A novel approach for documenting naming errors induced by navigated transcranial magnetic stimulation

[Display omitted] ► We developed a method that combines navigated TMS (nTMS) and synchronized video recording. ► The setup allows careful monitoring of the effect of nTMS on object naming. ► We present speech-related errors induced by nTMS in off-line analysis of the videos. ► This setup is useful f...

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Published in	Journal of neuroscience methods Vol. 204; no. 2; pp. 349 - 354
Main Authors	Lioumis, Pantelis, Zhdanov, Andrey, Mäkelä, Niko, Lehtinen, Henri, Wilenius, Juha, Neuvonen, Tuomas, Hannula, Henri, Deletis, Vedran, Picht, Thomas, Mäkelä, Jyrki P.
Format	Journal Article
Language	English
Published	Netherlands Elsevier B.V 15.03.2012
Subjects	Adult Anomia Brain Mapping Cerebral Cortex - physiology Electroencephalography Female Humans Imaging, Three-Dimensional Language Magnetic Resonance Imaging Male Middle Aged Names Neuronavigation Neuropsychological Tests Paraphasias Photic Stimulation - methods Preoperative planning Speech mapping Time Factors TMS Transcranial Magnetic Stimulation - adverse effects Young Adult Speech mapping TMS Paraphasias Anomia Neuronavigation Preoperative planning
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Abstract	[Display omitted] ► We developed a method that combines navigated TMS (nTMS) and synchronized video recording. ► The setup allows careful monitoring of the effect of nTMS on object naming. ► We present speech-related errors induced by nTMS in off-line analysis of the videos. ► This setup is useful for cognitive paradigms and for preoperative surgical planning. Transcranial magnetic stimulation (TMS) is widely used both in basic research and in clinical practice. TMS has been utilized in studies of functional organization of speech in healthy volunteers. Navigated TMS (nTMS) allows preoperative mapping of the motor cortex for surgical planning. Recording behavioral responses to nTMS in the speech-related cortical network in a manner that allows off-line review of performance might increase utility of nTMS both for scientific and clinical purposes, e.g., for a careful preoperative planning. Four subjects participated in the study. The subjects named pictures of objects presented every 2-3s on a computer screen. One-second trains of 5 pulses were applied by nTMS 300ms after the presentation of pictures. The nTMS and stimulus presentation screens were cloned. A commercial digital camera was utilized to record the subject's performance and the screen clones. Delays between presentation, audio and video signals were eliminated by carefully tested combination of displays and camera. An experienced neuropsychologist studied the videos and classified the errors evoked by nTMS during the object naming. Complete anomias, semantic, phonological and performance errors were observed during nTMS of left fronto-parieto-temporal cortical regions. Several errors were detected only in the video classification. nTMS combined with synchronized video recording provides an accurate monitoring tool of behavioral TMS experiments. This experimental setup can be particularly useful for high-quality cognitive paradigms and for clinical purposes.
AbstractList	[Display omitted] ► We developed a method that combines navigated TMS (nTMS) and synchronized video recording. ► The setup allows careful monitoring of the effect of nTMS on object naming. ► We present speech-related errors induced by nTMS in off-line analysis of the videos. ► This setup is useful for cognitive paradigms and for preoperative surgical planning. Transcranial magnetic stimulation (TMS) is widely used both in basic research and in clinical practice. TMS has been utilized in studies of functional organization of speech in healthy volunteers. Navigated TMS (nTMS) allows preoperative mapping of the motor cortex for surgical planning. Recording behavioral responses to nTMS in the speech-related cortical network in a manner that allows off-line review of performance might increase utility of nTMS both for scientific and clinical purposes, e.g., for a careful preoperative planning. Four subjects participated in the study. The subjects named pictures of objects presented every 2-3s on a computer screen. One-second trains of 5 pulses were applied by nTMS 300ms after the presentation of pictures. The nTMS and stimulus presentation screens were cloned. A commercial digital camera was utilized to record the subject's performance and the screen clones. Delays between presentation, audio and video signals were eliminated by carefully tested combination of displays and camera. An experienced neuropsychologist studied the videos and classified the errors evoked by nTMS during the object naming. Complete anomias, semantic, phonological and performance errors were observed during nTMS of left fronto-parieto-temporal cortical regions. Several errors were detected only in the video classification. nTMS combined with synchronized video recording provides an accurate monitoring tool of behavioral TMS experiments. This experimental setup can be particularly useful for high-quality cognitive paradigms and for clinical purposes. Transcranial magnetic stimulation (TMS) is widely used both in basic research and in clinical practice. TMS has been utilized in studies of functional organization of speech in healthy volunteers. Navigated TMS (nTMS) allows preoperative mapping of the motor cortex for surgical planning. Recording behavioral responses to nTMS in the speech-related cortical network in a manner that allows off-line review of performance might increase utility of nTMS both for scientific and clinical purposes, e.g., for a careful preoperative planning. Four subjects