Design of a novel closed-loop deep brain stimulation system for Parkinson's disease and obsessive-compulsive disorder

S. Karamintziou, B. Piallat, S. Chabardès, M. Polosan, O. David, G. L. Tsirogiannis, N. Deligiannis, P. Stathis, G. Tagaris, E. Boviatsis, D. Sakas, Georgia E. Polychronaki, Konstantina S. Nikita
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引用次数: 5

Abstract

We present a novel closed-loop subthalamic nucleus (STN) deep brain stimulation (DBS) scheme for Parkinson's disease (PD) and obsessive-compulsive disorder (OCD). The algorithm is designed to effectuate real-time, adaptive stimulation employing the outcome of the 0-1 test for chaos as a state-specific biomarker. In case of a null outcome, the system identifies optimal patterns of stimulation desynchronizing pathologic neuronal activity with minimal energy consumption, on grounds of a stochastic dynamical model and an appropriately formulated cost function. Simulations are performed utilizing microelectrode recordings (MERs) acquired during 8 and 2 DBS surgical interventions for PD and OCD, respectively.
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一种新型闭环脑深部刺激系统的设计,用于帕金森病和强迫症
我们提出了一种新的闭环丘脑下核(STN)深部脑刺激(DBS)方案,用于帕金森病(PD)和强迫症(OCD)。该算法旨在实现实时、自适应的刺激,采用0-1测试的结果作为状态特异性生物标志物。在零结果的情况下,系统根据随机动力学模型和适当制定的成本函数,以最小的能量消耗确定刺激的最佳模式,使病理神经元活动不同步。分别利用8次和2次DBS手术干预PD和OCD期间获得的微电极记录(MERs)进行模拟。
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