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Seo HW, Cha S, Jeong Y, Ahn J, Lee KJ, Kim S, Goo YS. Focal stimulation of retinal ganglion cells using subretinal 3D microelectrodes with peripheral electrodes of opposite current. Biomed Eng Lett 2024; 14:355-365. [PMID: 38374901 PMCID: PMC10874361 DOI: 10.1007/s13534-023-00342-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2023] [Revised: 10/10/2023] [Accepted: 12/07/2023] [Indexed: 02/21/2024] Open
Abstract
Subretinal prostheses have been developed to stimulate survived retinal ganglion cells (RGCs), indirectly following the physiological visual pathways. However, current spreading from the prosthesis electrode causes the activation of unintended RGCs, thereby limiting the spatial resolution of artificial vision. This study proposes a strategy for focal stimulation of RGCs using a subretinal electrode array, in which six hexagonally arranged peripheral electrodes surround a stimulating electrode. RGCs in an in-vitro condition were subretinally stimulated using a fabricated electrode array coated with iridium oxide, following the three different stimulation configurations (with no peripheral, six electrodes of opposite current, and six ground). In-vitro experiments showed that the stimulation with six electrodes of opposite current was most effective in controlling RGC responses with a high spatial resolution. The results suggest that the effective utilization of return electrodes, such as by applying an opposite current to them, could help reduce current spreading beyond the local area targeted for stimulation and elicit RGC responses only in the vicinity of the stimulating electrode. Supplementary Information The online version contains supplementary material available at 10.1007/s13534-023-00342-3.
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Affiliation(s)
- Hee Won Seo
- Department of Robotics and Mechatronics Engineering, Daegu Gyeongbuk Institute of Science and Technology (DGIST), Daegu, Republic of Korea
| | - Seongkwang Cha
- Department of Physiology, Chungbuk National University School of Medicine, Cheongju, Republic of Korea
| | - Yurim Jeong
- Department of Physiology, Chungbuk National University School of Medicine, Cheongju, Republic of Korea
| | - Jungryul Ahn
- Department of Physiology, Chungbuk National University School of Medicine, Cheongju, Republic of Korea
| | - Kyeong Jae Lee
- Department of Robotics and Mechatronics Engineering, Daegu Gyeongbuk Institute of Science and Technology (DGIST), Daegu, Republic of Korea
| | - Sohee Kim
- Department of Robotics and Mechatronics Engineering, Daegu Gyeongbuk Institute of Science and Technology (DGIST), Daegu, Republic of Korea
| | - Yong Sook Goo
- Department of Physiology, Chungbuk National University School of Medicine, Cheongju, Republic of Korea
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Ahn J, Yoo Y, Goo YS. Multiple consecutive-biphasic pulse stimulation improves spatially localized firing of retinal ganglion cells in the degenerate retina. THE KOREAN JOURNAL OF PHYSIOLOGY & PHARMACOLOGY : OFFICIAL JOURNAL OF THE KOREAN PHYSIOLOGICAL SOCIETY AND THE KOREAN SOCIETY OF PHARMACOLOGY 2023; 27:541-553. [PMID: 37884286 PMCID: PMC10613570 DOI: 10.4196/kjpp.2023.27.6.541] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/26/2023] [Revised: 08/08/2023] [Accepted: 08/22/2023] [Indexed: 10/28/2023]
Abstract
Retinal prostheses have shown some clinical success in restoring vision in patients with retinitis pigmentosa. However, the post-implantation visual acuity does not exceed that of legal blindness. The reason for the poor visual acuity might be that (1) degenerate retinal ganglion cells (RGCs) are less responsive to electrical stimulation than normal RGCs, and (2) electrically-evoked RGC spikes show a more widespread not focal response. The single-biphasic pulse electrical stimulation, commonly used in artificial vision, has limitations in addressing these issues. In this study, we propose the benefit of multiple consecutive-biphasic pulse stimulation. We used C57BL/6J mice and C3H/HeJ (rd1) mice for the normal retina and retinal degeneration model. An 8 × 8 multi-electrode array was used to record electrically-evoked RGC spikes. We compared RGC responses when increasing the amplitude of a single biphasic pulse versus increasing the number of consecutive biphasic pulses at the same stimulus charge. Increasing the amplitude of a single biphasic pulse induced more RGC spike firing while the spatial resolution of RGC populations decreased. For multiple consecutive-biphasic pulse stimulation, RGC firing increased as the number of pulses increased, and the spatial resolution of RGC populations was well preserved even up to 5 pulses. Multiple consecutive-biphasic pulse stimulation using two or three pulses in degenerate retinas induced as much RGC spike firing as in normal retinas. These findings suggest that the newly proposed multiple consecutive-biphasic pulse stimulation can improve the visual acuity in prosthesis-implanted patients.
