<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.4 20241031//EN"
        "https://jats.nlm.nih.gov/publishing/1.4/JATS-journalpublishing1-4.dtd">
<article  article-type="reviewer-report"        dtd-version="1.4">
            <front>

                <journal-meta>
                                    <journal-id></journal-id>
            <journal-title-group>
                                                                                    <journal-title>Natural and Applied Sciences Journal</journal-title>
            </journal-title-group>
                            <issn pub-type="ppub">2645-9000</issn>
                                                                                                        <publisher>
                    <publisher-name>Izmir University of Democracy</publisher-name>
                </publisher>
                    </journal-meta>
                <article-meta>
                                        <article-id pub-id-type="doi">10.38061/idunas.1483732</article-id>
                                                                <article-categories>
                                            <subj-group  xml:lang="en">
                                                            <subject>Materials Engineering (Other)</subject>
                                                    </subj-group>
                                            <subj-group  xml:lang="tr">
                                                            <subject>Malzeme Mühendisliği (Diğer)</subject>
                                                    </subj-group>
                                    </article-categories>
                                                                                                                                                        <title-group>
                                                                                                                                                            <article-title>Cathodal tDCS and HD-tDCS neuromodulation techniques in the treatment of patients with Drug resistant epilepsy</article-title>
                                                                                                    </title-group>
            
                                                    <contrib-group content-type="authors">
                                                                        <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0009-0002-7229-2631</contrib-id>
                                                                <name>
                                    <surname>Alhajmohammadothman</surname>
                                    <given-names>Marya</given-names>
                                </name>
                                                                    <aff>ANKARA UNIVERSITY, FACULTY OF ENGINEERING, DEPARTMENT OF BIOMEDICAL ENGINEERING, DEPARTMENT OF BIOMEDICAL ENGINEERING</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0001-6800-6204</contrib-id>
                                                                <name>
                                    <surname>Atadana</surname>
                                    <given-names>Benjamin Sogodam</given-names>
                                </name>
                                                                    <aff>ANKARA UNIVERSITY, FACULTY OF ENGINEERING, DEPARTMENT OF BIOMEDICAL ENGINEERING, DEPARTMENT OF BIOMEDICAL ENGINEERING</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0003-2897-0036</contrib-id>
                                                                <name>
                                    <surname>Göktaş</surname>
                                    <given-names>Hilal</given-names>
                                </name>
                                                                    <aff>ANKARA UNIVERSITY, FACULTY OF ENGINEERING, DEPARTMENT OF BIOMEDICAL ENGINEERING, DEPARTMENT OF BIOMEDICAL ENGINEERING</aff>
                                                            </contrib>
                                                                                </contrib-group>
                        
                                        <pub-date pub-type="pub" iso-8601-date="20251231">
                    <day>12</day>
                    <month>31</month>
                    <year>2025</year>
                </pub-date>
                                        <volume>8</volume>
                                        <issue>2</issue>
                                        <fpage>81</fpage>
                                        <lpage>100</lpage>
                        
                        <history>
                                    <date date-type="received" iso-8601-date="20240514">
                        <day>05</day>
                        <month>14</month>
                        <year>2024</year>
                    </date>
                                                    <date date-type="accepted" iso-8601-date="20250212">
                        <day>02</day>
                        <month>12</month>
                        <year>2025</year>
                    </date>
                            </history>
                                        <permissions>
                    <copyright-statement>Copyright © 2018, Natural and Applied Sciences Journal</copyright-statement>
                    <copyright-year>2018</copyright-year>
                    <copyright-holder>Natural and Applied Sciences Journal</copyright-holder>
                </permissions>
            
