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Violante IR, Alania K, Cassarà AM, Neufeld E, Acerbo E, Carron R, Williamson A, Kurtin DL, Rhodes E, Hampshire A, Kuster N, Boyden ES, Pascual-Leone A, Grossman N. Publisher Correction: Non-invasive temporal interference electrical stimulation of the human hippocampus. Nat Neurosci 2023; 26:2252. [PMID: 37957321 PMCID: PMC10689236 DOI: 10.1038/s41593-023-01517-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2023]
Affiliation(s)
- Ines R Violante
- School of Psychology, Faculty of Health and Medical Sciences, University of Surrey, Guildford, UK.
| | - Ketevan Alania
- Department of Brain Sciences, Imperial College London, London, UK
- UK Dementia Research Institute, Imperial College London, London, UK
| | - Antonino M Cassarà
- Foundation for Research on Information Technologies in Society (IT'IS), Zurich, Switzerland
| | - Esra Neufeld
- Foundation for Research on Information Technologies in Society (IT'IS), Zurich, Switzerland
| | - Emma Acerbo
- Institut de Neurosciences des Systèmes, Aix-Marseille University, INSERM, Marseille, France
- Department of Neurology and Neurosurgery, Emory University Hospital, Atlanta, GA, USA
| | - Romain Carron
- Institut de Neurosciences des Systèmes, Aix-Marseille University, INSERM, Marseille, France
- Department of Functional and Stereotactic Neurosurgery, Timone University Hospital, Marseille, France
| | - Adam Williamson
- Institut de Neurosciences des Systèmes, Aix-Marseille University, INSERM, Marseille, France
- International Clinical Research Center, St. Anne's University Hospital and Faculty of Medicine, Masaryk University, Brno, Czech Republic
| | - Danielle L Kurtin
- School of Psychology, Faculty of Health and Medical Sciences, University of Surrey, Guildford, UK
| | - Edward Rhodes
- Department of Brain Sciences, Imperial College London, London, UK
- UK Dementia Research Institute, Imperial College London, London, UK
| | - Adam Hampshire
- Department of Brain Sciences, Imperial College London, London, UK
| | - Niels Kuster
- Foundation for Research on Information Technologies in Society (IT'IS), Zurich, Switzerland
- Department of Information Technology and Electrical Engineering, Swiss Federal Institute of Technology, Zurich, Switzerland
| | - Edward S Boyden
- Departments of Brain and Cognitive Sciences, Media Arts and Sciences, and Biological Engineering, McGovern and Koch Institutes, Massachusetts Institute of Technology, Cambridge, MA, USA
- Howard Hughes Medical Institute, Cambridge, MA, USA
| | - Alvaro Pascual-Leone
- Hinda and Arthur Marcus Institute for Aging Research and Deanna and Sidney Wolk Center for Memory Health, Hebrew SeniorLife, Boston, MA, USA
- Department of Neurology, Harvard Medical School, Boston, MA, USA
| | - Nir Grossman
- Department of Brain Sciences, Imperial College London, London, UK.
- UK Dementia Research Institute, Imperial College London, London, UK.
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Violante IR, Alania K, Cassarà AM, Neufeld E, Acerbo E, Carron R, Williamson A, Kurtin DL, Rhodes E, Hampshire A, Kuster N, Boyden ES, Pascual-Leone A, Grossman N. Non-invasive temporal interference electrical stimulation of the human hippocampus. Nat Neurosci 2023; 26:1994-2004. [PMID: 37857775 PMCID: PMC10620081 DOI: 10.1038/s41593-023-01456-8] [Citation(s) in RCA: 9] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2022] [Accepted: 09/06/2023] [Indexed: 10/21/2023]
Abstract
Deep brain stimulation (DBS) via implanted electrodes is used worldwide to treat patients with severe neurological and psychiatric disorders. However, its invasiveness precludes widespread clinical use and deployment in research. Temporal interference (TI) is a strategy for non-invasive steerable DBS using multiple kHz-range electric fields with a difference frequency within the range of neural activity. Here we report the validation of the non-invasive DBS concept in humans. We used electric field modeling and measurements in a human cadaver to verify that the locus of the transcranial TI stimulation can be steerably focused in the hippocampus with minimal exposure to the overlying cortex. We then used functional magnetic resonance imaging and behavioral experiments to show that TI stimulation can focally modulate hippocampal activity and enhance the accuracy of episodic memories in healthy humans. Our results demonstrate targeted, non-invasive electrical stimulation of deep structures in the human brain.
