Conduct all experiments in accordance with institutional ethics committee guidelines. For all studies mentioned in this manuscript, all procedures were performed according to the declaration of Helsinki and approved by the local Ethics Committee of the University Medical Center Göttingen.
1. Stimulation and Computer Setup Prior to Experiment
2. Subject Arrival and Preparation
3. MR Scanning and Experiment
4. Experiment Conclusion
Figure 2 and Figure 3 show representative images acquired for equipment noise tests in a phantom and in a human subject, respectively. In every row, Figure 2 and Figure 3 show representative axial slices from an acquired volume or calculated map, labeled accordingly above the row. The rightmost image on each row is a sagittal representation of the corresponding volume or calculated map, indicating axial slice locations with blue lines. Aside from the first row, which illustrates electrode placement in white, the volume is overlaid on a T1-weighted image in each figure. Notice that there is no distortion or signal dropout from the electrodes in the T1-weighted images. The second row of Figure 2 shows representative functional MRI data acquired with the tACS setup in place and turned on. In the phantom in Figure 2, notice there is some signal dropout and distortion due to the electrodes, however, row 2 of Figure 3 shows that these distortions do not extend beyond the scalp in a subject. Rows three and four of Figure 2 show noise measurements in the volume, which are acquired using the same parameters as the fMRI data, but without an RF excitation pulse. The images show the noise level in the scanner room and of the MR hardware during the scan. Row three is a noise measurement with tACS off, and row four is one with tACS on. In the fifth and sixth row of Figure 2 are tSNR maps for functional runs with the tACS setup and the stimulator off and on, respectively. TSNR maps calculated from data acquired in the human subject appear in Figure 3 rows three, with tACS off, and four, with tACS on. Notice there is no visible difference in intensity when comparing between stimulation conditions. As we demonstrated in a previous study, the tACS equipment produces around 5% drop in tSNR in images compared to those acquired without the tACS setup, however the tSNR should remain stable across stimulation on and off conditions22.
Figure 4 represents a series of images that demonstrates signal dropout that can occur when non-MR-compatible electrodes are used. Slices from an fMRI volume acquired of a subject with electrodes that may have some metal contaminations show signal dropout below the electrode placed roughly over primary motor cortex, as indicated with red circles.
Figure 5 shows results of an experiment testing the effects of current strength of 16 Hz Cz-Oz tACS on the BOLD signal in subjects whose only task is central cross fixation. Throughout the experiment, 12-second periods of tACS were interleaved with non-stimulation periods varying from 24 – 32 seconds. In a pseudorandomized order, tACS was applied with a different current strength (500 µA, 750 µA, 1,000 µA, 1,500 µA) in each of four runs. Figure 5A shows event-related averages of the BOLD signal for statistically significant clusters, with increasing effect on the BOLD signal with increased current strength. Additionally, Figure 5B shows current-strength specific T-score maps illustrating regional specificity of effects as well as increasing spatial effect with increased current strength. It is also worthwhile to note that BOLD activity in frontal regions was changed significantly, showing that modulations were not always directly below the electrodes. For details, refer to Cabral-Calderin and colleagues22.
Figure 6 shows representative results of an experiment testing the frequency dependence of tACS effects during a visual perception task. Subjects reported the perceived direction of a bistable rotating sphere. At the same time, tACS was applied with electrodes placed at Cz and Oz at one of three stimulation frequencies (10 Hz, 60 Hz, or 80 Hz) in each of three separate sessions. Figure 6A illustrates the experiment timing with visual presentation and tACS periods between blocks of central cross fixation. TACS condition and frequency effect interaction maps and cluster post-hoc tests show frequency-specific effects in the parietal cortex, with 10 Hz tACS decreasing and 60 Hz increasing signal (Figure 6B). Figure 6C shows T-score maps of specific effects of 60 Hz tACS extending beyond the parietal cortex to include some occipital and frontal regions. For experiment and analysis details, refer to Cabral-Calderin, et al.22.
