When one size does not fit all: Phenotypic bias in noninvasive neuromodulation

While individual variability in response to noninvasive brain stimulation approaches like transcranial magnetic stimulation (TMS) and transcranial direct current stimulation (tDCS) is common, it has been assumed that there are no systematic differences between large groups of people in either suitability for or responsiveness to these forms of neuromodulation. However, in recent years, phenotypic bias, or the tendency of devices to perform differently based on physical characteristics like hair type or skin tone, has emerged as a recognized problem across scalp-based neuroscience tools [1].

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Publication Details

Journal
Brain stimulation
Published
2026-08-20
DOI
https://doi.org/10.1016/j.brs.2026.103194
Primary Topic
Transcranial Magnetic Stimulation Studies
Type
article
Field-Weighted Citation Impact
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article

When one size does not fit all: Phenotypic bias in noninvasive neuromodulation

Gianna M. Perez, Roy H. Hamilton, Anna Wexler
Brain stimulation
Transcranial Magnetic Stimulation Studies
article

When one size does not fit all: Phenotypic bias in noninvasive neuromodulation

Gianna M. Perez, Roy H. Hamilton, Anna Wexler
article en

Abstract

While individual variability in response to noninvasive brain stimulation approaches like transcranial magnetic stimulation (TMS) and transcranial direct current stimulation (tDCS) is common, it has been assumed that there are no systematic differences between large groups of people in either suitability for or responsiveness to these forms of neuromodulation. However, in recent years, phenotypic bias, or the tendency of devices to perform differently based on physical characteristics like hair type or skin tone, has emerged as a recognized problem across scalp-based neuroscience tools [1].

Brain stimulationVol. 19(5)
University of Pennsylvania (US)
Openalex Percentile: Top 12%
Transcranial Magnetic Stimulation Studies
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