Lempka Scott F, Miocinovic Svjetlana, Johnson Matthew D, Vitek Jerrold L, McIntyre Cameron C
Department of Biomedical Engineering, Cleveland Clinic Foundation, Cleveland, OH, USA.
J Neural Eng. 2009 Aug;6(4):046001. doi: 10.1088/1741-2560/6/4/046001. Epub 2009 Jun 3.
Deep brain stimulation (DBS) represents a powerful clinical technology, but a systematic characterization of the electrical interactions between the electrode and the brain is lacking. The goal of this study was to examine the in vivo changes in the DBS electrode impedance that occur after implantation and during clinically relevant stimulation. Clinical DBS devices typically apply high-frequency voltage-controlled stimulation, and as a result, the injected current is directly regulated by the impedance of the electrode-tissue interface. We monitored the impedance of scaled-down clinical DBS electrodes implanted in the thalamus and subthalamic nucleus of a rhesus macaque using electrode impedance spectroscopy (EIS) measurements ranging from 0.5 Hz to 10 kHz. To further characterize our measurements, equivalent circuit models of the electrode-tissue interface were used to quantify the role of various interface components in producing the observed electrode impedance. Following implantation, the DBS electrode impedance increased and a semicircular arc was observed in the high-frequency range of the EIS measurements, commonly referred to as the tissue component of the impedance. Clinically relevant stimulation produced a rapid decrease in electrode impedance with extensive changes in the tissue component. These post-operative and stimulation-induced changes in impedance could play an important role in the observed functional effects of voltage-controlled DBS and should be considered during clinical stimulation parameter selection and chronic animal research studies.
深部脑刺激(DBS)是一项强大的临床技术,但目前缺乏对电极与大脑之间电相互作用的系统表征。本研究的目的是研究植入后以及在临床相关刺激期间DBS电极阻抗的体内变化。临床DBS设备通常采用高频电压控制刺激,因此,注入电流直接受电极-组织界面阻抗的调节。我们使用范围从0.5赫兹到10千赫兹的电极阻抗谱(EIS)测量,监测了植入恒河猴丘脑和底丘脑核的小型化临床DBS电极的阻抗。为了进一步表征我们的测量结果,我们使用电极-组织界面的等效电路模型来量化各种界面组件在产生观察到的电极阻抗中的作用。植入后,DBS电极阻抗增加,并且在EIS测量的高频范围内观察到一个半圆弧,通常称为阻抗的组织成分。临床相关刺激导致电极阻抗迅速降低,同时组织成分发生广泛变化。这些术后和刺激引起的阻抗变化可能在观察到的电压控制DBS功能效应中起重要作用,并且在临床刺激参数选择和慢性动物研究中应予以考虑。