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Multi-scale multi-physics model of brain interstitial water flux by transcranial Direct Current Stimulation. 经颅直流电刺激脑间质水通量的多尺度多物理模型。
IF 4 3区 医学 Q1 Engineering Pub Date : 2023-07-24 DOI: 10.1088/1741-2552/ace4f4
Niranjan Khadka, Cynthia Poon, Limary M Cancel, John M Tarbell, Marom Bikson

Objective. Transcranial direct current stimulation (tDCS) generates sustained electric fields in the brain, that may be amplified when crossing capillary walls (across blood-brain barrier, BBB). Electric fields across the BBB may generate fluid flow by electroosmosis. We consider that tDCS may thus enhance interstitial fluid flow.Approach. We developed a modeling pipeline novel in both (1) spanning the mm (head),μm (capillary network), and then nm (down to BBB tight junction (TJ)) scales; and (2) coupling electric current flow to fluid current flow across these scales. Electroosmotic coupling was parametrized based on prior measures of fluid flow across isolated BBB layers. Electric field amplification across the BBB in a realistic capillary network was converted to volumetric fluid exchange.Main results. The ultrastructure of the BBB results in peak electric fields (per mA of applied current) of 32-63Vm-1across capillary wall and >1150Vm-1in TJs (contrasted with 0.3Vm-1in parenchyma). Based on an electroosmotic coupling of 1.0 × 10-9- 5.6 × 10-10m3s-1m2perVm-1, peak water fluxes across the BBB are 2.44 × 10-10- 6.94 × 10-10m3s-1m2, with a peak 1.5 × 10-4- 5.6 × 10-4m3min-1m3interstitial water exchange (per mA).Significance. Using this pipeline, the fluid exchange rate per each brain voxel can be predicted for any tDCS dose (electrode montage, current) or anatomy. Under experimentally constrained tissue properties, we predicted tDCS produces a fluid exchange rate comparable to endogenous flow, so doubling fluid exchange with further local flow rate hot spots ('jets'). The validation and implication of such tDCS brain 'flushing' is important to establish.

目的。经颅直流电刺激(tDCS)会在大脑中产生持续的电场,这种电场在穿过毛细血管壁(跨越血脑屏障,BBB)时可能会被放大。穿过血脑屏障的电场可通过电渗作用产生液体流动。我们认为,tDCS 可能会因此增强间质流体流动。我们开发了一种新颖的建模管道:(1) 跨越毫米(头部)、微米(毛细血管网络)和纳米(直至 BBB 紧密交界处 (TJ))尺度;(2) 将电流流与跨越这些尺度的流体流耦合。电渗耦合的参数是根据先前对孤立 BBB 层间流体流动的测量结果确定的。在现实的毛细管网络中,BBB 上的电场放大被转换为体积流体交换。BBB 的超微结构导致毛细血管壁的峰值电场(每毫安外加电流)为 32-63Vm-1,TJs 中的峰值电场大于 1150Vm-1(实质细胞中的峰值电场为 0.3Vm-1)。根据 1.0 × 10-9- 5.6 × 10-10m3s-1m2 perVm-1 的电渗耦合,跨 BBB 的峰值水通量为 2.44 × 10-10- 6.94 × 10-10m3s-1m2,峰值为 1.5 × 10-4- 5.6 × 10-4m3min-1m3 间质水交换(每毫安)。利用这一管道,可以预测任何 tDCS 剂量(电极蒙太奇、电流)或解剖结构下每个脑体细胞的液体交换率。在实验约束的组织特性下,我们预测 tDCS 产生的流体交换率与内源性流动相当,因此流体交换率加倍,局部流速热点("喷流")进一步增加。对这种 tDCS 脑 "冲洗 "的验证和影响的确定非常重要。
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引用次数: 0
A scoping review of current and emerging techniques for evaluation of peripheral nerve health, degeneration, and regeneration: part 1, neurophysiology. 评估周围神经健康、退化和再生的现有和新兴技术的范围综述:第1部分,神经生理学。
IF 4 3区 医学 Q1 Engineering Pub Date : 2023-07-24 DOI: 10.1088/1741-2552/acdbeb
Ross Mandeville, Benjamin Sanchez, Benjamin Johnston, Stanley Bazarek, Jasmine A Thum, Austin Birmingham, Reiner Henson B See, Carl Froilan D Leochico, Viksit Kumar, Arriyan S Dowlatshahi, Justin Brown, Daniel Stashuk, Seward B Rutkove

