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NOT YET RECRUITING
NCT07561372
NA

Adaptive Recruitment Curve Analysis Using Bayesian Modeling

Sponsor: Columbia University

View on ClinicalTrials.gov

Summary

The purpose of this study is to better understand how electrical or magnetic stimulation affect the nervous system by optimizing the way researchers measure muscle responses. The relationship between stimulation intensity and muscle response is described by "neural recruitment curves," which are critical for monitoring the state of the nervous system during therapies like transcranial magnetic stimulation (TMS) and spinal cord stimulation (SCS). This study tests a new, real-time computational approach based on our previously developed methods (Hierarchical Bayesian models) to estimate these recruitment curves more efficiently. The primary goal is to use this model to dynamically guide the experiment, automatically selecting the optimal stimulation intensities to test. The investigators hypothesize that this optimized approach will accurately estimate the entire recruitment curve, or specific targets components of it like the motor threshold, using significantly fewer samples than standard methods. By reducing the number of measurements required, this approach aims to decrease experimental time and minimize participant burden, making future TMS and SCS therapies and experiments more feasible and efficient.

Official title: Enhancing Speed and Accuracy of Motor Evoked Potential Recruitment Curve Analysis Using Hierarchical Bayesian Modeling

Key Details

Gender

All

Age Range

18 Years - 90 Years

Study Type

INTERVENTIONAL

Enrollment

10

Start Date

2026-05-11

Completion Date

2027-03-31

Last Updated

2026-05-19

Healthy Volunteers

Yes

Interventions

OTHER

Algorithm: Uniform Sampling

Standard uniform distribution sampling used as a baseline comparison.

OTHER

Algorithm: hbMEP-adaptive algorithm (version 1)

An active sampling algorithm for recruitment curve estimation.

OTHER

Algorithm: hbMEP-adaptive algorithm (version 2)

An alternative active sampling algorithm for recruitment curve estimation.

OTHER

ML-PEST

Algorithm: Adaptive threshold hunting using the Parameter Estimation by Sequential Testing (PEST) algorithm.

DEVICE

MagPro X100 Transcranial Magnetic Stimulation

The proposed algorithms will deliver stimulation by using this magnetic stimulation methodology.

DEVICE

Digitimer DS8R Transcutaneous Electrical stimulation

The proposed algorithms will deliver stimulation by using this electrical stimulation methodology.

Locations (1)

Columbia University Irving Medical Center

New York, New York, United States