Differential effects of left parietal theta-burst stimulation on order and quantity processing

Cognitive Effects Following Offline High-Frequency Repetitive Transcranial Magnetic Stimulation (HF-rTMS) in Healthy Populations: A Systematic Review and Meta-Analysis

High-frequency repetitive transcranial magnetic stimulation (HF-rTMS) is a commonly used form of rTMS to treat neuropsychiatric disorders. Emerging evidence suggests that 'offline' HF-rTMS may have cognitive enhancing effects, although the magnitude and moderators of these effects remain unclear. We conducted a systematic review and meta-analysis to clarify the cognitive effects of offline HF-rTMS in healthy individuals. A literature search for randomised controlled trials with cognitive outcomes for pre and post offline HF-rTMS was performed across five databases up until March 2022. This study was registered on the PROSPERO international prospective protocol for systematic reviews (PROSPERO 2020 CRD 42,020,191,269). The Risk of Bias 2 tool was used to assess the risk of bias in randomised trials. Separate analyses examined the cognitive effects of excitatory and inhibitory forms of offline HF-rTMS on accuracy and reaction times across six cognitive domains. Fifty-three studies (N = 1507) met inclusion criteria. Excitatory offline HF-rTMS showed significant small sized effects for improving accuracy (k = 46, g = 0.12) and reaction time (k = 44, g = -0.13) across all cognitive domains collapsed. Excitatory offline HF-rTMS demonstrated a relatively greater effect for executive functioning in accuracy (k = 24, g = 0.14). Reaction times were also improved for the executive function (k = 21, g = -0.11) and motor (k = 3, g = -0.22) domains following excitatory offline HF-rTMS. The current review was restricted to healthy individuals and future research is required to examine cognitive enhancement from offline HF-rTMS in clinical cohorts.

Effects of prefrontal and parietal neuromodulation on magnitude processing and integration

Numerical cognition is an essential skill for survival, which includes the processing of discrete and continuous quantities, involving a mainly right fronto-parietal network. However, the neurocognitive systems underlying the processing and integration of discrete and continuous quantities are currently under debate. Noninvasive brain stimulation techniques have been used in the study of the neural basis of numerical cognition with a spatial, temporal and functional resolution superior to other neuroimaging techniques. The present randomized sham-controlled single-blinded trial addresses the involvement of the right dorsolateral prefrontal cortex and the right intraparietal sulcus in magnitude processing and integration. Multifocal anodal transcranial direct current stimulation was applied online during the execution of magnitude comparison tasks in three conditions: right prefrontal, right parietal and sham stimulation. The results show that prefrontal stimulation produced a moderated decrease in response times in all magnitude processing and integration tasks compared to sham condition. While parietal stimulation had no significant effect on any of the tasks. The effect found is interpreted as a generalized improvement in processing speed and magnitude integration due to right prefrontal neuromodulation, which may be attributable to domain-general or domain-specific factors.

The associations between space and order in numerical and non-numerical sequences

Spatial-numerical associations have been found across different studies, yet the basis for these associations remains debated. The current study employed an order judgment task to adjudicate between two competing accounts of such associations, namely the Mental Number Line (MNL) and Working Memory (WM) models. On this task, participants judged whether number pairs were in ascending or descending order. Whereas the MNL model predicts that ascending and descending orders should map onto opposite sides of space, the WM model predicts no such mapping. Moreover, we compared the spatial-order mapping for numerical and non-numerical sequences because the WM model predicts no difference in mapping. Across two experiments, we found consistent spatial mappings for numerical order along both horizontal and vertical axes, consistent with a MNL model. In contrast, we found no consistent mappings for letter sequences. These findings are discussed in the context of conflicting extant data related to these two models.