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Affiliation(s)
- Jungryul Ahn
- Department of Physiology, Chungbuk National University School of Medicine, Cheongju 28644, Korea
| | - Yongseok Yoo
- School of Computer Science and Engineering, Soongsil University, Seoul 06978, Korea
| | - Yong Sook Goo
- Department of Physiology, Chungbuk National University School of Medicine, Cheongju 28644, Korea
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Xie Y, Qin P, Guo T, Al Abed A, Lovell NH, Tsai D. Modulating individual axons and axonal populations in the peripheral nerve using transverse intrafascicular multichannel electrodes. J Neural Eng 2023; 20:046032. [PMID: 37536318 DOI: 10.1088/1741-2552/aced20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2023] [Accepted: 08/03/2023] [Indexed: 08/05/2023]
Abstract
Objective.A transverse intrafascicular multichannel electrode (TIME) may offer advantages over more conventional cuff electrodes including higher spatial selectivity and reduced stimulation charge requirements. However, the performance of TIME, especially in the context of non-conventional stimulation waveforms, remains relatively unexplored. As part of our overarching goal of investigating stimulation efficacy of TIME, we developed a computational toolkit that automates the creation and usage ofin siliconerve models with TIME setup, which solves nerve responses using cable equations and computes extracellular potentials using finite element method.Approach.We began by implementing a flexible and scalable Python/MATLAB-based toolkit for automatically creating models of nerve stimulation in the hybrid NEURON/COMSOL ecosystems. We then developed a sciatic nerve model containing 14 fascicles with 1,170 myelinated (A-type, 30%) and unmyelinated (C-type, 70%) fibers to study fiber responses over a variety of TIME arrangements (monopolar and hexapolar) and stimulation waveforms (kilohertz stimulation and cathodic ramp modulation).Main results.Our toolkit obviates the conventional need to re-create the same nerve in two disparate modeling environments and automates bi-directional transfer of results. Our population-based simulations suggested that kilohertz stimuli provide selective activation of targeted C fibers near the stimulating electrodes but also tended to activate non-targeted A fibers further away. However, C fiber selectivity can be enhanced by hexapolar TIME arrangements that confined the spatial extent of electrical stimuli. Improved upon prior findings, we devised a high-frequency waveform that incorporates cathodic DC ramp to completely remove undesirable onset responses.Conclusion.Our toolkit allows agile, iterative design cycles involving the nerve and TIME, while minimizing the potential operator errors during complex simulation. The nerve model created by our toolkit allowed us to study and optimize the design of next-generation intrafascicular implants for improved spatial and fiber-type selectivity.
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Affiliation(s)
- Yuyang Xie
- Graduate School of Biomedical Engineering, UNSW Sydney, NSW 2052, Australia
| | - Peijun Qin
- Graduate School of Biomedical Engineering, UNSW Sydney, NSW 2052, Australia
| | - Tianruo Guo
- Graduate School of Biomedical Engineering, UNSW Sydney, NSW 2052, Australia
| | - Amr Al Abed
- Graduate School of Biomedical Engineering, UNSW Sydney, NSW 2052, Australia
| | - Nigel H Lovell
- Graduate School of Biomedical Engineering, UNSW Sydney, NSW 2052, Australia
- Tyree Institute of Health Engineering (IHealthE), UNSW Sydney, NSW 2052, Australia
| | - David Tsai
- Graduate School of Biomedical Engineering, UNSW Sydney, NSW 2052, Australia
- School of Electrical Engineering & Telecommunications, UNSW Sydney, NSW 2052, Australia
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Italiano ML, Guo T, Lovell NH, Tsai D. Improving the spatial resolution of artificial vision using midget retinal ganglion cell populations modelled at the human fovea. J Neural Eng 2022; 19. [PMID: 35609556 DOI: 10.1088/1741-2552/ac72c2] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2022] [Accepted: 05/24/2022] [Indexed: 11/11/2022]
Abstract
OBJECTIVE Retinal prostheses seek to create artificial vision by stimulating surviving retinal neurons of patients with profound vision impairment. Notwithstanding tremendous research efforts, the performance of all implants tested to date has remained rudimentary, incapable of overcoming the threshold for legal blindness. To maximize the perceptual efficacy of retinal prostheses, a device must be capable of controlling retinal neurons with greater spatiotemporal precision. Most studies of retinal stimulation were derived from either non-primate species or the peripheral primate retina. We investigated if artificial stimulation could leverage the high spatial resolution afforded by the neural substrates at the primate fovea and surrounding regions to achieve improved percept qualities. APPROACH We began by developing a new computational model capable of generating anatomically accurate retinal ganglion cell (RGC) populations within the human central retina. Next, multiple RGC populations across the central retina were stimulated in-silico to compare clinical and recently proposed neurostimulation configurations based on their ability to improve perceptual efficacy and reduce activation thresholds. MAIN RESULTS Our model uniquely upholds eccentricity-dependent characteristics such as RGC density and dendritic field diameter, whilst incorporating anatomically accurate features such as axon projection and three-dimensional RGC layering, features often forgone in favor of reduced computational complexity. Following epiretinal stimulation, the RGCs in our model produced response patterns in shapes akin to the complex percepts reported in clinical trials. Our results also demonstrated that even within the neuron-dense central retina, epiretinal stimulation using a multi-return hexapolar electrode arrangement could reliably achieve spatially focused RGC activation and could achieve single-cell excitation in 74% of all tested locations. SIGNIFICANCE This study establishes an anatomically accurate three-dimensional model of the human central retina and demonstrates the potential for an epiretinal hexapolar configuration to achieve consistent, spatially confined retinal responses, even within the neuron-dense foveal region. Our results promote the prospect and optimization of higher spatial resolution in future epiretinal implants.