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Affiliation(s)
- Ines R Violante
- School of Psychology, Faculty of Health and Medical Sciences, University of Surrey, Guildford, UK.
| | - Ketevan Alania
- Department of Brain Sciences, Imperial College London, London, UK
- UK Dementia Research Institute, Imperial College London, London, UK
| | - Antonino M Cassarà
- Foundation for Research on Information Technologies in Society (IT'IS), Zurich, Switzerland
| | - Esra Neufeld
- Foundation for Research on Information Technologies in Society (IT'IS), Zurich, Switzerland
| | - Emma Acerbo
- Institut de Neurosciences des Systèmes, Aix-Marseille University, INSERM, Marseille, France
- Department of Neurology and Neurosurgery, Emory University Hospital, Atlanta, GA, USA
| | - Romain Carron
- Institut de Neurosciences des Systèmes, Aix-Marseille University, INSERM, Marseille, France
- Department of Functional and Stereotactic Neurosurgery, Timone University Hospital, Marseille, France
| | - Adam Williamson
- Institut de Neurosciences des Systèmes, Aix-Marseille University, INSERM, Marseille, France
- International Clinical Research Center, St. Anne's University Hospital and Faculty of Medicine, Masaryk University, Brno, Czech Republic
| | - Danielle L Kurtin
- School of Psychology, Faculty of Health and Medical Sciences, University of Surrey, Guildford, UK
| | - Edward Rhodes
- Department of Brain Sciences, Imperial College London, London, UK
- UK Dementia Research Institute, Imperial College London, London, UK
| | - Adam Hampshire
- Department of Brain Sciences, Imperial College London, London, UK
| | - Niels Kuster
- Foundation for Research on Information Technologies in Society (IT'IS), Zurich, Switzerland
- Department of Information Technology and Electrical Engineering, Swiss Federal Institute of Technology, Zurich, Switzerland
| | - Edward S Boyden
- Departments of Brain and Cognitive Sciences, Media Arts and Sciences, and Biological Engineering, McGovern and Koch Institutes, Massachusetts Institute of Technology, Cambridge, MA, USA
- Howard Hughes Medical Institute, Cambridge, MA, USA
| | - Alvaro Pascual-Leone
- Hinda and Arthur Marcus Institute for Aging Research and Deanna and Sidney Wolk Center for Memory Health, Hebrew SeniorLife, Boston, MA, USA
- Department of Neurology, Harvard Medical School, Boston, MA, USA
| | - Nir Grossman
- Department of Brain Sciences, Imperial College London, London, UK.
- UK Dementia Research Institute, Imperial College London, London, UK.