                                                                                                                        <abstract><p>Cathodal transcranial Direct Current Stimulation (ctDCS) is a safe non-invasive neuromodulation method that has been examined for the management of epilepsy over the past three decades to decrease seizure frequency. The advanced version of transcranial Direct Current Stimulation (tDCS), High-Definition transcranial Direct Current Stimulation (HD-tDCS) has been developed to provide increased focus because of its focal effect and diminshed neuromodulatory effects beyond the epileptogenic area of interest hence it is preferred over traditional tDCS.Purpose: Scientists and researchers performing animal and human clinical research and clinical trials suggest that ctDCS or HD-tDCS may suppress seizures for patients with drug-resistant focal epilepsy. The purpose of this review paper is to analyze and compile clinical studies and research articles to gain a deeper understanding of the capability of HD-tDCS in managing seziures for patients with drug-resistant epilepsy.Conclusion: Application of optimized HD-tDCS (HD-tDCS) for majority of the cases can effectively decrease seizure frequency for patients with drug-resistant focal epilepsy (DRFE). Some patients, however had increased seizure frequency due to unknown reasons that ought to be researched.</p></abstract>
                                                            
            
                                                                                        <kwd-group>
                                                    <kwd>transcranial Direct Current Stimulation</kwd>
                                                    <kwd>  drug-resistant epilepsy</kwd>
                                                    <kwd>  brain stimulation</kwd>
                                                    <kwd>  patient personalization treatment</kwd>
                                            </kwd-group>
                            
                                                                                                                                                <funding-group specific-use="FundRef">
                    <award-group>
                                                    <funding-source>
                                <named-content content-type="funder_name">Tübitak 2209-A</named-content>
                            </funding-source>
                                                                    </award-group>
                </funding-group>
                                </article-meta>
    </front>
    <back>
                            <ref-list>
                                    <ref id="ref1">
                        <label>1</label>
                        <mixed-citation publication-type="journal">1.	G. Assenza et al., “Cathodal transcranial direct current stimulation reduces seizure frequency in adults with drug-resistant temporal lobe epilepsy: A sham controlled study,” Brain Stimulation, vol. 10, no. 2, pp. 333–335, Mar. 2017,https://doi.org/10.1016/j.brs.2016.12.005.</mixed-citation>
                    </ref>
                                    <ref id="ref2">
                        <label>2</label>
                        <mixed-citation publication-type="journal">2.	G. Assenza et al., &quot;Efficacy of cathodal transcranial direct current stimulation in drug-resistant epilepsy: A proof of principle,&quot; 2014 36th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, Chicago, IL, USA, 2014, pp. 530-533,  10.1109/EMBC.2014.6943645.</mixed-citation>
                    </ref>
                                    <ref id="ref3">
                        <label>3</label>
                        <mixed-citation publication-type="journal">3.	N. Auvichayapat et al., “Transcranial Direct Current Stimulation for Treatment of Refractory Childhood Focal Epilepsy,” Brain Stimulation, vol. 6, no. 4, pp. 696–700, Jul. 2013,  https://doi.org/10.1016/j.brs.2013.01.009.</mixed-citation>
                    </ref>
                                    <ref id="ref4">
                        <label>4</label>
                        <mixed-citation publication-type="journal">4.	N. Auvichayapat, K. Sinsupan, O. Tunkamnerdthai, and P. Auvichayapat, “Transcranial Direct Current Stimulation for Treatment of Childhood Pharmacoresistant Lennox–Gastaut Syndrome: A Pilot Study,” Frontiers in Neurology, vol. 7, May 2016,  https://doi.org/10.3389/fneur.2016.00066.</mixed-citation>
                    </ref>
                                    <ref id="ref5">
                        <label>5</label>
                        <mixed-citation publication-type="journal">5.	R. A. B. Badawy, G. Strigaro, and R. Cantello, “TMS, cortical excitability and epilepsy: The clinical impact,” Epilepsy Research, vol. 108, no. 2, pp. 153–161, Feb. 2014,  https://doi.org/10.1016/j.eplepsyres.2013.11.014.</mixed-citation>
                    </ref>
                                    <ref id="ref6">
                        <label>6</label>
                        <mixed-citation publication-type="journal">6.	S. Beumer et al., “Personalized tDCS for Focal Epilepsy—A Narrative Review: A Data-Driven Workflow Based on Imaging and EEG Data,” Brain sciences, vol. 12, no. 5, pp. 610–610, May 2022,  https://doi.org/10.3390/brainsci12050610.</mixed-citation>
                    </ref>
                                    <ref id="ref7">
                        <label>7</label>
                        <mixed-citation publication-type="journal">7.	M. Biabani, M. Aminitehrani, M. Zoghi, M. Farrell, G. Egan, and S. Jaberzadeh, “The effects of transcranial direct current stimulation on short-interval intracortical inhibition and intracortical facilitation: a systematic review and meta-analysis,” Reviews in the Neurosciences, vol. 29, no. 1, pp. 99–114, Dec. 2017,  https://doi.org/10.1515/revneuro-2017-0023.</mixed-citation>
                    </ref>
                                    <ref id="ref8">
                        <label>8</label>
