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一种可穿戴式重复经颅磁刺激设备。

A wearable repetitive transcranial magnetic stimulation device.

作者信息

Qi Zihui, Liu Hao, Jin Fang, Wang Yihang, Lu Xuefeng, Liu Ling, Yang Zhengyi, Fan Lingzhong, Song Ming, Zuo Nianming, Jiang Tianzi

机构信息

Beijing Key Laboratory of Brainnetome and Brain-Computer Interface, Institute of Automation, Chinese Academy of Sciences, Beijing, China.

Brainnetome Center, Institute of Automation, Chinese Academy of Sciences, Beijing, China.

出版信息

Nat Commun. 2025 Mar 19;16(1):2731. doi: 10.1038/s41467-025-58095-9.

DOI:10.1038/s41467-025-58095-9
PMID:40108144
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11923099/
Abstract

Repetitive transcranial magnetic stimulation (rTMS) is widely used to treat various neuropsychiatric disorders and to explore the brain, but its considerable power consumption and large size limit its potential for broader utility, such as applications in free behaviors and in home and community settings. We addressed this challenge through lightweight magnetic core coil designs and high-power-density, high-voltage pulse driving techniques and successfully developed a battery-powered wearable rTMS device. The combined weight of the stimulator and coil is only 3 kg. The power consumption was reduced to 10% of commercial rTMS devices even though the stimulus intensity and repetition frequency are comparable. We demonstrated the effectiveness of this device during free walking, showing that neural activity associated with the legs can enhance the cortex excitability associated with the arms. This advancement allows for high-frequency rTMS modulation during free behaviors and enables convenient home and community rTMS treatments.

摘要

重复经颅磁刺激(rTMS)被广泛用于治疗各种神经精神疾病和探索大脑,但它相当大的功耗和体积限制了其更广泛应用的潜力,比如在自由行为以及家庭和社区环境中的应用。我们通过轻量化磁芯线圈设计和高功率密度、高压脉冲驱动技术应对了这一挑战,并成功开发出一种由电池供电的可穿戴rTMS设备。刺激器和线圈的总重量仅为3千克。即使刺激强度和重复频率相当,功耗也降低至商用rTMS设备的10%。我们在自由行走过程中证明了该设备的有效性,表明与腿部相关的神经活动能够增强与手臂相关的皮层兴奋性。这一进展使得在自由行为期间能够进行高频rTMS调制,并实现便捷的家庭和社区rTMS治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d15/11923099/f434d6c0efb9/41467_2025_58095_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d15/11923099/5e8e17da2f56/41467_2025_58095_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d15/11923099/1ac36b23c8c2/41467_2025_58095_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d15/11923099/57e1a81d0e70/41467_2025_58095_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d15/11923099/dd5faa211542/41467_2025_58095_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d15/11923099/4ddaef3c9f07/41467_2025_58095_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d15/11923099/f434d6c0efb9/41467_2025_58095_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d15/11923099/5e8e17da2f56/41467_2025_58095_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d15/11923099/1ac36b23c8c2/41467_2025_58095_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d15/11923099/57e1a81d0e70/41467_2025_58095_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d15/11923099/dd5faa211542/41467_2025_58095_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d15/11923099/4ddaef3c9f07/41467_2025_58095_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d15/11923099/f434d6c0efb9/41467_2025_58095_Fig6_HTML.jpg

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Front Neurol. 2024 Oct 9;15:1455692. doi: 10.3389/fneur.2024.1455692. eCollection 2024.
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Design and Validation of Miniaturized Repetitive Transcranial Magnetic Stimulation (rTMS) Head Coils.微型重复经颅磁刺激(rTMS)头线圈的设计与验证。
Sensors (Basel). 2024 Feb 29;24(5):1584. doi: 10.3390/s24051584.
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The complex landscape of TMS devices: A brief overview.
经颅磁刺激仪设备的复杂格局:简要概述。
PLoS One. 2023 Nov 28;18(11):e0292733. doi: 10.1371/journal.pone.0292733. eCollection 2023.
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Three novel methods for determining motor threshold with transcranial magnetic stimulation outperform conventional procedures.三种新的经颅磁刺激测定运动阈值的方法优于传统方法。
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A little goes a long way: Neurobiological effects of low intensity rTMS and implications for mechanisms of rTMS.小剂量作用大:低强度重复经颅磁刺激的神经生物学效应及其对重复经颅磁刺激机制的启示
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