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啮齿动物专用经颅磁刺激线圈的设计与评估:一项体内外验证研究。

Design and Evaluation of a Rodent-Specific Transcranial Magnetic Stimulation Coil: An In Silico and In Vivo Validation Study.

机构信息

Biomedical Magnetic Resonance Imaging and Spectroscopy Group, Center for Image Sciences, University Medical Center Utrecht and Utrecht University, Utrecht, The Netherlands.

Department of Psychiatry, Brain Center Rudolf Magnus, University Medical Center Utrecht and Utrecht University, Utrecht, The Netherlands.

出版信息

Neuromodulation. 2020 Apr;23(3):324-334. doi: 10.1111/ner.13025. Epub 2019 Jul 29.

Abstract

BACKGROUND

Rodent models are fundamental in unraveling cellular and molecular mechanisms of transcranial magnetic stimulation (TMS)-induced effects on the brain. However, proper translation of human TMS protocols to animal models have been restricted by the lack of rodent-specific focal TMS coils.

OBJECTIVE

We aimed to improve TMS focalization in rodent brain with a novel small, cooled, and rodent-specific TMS coil.

METHODS

A rodent-specific 25-mm figure-of-eight TMS coil was developed. Stimulation focalization was simulated in silico for the rodent coil and a commercial human 50-mm figure-of-eight TMS coil. Both coils were also compared in vivo by electromyography measurements of brachialis motor evoked potential (MEP) responses to TMS at different brain sites in anesthetized rats (n = 6). Focalization was determined from the coils' level of stimulation laterality. Differences in MEPs were statistically analyzed with repeated-measures, within-subjects, ANOVA.

RESULTS

In silico simulation results deemed the human coil insufficient for unilateral stimulation of the rat motor cortex, whereas lateralized electrical field induction was projected attainable with the rodent coil. Cortical, in vivo MEP amplitude measurements from multiple points in each hemisphere, revealed unilateral activation of the contralateral brachialis muscle, in absence of ipsilateral brachialis activation, with both coils.

CONCLUSION

Computer simulations motivated the design of a smaller rodent-specific TMS coil, but came short in explaining the capability of a larger commercial human coil to induce unilateral MEPs in vivo. Lateralized TMS, as demonstrated for both TMS coils, corroborates their use in translational rodent studies, to elucidate mechanisms of action of therapeutic TMS protocols.

摘要

背景

啮齿动物模型在揭示经颅磁刺激(TMS)对大脑产生影响的细胞和分子机制方面发挥着重要作用。然而,由于缺乏专门针对啮齿动物的聚焦 TMS 线圈,将人类 TMS 方案准确转化为动物模型一直受到限制。

目的

我们旨在通过一种新型的小型、冷却且专门针对啮齿动物的 TMS 线圈来改善啮齿动物大脑中的 TMS 聚焦。

方法

开发了一种专门针对啮齿动物的 25mm 八字形 TMS 线圈。针对啮齿动物线圈和商用的 50mm 八字形 TMS 线圈进行了模拟刺激聚焦。在麻醉大鼠的不同脑区进行 TMS 刺激时,通过肌电图测量肱二头肌运动诱发电位(MEP)反应,对两种线圈进行了体内比较(n=6)。通过刺激的偏侧性来确定线圈的聚焦程度。采用重复测量、被试内方差分析对 MEP 的差异进行了统计学分析。

结果

模拟结果表明,人类线圈不足以对大鼠运动皮层进行单侧刺激,而啮齿动物线圈则可以预测到产生偏侧性的电场感应。在每个半球的多个点进行的皮质内 MEP 幅度测量显示,使用两种线圈均可以在不激活同侧肱二头肌的情况下,单侧激活对侧肱二头肌。

结论

计算机模拟激发了更小的专门针对啮齿动物的 TMS 线圈的设计,但无法解释更大的商用人类线圈在体内产生单侧 MEP 的能力。两种 TMS 线圈都显示出的偏侧性 TMS,证明了它们在转化性啮齿动物研究中用于阐明治疗性 TMS 方案的作用机制的用途。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cb1/7216963/73a25ca3674f/NER-23-324-g001.jpg

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