                        <mixed-citation publication-type="journal">8.	L.J. Bindman, O. C. J. Lippold, and J. W. T. Redfearn, “The action of brief polarizing currents on the cerebral cortex of the rat (1) during current flow and (2) in the production of long-lasting after-effects,” The Journal of Physiology, vol. 172, no. 3, pp. 369–382, Aug. 1964, https://doi.org/10.1113/jphysiol.1964.sp007425.</mixed-citation>
                    </ref>
                                    <ref id="ref9">
                        <label>9</label>
                        <mixed-citation publication-type="journal">9.	J. J. Borckardt et al., “A Pilot Study of the Tolerability and Effects of High-Definition Transcranial Direct Current Stimulation (HD-tDCS) on Pain Perception,” The Journal of Pain, vol. 13, no. 2, pp. 112–120, Feb. 2012,  https://doi.org/10.1016/j.jpain.2011.07.001.</mixed-citation>
                    </ref>
                                    <ref id="ref10">
                        <label>10</label>
                        <mixed-citation publication-type="journal">10.	A.R. Brunoni et al., “Clinical research with transcranial direct current stimulation (tDCS): Challenges and future directions,” Brain Stimulation, vol. 5, no. 3, pp. 175–195, Jul. 2012,  https://doi.org/10.1016/j.brs.2011.03.002.</mixed-citation>
                    </ref>
                                    <ref id="ref11">
                        <label>11</label>
                        <mixed-citation publication-type="journal">11.	A.Cancelli et al., “Transcranial Direct Current Stimulation: Personalizing the neuromodulation,” Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference, vol. 2015, pp. 234–7, 2015,  https://doi.org/10.1109/EMBC.2015.7318343.</mixed-citation>
                    </ref>
                                    <ref id="ref12">
                        <label>12</label>
                        <mixed-citation publication-type="journal">12.	Egas Caparelli-Dáquer et al., “A pilot study on effects of 4×1 High-Definition tDCS on motor cortex excitability,” Europe PMC (PubMed Central), Aug. 2012,  https://doi.org/10.1109/embc.2012.6346036.</mixed-citation>
                    </ref>
                                    <ref id="ref13">
                        <label>13</label>
                        <mixed-citation publication-type="journal">13.	M. Daoud et al., “Stereo-EEG based personalized multichannel transcranial direct current stimulation in drug-resistant epilepsy,” Clinical Neurophysiology, vol. 137, pp. 142–151, May 2022,  https://doi.org/10.1016/j.clinph.2022.02.023.</mixed-citation>
                    </ref>
                                    <ref id="ref14">
                        <label>14</label>
                        <mixed-citation publication-type="journal">14.	Datta, V. Bansal, J. Diaz, J. Patel, D. Reato, and M. Bikson, “Gyri-precise head model of transcranial direct current stimulation: Improved spatial focality using a ring electrode versus conventional rectangular pad,” Brain Stimulation, vol. 2, no. 4, pp. 201-207.e1, Oct. 2009,  https://doi.org/10.1016/j.brs.2009.03.005.</mixed-citation>
                    </ref>
                                    <ref id="ref15">
                        <label>15</label>
                        <mixed-citation publication-type="journal">15.	A.Datta, M. Bikson, and F. Fregni, “Transcranial direct current stimulation in patients with skull defects and skull plates: High-resolution computational FEM study of factors altering cortical current flow,” NeuroImage, vol. 52, no. 4, pp. 1268–1278, Oct. 2010,  https://doi.org/10.1016/j.neuroimage.2010.04.252.</mixed-citation>
                    </ref>
                                    <ref id="ref16">
                        <label>16</label>
                        <mixed-citation publication-type="journal">16.	J. P. Dmochowski, A. Datta, Marom Bikson, Y. Su, and L. C. Parra, “Optimized multi-electrode stimulation increases focality and intensity at target,” Journal of Neural Engineering, vol. 8, no. 4, pp. 046011–046011, Jun. 2011,  https://doi.org/10.1088/1741-2560/8/4/046011.</mixed-citation>
                    </ref>
                                    <ref id="ref17">
                        <label>17</label>
                        <mixed-citation publication-type="journal">17.	J. P. Dmochowski, L. Koessler, A. M. Norcia, M. Bikson, and L. C. Parra, “Optimal use of EEG recordings to target active brain areas with transcranial electrical stimulation,” NeuroImage, vol. 157, pp. 69–80, Aug. 2017,  https://doi.org/10.1016/j.neuroimage.2017.05.059.</mixed-citation>
                    </ref>
                                    <ref id="ref18">
                        <label>18</label>
                        <mixed-citation publication-type="journal">18.	A.Donnell et al., “High-Definition and Non-invasive Brain Modulation of Pain and Motor Dysfunction in Chronic TMD,” Brain Stimulation, vol. 8, no. 6, pp. 1085–1092, Nov. 2015,  https://doi.org/10.1016/j.brs.2015.06.008.</mixed-citation>
                    </ref>
                                    <ref id="ref19">
                        <label>19</label>
                        <mixed-citation publication-type="journal">19.	D. Edwards, M. Cortes, A. Datta, P. Minhas, E. M. Wassermann, and M. Bikson, “Physiological and modeling evidence for focal transcranial electrical brain stimulation in humans: A basis for high-definition tDCS,” NeuroImage, vol. 74, pp. 266–275, Jul. 2013,  https://doi.org/10.1016/j.neuroimage.2013.01.042.</mixed-citation>
                    </ref>
                                    <ref id="ref20">
                        <label>20</label>
                        <mixed-citation publication-type="journal">20.	Evans, C. Bachmann, J. S. A. Lee, E. Gregoriou, N. Ward, and S. Bestmann, “Dose-controlled tDCS reduces electric field intensity variability at a cortical target site,” Brain Stimulation, vol. 13, no. 1, pp. 125–136, Jan. 2020,  https://doi.org/10.1016/j.brs.2019.10.004.</mixed-citation>
