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. 2022 Oct;74(4):918–932. doi: 10.1124/pharmrev.122.000579

TABLE 1.

The effect of TMS on CBF

These data highlight a common theme that low-frequency TMS to the motor cortex and high frequency TMS to the DLPFC tends to increase blood flow in the area underneath the coil.

Author Year Subject Population Site of Stimulation Stimulation Frequency PET Radiotracer Effect on CBF Regions Affected
Motor Cortex
Fox et al. 1997 HC M1 - Left 1 Hz [15O]H2O Directly under stimulated site
Paus et al. 1998 HC M1 - Left 10 Hz [15O]H2O Site of stimulation, R M1, premotor, SMA, medial parietal
Siebner et al. 2001 HC M1 - Left 1–5 Hz [15O]H2O Directly under stimulation site
Strafella and Paus 2001 HC M1 - Left 10 Hz [15O]H2O Site of stimulation, R M1, L lateral premotor cortex
Lee et al. 2003 HC M1 - Left 1 Hz [15O]H2O
and
Site of stimulation, bilateral dorsal premotor cortex, cerebellum
R cingulate motor cortex, L ventral premotor area
Speer et al. 2003 HC M1 - Left 1 Hz [15O]H2O
and
Under stimulation site, L primary auditory cortex, R cerebellum, putamen, insula and red nucleus
Contralateral frontal, parietal cortex, ACC, occipital cortex
Takano et al. 2004 HC M1 - Left 5 Hz [15O]H2O
and
Under stimulation site, temporal cortex and insula
Medial frontal, occipital and cuneus
Rounis et al. 2005 HC M1 - Left 1 Hz and 5 Hz [15O]H2O 1 Hz

and

5 Hz

and
Under the stimulated area, R M1, L SMA, R dorsal and ventral premotor areas, L ventromedial prefrontal cortex, caudal and rostral cingulate motor areas.
R putamen, L head of caudate, R cerebellar vermis.
Under the stimulation site, L ventral premotor area, prefrontal and somatosensory cortices, anterior cingulate, parietal areas.
Superior cerebellum
Obeso et al. 2013 HC Pre-SMA - Right 50 Hz (cTBS) [15O]H2O L pre-SMA, L inferior frontal gyrus, R premotor and R inferior parietal cortex.
Prefrontal Cortex
Paus et al. 1997 HC FEF- Left 10 Hz [15O]H2O Directly under the coil, superior parietal cortex, L cuneus, R supplementary eye field
Speer et al. 2000 Depression DLPFC- Left 1 Hz and 20 Hz [15O]H2O 1 Hz

20 Hz
R prefrontal cortex, L medial temporal cortex, L basal ganglia, L amygdala
Directly under the stimulation site, R prefrontal cortex, L and R cingulate gyrus, L amygdala, bilateral insula, basal ganglia, uncus, hippocampus, thalamus, cerebellum
Paus et al. 2001 HC DLPFC- Left 10 Hz [15O]H2O Directly under the stimulation site, ACC, posterior cingulate
Speer et al. 2003 HC PFC- Left 1 Hz [15O]H2O
and
L ACC, cerebellum, R insula, primary auditory cortex, and somatosensory face area
Stimulated region and in the R PFC, L medial temporal lobe, parahippocampus, and posterior middle temporal gyri
Ohnishi,
Matsuda et al.
2004 HC DLPFC- Left 1 Hz [15O]H2O R ACC, R medial prefrontal cortex, L ventromedial PFC, and L ventral striatum
Barrett et al. 2004 HC DLPFC- Left 1 Hz and 10 Hz [15O]H2O 1 Hz – No effect
10 Hz

and
-
Under stimulation site, perigenual ACC, insula, thalamus, parahippocampal gyrus, caudate nucleus
Amygdala, middle frontal gyrus, gyrus rectus, inferior frontal gyrus, inferior and superior parietal lobes
Knoch et al. 2005 HC DLPFC- Left and Right 1 Hz and 10 Hz [15O]H2O 1 Hz R

and

1 Hz L

and

10 Hz R

and

10 Hz L

and
L postcentral gyrus, R precentral gyrus, cingulate gyrus
L posterior cingulate, L parahippocampal gyrus
Directly under stimulation site, R middle frontal gyrus, anterior cingulate, R caudate nucleus
L inferior frontal gyrus, L OFC
Directly under stimulation site, L uncus, R caudate
R middle and superior frontal gyrus regions, L middle frontal gyrus
Directly under stimulation site, R inferior frontal gyrus, cingulate gyrus
R middle frontal gyrus
Eisenegger et al. 2008 HC DLPFC- Right 1 Hz [15O]H2O L DLPFC, right ventrolateral PFC, inferior frontal cortex

FEF, frontal eye field; HC, healthy control; L, left; MDL-FC, mid-dorsolateral frontal cortex; R, right; SM1 HAND, sensorimotor hand area.