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Precision Neurotherapeutics Lab @ Stanford

@stanfordpntlab.bsky.social
413 followers 573 following 53 posts

Deconstructing brain stimulation tools to build personalized treatments for mental health disorders. precisionneuro.stanford.edu

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Reposted by Precision Neurotherapeutics Lab @ Stanford
Precision Neurotherapeutics Lab @ Stanford @stanfordpntlab.bsky.social · 18/02/2025
🧠 We are #hiring! Postdoc @stanfordmedicine.bsky.social: help us develop closed-loop EEG platforms to improve TMS treatment for depression! Coding and neuroscience / engineering backgrounds required. Join our team! precisionneuro.stanford.edu email: ckeller1@stanford.edu
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Reposted by Precision Neurotherapeutics Lab @ Stanford
Precision Neurotherapeutics Lab @ Stanford @stanfordpntlab.bsky.social · 10/04/2025
When we use TMS to treat depression, we think it alters neural activity in a deep brain structure known as the subgenual anterior cingulate (sgACC). But this is hard to test directly, until our preprint with @coreykeller.bsky.social, @neuro-engineer.bsky.social, Nick Trapp, and Aaron Boes (UIowa) 1/
biorxiv.org
DLPFC Stimulation Suppresses High-Frequency Neural Activity in the Human sgACC
Transcranial magnetic stimulation (TMS) to the dorsolateral prefrontal cortex (DLPFC) is hypothesized to relieve symptoms of depression by inhibiting activity in the subgenual anterior cingulate corte...
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Reposted by Precision Neurotherapeutics Lab @ Stanford
Precision Neurotherapeutics Lab @ Stanford @stanfordpntlab.bsky.social · 10/04/2025
🧠 NEW PAPER: How do we capture excitability noninvasively in mood and emotion networks in the human brain? Here, we used real-time optimization to improve these measures! @sparmi.bsky.social @stanfordpntlab.bsky.social @clinicalneuroph.bsky.social doi.org/10.1016/j.clinph.2025.02.261 1/7
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Precision Neurotherapeutics Lab @ Stanford @stanfordpntlab.bsky.social · 10/04/2025
And to the rest of the amazing team and resources! 7/7 @coreykeller.bsky.social @juhagogulski.bsky.social @jessicamross8.bsky.social @stanfordpntlab.bsky.social @stanfordmedicine.bsky.social Manjima Sarkar, Jade Truong, Lily Forman!!
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Precision Neurotherapeutics Lab @ Stanford @stanfordpntlab.bsky.social · 10/04/2025
Big shout out to my co-first author 👏 @chrisclineneuro.bsky.social
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Precision Neurotherapeutics Lab @ Stanford @stanfordpntlab.bsky.social · 10/04/2025
Interested in learning more? Read the full paper in Clinical Neurophysiology! doi.org/10.1016/j.cl... 5/7
doi.org
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Precision Neurotherapeutics Lab @ Stanford @stanfordpntlab.bsky.social · 10/04/2025
Key findings: Optimization reduced artifacts by 63% and increased early local TMS-evoked potentials (EL-TEPs), a measure of prefrontal excitability, by 75%! #EEG #TMS #TMSEEG 4/7
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Precision Neurotherapeutics Lab @ Stanford @stanfordpntlab.bsky.social · 10/04/2025
We introduce a novel method for optimizing TMS parameters in the dlPFC. Based on EEG responses, this closed-loop procedure optimizes TMS coil angle, location, and intensity in real time. 3/7
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Precision Neurotherapeutics Lab @ Stanford @stanfordpntlab.bsky.social · 10/04/2025
Why is this important? The dlPFC is a depression treatment target, but we need clinic-ready ways to measure stimulation effects. TMS-EEG can help, but artifacts obscure responses. 2/7
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Precision Neurotherapeutics Lab @ Stanford @stanfordpntlab.bsky.social · 10/04/2025
🧠 NEW PAPER: How do we capture excitability noninvasively in mood and emotion networks in the human brain? Here, we used real-time optimization to improve these measures! @sparmi.bsky.social @stanfordpntlab.bsky.social @clinicalneuroph.bsky.social doi.org/10.1016/j.clinph.2025.02.261 1/7