                    </ref>
                                    <ref id="ref21">
                        <label>21</label>
                        <mixed-citation publication-type="journal">21.	Fertonani, C. Pirulli, and C. Miniussi, “Random Noise Stimulation Improves Neuroplasticity in Perceptual Learning,” Journal of Neuroscience, vol. 31, no. 43, pp. 15416–15423, Oct. 2011,  https://doi.org/10.1523/jneurosci.2002-11.2011.</mixed-citation>
                    </ref>
                                    <ref id="ref22">
                        <label>22</label>
                        <mixed-citation publication-type="journal">22.	R. S. Fisher et al., “Transcranial direct current stimulation for focal status epilepticus or lateralized periodic discharges in four patients in a critical care setting,” Epilepsia, vol. 64, no. 4, pp. 875–887, Feb. 2023,  https://doi.org/10.1111/epi.17514.</mixed-citation>
                    </ref>
                                    <ref id="ref23">
                        <label>23</label>
                        <mixed-citation publication-type="journal">23.	F. Fregni et al., “Evidence-Based Guidelines and Secondary Meta-Analysis for the Use of Transcranial Direct Current Stimulation in Neurological and Psychiatric Disorders,” International Journal of Neuropsychopharmacology, vol. 24, no. 4, pp. 256–313, Jul. 2020,  https://doi.org/10.1093/ijnp/pyaa051.</mixed-citation>
                    </ref>
                                    <ref id="ref24">
                        <label>24</label>
                        <mixed-citation publication-type="journal">24.	F. Fregni, S. Thome-Souza, M. A. Nitsche, S. D. Freedman, K. D. Valente, and A. Pascual-Leone, “A Controlled Clinical Trial of Cathodal DC Polarization in Patients with Refractory Epilepsy,” Epilepsia, vol. 47, no. 2, pp. 335–342, Feb. 2006,  https://doi.org/10.1111/j.1528-1167.2006.00426.x.</mixed-citation>
                    </ref>
                                    <ref id="ref25">
                        <label>25</label>
                        <mixed-citation publication-type="journal">25.	K. Fricke, A. A. Seeber, N. Thirugnanasambandam, W. Paulus, M. A. Nitsche, and J. C. Rothwell, “Time course of the induction of homeostatic plasticity generated by repeated transcranial direct current stimulation of the human motor cortex,” Journal of Neurophysiology, vol. 105, no. 3, pp. 1141–1149, Mar. 2011,  https://doi.org/10.1152/jn.00608.2009.</mixed-citation>
                    </ref>
                                    <ref id="ref26">
                        <label>26</label>
                        <mixed-citation publication-type="journal">26.	Fritsch et al., “Direct Current Stimulation Promotes BDNF-Dependent Synaptic Plasticity: Potential Implications for Motor Learning,” Neuron, vol. 66, no. 2, pp. 198–204, Apr. 2010,  https://doi.org/10.1016/j.neuron.2010.03.035.</mixed-citation>
                    </ref>
                                    <ref id="ref27">
                        <label>27</label>
                        <mixed-citation publication-type="journal">27.	E. O. Garnett, S. Malyutina, A. Datta, and Dirk-Bart den Ouden, “On the Use of the Terms Anodal and Cathodal in High-Definition Transcranial Direct Current Stimulation: A Technical Note,” Neuromodulation: Technology at the Neural Interface, vol. 18, no. 8, pp. 705–713, Dec. 2015,  https://doi.org/10.1111/ner.12320.</mixed-citation>
                    </ref>
                                    <ref id="ref28">
                        <label>28</label>
                        <mixed-citation publication-type="journal">28.	Talyta Cortez Grippe, J. P. Brasil‐Neto, R. Boëchat-Barros, N. Spinola, and P. L. Oliveira, “Interruption of Epilepsia Partialis Continua by Transcranial Direct Current Stimulation,” Brain Stimulation, vol. 8, no. 6, pp. 1227–1228, Nov. 2015,  https://doi.org/10.1016/j.brs.2015.08.004.</mixed-citation>
                    </ref>
                                    <ref id="ref29">
                        <label>29</label>
                        <mixed-citation publication-type="journal">29.	H. M. Hamer, “Motor cortex excitability in focal epilepsies not including the primary motor area--a TMS study,” Brain, vol. 128, no. 4, pp. 811–818, Feb. 2005,  https://doi.org/10.1093/brain/awh398.</mixed-citation>
                    </ref>
                                    <ref id="ref30">
                        <label>30</label>
                        <mixed-citation publication-type="journal">30.	H. Helmholtz, “Ueber einige Gesetze der Vertheilung elektrischer Ströme in körperlichen Leitern mit Anwendung auf die thierisch-elektrischen Versuche,” Annalen der Physik und Chemie, vol. 165, no. 6, pp. 211–233, 1853,  https://doi.org/10.1002/andp.18531650603.</mixed-citation>
                    </ref>
                                    <ref id="ref31">
                        <label>31</label>
                        <mixed-citation publication-type="journal">31.	Y. Huang, A. Datta, M. Bikson, and L. C. Parra, “Realistic volumetric-approach to simulate transcranial electric stimulation—ROAST—a fully automated open-source pipeline,” Journal of Neural Engineering, vol. 16, no. 5, p. 056006, Jul. 2019,  https://doi.org/10.1088/1741-2552/ab208d.</mixed-citation>
                    </ref>
                                    <ref id="ref32">
                        <label>32</label>
                        <mixed-citation publication-type="journal">32.	L. E. Jehi, D. C. Silveira, W. Bingaman, and I. Najm, “Temporal lobe epilepsy surgery failures: predictors of seizure recurrence, yield of reevaluation, and outcome following reoperation,” Journal of neurosurgery, vol. 113, no. 6, pp. 1186–94, Dec. 2010,  https://doi.org/10.3171/2010.8.JNS10180.</mixed-citation>
