# MPS-TMS: Modular Pulse Synthesizer for Transcranial Magnetic Stimulation with Fully Adjustable Pulse Shape and SequenceTBD

> **NIH NIH RF1** · DUKE UNIVERSITY · 2020 · $1,644,386

## Abstract

Project Summary/Abstract
We will develop a novel technology for noninvasive transcranial magnetic stimulation (TMS) of the human brain.
TMS is a standard tool in experimental brain science and is FDA cleared for treatment of depression, obsessive-
compulsive disorder, and migraine as well as pre-surgical brain mapping. However, the underlying high-power
electromagnetic pulse technology has substantial limitations. First, the temporal waveform of conventional TMS
pulses is exclusively sinusoidal with fixed shape and duration. Second, pulse trains used for neuromodulation can
only contain pulses with the same amplitude as well as current direction and require relatively long intervals be-
tween most types of pulses. Similar limitations apply to other sequences of TMS stimuli, such as paired-pulse
paradigms. We previously developed TMS technology with more controllable pulse parameters; however, these
devices still have many critical restrictions in the adjustability of the shape and sequences of pulses. These limita-
tions of TMS technology are significant because an increasing body of literature shows that changing the pulse
shape can cause more selective activation as well as more potent and reliable neuromodulation. Increasing the
functional selectivity of TMS through manipulation of its temporal waveform is important because the spatial focal-
ity, and hence the ability to target TMS precisely, is limited by fundamental physical constrains that have been
reached by state-of-the-art coil designs. Enhancing neuromodulation effects is critical too, since they form the basis
of both research and therapeutic applications. We will address these limitations of existing TMS technology by
developing and testing a novel device—modular pulse synthesizer TMS (MPS-TMS)—that can generate practically
any user-defined pulse shape and combine pulses with different characteristics into arbitrary sequences and trains.
In addition to its unprecedented flexibility, MPS-TMS can generate all conventional pulse types, including those
from FDA cleared TMS systems. The aims of this project start with device hardware and software development
and testing. Subsequently, we will demonstrate the functionality of MPS-TMS in a challenging real-world applica-
tion: the efficient generation of quadripulse stimulation (QPS), which is one of the strongest and most reliable TMS
neuromodulation protocols available. The generation of QPS with conventional technology is problematic as it
requires the combination of four inefficient monophasic TMS machines and is very limited in pulse repetition rate.
In addition to replicating efficiently the QPS pulse shape and train sequence, we will leverage the flexibility of MPS-
TMS and conduct model-based optimization of the QPS waveform to achieve equivalent neurostimulatory effect
while minimizing coil heating, as coil heating is a key limiter of pulse repetition rates. In a demonstration of MPS-
TMS in healthy human subjects, we will compare...

## Key facts

- **NIH application ID:** 10108525
- **Project number:** 1RF1MH124943-01
- **Recipient organization:** DUKE UNIVERSITY
- **Principal Investigator:** Angel V Peterchev
- **Activity code:** RF1 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $1,644,386
- **Award type:** 1
- **Project period:** 2020-09-14 → 2025-05-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10108525

## Citation

> US National Institutes of Health, RePORTER application 10108525, MPS-TMS: Modular Pulse Synthesizer for Transcranial Magnetic Stimulation with Fully Adjustable Pulse Shape and SequenceTBD (1RF1MH124943-01). Retrieved via AI Analytics 2026-05-27 from https://api.ai-analytics.org/grant/nih/10108525. Licensed CC0.

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