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MILITARY
MEDICINE

Figure 1. rTMS aiming and delivery. A. E-field effect on cortical neurons is a vector-vector interaction with cortical columns orientation
(Fox et al., 2004). B. 3rd generation UTHSCSA irTMS system now sited at LRTC.

ducing PTSD symptoms, there is no definitive treatment for Dr. Peter Fox is a neurologist with a career-long
PTSD. This RCT has the potential to advance knowledge regard- focus on brain imaging research. He has pioneered nu-
ing the efficacy of network-based, image-guided rTMS on PTSD merous methods for functional and structural map-
and may also contribute to the understanding of the neuroplastic ping of the human brain, including the use of
effects of rTMS on PTSD brain networks. If successful, we plan standardized coordinates for brain imaging and combining transcra-
to expand the availability of the proposed rTMS treatments to nial magnetic stimulation (TMS) with positron-emission tomography
both active duty and VA-referred patients with PTSD. Our team (PET) to map neural circuits and systems. Dr. Fox is the founding
is well positioned to perform this type of work due to our collab- Editor of Human Brain Mapping, a Fellow of the American Associ-
orations on existing studies of OEF/OIF/OND veterans and ac- ation for the Advancement of Science, a recipient of the Presidential
tive duty service members, and our prior experience with active Research Scholar Award from the University of Texas Health Science
duty and veteran populations. Center, and has been designated a Top-100 Most Highly Cited Sci-
entist by the Institute for Scientific Information.

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