X., Tu, L.-D., He, L.-Y., Qiu, Y.-T., Su, W., Zhang, L., Ma, R.-T., & Gao, Q. (2023) · Frontiers in Neuroscience · doi:10.3389/fnins.2023.1280180 · Cited by 6
“…on the central nervous system of the brain to alter the membrane potential of cerebral cortical nerve cells, causing them to generate induced currents that affect metabolic and neuroelectric activity in the brain, thereby inducing a series of physiological and biochemical responses (Hallett, 2000).”
BackgroundChung, S.-D., Rodriguez, A., Alijanpour, E., & McCann, R. S. (2023) · Journal of sport rehabilitation · doi:10.1123/jsr.2023-0024 · Cited by 6
Pérez-Benítez, J., Martínez-Ortiz, P., & Aguila-Muñoz, J. (2023) · Brain Science · doi:10.3390/brainsci13081142 · Cited by 6
Neuromodulation to Enhance Creative Cognition: a Review of New and Emerging Approaches
Cortes, R. A., Holzman, D. D., & Green, A. E. (2023) · Journal of Cognitive Enhancement · doi:10.1007/s41465-023-00264-z · Cited by 6
“While these studies provide a solid foundation for TMS-based research of creativity, comparison of results is difficult, as each study investigated the role of different brain regions/networks on different aspects of creative cognition.”
BackgroundInfluentialZhang, J., Xing, X., Zheng, M., Wu, J., Xue, X., Li, Y., Hua, X., Ma, S., & Xu, J. (2023) · BMC Neurology · doi:10.1186/s12883-023-03218-2 · Cited by 6
“The mechanism of rTMS is associated with information processing in the nervous system, which includes synaptic excitation, synaptic inhibition, and synaptic plasticity of neurons [23, 26].”
BackgroundSleep Disturbance in Tourette’s Disorder: Potential Underlying Mechanisms
Ricketts, E. J., Swisher, V. S., Greene, D. J., Silverman, D. H. S., Nofzinger, E. A., & Colwell, C. S. (2023) · Current Sleep Medicine Reports · doi:10.1007/s40675-022-00242-5 · Cited by 10
Wilson, M., Goldsworthy, M., Vallence, A., Fornito, A., & Rogasch, N. (2022) · Brain Research · doi:10.2139/ssrn.4196403 · Cited by 6
Johnstone, S., Lowe, D. J. E., Kozak, K., Sanches, M., Castle, D. J., Rabin, J. S., Rabin, R. A., & George, T. P. (2022) · Schizophrenia · doi:10.1038/s41537-022-00303-2 · Cited by 8
Taylor, A. A., McCauley, S. R., & Strutt, A. M. (2022) · Neurologic Clinics · doi:10.1016/j.ncl.2022.08.003 · Cited by 7
Lien, Y. R., Lin, Y.-C., Lin, S.-H. N., Lin, C., & Chang, L.-H. (2022) · Frontiers in Neuroscience · doi:10.3389/fnins.2022.804027 · Cited by 5
Swanson, C. W., Proessl, F., Stephens, J. A., Miravalle, A. A., & Fling, B. W. (2021) · Journal of Neuroscience Methods · doi:10.1016/j.jneumeth.2021.109143 · Cited by 8
Reduced Occipital Cortex Excitability in Amyotrophic Lateral Sclerosis
Cengiz, B., Fidancı, H., Baltacı, H., Türksoy, E., & Kuruoğlu, R. (2021) · Journal of clinical neurophysiology · doi:10.1097/wnp.0000000000000805 · Cited by 6
Electrodeless, non-invasive stimulation of retinal neurons using time-varying magnetic fields
Shin, J. Y., Ahn, J.-H., Pi, K., Cho, D., & Goo, Y. S. (2015) · Proceedings of IEEE Sensors/Proceedings of IEEE Sensors ... · doi:10.1109/icsens.2015.7370211 · Cited by 1
“For the transcranial magnetic stimulation (TMS), pulsed magnetic fields reach the cortical region and induce eddy currents around the neurons and glial cells [6].”
BackgroundAcute effects of lithium on excitability of human motor cortex.
Hübers, A., Voytovych, H., Heidegger, T., Müller-Dahlhaus, F., & Ziemann, U. (2014) · Clinical Neurophysiology · doi:10.1016/j.clinph.2014.03.035 · Cited by 6
“MEP IO-curve represents recruitment of an increasing number of corticospinal neurons with increasing stimulus intensity (Hallett, 2000).”
BackgroundNeurorestorative Effects of Constraint-Induced Movement Therapy after Stroke: An Integrative Review
Lucas, M., Ribeiro, P. F. M., Cagy, M., Teixeira, S. S., Chaves, F., Carvalho, D., Peressutti, C., Machado, S. E. D. C., Bittencourt, J., Velasques, B., et al. (2013) · Neuroscience & Medicine · doi:10.4236/nm.2013.44036 · Cited by 6
“TMS is a non-invasive technique originally introduced to investigate neural propagation [27].”
Megill, J. (2013) · Axiomathes · doi:10.1007/s10516-012-9203-2 · Cited by 6
An implantable neural interface with electromagnetic stimulation capabilities
Accoto, D., Francomano, M. T., Rainer, A., Trombetta, M., Rossini, P. M., & Guglielmelli, E. (2013) · Medical Hypotheses · doi:10.1016/j.mehy.2013.04.008 · Cited by 7
“For instance, Transcranial Magnetic Stimulation (TMS, [17–23]) has been widely used in the past three decades [17,24] to depolarize or hyperpolarize neurons in the brain.”