doi.org
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Precision Neurotherapeutics Lab @ Stanford @stanfordpntlab.bsky.social · 10/04/2025
This builds on influential work by @foxmdphd.bsky.social @shansiddiqi.bsky.social @desmondoathes.bsky.social and many others. It would not have been possible without the support of UIowa, Stanford, and generous funding from the NIH/NIMH. reposted from @esolomon.bsky.social
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Precision Neurotherapeutics Lab @ Stanford @stanfordpntlab.bsky.social · 10/04/2025
It’s important to be clear that we only had two neurosurgical patients to test these effects, so these findings need replication. But these data so far seem to align with a major hypothesis in the field: DLPFC TMS specifically alters population-level neural activity in the sgACC. 5/
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Precision Neurotherapeutics Lab @ Stanford @stanfordpntlab.bsky.social · 10/04/2025
We were surprised to find that, despite anticorrelated HFA signals, TMS seemed to increase phase-locking in lower frequencies (alpha and theta) between sgACC-DLPFC. Could this be a mechanism by which the DLPFC influences sgACC activity? 4/
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Precision Neurotherapeutics Lab @ Stanford @stanfordpntlab.bsky.social · 10/04/2025
HFA signal in the sgACC was inversely correlated with HFA signal in the DLPFC, meaning that as DLPFC activity increased following TMS, sgACC activity decreased. This mirrors what we’ve known from fMRI for a long time, but now shown with direct in-vivo measures of neural activity. 3/
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Precision Neurotherapeutics Lab @ Stanford @stanfordpntlab.bsky.social · 10/04/2025
Stimulation to the DLPFC may tamp down an overactive sgACC and relieve symptoms of depression. By stimulating the DLPFC with TMS in two neurosurgical patients with electrodes implanted within the sgACC, we found a reduction in high-frequency neural activity – a correlate of population spiking. 2/
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Precision Neurotherapeutics Lab @ Stanford @stanfordpntlab.bsky.social · 10/04/2025
When we use TMS to treat depression, we think it alters neural activity in a deep brain structure known as the subgenual anterior cingulate (sgACC). But this is hard to test directly, until our preprint with @coreykeller.bsky.social, @neuro-engineer.bsky.social, Nick Trapp, and Aaron Boes (UIowa) 1/
biorxiv.org
DLPFC Stimulation Suppresses High-Frequency Neural Activity in the Human sgACC
Transcranial magnetic stimulation (TMS) to the dorsolateral prefrontal cortex (DLPFC) is hypothesized to relieve symptoms of depression by inhibiting activity in the subgenual anterior cingulate corte...
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Precision Neurotherapeutics Lab @ Stanford @stanfordpntlab.bsky.social · 07/04/2025
🚨 New paper alert! Congratulations to the team on getting their paper accepted to @clinicalneuroph.bsky.social 🥳👏 @sparmi.bsky.social @chrisclineneuro.bsky.social @juhagogulski.bsky.social @jessicamross8.bsky.social @coreykeller.bsky.social Read more below 👇 @stanfordbrain.bsky.social
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Precision Neurotherapeutics Lab @ Stanford @stanfordpntlab.bsky.social · 04/04/2025
Preprint alert! Check out our latest work in @stanfordpntlab.bsky.social, with @coreykeller.bsky.social @neuro-engineer.bsky.social @esolomon.bsky.social Nick Trapp Aaron Boes (UIowa) 👏
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Reposted by Precision Neurotherapeutics Lab @ Stanford
stanfordbrain.bsky.social @stanfordbrain.bsky.social · 10/03/2025
Congrats to our 2025 Neuroscience:Translate awardees! Their projects support brain imaging and stimulation technologies to improve depression treatment, broaden access to TMS therapy, and advance methods for imaging inflammation in the brain. Learn more: neuroscience.stanford.edu/news/brain-i...