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Missey F, Ejneby MS, Ngom I, Donahue MJ, Trajlinek J, Acerbo E, Botzanowski B, Cassarà AM, Neufeld E, Glowacki ED, Shangold L, Hanes WM, Williamson A. Obstructive sleep apnea improves with non-invasive hypoglossal nerve stimulation using temporal interference. Bioelectron Med 2023; 9:18. [PMID: 37553702 PMCID: PMC10410873 DOI: 10.1186/s42234-023-00120-7] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2023] [Accepted: 07/26/2023] [Indexed: 08/10/2023] Open
Abstract
BACKGROUND Peripheral nerve stimulation is used in both clinical and fundamental research for therapy and exploration. At present, non-invasive peripheral nerve stimulation still lacks the penetration depth to reach deep nerve targets and the stimulation focality to offer selectivity. It is therefore rarely employed as the primary selected nerve stimulation method. We have previously demonstrated that a new stimulation technique, temporal interference stimulation, can overcome depth and focality issues. METHODS Here, we implement a novel form of temporal interference, bilateral temporal interference stimulation, for bilateral hypoglossal nerve stimulation in rodents and humans. Pairs of electrodes are placed alongside both hypoglossal nerves to stimulate them synchronously and thus decrease the stimulation amplitude required to activate hypoglossal-nerve-controlled tongue movement. RESULTS Comparing bilateral temporal interference stimulation with unilateral temporal interference stimulation, we show that it can elicit the same behavioral and electrophysiological responses at a reduced stimulation amplitude. Traditional transcutaneous stimulation evokes no response with equivalent amplitudes of stimulation. CONCLUSIONS During first-in-man studies, temporal interference stimulation was found to be well-tolerated, and to clinically reduce apnea-hypopnea events in a subgroup of female patients with obstructive sleep apnea. These results suggest a high clinical potential for the use of temporal interference in the treatment of obstructive sleep apnea and other diseases as a safe, effective, and patient-friendly approach. TRIAL REGISTRATION The protocol was conducted with the agreement of the International Conference on Harmonisation Good Clinical Practice (ICH GCP), applicable United States Code of Federal Regulations (CFR) and followed the approved BRANY IRB File # 22-02-636-1279.
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Affiliation(s)
- Florian Missey
- International Clinical Research Center, St. Anne's University Hospital Brno, Brno, 60200, Czech Republic
- Institute de Neurosciences des Systèmes (INS), INSERM, Aix-Marseille Université, Marseille, 13005, France
| | - Malin Silverå Ejneby
- Department of Biomedical Engineering, Linköping University, Linköping, 58185, Sweden
| | - Ibrahima Ngom
- Institute de Neurosciences des Systèmes (INS), INSERM, Aix-Marseille Université, Marseille, 13005, France
| | - Mary J Donahue
- Laboratory of Organic Electronics, Linköping University, Campus Norrköping, Norrköping, 602 21, Sweden
| | - Jan Trajlinek
- Central European Institute of Technology, Brno University of Technology, Brno, 61200, Czech Republic
| | - Emma Acerbo
- Institute de Neurosciences des Systèmes (INS), INSERM, Aix-Marseille Université, Marseille, 13005, France
| | - Boris Botzanowski
- Institute de Neurosciences des Systèmes (INS), INSERM, Aix-Marseille Université, Marseille, 13005, France
| | - Antonino M Cassarà
- IT'IS Foundation for Research on Information Technologies in Society, Zurich, 8004, Switzerland
| | - Esra Neufeld
- IT'IS Foundation for Research on Information Technologies in Society, Zurich, 8004, Switzerland
| | - Eric D Glowacki
- Central European Institute of Technology, Brno University of Technology, Brno, 61200, Czech Republic
| | - Lee Shangold
- ENT and Allergy Associates, 1500 Route 112, Port Jefferson Station, New York, 11776, USA
| | - William M Hanes
- Somnial Inc, 25 Health Sciences Dr, Stony Brook, New York, USA
| | - Adam Williamson
- International Clinical Research Center, St. Anne's University Hospital Brno, Brno, 60200, Czech Republic.
- Institute de Neurosciences des Systèmes (INS), INSERM, Aix-Marseille Université, Marseille, 13005, France.
- Central European Institute of Technology, Brno University of Technology, Brno, 61200, Czech Republic.
