Human Threshold Research Group, Lawson Health Research Institute, London, ON, Canada; Departments of Medical Biophysics and Medical Imaging Western University, London, ON, Canada; School of Kinesiology, Western University, London, ON, Canada; EuroMov Digital Health in Motion, University of Montpellier and IMT Mines Ales, Montpellier, France.
Department of Electrical Engineering and Automation, Aalto University, Espoo, Finland.
Brain Stimul. 2024 May-Jun;17(3):668-675. doi: 10.1016/j.brs.2024.05.004. Epub 2024 May 11.
Virtually everyone is exposed to power-frequency MF (50/60 Hz), inducing in our body electric fields and currents, potentially modulating brain function. MF-induced electric fields within the central nervous system can generate flickering visual perceptions (magnetophosphenes), which form the basis of international MF exposure guidelines and recommendations protecting workers and the general public. However, magnetophosphene perception thresholds were estimated 40 years ago in a small, unreplicated study with significant uncertainties and leaving open the question of the involved interaction site.
We used a stimulation modality termed transcranial alternating magnetic stimulation (tAMS), delivering in situ sinusoidal electric fields comparable to transcranial alternating current stimulation (tACS). Magnetophosphene perception was quantified in 81 volunteers exposed to MF (eye or occipital exposure) between 0 and 50 mT at frequencies of 20, 50, 60 and 100 Hz.
Reliable magnetophosphene perception was induced with tAMS without any scalp sensation, a major advantage as compared to tACS. Frequency-dependent thresholds were quantified using binary logistic regressions hence allowing to establish condition dependent probabilities of perception. Results support an interaction between induced current density and retinal rod cells.
Beyond fundamental and immediate implications for international safety guidelines, and for identifying the interaction site underlying phosphene perception (ubiquitous in tACS experiments), our results support exploring the potential of tAMS for the differential diagnosis of retinal disorders and neuromodulation therapy.
几乎每个人都暴露在工频 MF(50/60 Hz)中,这会在我们体内产生电场和电流,从而可能改变大脑功能。MF 在中枢神经系统内产生的电场可以产生闪烁的视觉感知(磁闪光),这构成了国际 MF 暴露指南和建议的基础,旨在保护工人和公众。然而,磁闪光感知阈值是在一项小规模、未经复制的研究中估计的,该研究存在很大的不确定性,并且尚未确定涉及的相互作用部位。
我们使用了一种称为经颅交替磁场刺激(tAMS)的刺激模式,该模式可产生与经颅交流电刺激(tACS)相当的原位正弦电场。在 0 到 50 mT 的 MF(眼部或枕部暴露)下,81 名志愿者在 20、50、60 和 100 Hz 的频率下接受了刺激。
使用 tAMS 可以可靠地诱导磁闪光感知,而没有头皮感觉,这与 tACS 相比是一个主要优势。使用二元逻辑回归量化了频率依赖性阈值,从而可以确定感知的条件依赖性概率。结果支持视网膜杆状细胞与诱导电流密度之间的相互作用。
除了对国际安全指南具有重要的基础性和即时性意义,以及确定磁闪光感知的相互作用部位(在 tACS 实验中普遍存在)之外,我们的结果还支持探索 tAMS 在视网膜疾病的鉴别诊断和神经调节治疗中的潜在应用。