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微型重复经颅磁刺激(rTMS)头线圈的设计与验证。

Design and Validation of Miniaturized Repetitive Transcranial Magnetic Stimulation (rTMS) Head Coils.

机构信息

Electrical Engineering Department, University of Portland, Portland, OR 97203, USA.

Department of Electrical and Computer Engineering, University of California San Diego, La Jolla, CA 92093, USA.

出版信息

Sensors (Basel). 2024 Feb 29;24(5):1584. doi: 10.3390/s24051584.

Abstract

Repetitive transcranial magnetic stimulation (rTMS) is a rapidly developing therapeutic modality for the safe and effective treatment of neuropsychiatric disorders. However, clinical rTMS driving systems and head coils are large, heavy, and expensive, so miniaturized, affordable rTMS devices may facilitate treatment access for patients at home, in underserved areas, in field and mobile hospitals, on ships and submarines, and in space. The central component of a portable rTMS system is a miniaturized, lightweight coil. Such a coil, when mated to lightweight driving circuits, must be able to induce B and E fields of sufficient intensity for medical use. This paper newly identifies and validates salient theoretical considerations specific to the dimensional scaling and miniaturization of coil geometries, particularly figure-8 coils, and delineates novel, key design criteria. In this context, the essential requirement of matching coil inductance with the characteristic resistance of the driver switches is highlighted. Computer simulations predicted E- and B-fields which were validated via benchtop experiments. Using a miniaturized coil with dimensions of 76 mm × 38 mm and weighing only 12.6 g, the peak E-field was 87 V/m at a distance of 1.5 cm. Practical considerations limited the maximum voltage and current to 350 V and 3.1 kA, respectively; nonetheless, this peak E-field value was well within the intensity range, 60-120 V/m, generally held to be therapeutically relevant. The presented parameters and results delineate coil and circuit guidelines for a future miniaturized, power-scalable rTMS system able to generate pulsed E-fields of sufficient amplitude for potential clinical use.

摘要

重复经颅磁刺激(rTMS)是一种快速发展的治疗方法,可安全有效地治疗神经精神疾病。然而,临床 rTMS 驱动系统和头线圈体积大、重量大且价格昂贵,因此,小型化、价格合理的 rTMS 设备可以方便患者在家中、服务不足地区、野战和移动医院、船舶和潜艇以及太空中接受治疗。便携式 rTMS 系统的核心组件是一个小型化、重量轻的线圈。这种线圈与重量轻的驱动电路配合使用时,必须能够产生足够强度的 B 和 E 场,以供医疗使用。本文新确定并验证了与线圈几何形状(特别是 8 字形线圈)的尺寸缩小和微型化相关的重要理论考虑因素,并阐明了新的关键设计标准。在这种情况下,突出了匹配线圈电感与驱动开关的特征电阻的基本要求。计算机模拟预测了 E 和 B 场,通过台式实验进行了验证。使用尺寸为 76mm×38mm 且重量仅为 12.6g 的小型化线圈,在 1.5cm 处的峰值 E 场为 87V/m。实际考虑因素将最大电压和电流限制在 350V 和 3.1kA 分别;尽管如此,这个峰值 E 场值仍在治疗相关的强度范围内,60-120V/m。所呈现的参数和结果为未来的小型化、可扩展功率的 rTMS 系统划定了线圈和电路指南,该系统能够产生足够幅度的脉冲 E 场,以用于潜在的临床应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e295/10934069/eab23e857064/sensors-24-01584-g001.jpg

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