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Colella M, Press DZ, Laher RM, McIlduff CE, Rutkove SB, Cassarà AM, Apollonio F, Pascual-Leone A, Liberti M, Bonmassar G. A study of flex miniaturized coils for focal nerve magnetic stimulation. Med Phys 2023; 50:1779-1792. [PMID: 36502488 PMCID: PMC10033376 DOI: 10.1002/mp.16148] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2022] [Revised: 09/01/2022] [Accepted: 11/28/2022] [Indexed: 12/14/2022] Open
Abstract
BACKGROUND Peripheral magnetic stimulation (PMS) is emerging as a complement to standard electrical stimulation (ES) of the peripheral nervous system (PNS). PMS may stimulate sensory and motor nerve fibers without the discomfort associated with the ES used for standard nerve conduction studies. The PMS coils are the same ones used in transcranial magnetic stimulation (TMS) and lack focality and selectiveness in the stimulation. PURPOSE This study presents a novel coil for PMS, developed using Flexible technologies, and characterized by reduced dimensions for a precise and controlled targeting of peripheral nerves. METHODS We performed hybrid electromagnetic (EM) and electrophysiological simulations to study the EM exposure induced by a novel miniaturized coil (or mcoil) in and around the radial nerve of the neuro-functionalized virtual human body model Yoon-Sun, and to estimate the current threshold to induce magnetic stimulation (MS) of the radial nerve. Eleven healthy subjects were studied with the mcoil, which consisted of two 15 mm diameter coils in a figure-of-eight configuration, each with a hundred turns of a 25 μm copper-clad four-layer foil. Sensory nerve action potentials (SNAPs) were measured in each subject using two electrodes and compared with those obtained from standard ES. The SNAPs conduction velocities were estimated as a performance metric. RESULTS The induced electric field was estimated numerically to peak at a maximum intensity of 39 V/m underneath the mcoil fed by 70 A currents. In such conditions, the electrophysiological simulations suggested that the mcoil elicits SNAPs originating at 7 mm from the center of the mcoil. Furthermore, the numerically estimated latencies and waveforms agreed with those obtained during the PMS experiments on healthy subjects, confirming the ability of the mcoil to stimulate the radial nerve sensory fibers. CONCLUSION Hybrid EM-electrophysiological simulations assisted the development of a miniaturized coil with a small diameter and a high number of turns using flexible electronics. The numerical dosimetric analysis predicted the threshold current amplitudes required for a suprathreshold peripheral nerve sensory stimulation, which was experimentally confirmed. The developed and now validated computational pipeline will be used to improve the performances (e.g., focality and minimal currents) of new generations of mcoil designs.
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Affiliation(s)
- Micol Colella
- Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Boston, MA 02129, USA
- Department of Information Engineering, Electronics and Telecommunications (DIET), Sapienza University of Rome, Rome, Italy
| | - Daniel Z. Press
- Berenson-Allen Center for Noninvasive Brain Stimulation and Division of Cognitive Neurology, Department of Neurology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA
| | - Rebecca M. Laher
- Berenson-Allen Center for Noninvasive Brain Stimulation and Division of Cognitive Neurology, Department of Neurology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA
| | - Courtney E. McIlduff
- Berenson-Allen Center for Noninvasive Brain Stimulation and Division of Cognitive Neurology, Department of Neurology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA
| | - Seward B. Rutkove
- Berenson-Allen Center for Noninvasive Brain Stimulation and Division of Cognitive Neurology, Department of Neurology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA
| | - Antonino M. Cassarà
