1
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Santos NE, Mendes JC, Braga SS. The Gemstone Cyborg: How Diamond Films Are Creating New Platforms for Cell Regeneration and Biointerfacing. Molecules 2023; 28:molecules28041626. [PMID: 36838614 PMCID: PMC9968187 DOI: 10.3390/molecules28041626] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2022] [Revised: 01/26/2023] [Accepted: 01/31/2023] [Indexed: 02/11/2023] Open
Abstract
Diamond is a promising material for the biomedical field, mainly due to its set of characteristics such as biocompatibility, strength, and electrical conductivity. Diamond can be synthesised in the laboratory by different methods, is available in the form of plates or films deposited on foreign substrates, and its morphology varies from microcrystalline diamond to ultrananocrystalline diamond. In this review, we summarise some of the most relevant studies regarding the adhesion of cells onto diamond surfaces, the consequent cell growth, and, in some very interesting cases, the differentiation of cells into neurons and oligodendrocytes. We discuss how different morphologies can affect cell adhesion and how surface termination can influence the surface hydrophilicity and consequent attachment of adherent proteins. At the end of the review, we present a brief perspective on how the results from cell adhesion and biocompatibility can make way for the use of diamond as biointerface.
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Affiliation(s)
- Nádia E. Santos
- LAQV-REQUIMTE, Department of Chemistry, University of Aveiro, 3810-193 Aveiro, Portugal
- Instituto de Telecomunicações and University of Aveiro, 3810-193 Aveiro, Portugal
| | - Joana C. Mendes
- Instituto de Telecomunicações and University of Aveiro, 3810-193 Aveiro, Portugal
- Correspondence: (J.C.M.); (S.S.B.)
| | - Susana Santos Braga
- LAQV-REQUIMTE, Department of Chemistry, University of Aveiro, 3810-193 Aveiro, Portugal
- Correspondence: (J.C.M.); (S.S.B.)
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2
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Karamali F, Behtaj S, Babaei-Abraki S, Hadady H, Atefi A, Savoj S, Soroushzadeh S, Najafian S, Nasr Esfahani MH, Klassen H. Potential therapeutic strategies for photoreceptor degeneration: the path to restore vision. J Transl Med 2022; 20:572. [PMID: 36476500 PMCID: PMC9727916 DOI: 10.1186/s12967-022-03738-4] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2022] [Accepted: 10/29/2022] [Indexed: 12/12/2022] Open
Abstract
Photoreceptors (PRs), as the most abundant and light-sensing cells of the neuroretina, are responsible for converting light into electrical signals that can be interpreted by the brain. PR degeneration, including morphological and functional impairment of these cells, causes significant diminution of the retina's ability to detect light, with consequent loss of vision. Recent findings in ocular regenerative medicine have opened promising avenues to apply neuroprotective therapy, gene therapy, cell replacement therapy, and visual prostheses to the challenge of restoring vision. However, successful visual restoration in the clinical setting requires application of these therapeutic approaches at the appropriate stage of the retinal degeneration. In this review, firstly, we discuss the mechanisms of PR degeneration by focusing on the molecular mechanisms underlying cell death. Subsequently, innovations, recent developments, and promising treatments based on the stage of disorder progression are further explored. Then, the challenges to be addressed before implementation of these therapies in clinical practice are considered. Finally, potential solutions to overcome the current limitations of this growing research area are suggested. Overall, the majority of current treatment modalities are still at an early stage of development and require extensive additional studies, both pre-clinical and clinical, before full restoration of visual function in PR degeneration diseases can be realized.
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Affiliation(s)
- Fereshteh Karamali
- grid.417689.5Department of Animal Biotechnology, Cell Science Research Center, Royan Institute for Biotechnology, ACECR, Isfahan, Iran
| | - Sanaz Behtaj
- grid.1022.10000 0004 0437 5432Clem Jones Centre for Neurobiology and Stem Cell Research, Griffith University, Queensland, Australia ,grid.1022.10000 0004 0437 5432Menzies Health Institute Queensland, Griffith University, Southport, QLD 4222 Australia
| | - Shahnaz Babaei-Abraki
- grid.417689.5Department of Animal Biotechnology, Cell Science Research Center, Royan Institute for Biotechnology, ACECR, Isfahan, Iran
| | - Hanieh Hadady
- grid.417689.5Department of Animal Biotechnology, Cell Science Research Center, Royan Institute for Biotechnology, ACECR, Isfahan, Iran
| | - Atefeh Atefi
- grid.417689.5Department of Animal Biotechnology, Cell Science Research Center, Royan Institute for Biotechnology, ACECR, Isfahan, Iran
| | - Soraya Savoj
- grid.417689.5Department of Animal Biotechnology, Cell Science Research Center, Royan Institute for Biotechnology, ACECR, Isfahan, Iran
| | - Sareh Soroushzadeh
- grid.417689.5Department of Animal Biotechnology, Cell Science Research Center, Royan Institute for Biotechnology, ACECR, Isfahan, Iran
| | - Samaneh Najafian
- grid.417689.5Department of Animal Biotechnology, Cell Science Research Center, Royan Institute for Biotechnology, ACECR, Isfahan, Iran
| | - Mohammad Hossein Nasr Esfahani
- grid.417689.5Department of Animal Biotechnology, Cell Science Research Center, Royan Institute for Biotechnology, ACECR, Isfahan, Iran
| | - Henry Klassen
- grid.266093.80000 0001 0668 7243Gavin Herbert Eye Institute, Irvine, CA USA
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3
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Terranova ML. Key Challenges in Diamond Coating of Titanium Implants: Current Status and Future Prospects. Biomedicines 2022; 10:biomedicines10123149. [PMID: 36551907 PMCID: PMC9775193 DOI: 10.3390/biomedicines10123149] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2022] [Revised: 11/26/2022] [Accepted: 11/28/2022] [Indexed: 12/12/2022] Open
Abstract
Over past years, the fabrication of Ti-based permanent implants for fracture fixation, joint replacement and bone or tooth substitution, has become a routine task. However, it has been found that some degradation phenomena occurring on the Ti surface limits the life or the efficiency of the artificial constructs. The task of avoiding such adverse effects, to prevent microbial colonization and to accelerate osteointegration, is being faced by a variety of approaches in order to adapt Ti surfaces to the needs of osseous tissues. Among the large set of biocompatible materials proposed as an interface between Ti and the hosting tissue, diamond has been proven to offer bioactive and mechanical properties able to match the specific requirements of osteoblasts. Advances in material science and implant engineering are now enabling us to produce micro- or nano-crystalline diamond coatings on a variety of differently shaped Ti constructs. The aim of this paper is to provide an overview of the research currently ongoing in the field of diamond-coated orthopedic Ti implants and to examine the evolution of the concepts that are accelerating the full transition of such technology from the laboratory to clinical applications.
