Abstract
Transcranial direct current stimulation (tDCS) is a non-invasive technique able to modulate cortical excitability in a polarity-dependent way. At present, only few studies investigated the effects of tDCS on the modulation of functional connectivity between remote cortical areas. The aim of this study was to investigate—through graph theory analysis—how bipolar tDCS modulate cortical networks high-density EEG recordings were acquired before and after bipolar cathodal, anodal and sham tDCS involving the primary motor and pre-motor cortices of the dominant hemispherein 14 healthy subjects. Results showed that, after bipolar anodal tDCS stimulation, brain networks presented a less evident “small world” organization with a global tendency to be more random in its functional connections with respect to prestimulus condition in both hemispheres. Results suggest that tDCS globally modulates the cortical connectivity of the brain, modifying the underlying functional organization of the stimulated networks, which might be related to changes in synaptic efficiency of the motor network and related brain areas. This study demonstrated that graph analysis approach to EEG recordings is able to intercept changes in cortical functions mediated by bipolar anodal tDCS mainly involving the dominant M1 and related motor areas. Concluding, tDCS could be an useful technique to help understanding brain rhythms and their topographic functional organization and specificity.
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Achard S, Bullmore E (2007) Efficiency and cost of economical brain functional networks. PLoS Comput Biol 3:e17
Basar E (2012) A review of alpha activity in integrative brain function: fundamental physiology, sensory coding, cognition and pathology. Int J Psychophysiol 86:1–24
Başar E, Başar-Eroğlu C, Güntekin B, Yener GG (2013) Brain’s alpha, beta, gamma, delta, and theta oscillations in neuropsychiatric diseases: proposal for biomarker strategies. Suppl Clin Neurophysiol 62:19–54
Bassett DS, Bullmore E (2006) Small-world brain networks. Neuroscientist 12:512–523
Bassett DS, Bullmore ET (2009) Human brain networks in health and disease. Curr Opin Neurol 22:340–347
Bazanova OM, Vernon D (2014) Interpreting EEG alpha activity. Neurosci Biobehav Rev 44:94–110
Bell AJ, Sejnowski TJ (1995) An information-maximization approach to blind separation and blind deconvolution. Neural Comput 7:1129–1159
Ben-Simon E, Podlipsky I, Arieli A, Zhdanov A, Hendler T (2008) Never resting brain: simultaneous representation of two alpha related processes in humans. PLoS One 3:e3984
Boggio PS, Castro LO, Savagim EA, Braite R, Cruz VC, Rocha RR, Rigonatti SP, Silva MT, Fregni F (2006) Enhancement of non-dominant hand motor function by anodal transcranial direct current stimulation. Neurosci Lett 404:232–236
Bola M, Sabel BA (2015) Dynamic reorganization of brain functional networks during cognition. Neuroimage 114:398–413
Bola M, Gall C, Moewes C, Fedorov A, Hinrichs H, Sabel BA (2014) Brain functional connectivity network breakdown and restoration in blindness. Neurology 83:542–551
Bola M, Gall C, Sabel BA (2015) Disturbed temporal dynamics of brain synchronization in vision loss. Cortex 67:134–146
Bollimunta A, Mo J, Schroeder CE, Ding M (2011) Neuronal mechanisms and attentional modulation of corticothalamic alpha oscillations. J Neurosci 31:4935–4943
Boros K, Poreisz C, Munchau A, Paulus W, Nitsche MA (2008) Premotor transcranial direct current stimulation (tDCS) affects primary motor excitability in humans. Eur J Neurosci 27:1292–1300
Cordes D, Haughton VM, Arfanakis K, Wendt GJ, Turski PA, Moritz CH, Quigley MA, Meyerand ME (2000) Mapping functionally related regions of brain with functional connectivity MR imaging. AJNR Am J Neuroradiol 21:1636–1644
Datta A, Bansal V, Diaz J, Patel J, Reato D, Bikson M (2009 Oct) Gyri-precise head model of transcranial direct current stimulation: improved spatial focality using a ring electrode versus conventional rectangular pad. Brain Stimul 2(4):201–207 (207.e1)