- IT'IS Foundation for Research on Information Technologies in Society, 8004 Zurich, Switzerland
| | - Francesca Apollonio
- Department of Information Engineering, Electronics and Telecommunications (DIET), Sapienza University of Rome, Rome, Italy
| | - Alvaro Pascual-Leone
- Hinda and Arthur Marcus Institute for Aging Research and Center for Memory Health, Hebrew SeniorLife, Boston, MA, USA
- Department of Neurology, Harvard Medical School, Boston, MA, USA
- Guttmann Brain Health Institut, Institut Guttmann, Universitat Autonoma Barcelona, Spain
| | - Micaela Liberti
- Department of Information Engineering, Electronics and Telecommunications (DIET), Sapienza University of Rome, Rome, Italy
| | - Giorgio Bonmassar
- Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Boston, MA 02129, USA
- Department of Radiology, Harvard Medical School, Boston, MA 02115, USA
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Botzanowski B, Donahue MJ, Ejneby MS, Gallina AL, Ngom I, Missey F, Acerbo E, Byun D, Carron R, Cassarà AM, Neufeld E, Jirsa V, Olofsson PS, Głowacki ED, Williamson A. Noninvasive Stimulation of Peripheral Nerves using Temporally-Interfering Electrical Fields. Adv Healthc Mater 2022; 11:e2200075. [PMID: 35751364 DOI: 10.1002/adhm.202200075] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2022] [Revised: 06/13/2022] [Indexed: 01/27/2023]
Abstract
Electrical stimulation of peripheral nerves is a cornerstone of bioelectronic medicine. Effective ways to accomplish peripheral nerve stimulation (PNS) noninvasively without surgically implanted devices are enabling for fundamental research and clinical translation. Here, it is demonstrated how relatively high-frequency sine-wave carriers (3 kHz) emitted by two pairs of cutaneous electrodes can temporally interfere at deep peripheral nerve targets. The effective stimulation frequency is equal to the offset frequency (0.5 - 4 Hz) between the two carriers. This principle of temporal interference nerve stimulation (TINS) in vivo using the murine sciatic nerve model is validated. Effective actuation is delivered at significantly lower current amplitudes than standard transcutaneous electrical stimulation. Further, how flexible and conformable on-skin multielectrode arrays can facilitate precise alignment of TINS onto a nerve is demonstrated. This method is simple, relying on the repurposing of existing clinically-approved hardware. TINS opens the possibility of precise noninvasive stimulation with depth and efficiency previously impossible with transcutaneous techniques.
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Affiliation(s)
- Boris Botzanowski
- Institut de Neurosciences des Systèmes (INS), INSERM, UMR_1106, Aix-Marseille Université, Marseille, France
| | - Mary J Donahue
- Laboratory of Organic Electronics, Campus Norrköping, Linköping University, Norrköping, Sweden
| | - Malin Silverå Ejneby
- Laboratory of Organic Electronics, Campus Norrköping, Linköping University, Norrköping, Sweden
| | - Alessandro L Gallina
- Laboratory of Immunobiology, Center for Bioelectronic Medicine, Department of Medicine, Solna, Karolinska Institutet, Stockholm, Sweden
| | - Ibrahima Ngom
- Institut de Neurosciences des Systèmes (INS), INSERM, UMR_1106, Aix-Marseille Université, Marseille, France
| | - Florian Missey
- Institut de Neurosciences des Systèmes (INS), INSERM, UMR_1106, Aix-Marseille Université, Marseille, France
| | - Emma Acerbo
- Institut de Neurosciences des Systèmes (INS), INSERM, UMR_1106, Aix-Marseille Université, Marseille, France
| | - Donghak Byun
- Laboratory of Organic Electronics, Campus Norrköping, Linköping University, Norrköping, Sweden
| | - Romain Carron
- Institut de Neurosciences des Systèmes (INS), INSERM, UMR_1106, Aix-Marseille Université, Marseille, France
| | - Antonino M Cassarà
- Foundation for Research on Information Technologies in Society (IT'IS), Zeughaustrasse 43, Zurich, 8004, Switzerland
| | - Esra Neufeld
