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Magpro r30 stimulator

Manufactured by MagVenture
Sourced in Denmark

The MagPro R30 is a magnetic stimulator device designed for research and clinical applications. It generates magnetic pulses to stimulate the brain and nerves, with adjustable intensity and frequency parameters. The core function of the MagPro R30 is to provide a non-invasive method of neural stimulation.

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13 protocols using magpro r30 stimulator

1

Continuous Theta-Burst Stimulation of Right Parietal Cortex

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TMS was applied with a MagPro R30 stimulator (MagVenture A/S, Farum, Denmark) and a figure‐of‐eight TMS coil (MC‐B70; inner radius = 10 mm, outer radius = 50 mm). Pulses were biphasic, with an anterior–posterior followed by posterior–anterior current direction in the brain. The coil was placed tangentially to the scalp over the electrode position P4 (based on the international 10–20 system) with the handle in posterior direction orienting 45° away from the midline. The cTBS protocol consists of a total of 600 stimuli applied in bursts of three stimuli at 20 ms intervals (50 Hz), with bursts repeated at 200 ms intervals (5 Hz) (Huang et al., 2005 (link)). Stimuli were given at an intensity of 100% of the individual resting motor threshold (mean stimulation intensity = 33.9% of maximum stimulator output, SD = 5.3, 46.8 A/μs). Resting motor threshold was determined using single pulse TMS over the right motor cortex. It was defined as the lowest intensity that elicited an observable muscle twitch of the left index finger on three of six trials (Pridmore et al., 1998 (link); Varnava et al., 2011 (link)).
During sham stimulation, the coil was held at 90° to the participant's skull, so that no pulses perturbed underlying cortex (Hilgetag et al., 2001 (link)).
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2

Transcranial Magnetic Stimulation for Motor Evoked Potentials

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A MagPro R30 stimulator (MagVenture) with a butterfly coil (MC-B70) and dimensions (169 × 112 × 16/33 mm) was used to induce motor-evoked potentials (MEPs) from the right first dorsal interosseous (FDI) muscles. The coil was placed over the left M1 region with a posterior–anterior orientation and set at an angle of 45° to the midline. The area of stimulation with largest MEP responses was defined as the hotspot and marked on the scalp to ensure consistency of coil placement throughout the experiment. Resting motor threshold (RMT) was defined as the minimal stimulator output needed to elicit three out of six MEPs with minimum amplitude of 50–100 μV in a relaxed FDI muscle (Rossini and Rossi, 1998 (link)). All raw EMG signals, were amplified, filtered (20 Hz–10 kHz) and recorded with a PC running a commercially available data acquisition and automated-analysis package (PowerLabTM ADInstrument 4/35 with LabChartTM, Australia) for offline analysis.
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3

Biphasic TMS Modulation of Cortical Excitability

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Biphasic TMS pulses were applied to the cortex via a figure‐of‐eight cooled coil connected to the MagPro R30 stimulator with a MagOption unit (Magventure, Denmark). The TMS coil was held over the scalp, with the handle of the coil pointed backwards, angled approximately 45° from the midsagittal line and held perpendicular to the presumed direction of the central sulcus. In a single session, active TMS was applied to the left motor cortex (to ascertain the appropriate stimulation parameters) and this was followed by stimulation of the right dorsolateral prefrontal cortex (PFC) and the left dorsolateral PFC. The order of the stimulation site (right before or after left dorsolateral PFC) was counterbalanced across participants.
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4

Transcranial Magnetic Stimulation for Pain Relief

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TBS was administered using a MagPro R30 stimulator (Magventure®, Inc., Denmark) with a cool-B65 A/P figure-of-eight-shaped coil designed for double-blind research (the symmetrical design of the coil prevents the active vs. placebo side from being identified) with accessory two surface electrodes attached on the subject’s head for placebo stimulation. Surface electrodes used to stimulate skin sensation for plcTBS were also attached to the head during the active stimulation, to obtain identical settings. The coil was oriented tangentially to the scalp and horizontally in the anterior-posterior direction, which proved to be more effective in terms of pain relief than lateromedial positioning (André-Obadia et al., 2008 (link); Andre-Obadia et al., 2018 (link)). TBS was administered over the contralateral motor cortex (right M1 area), specifically to the site corresponding to the somatotopic location of the left hand (thenar). The cortical area was located with a cool-B65 figure-of-eight-shaped coil by targeting with a single TMS pulse that induced a contralateral MEP of maximum amplitude in the left thenar (abductor pollicis brevis) while obtaining EMG responses with the accessory MEP monitor (EMG MagPro R30 equipment, Magventure®).
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5

Transcranial Magnetic Stimulation Protocol

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TMS was applied using a MagPro R30 stimulator (MagVenture, Denmark) with a butterfly 70 mm figure-of-eight coil (max. initial dB/dt 28 KT/s near the coil surface). The coil was positioned over the left M1 with the handle pointing posterolateral. The optimal site of stimulation, which was defined as the coil position resulting in the largest MEP amplitudes elicited in the target muscle with medium TMS intensity, was marked with a soft marker as “motor hotspot”. This spot on the scalp was used for exact repositioning of the coil throughout each session. The induced current had a biphasic waveform. Resting motor threshold (RMT) was defined via the parameter estimation by sequential testing (PEST) method32 (link). The current study was not conducted by aid of a neuronavigation system.
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6