                    </ref>
                                    <ref id="ref33">
                        <label>33</label>
                        <mixed-citation publication-type="journal">33.	Y. Kabakov, P. A. Muller, A. Pascual-Leone, F. E. Jensen, and A. Rotenberg, “Contribution of axonal orientation to pathway-dependent modulation of excitatory transmission by direct current stimulation in isolated rat hippocampus,” Journal of Neurophysiology, vol. 107, no. 7, pp. 1881–1889, Apr. 2012,  https://doi.org/10.1152/jn.00715.2011.</mixed-citation>
                    </ref>
                                    <ref id="ref34">
                        <label>34</label>
                        <mixed-citation publication-type="journal">34.	Sanaz Ahmadi Karvigh, Mahmood, Mahsa Arzani, and N. Roshan, “HD-tDCS in refractory lateral frontal lobe epilepsy patients,” Seizure: European Journal of Epilepsy, vol. 47, pp. 74–80, Apr. 2017,  https://doi.org/10.1016/j.seizure.2017.03.005.</mixed-citation>
                    </ref>
                                    <ref id="ref35">
                        <label>35</label>
                        <mixed-citation publication-type="journal">35.	H. L. Kaye et al., “Personalized, Multisession, Multichannel Transcranial Direct Current Stimulation in Medication-Refractory Focal Epilepsy: An Open-Label Study,” Journal of Clinical Neurophysiology, vol. 40, no. 1, pp. 53–62, May 2021,  https://doi.org/10.1097/wnp.0000000000000838.</mixed-citation>
                    </ref>
                                    <ref id="ref36">
                        <label>36</label>
                        <mixed-citation publication-type="journal">36.	L. M. Li, K. Uehara, and T. Hanakawa, “The contribution of interindividual factors to variability of response in transcranial direct current stimulation studies,” Frontiers in Cellular Neuroscience, vol. 9, May 2015,  https://doi.org/10.3389/fncel.2015.00181.</mixed-citation>
                    </ref>
                                    <ref id="ref37">
                        <label>37</label>
                        <mixed-citation publication-type="journal">37.	L.-C. Lin, C.-S. Ouyang, C.-T. Chiang, R.-C. Yang, R.-C. Wu, and H.-C. Wu, “Cumulative effect of transcranial direct current stimulation in patients with partial refractory epilepsy and its association with phase lag index-A preliminary study,” Epilepsy &amp; Behavior, vol. 84, pp. 142–147, Jul. 2018,  https://doi.org/10.1016/j.yebeh.2018.04.017.</mixed-citation>
                    </ref>
                                    <ref id="ref38">
                        <label>38</label>
                        <mixed-citation publication-type="journal">38.	M. Bikson, A. Datta, and M. Elwassif, “Establishing safety limits for transcranial direct current stimulation,” Clinical Neurophysiology, vol. 120, no. 6, pp. 1033–1034, Jun. 2009,  https://doi.org/10.1016/j.clinph.2009.03.018.</mixed-citation>
                    </ref>
                                    <ref id="ref39">
                        <label>39</label>
                        <mixed-citation publication-type="journal">39.	F. Masina, G. Arcara, E. Galletti, I. Cinque, L. Gamberini, and D. Mapelli, “Neurophysiological and behavioural effects of conventional and high definition tDCS,” Scientific Reports, vol. 11, no. 1, Apr. 2021,  https://doi.org/10.1038/s41598-021-87371-z.</mixed-citation>
                    </ref>
                                    <ref id="ref40">
                        <label>40</label>
                        <mixed-citation publication-type="journal">40.	G. K. Mbizvo, K. Bennett, C. R. Simpson, S. E. Duncan, and R. F. M. Chin, “Epilepsy-related and other causes of mortality in people with epilepsy: A systematic review of systematic reviews,” Epilepsy Research, vol. 157, p. 106192, Nov. 2019,  https://doi.org/10.1016/j.eplepsyres.2019.106192.</mixed-citation>
                    </ref>
                                    <ref id="ref41">
                        <label>41</label>
                        <mixed-citation publication-type="journal">41.	O. Meiron et al., “High-Definition transcranial direct current stimulation in early onset epileptic encephalopathy: a case study,” Brain Injury, vol. 32, no. 1, pp. 135–143, 2018,  https://doi.org/10.1080/02699052.2017.1390254.</mixed-citation>
                    </ref>
                                    <ref id="ref42">
                        <label>42</label>
                        <mixed-citation publication-type="journal">42.	Oded Meiron et al., “Antiepileptic Effects of a Novel Non-invasive Neuromodulation Treatment in a Subject With Early-Onset Epileptic Encephalopathy: Case Report With 20 Sessions of HD-tDCS Intervention,” vol. 13, May 2019,  https://doi.org/10.3389/fnins.2019.00547.</mixed-citation>
                    </ref>
                                    <ref id="ref43">
                        <label>43</label>
                        <mixed-citation publication-type="journal">43.	P. Minhas et al., “Electrodes for high-definition transcutaneous DC stimulation for applications in drug delivery and electrotherapy, including tDCS,” Journal of Neuroscience Methods, vol. 190, no. 2, pp. 188–197, Jul. 2010,  https://doi.org/10.1016/j.jneumeth.2010.05.007.</mixed-citation>
                    </ref>
                                    <ref id="ref44">
                        <label>44</label>
                        <mixed-citation publication-type="journal">44.	K. Monte-Silva, M.-F. Kuo, D. Liebetanz, W. Paulus, and M. A. Nitsche, “Shaping the Optimal Repetition Interval for Cathodal Transcranial Direct Current Stimulation (tDCS),” Journal of Neurophysiology, vol. 103, no. 4, pp. 1735–1740, Apr. 2010,  https://doi.org/10.1152/jn.00924.2009.</mixed-citation>
