Literature DB >> 31589892

The Quasi-uniform assumption for Spinal Cord Stimulation translational research.

Niranjan Khadka1, Dennis Q Truong2, Preston Williams3, John H Martin4, Marom Bikson5.   

Abstract

BACKGROUND: Quasi-uniform assumption is a general theory that postulates local electric field predicts neuronal activation. Computational current flow model of spinal cord stimulation (SCS) of humans and animal models inform how the quasi-uniform assumption can support scaling neuromodulation dose between humans and translational animal. NEW
METHOD: Here we developed finite element models of cat and rat SCS, and brain slice, alongside SCS models. Boundary conditions related to species specific electrode dimensions applied, and electric fields per unit current (mA) predicted.
RESULTS: Clinically and across animal, electric fields change abruptly over small distance compared to the neuronal morphology, such that each neuron is exposed to multiple electric fields. Per unit current, electric fields generally decrease with body mass, but not necessarily and proportionally across tissues. Peak electric field in dorsal column rat and cat were ∼17x and ∼1x of clinical values, for scaled electrodes and equal current. Within the spinal cord, the electric field for rat, cat, and human decreased to 50% of peak value caudo-rostrally (C5-C6) at 0.48 mm, 3.2 mm, and 8 mm, and mediolaterally at 0.14 mm, 2.3 mm, and 3.1 mm. Because these space constants are different, electric field across species cannot be matched without selecting a region of interest (ROI). COMPARISON WITH EXISTING
METHOD: This is the first computational model to support scaling neuromodulation dose between humans and translational animal.
CONCLUSIONS: Inter-species reproduction of the electric field profile across the entire surface of neuron populations is intractable. Approximating quasi-uniform electric field in a ROI is a rational step to translational scaling.
Copyright © 2019 Elsevier B.V. All rights reserved.

Entities:  

Keywords:  Electric field; Finite Element Model; Quasi-uniform assumption; Spinal cord stimulation (SCS)

Year:  2019        PMID: 31589892      PMCID: PMC6919276          DOI: 10.1016/j.jneumeth.2019.108446

Source DB:  PubMed          Journal:  J Neurosci Methods        ISSN: 0165-0270            Impact factor:   2.390


  101 in total

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4.  Modulation of activity and conduction in single dorsal column axons by kilohertz-frequency spinal cord stimulation.

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5.  Temperature increases by kilohertz frequency spinal cord stimulation.

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8.  Computational Study of the Effect of Electrode Polarity on Neural Activation Related to Paresthesia Coverage in Spinal Cord Stimulation Therapy.

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9.  Conventional-SCS vs. Burst-SCS and the Behavioral Effect on Mechanical Hypersensitivity in a Rat Model of Chronic Neuropathic Pain: Effect of Amplitude.

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10.  Sub-paresthesia spinal cord stimulation reverses thermal hyperalgesia and modulates low frequency EEG in a rat model of neuropathic pain.

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  5 in total

1.  High-resolution computational modeling of the current flow in the outer ear during transcutaneous auricular Vagus Nerve Stimulation (taVNS).

Authors:  Erica Kreisberg; Zeinab Esmaeilpour; Devin Adair; Niranjan Khadka; Abhishek Datta; Bashar W Badran; J Douglas Bremner; Marom Bikson
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2.  Neurocapillary-Modulation.

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3.  Limited Sensitivity of Hippocampal Synaptic Function or Network Oscillations to Unmodulated Kilohertz Electric Fields.

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4.  Immediate and after effects of transcranial direct-current stimulation in the mouse primary somatosensory cortex.

Authors:  Carlos A Sánchez-León; Isabel Cordones; Claudia Ammann; José M Ausín; María A Gómez-Climent; Alejandro Carretero-Guillén; Guillermo Sánchez-Garrido Campos; Agnès Gruart; José M Delgado-García; Guy Cheron; Javier F Medina; Javier Márquez-Ruiz
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5.  Temporal interference stimulation targets deep brain regions by modulating neural oscillations.

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  5 in total

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