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Precision Neurotherapeutics Lab @ Stanford @stanfordpntlab.bsky.social · 19/02/2025
🚀 Exciting week at #BrainStimConf in Japan 🇯🇵! @coreykeller.bsky.social @juhagogulski.bsky.social & @chrisclineneuro.bsky.social are presenting on #TMSEEG, plasticity & precision neuromodulation 🧠⚡ See the full lineup below! 📸✨ @stanfordmedicine.bsky.social #neuroscience
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Precision Neurotherapeutics Lab @ Stanford @stanfordpntlab.bsky.social · 18/02/2025
🧠 We are #hiring! Postdoc @stanfordmedicine.bsky.social: help us develop closed-loop EEG platforms to improve TMS treatment for depression! Coding and neuroscience / engineering backgrounds required. Join our team! precisionneuro.stanford.edu email: ckeller1@stanford.edu
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Precision Neurotherapeutics Lab @ Stanford @stanfordpntlab.bsky.social · 14/02/2025
and @chrisclineneuro.bsky.social!
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Reposted by Precision Neurotherapeutics Lab @ Stanford
Precision Neurotherapeutics Lab @ Stanford @stanfordpntlab.bsky.social · 14/02/2025
1/10 🧠 We need better ways to measure brain excitability in psychiatric disorders. The prefrontal cortex—key target for brain stimulation treatments—is particularly hard to assess. Our new studies tackle this with systematic mapping! bit.ly/4cjHknX & bit.ly/3PW8RCx
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Precision Neurotherapeutics Lab @ Stanford @stanfordpntlab.bsky.social · 14/02/2025
9/9 @juhagogulski.bsky.social @coreykeller.bsky.social @stanfordpntlab.bsky.social @jessicamross8.bsky.social @sparmi.bsky.social @stanfordmedicine.bsky.social @stanfordpress.bsky.social @nihr.bsky.social Truong J., Sarkar M.
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Precision Neurotherapeutics Lab @ Stanford @stanfordpntlab.bsky.social · 14/02/2025
8/9 🔑 Key takeaways: • Careful target selection boosts early TMS-evoked signals in dlPFC • Most dlPFC areas can produce reliable TMS-evoked signals with optimized analysis This work advances early TMS-evoked EEG signal as a potential biomarker for depression! #depression
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Precision Neurotherapeutics Lab @ Stanford @stanfordpntlab.bsky.social · 14/02/2025
7/9 ⚡️ Surprisingly, we found that as few as 25 TMS pulses could produce reliable responses from the medial dlPFC target! This is much lower than previously thought and could allow for faster measurements.
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Precision Neurotherapeutics Lab @ Stanford @stanfordpntlab.bsky.social · 14/02/2025
6/9 💪 We found that reliability was improved by using: • Peak-to-peak amplitude • Later time windows (20-60 ms or 30-60ms) • Sensor-space (vs. source-space) analysis ROI size didn't impact reliability much.
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Precision Neurotherapeutics Lab @ Stanford @stanfordpntlab.bsky.social · 14/02/2025
5/9 🔍 We then examined how reliable these early TMS-evoked responses are. The most medial dlPFC target was most reliable, while the most anterior was least reliable. But with optimized analysis, most targets could produce reliable signals. #reliability
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Precision Neurotherapeutics Lab @ Stanford @stanfordpntlab.bsky.social · 14/02/2025
4/9 📈 The "best" dlPFC target produced responses over 2x larger than standard clinical targets! This suggests we may be able to boost the early TMS-EEG signal by carefully selecting the stimulation location. #optimization
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Precision Neurotherapeutics Lab @ Stanford @stanfordpntlab.bsky.social · 14/02/2025
3/9 📊 We found posterior & medial targets produced larger responses with less muscle artifact compared to anterior & lateral targets. This suggests some areas of the dlPFC may be better suited for measuring brain excitability with TMS.
