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经颅电刺激期间人脑电场的测量与模型

Measurements and models of electric fields in the human brain during transcranial electric stimulation.

作者信息

Huang Yu, Liu Anli A, Lafon Belen, Friedman Daniel, Dayan Michael, Wang Xiuyuan, Bikson Marom, Doyle Werner K, Devinsky Orrin, Parra Lucas C

机构信息

Department of Biomedical Engineering, City College of the City University of New York, New York, United States.

Comprehensive Epilepsy Center, New York University School of Medicine, New York, United States.

出版信息

Elife. 2017 Feb 7;6:e18834. doi: 10.7554/eLife.18834.

Abstract

Transcranial electric stimulation aims to stimulate the brain by applying weak electrical currents at the scalp. However, the magnitude and spatial distribution of electric fields in the human brain are unknown. We measured electric potentials intracranially in ten epilepsy patients and estimated electric fields across the entire brain by leveraging calibrated current-flow models. When stimulating at 2 mA, cortical electric fields reach 0.8 V/m, the lower limit of effectiveness in animal studies. When individual whole-head anatomy is considered, the predicted electric field magnitudes correlate with the recorded values in cortical ( = 0.86) and depth ( = 0.88) electrodes. Accurate models require adjustment of tissue conductivity values reported in the literature, but accuracy is not improved when incorporating white matter anisotropy or different skull compartments. This is the first study to validate and calibrate current-flow models with intracranial recordings in humans, providing a solid foundation to target stimulation and interpret clinical trials.

摘要

经颅电刺激旨在通过在头皮施加弱电电流来刺激大脑。然而,人类大脑中电场的大小和空间分布尚不清楚。我们在10名癫痫患者颅内测量了电势,并通过利用校准的电流流动模型估算了整个大脑的电场。当以2毫安进行刺激时,皮质电场达到0.8伏/米,这是动物研究中的有效性下限。当考虑个体全脑解剖结构时,预测的电场大小与皮质(r = 0.86)和深部(r = 0.88)电极中的记录值相关。精确的模型需要调整文献中报道的组织电导率值,但纳入白质各向异性或不同的颅骨腔室时,准确性并未提高。这是第一项利用人类颅内记录对电流流动模型进行验证和校准的研究,为靶向刺激和解释临床试验提供了坚实的基础。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5661/5370189/fce661716eac/elife-18834-fig1.jpg

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