Ferreri F, Rossini PM (2013) TMS and TMS-EEG techniques in the study of the excitability, connectivity, and plasticity of the human motor cortex. Rev Neurosci 24:431–442
Ferreri F, Pasqualetti P, Maatta S, Ponzo D, Ferrarelli F, Tononi G, Mervaala E, Miniussi C, Rossini PM (2011) Human brain connectivity during single and paired pulse transcranial magnetic stimulation. Neuroimage 54:90–102
Ferreri F, Ponzo D, Hukkanen T, Mervaala E, Kononen M, Pasqualetti P, Vecchio F, Rossini PM, Maatta S (2012) Human brain cortical correlates of short-latency afferent inhibition: a combined EEG-TMS study. J Neurophysiol 108:314–323
Ferreri F, Vecchio F, Ponzo D, Pasqualetti P, Rossini PM (2014) Time-varying coupling of EEG oscillations predicts excitability fluctuations in the primary motor cortex as reflected by motor evoked potentials amplitude: an EEG-TMS study. Hum Brain Mapp 35:1969–1980
Ferreri F, Vecchio F, Guerra A, Miraglia F, Ponzo D, Vollero L, Iannello G, Maatta S, Mervaala E, Rossini PM, Di Lazzaro V (2017) Age related differences in functional synchronization of EEG activity as evaluated by means of TMS-EEG coregistrations. Neurosci Lett 647:141–146. https://doi.org/10.1016/j.neulet.2017.03.021
Fox MD, Raichle ME (2007) Spontaneous fluctuations in brain activity observed with functional magnetic resonance imaging. Nat Rev Neurosci 8:700–711
Fregni F, Boggio PS, Mansur CG, Wagner T, Ferreira MJ, Lima MC, Rigonatti SP, Marcolin MA, Freedman SD, Nitsche MA, Pascual-Leone A (2005) Transcranial direct current stimulation of the unaffected hemisphere in stroke patients. Neuroreport 16:1551–1555
Freyer F, Aquino K, Robinson PA, Ritter P, Breakspear M (2009) Bistability and non-Gaussian fluctuations in spontaneous cortical activity. J Neurosci 29:8512–8524
Guerra A, Petrichella S, Vollero L, Ponzo D, Pasqualetti P, Maatta S, Mervaala E, Kononen M, Bressi F, Iannello G, Rossini PM, Ferreri F (2015) Neurophysiological features of motor cortex excitability and plasticity in subcortical ischemic vascular dementia: a TMS mapping study. Clin Neurophysiol 126:906–913
Hern JE, Landgren S, Phillips CG, Porter R (1962) Selective excitation of corticofugal neurones by surface-anodal stimulation of the baboon’s motor cortex. J Physiol 161:73–90
Hipp JF, Hawellek DJ, Corbetta M, Siegel M, Engel AK (2012) Large-scale cortical correlation structure of spontaneous oscillatory activity. Nat Neurosci 15:884–890
Hoffmann S, Falkenstein M (2008) The correction of eye blink artefacts in the EEG: a comparison of two prominent methods. PLoS One 3:e3004
Hummel F, Cohen LG (2005) Improvement of motor function with noninvasive cortical stimulation in a patient with chronic stroke. Neurorehabil Neural Repair 19:14–19
Iriarte J, Urrestarazu E, Valencia M, Alegre M, Malanda A, Viteri C, Artieda J (2003) Independent component analysis as a tool to eliminate artifacts in EEG: a quantitative study. J Clin Neurophysiol 20:249–257
Jensen O, Mazaheri A (2010) Shaping functional architecture by oscillatory alpha activity: gating by inhibition. Front Hum Neurosci 4:186
Klimesch W (1999) EEG alpha and theta oscillations reflect cognitive and memory performance: a review and analysis. Brain Res Brain Res Rev 29:169–195
Klimesch W, Schimke H, Pfurtscheller G (1993) Alpha frequency, cognitive load and memory performance. Brain Topogr 5:241–251
Klimesch W, Schimke H, Schwaiger J (1994) Episodic and semantic memory: an analysis in the EEG theta and alpha band. Electroencephalogr Clin Neurophysiol 91:428–441
Klimesch W, Doppelmayr M, Russegger H, Pachinger T, Schwaiger J (1998) Induced alpha band power changes in the human EEG and attention Neurosci Lett 244(2):73–76
Klimesch W, Doppelmayr M, Stadler W, Pollhuber D, Sauseng P, Rohm D (2001) Episodic retrieval is reflected by a process specific increase in human electroencephalographic theta activity. Neurosci Lett 302:49–52
Klimesch W, Sauseng P, Hanslmayr S (2007) EEG alpha oscillations: the inhibition-timing hypothesis. Brain Res Rev 53:63–88