Peripheral neuroregeneration research and therapeutic options are expanding exponentially. With this expansion comes an increasing need to reliably evaluate and quantify nerve health. Valid and responsive measures that can serve as biomarkers of the nerve status are essential for both clinical and research purposes for diagnosis, longitudinal follow-up, and monitoring the impact of any intervention. Furthermore, such biomarkers can elucidate regeneration mechanisms and open new avenues for research. Without these measures, clinical decision-making falls short, and research becomes more costly, time-consuming, and sometimes infeasible. As a companion to Part 2, which is focused on non-invasive imaging, Part 1 of this two-part scoping review systematically identifies and critically examines many current and emerging neurophysiological techniques that have the potential to evaluate peripheral nerve health, particularly from the perspective of regenerative therapies and research.

周围神经再生研究和治疗选择呈指数增长。随着这种扩张,越来越需要可靠地评估和量化神经健康。作为神经状态生物标志物的有效和反应性措施对于临床和研究诊断、纵向随访和监测任何干预措施的影响都是必不可少的。此外,这些生物标志物可以阐明再生机制,为研究开辟新的途径。如果没有这些措施,临床决策就会不足,研究就会变得更加昂贵、耗时,有时甚至是不可行的。作为第2部分的补充,第1部分主要关注非侵入性成像,这两部分综述的第1部分系统地识别和批判性地检查了许多当前和新兴的神经生理学技术,这些技术有可能评估周围神经健康,特别是从再生治疗和研究的角度。
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引用次数: 3
Slow-wave modulation analysis during states of unconsciousness using the novel tau-modulation method. 用新颖的tau调制方法分析无意识状态下的慢波调制。
IF 4 3区 医学 Q1 Engineering Pub Date : 2023-07-21 DOI: 10.1088/1741-2552/ace5db
Tao Xie, Zehan Wu, Thomas J Foutz, Xinjun Sheng, Xiangyang Zhu, Eric C Leuthardt, Jon T Willie, Liang Chen, Peter Brunner

Objective. Slow-wave modulation occurs during states of unconsciousness and is a large-scale indicator of underlying brain states. Conventional methods typically characterize these large-scale dynamics by assuming that slow-wave activity is sinusoidal with a stationary frequency. However, slow-wave activity typically has an irregular waveform shape with a non-stationary frequency, causing these methods to be highly unpredictable and inaccurate. To address these limitations, we developed a novel method using tau-modulation, which is more robust than conventional methods in estimating the modulation of slow-wave activity and does not require assumptions on the shape or stationarity of the underlying waveform.Approach. We propose a novel method to estimate modulatory effects on slow-wave activity. Tau-modulation curves are constructed from cross-correlation between slow-wave and high-frequency activity. The resultant curves capture several aspects of modulation, including attenuation or enhancement of slow-wave activity, the temporal synchrony between slow-wave and high-frequency activity, and the rate at which the overall brain activity oscillates between states.Main results. The method's performance was tested on an open electrocorticographic dataset from two monkeys that were recorded during propofol-induced anesthesia, with electrodes implanted over the left hemispheres. We found a robust propagation of slow-wave modulation along the anterior-posterior axis of the lateral aspect of the cortex. This propagation preferentially originated from the anterior superior temporal cortex and anterior cingulate gyrus. We also found the modulation frequency and polarity to track the stages of anesthesia. The algorithm performed well, even with non-sinusoidal activity and in the presence of real-world noise.Significance. The novel method provides new insight into several aspects of slow-wave modulation that have been previously difficult to evaluate across several brain states. This ability to better characterize slow-wave modulation, without spurious correlations induced by non-sinusoidal signals, may lead to robust and physiologically-plausible diagnostic tools for monitoring brain functions during states of unconsciousness.