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Affiliation(s)
- Maria Letizia Terranova
- Dipartimento di Scienze e Tecnologie Chimiche, Università di Roma Tor Vergata, Via della Ricerca Scientifica, 00133 Roma, Italy; or
- Centro di Ricerca Interdipartimentale di Medicina Rigenerativa (CIMER), Università di Roma Tor Vergata, Via della Ricerca Scientifica, 00133 Roma, Italy
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4
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Zare I, Yaraki MT, Speranza G, Najafabadi AH, Haghighi AS, Nik AB, Manshian BB, Saraiva C, Soenen SJ, Kogan MJ, Lee JW, Apollo NV, Bernardino L, Araya E, Mayer D, Mao G, Hamblin MR. Gold nanostructures: synthesis, properties, and neurological applications. Chem Soc Rev 2022; 51:2601-2680. [PMID: 35234776 DOI: 10.1039/d1cs01111a] [Citation(s) in RCA: 20] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
Recent advances in technology are expected to increase our current understanding of neuroscience. Nanotechnology and nanomaterials can alter and control neural functionality in both in vitro and in vivo experimental setups. The intersection between neuroscience and nanoscience may generate long-term neural interfaces adapted at the molecular level. Owing to their intrinsic physicochemical characteristics, gold nanostructures (GNSs) have received much attention in neuroscience, especially for combined diagnostic and therapeutic (theragnostic) purposes. GNSs have been successfully employed to stimulate and monitor neurophysiological signals. Hence, GNSs could provide a promising solution for the regeneration and recovery of neural tissue, novel neuroprotective strategies, and integrated implantable materials. This review covers the broad range of neurological applications of GNS-based materials to improve clinical diagnosis and therapy. Sub-topics include neurotoxicity, targeted delivery of therapeutics to the central nervous system (CNS), neurochemical sensing, neuromodulation, neuroimaging, neurotherapy, tissue engineering, and neural regeneration. It focuses on core concepts of GNSs in neurology, to circumvent the limitations and significant obstacles of innovative approaches in neurobiology and neurochemistry, including theragnostics. We will discuss recent advances in the use of GNSs to overcome current bottlenecks and tackle technical and conceptual challenges.
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Affiliation(s)
- Iman Zare
- Research and Development Department, Sina Medical Biochemistry Technologies Co. Ltd., Shiraz 7178795844, Iran
| | | | - Giorgio Speranza
- CMM - FBK, v. Sommarive 18, 38123 Trento, Italy.,IFN - CNR, CSMFO Lab., via alla Cascata 56/C Povo, 38123 Trento, Italy.,Department of Industrial Engineering, University of Trento, v. Sommarive 9, 38123 Trento, Italy
| | - Alireza Hassani Najafabadi
- Terasaki Institute for Biomedical Innovation (TIBI), Los Angeles, CA 90064, USA.,Department of Pharmaceutical Sciences, University of Michigan, Ann Arbor, MI, 48109, USA
| | - Alireza Shourangiz Haghighi
- Department of Mechanical Engineering, Shiraz University of Technology, Modarres Boulevard, 13876-71557, Shiraz, Iran
| | - Amirala Bakhshian Nik
- Department of Biomedical Engineering, Florida International University, Miami, FL 33174, USA
| | - Bella B Manshian
- Translational Cell and Tissue Research Unit, Department of Imaging and Pathology, KU Leuven, Herestraat 49, B3000 Leuven, Belgium
| | - Cláudia Saraiva
- Luxembourg Centre for Systems Biomedicine (LCSB), University of Luxembourg, 7 Avenue des Hauts-Fourneaux, 4362 Esch-sur-Alzette, Luxembourg.,Health Sciences Research Centre (CICS-UBI), University of Beira Interior, Rua Marques d'Avila e Bolama, 6201-001 Covilha, Portugal
| | - Stefaan J Soenen
- NanoHealth and Optical Imaging Group, Department of Imaging and Pathology, KU Leuven, Herestraat 49, B3000 Leuven, Belgium
| | - Marcelo J Kogan
- Advanced Center for Chronic Diseases (ACCDiS), Facultad de Ciencias Químicas y Farmacéuticas, Departamento de Química Farmacológica y Toxicológica, Universidad de Chile, 8380492 Santiago, Chile
| | - Jee Woong Lee
- Department of Medical Sciences, Clinical Neurophysiology, Uppsala University, Uppsala, SE-751 23, Sweden
| | - Nicholas V Apollo
- Center for Neuroengineering and Therapeutics, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA.,School of Physics, University of Melbourne, Parkville, Victoria 3010, Australia
| | - Liliana Bernardino
- Health Sciences Research Centre (CICS-UBI), University of Beira Interior, Rua Marques d'Avila e Bolama, 6201-001 Covilha, Portugal
| | - Eyleen Araya
- Departamento de Ciencias Quimicas, Facultad de Ciencias Exactas, Universidad Andres Bello, Av. Republica 275, Santiago, Chile
| | - Dirk Mayer
- Institute of Biological Information Processing, Bioelectronics (IBI-3), Forschungszentrum Jülich GmbH, Germany
| | - Guangzhao Mao
- School of Chemical Engineering, University of New South Wales (UNSW Sydney), Sydney, NSW 2052, Australia
| | - Michael R Hamblin
- Laser Research Center, University of Johannesburg, Doorfontein 2028, South Africa.
