Group optimization methods for dose planning in transcranial electrical current stimulation (tES)

ObjectiveOptimizing transcranial electrical stimulation (tES) parameters--including stimulator settings and electrode placements--using magnetic resonance imaging-derived head models is essential for achieving precise electric field (E-field) distributions, enhancing therapeutic efficacy, and reducing inter-individual variability. However, the dependence on individually personalized MRI-based models limits their scalability in some clinical and research contexts. To overcome this limitation, we propose a novel group-level optimization framework employing multiple representative head models. ApproachThe proposed optimization approach utilizes computational modeling based on multiple representative head models selected to minimize group-level error compared to baseline (no stimulation). This method effectively balances focal stimulation intensity within targeted brain regions while minimizing off-target effects. We evaluated our method through computational modeling and leave-one-out cross-validation using data from 54 subjects and analyzed the effectiveness, generalizability, and predictive utility of anatomical characteristics. Main resultsOur approach demonstrated that group optimization significantly outperformed protocols derived from standard templates or randomly selected individual models, notably reducing variability in outcomes across participants. Additionally, correlations between anatomical features (e.g., head perimeter and tissue volumes) and E-field parameters revealed predictive relationships. This insight enables further optimization improvements through the strategic selection of representative head models that are electro-anatomically similar to the target subjects. SignificanceThe proposed group optimization framework provides a scalable and robust alternative to personalized approaches, substantially enhancing the feasibility and accessibility of model-driven tES protocols in diverse clinical and research environments. Data Access StatementThe data that support the findings of this study are available from the corresponding author, R.S., upon reasonable request.