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脊髓刺激转化研究的准均匀假设。

The Quasi-uniform assumption for Spinal Cord Stimulation translational research.

机构信息

Department of Biomedical Engineering, The City College of New York, New York, NY, USA.

Department of Biomedical Engineering, The City College of New York, New York, NY, USA.

出版信息

J Neurosci Methods. 2019 Dec 1;328:108446. doi: 10.1016/j.jneumeth.2019.108446. Epub 2019 Oct 4.

DOI:10.1016/j.jneumeth.2019.108446
PMID:31589892
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6919276/
Abstract

BACKGROUND

Quasi-uniform assumption is a general theory that postulates local electric field predicts neuronal activation. Computational current flow model of spinal cord stimulation (SCS) of humans and animal models inform how the quasi-uniform assumption can support scaling neuromodulation dose between humans and translational animal.

NEW METHOD

Here we developed finite element models of cat and rat SCS, and brain slice, alongside SCS models. Boundary conditions related to species specific electrode dimensions applied, and electric fields per unit current (mA) predicted.

RESULTS

Clinically and across animal, electric fields change abruptly over small distance compared to the neuronal morphology, such that each neuron is exposed to multiple electric fields. Per unit current, electric fields generally decrease with body mass, but not necessarily and proportionally across tissues. Peak electric field in dorsal column rat and cat were ∼17x and ∼1x of clinical values, for scaled electrodes and equal current. Within the spinal cord, the electric field for rat, cat, and human decreased to 50% of peak value caudo-rostrally (C5-C6) at 0.48 mm, 3.2 mm, and 8 mm, and mediolaterally at 0.14 mm, 2.3 mm, and 3.1 mm. Because these space constants are different, electric field across species cannot be matched without selecting a region of interest (ROI).

COMPARISON WITH EXISTING METHOD

This is the first computational model to support scaling neuromodulation dose between humans and translational animal.

CONCLUSIONS

Inter-species reproduction of the electric field profile across the entire surface of neuron populations is intractable. Approximating quasi-uniform electric field in a ROI is a rational step to translational scaling.

摘要

背景

准均匀假设是一种普遍理论,它假定局部电场可以预测神经元的激活。人类和动物模型的脊髓刺激(SCS)计算电流流模型告知准均匀假设如何支持在人类和转化动物之间缩放神经调节剂量。

新方法

在这里,我们开发了猫和鼠 SCS 的有限元模型,以及大脑切片和 SCS 模型。应用了与物种特定电极尺寸相关的边界条件,并预测了每单位电流(mA)的电场。

结果

在临床和整个动物中,与神经元形态相比,电场在小距离内急剧变化,以至于每个神经元都暴露在多个电场中。每单位电流,电场通常随体重而减小,但并非在所有组织中都按比例减小。在大鼠和猫的背柱中,峰值电场分别约为临床值的 17 倍和 1 倍,对于缩放电极和相等电流。在脊髓内,大鼠、猫和人类的电场在 0.48mm、3.2mm 和 8mm 处沿头尾方向(C5-C6)下降到峰值的 50%,在 0.14mm、2.3mm 和 3.1mm 处沿内外侧方向下降。由于这些空间常数不同,不选择感兴趣区域(ROI)就无法匹配跨物种的电场。

与现有方法的比较

这是第一个支持在人类和转化动物之间缩放神经调节剂量的计算模型。

结论

在整个神经元群体表面上重现电场分布的跨物种再现是棘手的。在 ROI 中近似准均匀电场是转化缩放的合理步骤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a13/6919276/a10197ce76de/nihms-1545724-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a13/6919276/a10197ce76de/nihms-1545724-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a13/6919276/a10197ce76de/nihms-1545724-f0002.jpg

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本文引用的文献

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Neuroimage. 2019 Nov 15;202:116124. doi: 10.1016/j.neuroimage.2019.116124. Epub 2019 Aug 29.
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Patient-Specific Analysis of Neural Activation During Spinal Cord Stimulation for Pain.脊髓刺激治疗疼痛时的神经激活的患者特异性分析。
Neuromodulation. 2020 Jul;23(5):572-581. doi: 10.1111/ner.13037. Epub 2019 Aug 28.
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Assessment of axonal recruitment using model-guided preclinical spinal cord stimulation in the ex vivo adult mouse spinal cord.
J Neural Eng. 2024 Jul 24;21(4). doi: 10.1088/1741-2552/ad625e.
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Cytoskeletal Remodeling and Gap Junction Translocation Mediates Blood-Brain Barrier Disruption by Non-invasive Low-Voltage Pulsed Electric Fields.细胞骨架重构和缝隙连接易位介导非侵入性低压脉冲电场破坏血脑屏障。
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Quasi-static pipeline in electroconvulsive therapy computational modeling.电抽搐治疗计算建模中的准静态管道。
Brain Stimul. 2023 Mar-Apr;16(2):607-618. doi: 10.1016/j.brs.2023.03.007. Epub 2023 Mar 16.
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A systematic review of computational models for the design of spinal cord stimulation therapies: from neural circuits to patient-specific simulations.脊髓刺激疗法设计的计算模型的系统评价:从神经回路到患者特定模拟。
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High-resolution computational modeling of the current flow in the outer ear during transcutaneous auricular Vagus Nerve Stimulation (taVNS).经皮耳迷走神经刺激(taVNS)时外耳中电流流动的高分辨率计算建模。
Brain Stimul. 2021 Nov-Dec;14(6):1419-1430. doi: 10.1016/j.brs.2021.09.001. Epub 2021 Sep 10.
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Immediate and after effects of transcranial direct-current stimulation in the mouse primary somatosensory cortex.经颅直流电刺激对小鼠初级体感皮层的即时和后续影响。
Sci Rep. 2021 Feb 4;11(1):3123. doi: 10.1038/s41598-021-82364-4.
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Limited Sensitivity of Hippocampal Synaptic Function or Network Oscillations to Unmodulated Kilohertz Electric Fields.千赫兹电场未经调制时对海马突触功能或网络振荡的敏感性有限。
eNeuro. 2020 Dec 16;7(6). doi: 10.1523/ENEURO.0368-20.2020. Print 2020 Nov-Dec.
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Temporal interference stimulation targets deep brain regions by modulating neural oscillations.时程干扰刺激通过调节神经振荡来靶向深部脑区。
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J Neurophysiol. 2019 Oct 1;122(4):1406-1420. doi: 10.1152/jn.00538.2018. Epub 2019 Jul 24.
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Brain Stimul. 2019 Jan-Feb;12(1):62-72. doi: 10.1016/j.brs.2018.10.007. Epub 2018 Oct 17.
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Biophysically realistic neuron models for simulation of cortical stimulation.用于皮层刺激模拟的生物物理逼真神经元模型。
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Design of transcranial magnetic stimulation coils with optimal trade-off between depth, focality, and energy.设计一种经颅磁刺激线圈,在深度、聚焦性和能量之间达到最佳折衷。
J Neural Eng. 2018 Aug;15(4):046033. doi: 10.1088/1741-2552/aac967. Epub 2018 Jun 1.