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5
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Fong JSL, Booth MA, Rifai A, Fox K, Gelmi A. Diamond in the Rough: Toward Improved Materials for the Bone-Implant Interface. Adv Healthc Mater 2021; 10:e2100007. [PMID: 34170623 DOI: 10.1002/adhm.202100007] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2021] [Revised: 05/17/2021] [Indexed: 01/16/2023]
Abstract
The ability of an orthopedic implant to integrate successfully with the surrounding bone tissue is imperative for optimal patient outcomes. Here, the recent advances and future prospects for diamond-based coatings of conventional osteo-implant materials (primarily titanium) are explored. The ability of these diamond coatings to enhance integration into existing bone, improved implant mechanical properties, facilitate surface chemical functionalization, and provide anti-microbial properties are discussed in context of orthopedic implants. These diamond-based materials may have the additional benefit of providing an osteo-inductive effect, enabling better integration into existing bone via stem cell recruitment and bone regeneration. Current and timely research is highlighted to support the discussion and suggestions in further improving implant integration via an osseoinductive effect from the diamond composite materials.
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Affiliation(s)
- Jessica S L Fong
- School of Science, RMIT University, Melbourne, VIC, 3000, Australia
| | - Marsilea A Booth
- School of Engineering, RMIT University, Melbourne, VIC, 3000, Australia
| | - Aaqil Rifai
- School of Engineering, RMIT University, Melbourne, VIC, 3000, Australia
- School of Medicine, Deakin University, Waurn Ponds, VIC, 3216, Australia
| | - Kate Fox
- School of Engineering, RMIT University, Melbourne, VIC, 3000, Australia
| | - Amy Gelmi
- School of Science, RMIT University, Melbourne, VIC, 3000, Australia
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6
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Hejazi M, Tong W, Ibbotson MR, Prawer S, Garrett DJ. Advances in Carbon-Based Microfiber Electrodes for Neural Interfacing. Front Neurosci 2021; 15:658703. [PMID: 33912007 PMCID: PMC8072048 DOI: 10.3389/fnins.2021.658703] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2021] [Accepted: 03/22/2021] [Indexed: 12/20/2022] Open
Abstract
Neural interfacing devices using penetrating microelectrode arrays have emerged as an important tool in both neuroscience research and medical applications. These implantable microelectrode arrays enable communication between man-made devices and the nervous system by detecting and/or evoking neuronal activities. Recent years have seen rapid development of electrodes fabricated using flexible, ultrathin carbon-based microfibers. Compared to electrodes fabricated using rigid materials and larger cross-sections, these microfiber electrodes have been shown to reduce foreign body responses after implantation, with improved signal-to-noise ratio for neural recording and enhanced resolution for neural stimulation. Here, we review recent progress of carbon-based microfiber electrodes in terms of material composition and fabrication technology. The remaining challenges and future directions for development of these arrays will also be discussed. Overall, these microfiber electrodes are expected to improve the longevity and reliability of neural interfacing devices.
