So I’ve been having trouble with my science.
I know! I’m shocked as well. But as I might have mentioned previously, the current study I’m running is actually the first time I’ve run participants through an experiment. My undergrad research was conducted using patient charts. The first part of my master’s involved a lot of study planning and design, and some analysis and write-up, but I never actually ran people through anything or even really observed our experiments. In my second, current lab, I’ve only re-purposed previously collected data.
I’m running a transcranial magnetic stimulation (TMS) study right now. TMS uses a powerful electromagnet to induce changes in current in the outer layers of the cerebral cortex (ie. the top layer of your brain). You can use it to selectively enhance or inhibit activity in fairly specific parts of the brain. Repetitive TMS, the kind I’m using, inhibits activity, and is often thought of as creating a “virtual lesion”. It wears off in about 10 minutes or so, so it has some limits, but it’s a pretty cool tool.
I’ve mentioned this before. In normal brain imaging, all you can do is say which brain regions are active during a task, sometimes as compared to another task. You can do a lot more, really, but for the moment we’ll go with this. What TMS can do is tell you if a region is essential to a task, or if it’s involved in some peripheral process, or if it just tends to be active at the same time, or if the activity is just a false positive.
Now, the way we do TMS is fairly straightforward. We sit someone down, and load up an MRI scan of their brain on our computer. They wear a pair of glasses with three tracking beads on them, and sit in front of an optical sensor. We then touch a pointer, which also has tracking beads, to various parts of their face. In this way, the sensor can link the shape and movement of their head with the head and brain images in the computer. We can then use that and our coil (which again has three beads on it) to target a precise spot on the surface of the brain.
The only question now is, how strong should the stimulation be? There’s no set, absolute scale. And everyone seems to have brains which take different levels of stimulation to be affected. Even on the surface, since the current going through the scalp, people feel different things. I felt like someone was flicking the inside of my temple; a lab-mate couldn’t even feel it during their turn, and we were both using the same stimulation level.
So what we do is establish peoples’ resting motor threshold (RMT). This is the minimum strength required to cause a small muscle twitch, called a “motor-evoked potential” (MEP), because it’s measured using electrodes over the muscle. We simply send a single quick pulse from the coil into the hand area of the motor cortex, and cause a muscle in the hand to become excited. This is pretty cool.
But we can’t evoke the bloody MEP. My professor tried on three of us with no luck. I managed to get them consistently from him and a lab-mate (just by approximating over the scalp, without an image of their brain). And today I couldn’t get anything from my pilot participant or my handsome, bow-tie-wearing pilot/actual participant. And for them, I had an image of their brains, registered to their heads, with the “hand knob” region marked out.
And we can’t really run people if we don’t know the stimulation strength to use. If we can’t evoke MEPs, we can’t know the stimulation stength. I’ve booked a bunch of people for next week, so here’s hoping we figure something out.