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@ARTICLE{PaasOliveros:1048964,
author = {Paas Oliveros, Lya K. and Poeppl, Timm B. and Reuter, Niels
and Patil, Kaustubh R. and Kreuzer, Sarah and Tse, Nga Yan
and Cash, Robin F. H. and Hoffstaedter, Felix and Eickhoff,
Simon B. and Müller, Veronika I.},
title = {{U}nveiling the {M}ultifaceted {N}etworks of the {L}eft
{DLPFC} for {P}recision {TMS} {T}argeting},
reportid = {FZJ-2025-05061},
year = {2025},
abstract = {The left dorsolateral prefrontal cortex (lDLPFC) is the
standard target for transcranial magnetic stimulation (TMS)
to ameliorate treatment-resistant depression (TRD), yet
non-response rates remain high. TMS efficacy has been linked
to the stimulation site’s functional connectivity,
particularly its anti-correlation with the subgenual
cingulate cortex (SGC). While this pragmatic strategy has
demonstrated clinical utility, it offers limited insight
into how the lDLPFC’s network interactions contribute to
site-dependent variability in treatment response. Here, we
used connectivity-based parcellation within an lDLPFC region
encompassing common TMS targets and adjacent areas to
delineate functional subdivisions and characterize their
connectivity to large-scale networks and behavioral
associations. Our results revealed a hierarchical
organization: a coarse two-pole antagonism between
anterior-central and superior-posterior subregions and a
finer nine-cluster architecture exposing lDLPFC’s
heterogeneity along anterior-posterior and ventral-dorsal
axes. Anterior-central areas were strongly anti-correlated
with SGC and default-mode network, positively connected with
salience, dorsal attention, and control networks, and
associated with cognitive control. In contrast,
superior-posterior subregions displayed the inverse pattern,
while ventral clusters engaged somatomotor and visual
networks, and language-related processes. Central and
superior-anterior clusters showed differentiated profiles,
including associations with inhibition, social cognition,
and perceptual functions. To aid clinical translation, we
derived an lDLPFC likelihood map integrating granularities,
highlighting anterior-central lDLPFC as the strongest TMS
candidate considering the relevance of its connectivity and
behavioral profiles to depression, while indicating that
neighboring subregions have distinct functions. These
findings underscore the lDLPFC’s hierarchical and
heterogeneous organization and provide a network-informed
reference for developing individualized, symptom-specific
TMS interventions.},
cin = {INM-7},
cid = {I:(DE-Juel1)INM-7-20090406},
pnm = {5252 - Brain Dysfunction and Plasticity (POF4-525)},
pid = {G:(DE-HGF)POF4-5252},
typ = {PUB:(DE-HGF)25},
doi = {10.1101/2025.11.19.689337},
url = {https://juser.fz-juelich.de/record/1048964},
}