- Foundation for Research on Information Technologies in Society (IT'IS), Zeughaustrasse 43, Zurich, 8004, Switzerland
| | - Viktor Jirsa
- Institut de Neurosciences des Systèmes (INS), INSERM, UMR_1106, Aix-Marseille Université, Marseille, France
| | - Peder S Olofsson
- Laboratory of Immunobiology, Center for Bioelectronic Medicine, Department of Medicine, Solna, Karolinska Institutet, Stockholm, Sweden.,EMUNE AB, Nanna Svartz väg 6A, Solna, 171 65, Sweden
| | - Eric Daniel Głowacki
- Bioelectronics Materials and Devices Lab, Central European Institute of Technology, Brno University of Technology, Purkyňova 123, Brno, 61200, Czech Republic
| | - Adam Williamson
- Institut de Neurosciences des Systèmes (INS), INSERM, UMR_1106, Aix-Marseille Université, Marseille, France.,Laboratory of Immunobiology, Center for Bioelectronic Medicine, Department of Medicine, Solna, Karolinska Institutet, Stockholm, Sweden
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Osanlouy M, Bandrowski A, de Bono B, Brooks D, Cassarà AM, Christie R, Ebrahimi N, Gillespie T, Grethe JS, Guercio LA, Heal M, Lin M, Kuster N, Martone ME, Neufeld E, Nickerson DP, Soltani EG, Tappan S, Wagenaar JB, Zhuang K, Hunter PJ. The SPARC DRC: Building a Resource for the Autonomic Nervous System Community. Front Physiol 2021; 12:693735. [PMID: 34248680 PMCID: PMC8265045 DOI: 10.3389/fphys.2021.693735] [Citation(s) in RCA: 20] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2021] [Accepted: 05/28/2021] [Indexed: 02/01/2023] Open
Abstract
The Data and Resource Center (DRC) of the NIH-funded SPARC program is developing databases, connectivity maps, and simulation tools for the mammalian autonomic nervous system. The experimental data and mathematical models supplied to the DRC by the SPARC consortium are curated, annotated and semantically linked via a single knowledgebase. A data portal has been developed that allows discovery of data and models both via semantic search and via an interface that includes Google Map-like 2D flatmaps for displaying connectivity, and 3D anatomical organ scaffolds that provide a common coordinate framework for cross-species comparisons. We discuss examples that illustrate the data pipeline, which includes data upload, curation, segmentation (for image data), registration against the flatmaps and scaffolds, and finally display via the web portal, including the link to freely available online computational facilities that will enable neuromodulation hypotheses to be investigated by the autonomic neuroscience community and device manufacturers.
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Affiliation(s)
- Mahyar Osanlouy
- Auckland Bioengineering Institute, University of Auckland, Auckland, New Zealand
| | - Anita Bandrowski
- Department of Neuroscience, University of California, San Diego, San Diego, CA, United States
| | - Bernard de Bono
- Auckland Bioengineering Institute, University of Auckland, Auckland, New Zealand
| | - David Brooks
- Auckland Bioengineering Institute, University of Auckland, Auckland, New Zealand
| | | | - Richard Christie
- Auckland Bioengineering Institute, University of Auckland, Auckland, New Zealand
| | - Nazanin Ebrahimi
- Auckland Bioengineering Institute, University of Auckland, Auckland, New Zealand
| | - Tom Gillespie
- Department of Neuroscience, University of California, San Diego, San Diego, CA, United States
| | - Jeffrey S. Grethe
- Department of Neuroscience, University of California, San Diego, San Diego, CA, United States
| | | | - Maci Heal
- MBF Bioscience, Williston, VT, United States
| | - Mabelle Lin
- Auckland Bioengineering Institute, University of Auckland, Auckland, New Zealand
| | - Niels Kuster
- IT'IS Foundation, Zurich, Switzerland
- Department of Information Technology and Electrical Engineering, Swiss Federal Institute of Technology (ETHZ), Zurich, Switzerland
| | - Maryann E. Martone
- Department of Neuroscience, University of California, San Diego, San Diego, CA, United States
