Department of Neurosurgery and the Center for Neuromodulation, The Ohio State University Medical Center, Columbus, OH 43210, USA.
IEEE Trans Biomed Eng. 2011 Jul;58(7):1907-17. doi: 10.1109/TBME.2010.2102758. Epub 2010 Dec 30.
Neurological disorders are becoming increasingly common in developed countries as a result of the aging population. In spite of medications, these disorders can result in progressive loss of function as well as chronic physical, cognitive, and emotional disability that ultimately places enormous emotional and economic on the patient, caretakers, and the society in general. Neuromodulation is emerging as a therapeutic option in these patients. Neuromodulation is a field, which involves implantable devices that allow for the reversible adjustable application of electrical, chemical, or biological agents to the central or peripheral nervous system with the objective of altering its functioning with the objective of achieving a therapeutic or clinically beneficial effect. It is a rapidly evolving field that brings together many different specialties in the fields of medicine, materials science, computer science and technology, biomedical, and neural engineering as well as the surgical or interventional specialties. It has multiple current and emerging indications, and an enormous potential for growth. The main challenges before it are in the need for effective collaboration between engineers, basic scientists, and clinicians to develop innovations that address specific problems resulting in new devices and clinical applications.
神经系统疾病在发达国家变得越来越普遍,这是由于人口老龄化所致。尽管有药物治疗,但这些疾病仍可能导致功能逐渐丧失,以及慢性的身体、认知和情感障碍,最终给患者、护理人员和整个社会带来巨大的情感和经济负担。神经调节正在成为这些患者的一种治疗选择。神经调节是一个涉及可植入设备的领域,这些设备允许对中枢或周围神经系统可逆地、可调节地应用电、化学或生物制剂,以改变其功能,从而达到治疗或临床有益的效果。它是一个快速发展的领域,汇集了医学、材料科学、计算机科学与技术、生物医学和神经工程以及外科或介入专业等多个不同领域的专业知识。它有多种当前和新兴的适应症,具有巨大的发展潜力。它面临的主要挑战是需要工程师、基础科学家和临床医生之间进行有效的合作,开发出针对特定问题的创新技术,从而产生新的设备和临床应用。
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