A control-theoretic system identification framework and a real-time closed-loop clinical simulation testbed for electrical brain stimulation

2018 ◽  
Vol 15 (6) ◽  
pp. 066007 ◽  
Author(s):  
Yuxiao Yang ◽  
Allison T Connolly ◽  
Maryam M Shanechi
Author(s):  
Yingnan Nie ◽  
Xuanjun Guo ◽  
Xiao Li ◽  
Xinyi Geng ◽  
Yan Li ◽  
...  

Abstract Objective. Closed-loop deep brain stimulation (DBS) with neural feedback has shown great potential in improving the therapeutic effect and reducing side effects. However, the amplitude of stimulation artifacts is much larger than the local field potentials, which remains a bottleneck in developing a closed-loop stimulation strategy with varied parameters. Approach. We proposed an irregular sampling method for the real-time removal of stimulation artifacts. The artifact peaks were detected by applying a threshold to the raw recordings, and the samples within the contaminated period of the stimulation pulses were excluded and replaced with the interpolation of the samples prior to and after the stimulation artifact duration. This method was evaluated with both simulation signals and in vivo closed-loop DBS applications in Parkinsonian animal models. Main results. The irregular sampling method was able to remove the stimulation artifacts effectively with the simulation signals. The relative errors between the power spectral density of the recovered and true signals within a wide frequency band (2-150 Hz) were 2.14%, 3.93%, 7.22%, 7.97% and 6.25% for stimulation at 20 Hz, 60 Hz, 130 Hz, 180 Hz, and stimulation with variable low and high frequencies, respectively. This stimulation artifact removal method was verified in real-time closed-loop DBS application in vivo, and the artifacts were effectively removed during stimulation with frequency continuously changing from 130 Hz to 1 Hz and stimulation adaptive to beta oscillations. Significance. The proposed method provides an approach for real-time removal in closed-loop DBS applications, which is effective in stimulation with low frequency, high frequency, and variable frequency. This method can facilitate the development of more advanced closed-loop DBS strategies.


2020 ◽  
Vol 6 (3) ◽  
pp. 103-106
Author(s):  
Rene Peter Bremm ◽  
Klaus Peter Koch ◽  
Rejko Krüger ◽  
Frank Hertel ◽  
Jorge Gonçalves

AbstractProgramming in deep brain stimulation (DBS) is often a labour-intensive process. Although automatic closed-loop stimulation has recently been receiving considerable attention, it is still far from clinical settings. Testing in-loop stimulation in a clinical setting is extremely challenging due to manual programming and the lack of synchronisation between stimulation and monitoring devices. In this work, we present a simple rulebased expert system to test feedback-controlled DBS in a clinical setting. The new application operates in closed-loop with the physician as acting person and real-time feedback from an accelerometer. Patients with movement disorders such as in essential tremor announce an individually acceptable level of tremor as a boundary condition for control. As a proof-of-concept, the expert system provides continuous recommendations of stimulation parameters and guides the physician to increase or decrease DBS amplitude by capturing tremor acceleration power on the patients’ forearms. The introduced application considers the technical and practical aspects in a clinical setting. Data obtained from test subjects provide insight into tremor dynamics. We demonstrate the clinical applicability of the rule-based control system for future research focusing on tremor dynamics and inloop stimulation. Finally, a telemetry streaming system could provide the interface for the application of automatic tremor control without the physician as acting person.


2016 ◽  
Vol 127 (3) ◽  
pp. e41 ◽  
Author(s):  
C. Zrenner ◽  
J. Tünnerhoff ◽  
C. Zipser ◽  
F. Müller-Dahlhaus ◽  
U. Ziemann

2019 ◽  
Vol 56 (1) ◽  
pp. 324-335 ◽  
Author(s):  
Mohammed I. Alabsi ◽  
Travis D. Fields

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