| | - Esra Neufeld
- IT'IS Foundation, Zurich, Switzerland
- Department of Information Technology and Electrical Engineering, Swiss Federal Institute of Technology (ETHZ), Zurich, Switzerland
| | - David P. Nickerson
- Auckland Bioengineering Institute, University of Auckland, Auckland, New Zealand
| | - Elias G. Soltani
- Auckland Bioengineering Institute, University of Auckland, Auckland, New Zealand
| | | | | | | | - Peter J. Hunter
- Auckland Bioengineering Institute, University of Auckland, Auckland, New Zealand
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Sunshine MD, Cassarà AM, Neufeld E, Grossman N, Mareci TH, Otto KJ, Boyden ES, Fuller DD. Restoration of breathing after opioid overdose and spinal cord injury using temporal interference stimulation. Commun Biol 2021; 4:107. [PMID: 33495588 PMCID: PMC7835220 DOI: 10.1038/s42003-020-01604-x] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2020] [Accepted: 12/14/2020] [Indexed: 01/05/2023] Open
Abstract
Respiratory insufficiency is a leading cause of death due to drug overdose or neuromuscular disease. We hypothesized that a stimulation paradigm using temporal interference (TI) could restore breathing in such conditions. Following opioid overdose in rats, two high frequency (5000 Hz and 5001 Hz), low amplitude waveforms delivered via intramuscular wires in the neck immediately activated the diaphragm and restored ventilation in phase with waveform offset (1 Hz or 60 breaths/min). Following cervical spinal cord injury (SCI), TI stimulation via dorsally placed epidural electrodes uni- or bilaterally activated the diaphragm depending on current and electrode position. In silico modeling indicated that an interferential signal in the ventral spinal cord predicted the evoked response (left versus right diaphragm) and current-ratio-based steering. We conclude that TI stimulation can activate spinal motor neurons after SCI and prevent fatal apnea during drug overdose by restoring ventilation with minimally invasive electrodes.
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Affiliation(s)
- Michael D Sunshine
- Rehabilitation Science PhD Program, University of Florida, Gainesville, FL, 32611, USA
- Department of Physical Therapy, University of Florida, Gainesville, FL, 32611, USA
- Breathing Research and Therapeutics Center, University of Florida, Gainesville, FL, 32611, USA
- McKnight Brain Institute, University of Florida, Gainesville, FL, 32611, USA
| | - Antonino M Cassarà
- Foundation for Research on Information Technologies in Society (IT'IS), 8004, Zurich, Switzerland
| | - Esra Neufeld
- Foundation for Research on Information Technologies in Society (IT'IS), 8004, Zurich, Switzerland
| | - Nir Grossman
- Division of Brain Sciences, Imperial College London, London, SW7 2BU, United Kingdom
- United Kingdom Dementia Research Institute, Imperial College London, London, SW7 2BU, United Kingdom
| | - Thomas H Mareci
- Department of Biochemistry and Molecular Biology, University of Florida, Gainesville, FL, 32611, USA
| | - Kevin J Otto
- J. Crayton Pruitt Family Department of Biomedical Engineering, University of Florida, Gainesville, FL, 32611, USA
- Department of Neuroscience, University of Florida, Gainesville, FL, 32611, USA
- Department of Neurology, University of Florida, Gainesville, FL, 32611, USA
- Department of Materials Science and Engineering, University of Florida, Gainesville, FL, 32611, USA
- Department of Electrical and Computer Engineering, University of Florida, Gainesville, FL, 32611, USA
| | - Edward S Boyden
- Departments of Brain and Cognitive Sciences, Media Arts and Sciences, and Biological Engineering, McGovern and Koch Institutes, MIT, Cambridge, MA, 02139, USA
- Howard Hughes Medical Institute, Cambridge, MA, 02138, USA
| | - David D Fuller
- Department of Physical Therapy, University of Florida, Gainesville, FL, 32611, USA.
- Breathing Research and Therapeutics Center, University of Florida, Gainesville, FL, 32611, USA.
