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A brain region has more than one connection with the superficial cortical areas. The current study proposed a multi-target focused rTMS protocol for indirectly stimulating a deep region, and to investigate 1) whether FC strength between stimulation targets (right middle frontal gyrus [rMFG] and right inferior parietal lobule [rIPL]) and effective region (dorsal anterior cingulate cortex [dACC]) can predict local activity changes of dACC and 2) whether multiple stimulation targets can focus on the dACC via FC. A total of 24 healthy participants received rTMS with two stimulation targets, both showing strong FC with the dACC. There were four rTMS conditions (&amp;gt;1\u00a0week apart, 10\u00a0Hz, 1800 pulses for each): rMFG-target, rIPL-target, Double-targets (900 pulses for each target), and Sham. The results failed to validate the multi-target focused rTMS hypothesis. But rMFG-target significantly decreased the local activity in the dACC. In addition, stronger dACC-rMFG FC was associated with a greater local activity change in the dACC. Future studies should use stronger FC to focus stimulation effects on the deep region.<\/jats:p>","DOI":"10.1093\/cercor\/bhab380","type":"journal-article","created":{"date-parts":[[2021,9,24]],"date-time":"2021-09-24T13:31:22Z","timestamp":1632490282000},"page":"2773-2784","source":"Crossref","is-referenced-by-count":39,"title":["Resting-State fMRI Functional Connectivity Strength Predicts Local Activity Change in the Dorsal Cingulate Cortex: A Multi-Target Focused rTMS Study"],"prefix":"10.1093","volume":"32","author":[{"given":"Zi-Jian","family":"Feng","sequence":"first","affiliation":[{"name":"Center for Cognition and Brain Disorders , , Hangzhou 310015, China"},{"name":"The Affiliated Hospital of Hangzhou Normal University , , Hangzhou 310015, China"},{"name":"Institute of Psychological Sciences , , Hangzhou 311121, China"},{"name":"Hangzhou Normal University , , Hangzhou 311121, China"},{"name":"Zhejiang Key Laboratory for Research in Assessment of Cognitive Impairments , 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Hangzhou 311121, China"},{"name":"Hangzhou Normal University , , Hangzhou 311121, China"},{"name":"Zhejiang Key Laboratory for Research in Assessment of Cognitive Impairments , Hangzhou 310015, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jing","family":"Jin","sequence":"additional","affiliation":[{"name":"Center for Cognition and Brain Disorders , , Hangzhou 310015, China"},{"name":"The Affiliated Hospital of Hangzhou Normal University , , Hangzhou 310015, China"},{"name":"Institute of Psychological Sciences , , Hangzhou 311121, China"},{"name":"Hangzhou Normal University , , Hangzhou 311121, China"},{"name":"Zhejiang Key Laboratory for Research in Assessment of Cognitive Impairments , Hangzhou 310015, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan","family":"Yue","sequence":"additional","affiliation":[{"name":"Center for Cognition and Brain Disorders , , Hangzhou 310015, China"},{"name":"The Affiliated Hospital of Hangzhou Normal 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Brain Disorders , , Hangzhou 310015, China"},{"name":"The Affiliated Hospital of Hangzhou Normal University , , Hangzhou 310015, China"},{"name":"Institute of Psychological Sciences , , Hangzhou 311121, China"},{"name":"Hangzhou Normal University , , Hangzhou 311121, China"},{"name":"Zhejiang Key Laboratory for Research in Assessment of Cognitive Impairments , Hangzhou 310015, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hong-Xiao","family":"Wang","sequence":"additional","affiliation":[{"name":"Center for Cognition and Brain Disorders , , Hangzhou 310015, China"},{"name":"The Affiliated Hospital of Hangzhou Normal University , , Hangzhou 310015, China"},{"name":"Institute of Psychological Sciences , , Hangzhou 311121, China"},{"name":"Hangzhou Normal University , , Hangzhou 311121, China"},{"name":"Zhejiang Key Laboratory for Research in Assessment of Cognitive Impairments , Hangzhou 310015, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas R","family":"Kn\u00f6sche","sequence":"additional","affiliation":[{"name":"Max Planck Institute for Human Cognitive and Brain Sciences , Leipzig 04103, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu-Feng","family":"Zang","sequence":"additional","affiliation":[{"name":"Center for Cognition and Brain Disorders , , Hangzhou 310015, China"},{"name":"The Affiliated Hospital of Hangzhou Normal University , , Hangzhou 310015, China"},{"name":"Institute of Psychological Sciences , , Hangzhou 311121, China"},{"name":"Hangzhou Normal University , , Hangzhou 311121, China"},{"name":"Zhejiang Key Laboratory for Research in Assessment of Cognitive Impairments , Hangzhou 310015, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jue","family":"Wang","sequence":"additional","affiliation":[{"name":"Institute of sports medicine and health , , Chengdu 610041, 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