Microelectronics Lab James Watt School of Engineering University of Glasgow Glasgow G12 8QQ United Kingdom.
Laboratory of Experimental Electroencephalography and Neurophysiology Department of Biomedical Metabolic and Neural Sciences University of Modena and Reggio Emilia Modena 41125 Italy.
Adv Sci (Weinh). 2021 Mar 9;8(10):2002693. doi: 10.1002/advs.202002693. eCollection 2021 May.
Neurological diseases are a prevalent cause of global mortality and are of growing concern when considering an ageing global population. Traditional treatments are accompanied by serious side effects including repeated treatment sessions, invasive surgeries, or infections. For example, in the case of deep brain stimulation, large, stiff, and battery powered neural probes recruit thousands of neurons with each pulse, and can invoke a vigorous immune response. This paper presents challenges in engineering and neuroscience in developing miniaturized and biointegrated alternatives, in the form of microelectrode probes. Progress in design and topology of neural implants has shifted the goal post toward highly specific recording and stimulation, targeting small groups of neurons and reducing the foreign body response with biomimetic design principles. Implantable device design recommendations, fabrication techniques, and clinical evaluation of the impact flexible, integrated probes will have on the treatment of neurological disorders are provided in this report. The choice of biocompatible material dictates fabrication techniques as novel methods reduce the complexity of manufacture. Wireless power, the final hurdle to truly implantable neural interfaces, is discussed. These aspects are the driving force behind continued research: significant breakthroughs in any one of these areas will revolutionize the treatment of neurological disorders.
神经疾病是全球死亡率的主要原因之一,考虑到全球人口老龄化,这一问题越发令人关注。传统的治疗方法伴随着严重的副作用,包括多次治疗、侵入性手术或感染。例如,在深部脑刺激的情况下,大型、僵硬且由电池供电的神经探针在每次脉冲时都会招募数千个神经元,并可能引发强烈的免疫反应。本文提出了在开发微型化和生物集成替代方案方面在工程和神经科学方面面临的挑战,这些替代方案采用微电极探针的形式。神经植入物的设计和拓扑结构的进步已经将目标转移到高度特异性的记录和刺激上,针对小群神经元,并通过仿生设计原则减少异物反应。本文提供了关于可植入器件设计建议、制造技术以及柔性、集成探头对治疗神经疾病的影响的临床评估。生物相容性材料的选择决定了制造技术,因为新型方法降低了制造的复杂性。本文还讨论了无线电源,这是真正可植入神经接口的最后一个障碍。这些方面是持续研究的动力:这些领域中的任何一个方面的重大突破都将彻底改变神经疾病的治疗方法。