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Affiliation(s)
- Michael Lewis Italiano
- Graduate School of Biomedical Engineering, University of New South Wales, Sydney, Sydney, New South Wales, 2052, AUSTRALIA
| | - Tianruo Guo
- Graduate School of Biomedical Engineering, University of New South Wales, Sydney, Sydney, New South Wales, 2052, AUSTRALIA
| | - Nigel H Lovell
- Graduate School of Biomedical Engineering, University of New South Wales, Sydney, Sydney, New South Wales, 2052, AUSTRALIA
| | - David Tsai
- Graduate School of Biomedical Engineering, University of New South Wales, Sydney, Sydney, New South Wales, 2052, AUSTRALIA
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Hadjinicolaou AE, Meffin H, Maturana MI, Cloherty SL, Ibbotson MR. Prosthetic vision: devices, patient outcomes and retinal research. Clin Exp Optom 2021; 98:395-410. [DOI: 10.1111/cxo.12342] [Citation(s) in RCA: 28] [Impact Index Per Article: 9.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2015] [Revised: 07/06/2015] [Accepted: 08/04/2015] [Indexed: 12/11/2022] Open
Affiliation(s)
- Alex E Hadjinicolaou
- National Vision Research Institute, Australian College of Optometry, Carlton, Victoria, Australia,
- ARC Centre of Excellence for Integrative Brain Function and Department of Optometry and Vision Sciences, University of Melbourne, Parkville, Victoria, Australia,
| | - Hamish Meffin
- National Vision Research Institute, Australian College of Optometry, Carlton, Victoria, Australia,
- ARC Centre of Excellence for Integrative Brain Function and Department of Optometry and Vision Sciences, University of Melbourne, Parkville, Victoria, Australia,
| | - Matias I Maturana
- National Vision Research Institute, Australian College of Optometry, Carlton, Victoria, Australia,
- Department of Electrical and Electronic Engineering, The University of Melbourne, Parkville, Victoria, Australia,
| | - Shaun L Cloherty
- National Vision Research Institute, Australian College of Optometry, Carlton, Victoria, Australia,
- ARC Centre of Excellence for Integrative Brain Function and Department of Optometry and Vision Sciences, University of Melbourne, Parkville, Victoria, Australia,
- Department of Electrical and Electronic Engineering, The University of Melbourne, Parkville, Victoria, Australia,
| | - Michael R Ibbotson
- National Vision Research Institute, Australian College of Optometry, Carlton, Victoria, Australia,
- ARC Centre of Excellence for Integrative Brain Function and Department of Optometry and Vision Sciences, University of Melbourne, Parkville, Victoria, Australia,
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Paknahad J, Loizos K, Humayun M, Lazzi G. Targeted Stimulation of Retinal Ganglion Cells in Epiretinal Prostheses: A Multiscale Computational Study. IEEE Trans Neural Syst Rehabil Eng 2020; 28:2548-2556. [PMID: 32991284 PMCID: PMC7737501 DOI: 10.1109/tnsre.2020.3027560] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
Retinal prostheses aim at restoring partial sight to patients that are blind due to retinal degenerative diseases by electrically stimulating the surviving healthy retinal neurons. Ideally, the electrical stimulation of the retina is intended to induce localized, focused, percepts only; however, some epiretinal implant subjects have reported seeing elongated phosphenes in a single electrode stimulation due to the axonal activation of retinal ganglion cells (RGCs). This issue can be addressed by properly devising stimulation waveforms so that the possibility of inducing axonal activation of RGCs is minimized. While strategies to devise electrical stimulation waveforms to achieve a focal RGCs response have been reported in literature, the underlying mechanisms are not well understood. This article intends to address this gap; we developed morphologically and biophysically realistic computational models of two classified RGCs: D1-bistratified and A2-monostratified. Computational results suggest that the sodium channel band (SOCB) is less sensitive to modulations in stimulation parameters than the distal axon (DA), and DA stimulus threshold is less sensitive to physiological differences among RGCs. Therefore, over a range of RGCs distal axon diameters, short-pulse symmetric biphasic waveforms can enhance the stimulation threshold difference between the SOCB and the DA. Appropriately designed waveforms can avoid axonal activation of RGCs, implying a consequential reduction of undesired strikes in the visual field.
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Shah NP, Chichilnisky EJ. Computational challenges and opportunities for a bi-directional artificial retina. J Neural Eng 2020; 17:055002. [PMID: 33089827 DOI: 10.1088/1741-2552/aba8b1] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Abstract
A future artificial retina that can restore high acuity vision in blind people will rely on the capability to both read (observe) and write (control) the spiking activity of neurons using an adaptive, bi-directional and high-resolution device. Although current research is focused on overcoming the technical challenges of building and implanting such a device, exploiting its capabilities to achieve more acute visual perception will also require substantial computational advances. Using high-density large-scale recording and stimulation in the primate retina with an ex vivo multi-electrode array lab prototype, we frame several of the major computational problems, and describe current progress and future opportunities in solving them. First, we identify cell types and locations from spontaneous activity in the blind retina, and then efficiently estimate their visual response properties by using a low-dimensional manifold of inter-retina variability learned from a large experimental dataset. Second, we estimate retinal responses to a large collection of relevant electrical stimuli by passing current patterns through an electrode array, spike sorting the resulting recordings and using the results to develop a model of evoked responses. Third, we reproduce the desired responses for a given visual target by temporally dithering a diverse collection of electrical stimuli within the integration time of the visual system. Together, these novel approaches may substantially enhance artificial vision in a next-generation device.
