The effect of stimulus parameters on TMS-EEG muscle artifacts.
BACKGROUND
When transcranial magnetic stimulation (TMS) is delivered close to the lateral aspects of the head, large-amplitude (~10-1000 μV) biphasic electroencephalographic (EEG) deflections, peaking at around 4-10 and 8-20 ms, appear.


OBJECTIVE
To characterize the spatiotemporal features of these artifacts, to quantify the effect of stimulus parameters on them, and thus, to study the feasibility of different measurement procedures to decrease the artifacts online. Furthermore, to show that these deflections, when measured with a sample-and-hold system, mainly result from excitation of cranial muscles.


METHODS
Three subjects received TMS to 16 sites over the left hemisphere. TMS-compatible EEG was recorded simultaneously. Four other subjects received TMS to M1 with different coil rotation and tilt angles and stimulation intensities. We also stimulated a conductive phantom and recorded simultaneous EEG to exclude the possibility of residual electromagnetic artifacts.


RESULTS
The artifacts were largest when the stimulator was placed above cranial muscles, whereas stimulation of relatively central sites far from the muscles produced muscle artifact-free data. The laterally situated EEG channels were most severely contaminated. The artifacts were significantly reduced when reducing the intensity or when tilting or rotating the coil so that coil wings moved further away from the temporal muscle, while brain responses remained visible. Stimulation of the phantom did not produce such large-amplitude biphasic artifacts.


CONCLUSIONS
Altering the stimulation parameters can reduce the described artifact, while brain responses can still be recorded. The early, laterally appearing, large biphasic TMS-evoked EEG deflections recorded with a sample-and-hold system are caused by cranial muscle activation.
Department of Biomedical Engineering and Computational Science, Aalto University, PO Box 12200, FI-00076 Aalto, Espoo, Finland. tuomas.mutanen@aalto.fi
Tuomas
T
Mutanen
Hanna
H
Mäki
Risto J
RJ
Ilmoniemi
D000328:Adult; D016477:Artifacts; D001921:Brain / Q000502:physiology*; D001931:Brain Mapping; D058256:Brain Waves / Q000502:physiology*; D004569:Electroencephalography; D005260:Female; D007839:Functional Laterality / Q000502:physiology; D006801:Humans; D008297:Male; D009132:Muscles / Q000294:innervation*; D012815:Signal Processing, Computer-Assisted; D050781:Transcranial Magnetic Stimulation; D055815:Young Adult