Transcranial direct current stimulation (tDCS) is a type of non-invasive neuromodulatory rehabilitative therapy that has been the focus of many recent studies in a variety of disease conditions, e.g., stroke, spinal cord injury (SCI), depression, etc. However, one hurdle for success is the variability in behavioral outcomes across different subjects. One reason for such inter-individual variability is differences in tDCS-generated electric fields (EF) inside the brain of each subject and thus the resulting tDCS-modulated neural activity. We believe a solid understanding of in vivo tDCS-generated EF and neurophysiological reactivity to tDCS is crucial to eventually minimize the variability in tDCS-related behavioral (e.g., Fugl-Meyer Motor Scale) and physiological (e.g., transcranial magnetic stimulation or TMS-evoked motor potentials or MEP) responses. Importantly, it would help us formulate dose individualization based on personal characteristics for tDCS, as already occurred for other neuromodulatory techniques, e.g., repetitive TMS (rTMS), and likely improve outcomes by decreasing inter-individual variability in recovery. This abstract will present, for the first time, tDCS-generated EF and tDCS-modulated changes in brain activity at subcortical level using stereoelectroencephalography (SEEG) with simultaneous scalp electroencephalography (EEG). We will use our finding to explore the possibility of using non-invasive EEG to individualize tDCS dose and montage in clinical setting.
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