                    </ref>
                                    <ref id="ref45">
                        <label>45</label>
                        <mixed-citation publication-type="journal">45.	M. C. Ng et al., “A Pilot Study of High-Definition Transcranial Direct Current Stimulation in Refractory Status Epilepticus: The SURESTEP Trial,” Neurotherapeutics, vol. 20, no. 1, pp. 181–194, Jan. 2023,  https://doi.org/10.1007/s13311-022-01317-5.</mixed-citation>
                    </ref>
                                    <ref id="ref46">
                        <label>46</label>
                        <mixed-citation publication-type="journal">46.	S. Nikolin, C. K. Loo, S. Bai, S. Dokos, and D. M. Martin, “Focalised stimulation using high definition transcranial direct current stimulation (HD-tDCS) to investigate declarative verbal learning and memory functioning,” NeuroImage, vol. 117, pp. 11–19, Aug. 2015,  https://doi.org/10.1016/j.neuroimage.2015.05.019.</mixed-citation>
                    </ref>
                                    <ref id="ref47">
                        <label>47</label>
                        <mixed-citation publication-type="journal">47.	M. A. Nitsche and W. Paulus, “Excitability changes induced in the human motor cortex by weak transcranial direct current stimulation,” The Journal of Physiology, vol. 527, no. 3, pp. 633–639, Sep. 2000,  https://doi.org/10.1111/j.1469-7793.2000.t01-1-00633.x.</mixed-citation>
                    </ref>
                                    <ref id="ref48">
                        <label>48</label>
                        <mixed-citation publication-type="journal">48.	M. A. Nitsche and W. Paulus, “Noninvasive brain stimulation protocols in the treatment of epilepsy: Current state and perspectives,” vol. 6, no. 2, pp. 244–250, Apr. 2009,  https://doi.org/10.1016/j.nurt.2009.01.003.</mixed-citation>
                    </ref>
                                    <ref id="ref49">
                        <label>49</label>
                        <mixed-citation publication-type="journal">49.	M. A. Nitsche et al., “Transcranial direct current stimulation: State of the art 2008,” Brain Stimulation, vol. 1, no. 3, pp. 206–223, Jul. 2008,  https://doi.org/10.1016/j.brs.2008.06.004.</mixed-citation>
                    </ref>
                                    <ref id="ref50">
                        <label>50</label>
                        <mixed-citation publication-type="journal">50.	P. Faria, F. Fregni, F. Sebastião, A. I. Dias, and A. Leal, “Feasibility of focal transcranial DC polarization with simultaneous EEG recording: Preliminary assessment in healthy subjects and human epilepsy,” Epilepsy &amp; Behavior, vol. 25, no. 3, pp. 417–425, Nov. 2012,  https://doi.org/10.1016/j.yebeh.2012.06.027.</mixed-citation>
                    </ref>
                                    <ref id="ref51">
                        <label>51</label>
                        <mixed-citation publication-type="journal">51.	N. S. Philip, B. G. Nelson, F. Frohlich, K. O. Lim, A. S. Widge, and L. L. Carpenter, “Low-Intensity Transcranial Current Stimulation in Psychiatry,” American Journal of Psychiatry, vol. 174, no. 7, pp. 628–639, Jul. 2017,  https://doi.org/10.1176/appi.ajp.2017.16090996.</mixed-citation>
                    </ref>
                                    <ref id="ref52">
                        <label>52</label>
                        <mixed-citation publication-type="journal">52.	R. Polanía, M. A. Nitsche, and C. C. Ruff, “Studying and modifying brain function with non-invasive brain stimulation,” Nature Neuroscience, vol. 21, no. 2, pp. 174–187, Jan. 2018,  https://doi.org/10.1038/s41593-017-0054-4.</mixed-citation>
                    </ref>
                                    <ref id="ref53">
                        <label>53</label>
                        <mixed-citation publication-type="journal">53.	T. Radman, R. L. Ramos, J. C. Brumberg, and M. Bikson, “Role of cortical cell type and morphology in subthreshold and suprathreshold uniform electric field stimulation in vitro,” Brain Stimulation, vol. 2, no. 4, pp. 215-228.e3, Oct. 2009,  https://doi.org/10.1016/j.brs.2009.03.007.</mixed-citation>
                    </ref>
                                    <ref id="ref54">
                        <label>54</label>
                        <mixed-citation publication-type="journal">54.	Rahman et al., “Cellular effects of acute direct current stimulation: somatic and synaptic terminal effects,” The Journal of Physiology, vol. 591, no. 10, pp. 2563–2578, Apr. 2013,  https://doi.org/10.1113/jphysiol.2012.247171.</mixed-citation>
                    </ref>
                                    <ref id="ref55">
                        <label>55</label>
                        <mixed-citation publication-type="journal">55.	S. Rezakhani, M. Amiri, S. Weckhuysen, and G. A. Keliris, “Therapeutic efficacy of seizure onset zone-targeting high-definition cathodal tDCS in patients with drug-resistant focal epilepsy,” Clinical Neurophysiology, vol. 136, pp. 219–227, Apr. 2022,  https://doi.org/10.1016/j.clinph.2022.01.130.</mixed-citation>
                    </ref>
                                    <ref id="ref56">
                        <label>56</label>
                        <mixed-citation publication-type="journal">56.	G. Ruffini et al., “Transcranial Current Brain Stimulation (tCS): Models and Technologies,” IEEE Transactions on Neural Systems and Rehabilitation Engineering, vol. 21, no. 3, pp. 333–345, May 2013,  https://doi.org/10.1109/tnsre.2012.2200046.</mixed-citation>
                    </ref>
                                    <ref id="ref57">
                        <label>57</label>