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Affiliation(s)
- Maryam Hejazi
- School of Physics, The University of Melbourne, Parkville, VIC, Australia
| | - Wei Tong
- School of Physics, The University of Melbourne, Parkville, VIC, Australia
- National Vision Research Institute, The Australian College of Optometry, Carlton, VIC, Australia
| | - Michael R. Ibbotson
- National Vision Research Institute, The Australian College of Optometry, Carlton, VIC, Australia
- Department of Optometry and Vision Sciences, The University of Melbourne, Parkville, VIC, Australia
| | - Steven Prawer
- School of Physics, The University of Melbourne, Parkville, VIC, Australia
| | - David J. Garrett
- School of Physics, The University of Melbourne, Parkville, VIC, Australia
- School of Engineering, RMIT University, Melbourne, VIC, Australia
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7
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Ahnood A, Cheriton R, Bruneau A, Belcourt JA, Ndabakuranye JP, Lemaire W, Hilkes R, Fontaine R, Cook JPD, Hinzer K, Prawer S. Laser Driven Miniature Diamond Implant for Wireless Retinal Prostheses. ACTA ACUST UNITED AC 2020; 4:e2000055. [PMID: 33084251 DOI: 10.1002/adbi.202000055] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2020] [Revised: 09/03/2020] [Indexed: 01/16/2023]
Abstract
The design and benchtop operation of a wireless miniature epiretinal stimulator implant is reported. The implant is optically powered and controlled using safe illumination at near-infrared wavelengths. An application-specific integrated circuit (ASIC) hosting a digital control unit is used to control the implant's electrodes. The ASIC is powered using an advanced photovoltaic (PV) cell and programmed using a single photodiode. Diamond packaging technology is utilized to achieve high-density integration of the implant optoelectronic circuitry, as well as individual connections between a stimulator chip and 256 electrodes, within a 4.6 mm × 3.7 mm × 0.9 mm implant package. An ultrahigh efficiency PV cell with a monochromatic power conversion efficiency of 55% is used to power the implant. On-board photodetection circuity with a bandwidth of 3.7 MHz is used for forward data telemetry of stimulation parameters. In comparison to implants which utilize inductively coupled coils, laser power delivery enables a high degree of miniaturization and lower surgical complexity. The device presented combines the benefits of implant miniaturization and a flexible stimulation strategy provided by a dedicated stimulator chip. This development provides a route to fully wireless miniaturized minimally invasive implants with sophisticated functionalities.
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Affiliation(s)
- Arman Ahnood
- School of Physics, University of Melbourne, Parkville, VIC, 3010, Australia.,School of Engineering, RMIT University, Melbourne, VIC, 3000, Australia
| | - Ross Cheriton
- National Research Council of Canada, Ottawa, ON, K1A 0R6, Canada.,iBIONICS, Ottawa, ON, K2H 8S9, Canada
| | | | - James A Belcourt
- School of Physics, University of Melbourne, Parkville, VIC, 3010, Australia
| | | | - William Lemaire
- Interdisciplinary Institute for Technological Innovation, Université de Sherbrooke, Sherbrooke, QC, J1K 0A5, Canada
| | - Rob Hilkes
- iBIONICS, Ottawa, ON, K2H 8S9, Canada.,Gezell Inc. Gatineau, Gatineau, QC, J9A1L8, Canada
| | - Réjean Fontaine
- Interdisciplinary Institute for Technological Innovation, Université de Sherbrooke, Sherbrooke, QC, J1K 0A5, Canada
| | - John P D Cook
- Centre for Research in Photonics, University of Ottawa, Ottawa, ON, K1N 6N5, Canada
| | - Karin Hinzer
- Centre for Research in Photonics, University of Ottawa, Ottawa, ON, K1N 6N5, Canada
| | - Steven Prawer
- School of Physics, University of Melbourne, Parkville, VIC, 3010, Australia
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8
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Apollo NV, Murphy B, Prezelski K, Driscoll N, Richardson AG, Lucas TH, Vitale F. Gels, jets, mosquitoes, and magnets: a review of implantation strategies for soft neural probes. J Neural Eng 2020; 17:041002. [PMID: 32759476 PMCID: PMC8152109 DOI: 10.1088/1741-2552/abacd7] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Abstract
Implantable neuroelectronic interfaces have enabled breakthrough advances in the clinical diagnosis and treatment of neurological disorders, as well as in fundamental studies of brain function, behavior, and disease. Intracranial electroencephalography (EEG) mapping with stereo-EEG (sEEG) depth electrodes is routinely adopted for precise epilepsy diagnostics and surgical treatment, while deep brain stimulation has become the standard of care for managing movement disorders. Intracortical microelectrode arrays for high-fidelity recordings of neural spiking activity have led to impressive demonstrations of the power of brain-machine interfaces for motor and sensory functional recovery. Yet, despite the rapid pace of technology development, the issue of establishing a safe, long-term, stable, and functional interface between neuroelectronic devices and the host brain tissue still remains largely unresolved. A body of work spanning at least the last 15 years suggests that safe, chronic integration between invasive electrodes and the brain requires a close match between the mechanical properties of man-made components and the neural tissue. In other words, the next generation of invasive electrodes should be soft and compliant, without sacrificing biological and chemical stability. Soft neuroelectronic interfaces, however, pose a new and significant surgical challenge: bending and buckling during implantation that can preclude accurate and safe device placement. In this topical review, we describe the next generation of soft electrodes and the surgical implantation methods for safe and precise insertion into brain structures. We provide an overview of the most recent innovations in the field of insertion strategies for flexible neural electrodes such as dissolvable or biodegradable carriers, microactuators, biologically-inspired support structures, and electromagnetic drives. In our analysis, we also highlight approaches developed in different fields, such as robotic surgery, which could be potentially adapted and translated to the insertion of flexible neural probes.