Figure 1: TACS Setup in the Scanner. (A) TACS Setup with all Necessary Elements. The stimulator and cables are connected outside of the MR shielded room. Also shown are the EEG cap, tape measure, and conductive gel used for electrode placement. (B) Outer Filter Box and Stimulator Placed Outside the Scanner Room. The LAN cable (not visible in the figure) comes from the scanner room through the RF waveguide tube and connects to the outer filter box, with as little LAN cable exposed outside of the scanner room as possible. The stimulator should be connected to the outer filter box as well as to the presentation computer trigger output cable. (C) Scanner Environment with Experimental Setup. Depiction of tACS setup, including presentation computer, scanner computer and trigger output, and projector. (D) Subject Positioning for Experiment. Important elements include pillows, cable placement, viewing mirror, and head coil. Filter box is placed on scanner bed railing as an example of placement inside the bore. Please click here to view a larger version of this figure.
Figure 2: Quality Assessment MR Images Acquired of a Phantom. Row 1: High-resolution anatomical T1-weighted image axial slices with their positions indicated by blue lines on a sagittal slice to the right (also seen in each following row). On the sagittal plane, electrode positions are illustrated in white. Row 2: T2*-weighted echo-planar image slices, with magenta arrows indicating signal dropout and distortion due to electrodes and/or electrode gel. On the sagittal plane, the positioning of the corresponding volume is shown as an overlay (also seen in each following row). Row 3: Noise image slices acquired with fMRI experimental parameters and no RF excitation pulse while the tACS setup is in place and turned on, but not stimulating. Row 4: No-RF-excitation image acquired with tACS setup in place and stimulator on and stimulating at 16 Hz. Row 5: TSNR map calculated from data acquired with the tACS setup in place and turned on, but not stimulating. Row 6: TSNR map calculated from data acquired with the tACS setup in place and stimulating at 16 Hz. Please click here to view a larger version of this figure.
Figure 3: Quality Assessment MR Images Acquired of a Subject. Row 1: High-resolution anatomical image axial slices with their positions indicated by blue lines on a sagittal slice to the right (as seen in each row). Electrode positions are illustrated in white on the sagittal view. Row 2: T2*-weighted echo-planar image slices showing no signal dropout due to electrodes and/ or electrode gel. On the sagittal plane, the positioning of the corresponding volume is shown as an overlay (also seen in each following row). Row 3: TSNR map calculated from data acquired with the tACS setup in place and turned on, but not stimulating. Row 4: TSNR map calculated from data acquired with the tACS setup in place and stimulating at 16 Hz. Please click here to view a larger version of this figure.
Figure 4: Signal Dropout Due to a Contaminated Electrode. Slices from an fMRI volume acquired of a subject using a contaminated electrode placed roughly over the hand knob of the motor cortex. Red circles indicate regions below the electrode with signal dropout. Please click here to view a larger version of this figure.
Figure 5: Effect of Current Strength on tACS Modulation of the BOLD Signal. (A) F-score Maps Showing the Main Effect of Current Strength on the Effect of 16 Hz tACS. A significant main effect of current strength in a one-way rANOVA [within factor: current strength (500, 750, 1,000, 1,500 µA)] is apparent. The plots show the event-related average time course of the BOLD signal for the tACS-on periods for each current strength. Shaded regions indicate standard error of the mean across subjects. MedialFG = medial frontal gyrus, IPS = intraparietal sulcus, IFG = inferior frontal gyrus, PrC = precentral gyrus, L = left, R = right, *cluster not corrected for multiple comparisons. (B) T-score Maps Showing BOLD Activity Changes during 16 Hz tACS for Each Current Strength. No significant effect was found with 500 µA tACS. LH = left hemisphere; RH = right hemisphere. This picture has been modified from Cabral-Calderin et al.29. Please click here to view a larger version of this figure.
Figure 6: Effect of tACS on the BOLD Signal in a Visual Perception Task. (A) Schematic Representation of the Experiment. Visual stimulus and tACS were applied in a block design, with 30 s on-off tACS blocks occurring during 120 sec blocks of visual stimulus presentation. Each frequency was tested in a different session. SfM = structure-from-motion. (B) TACS Condition and Frequency Interaction Effect. F-statistic maps showing significance in two-way rANOVA [within factors: tACS (on, off), frequency (10 Hz, 60 Hz, 80 Hz)] and beta estimates for two representative clusters in the post-central gyrus. Continuous lines and black asterisks mark significant differences for post-hoc comparisons for tACS on-off interaction effects of 10 Hz versus 60 Hz and 10 Hz versus 80 Hz, and red asterisks imply a significant difference for tACS on versus off post-hoc tests. PoC = postcentral gyrus, IPS = intraparietal sulcus. (C)T-score Map of 60 Hz tACS. Significant differences comparing 60 Hz tACS on versus off. This picture has been reprinted from Cabral-Calderin et al.29. Please click here to view a larger version of this figure.