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Affiliation(s)
- Nishal P Shah
- Department of Electrical Engineering, Stanford University, Stanford, CA, United States of America. Hansen Experimental Physics Laboratory, Stanford University, Stanford, CA, United States of America. Department of Neurosurgery, Stanford University, Stanford, CA, United States of America. Author to whom any correspondence should be addressed
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Shim S, Eom K, Jeong J, Kim SJ. Retinal Prosthetic Approaches to Enhance Visual Perception for Blind Patients. MICROMACHINES 2020; 11:E535. [PMID: 32456341 PMCID: PMC7281011 DOI: 10.3390/mi11050535] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/15/2020] [Revised: 05/22/2020] [Accepted: 05/22/2020] [Indexed: 12/14/2022]
Abstract
Retinal prostheses are implantable devices that aim to restore the vision of blind patients suffering from retinal degeneration, mainly by artificially stimulating the remaining retinal neurons. Some retinal prostheses have successfully reached the stage of clinical trials; however, these devices can only restore vision partially and remain insufficient to enable patients to conduct everyday life independently. The visual acuity of the artificial vision is limited by various factors from both engineering and physiological perspectives. To overcome those issues and further enhance the visual resolution of retinal prostheses, a variety of retinal prosthetic approaches have been proposed, based on optimization of the geometries of electrode arrays and stimulation pulse parameters. Other retinal stimulation modalities such as optics, ultrasound, and magnetics have also been utilized to address the limitations in conventional electrical stimulation. Although none of these approaches have been clinically proven to fully restore the function of a degenerated retina, the extensive efforts made in this field have demonstrated a series of encouraging findings for the next generation of retinal prostheses, and these could potentially enhance the visual acuity of retinal prostheses. In this article, a comprehensive and up-to-date overview of retinal prosthetic strategies is provided, with a specific focus on a quantitative assessment of visual acuity results from various retinal stimulation technologies. The aim is to highlight future directions toward high-resolution retinal prostheses.
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Affiliation(s)
- Shinyong Shim
- Department of Electrical and Computer Engineering, College of Engineering, Seoul National University, Seoul 08826, Korea;
- Inter-university Semiconductor Research Center, College of Engineering, Seoul National University, Seoul 08826, Korea
| | - Kyungsik Eom
- Department of Electronics Engineering, College of Engineering, Pusan National University, Busan 46241, Korea
| | - Joonsoo Jeong
- School of Biomedical Convergence Engineering, College of Information and Biomedical Engineering, Pusan National University, Yangsan 50612, Korea
| | - Sung June Kim
- Department of Electrical and Computer Engineering, College of Engineering, Seoul National University, Seoul 08826, Korea;
- Inter-university Semiconductor Research Center, College of Engineering, Seoul National University, Seoul 08826, Korea
- Institute on Aging, College of Medicine, Seoul National University, Seoul 08826, Korea
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Tong W, Meffin H, Garrett DJ, Ibbotson MR. Stimulation Strategies for Improving the Resolution of Retinal Prostheses. Front Neurosci 2020; 14:262. [PMID: 32292328 PMCID: PMC7135883 DOI: 10.3389/fnins.2020.00262] [Citation(s) in RCA: 28] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2019] [Accepted: 03/09/2020] [Indexed: 12/17/2022] Open
Abstract
Electrical stimulation using implantable devices with arrays of stimulating electrodes is an emerging therapy for neurological diseases. The performance of these devices depends greatly on their ability to activate populations of neurons with high spatiotemporal resolution. To study electrical stimulation of populations of neurons, retina serves as a useful model because the neural network is arranged in a planar array that is easy to access. Moreover, retinal prostheses are under development to restore vision by replacing the function of damaged light sensitive photoreceptors, which makes retinal research directly relevant for curing blindness. Here we provide a progress review on stimulation strategies developed in recent years to improve the resolution of electrical stimulation in retinal prostheses. We focus on studies performed with explanted retinas, in which electrophysiological techniques are the most advanced. We summarize achievements in improving the spatial and temporal resolution of electrical stimulation of the retina and methods to selectively stimulate neurons with different visual functions. Future directions for retinal prostheses development are also discussed, which could provide insights for other types of neuromodulatory devices in which high-resolution electrical stimulation is required.