- McKnight Brain Institute, University of Florida, Gainesville, FL, 32611, USA.
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9
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Bottauscio O, Cassarà AM, Hand JW, Giordano D, Zilberti L, Borsero M, Chiampi M, Weidemann G. Assessment of computational tools for MRI RF dosimetry by comparison with measurements on a laboratory phantom. Phys Med Biol 2015; 60:5655-80. [DOI: 10.1088/0031-9155/60/14/5655] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Cassarà AM, Maraviglia B. Microscopic investigation of the resonant mechanism for the implementation of nc-MRI at ultra-low field MRI. Neuroimage 2008; 41:1228-41. [PMID: 18474435 DOI: 10.1016/j.neuroimage.2008.03.051] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2007] [Revised: 03/09/2008] [Accepted: 03/26/2008] [Indexed: 12/01/2022] Open
Abstract
In this paper the possible use of the resonant mechanism between some spectral components of the neuronal activity and the spin dynamics in ultra-low field MRI experiments--for the implementation of the nc-MRI techniques and proposed by Kraus et al., 2008--is investigated by means of "realistic" simulations of the neuronal activity of a modelled neuronal network. Previously characterized digital neurons are used to reproduce neuronal currents based on biophysical details and the distribution of the local magnetic field inside a MRI cubic voxel (having a dimension of 1.2 mm) is evaluated. The properties of the water proton spin dynamics as a consequence of the neuronal field and of external applied fields are extrapolated integrating the Bloch equations. The characteristics of the expected MR signals are discussed in relation to the specifics of the NMR sequence used and to the properties of the neuronal activity. The great potentialities of the technique are provided by: a) the possible easy implementation of the technique, b) the possible cheap instrumentation required; c) the flexibility of the ultra-low field systems.
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Affiliation(s)
- A M Cassarà
- Centro Studi e Ricerche Enrico Fermi, 00184, Rome, Italy.
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Cassarà AM, Hagberg GE, Bianciardi M, Migliore M, Maraviglia B. Realistic simulations of neuronal activity: a contribution to the debate on direct detection of neuronal currents by MRI. Neuroimage 2007; 39:87-106. [PMID: 17936018 DOI: 10.1016/j.neuroimage.2007.08.048] [Citation(s) in RCA: 47] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2007] [Revised: 08/04/2007] [Accepted: 08/22/2007] [Indexed: 11/16/2022] Open
Abstract
Many efforts have been done in order to preview the properties of the magnetic resonance (MR) signals produced by the neuronal currents using simulations. In this paper, starting with a detailed calculation of the magnetic field produced by the neuronal currents propagating over single hippocampal CA1 pyramidal neurons placed inside a cubic MR voxel of length 1.2 mm, we proceeded on the estimation of the phase and magnitude MR signals. We then extended the results to layers of parallel and synchronous similar neurons and to ensembles of layers, considering different echo times, voxel volumes and neuronal densities. The descriptions of the neurons and of their electrical activity took into account the real neuronal morphologies and the physiology of the neuronal events. Our results concern: (a) the expected time course of the MR signals produced by the neuronal currents in the brain, based on physiological and anatomical properties; (b) the different contributions of post-synaptic potentials and of action potentials to the MR signals; (c) the estimation of the equivalent current dipole and the influence of its orientation with respect to the external magnetic field on the observable MR signal variations; (d) the size of the estimated neuronal current induced phase and magnitude MR signal changes with respect to the echo time, voxel-size and neuronal density. The inclusion of realistic neuronal properties into the simulation introduces new information that can be helpful for the design of MR sequences for the direct detection of neuronal current effects and the testing of bio-electromagnetic models.
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Affiliation(s)
- A M Cassarà
- Dip. di Fisica, Gruppo G1, Università di Roma La Sapienza, Piazzale Aldo Moro, 5, 00185, Rome, Italy.
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