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Affiliation(s)
- Nicholas V Apollo
- Department of Bioengineering, University of Pennsylvania, Philadelphia, Pennsylvania 19104, United States of America
- Center for Neuroengineering and Therapeutics, University of Pennsylvania, Philadelphia, Pennsylvania 19104, United States of America
- Center for Neurotrauma, Neurodegeneration, and Restoration, Corporal Michael J. Crescenz Veterans Affairs Medical Center, Philadelphia, Pennsylvania, 19104, United States of America
| | - Brendan Murphy
- Department of Bioengineering, University of Pennsylvania, Philadelphia, Pennsylvania 19104, United States of America
- Center for Neuroengineering and Therapeutics, University of Pennsylvania, Philadelphia, Pennsylvania 19104, United States of America
- Center for Neurotrauma, Neurodegeneration, and Restoration, Corporal Michael J. Crescenz Veterans Affairs Medical Center, Philadelphia, Pennsylvania, 19104, United States of America
- These authors contributed equally
| | - Kayla Prezelski
- Department of Bioengineering, University of Pennsylvania, Philadelphia, Pennsylvania 19104, United States of America
- Center for Neuroengineering and Therapeutics, University of Pennsylvania, Philadelphia, Pennsylvania 19104, United States of America
- Center for Neurotrauma, Neurodegeneration, and Restoration, Corporal Michael J. Crescenz Veterans Affairs Medical Center, Philadelphia, Pennsylvania, 19104, United States of America
- These authors contributed equally
| | - Nicolette Driscoll
- Department of Bioengineering, University of Pennsylvania, Philadelphia, Pennsylvania 19104, United States of America
- Center for Neuroengineering and Therapeutics, University of Pennsylvania, Philadelphia, Pennsylvania 19104, United States of America
- Center for Neurotrauma, Neurodegeneration, and Restoration, Corporal Michael J. Crescenz Veterans Affairs Medical Center, Philadelphia, Pennsylvania, 19104, United States of America
| | - Andrew G Richardson
- Center for Neuroengineering and Therapeutics, University of Pennsylvania, Philadelphia, Pennsylvania 19104, United States of America
- Department of Neurosurgery, University of Pennsylvania, Philadelphia, Pennsylvania 19104, United States of America
| | - Timothy H Lucas
- Center for Neuroengineering and Therapeutics, University of Pennsylvania, Philadelphia, Pennsylvania 19104, United States of America
- Department of Neurosurgery, University of Pennsylvania, Philadelphia, Pennsylvania 19104, United States of America
| | - Flavia Vitale
- Department of Bioengineering, University of Pennsylvania, Philadelphia, Pennsylvania 19104, United States of America
- Center for Neuroengineering and Therapeutics, University of Pennsylvania, Philadelphia, Pennsylvania 19104, United States of America
- Center for Neurotrauma, Neurodegeneration, and Restoration, Corporal Michael J. Crescenz Veterans Affairs Medical Center, Philadelphia, Pennsylvania, 19104, United States of America
- These authors contributed equally
- Department of Neurology, University of Pennsylvania, Philadelphia, Pennsylvania 19104, United States of America
- Department of Physical Medicine & Rehabilitation, University of Pennsylvania, Philadelphia, Pennsylvania, 19104, United States of America
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9
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Shivdasani MN, Evans M, Burns O, Yeoh J, Allen PJ, Nayagam DAX, Villalobos J, Abbott CJ, Luu CD, Opie NL, Sabu A, Saunders AL, McPhedran M, Cardamone L, McGowan C, Maxim V, Williams RA, Fox KE, Cicione R, Garrett DJ, Ahnood A, Ganesan K, Meffin H, Burkitt AN, Prawer S, Williams CE, Shepherd RK. In vivo feasibility of epiretinal stimulation using ultrananocrystalline diamond electrodes. J Neural Eng 2020; 17:045014. [PMID: 32659750 DOI: 10.1088/1741-2552/aba560] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
OBJECTIVE Due to their increased proximity to retinal ganglion cells (RGCs), epiretinal visual prostheses present the opportunity for eliciting phosphenes with low thresholds through direct RGC activation. This study characterised the in vivo performance of a novel prototype monolithic epiretinal prosthesis, containing Nitrogen incorporated ultrananocrystalline (N-UNCD) diamond electrodes. APPROACH A prototype implant containing up to twenty-five 120 × 120 µm N-UNCD electrodes was implanted into 16 anaesthetised cats and attached to the retina either using a single tack or via magnetic coupling with a suprachoroidally placed magnet. Multiunit responses to retinal stimulation using charge-balanced biphasic current pulses were recorded acutely in the visual cortex using a multichannel planar array. Several stimulus parameters were varied including; the stimulating electrode, stimulus polarity, phase duration, return configuration and the number of electrodes stimulated simultaneously. MAIN RESULTS The rigid nature of the device and its form factor necessitated complex surgical procedures. Surgeries were considered successful in 10/16 animals and cortical responses to single electrode stimulation obtained in eight animals. Clinical imaging and histological outcomes showed severe retinal trauma caused by the device in situ in many instances. Cortical measures were found to significantly depend on the surgical outcomes of individual experiments, phase duration, return configuration and the number of electrodes stimulated simultaneously, but not stimulus polarity. Cortical thresholds were also found to increase over time within an experiment. SIGNIFICANCE The study successfully demonstrated that an epiretinal prosthesis containing diamond electrodes could produce cortical activity with high precision, albeit only in a small number of cases. Both surgical approaches were highly challenging in terms of reliable and consistent attachment to and stabilisation against the retina, and often resulted in severe retinal trauma. There are key challenges (device form factor and attachment technique) to be resolved for such a device to progress towards clinical application, as current surgical techniques are unable to address these issues.