目标。慢波调制发生在无意识状态,是潜在大脑状态的大规模指标。传统方法通常通过假设慢波活动是具有固定频率的正弦曲线来表征这些大规模动力学。然而,慢波活动通常具有不规则的波形形状和非平稳的频率,导致这些方法高度不可预测和不准确。为了解决这些限制,我们开发了一种使用tau调制的新方法,该方法在估计慢波活动的调制方面比传统方法更健壮,并且不需要假设底层波形的形状或平稳性。我们提出了一种新的方法来估计慢波活动的调制效应。tau调制曲线是由慢波和高频活动之间的互相关构成的。由此产生的曲线捕捉到调制的几个方面,包括慢波活动的衰减或增强,慢波和高频活动之间的时间同步,以及整个大脑活动在不同状态之间振荡的速率。主要的结果。该方法的性能在两只猴子的公开皮质电图数据集上进行了测试,这两只猴子在异丙酚诱导的麻醉过程中被记录下来,电极被植入左半球。我们发现沿皮质外侧的前后轴有一个稳健的慢波调制传播。这种繁殖优先起源于前颞上皮层和前扣带回。我们还发现了调制频率和极性来跟踪麻醉的阶段。该算法即使在非正弦活动和存在真实噪声的情况下也表现良好。这种新方法为慢波调制的几个方面提供了新的见解,这些方面以前很难跨几种大脑状态进行评估。这种更好地表征慢波调制的能力,没有由非正弦信号引起的虚假相关性,可能会导致在无意识状态下监测大脑功能的强大和生理上合理的诊断工具。
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引用次数: 0
Methods for automated delineation and assessment of EMG responses evoked by peripheral nerve stimulation in diagnostic and closed-loop therapeutic applications. 在诊断和闭环治疗应用中自动划定和评估由外周神经刺激诱发的肌电图反应的方法。
IF 3.7 3区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2023-07-21 DOI: 10.1088/1741-2552/ace6fb
Michael L McKinnon, N Jeremy Hill, Jonathan S Carp, Blair Dellenbach, Aiko K Thompson

Objective.Surface electromyography measurements of the Hoffmann (H-) reflex are essential in a wide range of neuroscientific and clinical applications. One promising emerging therapeutic application is H-reflex operant conditioning, whereby a person is trained to modulate the H-reflex, with generalized beneficial effects on sensorimotor function in chronic neuromuscular disorders. Both traditional diagnostic and novel realtime therapeutic applications rely on accurate definitions of the H-reflex and M-wave temporal bounds, which currently depend on expert case-by-case judgment. The current study automates such judgments.Approach.Our novel wavelet-based algorithm automatically determines temporal extent and amplitude of the human soleus H-reflex and M-wave. In each of 20 participants, the algorithm was trained on data from a preliminary 3 or 4 min recruitment-curve measurement. Output was evaluated on parametric fits to subsequent sessions' recruitment curves (92 curves across all participants) and on the conditioning protocol's subsequent baseline trials (∼1200 per participant) performed nearHmax. Results were compared against the original temporal bounds estimated at the time, and against retrospective estimates made by an expert 6 years later.Main results.Automatic bounds agreed well with manual estimates: 95% lay within ±2.5 ms. The resulting H-reflex magnitude estimates showed excellent agreement (97.5% average across participants) between automatic and retrospective bounds regarding which trials would be considered successful for operant conditioning. Recruitment-curve parameters also agreed well between automatic and manual methods: 95% of the automatic estimates of the current required to elicitHmaxfell within±1.4%of the retrospective estimate; for the 'threshold' current that produced an M-wave 10% of maximum, this value was±3.5%.Significance.Such dependable automation of M-wave and H-reflex definition should make both established and emerging H-reflex protocols considerably less vulnerable to inter-personnel variability and human error, increasing translational potential.

