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经颅磁刺激中的电场深度-聚焦权衡:50 种线圈设计的模拟比较。

Electric field depth-focality tradeoff in transcranial magnetic stimulation: simulation comparison of 50 coil designs.

机构信息

Department of Psychiatry and Behavioral Sciences, Duke University, Durham, NC, USA.

出版信息

Brain Stimul. 2013 Jan;6(1):1-13. doi: 10.1016/j.brs.2012.02.005. Epub 2012 Mar 21.


DOI:10.1016/j.brs.2012.02.005
PMID:22483681
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3568257/
Abstract

BACKGROUND: Various transcranial magnetic stimulation (TMS) coil designs are available or have been proposed. However, key coil characteristics such as electric field focality and attenuation in depth have not been adequately compared. Knowledge of the coil focality and depth characteristics can help TMS researchers and clinicians with coil selection and interpretation of TMS studies. OBJECTIVE: To quantify the electric field focality and depth of penetration of various TMS coils. METHODS: The electric field distributions induced by 50 TMS coils were simulated in a spherical human head model using the finite element method. For each coil design, we quantified the electric field penetration by the half-value depth, d(1/2), and focality by the tangential spread, S(1/2), defined as the half-value volume (V(1/2)) divided by the half-value depth, S(1/2) = V(1/2)/d(1/2). RESULTS: The 50 TMS coils exhibit a wide range of electric field focality and depth, but all followed a depth-focality tradeoff: coils with larger half-value depth cannot be as focal as more superficial coils. The ranges of achievable d(1/2) are similar between coils producing circular and figure-8 electric field patterns, ranging 1.0-3.5 cm and 0.9-3.4 cm, respectively. However, figure-8 field coils are more focal, having S(1/2) as low as 5 cm(2) compared to 34 cm(2) for circular field coils. CONCLUSIONS: For any coil design, the ability to directly stimulate deeper brain structures is obtained at the expense of inducing wider electrical field spread. Novel coil designs should be benchmarked against comparison coils with consistent metrics such as d(1/2) and S(1/2).

摘要

背景:有多种经颅磁刺激(TMS)线圈设计可供选择或已经提出。然而,关键的线圈特性,如电场聚焦和深度衰减,尚未得到充分比较。了解线圈的聚焦和深度特性可以帮助 TMS 研究人员和临床医生选择线圈,并解释 TMS 研究。 目的:定量比较各种 TMS 线圈的电场聚焦和穿透深度。 方法:使用有限元法在球形人头模型中模拟了 50 个 TMS 线圈产生的电场分布。对于每种线圈设计,我们通过半值深度 d(1/2)量化电场穿透深度,通过切向扩展 S(1/2)量化聚焦程度,定义为半值体积(V(1/2))除以半值深度的比值,即 S(1/2)=V(1/2)/d(1/2)。 结果:这 50 个 TMS 线圈表现出广泛的电场聚焦和穿透深度范围,但都遵循深度聚焦的权衡:半值深度较大的线圈不能像更浅层的线圈那样聚焦。产生圆形和 8 字形电场图案的线圈可实现的 d(1/2)范围相似,分别为 1.0-3.5cm 和 0.9-3.4cm。然而,8 字形场线圈的聚焦程度更高,其 S(1/2)低至 5cm(2),而圆形场线圈的 S(1/2)则高达 34cm(2)。 结论:对于任何线圈设计,直接刺激更深脑结构的能力是通过牺牲诱导更广泛电场扩散来获得的。新型线圈设计应使用一致的指标(如 d(1/2)和 S(1/2))与比较线圈进行基准测试。

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本文引用的文献

[1]
Fundamentals of transcranial electric and magnetic stimulation dose: definition, selection, and reporting practices.

Brain Stimul. 2011-11-1

[2]
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Annu Int Conf IEEE Eng Med Biol Soc. 2011

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Annu Int Conf IEEE Eng Med Biol Soc. 2011

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The role of medial prefrontal cortex in theory of mind: a deep rTMS study.

Behav Brain Res. 2011-12-6

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Brain Stimul. 2011-1-22

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How the brain tissue shapes the electric field induced by transcranial magnetic stimulation.

Neuroimage. 2011-7-1

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Deep transcranial magnetic stimulation add-on for treatment of negative symptoms and cognitive deficits of schizophrenia: a feasibility study.

Int J Neuropsychopharmacol. 2011-4-28

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Prog Neuropsychopharmacol Biol Psychiatry. 2011-2-24

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Deep transcranial magnetic stimulation for the treatment of auditory hallucinations: a preliminary open-label study.

Ann Gen Psychiatry. 2011-2-9

[10]
Electric field strength and focality in electroconvulsive therapy and magnetic seizure therapy: a finite element simulation study.

J Neural Eng. 2011-1-19

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