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计算建模与深部脑刺激综述:在帕金森病中的应用

A review of computational modeling and deep brain stimulation: applications to Parkinson's disease.

作者信息

Yu Ying, Wang Xiaomin, Wang Qishao, Wang Qingyun

机构信息

Department of Dynamics and Control, Beihang University, Beijing, 100191 China.

出版信息

Appl Math Mech. 2020;41(12):1747-1768. doi: 10.1007/s10483-020-2689-9. Epub 2020 Nov 18.

Abstract

Biophysical computational models are complementary to experiments and theories, providing powerful tools for the study of neurological diseases. The focus of this review is the dynamic modeling and control strategies of Parkinson's disease (PD). In previous studies, the development of parkinsonian network dynamics modeling has made great progress. Modeling mainly focuses on the cortex-thalamus-basal ganglia (CTBG) circuit and its sub-circuits, which helps to explore the dynamic behavior of the parkinsonian network, such as synchronization. Deep brain stimulation (DBS) is an effective strategy for the treatment of PD. At present, many studies are based on the side effects of the DBS. However, the translation from modeling results to clinical disease mitigation therapy still faces huge challenges. Here, we introduce the progress of DBS improvement. Its specific purpose is to develop novel DBS treatment methods, optimize the treatment effect of DBS for each patient, and focus on the study in closed-loop DBS. Our goal is to review the inspiration and insights gained by combining the system theory with these computational models to analyze neurodynamics and optimize DBS treatment.

摘要

生物物理计算模型是实验和理论的补充,为神经疾病的研究提供了强大的工具。本综述的重点是帕金森病(PD)的动态建模和控制策略。在以往的研究中,帕金森病网络动力学建模取得了很大进展。建模主要集中在皮质-丘脑-基底神经节(CTBG)回路及其子回路,这有助于探索帕金森病网络的动态行为,如同步。深部脑刺激(DBS)是治疗PD的一种有效策略。目前,许多研究基于DBS的副作用。然而,从建模结果到临床疾病缓解治疗的转化仍然面临巨大挑战。在此,我们介绍DBS改进的进展。其具体目的是开发新的DBS治疗方法,为每位患者优化DBS的治疗效果,并专注于闭环DBS的研究。我们的目标是回顾通过将系统理论与这些计算模型相结合来分析神经动力学和优化DBS治疗所获得的启发和见解。

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