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Affiliation(s)
- Mohit N Shivdasani
- Graduate School of Biomedical Engineering, University of New South Wales, Kensington, NSW 2033, Australia. The Bionics Institute of Australia, East Melbourne, VIC 3002, Australia
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10
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Stamp MEM, Tong W, Ganesan K, Prawer S, Ibbotson MR, Garrett DJ. 3D Diamond Electrode Array for High-Acuity Stimulation in Neural Tissue. ACS APPLIED BIO MATERIALS 2020; 3:1544-1552. [DOI: 10.1021/acsabm.9b01165] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Affiliation(s)
- Melanie E. M. Stamp
- School of Physics, The University of Melbourne, Melbourne, Victoria 3010, Australia
| | - Wei Tong
- School of Physics, The University of Melbourne, Melbourne, Victoria 3010, Australia
- National Vision Research Institute, Australian College of Optometry, Carlton, Victoria 3053, Australia
- Department of Optometry and Vision Sciences, Melbourne School of Health Sciences, The University of Melbourne, Melbourne, Victoria 3010, Australia
| | - Kumaravelu Ganesan
- School of Physics, The University of Melbourne, Melbourne, Victoria 3010, Australia
| | - Steven Prawer
- School of Physics, The University of Melbourne, Melbourne, Victoria 3010, Australia
| | - Michael R. Ibbotson
- National Vision Research Institute, Australian College of Optometry, Carlton, Victoria 3053, Australia
| | - David J. Garrett
- School of Physics, The University of Melbourne, Melbourne, Victoria 3010, Australia
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11
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Fox K, Mani N, Rifai A, Reineck P, Jones A, Tran PA, Ramezannejad A, Brandt M, Gibson BC, Greentree AD, Tran N. 3D-Printed Diamond–Titanium Composite: A Hybrid Material for Implant Engineering. ACS APPLIED BIO MATERIALS 2019; 3:29-36. [DOI: 10.1021/acsabm.9b00801] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Affiliation(s)
- Kate Fox
- School of Engineering, RMIT University, Melbourne 3000, Victoria, Australia
- Centre for Additive Manufacturing, RMIT University, Melbourne, Victoria 3000, Australia
| | - Nour Mani
- School of Engineering, RMIT University, Melbourne 3000, Victoria, Australia
| | - Aaqil Rifai
- School of Engineering, RMIT University, Melbourne 3000, Victoria, Australia
| | - Philipp Reineck
- ARC Centre of Excellence for Nanoscale BioPhotonics, School of Science, RMIT University, Melbourne, Victoria 3000, Australia
| | - Alan Jones
- Centre for Additive Manufacturing, RMIT University, Melbourne, Victoria 3000, Australia
| | - Phong A. Tran
- Institute of Health and Biomedical Innovation, Queensland University of Technology, Kelvin Grove, Queensland 4059, Australia
| | - Ali Ramezannejad
- School of Engineering, RMIT University, Melbourne 3000, Victoria, Australia
- Centre for Additive Manufacturing, RMIT University, Melbourne, Victoria 3000, Australia
| | - Milan Brandt
- School of Engineering, RMIT University, Melbourne 3000, Victoria, Australia
- Centre for Additive Manufacturing, RMIT University, Melbourne, Victoria 3000, Australia
| | - Brant C. Gibson
- ARC Centre of Excellence for Nanoscale BioPhotonics, School of Science, RMIT University, Melbourne, Victoria 3000, Australia
| | - Andrew D. Greentree
- ARC Centre of Excellence for Nanoscale BioPhotonics, School of Science, RMIT University, Melbourne, Victoria 3000, Australia
| | - Nhiem Tran
- School of Science, RMIT University, Melbourne, Victoria 3000, Australia
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12
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Tong W, Stamp M, Apollo NV, Ganesan K, Meffin H, Prawer S, Garrett DJ, Ibbotson MR. Improved visual acuity using a retinal implant and an optimized stimulation strategy. J Neural Eng 2019; 17:016018. [DOI: 10.1088/1741-2552/ab5299] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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13
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Wong YT, Ahnood A, Maturana MI, Kentler W, Ganesan K, Grayden DB, Meffin H, Prawer S, Ibbotson MR, Burkitt AN. Feasibility of Nitrogen Doped Ultrananocrystalline Diamond Microelectrodes for Electrophysiological Recording From Neural Tissue. Front Bioeng Biotechnol 2018; 6:85. [PMID: 29988378 PMCID: PMC6024013 DOI: 10.3389/fbioe.2018.00085] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2017] [Accepted: 06/05/2018] [Indexed: 01/19/2023] Open
Abstract
Neural prostheses that can monitor the physiological state of a subject are becoming clinically viable through improvements in the capacity to record from neural tissue. However, a significant limitation of current devices is that it is difficult to fabricate electrode arrays that have both high channel counts and the appropriate electrical properties required for neural recordings. In earlier work, we demonstrated nitrogen doped ultrananocrystalline diamond (N-UNCD) can provide efficacious electrical stimulation of neural tissue, with high charge injection capacity, surface stability and biocompatibility. In this work, we expand on this functionality to show that N-UNCD electrodes can also record from neural tissue owing to its low electrochemical impedance. We show that N-UNCD electrodes are highly flexible in their application, with successful recordings of action potentials from single neurons in an in vitro retina preparation, as well as local field potential responses from in vivo visual cortex tissue. Key properties of N-UNCD films, combined with scalability of electrode array fabrication with custom sizes for recording or stimulation along with integration through vertical interconnects to silicon based integrated circuits, may in future form the basis for the fabrication of versatile closed-loop neural prostheses that can both record and stimulate.