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Precision Neurotherapeutics Lab @ Stanford @stanfordpntlab.bsky.social · 14/02/2025
2/9 🎯 In the first study, we mapped early TMS-evoked brain responses across 6 targets in the dlPFC. This allowed us to compare how different areas of the dlPFC respond to TMS. #EEG #TMS
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Precision Neurotherapeutics Lab @ Stanford @stanfordpntlab.bsky.social · 14/02/2025
1/10 🧠 We need better ways to measure brain excitability in psychiatric disorders. The prefrontal cortex—key target for brain stimulation treatments—is particularly hard to assess. Our new studies tackle this with systematic mapping! bit.ly/4cjHknX & bit.ly/3PW8RCx
bit.ly
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Precision Neurotherapeutics Lab @ Stanford @stanfordpntlab.bsky.social · 31/01/2025
10/10 @juhagogulski.bsky.social @coreykeller.bsky.social @jessicamross8.bsky.social @sparmi.bsky.social Truong J. Sarkar M. @stanfordmedicine.bsky.social @helsinki.fi @helsinkiupress.bsky.social Aaltosen E., Laaketieteen, National Institute of Mental Health (NIMH)
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Precision Neurotherapeutics Lab @ Stanford @stanfordpntlab.bsky.social · 31/01/2025
9/10 🔑 Key takeaways: • Careful target selection boosts early TMS-evoked signals in dlPFC • Most dlPFC areas can produce reliable TMS-evoked signals with optimized analysis This work advances early TMS-evoked EEG signal as a potential biomarker for depression! #depression
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Precision Neurotherapeutics Lab @ Stanford @stanfordpntlab.bsky.social · 31/01/2025
8/10 ⚡️ Surprisingly, we found that as few as 25 TMS pulses could produce reliable responses from the medial dlPFC target! This is much lower than previously thought and could allow for faster measurements.
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Precision Neurotherapeutics Lab @ Stanford @stanfordpntlab.bsky.social · 31/01/2025
7/10 💪 We found that reliability was improved by using: • Peak-to-peak amplitude • Later time windows (20-60 ms or 30-60ms) • Sensor-space (vs. source-space) analysis ROI size didn't impact reliability much.
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Precision Neurotherapeutics Lab @ Stanford @stanfordpntlab.bsky.social · 31/01/2025
6/10 🔍 We then examined how reliable these early TMS-evoked responses are. The most medial dlPFC target was most reliable, while the most anterior was least reliable. But with optimized analysis, most targets could produce reliable signals. #reliability
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Precision Neurotherapeutics Lab @ Stanford @stanfordpntlab.bsky.social · 31/01/2025
5/10 📈 The "best" dlPFC target produced responses over 2x larger than standard clinical targets! This suggests we may be able to boost the early TMS-EEG signal by carefully selecting the stimulation location. #optimization
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Precision Neurotherapeutics Lab @ Stanford @stanfordpntlab.bsky.social · 31/01/2025
4/10 📊 We found posterior & medial targets produced larger responses with less muscle artifact compared to anterior & lateral targets. This suggests some areas of the dlPFC may be better suited for measuring brain excitability with TMS.
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Precision Neurotherapeutics Lab @ Stanford @stanfordpntlab.bsky.social · 31/01/2025
3/10 🎯 In the first study, we mapped early TMS-evoked brain responses across 6 targets in the dlPFC. This allowed us to compare how different areas of the dlPFC respond to TMS. #EEG #TMS
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Precision Neurotherapeutics Lab @ Stanford @stanfordpntlab.bsky.social · 31/01/2025
2/10 📢 Exciting new research from @JuhaGogulski et al! 🧠 We mapped signal quality and reliability of brain excitability across different parts of the dorsolateral prefrontal cortex (dlPFC). First study: bit.ly/3xCgCHU Second study: bit.ly/3PW8RCx @stanfordmedicine.bsky.social
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Reposted by Precision Neurotherapeutics Lab @ Stanford
Precision Neurotherapeutics Lab @ Stanford @stanfordpntlab.bsky.social · 07/12/2024
🚨 New preprint alert 🚨 Musical rhythms can boost brain stimulation effects! ⚡️ Sensory-entrained #TMS (seTMS) synchronizes TMS pulses with auditory rhythm-induced high-excitability brain states 🎶🧠 Thread below 👇 @stanfordmedicine.bsky.social #StanfordMed #StanfordBrain (1/10)
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Reposted by Precision Neurotherapeutics Lab @ Stanford
Precision Neurotherapeutics Lab @ Stanford @stanfordpntlab.bsky.social · 09/12/2024
We're excited to share NaviNIBS, our new open-source tool 🔨 for neuronavigated noninvasive #brainstim 🧠⚡️ 🎉Congrats to our co-director Chris Cline, lead developer of NaviNIBS! We hope to enable new possibilities for innovations in neuronavigation #TMSEEG @stanfordmedicine.bsky.social (1/5)
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Reposted by Precision Neurotherapeutics Lab @ Stanford
Precision Neurotherapeutics Lab @ Stanford @stanfordpntlab.bsky.social · 06/12/2024
Hello BlueSky community! 🦋👋 We're the Stanford Precision Neurotherapeutics Lab 🧠 Dedicated to advancing neuroscience by deconstructing brain stimulation to build personalized treatments for mental health disorders 🚀 Check out our work and learn more about us! 🔗 precisionneuro.stanford.edu (1/2)
precisionneuro.stanford.edu
PNT Lab
Explore Precision Neurotherapeutics Lab at Stanford, dedicated to advancing neurotechnology and computational methods for precision health. Discover our interdisciplinary research and collaborations a...
