2019
DOI: 10.1016/j.brs.2018.09.010
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Can transcranial electric stimulation with multiple electrodes reach deep targets?

Abstract: To reach a deep target in the brain with transcranial electric stimulation (TES), currents have to pass also through the cortical surface. Thus, it is generally thought that TES cannot achieve focal deep brain stimulation. Recent efforts with interfering waveforms and pulsed stimulation have argued that one can achieve deeper or more intense stimulation in the brain. Here we argue that conventional transcranial stimulation with multiple current sources is just as effective as these new approaches. The conventi… Show more

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Cited by 106 publications
(154 citation statements)
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“…This is true for cortical locations as well as deep brain areas. This appears to conflict with our previous conclusion on this topic (Huang and Parra, 2019), where we show that the two techniques were largely the same in terms of focality. One caveat of that earlier work is that the electrode arrays had not been systematically optimized, and thus we left the possibility open that IFS could be more focal than HD-TES.…”
Section: Discussioncontrasting
confidence: 99%
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“…This is true for cortical locations as well as deep brain areas. This appears to conflict with our previous conclusion on this topic (Huang and Parra, 2019), where we show that the two techniques were largely the same in terms of focality. One caveat of that earlier work is that the electrode arrays had not been systematically optimized, and thus we left the possibility open that IFS could be more focal than HD-TES.…”
Section: Discussioncontrasting
confidence: 99%
“…The promise of non-invasive deep brain stimulation has caused considerable excitement in the research community and in the news media Shen, 2018). Our subsequent analysis of IFS suggests that it may not differ much from other multi-electrode methods in terms of intensity of stimulation (Huang and Parra, 2019). However, this conclusion is limited to the case of IFS using only two electrodes for each of the two currents.…”
Section: Introductionmentioning
confidence: 80%
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“…We also note recent efforts to increase stimulation intensity up to 6mA in humans by distributing current across multiple electrodes (85), which can achieve electric fields of 3 V/m in the brain (82). Given our estimates here, this would generate effects on synaptic plasticity of ~3%, notably affecting a few synapses most strongly ( Figure 8D).…”
Section: Dose Responsementioning
confidence: 69%