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Affiliation(s)
- Yan T. Wong
- Department of Physiology and Department of Electrical and Computer Systems Engineering, Biomedicine Discovery Institute, Monash University, Melbourne, VIC, Australia
| | - Arman Ahnood
- School of Physics, University of Melbourne, Melbourne, VIC, Australia
| | - Matias I. Maturana
- Department of Biomedical Engineering, University of Melbourne, Melbourne, VIC, Australia
- National Vision Research Institute, Australian College of Optometry, Carlton, VIC, Australia
| | - William Kentler
- Department of Biomedical Engineering, University of Melbourne, Melbourne, VIC, Australia
| | | | - David B. Grayden
- Department of Biomedical Engineering, University of Melbourne, Melbourne, VIC, Australia
| | - Hamish Meffin
- National Vision Research Institute, Australian College of Optometry, Carlton, VIC, Australia
- Department of Optometry and Vision Science University of Melbourne, Melbourne, VIC, Australia
| | - Steven Prawer
- School of Physics, University of Melbourne, Melbourne, VIC, Australia
| | - Michael R. Ibbotson
- National Vision Research Institute, Australian College of Optometry, Carlton, VIC, Australia
- Department of Optometry and Vision Science University of Melbourne, Melbourne, VIC, Australia
| | - Anthony N. Burkitt
- Department of Biomedical Engineering, University of Melbourne, Melbourne, VIC, Australia
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14
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Rifai A, Tran N, Lau DW, Elbourne A, Zhan H, Stacey AD, Mayes ELH, Sarker A, Ivanova EP, Crawford RJ, Tran PA, Gibson BC, Greentree AD, Pirogova E, Fox K. Polycrystalline Diamond Coating of Additively Manufactured Titanium for Biomedical Applications. ACS APPLIED MATERIALS & INTERFACES 2018; 10:8474-8484. [PMID: 29470044 DOI: 10.1021/acsami.7b18596] [Citation(s) in RCA: 26] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Additive manufacturing using selective laser melted titanium (SLM-Ti) is used to create bespoke items across many diverse fields such as medicine, defense, and aerospace. Despite great progress in orthopedic implant applications, such as for "just in time" implants, significant challenges remain with regards to material osseointegration and the susceptibility to bacterial colonization on the implant. Here, we show that polycrystalline diamond coatings on these titanium samples can enhance biological scaffold interaction improving medical implant applicability. The highly conformable coating exhibited excellent bonding to the substrate. Relative to uncoated SLM-Ti, the diamond coated samples showed enhanced mammalian cell growth, enriched apatite deposition, and reduced microbial S. aureus activity. These results open new opportunities for novel coatings on SLM-Ti devices in general and especially show promise for improved biomedical implants.
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Affiliation(s)
| | | | | | | | - Hualin Zhan
- School of Physics , University of Melbourne , Parkville , Victoria 3010 , Australia
| | - Alastair D Stacey
- School of Physics , University of Melbourne , Parkville , Victoria 3010 , Australia
| | - Edwin L H Mayes
- RMIT Microscopy and Microanalysis Facility (RMMF) , RMIT University , Melbourne , Victoria 3001 , Australia
| | | | - Elena P Ivanova
- School of Science , Swinburne University of Technology , Hawthorn , Victoria 3122 , Australia
| | | | - Phong A Tran
- Institute of Health and Biomedical Innovation , Queensland University of Technology , Kelvin Grove , Queensland 4059 , Australia
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15
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Ferlauto L, Airaghi Leccardi MJI, Chenais NAL, Gilliéron SCA, Vagni P, Bevilacqua M, Wolfensberger TJ, Sivula K, Ghezzi D. Design and validation of a foldable and photovoltaic wide-field epiretinal prosthesis. Nat Commun 2018; 9:992. [PMID: 29520006 PMCID: PMC5843635 DOI: 10.1038/s41467-018-03386-7] [Citation(s) in RCA: 85] [Impact Index Per Article: 14.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2017] [Accepted: 02/08/2018] [Indexed: 01/18/2023] Open
Abstract
Retinal prostheses have been developed to fight blindness in people affected by outer retinal layer dystrophies. To date, few hundred patients have received a retinal implant. Inspired by intraocular lenses, we have designed a foldable and photovoltaic wide-field epiretinal prosthesis (named POLYRETINA) capable of stimulating wireless retinal ganglion cells. Here we show that within a visual angle of 46.3 degrees, POLYRETINA embeds 2215 stimulating pixels, of which 967 are in the central area of 5 mm, it is foldable to allow implantation through a small scleral incision, and it has a hemispherical shape to match the curvature of the eye. We demonstrate that it is not cytotoxic and respects optical and thermal safety standards; accelerated ageing shows a lifetime of at least 2 years. POLYRETINA represents significant progress towards the improvement of both visual acuity and visual field with the same device, a current challenging issue in the field.