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Precision Neurotherapeutics Lab @ Stanford @stanfordpntlab.bsky.social · 09/12/2024
If you would like to test out #NaviNIBS or have any other questions, please message Chris on Bluesky or via email! (5/5) bsky.app/profile/chr...
bsky.app
Chris Cline (@chrisclineneuro.bsky.social)
Research engineer @ Stanford. Interested in brain stimulation and neuroimaging, especially TMS-EEG. Co-Director, Precision Neurotherapeutics Lab Department of Psychiatry and Behavioral Sciences Stanford University
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Precision Neurotherapeutics Lab @ Stanford @stanfordpntlab.bsky.social · 09/12/2024
NaviNIBS is a comprehensive neuronavigation toolbox that we’re already using in multiple #TMSEEG studies! Some key improvements over existing tools include faster and more precise head re-registration procedures, advanced robotic positioning & open-source extensibility 🫨 (4/5)
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Precision Neurotherapeutics Lab @ Stanford @stanfordpntlab.bsky.social · 09/12/2024
Documentation and links to source code 🧑‍💻👩‍💻 can be found on Github 🔗 precisionneurolab.github.io/navinibs-docs/ (3/5)
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Precision Neurotherapeutics Lab @ Stanford @stanfordpntlab.bsky.social · 09/12/2024
🚨 Preprint describing NaviNIBS is up on bioRxiv! 🔗 www.biorxiv.org/content/10.... (2/5)
biorxiv.org
NaviNIBS: a comprehensive and open-source software toolbox for neuronavigated noninvasive brain stimulation
Image-guided positioning, or neuronavigation, is critical for precise targeting of transcranial magnetic stimulation (TMS) and other noninvasive brain stimulation. However, existing commercial systems have limitations in flexibility and extensibility for research applications. We present new open-source software for neuronavigated non-invasive brain stimulation (NaviNIBS) that provides comprehensive functionality for TMS experiments. NaviNIBS supports imaging data import, target planning, head registration, real-time tool tracking, and integration with robotic positioning and electrophysiology systems. Key features include flexible target specification, support for multiple tracking hardware options, refined head registration techniques, and an extensible addon system. We describe the software architecture, core functionality, characterization of tracking performance, and example applications of NaviNIBS. This software aims to facilitate methodological improvements and novel experiment
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Precision Neurotherapeutics Lab @ Stanford @stanfordpntlab.bsky.social · 09/12/2024
We're excited to share NaviNIBS, our new open-source tool 🔨 for neuronavigated noninvasive #brainstim 🧠⚡️ 🎉Congrats to our co-director Chris Cline, lead developer of NaviNIBS! We hope to enable new possibilities for innovations in neuronavigation #TMSEEG @stanfordmedicine.bsky.social (1/5)
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Precision Neurotherapeutics Lab @ Stanford @stanfordpntlab.bsky.social · 07/12/2024
It takes a village! @coreykeller.bsky.social @chrisclineneuro.bsky.social @juhagogulski.bsky.social @neuro-engineer.bsky.social @sparmi.bsky.social @stanfordmedicine.bsky.social L. Forman, J. Truong, T. Fujioka, A. Pascual-Leone, W. Hartford, N.F. Chen
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