霍夫曼(H-)反射的表面肌电图测量在广泛的神经科学和临床应用中至关重要。H反射操作性条件反射是一种很有前景的新兴治疗应用,通过这种训练,人可以调节H反射,从而对慢性神经肌肉疾病患者的感觉运动功能产生普遍的有益影响。传统的诊断和新型的实时治疗应用都依赖于对 H 反射和 M 波时间界限的准确定义,而目前这依赖于专家的个案判断。我们基于小波的新型算法可自动确定人体比目鱼肌 H反射和M波的时间范围和振幅。在 20 名参与者中,每个人都根据 3 或 4 分钟招募曲线的初步测量数据对算法进行了训练。输出结果根据后续训练的募集曲线(所有参与者共 92 条曲线)的参数拟合结果,以及在接近 Hmax 时进行的调节方案后续基线试验(每位参与者 1200 次)进行评估。主要结果:自动界限与人工估计一致:95%在±2.5 毫秒以内。由此得出的 H 反射幅度估计值显示,在哪些试验可被视为成功的操作性条件反射方面,自动界值与回顾界值之间的一致性非常好(参与者平均值为 97.5%)。自动方法和人工方法之间的招募曲线参数也非常一致:95% 的自动估计值在±1.4% 的回溯估计值范围内;对于产生最大值 10% 的 M 波的 "阈值 "电流,该值为±3.5%。
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引用次数: 0
Electrical stimulation induced structural 3D human engineered neural tissue with well-developed neuronal network and functional connectivity. 电刺激诱导出具有发育良好的神经网络和功能连通性的结构三维人体工程神经组织。
IF 4 3区 医学 Q1 Engineering Pub Date : 2023-07-20 DOI: 10.1088/1741-2552/ace658
Xiaoting Meng, Xiyao Yu, Yingli Lu, Zhe Pei, Guoqiang Wang, Mingran Qi, Rongrong Liu, Jiaying Zhou, Xiaopin Guo, Zhengjie Zhou, Fang Wang

Objective.Three-dimensional (3D) neural tissue engineering is expected to provide new stride in developing neural disease models and functional substitutes to aid in the treatment of central nervous system injury. We have previously detailed an electrical stimulation (ES) system to generate 3D mouse engineered neural tissue (mENT)in vitro. However, ES-induced human ENT (hENT) has not previously been either investigated or identified in structural and functional manner. Here, we applied ES as a stimulator to regulate human neural stem cells in 3D Matrigel, explored the components and functional properties of hENTs.Approach.By immunofluorescence chemical staining and electron microscope imaging, we evaluated the effects of ES on (1) neuronal differentiation and maturation, (2) neurites outgrowth and alignment in hENT, (3) formation of synapses and myelin sheaths in hENT. We further investigated the formation of synaptic connections betweenex-vivo-fused mouse and human tissue. We used calcium imaging to detect activities of neurons in hENT culture.Results.ES could induce neuronal differentiation, the orderly growth of neurites and the maturation of neuron subtypes to construct a well-developed neuronal network with synapses and myelin sheaths. Most importantly, we discovered that raising extracellular K+concentration resulted the increasing neuronal excitability in the hENT, indicating electrical activities in neuronal cells.Significance.We applied ES to generate the organised 3D hENTs and identified them in both structural and functional manner.

目标。三维神经组织工程有望在开发神经疾病模型和功能替代品方面提供新的进展,以辅助中枢神经系统损伤的治疗。我们之前已经详细介绍了电刺激(ES)系统在体外产生3D小鼠工程神经组织(mENT)。然而,es诱导的人耳鼻喉癌(hENT)在结构和功能方面尚未被研究或鉴定。通过免疫荧光化学染色和电镜成像,研究了ES对(1)神经元分化和成熟、(2)神经突的生长和排列、(3)神经突触和髓鞘形成的影响。我们进一步研究了体外融合小鼠和人组织之间突触连接的形成。结果:es能诱导神经元分化,神经突有序生长,神经元亚型成熟,形成发育良好的神经网络,具有突触和髓鞘。最重要的是,我们发现细胞外K+浓度的升高导致hENT中神经元兴奋性的增加,这表明神经元细胞的电活动。意义。我们应用ES生成了有组织的3D hENT,并从结构和功能上对它们进行了鉴定。
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引用次数: 0
Kendall transfer entropy: a novel measure for estimating information transfer in complex systems. 肯德尔传递熵:一种估算复杂系统中信息传递的新方法。
IF 4 3区 医学 Q1 Engineering Pub Date : 2023-07-20 DOI: 10.1088/1741-2552/ace5dd
Xin Wen, Zhenhu Liang, Jing Wang, Changwei Wei, Xiaoli Li