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Affiliation(s)
- Laura Ferlauto
- Medtronic Chair in Neuroengineering, Center for Neuroprosthetics, Institute of Bioengineering, School of Engineering, École Polytechnique Fédérale de Lausanne, Lausanne, Switzerland
| | - Marta Jole Ildelfonsa Airaghi Leccardi
- Medtronic Chair in Neuroengineering, Center for Neuroprosthetics, Institute of Bioengineering, School of Engineering, École Polytechnique Fédérale de Lausanne, Lausanne, Switzerland
| | - Naïg Aurelia Ludmilla Chenais
- Medtronic Chair in Neuroengineering, Center for Neuroprosthetics, Institute of Bioengineering, School of Engineering, École Polytechnique Fédérale de Lausanne, Lausanne, Switzerland
| | - Samuel Charles Antoine Gilliéron
- Medtronic Chair in Neuroengineering, Center for Neuroprosthetics, Institute of Bioengineering, School of Engineering, École Polytechnique Fédérale de Lausanne, Lausanne, Switzerland
| | - Paola Vagni
- Medtronic Chair in Neuroengineering, Center for Neuroprosthetics, Institute of Bioengineering, School of Engineering, École Polytechnique Fédérale de Lausanne, Lausanne, Switzerland
| | - Michele Bevilacqua
- Medtronic Chair in Neuroengineering, Center for Neuroprosthetics, Institute of Bioengineering, School of Engineering, École Polytechnique Fédérale de Lausanne, Lausanne, Switzerland
| | - Thomas J Wolfensberger
- Department of Ophthalmology, University of Lausanne, Hôpital Ophtalmique Jules-Gonin, Fondation Asile des Aveugles, Lausanne, Switzerland
| | - Kevin Sivula
- Laboratory for Molecular Engineering of Optoelectronic Nanomaterials, Institute of Chemical Sciences and Engineering, School of Basic Science, École Polytechnique Fédérale de Lausanne, Lausanne, Switzerland
| | - Diego Ghezzi
- Medtronic Chair in Neuroengineering, Center for Neuroprosthetics, Institute of Bioengineering, School of Engineering, École Polytechnique Fédérale de Lausanne, Lausanne, Switzerland.
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16
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Benfenati F, Lanzani G. New technologies for developing second generation retinal prostheses. Lab Anim (NY) 2018; 47:71-75. [PMID: 29483694 DOI: 10.1038/s41684-018-0003-1] [Citation(s) in RCA: 25] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2017] [Accepted: 01/09/2018] [Indexed: 12/25/2022]
Abstract
Inherited or age-dependent retinal dystrophies such as Retinitis pigmentosa (RP) and macular degeneration (MD) are among the most prevalent causes of blindness. Despite enormous efforts, no established pharmacological treatment to prevent or cure photoreceptor degeneration has been identified. Given the relative survival of the inner retina, attempts have been made to restore vision with optogenetics or with retinal neuroprostheses to allow light-dependent stimulation of the inner retinal network. While microelectrode and photovoltaic devices based on inorganic technologies have been proposed and in many cases implanted in RP patients, a new generation of prosthetics based on organic molecules, such as organic photoswitches and conjugated polymers, is demonstrating an unexpected potential for visual rescue and intimate interactions with functioning tissue. Organic devices are starting a new era of tissue electronics, in which light-sensitive molecules and live tissues integrate and tightly interact, producing a new ecosystem of organic prosthetics and intelligent biotic/abiotic interfaces. In addition to the retina, the applications of these interfaces might be extended in the future to other biomedical fields.
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Affiliation(s)
- Fabio Benfenati
- Center for Synaptic Neuroscience and Technology, Istituto Italiano di Tecnologia, Genoa, Italy.
| | - Guglielmo Lanzani
- Center for Nano Science and Technology, Istituto Italiano di Tecnologia, Milan, Italy
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17
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Barriga-Rivera A, Bareket L, Goding J, Aregueta-Robles UA, Suaning GJ. Visual Prosthesis: Interfacing Stimulating Electrodes with Retinal Neurons to Restore Vision. Front Neurosci 2017; 11:620. [PMID: 29184478 PMCID: PMC5694472 DOI: 10.3389/fnins.2017.00620] [Citation(s) in RCA: 36] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2017] [Accepted: 10/23/2017] [Indexed: 01/06/2023] Open
Abstract
The bypassing of degenerated photoreceptors using retinal neurostimulators is helping the blind to recover functional vision. Researchers are investigating new ways to improve visual percepts elicited by these means as the vision produced by these early devices remain rudimentary. However, several factors are hampering the progression of bionic technologies: the charge injection limits of metallic electrodes, the mechanical mismatch between excitable tissue and the stimulating elements, neural and electric crosstalk, the physical size of the implanted devices, and the inability to selectively activate different types of retinal neurons. Electrochemical and mechanical limitations are being addressed by the application of electromaterials such as conducting polymers, carbon nanotubes and nanocrystalline diamonds, among other biomaterials, to electrical neuromodulation. In addition, the use of synthetic hydrogels and cell-laden biomaterials is promising better interfaces, as it opens a door to establishing synaptic connections between the electrode material and the excitable cells. Finally, new electrostimulation approaches relying on the use of high-frequency stimulation and field overlapping techniques are being developed to better replicate the neural code of the retina. All these elements combined will bring bionic vision beyond its present state and into the realm of a viable, mainstream therapy for vision loss.
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Affiliation(s)
- Alejandro Barriga-Rivera
- Graduate School of Biomedical Engineering, University of New South Wales, Sydney, NSW, Australia
- Faculty of Engineering and Information Technologies, University of Sydney, Sydney, NSW, Australia
- Division of Neuroscience, University Pablo de Olavide, Sevilla, Spain
| | - Lilach Bareket
- Graduate School of Biomedical Engineering, University of New South Wales, Sydney, NSW, Australia
- Faculty of Engineering and Information Technologies, University of Sydney, Sydney, NSW, Australia
| | - Josef Goding
- Department of Bioengineering, Imperial College London, London, United Kingdom
| | | | - Gregg J. Suaning
- Faculty of Engineering and Information Technologies, University of Sydney, Sydney, NSW, Australia
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