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“Non-invasive” brain stimulation is not non-invasive

Authors: Nick J. Davis; Martijn Van Koningsbruggen; Martijn Van Koningsbruggen;

“Non-invasive” brain stimulation is not non-invasive

Abstract

The functions of the healthy brain can be studied in two main ways. Firstly, the changes in the brain's state can be measured using techniques such as EEG or functional MRI. Secondly, the activity of the brain can be disrupted through the use of brain stimulation. The famous experiments of Wilder Penfield and colleagues in the 1950s showed the power of brain stimulation in people whose brain was exposed in surgery, and highlighted the possibility of inducing changes in the brain's state to demonstrate the involvement of specific brain areas in particular functions (Jasper and Penfield, 1954). Two main techniques are available for human brain stimulation: transcranial magnetic stimulation (TMS) and transcranial current stimulation (tCS). More recently, it has been suggested that TMS and tCS might be used to enhance brain function, as well as to disrupt activity. These techniques have collectively become known as “non-invasive brain stimulation.” We argue that this term is inappropriate and perhaps oxymoronic, as it obscures both the possibility of side-effects from the stimulation, and the longer-term effects (both adverse and desirable) that may result from brain stimulation. We also argue that the established tendency for the effects of TMS and tCS to spread from the target brain area to neighboring areas is in itself contrary to the definition of non-invasiveness. We argue that the traditional definition of an invasive procedure, one which requires an incision or insertion in the body, should be re-examined, and we propose that it be widened to include targeted transcutaneous interventions.

Countries
United Kingdom, Italy, United Kingdom
Related Organizations
Keywords

safety, Cognitive Neuroscience, non-invasive, Neuroscience (miscellaneous), Neurosciences. Biological psychiatry. Neuropsychiatry, 0606 Physiology, tDCS, neuroethics, Cellular and Molecular Neuroscience, Developmental Neuroscience, 1116 Medical Physiology, TMS, Neuroethics, human, Safety, 1109 Neurosciences, RC321-571, Neuroscience

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    popularity
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    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
88
Top 10%
Top 10%
Top 10%
Green
gold