Krause B, Marquez-Ruiz J, Cohen KR (2013) The effect of transcranial direct current stimulation: a role for cortical excitation/inhibition balance? Front Hum Neurosci 7:602
Lang N, Siebner HR, Ward NS, Lee L, Nitsche MA, Paulus W, Rothwell JC, Lemon RN, Frackowiak RS (2005) How does transcranial DC stimulation of the primary motor cortex alter regional neuronal activity in the human brain? Eur J Neurosci 22:495–504
Liebetanz D, Nitsche MA, Tergau F, Paulus W (2002) Pharmacological approach to the mechanisms of transcranial DC-stimulation-induced after-effects of human motor cortex excitability. Brain 125:2238–2247
Lizier JT, Heinzle J, Horstmann A, Haynes JD, Prokopenko M (2011) Multivariate information-theoretic measures reveal directed information structure and task relevant changes in fMRI connectivity. J Comput Neurosci 30:85–107
Lockley SW, Evans EE, Scheer FA, Brainard GC, Czeisler CA, Aeschbach D (2006) Short-wavelength sensitivity for the direct effects of light on alertness, vigilance, and the waking electroencephalogram in humans. Sleep 29:161–168
Marshall L, Molle M, Hallschmid M, Born J (2004) Transcranial direct current stimulation during sleep improves declarative memory. J Neurosci 24:9985–9992
Mathewson KE, Lleras A, Beck DM, Fabiani M, Ro T, Gratton G (2011) Pulsed out of awareness: EEG alpha oscillations represent a pulsed-inhibition of ongoing cortical processing. Front Psychol 2:99
Micheloyannis S, Pachou E, Stam CJ, Breakspear M, Bitsios P, Vourkas M, Erimaki S, Zervakis M (2006) Small-world networks and disturbed functional connectivity in schizophrenia. Schizophr Res 87:60–66
Micheloyannis S, Vourkas M, Tsirka V, Karakonstantaki E, Kanatsouli K, Stam CJ (2009) The influence of ageing on complex brain networks: a graph theoretical analysis. Hum Brain Mapp 30:200–208
Michels L, Moazami-Goudarzi M, Jeanmonod D, Sarnthein J (2008) EEG alpha distinguishes between cuneal and precuneal activation in working memory. Neuroimage 40:1296–1310
Miniussi C, Harris JA, Ruzzoli M (2013) Modelling non-invasive brain stimulation in cognitive neuroscience. Neurosci Biobehav Rev 37:1702–1712
Miraglia F, Vecchio F, Bramanti P, Rossini PM (2015) Small-worldness characteristics and its gender relation in specific hemispheric networks. Neuroscience 310:1–11
Miraglia F, Vecchio F, Bramanti P, Rossini PM (2016) EEG characteristics in “eyes-open” versus “eyes-closed” conditions: small-world network architecture in healthy aging and age-related brain degeneration. Clin Neurophysiol 127:1261–1268
Miraglia F, Vecchio F, Rossini PM (2017) Searching for signs of aging and dementia in EEG through network analysis. Behav Brain Res 317:292–300
Monte-Silva K, Kuo MF, Liebetanz D, Paulus W, Nitsche MA (2010) Shaping the optimal repetition interval for cathodal transcranial direct current stimulation (tDCS). J Neurophysiol 103:1735–1740
Monte-Silva K, Kuo MF, Hessenthaler S, Fresnoza S, Liebetanz D, Paulus W, Nitsche MA (2013) Induction of late LTP-like plasticity in the human motor cortex by repeated non-invasive brain stimulation. Brain Stimul 6:424–432
Nitsche MA, Paulus W (2001) Sustained excitability elevations induced by transcranial DC motor cortex stimulation in humans. Neurology 57:1899–1901
Nitsche MA, Liebetanz D, Schlitterlau A, Henschke U, Fricke K, Frommann K, Lang N, Henning S, Paulus W, Tergau F (2004) GABAergic modulation of DC stimulation-induced motor cortex excitability shifts in humans. Eur J Neurosci 19:2720–2726
Notturno F, Marzetti L, Pizzella V, Uncini A, Zappasodi F (2014) Local and remote effects of transcranial direct current stimulation on the electrical activity of the motor cortical network. Hum Brain Mapp 35:2220–2232
Nunez PL, Wingeier BM, Silberstein RB (2001) Spatial-temporal structures of human alpha rhythms: theory, microcurrent sources, multiscale measurements, and global binding of local networks. Hum Brain Mapp 13:125–164
Onnela JP, Saramaki J, Kertesz J, Kaski K (2005) Intensity and coherence of motifs in weighted complex networks. Phys Rev E Stat Nonlin Soft Matter Phys 71:065103
