The hidden state-dependency of transcranial alternating current stimulation (tACS)

Non-invasive techniques to electrically stimulate the brain such as transcranial direct and alternating current stimulation (tDCS/tACS) are increasingly used in human neuroscience and offer potential new avenues to treat brain disorders. However, their often weak and variable effects have also raised concerns in the scientific community. A possible factor influencing the efficacy of these methods is the dependence on brain-states. Here, we utilized Hidden Markov Models (HMM) to decompose concurrent tACS-magnetoencephalography data into transient brain-states with distinct spatial, spectral and connectivity profiles. We found that out of four spontaneous brain-states only one was susceptible to tACS. No or only marginal effects were found in the remaining states. TACS did not influence the time spent in each state. Our results suggest, that tACS effects may be mediated by a hidden, spontaneous state-dependency and provide novel insights to the changes in oscillatory activity underlying aftereffects of tACS.