Personalized connectivity-based network targeting model of TMS for treatment of psychiatric disorders: computational feasibility and reproducibility

Consider the limited clinical efficacy of transcranial magnetic stimulation (TMS) due to heterogeneity in treatment outcomes, the utilization of individual functional connectivity (FC) can enhance the prediction accuracy in the network targeting model. However, the low signal-to-noise ratio (SNR) of FC poses a challenge when utilizing individual resting-state FC (rsFC). To overcome this challenge, proposed solutions include increasing the scan duration and employing clustering approaches to enhance the stability of FC. In this study, we aimed to evaluate the stability of a personalized functional-based network targeting model in individuals with major depressive disorder (MDD) and schizophrenia with auditory verbal hallucinations (AVH). Using resting-state functional magnetic resonance imaging (rsfMRI) data from the Human Connectome Project (HCP), we assessed the model's stability and employed longer scan durations (7 minutes, 14 minutes, 21 minutes, 28 minutes) and clustering methodologies to improve the precision of identifying optimal individual sites. Our findings demonstrate that a scan duration of 28 minutes and the utilization of the clustering approach lead to stable identification of individual sites, as evidenced by the intraindividual distance falling below the ~1cm spatial resolution of TMS. These findings contribute to the understanding of individualized TMS targeting and have implications for improving treatment outcomes in psychiatric disorders. ### Competing Interest Statement The authors have declared no competing interest.