                        <mixed-citation publication-type="journal">57.	Y. Yang et al., “The efficacy and safety of third-generation antiseizure medications and non-invasive brain stimulation to treat refractory epilepsy: a systematic review and network meta-analysis study,” Frontiers in neurology, vol. 14, Jan. 2024,  https://doi.org/10.3389/fneur.2023.1307296.</mixed-citation>
                    </ref>
                                    <ref id="ref58">
                        <label>58</label>
                        <mixed-citation publication-type="journal">58.	San-Juan et al., “Transcranial Direct Current Stimulation in Mesial Temporal Lobe Epilepsy and Hippocampal Sclerosis,” Brain Stimulation, vol. 10, no. 1, pp. 28–35, Jan. 2017,  https://doi.org/10.1016/j.brs.2016.08.013.</mixed-citation>
                    </ref>
                                    <ref id="ref59">
                        <label>59</label>
                        <mixed-citation publication-type="journal">59.	San-juan et al., “Transcranial Direct Current Stimulation in Epilepsy,” Brain Stimulation, vol. 8, no. 3, pp. 455–464, May 2015, https://doi.org/10.1016/j.brs.2015.01.001.</mixed-citation>
                    </ref>
                                    <ref id="ref60">
                        <label>60</label>
                        <mixed-citation publication-type="journal">60.	San-Juan, C. I. Sarmiento, K. M. González, and M. Orenday, “Successful Treatment of a Drug-Resistant Epilepsy by Long-term Transcranial Direct Current Stimulation: A Case Report,” Frontiers in Neurology, vol. 9, Feb. 2018,  https://doi.org/10.3389/fneur.2018.00065.</mixed-citation>
                    </ref>
                                    <ref id="ref61">
                        <label>61</label>
                        <mixed-citation publication-type="journal">61.	H. Seo and Sung Chan Jun, “Relation between the electric field and activation of cortical neurons in transcranial electrical stimulation,” Brain stimulation, vol. 12, no. 2, pp. 275–289, Mar. 2019,  https://doi.org/10.1016/j.brs.2018.11.004.</mixed-citation>
                    </ref>
                                    <ref id="ref62">
                        <label>62</label>
                        <mixed-citation publication-type="journal">62.	J. Silvanto, N. Muggleton, and V. Walsh, “State-dependency in brain stimulation studies of perception and cognition,” Trends in Cognitive Sciences, vol. 12, no. 12, pp. 447–454, Dec. 2008,  https://doi.org/10.1016/j.tics.2008.09.004.</mixed-citation>
                    </ref>
                                    <ref id="ref63">
                        <label>63</label>
                        <mixed-citation publication-type="journal">63.	“Sim4Life» zurich med tech,” Zmt.swiss, 2021. https://zmt.swiss/news-and-events/news/sim4life/ (accessed Jun. 26, 2025).</mixed-citation>
                    </ref>
                                    <ref id="ref64">
                        <label>64</label>
                        <mixed-citation publication-type="journal">64.	S. Simula et al., “Transcranial current stimulation in epilepsy: A systematic review of the fundamental and clinical aspects,” Frontiers in neuroscience, vol. 16, Aug. 2022,  https://doi.org/10.3389/fnins.2022.909421.</mixed-citation>
                    </ref>
                                    <ref id="ref65">
                        <label>65</label>
                        <mixed-citation publication-type="journal">65.	H. STEINBERG, “Letter to the Editor: Transcranial direct current stimulation (tDCS) has a history reaching back to the 19th century,” Psychological Medicine, vol. 43, no. 3, pp. 669–671, 2013. 10.1017/S0033291712002929</mixed-citation>
                    </ref>
                                    <ref id="ref66">
                        <label>66</label>
                        <mixed-citation publication-type="journal">66.	P. Sudbrack-Oliveira et al., “Transcranial direct current stimulation (tDCS) in the management of epilepsy: A systematic review,” Seizure, vol. 86, pp. 85–95, Mar. 2021,  https://doi.org/10.1016/j.seizure.2021.01.020.</mixed-citation>
                    </ref>
                                    <ref id="ref67">
                        <label>67</label>
                        <mixed-citation publication-type="journal">67.	P. Tekturk et al., “Transcranial direct current stimulation improves seizure control in patients with Rasmussen encephalitis,” Epileptic Disorders, vol. 18, no. 1, pp. 58–66, Mar. 2016,  https://doi.org/10.1684/epd.2016.0796.</mixed-citation>
                    </ref>
                                    <ref id="ref68">
                        <label>68</label>
                        <mixed-citation publication-type="journal">68.	“The History of Transcranial Direct Current Stimulation (tDCS) - tDCS.com,” Tdcs.com, 2024. https://tdcs.com/history-of-tdcs/</mixed-citation>
                    </ref>
                                    <ref id="ref69">
                        <label>69</label>
                        <mixed-citation publication-type="journal">69.	Thielscher, A. Antunes, and G. B. Saturnino, “Field modeling for transcranial magnetic stimulation: A useful tool to understand the physiological effects of TMS?,” 2015 37th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC), Aug. 2015,  https://doi.org/10.1109/embc.2015.7318340.</mixed-citation>
                    </ref>
                                    <ref id="ref70">
                        <label>70</label>
                        <mixed-citation publication-type="journal">70.	Q. Truong and M. Bikson, “Physics of Transcranial Direct Current Stimulation Devices and Their History,” The Journal of ECT, vol. 34, no. 3, pp. 137–143, Sep. 2018,  https://doi.org/10.1097/yct.0000000000000531.</mixed-citation>
                    </ref>
