PMID- 32927210 OWN - NLM STAT- MEDLINE DCOM- 20210525 LR - 20210525 IS - 1872-8952 (Electronic) IS - 1388-2457 (Linking) VI - 131 IP - 11 DP - 2020 Nov TI - Probing interhemispheric dorsal premotor-primary motor cortex interactions with threshold hunting transcranial magnetic stimulation. PG - 2551-2560 LID - S1388-2457(20)30444-2 [pii] LID - 10.1016/j.clinph.2020.07.020 [doi] AB - OBJECTIVE: To characterise the effect of altering transcranial magnetic stimulation parameters on the magnitude of interhemispheric inhibition (IHI) from dorsal premotor (PMd) to primary motor cortex (M1). METHOD: We used a fully automated adaptive threshold hunting paradigm to quantify PMd-M1 IHI across a range of conditioning stimulus (CS) intensities (90%, 110%, 130% of resting motor threshold, rMT) and interstimulus intervals (ISIs) (8, 10, 40 ms). M1-M1 IHI was examined with CS intensities of 110%, 120%, and 130% rMT and ISIs of 10 and 40 ms. Two test coil orientations (inducing posterior-anterior or anterior-posterior current) were used. RESULTS: PMd-M1 IHI was obtained consistently with posterior-anterior (but not anterior-posterior) test stimuli and increased with CS intensity. M1-M1 IHI was expressed across all conditions and increased with CS intensity when posterior-anterior but not anterior-posterior induced current was used. CONCLUSIONS: The expression of PMd-M1 IHI is contingent on test coil orientation (requiring posterior-anterior induced current) and increases as a function of CS intensity. The expression of M1-M1 IHI is not dependent on test coil orientation. SIGNIFICANCE: We defined a range of parameters that elicit reliable PMd-M1 IHI. This (threshold hunting) methodology may provide a means to quantify premotor-motor pathology and reveal novel quantitative biomarkers. CI - Copyright (c) 2020 International Federation of Clinical Neurophysiology. Published by Elsevier B.V. All rights reserved. FAU - Calvert, Glenn H M AU - Calvert GHM AD - Trinity College Institute of Neuroscience and School of Psychology, Lloyd Building, Trinity College Dublin, Dublin 2, Ireland; School of Psychology, Queen's University Belfast, David Keir Building, 18-30 Malone Road, Belfast BT9 5BN, Northern Ireland, UK. FAU - McMackin, Roisin AU - McMackin R AD - Academic Unit of Neurology, 152-160 Pearse St., Trinity Biomedical Sciences Institute, Trinity College Dublin, Dublin 2, Ireland. FAU - Carson, Richard G AU - Carson RG AD - Trinity College Institute of Neuroscience and School of Psychology, Lloyd Building, Trinity College Dublin, Dublin 2, Ireland; School of Psychology, Queen's University Belfast, David Keir Building, 18-30 Malone Road, Belfast BT9 5BN, Northern Ireland, UK. Electronic address: richard.carson@tcd.ie. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20200826 PL - Netherlands TA - Clin Neurophysiol JT - Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology JID - 100883319 SB - IM MH - Adolescent MH - Adult MH - Electromyography MH - Evoked Potentials, Motor/*physiology MH - Female MH - Functional Laterality/*physiology MH - Humans MH - Male MH - Motor Cortex/*physiology MH - Muscle, Skeletal/physiology MH - Neural Inhibition/physiology MH - Neural Pathways/physiology MH - *Transcranial Magnetic Stimulation MH - Young Adult OTO - NOTNLM OT - Adaptive threshold hunting OT - Interhemispheric inhibition OT - PEST OT - Paired pulse OT - TMS OT - Upper limb COIS- Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2020/09/15 06:00 MHDA- 2021/05/26 06:00 CRDT- 2020/09/14 20:14 PHST- 2020/04/18 00:00 [received] PHST- 2020/07/06 00:00 [revised] PHST- 2020/07/14 00:00 [accepted] PHST- 2020/09/15 06:00 [pubmed] PHST- 2021/05/26 06:00 [medline] PHST- 2020/09/14 20:14 [entrez] AID - S1388-2457(20)30444-2 [pii] AID - 10.1016/j.clinph.2020.07.020 [doi] PST - ppublish SO - Clin Neurophysiol. 2020 Nov;131(11):2551-2560. doi: 10.1016/j.clinph.2020.07.020. Epub 2020 Aug 26.