Table 1 Pros and Cons of Different tDCS Stimulation Strategies.

From: Optimized APPS-tDCS electrode position, size, and distance doubles the on-target stimulation magnitude in 3000 electric field models

 

Conventional 2 mA tDCS

2 mA HD-tDCS

Conventional 4 mA tDCS

Individualized E-Field tDCS

Ideal Method

Set-up

Pad Electrodes

4 × 1 Circular Electrodes

Pad Electrodes

Pad or 4 × 1 Circular Electrodes

Pad Electrodes

Pros

Easy to use with minimal side effects and at-home potential

Focal stimulation at target with minimal off-target effects

Could have stronger or more consistent effects vs. 2 mA

Personalized scalp intensity for same on-target E-field across all patients

Easy to use with higher cortical intensity and lower risk of increased side effects; no MRI scans

Cons

Mixed effects to date

Focality-intensity tradeoff = lower intensity at target; more complex electrode set-up

Greater risk of side effects or improper use at-home; largely untested

Requires MRI scans and computational expertise; lower potential for at-home use

Not applicable