Machado-Joseph disease,or spinocerebellar ataxia type 3(SCA3),represents the most common autosomal dominant cerebellar ataxia worldwide.Despite its progressive and debilitating nature,disease-modifying therapies remai...Machado-Joseph disease,or spinocerebellar ataxia type 3(SCA3),represents the most common autosomal dominant cerebellar ataxia worldwide.Despite its progressive and debilitating nature,disease-modifying therapies remain elusive.Repetitive transcranial magnetic stimulation(rTMS)has emerged as a promising non-invasive intervention;however,its clinical application has been hindered by inconsistent protocols and a lack of mechanistic understanding.A recent landmark study published in Brain Stimulation by Chen et al.addressed these challenges by combining a high-dose intermittent theta-burst stimulation(iTBS)protocol with concurrent transcranial magnetic stimulation-electroencephalography(TMS-EEG).This commentary provides an in-depth analysis of their findings,highlighting the restoration of cerebello-cortical inhibition(CBI)as a key therapeutic mechanism.Furthermore,we discuss the broader implications of this work,proposing that future translational research should integrate accelerated iTBS(aiTBS)paradigms,cortical response measurements(CRM),and individualized neuro-navigation to establish a new era of precision neuromodulation for ataxia.展开更多
Closed-loop neuromodulation,especially using the phase of the electroencephalography(EEG)rhythm to assess the real-time brain state and optimize the brain stimulation process,is becoming a hot research topic.Because t...Closed-loop neuromodulation,especially using the phase of the electroencephalography(EEG)rhythm to assess the real-time brain state and optimize the brain stimulation process,is becoming a hot research topic.Because the EEG signal is non-stationary,the commonly used EEG phase-based prediction methods have large variances,which may reduce the accuracy of the phase prediction.In this study,we proposed a machine learning-based EEG phase prediction network,which we call EEG phase prediction network(EPN),to capture the overall rhythm distribution pattern of subjects and map the instantaneous phase directly from the narrow-band EEG data.We verified the performance of EPN on pre-recorded data,simulated EEG data,and a real-time experiment.Compared with widely used state-of-the-art models(optimized multi-layer filter architecture,auto-regress,and educated temporal prediction),EPN achieved the lowest variance and the greatest accuracy.Thus,the EPN model will provide broader applications for EEG phase-based closed-loop neuromodulation.展开更多
基金supported by grants from the Open Research Fund of the Zhejiang Key Laboratory of Precision Psychiatry(2025A2)the Natural Science Foundation of Zhejiang Province(LY23C090002)。
文摘Machado-Joseph disease,or spinocerebellar ataxia type 3(SCA3),represents the most common autosomal dominant cerebellar ataxia worldwide.Despite its progressive and debilitating nature,disease-modifying therapies remain elusive.Repetitive transcranial magnetic stimulation(rTMS)has emerged as a promising non-invasive intervention;however,its clinical application has been hindered by inconsistent protocols and a lack of mechanistic understanding.A recent landmark study published in Brain Stimulation by Chen et al.addressed these challenges by combining a high-dose intermittent theta-burst stimulation(iTBS)protocol with concurrent transcranial magnetic stimulation-electroencephalography(TMS-EEG).This commentary provides an in-depth analysis of their findings,highlighting the restoration of cerebello-cortical inhibition(CBI)as a key therapeutic mechanism.Furthermore,we discuss the broader implications of this work,proposing that future translational research should integrate accelerated iTBS(aiTBS)paradigms,cortical response measurements(CRM),and individualized neuro-navigation to establish a new era of precision neuromodulation for ataxia.
基金supported by the Key Collaborative Research Program of the Alliance of International Science Organizations(ANSO-CR-KP-2022-10)Science and Technology Innovation 2030-Brain Science and Brain-Inspired Intelligence Project(2021ZD0200200)+2 种基金Natural Science Foundation of China(82151307,82202253,and 31620103905)Strategic Priority Research Program of the Chinese Academy of Sciences(XDB32030207)Science Frontier Program of the Chinese Academy of Sciences(QYZDJ-SSW-SMCO19).
文摘Closed-loop neuromodulation,especially using the phase of the electroencephalography(EEG)rhythm to assess the real-time brain state and optimize the brain stimulation process,is becoming a hot research topic.Because the EEG signal is non-stationary,the commonly used EEG phase-based prediction methods have large variances,which may reduce the accuracy of the phase prediction.In this study,we proposed a machine learning-based EEG phase prediction network,which we call EEG phase prediction network(EPN),to capture the overall rhythm distribution pattern of subjects and map the instantaneous phase directly from the narrow-band EEG data.We verified the performance of EPN on pre-recorded data,simulated EEG data,and a real-time experiment.Compared with widely used state-of-the-art models(optimized multi-layer filter architecture,auto-regress,and educated temporal prediction),EPN achieved the lowest variance and the greatest accuracy.Thus,the EPN model will provide broader applications for EEG phase-based closed-loop neuromodulation.
