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4 ARTICLES PUBLISHED IN JoVE

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Medicine

Technique and Considerations in the Use of 4x1 Ring High-definition Transcranial Direct Current Stimulation (HD-tDCS)
Mauricio F. Villamar 1,2, Magdalena Sarah Volz 1,3, Marom Bikson 4, Abhishek Datta 1,4, Alexandre F. DaSilva *5, Felipe Fregni *1
1Laboratory of Neuromodulation, Department of Physical Medicine & Rehabilitation, Spaulding Rehabilitation Hospital and Massachusetts General Hospital, Harvard Medical School, 2School of Medicine, Pontifical Catholic University of Ecuador, 3Charité University Medicine Berlin, 4The City College of The City University of New York, 5Headache & Orofacial Pain Effort (H.O.P.E.), Biologic & Materials Sciences, School of Dentistry, University of Michigan

High-definition transcranial direct current stimulation (HD-tDCS), with its 4x1-ring montage, is a noninvasive brain stimulation technique that combines both the neuromodulatory effects of conventional tDCS with increased focality. This article provides a systematic demonstration of the use of 4x1 HD-tDCS, and the considerations needed for safe and effective stimulation.

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Medicine

A Protocol for the Use of Remotely-Supervised Transcranial Direct Current Stimulation (tDCS) in Multiple Sclerosis (MS)
Margaret Kasschau 1,2, Kathleen Sherman 1,2, Lamia Haider 2, Ariana Frontario 1,2, Michael Shaw 1,2, Abhishek Datta 3, Marom Bikson 4, Leigh Charvet 1,2
1Multiple Sclerosis Comprehensive Care Center, Department of Neurology, NYU Langone Medical Center, 2Department of Neurology, Stony Brook Medicine, 3Soterix Medical, Inc, 4Department of Biomedical Engineering, The City College of New York

The goal of this pilot study is to describe a protocol for the remotely-supervised delivery of transcranial direct current stimulation (tDCS) so that the procedure maintains standards of in-clinic practice, including safety, reproducibility, and tolerability. The feasibility of this protocol was tested in participants with multiple sclerosis (MS).

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Neuroscience

Remotely Supervised Transcranial Direct Current Stimulation: An Update on Safety and Tolerability
Michael T. Shaw 1, Margaret Kasschau 2, Bryan Dobbs 1, Natalie Pawlak 1, William Pau 1, Kathleen Sherman 1, Marom Bikson 3, Abhishek Datta 4, Leigh E. Charvet 1
1New York University, Langone Medical Center, 2Stony Brook Medicine, 3City College of New York, 4Soterix Medical

This manuscript provides an updated remote supervision protocol that enables participation in transcranial direct current stimulation (tDCS) clinical trials while receiving treatment sessions from home. The protocol has been successfully piloted in both patients with multiple sclerosis and Parkinson's disease.

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Neuroscience

Measuring Contralateral Silent Period Induced by Single-Pulse Transcranial Magnetic Stimulation to Investigate M1 Corticospinal Inhibition
Ingrid Rebello-Sanchez 1, Joao Parente 1, Kevin Pacheco-Barrios 1,2, Anna Marduy 1, Danielle Carolina Pimenta 1, Daniel Lima 1, Eric Slawka 1, Alejandra Cardenas-Rojas 1, Gleysson Rodrigues Rosa 1, Kamran Nazim 3, Abhishek Datta 3,4, Felipe Fregni 1
1Neuromodulation Center and Center for Clinical Research Learning, Spaulding Rehabilitation Hospital and Massachusetts General Hospital, Harvard Medical School, 2Universidad de Investigación para la Generación y Síntesis de Evidencia en Salud, Universidad San Ignacio de Loyola, 3Research and Development, Soterix Medical, 4City College of New York

Contralateral silent period (cSP) assessment is a promising biomarker to index cortical excitability and treatment response. We demonstrate a protocol to assess cSP intended for studying M1 corticospinal inhibition of upper and lower limbs.

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