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Affiliation(s)
- Wei Tong
- National Vision Research Institute, Australian College of Optometry, Carlton, VIC, Australia
- Department of Optometry and Vision Sciences, Melbourne School of Health Sciences, The University of Melbourne, Melbourne, VIC, Australia
- School of Physics, The University of Melbourne, Melbourne, VIC, Australia
| | - Hamish Meffin
- National Vision Research Institute, Australian College of Optometry, Carlton, VIC, Australia
- Department of Optometry and Vision Sciences, Melbourne School of Health Sciences, The University of Melbourne, Melbourne, VIC, Australia
- Department of Biomedical Engineering, The University of Melbourne, Melbourne, VIC, Australia
| | - David J. Garrett
- School of Physics, The 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 Sciences, Melbourne School of Health Sciences, The University of Melbourne, Melbourne, VIC, Australia
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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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Shalbaf F, Lovell NH, Dokos S, Trew M, Vaghefi E. Foveal eccentricity can influence activation threshold in subretinal electrical stimulation. Biomed Phys Eng Express 2019. [DOI: 10.1088/2057-1976/ab0b85] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Fan VH, Grosberg LE, Madugula SS, Hottowy P, Dabrowski W, Sher A, Litke AM, Chichilnisky EJ. Epiretinal stimulation with local returns enhances selectivity at cellular resolution. J Neural Eng 2018; 16:025001. [PMID: 30523958 DOI: 10.1088/1741-2552/aaeef1] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
OBJECTIVE Epiretinal prostheses are designed to restore vision in people blinded by photoreceptor degenerative diseases, by directly activating retinal ganglion cells (RGCs) using an electrode array implanted on the retina. In present-day clinical devices, current spread from the stimulating electrode to a distant return electrode often results in the activation of many cells, potentially limiting the quality of artificial vision. In the laboratory, epiretinal activation of RGCs with cellular resolution has been demonstrated with small electrodes, but distant returns may still cause undesirable current spread. Here, the ability of local return stimulation to improve the selective activation of RGCs at cellular resolution was evaluated. APPROACH A custom multi-electrode array (512 electrodes, 10 μm diameter, 60 μm pitch) was used to simultaneously stimulate and record from RGCs in isolated primate retina. Stimulation near the RGC soma with a single electrode and a distant return was compared to stimulation in which the return was provided by six neighboring electrodes. MAIN RESULTS Local return stimulation enhanced the capability to activate cells near the central electrode (<30 μm) while avoiding cells farther away (>30 μm). This resulted in an improved ability to selectively activate ON and OFF cells, including cells encoding immediately adjacent regions in the visual field. SIGNIFICANCE These results suggest that a device that restricts the electric field through local returns could optimize activation of neurons at cellular resolution, improving the quality of artificial vision.
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Affiliation(s)
- Victoria H Fan
- Departments of Neurosurgery, Ophthalmology, and Hansen Experimental Physics Laboratory, Stanford University, Stanford, CA, United States of America
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Bareket L, Barriga-Rivera A, Zapf MP, Lovell NH, Suaning GJ. Progress in artificial vision through suprachoroidal retinal implants. J Neural Eng 2018; 14:045002. [PMID: 28541930 DOI: 10.1088/1741-2552/aa6cbb] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
Retinal implants have proven their ability to restore visual sensation to people with degenerative retinopathy, characterized by photoreceptor cell death and the retina's inability to sense light. Retinal bionics operate by electrically stimulating the surviving neurons in the retina, thus triggering the transfer of visual sensory information to the brain. Suprachoroidal implants were first investigated in Australia in the 1950s. In this approach, the neuromodulation hardware is positioned between the sclera and the choroid, thus providing significant surgical and safety benefits for patients, with the potential to maintain residual vision combined with the artificial input from the device. Here we review the latest advances and state of the art devices for suprachoroidal prostheses, highlight future technologies and discuss challenges and perspectives towards improved rehabilitation of vision.
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Affiliation(s)
- Lilach Bareket
- Graduate School of Biomedical Engineering, University of New South Wales, Sydney, Australia
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Spencer TC, Fallon JB, Abbott CJ, Allen PJ, Brandli A, Luu CD, Epp SB, Shivdasani MN. Electrical Field Shaping Techniques in a Feline Model of Retinal Degeneration. ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. ANNUAL INTERNATIONAL CONFERENCE 2018; 2018:1222-1225. [PMID: 30440610 DOI: 10.1109/embc.2018.8512473] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
The majority of preclinical studies investigating multi-electrode field shaping stimulation strategies for retinal prostheses, have been conducted in normally-sighted animals. This study aimed to reassess the effectiveness of two electrical field shaping techniques that have been shown to work in healthy retinae, in a more clinically relevant animal model of photoreceptor degeneration. Four cats were unilaterally blinded via intravitreal injections of adenosine triphosphate. Cortical responses to traditional monopolar (MP) stimulation, focused multipolar (FMP) stimulation and two-dimensional current steering were recorded. Contrary to our previous work, we found no significant difference between the spread of cortical activation elicited by FMP and MP stimulation, and we were not able to reproduce cortical responses to singleelectrode retinal stimulation using two-dimensional current steering. These findings suggest that while shown to be effective in normally-sighted animals, these techniques may not be readily translatable to patients with retinal degeneration and require further optimization.
