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异质脑组织中经颅磁刺激引发的传导现象重建。

A reconstruction of the conductive phenomena elicited by transcranial magnetic stimulation in heterogeneous brain tissue.

作者信息

Toschi Nicola, Welt Tobias, Guerrisi Maria, Keck Martin E

机构信息

Sezione di Fisica Medica, Facoltà di Medicina e Chirurgia, Universitá degli Studi di Roma Tor Vergata, Via Montpellier 1, 00133 Roma, Italy.

出版信息

Phys Med. 2008 Jun;24(2):80-6. doi: 10.1016/j.ejmp.2008.01.005. Epub 2008 Feb 25.

Abstract

Transcranial magnetic stimulation is an attractive research and possibly therapeutic tool for non-invasive stimulation of brain tissue. However, relatively little is known about the direction, magnitude and distribution of induced fields and current flow in tissue, and optimal setup characteristics remain largely undetermined. Further, the profound influence of brain size and shape as well as of brain tissue irregularity on actual stimulation patterns is unclear. We model the conductive phenomena induced in brain tissue by TMS by solving the quasistatic problem over a realistic head model of 1mm resolution derived from anatomical MRI scans using a finite difference successive overrelaxation procedure. The magnetic field is calculated from digitized coil geometry and realistic stimulator parameters. Stimulation with a symmetrical primary electric field results in electric field and current density distributions which are highly asymmetrical both in magnitude and in direction (i.e. distributed, non-contiguous stimulation peaks, deviation of stimulated area from coil "hot spot", sudden jumps in stimulation intensity and non-zero current flow across tissue interfaces). Knowledge of coil and stimulator specifications alone is hence not sufficient to control stimulation conditions, and a stereotaxic setup coupled with an individually adjusted field solver appears essential in performing reliable TMS studies. Our results bear direct relevance to any application of TMS, both investigative and therapeutic.

摘要

经颅磁刺激是一种用于非侵入性刺激脑组织的颇具吸引力的研究工具,可能也是一种治疗工具。然而,关于组织中感应场的方向、大小和分布以及电流流动情况,人们了解得相对较少,最佳设置特征在很大程度上仍未确定。此外,脑尺寸和形状以及脑组织不规则性对实际刺激模式的深远影响尚不清楚。我们通过使用有限差分逐次超松弛过程,在由解剖MRI扫描得出的分辨率为1毫米的真实头部模型上求解准静态问题,对经颅磁刺激在脑组织中引起的传导现象进行建模。磁场由数字化的线圈几何形状和实际刺激器参数计算得出。用对称的初级电场进行刺激会导致电场和电流密度分布在大小和方向上都高度不对称(即分布的、不连续的刺激峰值,受刺激区域偏离线圈“热点”,刺激强度突然跳跃,以及跨组织界面的非零电流流动)。因此,仅了解线圈和刺激器规格不足以控制刺激条件,在进行可靠的经颅磁刺激研究时,立体定位设置与单独调整的场求解器相结合似乎至关重要。我们的结果与经颅磁刺激的任何应用都直接相关,无论是研究性的还是治疗性的。

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