None | |||
DC-Stimulator MR | NeuroConn, Ilmenau, Germany | includes: inner filter box, outer filter box, MR-safe electrode and stimulator cables (1 each), stimulator, 2 surface electrodes, and one shielded LAN cable; NOTE: This manuscript describes tACS-fMRI setup with NeuroConn's MR-safe stimulator, but such a stimulator from another manufacturer would be acceptable, with adaptations made based on manufacturer specifications. | |
3 tesla Tim Trio MR scanner | Siemens, Erlangen, Germany | ||
presentation computer | |||
presentation software (e.g., Matlab) | The Mathworks, Natick, USA | ||
shielded LAN cable | |||
projector | InFocus Corporation, Wilsonville, USA | IN-5108 | |
Ten20 Electrode Paste | Weaver and Co., Aurora, USA | ||
EEG cap – EASYCAP 32-channel system | Brain Products GmbH, Germany | ||
tape measure | |||
marker | |||
pillows | |||
button response box | Current Designs, Philadelphia, USA | ||
isopropyl alcohol | |||
cotton pads | |||
tape | |||
MR-safe sand bags | Siemens, Erlangen, Germany | ||
MR-safe mirrors | Siemens, Erlangen, Germany | ||
MR-safe screen | can be built in local machine shop to fit site-specific parameters | ||
E-A-Rsoft ear plugs | 3M, Bracknell, UK |
Transcranial alternating current stimulation (tACS) is a promising tool for noninvasive investigation of brain oscillations. TACS employs frequency-specific stimulation of the human brain through current applied to the scalp with surface electrodes. Most current knowledge of the technique is based on behavioral studies; thus, combining the method with brain imaging holds potential to better understand the mechanisms of tACS. Because of electrical and susceptibility artifacts, combining tACS with brain imaging can be challenging, however, one brain imaging technique that is well suited to be applied simultaneously with tACS is functional magnetic resonance imaging (fMRI). In our lab, we have successfully combined tACS with simultaneous fMRI measurements to show that tACS effects are state, current, and frequency dependent, and that modulation of brain activity is not limited to the area directly below the electrodes. This article describes a safe and reliable setup for applying tACS simultaneously with visual task fMRI studies, which can lend to understanding oscillatory brain function as well as the effects of tACS on the brain.
Transcranial alternating current stimulation (tACS) is a promising tool for noninvasive investigation of brain oscillations. TACS employs frequency-specific stimulation of the human brain through current applied to the scalp with surface electrodes. Most current knowledge of the technique is based on behavioral studies; thus, combining the method with brain imaging holds potential to better understand the mechanisms of tACS. Because of electrical and susceptibility artifacts, combining tACS with brain imaging can be challenging, however, one brain imaging technique that is well suited to be applied simultaneously with tACS is functional magnetic resonance imaging (fMRI). In our lab, we have successfully combined tACS with simultaneous fMRI measurements to show that tACS effects are state, current, and frequency dependent, and that modulation of brain activity is not limited to the area directly below the electrodes. This article describes a safe and reliable setup for applying tACS simultaneously with visual task fMRI studies, which can lend to understanding oscillatory brain function as well as the effects of tACS on the brain.
Transcranial alternating current stimulation (tACS) is a promising tool for noninvasive investigation of brain oscillations. TACS employs frequency-specific stimulation of the human brain through current applied to the scalp with surface electrodes. Most current knowledge of the technique is based on behavioral studies; thus, combining the method with brain imaging holds potential to better understand the mechanisms of tACS. Because of electrical and susceptibility artifacts, combining tACS with brain imaging can be challenging, however, one brain imaging technique that is well suited to be applied simultaneously with tACS is functional magnetic resonance imaging (fMRI). In our lab, we have successfully combined tACS with simultaneous fMRI measurements to show that tACS effects are state, current, and frequency dependent, and that modulation of brain activity is not limited to the area directly below the electrodes. This article describes a safe and reliable setup for applying tACS simultaneously with visual task fMRI studies, which can lend to understanding oscillatory brain function as well as the effects of tACS on the brain.