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Esler TB, Maturana MI, Kerr RR, Grayden DB, Burkitt AN, Meffin H. Biophysical basis of the linear electrical receptive fields of retinal ganglion cells. J Neural Eng 2018; 15:055001. [PMID: 29889051 DOI: 10.1088/1741-2552/aacbaa] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
Responses of retinal ganglion cells to direct electrical stimulation have been shown experimentally to be well described by linear-nonlinear models. These models rely on the simplifying assumption that retinal ganglion cell responses to stimulation with an array of electrodes are driven by a simple linear weighted sum of stimulus current amplitudes from each electrode, known as the 'electrical receptive field'. OBJECTIVE This paper aims to demonstrate the biophysical basis of the linear-nonlinear model and the electrical receptive field to facilitate the development of improved stimulation strategies for retinal implants. APPROACH We compare the linear-nonlinear model of subretinal electrical stimulation with a multi-layered, biophysical, volume conductor model of retinal stimulation. MAIN RESULTS Our results show that the linear electrical receptive field of the linear-nonlinear model matches the transmembrane currents induced by electrodes (the activating function) at the site of the high-density sodium channel band with only minor discrepancies. The discrepancies are mostly eliminated by including axial current flow originating from adjacent cell compartments. Furthermore, for cells where a single linear electrical receptive field is insufficient, we show that cell responses are likely driven by multiple sites of action potential initiation with multiple distinct receptive fields, each of which can be accurately described by the activating function. SIGNIFICANCE This result establishes that the biophysical basis of the electrical receptive field of the linear-nonlinear model is the superposition of transmembrane currents induced by different electrodes at and near the site of action potential initiation. Together with existing experimental support for linear-nonlinear models of electrical stimulation, this provides a firm basis for using this much simplified model to generate more optimal stimulation patterns for retinal implants.
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Affiliation(s)
- Timothy B Esler
- NeuroEngineering Laboratory, Department of Biomedical Engineering, The University of Melbourne, Australia
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Yang CY, Tsai D, Guo T, Dokos S, Suaning GJ, Morley JW, Lovell NH. Differential electrical responses in retinal ganglion cell subtypes: effects of synaptic blockade and stimulating electrode location. J Neural Eng 2018; 15:046020. [PMID: 29737971 DOI: 10.1088/1741-2552/aac315] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
OBJECTIVE Visual prostheses have shown promising results in restoring visual perception to blind patients. The ability to differentially activate retinal ganglion cell (RGC) subtypes could further improve the efficacy of these medical devices. APPROACH Using whole-cell patch clamp, we investigated membrane potential differences between ON and OFF RGCs in the mouse retina when their synaptic inputs were blocked by synaptic blockers, and examined the differences in stimulation thresholds under such conditions. By injecting intracellular current, we further confirmed the relationship between RGC stimulation thresholds and resting membrane potentials (RMPs). In addition, we investigated the effects of stimulating electrode location on the differences in stimulation thresholds between ON and OFF RGCs. MAIN RESULTS With synaptic blockade, ON RGCs became significantly more hyperpolarized (from -61.8 ± 1.4 mV to -70.8 ± 1.6 mV), while OFF RGCs depolarized slightly (from -60.5 ± 0.7 mV to -58.6 ± 0.9 mV). RGC stimulation thresholds were negatively correlated with their RMPs (Pearson r value: -0.5154; p-value: 0.0042). Thus, depriving ON RGCs of synaptic inputs significantly increased their thresholds (from 14.7 ± 1.3 µA to 22.3 ± 2.1 µA) over those of OFF RGCs (from 13.2 ± 0.7 µA to 13.1 ± 1.1 µA). However, with control solution, ON and OFF RGC stimulation thresholds were not significantly different. Finally, placement of the stimulating electrode away from the axon enhanced differences in stimulation thresholds between ON and OFF RGCs, facilitating preferential activation of OFF RGCs. SIGNIFICANCE Since ON and OFF RGCs have antagonistic responses to natural light, achieving differential RGC activation could convey more natural visual information, leading to better visual prosthesis outcomes.
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Affiliation(s)
- Chih Yu Yang
- Graduate School of Biomedical Engineering, UNSW, Sydney, NSW 2052, Australia
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Spencer TC, Fallon JB, Shivdasani MN. Creating virtual electrodes with 2D current steering. J Neural Eng 2018; 15:035002. [DOI: 10.1088/1741-2552/aab1b8] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
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18
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Eiber C, Avery J, Holder D, McEwan A. Feasibility study of imaging fast neural activity in retinal tissue using Electrical Impedance Tomography. ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. ANNUAL INTERNATIONAL CONFERENCE 2017; 2017:529-532. [PMID: 29059926 DOI: 10.1109/embc.2017.8036878] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Electrical Impedance Tomography has been recently applied to image fast neural activity in the somatosensory cerebral cortex. This non-invasive imaging modality has the unique advantage of high spatial-temporal resolution in millimeters over milliseconds. This work was designed to test an existing 32-channel EIT system, a modified UCL ScouseTom, and to discuss the feasibility of imaging neural activity in retinal tissue through computer simulation. The finite element method was used to model a retinal slice with a realistic conductivity-depth profile of the macaque eye. The conductivity perturbation was simulated in five different layers of the model. 5μVRMS white noise was added to boundary voltages. Simulation results showed that it is feasible to apply EIT in retinal tissue but the injection current is near threshold of unwanted phosphenes induction. Therefore the suggested future work are validating threshold current through animal experiments, developing electrodes with low contact impedance and mitigating noise through averaging.
