Ruzzoli M, Abrahamyan A, Clifford CW, Marzi CA, Miniussi C, Harris JA. The effect of TMS on visual motion sensitivity: an increase in neural noise or a decrease in signal strength? J Neurophysiol 106: 138-143, 2011. First published May 4, 2011 doi:10.1152/jn.00746.2010The underlying mechanisms of action of transcranial magnetic stimulation (TMS) are still a matter of debate. TMS may impair a subject's performance by increasing neural noise, suppressing the neural signal, or both. Here, we delivered a single pulse of TMS (spTMS) to V5/MT during a motion direction discrimination task while concurrently manipulating the level of noise in the motion stimulus. Our results indicate that spTMS essentially acts by suppressing the strength of the relevant visual signal. We suggest that TMS may induce a pattern of neural activity that complements the ongoing activation elicited by the sensory signal in a manner that partially impoverishes that signal. V5/MT; single pulse of transcranial magnetic stimulation IN BEHAVIORAL STUDIES THAT employ transcranial magnetic stimulation (TMS), the most often analyzed dependent variables are accuracy and reaction time (for a review, see Sandrini et al. 2011). Both of these variables are affected by the signal-tonoise ratio: higher ratios are associated with greater accuracy and shorter reaction times (cf. the linking hypothesis: Teller 1984). TMS has an effect on this ratio (Harris et al. 2008;Rauschecker et al. 2004;Sack et al. 2006;Silvanto et al. 2008) by reducing the strength of the signal (Harris et al. 2008), increasing the neural noise (Ruzzoli et al. 2010), or both.The "virtual lesion" hypothesis, by analogy with animal and human neuropsychological studies, states that TMS-induced effects are interpretable as a temporary and reversible halt of the functionality of the stimulated area as a consequence of the discharge of magnetic pulses (Pascual-Leone et al. 1999;Walsh and Cowey 1998). Although the virtual lesion is the most common theoretical framework used to interpret the behavioral effects of TMS, it does not provide a clear explanation of the underlying neural mechanisms . Recent human (Harris et al. 2008;Ruzzoli et al. 2010;Silvanto et al. 2008) Harris and colleagues (2008) used an added noise paradigm (Pelli and Farell 1999) to compare the functional effects of TMS on signal strength vs. noise. They applied a single pulse of TMS (spTMS) to the occipital pole while subjects discriminated the orientation of sinusoidal luminance gratings to which were added varying levels of spatial white noise. The orientation detection thresholds were established using an adaptive staircase procedure. The primary aim of that experiment was to ascertain the impact of TMS on the linear function between the square of the detection thresholds (contrast energy) and the square of the amount of noise added to the stimulus [noise variance (2 )]. Harris et al. (2008) found that the slope of the psychometric function increased more than double when spTMS was applied to visual cortex, compared with ...