Literature DB >> 26685221

Preliminary Upper Estimate of Peak Currents in Transcranial Magnetic Stimulation at Distant Locations From a TMS Coil.

Sergey N Makarov, Janakinadh Yanamadala, Matthew W Piazza, Alex M Helderman, Niang S Thang, Edward H Burnham, Alvaro Pascual-Leone.   

Abstract

GOALS: Transcranial magnetic stimulation (TMS) is increasingly used as a diagnostic and therapeutic tool for numerous neuropsychiatric disorders. The use of TMS might cause whole-body exposure to undesired induced currents in patients and TMS operators. The aim of this study is to test and justify a simple analytical model known previously, which may be helpful as an upper estimate of eddy current density at a particular distant observation point for any body composition and any coil setup.
METHODS: We compare the analytical solution with comprehensive adaptive mesh refinement-based FEM simulations of a detailed full-body human model, two coil types, five coil positions, about 100 000 observation points, and two distinct pulse rise times; thus, providing a representative number of different datasets for comparison, while also using other numerical data.
RESULTS: Our simulations reveal that, after a certain modification, the analytical model provides an upper estimate for the eddy current density at any location within the body. In particular, it overestimates the peak eddy currents at distant locations from a TMS coil by a factor of 10 on average.
CONCLUSION: The simple analytical model tested in this study may be valuable as a rapid method to safely estimate levels of TMS currents at different locations within a human body. SIGNIFICANCE: At present, safe limits of general exposure to TMS electric and magnetic fields are an open subject, including fetal exposure for pregnant women.

Entities:  

Mesh:

Year:  2015        PMID: 26685221      PMCID: PMC5845790          DOI: 10.1109/TBME.2015.2507572

Source DB:  PubMed          Journal:  IEEE Trans Biomed Eng        ISSN: 0018-9294            Impact factor:   4.538


  31 in total

1.  Current densities in a 2 mm resolution anatomically realistic model of the body induced by low frequency electric fields.

Authors:  P J Dimbylow
Journal:  Phys Med Biol       Date:  2000-04       Impact factor: 3.609

Review 2.  Numerical dosimetry at power-line frequencies using anatomically based models.

Authors:  O P Gandhi; J Y Chen
Journal:  Bioelectromagnetics       Date:  1992       Impact factor: 2.010

3.  The electric field induced in the brain by magnetic stimulation: a 3-D finite-element analysis of the effect of tissue heterogeneity and anisotropy.

Authors:  Pedro C Miranda; Mark Hallett; Peter J Basser
Journal:  IEEE Trans Biomed Eng       Date:  2003-09       Impact factor: 4.538

4.  Minimum-energy coils for transcranial magnetic stimulation: application to focal stimulation.

Authors:  Lari M Koponen; Jaakko O Nieminen; Risto J Ilmoniemi
Journal:  Brain Stimul       Date:  2014-10-13       Impact factor: 8.955

5.  Physiological observations validate finite element models for estimating subject-specific electric field distributions induced by transcranial magnetic stimulation of the human motor cortex.

Authors:  Alexander Opitz; Wynn Legon; Abby Rowlands; Warren K Bickel; Walter Paulus; William J Tyler
Journal:  Neuroimage       Date:  2013-05-01       Impact factor: 6.556

6.  A survey of patient acceptability of repetitive transcranial magnetic stimulation (TMS) during pregnancy.

Authors:  Deborah R Kim; Laura Sockol; Jacques P Barber; Marian Moseley; Lisa Lamprou; Karl Rickels; John P O'Reardon; C Neill Epperson
Journal:  J Affect Disord       Date:  2010-09-22       Impact factor: 4.839

7.  Electric field depth-focality tradeoff in transcranial magnetic stimulation: simulation comparison of 50 coil designs.

Authors:  Zhi-De Deng; Sarah H Lisanby; Angel V Peterchev
Journal:  Brain Stimul       Date:  2012-03-21       Impact factor: 8.955

Review 8.  Safety, ethical considerations, and application guidelines for the use of transcranial magnetic stimulation in clinical practice and research.

Authors:  Simone Rossi; Mark Hallett; Paolo M Rossini; Alvaro Pascual-Leone
Journal:  Clin Neurophysiol       Date:  2009-10-14       Impact factor: 3.708

9.  3D modeling of the total electric field induced by transcranial magnetic stimulation using the boundary element method.

Authors:  F S Salinas; J L Lancaster; P T Fox
Journal:  Phys Med Biol       Date:  2009-05-21       Impact factor: 3.609

10.  MIDA: A Multimodal Imaging-Based Detailed Anatomical Model of the Human Head and Neck.

Authors:  Maria Ida Iacono; Esra Neufeld; Esther Akinnagbe; Kelsey Bower; Johanna Wolf; Ioannis Vogiatzis Oikonomidis; Deepika Sharma; Bryn Lloyd; Bertram J Wilm; Michael Wyss; Klaas P Pruessmann; Andras Jakab; Nikos Makris; Ethan D Cohen; Niels Kuster; Wolfgang Kainz; Leonardo M Angelone
Journal:  PLoS One       Date:  2015-04-22       Impact factor: 3.240

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