Optimizing electrode placement for transcranial direct current stimulation in nonsuperficial cortical regions: a computational modeling study

Biomed Eng Lett. 2023 Nov 23;14(2):255-265. doi: 10.1007/s13534-023-00335-2. eCollection 2024 Mar.

Abstract

Transcranial direct current stimulation (tDCS) is a noninvasive brain stimulation technique for modulating neuronal excitability by sending a weak current through electrodes attached to the scalp. For decades, the conventional tDCS electrode for stimulating the superficial cortex has been widely reported. However, the investigation of the optimal electrode to effectively stimulate the nonsuperficial cortex is still lacking. In the current study, the optimal tDCS electrode montage that can deliver the maximum electric field to nonsuperficial cortical regions is investigated. Two finite element head models were used for computational simulation to determine the optimal montage for four different nonsuperficial regions: the left foot motor cortex, the left dorsomedial prefrontal cortex (dmPFC), the left medial orbitofrontal cortex (mOFC), and the primary visual cortex (V1). Our findings showed a good consistency in the optimal montage between two models, which led to the anode and cathode being attached to C4-C3 for the foot motor, F4-F3 for the dmPFC, Fp2-F7 for the mOFC, and Oz-Cz for V1. Our suggested montages are expected to enhance the overall effectiveness of stimulation of nonsuperficial cortical areas.

Supplementary information: The online version contains supplementary material available at 10.1007/s13534-023-00335-2.

Keywords: Finite element method; Noninvasive brain stimulation; Nonsuperficial cortical region; Optimal electrode montage; Transcranial direct current stimulation.