Simultaneous TMS-EEG Protocol

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TMS was performed with a MagPro R30 stimulator (MagVenture, Denmark) and an MCF-B65-HO figure-8 Coil (MagVenture, Denmark). The 32-channel EEG data were obtained using TMS compatible BrainAmp DC amplifier (5 kHz sampling rate; ±16.384 mv measurement range; analog low pass filter 1 kHz; Brain Products GmbH, Germany). These were connected to the waveguard™ EEG cap (ANT Neuro, Netherland) with Ag-AgCl electrodes. Electrode impedances were kept below 5 kOhm. The reference and ground electrodes were affixed to the ear lobes. EEG data were recorded using a BrainVision Recorder software (Brain Products GmbH, Germany).
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7

Magnetic Stimulation for Motor Cortex Evaluation

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The MagPro R30 stimulator with MagOption (MagVenture, Farum, Denmark) was used for the current study as well as the earlier experiment involving the healthy group.24 (link) Magnetic pulses were delivered with a noncooled figure-of-eight coil (MC-B70); data acquisition and analyses were done using Signal-4 Software (Cambridge Electronic Devices, Cambridge, UK). The subject was seated on a chair 50 cm away from the observation (13-inch laptop) monitor in a silent room. The area corresponding to the right first dorsal interosseous (FDI) was located in the left motor cortex and motor-evoked potentials (MEP) were recorded by disposable pre-gelled electrodes connected to a 1-channel electromyography amplifier mounted on the MagPro system (MEP-monitor). The minimum stimulation intensity (measured in percentage of maximum machine output) required to evoke a >50 μV (Resting Motor Threshold—RMT) and >1 mV (Stimulation intensity to elicit 1 mV MEP—SI1mV) MEP in the resting right FDI muscle in at least 6 of 10 consecutive trials42 was defined.
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8

High-Frequency rTMS for Depression Remission

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The published stimulation protocol [15 (link),16 (link)] is described in the Supplement (eMethods: TMS Details). Briefly, the rTMS device was a MagPro R30 stimulator with a Cool-B65-A/P coil (MagVenture, Farum, Denmark). This coil was enabled with an integrated sham mechanism that kept the entire site blinded to patient treatment assignment. Both active and sham conditions received transcutaneous electrical nerve stimulation on the forehead to simulate muscle contractions induced by stimulation of the frontal lobe. Patients listened to simulated stimulator noise through earphones. Stimulation was delivered 6 cm anterior to the motor hot spot (eMethods: Motor Hot Spot and Threshold/Dosage) with the coil oriented 45° relative to midline with the coil handle pointing posterior to the patient and lateral (i.e. away from midline). Each patient had a cloth cap marked with the treatment location (MagVenture, Farum, Denmark) for re-use by treaters to consistently position the treatment coil. RTMS treatment (10 Hz frequency, 4 s on, 10 s off, 120% motor threshold, 4000 pulses/session, 25 min per session) was delivered daily in blocks of 5 for a minimum of 20 sessions (80,000 pulses) and a maximum of 30 sessions (120,000 pulses) depending on whether the patient reached remission (24 item Hamilton Rating Scale for Depression score<11).
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9

High-Frequency rTMS for Depression Remission

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The published stimulation protocol [15 (link),16 (link)] is described in the Supplement (eMethods: TMS Details). Briefly, the rTMS device was a MagPro R30 stimulator with a Cool-B65-A/P coil (MagVenture, Farum, Denmark). This coil was enabled with an integrated sham mechanism that kept the entire site blinded to patient treatment assignment. Both active and sham conditions received transcutaneous electrical nerve stimulation on the forehead to simulate muscle contractions induced by stimulation of the frontal lobe. Patients listened to simulated stimulator noise through earphones. Stimulation was delivered 6 cm anterior to the motor hot spot (eMethods: Motor Hot Spot and Threshold/Dosage) with the coil oriented 45° relative to midline with the coil handle pointing posterior to the patient and lateral (i.e. away from midline). Each patient had a cloth cap marked with the treatment location (MagVenture, Farum, Denmark) for re-use by treaters to consistently position the treatment coil. RTMS treatment (10 Hz frequency, 4 s on, 10 s off, 120% motor threshold, 4000 pulses/session, 25 min per session) was delivered daily in blocks of 5 for a minimum of 20 sessions (80,000 pulses) and a maximum of 30 sessions (120,000 pulses) depending on whether the patient reached remission (24 item Hamilton Rating Scale for Depression score<11).
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10

Phosphene Threshold Determination for rTMS

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For rTMS we used the MagPro R30 Stimulator (Magventure, Denmark) with a 75 mm Figure-of-8 coil (MC-B65-HO-2). At the beginning of the session single TMS pulses are delivered to the back of the head under dim lighting to determine the phosphene threshold of the participant based on the methods of Kammer et al. (2001) (link). We conduct a searching procedure for a phosphene “hot spot” over the right hemisphere, beginning 3 cm dorsal and 5 cm lateral from the inion. We deliver single TMS pulses at a high intensity [up to 80% maximum stimulator output (MSO)] and systematically move the coil until the participant reliably reports seeing phosphenes following the TMS. Once the hot spot is located, we adjust the TMS intensity down in steps of 5%, and then 1% MSO, delivering 10 consecutive pulses at each intensity level. The lowest intensity at which 5 out of 10 pulses are reported to induce a phosphene in the participant’s vision is determined to be the phosphene threshold. If a participant failed to reliably see phosphenes, stimulation at 50% MSO for HI-rTMS was used, or the next highest intensity that was comfortable for the participant.
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