Objective.Transfer entropy (TE) has been widely used to infer causal relationships among dynamical systems, especially in neuroscience. Kendall transformation provides a novel quantization method for estimating information-theoretic measures and shows potential advantages for small-sample neural signals. But it has yet to be introduced into the framework of TE estimation, which commonly suffers from the limitation of small sample sizes. This paper aims to introduce the idea of Kendall correlation into TE estimation and verify its effect.Approach.We proposed the Kendall TE (KTE) which combines the improved Kendall transformation and the TE estimation. To confirm its effectiveness, we compared KTE with two common TE estimation techniques: the adaptive partitioning algorithm (D-V partitioning) and the symbolic TE. Their performances were estimated by simulation experiments which included linear, nonlinear, linear + nonlinear models and neural mass models. Moreover, the KTE was also applied to real electroencephalography (EEG) recordings to quantify the directional connectivity between frontal and parietal regions with propofol-induced general anesthesia.Main results.The simulation results showed that the KTE outperformed the other two methods by many measures: (1) identifying the coupling direction under a small sample size; (2) the sensitivity to coupling strength; (3) noise resistance; and (4) the sensitivity to time-dependent coupling changes. For real EEG recordings, the KTE clearly detected the disrupted frontal-to-parietal connectivity in propofol-induced unconsciousness, which is in agreement with previous findings.Significance.We reveal that the proposed KTE method is a robust and powerful tool for estimating TE, and is particularly suitable for small sample sizes. The KTE also provides an innovative form of quantizing continuous time series for information-theoretic measures.

目标。传递熵(TE)已被广泛用于推断动力系统之间的因果关系,特别是在神经科学中。肯德尔变换为估计信息论测度提供了一种新的量化方法,并在小样本神经信号中显示出潜在的优势。但是,由于通常受到小样本量的限制,它尚未被引入到TE估计的框架中。本文旨在将Kendall相关的思想引入到TE估计中,并验证其效果。方法将改进的Kendall变换与TE估计相结合,提出了Kendall TE (KTE)。为了证实其有效性,我们将KTE与两种常见的TE估计技术进行了比较:自适应划分算法(D-V划分)和符号TE。通过线性模型、非线性模型、线性+非线性模型和神经质量模型的仿真实验对其性能进行了评价。此外,KTE还应用于真实脑电图(EEG)记录,以量化异丙酚诱导全身麻醉下额叶和顶叶区域之间的定向连通性。主要的结果。仿真结果表明,KTE方法在许多方面优于其他两种方法:(1)在小样本量下识别耦合方向;(2)对耦合强度的敏感性;(3)抗噪声;(4)对时变耦合变化的敏感性。对于真实的脑电图记录,KTE清晰地检测到异丙酚诱导的无意识中前额到顶叶连接的中断,这与先前的研究结果一致。意义我们揭示了所提出的KTE方法是一种强大的估计TE的工具,特别适用于小样本量。KTE还为信息论测量提供了一种量化连续时间序列的创新形式。
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引用次数: 0
Optimization of ear electrodes for SSVEP-based BCI. 基于ssvep的脑机接口耳电极优化。
IF 4 3区 医学 Q1 Engineering Pub Date : 2023-07-20 DOI: 10.1088/1741-2552/acdf85
Huiqing Zhao, Li Zheng, Miao Yuan, Yijun Wang, Xiaorong Gao, Ruping Liu, Weihua Pei

