Abstract Functional magnetic resonance imaging (fMRI) has become the prime technique for non-invasive brain mapping as it yields high-resolution activation maps throughout the brain. Combined with TMS and applied simultaneously, concurrent TMS/fMRI offers the unique opportunity for directly assessing TMS-caused brain activity. Such, it is possible to study TMS effects across varying stimulation amplitude, protocol and targets. As changes in the BOLD fMRI signal are typically in range of only a few percent, high sensitivity acquisition is a prerequisite for successful TMS/fMRI. Standard concurrent TMS/fMRI setups are based on the use of single-channel, large-diameter birdcage coils that enable positioning of the TMS coil within the birdcage coil. In addition to their intrinsically low sensitivity, birdcage coils cannot be used with any of the various accelerated image acquisition methods used in MRI today, including parallel imaging (SENSE, GRAPPA) and multiband imaging (MB; simultaneous multi-slice, SMS). A different setup, based on thin, 7-channel receive arrays was recently proposed to overcome the shortcomings typical to birdcage coil setups [1,2]. Here we quantitatively assess the sensitivity of this new setup across a range of acquisition protocols. We also measure the effects of combining multiple receive-arrays for extended coverage. In particular, we show for the first time that it is possible to use three sets of 7-channel receive-arrays simultaneously to obtain unprecedentedly high sensitivity across the brain.
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