Palva S, Palva JM (2011) Functional roles of alpha-band phase synchronization in local and large-scale cortical networks. Front Psychol 2:204
Pascual-Marqui RD (2007a) Discrete 3D, distributed, linear imaging methods of electric neuronal activity. Part 1: exact, zero error localization. arXiv:0710.3341
Pascual-Marqui RD (2007b) Instantaneous and lagged measurements of linear and nonlinear dependence between groups of multivariate time series: frequency decomposition. arXiv:0711.1455
Pascual-Marqui RD (2009) Theory of the EEG inverse problem. In: House Artech B (ed) Quantitative EEG analysis: methods and clinical applications, pp 121–140
Pascual-Marqui RD, Lehmann D, Koukkou M, Kochi K, Anderer P, Saletu B, Tanaka H, Hirata K, John ER, Prichep L, Biscay-Lirio R, Kinoshita T (2011) Assessing interactions in the brain with exact low-resolution electromagnetic tomography. Philos Trans A Math Phys Eng Sci 369:3768–3784
Paulus W, Peterchev AV, Ridding M (2013) Transcranial electric and magnetic stimulation: technique and paradigms. Handb Clin Neurol 116:329–342
Pfurtscheller G, Lopes da Silva FH (1999) Event-related EEG/MEG synchronization and desynchronization: basic principles. Clin Neurophysiol 110:1842–1857
Polania R, Nitsche MA, Paulus W (2011a) Modulating functional connectivity patterns and topological functional organization of the human brain with transcranial direct current stimulation. Hum Brain Mapp 32:1236–1249
Polania R, Paulus W, Antal A, Nitsche MA (2011b) Introducing graph theory to track for neuroplastic alterations in the resting human brain: a transcranial direct current stimulation study. Neuroimage 54:2287–2296
Polania R, Paulus W, Nitsche MA (2012) Modulating cortico-striatal and thalamo-cortical functional connectivity with transcranial direct current stimulation. Hum Brain Mapp 33:2499–2508
Ranck JB Jr (1975) Which elements are excited in electrical stimulation of mammalian central nervous system: a review. Brain Res 98:417–440
Reijneveld JC, Ponten SC, Berendse HW, Stam CJ (2007) The application of graph theoretical analysis to complex networks in the brain. Clin Neurophysiol 118:2317–2331
Reinacher M, Becker R, Villringer A, Ritter P (2009) Oscillatory brain states interact with late cognitive components of the somatosensory evoked potential. J Neurosci Methods 183:49–56
Rioult-Pedotti MS, Friedman D, Donoghue JP (2000) Learning-induced LTP in neocortex. Science 290:533–536
Rossini PM, Di SE, Stanzione P (1985) Nerve impulse propagation along central and peripheral fast conducting motor and sensory pathways in man. Electroencephalogr Clin Neurophysiol 60:320–334
Rossini PM, Burke D, Chen R, Cohen LG, Daskalakis Z, Di IR, Di L, Ferreri V, Fitzgerald F, George PB, Hallett MS, Lefaucheur M, Langguth JP, Matsumoto B, Miniussi H, Nitsche C, Pascual-Leone MA, Paulus A, Rossi W, Rothwell S, Siebner JC, Ugawa HR, Walsh Y, Ziemann VU (2015) Non-invasive electrical and magnetic stimulation of the brain, spinal cord, roots and peripheral nerves: basic principles and procedures for routine clinical and research application. An updated report from an I.F.C.N. Committee. Clin Neurophysiol 126:1071–1107
Rubinov M, Sporns O (2010) Complex network measures of brain connectivity: uses and interpretations. Neuroimage 52:1059–1069
Sadaghiani S, Scheeringa R, Lehongre K, Morillon B, Giraud AL, Kleinschmidt A (2010) Intrinsic connectivity networks, alpha oscillations, and tonic alertness: a simultaneous electroencephalography/functional magnetic resonance imaging study. J Neurosci 30:10243–10250
Siebner HR, Lang N, Rizzo V, Nitsche MA, Paulus W, Lemon RN, Rothwell JC (2004) Preconditioning of low-frequency repetitive transcranial magnetic stimulation with transcranial direct current stimulation: evidence for homeostatic plasticity in the human motor cortex. J Neurosci 24:3379–3385
Smit DJ, Stam CJ, Posthuma D, Boomsma DI, de Geus EJ (2008) Heritability of “small-world” networks in the brain: a graph theoretical analysis of resting-state EEG functional connectivity. Hum Brain Mapp 29:1368–1378