participated in the study. The subjects named pictures of objects presented every 2-3s on a computer screen. One-second trains of 5 pulses were applied by nTMS 300ms after the presentation of pictures. The nTMS and stimulus presentation screens were cloned. A commercial digital camera was utilized to record the subject's performance and the screen clones. Delays between presentation, audio and video signals were eliminated by carefully tested combination of displays and camera. An experienced neuropsychologist studied the videos and classified the errors evoked by nTMS during the object naming. Complete anomias, semantic, phonological and performance errors were observed during nTMS of left fronto-parieto-temporal cortical regions. Several errors were detected only in the video classification. nTMS combined with synchronized video recording provides an accurate monitoring tool of behavioral TMS experiments. This experimental setup can be particularly useful for high-quality cognitive paradigms and for clinical purposes. Transcranial magnetic stimulation (TMS) is widely used both in basic research and in clinical practice. TMS has been utilized in studies of functional organization of speech in healthy volunteers. Navigated TMS (nTMS) allows preoperative mapping of the motor cortex for surgical planning. Recording behavioral responses to nTMS in the speech-related cortical network in a manner that allows off-line review of performance might increase utility of nTMS both for scientific and clinical purposes, e.g., for a careful preoperative planning. Four subjects participated in the study. The subjects named pictures of objects presented every 2-3s on a computer screen. One-second trains of 5 pulses were applied by nTMS 300ms after the presentation of pictures. The nTMS and stimulus presentation screens were cloned. A commercial digital camera was utilized to record the subject's performance and the screen clones. Delays between presentation, audio and video signals were eliminated by carefully tested combination of displays and camera. An experienced neuropsychologist studied the videos and classified the errors evoked by nTMS during the object naming. Complete anomias, semantic, phonological and performance errors were observed during nTMS of left fronto-parieto-temporal cortical regions. Several errors were detected only in the video classification. nTMS combined with synchronized video recording provides an accurate monitoring tool of behavioral TMS experiments. This experimental setup can be particularly useful for high-quality cognitive paradigms and for clinical purposes.Transcranial magnetic stimulation (TMS) is widely used both in basic research and in clinical practice. TMS has been utilized in studies of functional organization of speech in healthy volunteers. Navigated TMS (nTMS) allows preoperative mapping of the motor cortex for surgical planning. Recording behavioral responses to nTMS in the speech-related cortical network in a manner that allows off-line review of performance might increase utility of nTMS both for scientific and clinical purposes, e.g., for a careful preoperative planning. Four subjects participated in the study. The subjects named pictures of objects presented every 2-3s on a computer screen. One-second trains of 5 pulses were applied by nTMS 300ms after the presentation of pictures. The nTMS and stimulus presentation screens were cloned. A commercial digital camera was utilized to record the subject's performance and the screen clones. Delays between presentation, audio and video signals were eliminated by carefully tested combination of displays and camera. An experienced neuropsychologist studied the videos and classified the errors evoked by nTMS during the object naming. Complete anomias, semantic, phonological and performance errors were observed during nTMS of left fronto-parieto-temporal cortical regions. Several errors were detected only in the video classification. nTMS combined with synchronized video recording provides an accurate monitoring tool of behavioral TMS experiments. This experimental setup can be particularly useful for high-quality cognitive paradigms and for clinical purposes. Transcranial magnetic stimulation (TMS) is widely used both in basic research and in clinical practice. TMS has been utilized in studies of functional organization of speech in healthy volunteers. Navigated TMS (nTMS) allows preoperative mapping of the motor cortex for surgical planning. Recording behavioral responses to nTMS in the speech-related cortical network in a manner that allows off-line review of performance might increase utility of nTMS both for scientific and clinical purposes, e.g., for a careful preoperative planning. Four subjects participated in the study. The subjects named pictures of objects presented every 2-3 s on a computer screen. One-second trains of 5 pulses were applied by nTMS 300 ms after the presentation of pictures. The nTMS and stimulus presentation screens were cloned. A commercial digital camera was utilized to record the subject's performance and the screen clones. Delays between presentation, audio and video signals were eliminated by carefully tested combination of displays and camera. An experienced neuropsychologist studied the videos and classified the errors evoked by nTMS during the object naming. Complete anomias, semantic, phonological and performance errors were observed during nTMS of left fronto-parieto-temporal cortical regions. Several errors were detected only in the video classification. nTMS combined with synchronized video recording provides an accurate monitoring tool of behavioral TMS experiments. This experimental setup can be particularly useful for high-quality cognitive paradigms and for clinical purposes.
