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The intervention, the patient and the illness-Personalizing non-invasive brain stimulation in psychiatry

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Bulubas,  Lucia
IMPRS Translational Psychiatry, Max Planck Institute of Psychiatry, Max Planck Society;

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Koutsouleris,  Nikolaos
Max Planck Fellow Group Precision Psychiatry, Max Planck Institute of Psychiatry, Max Planck Society;

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Citation

Padberg, F., Bulubas, L., Mizutani-Tiebel, Y., Burkhardt, G., Kranz, G. S., Koutsouleris, N., et al. (2021). The intervention, the patient and the illness-Personalizing non-invasive brain stimulation in psychiatry. EXPERIMENTAL NEUROLOGY, 341: 113713. doi:10.1016/j.expneurol.2021.113713.


Cite as: https://hdl.handle.net/21.11116/0000-0008-E179-2
Abstract
Current hypotheses on the therapeutic action of non-invasive brain stimulation (NIBS) in psychiatric disorders build on the abundant data from neuroimaging studies. This makes NIBS a very promising tool for developing personalized interventions within a precision medicine framework. NIBS methods fundamentally vary in their neurophysiological properties. They comprise repetitive transcranial magnetic stimulation (rTMS) and its variants (e.g. theta burst stimulation - TBS) as well as different types of transcranial electrical stimulation (tES), with the largest body of evidence for transcranial direct current stimulation (tDCS). In the last two decades, significant conceptual progress has been made in terms of NIBS targets, i.e. from single brain regions to neural circuits and to functional connectivity as well as their states, recently leading to brain state modulating closed-loop approaches. Regarding structural and functional brain anatomy, NIBS meets an individually unique constellation,