Objective.Current ear electrodes often require complex placing or long stimulation durations to achieve good detection of steady-state visual evoked potential (SSVEP). To improve the practicability of ear electrode-based SSVEP-BCI (brain-computer interface) system, we developed a high-performance ear electrode that can be easily placed.Approach.Hydrogel based disposable and replaceable semi-dry electrodes are developed to improve the contact impedance and wear feeling. The best combination of electrodes for SSVEP-BCI application around the ear is optimized by assessing the electrode on volunteers, and the performance of the electrode was compared with that of the occipital electrode.Main results.The developed ear hydrogel electrode can achieve an impedance close to that of the wet electrode. Three combinations of ear electrode groups demonstrate high information transfer rate (ITR) and accuracy in SSVEP-BCI applications. According to the rating of the comprehensive assessment and BCI performance in the online session, the behind-aural electrode is the best electrode combination for recording SSVEP in the ear region. The average preparation time is the shortest, and the average impedance is the lowest. The ITR of the behind-aural electrode based SSVEP-BCI system can reach 37.5 ± 18 bits min-1. The stimulus duration was as low as 3 s compared to 5 s or 10 s in other studies.Significance.The accuracy, ITR, and wear feeling can be improved by introducing a semi-dry ear electrode and optimizing the position and the combination of ear electrode. By providing a better trade-off between performance and convenience, the ear electrode-based SSVEP-BCI promises to be used in daily life.

目标。当前的耳电极通常需要复杂的放置或较长的刺激持续时间来实现良好的稳态视觉诱发电位(SSVEP)检测。为了提高基于耳电极的脑机接口(SSVEP-BCI)系统的实用性,我们开发了一种易于放置的高性能耳电极。方法:开发了基于水凝胶的一次性和可更换半干电极,以改善接触阻抗和磨损感。通过对志愿者的评估,优化了耳周应用SSVEP-BCI的最佳电极组合,并与枕部电极的性能进行了比较。主要的结果。所研制的耳用水凝胶电极可以实现与湿电极相近的阻抗。耳电极组的三种组合在SSVEP-BCI应用中显示出较高的信息传输率(ITR)和准确性。根据综合评价和在线会话BCI表现的评分,耳后电极是耳区记录SSVEP的最佳电极组合。平均制备时间最短,平均阻抗最低。基于耳后电极的SSVEP-BCI系统的ITR可达37.5±18 bit min-1。与其他研究的5 s或10 s相比,刺激持续时间低至3 s。意义:通过引入半干式耳电极,优化耳电极的位置和组合,可以提高准确度、ITR和磨损感。通过在性能和便利性之间提供更好的权衡,基于耳电极的SSVEP-BCI有望在日常生活中使用。
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引用次数: 0
Influence of charges deposited on membranes of human hyperdirect pathway axons on depolarization during subthalamic deep brain stimulation. 人类超直接通路轴突膜上沉积的电荷对丘脑底脑深部刺激过程中去极化的影响。
IF 3.7 3区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2023-07-19 DOI: 10.1088/1741-2552/ace5de
Sergey N Makaroff, Aapo R Nummenmaa, Gregory M Noetscher, Zhen Qi, Cameron C McIntyre, Clayton S Bingham

Objective.The motor hyperdirect pathway (HDP) is a key target in the treatment of Parkinson's disease with deep brain stimulation (DBS). Biophysical models of HDP DBS have been used to explore the mechanisms of stimulation. Built upon finite element method volume conductor solutions, such models are limited by a resolution mismatch, where the volume conductor is modeled at the macro scale, while the neural elements are at the micro scale. New techniques are needed to better integrate volume conductor models with neuron models.Approach.We simulated subthalamic DBS of the human HDP using finely meshed axon models to calculate surface charge deposition on insulting membranes of nonmyelinated axons. We converted the corresponding double layer extracellular problem to a single layer problem and applied the well-conditioned charge-based boundary element fast multipole method (BEM-FMM) with unconstrained numerical spatial resolution. Commonly used simplified estimations of membrane depolarization were compared with more realistic solutions.Main result.Neither centerline potential nor estimates of axon recruitment were impacted by the estimation method used except at axon bifurcations and hemispherical terminations. Local estimates of axon polarization were often much higher at bifurcations and terminations than at any other place along the axon and terminal arbor. Local average estimates of terminal electric field are higher by 10%-20%.Significance. Biophysical models of action potential initiation in the HDP suggest that axon terminations are often the lowest threshold elements for activation. The results of this study reinforce that hypothesis and suggest that this phenomenon is even more pronounced than previously realized.

