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定向深部脑刺激电极的局部场电位记录的生物物理特性分析。

Biophysical characterization of local field potential recordings from directional deep brain stimulation electrodes.

机构信息

Department of Biomedical Engineering, Case Western Reserve University, Cleveland, OH, USA.

Department of Biomedical Engineering, Case Western Reserve University, Cleveland, OH, USA.

出版信息

Clin Neurophysiol. 2021 Jun;132(6):1321-1329. doi: 10.1016/j.clinph.2021.01.027. Epub 2021 Mar 10.

Abstract

OBJECTIVE

Two major advances in clinical deep brain stimulation (DBS) technology have been the introduction of local field potential (LFP) recording capabilities, and the deployment of directional DBS electrodes. However, these two technologies are not operationally integrated within current clinical DBS devices. Therefore, we evaluated the theoretical advantages of using directional DBS electrodes for LFP recordings, with a focus on measuring beta-band activity in the subthalamic nucleus (STN).

METHODS

We used a computational model of human STN neural activity to simulate LFP recordings. The model consisted of 235,280 anatomically and electrically detailed STN neurons surrounding the DBS electrode, which was previously optimized to mimic beta-band synchrony in the dorsolateral STN. We then used that model system to compare LFP recordings from cylindrical and directional DBS contacts, and evaluate how the selection of different contacts for bipolar recording affected the LFP measurements.

RESULTS

The model predicted two advantages of directional DBS electrodes over cylindrical DBS electrodes for STN LFP recording. First, recording from directional contacts could provide additional insight on the location of a synchronous volume of neurons within the STN. Second, directional contacts could detect a smaller volume of synchronous neurons than cylindrical contacts, which our simulations predicted to be a ~0.5 mm minimum radius.

CONCLUSIONS

STN LFP recordings from 8-contact directional DBS electrodes (28 possible bipolar pairs) can provide more information than 4-contact cylindrical DBS electrodes (6 possible bipolar pairs), but they also introduce additional complexity in analyzing the signals.

SIGNIFICANCE

Integration of directional electrodes with DBS systems that are capable of LFP recordings could improve localization of targeted volumes of synchronous neurons in PD patients.

摘要

目的

临床深部脑刺激 (DBS) 技术的两个主要进展是引入局部场电位 (LFP) 记录功能和部署定向 DBS 电极。然而,这两种技术在当前的临床 DBS 设备中并没有操作上的集成。因此,我们评估了使用定向 DBS 电极进行 LFP 记录的理论优势,重点是测量丘脑底核 (STN) 中的β波段活动。

方法

我们使用了一个人类 STN 神经活动的计算模型来模拟 LFP 记录。该模型由 235280 个围绕 DBS 电极的解剖学和电学上详细的 STN 神经元组成,该电极以前经过优化以模拟 STN 背外侧的β带同步性。然后,我们使用该模型系统比较了圆柱形和定向 DBS 接触的 LFP 记录,并评估了为双极记录选择不同接触点如何影响 LFP 测量。

结果

该模型预测了定向 DBS 电极相对于圆柱形 DBS 电极在 STN LFP 记录方面的两个优势。首先,从定向接触点记录可以提供关于 STN 中同步神经元体积位置的更多信息。其次,定向接触点可以检测到比圆柱形接触点更小的同步神经元体积,我们的模拟预测其最小半径约为 0.5 毫米。

结论

8 个接触点的定向 DBS 电极 (28 个可能的双极对) 的 STN LFP 记录可以提供比 4 个接触点的圆柱形 DBS 电极 (6 个可能的双极对) 更多的信息,但它们也在分析信号方面引入了额外的复杂性。

意义

将定向电极与能够进行 LFP 记录的 DBS 系统集成,可以改善 PD 患者中靶向同步神经元体积的定位。

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