Author	Lioumis, Pantelis Mäkelä, Niko Hannula, Henri Picht, Thomas Wilenius, Juha Mäkelä, Jyrki P. Zhdanov, Andrey Deletis, Vedran Neuvonen, Tuomas Lehtinen, Henri
Author_xml	– sequence: 1 givenname: Pantelis surname: Lioumis fullname: Lioumis, Pantelis email: plioumis@cc.hut.fi organization: BioMag Laboratory, HUSLAB, Hospital District of Helsinki and Uusimaa, P.O. Box 340, FI-00029 HUS, Helsinki, Finland – sequence: 2 givenname: Andrey surname: Zhdanov fullname: Zhdanov, Andrey email: andrey.zhdanov@aalto.fi organization: BioMag Laboratory, HUSLAB, Hospital District of Helsinki and Uusimaa, P.O. Box 340, FI-00029 HUS, Helsinki, Finland – sequence: 3 givenname: Niko surname: Mäkelä fullname: Mäkelä, Niko email: niko.makela@tkk.fi organization: BioMag Laboratory, HUSLAB, Hospital District of Helsinki and Uusimaa, P.O. Box 340, FI-00029 HUS, Helsinki, Finland – sequence: 4 givenname: Henri surname: Lehtinen fullname: Lehtinen, Henri email: henri.lehtinen@hus.fi organization: Epilepsy Unit, Department of Pediatric Neurology, Helsinki University Central Hospital, Helsinki, Finland – sequence: 5 givenname: Juha surname: Wilenius fullname: Wilenius, Juha email: juha.wilenius@helsinki.fi organization: BioMag Laboratory, HUSLAB, Hospital District of Helsinki and Uusimaa, P.O. Box 340, FI-00029 HUS, Helsinki, Finland – sequence: 6 givenname: Tuomas surname: Neuvonen fullname: Neuvonen, Tuomas email: tuomas.neuvonen@nexstim.com organization: Nexstim Ltd., Helsinki, Finland and Neuroscience Unit, Institute of Biomedicine/Physiology, University of Helsinki, Helsinki, Finland – sequence: 7 givenname: Henri surname: Hannula fullname: Hannula, Henri email: henri.hannula@nexstim.com organization: Nexstim Ltd., Helsinki, Finland and Neuroscience Unit, Institute of Biomedicine/Physiology, University of Helsinki, Helsinki, Finland – sequence: 8 givenname: Vedran surname: Deletis fullname: Deletis, Vedran email: VDeletis@chpnet.org organization: Department for Intraoperative Neurophysiology, St Luke's Roosevelt Hospital, New York, NY, United States – sequence: 9 givenname: Thomas surname: Picht fullname: Picht, Thomas email: thomas.picht@charite.de organization: Department of Neurosurgery, Charité University Hospital, Berlin, Germany – sequence: 10 givenname: Jyrki P. surname: Mäkelä fullname: Mäkelä, Jyrki P. email: jyrki.makela@hus.fi organization: BioMag Laboratory, HUSLAB, Hospital District of Helsinki and Uusimaa, P.O. Box 340, FI-00029 HUS, Helsinki, Finland
BackLink	https://www.ncbi.nlm.nih.gov/pubmed/22108143$$D View this record in MEDLINE/PubMed
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Snippet	[Display omitted] ► We developed a method that combines navigated TMS (nTMS) and synchronized video recording. ► The setup allows careful monitoring of the... Transcranial magnetic stimulation (TMS) is widely used both in basic research and in clinical practice. TMS has been utilized in studies of functional...
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SubjectTerms	Adult Anomia Brain Mapping Cerebral Cortex - physiology Electroencephalography Female Humans Imaging, Three-Dimensional Language Magnetic Resonance Imaging Male Middle Aged Names Neuronavigation Neuropsychological Tests Paraphasias Photic Stimulation - methods Preoperative planning Speech mapping Time Factors TMS Transcranial Magnetic Stimulation - adverse effects Young Adult
Title	A novel approach for documenting naming errors induced by navigated transcranial magnetic stimulation
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