目的:运动超直接通路(HDP)是脑深部刺激(DBS)治疗帕金森病的关键靶点。HDP-DBS的生物物理模型已被用于探索刺激机制。基于有限元法体积导体解决方案,这种模型受到分辨率失配的限制,其中体积导体在宏观尺度上建模,而神经元件在微观尺度上建模。需要新的技术来更好地集成体积导体模型和神经元模型。方法:我们使用精细网格轴突模型模拟人类HDP的丘脑底DBS,以计算非髓鞘轴突侮辱膜上的表面电荷沉积。我们将相应的双层胞外问题转化为单层问题,并应用了具有无约束数值空间分辨率的条件良好的基于电荷的边界元快速多极方法(BEM-FMM)。将常用的膜去极化的简化估计与更现实的解决方案进行了比较。主要结果。除了轴突分叉和半球端部外,中心线电位和轴突募集的估计都不受所用估计方法的影响。轴突极化的局部估计值在分叉和终接处通常比在轴突和终接轴的任何其他位置都高得多。终末电场的局部平均估计值高出10%-20%。意义重大。HDP中动作电位启动的生物物理模型表明,轴突终末通常是激活的最低阈值元素。这项研究的结果强化了这一假设,并表明这种现象比以前意识到的更加明显。
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引用次数: 0
Vagus nerve stimulation using an endovascular electrode array. 使用血管内电极阵列刺激迷走神经。
IF 3.7 3区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2023-07-14 DOI: 10.1088/1741-2552/acdb9b
Evan N Nicolai, Jorge Arturo Larco, Sarosh I Madhani, Samuel J Asirvatham, Su-Youne Chang, Kip A Ludwig, Luis E Savastano, Gregory A Worrell

Objective. Vagus nerve stimulation (VNS), which involves a surgical procedure to place electrodes directly on the vagus nerve (VN), is approved clinically for the treatment of epilepsy, depression, and to facilitate rehabilitation in stroke. VNS at surgically implanted electrodes is often limited by activation of motor nerve fibers near and within the VN that cause neck muscle contraction. In this study we investigated endovascular VNS that may allow activation of the VN at locations where the motor nerve fibers are not localized.Approach. We used endovascular electrodes within the nearby internal jugular vein (IJV) to electrically stimulate the VN while recording VN compound action potentials (CAPs) and neck muscle motor evoked potentials (MEPs) in an acute intraoperative swine experiment.Main Results. We show that the stimulation electrode position within the IJV is critical for efficient activation of the VN. We also demonstrate use of fluoroscopy (cone beam CT mode) and ultrasound to determine the position of the endovascular stimulation electrode with respect to the VN and IJV. At the most effective endovascular stimulation locations tested, thresholds for VN activation were several times higher than direct stimulation of the nerve using a cuff electrode; however, this work demonstrates the feasibility of VNS with endovascular electrodes and provides tools to optimize endovascular electrode positions for VNS.Significance. This work lays the foundation to develop endovascular VNS strategies to stimulate at VN locations that would be otherwise too invasive and at VN locations where structures such as motor nerve fibers do not exist.

目的。迷走神经刺激(Vagus nerve stimulation,VNS)是通过外科手术将电极直接植入迷走神经(Vagus nerve,VN),已被临床批准用于治疗癫痫、抑郁症和促进中风康复。手术植入电极的 VNS 通常会受到 VN 附近和内部运动神经纤维激活的限制,这些运动神经纤维会导致颈部肌肉收缩。在这项研究中,我们研究了血管内 VNS,它可以在运动神经纤维未定位的位置激活 VN。在一项急性术中猪实验中,我们使用颈内静脉(IJV)附近的血管内电极电刺激 VN,同时记录 VN 复合动作电位(CAPs)和颈部肌肉运动诱发电位(MEPs)。我们的研究表明,刺激电极在 IJV 内的位置对于有效激活 VN 至关重要。我们还展示了如何使用透视(锥束 CT 模式)和超声波来确定血管内刺激电极相对于 VN 和 IJV 的位置。在测试的最有效血管内刺激位置,VN 激活阈值比使用袖带电极直接刺激神经高出数倍;不过,这项工作证明了使用血管内电极进行 VNS 的可行性,并提供了优化 VNS 血管内电极位置的工具。这项研究为开发血管内 VNS 策略奠定了基础,这些策略可用于刺激那些创伤性太大的 VN 位置以及不存在运动神经纤维等结构的 VN 位置。
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引用次数: 0
A guide towards optimal detection of transient oscillatory bursts with unknown parameters. 参数未知的瞬态振荡猝发的最佳检测指南。
IF 4 3区 医学 Q1 Engineering Pub Date : 2023-07-14 DOI: 10.1088/1741-2552/acdffd
SungJun Cho, Jee Hyun Choi

