High-Field Magnetic Resonance Centre, MPI for Biological Cybernetics, Tübingen, Germany.
Neuroimage. 2011 Oct 1;58(3):849-59. doi: 10.1016/j.neuroimage.2011.06.069. Epub 2011 Jul 1.
In transcranial magnetic stimulation (TMS), knowledge of the distribution of the induced electric field is fundamental for a better understanding of the position and extent of the stimulated brain region. However, the different tissue types and the varying fibre orientation in the brain tissue result in an inhomogeneous and anisotropic conductivity distribution and distort the electric field in a non-trivial way. Here, the field induced by a figure-8 coil is characterized in detail using finite element calculations and a geometrically accurate model of an individual head combined with high-resolution diffusion-weighted imaging for conductivity mapping. It is demonstrated that the field strength is significantly enhanced when the currents run approximately perpendicular to the local gyral orientation. Importantly, the spatial distribution of this effect differs distinctly between gray matter (GM) and white matter (WM): While the field in GM is selectively enhanced at the gyral crowns and lips, high field strengths can still occur rather deep in WM. Taking the anisotropy of brain tissue into account tends to further boost this effect in WM, but not in GM. Spatial variations in the WM anisotropy affect the local field strength in a systematic way and result in localized increases of up to 40% (on average ~7% for coil orientations perpendicular to the underlying gyri). We suggest that these effects might create hot spots in WM that might contribute to the excitation of WM structures by TMS. However, our results also demonstrate the necessity of using realistic nerve models in the future to allow for more definitive conclusions.
在经颅磁刺激(TMS)中,了解感应电场的分布对于更好地理解刺激脑区的位置和范围至关重要。然而,大脑组织中的不同组织类型和纤维方向的变化导致了不均匀和各向异性的电导率分布,并以一种非平凡的方式扭曲了电场。在这里,使用有限元计算和个体头部的几何精确模型以及用于电导率映射的高分辨率扩散加权成像详细描述了 8 字形线圈产生的场。结果表明,当电流大致垂直于局部脑回方向时,场强会显著增强。重要的是,这种效应的空间分布在灰质(GM)和白质(WM)之间明显不同:虽然 GM 中的场在脑回冠部和唇部得到选择性增强,但在 WM 中仍能产生较高的场强。考虑到脑组织的各向异性会进一步增强 WM 中的这种效应,但不会增强 GM。WM 各向异性的空间变化以系统的方式影响局部场强,并导致局部增加高达 40%(对于垂直于下伏脑回的线圈方向,平均约为 7%)。我们认为这些效应可能在 WM 中产生热点,从而有助于 TMS 对 WM 结构的激发。然而,我们的结果也表明,未来有必要使用真实的神经模型来得出更明确的结论。
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