Literature DB >> 35896504

Accurate simulation of cuff electrode stimulation predicting in-vivo strength-duration thresholds.

Nathaniel Lazorchak1, M Ryne Horn1, M Ivette Muzquiz1, Landan M Mintch1, Ken Yoshida1.   

Abstract

BACKGROUND: In-silico experiments used to optimize and inform how peripheral nerve based electrode designs perform hold the promise of greatly reducing the guesswork with new designs as well as the number of animals used to identify and prove promising designs. Given adequate realism, in-silico experiments offer the promise of identifying putative mechanisms that further inform exploration of novel stimulation and recording techniques and their interactions with bioelectric phenomena. However, despite using validated nerve fiber models, when applied to the more complex case of an implanted extracellular electrode, the in-silico experiments often do not compare quantitatively with the results of experiments conducted in in-vivo experiments. This suggests that the accuracy/realism of the environment and the lamination of the nerve bundle plays an important role in this discrepancy. This paper describes the sensitivity of in-silico models to the electrical parameter estimates and volume conductor type used.
METHODS: In-vivo work was performed on rat vagus nerves (N = 2) to characterize the strength-duration curve for various peaks identified in a compound nerve action potential (CAP) measured via a needle electrode. The vagus nerve has several distinct populations of nerve fiber calibers and types. Recruitment of a fiber caliber/type generates distinct peaks that can be identified, and whose conduction delay correlates to a conduction velocity. Peaks were identified by their recruitment thresholds and associated to their conduction velocities by the conduction delays of their peaks. An in-silico analog of the in-vivo experiment was constructed and experiments were run at the two extreme volume conductor cases: (1) The nerve in-saline, and (2) the nerve in-air. The specifically targeted electrical parameters were extraneural environment (in-air versus saline submersion), the resistivity (ρ) of the epineurium and perineurium, and the relative permittivity (εr ) of those same tissues. A time varying finite element method (FEM) model of the potential distribution vs time was quantified and projected onto a modified McIntyre, Richardson, and Grill (MRG), myelinated spinal nerve, active fiber model in NEURON to identify the threshold of activation as a function of stimulus pulse amplitude versus pulse width versus fiber diameter. The in-silico results were then compared to the in-vivo results.
RESULTS: The finite element method simulations spanned two macro environments: in-saline and in-air. For these environments, the resistivities for low and high frequencies as well as two different permittivity cases were used. Between these 8 cases unique cases it was found that the most accurate combination of those variables was the in-air environment for low-frequency resistivity (ρ0 ) and ex-vivo a measured permittivity (εr,measured ) from unpublished ex-vivo experiments in canine vagal nerve, achieving a high degree of convergence (r2  = 0.96). As the in-vivo work was conducted in in-air, the in-air boundary condition test case was convergent with the in-silico results.
CONCLUSIONS: The results of this investigation suggest that increasing realism in simulations begets more accurate predictions. Of particular importance are (ρ) and extraneural environment, with reactive electrical parameters becoming important for input waveforms with energy in higher frequencies.
© 2022 The Authors. Artificial Organs published by International Center for Artificial Organ and Transplantation (ICAOT) and Wiley Periodicals LLC.

Entities:  

Keywords:  NEURON; finite element analysis; neural simulations; threshold prediction

Mesh:

Year:  2022        PMID: 35896504      PMCID: PMC9529855          DOI: 10.1111/aor.14374

Source DB:  PubMed          Journal:  Artif Organs        ISSN: 0160-564X            Impact factor:   2.663


  14 in total

1.  Selectivity of multiple-contact nerve cuff electrodes: a simulation analysis.

Authors:  A Q Choi; J K Cavanaugh; D M Durand
Journal:  IEEE Trans Biomed Eng       Date:  2001-02       Impact factor: 4.538

2.  Functionally selective peripheral nerve stimulation with a flat interface nerve electrode.

Authors:  Dustin J Tyler; Dominique M Durand
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Journal:  Biosens Bioelectron       Date:  2010-05-11       Impact factor: 10.618

5.  The terms "chronaxie" and "rheobase" are 100 years old.

Authors:  Werner Irnich
Journal:  Pacing Clin Electrophysiol       Date:  2010-01-28       Impact factor: 1.976

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7.  Analysis of models for external stimulation of axons.

Authors:  F Rattay
Journal:  IEEE Trans Biomed Eng       Date:  1986-10       Impact factor: 4.538

8.  Solutions to the technical challenges embedded in the current methods for intraoperative peripheral nerve action potential recordings.

Authors:  Gang Wu; Allan Belzberg; Jessica Nance; Sergio Gutierrez-Hernandez; Eva K Ritzl; Matthias Ringkamp
Journal:  J Neurosurg       Date:  2019-08-16       Impact factor: 5.115

9.  Influence of unit distance and conduction velocity on the spectra of extracellular action potentials recorded with intrafascicular electrodes.

Authors:  Shaoyu Qiao; Ken Yoshida
Journal:  Med Eng Phys       Date:  2012-05-11       Impact factor: 2.242

10.  A Reversible Low Frequency Alternating Current Nerve Conduction Block Applied to Mammalian Autonomic Nerves.

Authors:  M Ivette Muzquiz; Landan Mintch; M Ryne Horn; Awadh Alhawwash; Rizwan Bashirullah; Michael Carr; John H Schild; Ken Yoshida
Journal:  Sensors (Basel)       Date:  2021-07-01       Impact factor: 3.576

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