Objectives. Recent event-based analyses of transient neural activities have characterized the oscillatory bursts as a neural signature that bridges dynamic neural states to cognition and behaviors. Following this insight, our study aimed to (1) compare the efficacy of common burst detection algorithms under varying signal-to-noise ratios and event durations using synthetic signals and (2) establish a strategic guideline for selecting the optimal algorithm for real datasets with undefined properties.Approach.We tested the robustness of burst detection algorithms using a simulation dataset comprising bursts of multiple frequencies. To systematically assess their performance, we used a metric called 'detection confidence', quantifying classification accuracy and temporal precision in a balanced manner. Given that burst properties in empirical data are often unknown in advance, we then proposed a selection rule to identify an optimal algorithm for a given dataset and validated its application on local field potentials of basolateral amygdala recorded from male mice (n=8) exposed to a natural threat.Main Results.Our simulation-based evaluation demonstrated that burst detection is contingent upon event duration, whereas accurately pinpointing burst onsets is more susceptible to noise level. For real data, the algorithm chosen based on the selection rule exhibited superior detection and temporal accuracy, although its statistical significance differed across frequency bands. Notably, the algorithm chosen by human visual screening differed from the one recommended by the rule, implying a potential misalignment between human priors and mathematical assumptions of the algorithms.Significance.Therefore, our findings underscore that the precise detection of transient bursts is fundamentally influenced by the chosen algorithm. The proposed algorithm-selection rule suggests a potentially viable solution, while also emphasizing the inherent limitations originating from algorithmic design and volatile performances across datasets. Consequently, this study cautions against relying solely on heuristic-based approaches, advocating for a careful algorithm selection in burst detection studies.

研究目的最近对瞬时神经活动进行的基于事件的分析发现,振荡爆发是连接动态神经状态与认知和行为的神经特征。根据这一观点,我们的研究旨在:(1)使用合成信号比较常见突发性检测算法在不同信噪比和事件持续时间下的功效;(2)为具有未定义属性的真实数据集选择最佳算法制定策略指南。方法:我们使用包含多种频率突发性的模拟数据集测试了突发性检测算法的鲁棒性。为了系统地评估这些算法的性能,我们使用了一种名为 "检测置信度 "的指标,以平衡的方式量化分类准确性和时间精度。鉴于经验数据中的突发属性往往是事先未知的,我们随后提出了一种选择规则,以确定特定数据集的最佳算法,并在雄性小鼠(n=8)暴露于自然威胁下记录的杏仁核基底外侧局部场电位上验证了该规则的应用。主要结果:我们基于模拟的评估表明,突发检测取决于事件持续时间,而精确定位突发发生则更容易受到噪声水平的影响。在真实数据中,根据选择规则选择的算法表现出更高的检测和时间准确性,尽管其统计意义在不同频段有所不同。值得注意的是,人类视觉筛选所选择的算法与规则所推荐的算法不同,这意味着人类的先验和算法的数学假设之间可能存在偏差。建议的算法选择规则提出了一个潜在可行的解决方案,同时也强调了算法设计和不同数据集性能波动所带来的固有局限性。因此,本研究提醒人们不要完全依赖基于启发式的方法,提倡在突发检测研究中谨慎选择算法。
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Journal of neural engineering
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