'How many' and 'how much' dissociate in the parietal lobe

We investigated whether two features that are fundamental for quantity processing, namely numerosity and continuous quantity - or 'how many' versus 'how much' - may dissociate in the parietal lobe. Fourteen mathematically-normal participants performed a well-established numerosity discrimination task after receiving continuous theta burst transcranial magnetic stimulation (TBS) over the left or right intraparietal sulcus (IPS) or the Vertex. We performed a detailed analysis of accuracy (based on the Weber Fraction, wf), which distinguished between trials in which numerosity was anti-correlated or 'incongruent' to other continuous measures of quantity, and trials in which numerosity and other continuous features were 'congruent'. Congruent trials can be processed by integrating numerosity or continuous quantity features like cumulative area since they correlate. Instead incongruent trials can only be processed based on numerosity and requires inhibiting cumulative area or other continuous quantity features like dot size and would lead to incorrect judgment if these features are used as a proxy for numerosity. We found an increase of wf, i.e., weakened numerosity processing in incongruent but not congruent trials following left IPS-TBS, which suggests that numerosity processing was impaired while continuous quantity processing remained unchanged. Moreover, wf increased in congruent but not in incongruent trials following right IPS stimulation. We concluded that left and right parietal are respectively critical for numerosity discrimination, i.e., 'how many' or alternatively for response selection, and for integrating numerosity and continuous quantity features.

Resting-state functional connectivity and pitch identification ability in non-musicians

Previous studies have used task-related fMRI to investigate the neural basis of pitch identification (PI), but no study has examined the associations between resting-state functional connectivity (RSFC) and PI ability. Using a large sample of Chinese non-musicians (N = 320, with 56 having prior musical training), the current study examined the associations among musical training, PI ability, and RSFC. Results showed that musical training was associated with increased RSFC within the networks for multiple cognitive functions (such as vision, phonology, semantics, auditory encoding, and executive functions). PI ability was associated with RSFC with regions for perceptual and auditory encoding for participants with musical training, and with RSFC with regions for short-term memory, semantics, and phonology for participants without musical training.

Distinct representations of symbolic ordinality and quantity: evidence from neuropsychological investigations in a Chinese patient with Gerstmann's syndrome

A number of recent studies have shown conflicting evidence as to common or distinct representations between symbolic ordinality and quantity. We investigated this issue through a series of neuropsychological tests in a unique Chinese patient with the left angular gyrus and left supramarginal gyrus lesions. Behavioral experiments revealed that (1) the patient showed Gerstmann syndrome, with minimal anomia and alexia and (2) the patient showed the dissociation among number semantic representations with relatively preserved symbolic quantity knowledge and impaired processing of symbolic order meaning. Together with existing evidence in the literature, results of the current study suggest that there might be two separate cognitive representations of symbolic ordinality and quantity in logographic language according to this dissociation. Most importantly, another merit of this study is that the left angular gyrus and left supramarginal gyrus might be necessary to symbolic ordinality representation.

Bilateral bi-cephalic tDCS with two active electrodes of the same polarity modulates bilateral cognitive processes differentially [corrected]

Transcranial direct current stimulation (tDCS) is an innovative method to explore the causal structure-function relationship of brain areas. We investigated the specificity of bilateral bi-cephalic tDCS with two active electrodes of the same polarity (e.g., cathodal on both hemispheres) applied to intraparietal cortices bilaterally using a combined between- and within-task approach. Regarding between-task specificity, we observed that bilateral bi-cephalic tDCS affected a numerical (mental addition) but not a control task (colour word Stroop), indicating a specific influence of tDCS on numerical but not on domain general cognitive processes associated with the bilateral IPS. In particular, the numerical effect of distractor distance was more pronounced under cathodal than under anodal stimulation. Moreover, with respect to within-task specificity we only found the numerical distractor distance effect in mental addition to be modulated by direct current stimulation, whereas the effect of target identity was not affected. This implies a differential influence of bilateral bi-cephalic tDCS on the recruitment of different processing components within the same task (number magnitude processing vs. recognition of familiarity). In sum, this first successful application of bilateral bi-cephalic tDCS with two active electrodes of the same polarity in numerical cognition research corroborates the specific proposition of the Triple Code Model that number magnitude information is represented bilaterally in the intraparietal cortices.