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Cameron MA, Al Abed A, Buskila Y, Dokos S, Lovell NH, Morley JW. Differential effect of brief electrical stimulation on voltage-gated potassium channels. J Neurophysiol 2017; 117:2014-2024. [PMID: 28202576 DOI: 10.1152/jn.00915.2016] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2016] [Revised: 02/13/2017] [Accepted: 02/13/2017] [Indexed: 02/03/2023] Open
Abstract
Electrical stimulation of neuronal tissue is a promising strategy to treat a variety of neurological disorders. The mechanism of neuronal activation by external electrical stimulation is governed by voltage-gated ion channels. This stimulus, typically brief in nature, leads to membrane potential depolarization, which increases ion flow across the membrane by increasing the open probability of these voltage-gated channels. In spiking neurons, it is activation of voltage-gated sodium channels (NaV channels) that leads to action potential generation. However, several other types of voltage-gated channels are expressed that also respond to electrical stimulation. In this study, we examine the response of voltage-gated potassium channels (KV channels) to brief electrical stimulation by whole cell patch-clamp electrophysiology and computational modeling. We show that nonspiking amacrine neurons of the retina exhibit a large variety of responses to stimulation, driven by different KV-channel subtypes. Computational modeling reveals substantial differences in the response of specific KV-channel subtypes that is dependent on channel kinetics. This suggests that the expression levels of different KV-channel subtypes in retinal neurons are a crucial predictor of the response that can be obtained. These data expand our knowledge of the mechanisms of neuronal activation and suggest that KV-channel expression is an important determinant of the sensitivity of neurons to electrical stimulation.NEW & NOTEWORTHY This paper describes the response of various voltage-gated potassium channels (KV channels) to brief electrical stimulation, such as is applied during prosthetic electrical stimulation. We show that the pattern of response greatly varies between KV channel subtypes depending on activation and inactivation kinetics of each channel. Our data suggest that problems encountered when artificially stimulating neurons such as cessation in firing at high frequencies, or "fading," may be attributed to KV-channel activation.
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Affiliation(s)
- Morven A Cameron
- School of Medicine, Western Sydney University, Campbelltown, New South Wales, Australia; and
| | - Amr Al Abed
- Graduate School of Biomedical Engineering, The University of New South Wales, Sydney, New South Wales, Australia
| | - Yossi Buskila
- School of Medicine, Western Sydney University, Campbelltown, New South Wales, Australia; and
| | - Socrates Dokos
- Graduate School of Biomedical Engineering, The University of New South Wales, Sydney, New South Wales, Australia
| | - Nigel H Lovell
- Graduate School of Biomedical Engineering, The University of New South Wales, Sydney, New South Wales, Australia
| | - John W Morley
- School of Medicine, Western Sydney University, Campbelltown, New South Wales, Australia; and.,Graduate School of Biomedical Engineering, The University of New South Wales, Sydney, New South Wales, Australia
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Halupka KJ, Shivdasani MN, Cloherty SL, Grayden DB, Wong YT, Burkitt AN, Meffin H. Prediction of cortical responses to simultaneous electrical stimulation of the retina. J Neural Eng 2016; 14:016006. [DOI: 10.1088/1741-2560/14/1/016006] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
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21
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Yue L, Weiland JD, Roska B, Humayun MS. Retinal stimulation strategies to restore vision: Fundamentals and systems. Prog Retin Eye Res 2016; 53:21-47. [DOI: 10.1016/j.preteyeres.2016.05.002] [Citation(s) in RCA: 173] [Impact Index Per Article: 21.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2016] [Revised: 05/13/2016] [Accepted: 05/21/2016] [Indexed: 11/28/2022]
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Abstract
Rectangular electrical pulses are the primary stimulus waveform used in retinal prosthetics as well as many other neural stimulation applications. Unfortunately, the utility of pulsatile stimuli is limited by the inability to avoid the activation of passing axons, which can result in the distortion of the spatial patterns of elicited neural activity. Because avoiding axons would likely improve clinical outcomes, the examination of alternate stimulus waveforms is warranted. Here, we studied the response of rabbit retinal ganglion cells (RGCs) to sinusoidal electrical stimulation applied at frequencies of 5, 10, 25, and 100 Hz. Targeted RGCs were restricted to 4 common types: OFF-Brisk Transient, OFF-Sustained, ON-Brisk Transient, and ON-Sustained. Interestingly, response patterns varied between different types; the most notable difference was the relatively weak response of ON-Sustained cells to low frequencies. Calculation of total spike counts per trial revealed that lower frequencies are more charge efficient than high frequencies. Finally, experiments utilizing synaptic blockers revealed that 5 and 10 Hz activate photoreceptors while 25 and 100 Hz activate RGCs. Taken together, our results suggest that while sinusoidal electrical stimulation may provide a useful research tool, its clinical utility may be limited.
