Abstract

BackgroundTo apply transcranial electrical stimulation (tES) to the motor cortex, motor hotspots are generally identified using motor evoked potentials by transcranial magnetic stimulation (TMS). The objective of this study is to validate the feasibility of a novel electroencephalography (EEG)-based motor-hotspot-identification approach using a machine learning technique as a potential alternative to TMS.MethodsEEG data were measured using 63 channels from thirty subjects as they performed a simple finger tapping task. Power spectral densities of the EEG data were extracted from six frequency bands (delta, theta, alpha, beta, gamma, and full) and were independently used to train and test an artificial neural network for motor hotspot identification. The 3D coordinate information of individual motor hotspots identified by TMS were quantitatively compared with those estimated by our EEG-based motor-hotspot-identification approach to assess its feasibility.ResultsThe minimum mean error distance between the motor hotspot locations identified by TMS and our proposed motor-hotspot-identification approach was 0.22 ± 0.03 cm, demonstrating the proof-of-concept of our proposed EEG-based approach. A mean error distance of 1.32 ± 0.15 cm was measured when using only nine channels attached to the middle of the motor cortex, showing the possibility of practically using the proposed motor-hotspot-identification approach based on a relatively small number of EEG channels.ConclusionWe demonstrated the feasibility of our novel EEG-based motor-hotspot-identification method. It is expected that our approach can be used as an alternative to TMS for motor hotspot identification. In particular, its usability would significantly increase when using a recently developed portable tES device integrated with an EEG device.

Highlights

  • Motor impairment is a frequent symptom occurring after neurological disorders, such as stroke and Parkinson’s disease [1,2,3]

  • We tested the motor hotspot candidate that showed the second largest Motor evoked potential (MEP) to check whether this candidate met the criterion of motor hotspot identification, which was iterated until a motor hotspot candidate met the mentioned criterion [24,25,26]

  • Movement-related event-related potential (ERP) was clearly observed on the motor cortex during finger tapping for both hands, and, in particular, stronger movement-related ERP was observed on the contralateral motor area [33, 34]

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Summary

Introduction

Motor impairment is a frequent symptom occurring after neurological disorders, such as stroke and Parkinson’s disease [1,2,3]. Transcranial electrical stimulation (tES) capable of modulating cortical excitability using a weak electrical current has been introduced for motor rehabilitation, and its positive effects have been proven in many interventional studies even though the mechanisms have not yet been fully understood [4,5,6,7,8,9,10]. One study showed that anodal transcranial direct current stimulation (tDCS) on the ipsilesional primary motor cortex could improve overall motor functions of the upper limbs in stroke patients, and its effects persisted for at least 3 months post-intervention [11]. Another study demonstrated the positive effects of transcranial alternating current stimulation (tACS) on motor performance improvements in Parkinson’s disease [12]. The objective of this study is to validate the feasibility of a novel electroencephalography (EEG)-based motor-hotspot-identification approach using a machine learning technique as a potential alternative to TMS

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