MethodCan transcranial magnetic stimulation be used to evaluate patients with narcolepsy?
Vijayakumari, A., Khan, F., Varma, R., & Radhakrishnan, A. (2013) · Neurological Sciences · doi:10.1007/s10072-012-1253-0 · Cited by 6
“Single-pulse TMS is now an established tool in clinical neurophysiology to non-invasively monitor corticospinal tract function [10, 12].”
BackgroundMethodTranscranial ultrasound neuromodulation of the contralateral visual field in awake monkey
Deffieux, T., Younan, Y., Tanter, M., Aubry, J., Wattiez, N., & Pouget, P. (2013) · IUS · doi:10.1109/ultsym.2013.0001 · Cited by 6
“The anti-saccade task consists of suppressing a voluntary saccade towards a visual stimulus on a screen and instead generate a voluntary saccade toward the opposite side and is known to be significantly slowed on patients with FEF lesions[14] and on non-human primates whose FEF is targeted by TMS[15].”
InfluentialZanardi, R., Barbini, B., Rossini, D., Bernasconi, A., Fregni, F., Padberg, F., Rossi, S., Wirz‐Justice, A., Terman, M., Martiny, K., et al. (2008) · Psychiatry and Clinical Neurosciences · doi:10.1111/j.1440-1819.2008.01863.x · Cited by 5
A Kalman filter approach to remove TMS-induced artifacts from EEG recordings
Morbidi, F., Garulli, A., Prattichizzo, D., Rizzo, C., & Rossi, S. (2007) · European Control Conference · doi:10.23919/ecc.2007.7068851 · Cited by 6
Registration of transcranial magnetic stimulation, a visualization tool for brain functions
Noirhomme, Q., Romero, E., Cuisenaire, O., Ferrant, M., Vandermeeren, Y., Olivier, E., & Macq, B. (2002) · 2002 14th International Conference on Digital Signal Processing Proceedings. DSP 2002 (Cat. No.02TH8628) · doi:10.1109/icdsp.2002.1027894 · Cited by 6
“This technique has been widely used in the study of cortical physiology, brain plasticity, brain excitability in neurologic disorders or brain therapy [ 4 ].”
BackgroundMethodCooper, J. C., Hughes, S., Ben-Smith, A., Savage, C., & Winer, J. (2002) · Journal of Neurology Neurosurgery & Psychiatry · doi:10.1136/jnnp.72.3.413 · Cited by 6
Izumi, S., Oouchida, Y., Okita, T., Suzuki, E., Abe, T., Nagatomi, R., Nakasato, N., & Takagi, T. (2012) · Japanese Journal of Comprehensive Rehabilitation Science · doi:10.11336/jjcrs.3.42 · Cited by 6
Measures of cortical inhibition in health and disease.
Chen, R., & Currá, A. (2004) · Supplements to Clinical Neurophysiology · doi:10.1016/s1567-424x(09)70409-x · Cited by 6
Song, X.-Z., Huang, P.-S., Liu, X.-Y., Yu, H., Wei, J., & Dong, M. (2025) · Brain Research Bulletin · doi:10.1016/j.brainresbull.2025.111533 · Cited by 5
Influences of current direction on 1Hz motor cortex rTMS.
Kanig, C., Osnabruegge, M., Schwitzgebel, F., Mack, W., Schecklmann, M., & Schoisswohl, S. (2025) · Brain Research Bulletin · doi:10.1016/j.brainresbull.2025.111484 · Cited by 5
“It is suspected that depending on the frequency of rTMS, mechanisms of long-term depression (LTD) or long-term potentiation (LTP) of synaptic strength are accountable (Hallett, 2000; Fitzgerald et al., 2006).”
Metadata
- Authors
- Hallett, M.
- Affiliations
- National Institutes of Health (US)
- Corresponding author
- Hallett, Mark
- ORCID
- Hallett, Mark
- Venue
- Nature
- Published
- 2000-07
- Volume
- 406
- Issue
- 6792
- Pages
- 147-150
- ISSN
- 0028-0836 (ISSN-L)
- 1476-4687
- OpenAlex
- W2129291496
- Cited by
- 1,603
- References
- 42
- Citations by year
- 2026: 44 · 2025: 61 · 2024: 66 · 2023: 70 · 2022: 84 · 2021: 87 · 2020: 103 · 2019: 73 · 2018: 81 · 2017: 46 · 2016: 80 · 2015: 85 · 2014: 75 · 2013: 72 · 2012: 71
- FWCI
- 4.67
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Nature (publishedVersion)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- Topics
- Life Sciences › Neuroscience › Neurology › Transcranial Magnetic Stimulation Studies
- Physical Sciences › Engineering › Biomedical Engineering › Ultrasound and Hyperthermia Applications
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Advanced MRI Techniques and Applications
- Keywords
- transcranial magnetic stimulation, non-invasive brain stimulation, motor cortex, occipital cortex, muscle twitch, scotoma, brain therapy
- MeSH terms
- Brain, Brain Mapping, Cerebral Cortex, Forecasting, Humans, Nervous System Diseases, Neuronal Plasticity, Evoked Potentials, Motor, Transcranial Magnetic Stimulation
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