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Shalbaf F, Du P, Lovell NH, Dokos S, Vaghefi E. A 3D-continuum bidomain model of retinal electrical stimulation using an anatomically detailed mesh. ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. ANNUAL INTERNATIONAL CONFERENCE 2016; 2015:2291-4. [PMID: 26736750 DOI: 10.1109/embc.2015.7318850] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
A continuum bidomain model of sub-retinal electrical stimulation on an anatomically detailed mesh of retina is presented. The underlying geometry is made up of 256 B-scans of optical coherence tomography (OCT) images of a healthy human retina, covering approximately 6×2 mm(2) centered on the macula. The OCT images are initially segmented and digitized into five major retinal layers comprising passive and active retinal cell types. This computational mesh is then used to model a subretinal hexapolar biphasic electrical stimulation. Our results indicate that the ultra-structure of the retina results in an asymmetric spatial extracellular potential distribution, leading to an irregular pattern of retinal ganglion cell activation. This finding is in contrast to focal circular activation previously reported in retinal electrical stimulation modeling with a uniform mesh.
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Abstract
Retinal prostheses electrically stimulate neurons to produce artificial vision in people blinded by photoreceptor degenerative diseases. The limited spatial resolution of current devices results in indiscriminate stimulation of interleaved cells of different types, precluding veridical reproduction of natural activity patterns in the retinal output. Here we investigate the use of spatial patterns of current injection to increase the spatial resolution of stimulation, using high-density multielectrode recording and stimulation of identified ganglion cells in isolated macaque retina. As previously shown, current passed through a single electrode typically induced a single retinal ganglion cell spike with submillisecond timing precision. Current passed simultaneously through pairs of neighboring electrodes modified the probability of activation relative to injection through a single electrode. This modification could be accurately summarized by a piecewise linear model of current summation, consistent with a simple biophysical model based on multiple sites of activation. The generalizability of the piecewise linear model was tested by using the measured responses to stimulation with two electrodes to predict responses to stimulation with three electrodes. Finally, the model provided an accurate prediction of which among a set of spatial stimulation patterns maximized selective activation of a cell while minimizing activation of a neighboring cell. The results demonstrate that tailored multielectrode stimulation patterns based on a piecewise linear model may be useful in increasing the spatial resolution of retinal prostheses.
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Abramian M, Lovell NH, Habib A, Morley JW, Suaning GJ, Dokos S. Quasi-monopolar electrical stimulation of the retina: a computational modelling study. J Neural Eng 2014; 11:025002. [PMID: 24556561 DOI: 10.1088/1741-2560/11/2/025002] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
OBJECTIVE In this study we investigated the feasibility of quasi-monopolar (QMP) electrical stimulation for retinal implant devices, using a computational model of the retinal ganglion cell layer. APPROACH When used with hexagonally arrayed multiple electrodes, QMP stimulation is a hybrid of hexapolar and conventional monopolar stimulus modes. In hexapolar mode, each active electrode is surrounded by six guards which collectively return the stimulus current, whereas in monopolar mode the injected stimulus current is returned through a distant return electrode. The QMP paradigm, on the other hand, distributes the return current between the guard electrodes as well as the distant return. The electrodes tested were 25, 50 and 100 µm in diameter, with hexagonally arranged centre-to-centre spacing of either double or quadruple this diameter. MAIN RESULTS Simulation results indicated that electrode size had minimal effects on subretinal threshold currents, whilst electrode configuration and centre-to-centre spacing played major roles in determining thresholds and spatial activation patterns. Threshold charge densities for 50 and 100 µm electrodes were generally within the safe limit. SIGNIFICANCE We found that QMP stimulation offers greater advantages compared to monopolar and hexapolar stimulation, in that it combines the low thresholds of monopolar stimulation with the localized spatial activation achieved with hexapolar electrodes during parallel stimulation.
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Affiliation(s)
- Miganoosh Abramian
- Graduate School of Biomedical Engineering, University of New South Wales, Sydney, Australia
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Modeling the formation process of grouping stimuli sets through cortical columns and microcircuits to feature neurons. COMPUTATIONAL INTELLIGENCE AND NEUROSCIENCE 2013; 2013:290358. [PMID: 24369455 PMCID: PMC3863480 DOI: 10.1155/2013/290358] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/28/2013] [Revised: 09/24/2013] [Accepted: 10/08/2013] [Indexed: 11/18/2022]
Abstract
A computational model of a self-structuring neuronal net is presented in which repetitively applied pattern sets induce the formation of cortical columns and microcircuits which decode distinct patterns after a learning phase. In a case study, it is demonstrated how specific neurons in a feature classifier layer become orientation selective if they receive bar patterns of different slopes from an input layer. The input layer is mapped and intertwined by self-evolving neuronal microcircuits to the feature classifier layer. In this topical overview, several models are discussed which indicate that the net formation converges in its functionality to a mathematical transform which maps the input pattern space to a feature representing output space. The self-learning of the mathematical transform is discussed and its implications are interpreted. Model assumptions are deduced which serve as a guide to apply model derived repetitive stimuli pattern sets to in vitro cultures of neuron ensembles to condition them to learn and execute a mathematical transform.
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