                                    <ref id="ref71">
                        <label>71</label>
                        <mixed-citation publication-type="journal">71.	T. Varga et al., “Transcranial direct current stimulation in refractory continuous spikes and waves during slow sleep: a controlled study,” Epilepsy research, vol. 97, no. 1–2, pp. 142–5, Nov. 2011,  https://doi.org/10.1016/j.eplepsyres.2011.07.016.</mixed-citation>
                    </ref>
                                    <ref id="ref72">
                        <label>72</label>
                        <mixed-citation publication-type="journal">72.	M. F. Villamar, M. S. Volz, M. Bikson, A. Datta, A. F. DaSilva, and F. Fregni, “Technique and Considerations in the Use of 4x1 Ring High-definition Transcranial Direct Current Stimulation (HD-tDCS),” Journal of Visualized Experiments, no. 77, Jul. 2013,  https://doi.org/10.3791/50309.</mixed-citation>
                    </ref>
                                    <ref id="ref73">
                        <label>73</label>
                        <mixed-citation publication-type="journal">73.	M. F. Villamar et al., “Focal Modulation of the Primary Motor Cortex in Fibromyalgia Using 4×1-Ring High-Definition Transcranial Direct Current Stimulation (HD-tDCS): Immediate and Delayed Analgesic Effects of Cathodal and Anodal Stimulation,” The Journal of Pain, vol. 14, no. 4, pp. 371–383, Apr. 2013,  https://doi.org/10.1016/j.jpain.2012.12.007.</mixed-citation>
                    </ref>
                                    <ref id="ref74">
                        <label>74</label>
                        <mixed-citation publication-type="journal">74.	Wexler, “Recurrent themes in the history of the home use of electrical stimulation: Transcranial direct current stimulation (tDCS) and the medical battery (1870–1920),” Brain Stimulation, vol. 10, no. 2, pp. 187–195, Mar. 2017,  https://doi.org/10.1016/j.brs.2016.11.081.</mixed-citation>
                    </ref>
                                    <ref id="ref75">
                        <label>75</label>
                        <mixed-citation publication-type="journal">75.	Yang et al., “Transcranial Direct Current Stimulation for Patients With Pharmacoresistant Epileptic Spasms: A Pilot Study,” vol. 10, Feb. 2019,  https://doi.org/10.3389/fneur.2019.00050.</mixed-citation>
                    </ref>
                                    <ref id="ref76">
                        <label>76</label>
                        <mixed-citation publication-type="journal">76.	D. Yang et al., “Repeated long sessions of transcranial direct current stimulation reduces seizure frequency in patients with refractory focal epilepsy: An open-label extension study,” Epilepsy &amp; Behavior, vol. 135, p. 108876, Oct. 2022,  https://doi.org/10.1016/j.yebeh.2022.108876.</mixed-citation>
                    </ref>
                                    <ref id="ref77">
                        <label>77</label>
                        <mixed-citation publication-type="journal">77.	D. Yang et al., “Transcranial direct current stimulation reduces seizure frequency in patients with refractory focal epilepsy: A randomized, double-blind, sham-controlled, and three-arm parallel multicenter study,” Brain Stimulation, vol. 13, no. 1, pp. 109–116, Jan. 2020,  https://doi.org/10.1016/j.brs.2019.09.006.</mixed-citation>
                    </ref>
                                    <ref id="ref78">
                        <label>78</label>
                        <mixed-citation publication-type="journal">78.	D. Yang et al., “Transcranial Direct Current Stimulation for Patients With Pharmacoresistant Epileptic Spasms: A Pilot Study,” vol. 10, Feb. 2019,  https://doi.org/10.3389/fneur.2019.00050.</mixed-citation>
                    </ref>
                                    <ref id="ref79">
                        <label>79</label>
                        <mixed-citation publication-type="journal">79.	P. A. Yushkevich et al., “User-guided 3D active contour segmentation of anatomical structures: Significantly improved efficiency and reliability,” NeuroImage, vol. 31, no. 3, pp. 1116–1128, Jul. 2006,  https://doi.org/10.1016/j.neuroimage.2006.01.015.</mixed-citation>
                    </ref>
                                    <ref id="ref80">
                        <label>80</label>
                        <mixed-citation publication-type="journal">80.	Zewdie et al., “Safety and tolerability of transcranial magnetic and direct current stimulation in children: Prospective single center evidence from 3.5 million stimulations,” Brain Stimulation, vol. 13, no. 3, pp. 565–575, May 2020,  https://doi.org/10.1016/j.brs.2019.12.025.</mixed-citation>
                    </ref>
                                    <ref id="ref81">
                        <label>81</label>
                        <mixed-citation publication-type="journal">81.	M. Zoghi, T. J. O’Brien, P. Kwan, M. J. Cook, M. Galea, and S. Jaberzadeh, “Cathodal transcranial direct-current stimulation for treatment of drug-resistant temporal lobe epilepsy: A pilot randomized controlled trial,” Epilepsia Open, vol. 1, no. 3–4, pp. 130–135, Oct. 2016,  https://doi.org/10.1002/epi4.12020.</mixed-citation>
                    </ref>
                                    <ref id="ref82">
                        <label>82</label>
                        <mixed-citation publication-type="journal">82.	M. Zoghi, T. J. O’Brien, P. Kwan, M. J. Cook, M. Galea, and S. Jaberzadeh, “The Effects of Cathodal Transcranial Direct Current Stimulation in a Patient with Drug-Resistant Temporal Lobe Epilepsy (Case Study),” Brain Stimulation, vol. 9, no. 5, pp. 790–792, Sep. 2016,  ttps://doi.org/10.1016/j.brs.2016.05.011.</mixed-citation>
                    </ref>
                            </ref-list>
                    </back>
    </article>