Spitoni GF, Cimmino RL, Bozzacchi C, Pizzamiglio L, Di RF (2013) Modulation of spontaneous alpha brain rhythms using low-intensity transcranial direct-current stimulation. Front Hum Neurosci 7:529
Sporns O, Honey CJ (2006) Small worlds inside big brains. Proc Natl Acad Sci USA 103:19219–19220
Sporns O, Zwi JD (2004) The small world of the cerebral cortex. Neuroinformatics 2:145–162
Stagg CJ, Best JG, Stephenson MC, O’Shea J, Wylezinska M, Kincses ZT, Morris PG, Matthews PM, Johansen-Berg H (2009) Polarity-sensitive modulation of cortical neurotransmitters by transcranial stimulation. J Neurosci 29:5202–5206
Steinke GK, Galan RF (2011) Brain rhythms reveal a hierarchical network organization. PLoS Comput Biol 7:e1002207
Steriade M, Llinas RR (1988) The functional states of the thalamus and the associated neuronal interplay. Physiol Rev 68:649–742
Tenke CE, Kayser J (2005) Reference-free quantification of EEG spectra: combining current source density (CSD) and frequency principal components analysis (fPCA). Clin Neurophysiol 116:2826–2846
Vecchio F, Miraglia F, Bramanti P, Rossini PM (2014a) Human brain networks in physiological aging: a graph theoretical analysis of cortical connectivity from EEG data. J Alzheimers Dis 41:1239–1249
Vecchio F, Miraglia F, Marra C, Quaranta D, Vita MG, Bramanti P, Rossini PM (2014b) Human brain networks in cognitive decline: a graph theoretical analysis of cortical connectivity from EEG data. J Alzheimers Dis 41:113–127
Vecchio F, Miraglia F, Curcio G, Altavilla R, Scrascia F, Giambattistelli F, Quattrocchi CC, Bramanti P, Vernieri F, Rossini PM (2015a) Cortical brain connectivity evaluated by graph theory in dementia: a correlation study between functional and structural data. J Alzheimers Dis 45:745–756
Vecchio F, Miraglia F, Curcio G, Della MG, Vollono C, Mazzucchi E, Bramanti P, Rossini PM (2015b) Cortical connectivity in fronto-temporal focal epilepsy from EEG analysis: a study via graph theory. Clin Neurophysiol 126:1108–1116
Vecchio F, Miraglia F, Quaranta D, Granata G, Romanello R, Marra C, Bramanti P, Rossini PM (2015c) Cortical connectivity and memory performance in cognitive decline: a study via graph theory from EEG data. Neuroscience 316:143–150. https://doi.org/10.1016/j.neuroscience.2015.12.036
Vecchio F, Pellicciari MC, Miraglia F, Brignani D, Miniussi C, Rossini PM (2016) Effects of transcranial direct current stimulation on the functional coupling of the sensorimotor cortical network. Neuroimage 140:50–56
Vecchio F, Miraglia F, Piludu F, Granata G, Romanello R, Caulo M, Onofrj V, Bramanti P, Colosimo C, Rossini PM (2017) “Small World” architecture in brain connectivity and hippocampal volume in Alzheimer's disease: a study via graph theory from EEG data. Brain Imaging Behav 11(2):473–485. https://doi.org/10.1007/s11682-016-9528-3
Vines BW, Nair D, Schlaug G (2008) Modulating activity in the motor cortex affects performance for the two hands differently depending upon which hemisphere is stimulated. Eur J Neurosci 28:1667–1673
Vogt F, Klimesch W, Doppelmayr M (1998) High-frequency components in the alpha band and memory performance. J Clin Neurophysiol 15(2):167–172
Watts DJ, Strogatz SH (1998) Collective dynamics of ‘small-world’ networks. Nature 393:440–442
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Authors thank Drs Florinda Ferreri and Andrea Guerra for their support. Project’s founders :Italian Ministry of Health for Institutional Research (Ricerca corrente) and Young Researchers, Project GR-2011-02349998.
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Vecchio, F., Di Iorio, R., Miraglia, F. et al. Transcranial direct current stimulation generates a transient increase of small-world in brain connectivity: an EEG graph theoretical analysis. Exp Brain Res 236, 1117–1127 (2018). https://doi.org/10.1007/s00221-018-5200-z
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DOI: https://doi.org/10.1007/s00221-018-5200-z