scholarly journals Transcranial direct current stimulation in patients after decompressive craniectomy: a finite element model to investigate factors affecting the cortical electric field

2021 ◽  
Vol 49 (2) ◽  
pp. 030006052094211
Author(s):  
Weiming Sun ◽  
Xiangli Dong ◽  
Guohua Yu ◽  
Lang Shuai ◽  
Yefeng Yuan ◽  
...  

Objective To simulate the process of transcranial direct current stimulation (tDCS) on patients after decompressive craniectomy (DC), and to model cortical electric field distributions under different electrode montages, we constructed a finite element model that represented the human head at high resolution. Methods Using computed tomography images, we constructed a human head model with high geometrical similarity. The removed bone flap was simplified to be circular with a diameter of 12 cm. We then constructed finite element models according to bioelectrical parameters. Finally, we simulated tDCS on the finite element models under different electrode montages. Results Inward current had a linear relationship with peak electric field value, but almost no effect on electric field distribution. If the anode was not over the skull hole (configuration 2), there was almost no difference in electric field magnitude and focality between the circular and square electrodes. However, if the anode was right over the hole (configuration 1), the circular electrodes led to higher peak electric field values and worse focality. In addition, configuration 1 significantly decreased focality compared with configuration 2. Conclusion Our results might serve as guidelines for selecting current and electrode montage settings when performing tDCS on patients after DC.

2014 ◽  
Vol 2014 ◽  
pp. 1-14 ◽  
Author(s):  
Edward T. Dougherty ◽  
James C. Turner ◽  
Frank Vogel

Transcranial direct current stimulation (tDCS) continues to demonstrate success as a medical intervention for neurodegenerative diseases, psychological conditions, and traumatic brain injury recovery. One aspect of tDCS still not fully comprehended is the influence of the tDCS electric field on neural functionality. To address this issue, we present a mathematical, multiscale model that couples tDCS administration to neuron electrodynamics. We demonstrate the model’s validity and medical applicability with computational simulations using an idealized two-dimensional domain and then an MRI-derived, three-dimensional human head geometry possessing inhomogeneous and anisotropic tissue conductivities. We exemplify the capabilities of these simulations with real-world tDCS electrode configurations and treatment parameters and compare the model’s predictions to those attained from medical research studies. The model is implemented using efficient numerical strategies and solution techniques to allow the use of fine computational grids needed by the medical community.


2011 ◽  
Vol 467-469 ◽  
pp. 339-344
Author(s):  
Na Li ◽  
Jian Xin Liu

Head and neck injuries are the most frequent severe injury resulting from traffic accidents. Neck injury mechanisms are difficult to study experimentally due to the variety of impact conditions involved, as well as ethical issues, such as the use of human cadavers and animals. Finite element analysis is a comprehensive computer aided mathematical method through which human head and neck impact tolerance can be investigated. Detailed cervical spine models are necessary to better understand cervical spine response to loading, improve our understanding of injury mechanisms, and specifically for predicting occupant response and injury in auto crash scenarios. The focus of this study was to develop a C1–C2 finite element model with optimized mechanical parameter. The most advanced material data available were then incorporated using appropriate nonlinear constitutive models to provide accurate predictions of response at physiological levels of loading. This optimization method was the first utilized in biomechanics understanding, the C1–C2 model forms the basis for the development of a full cervical spine model. Future studies will focus on tissue-level injury prediction and dynamic response.


2016 ◽  
Vol 850 ◽  
pp. 957-964
Author(s):  
Wei Zheng ◽  
Hong Zhang ◽  
Xiao Ben Liu ◽  
Le Cai Liang ◽  
Yin Shan Han

There is a potential for major damage to the pipelines crossing faults, therefore the strain-based design method is essential for the design of buried pipelines. Finite element models based on soil springs which are able to accurately predict pipelines’ responses to such faulting are recommended by some international guidelines. In this paper, a comparative analysis was carried out among four widely used models (beam element model; shell element model with fixed boundary; shell element model with beam coupled; shell element model with equivalent boundary) in two aspects: differences of results and the efficiency of calculation. The results show that the maximum and minimum strains of models coincided with each other under allowable strain and the calculation efficiency of beam element model was the highest. Besides, the shell element model with beam coupled or equivalent boundary provided the reasonable results and the calculation efficiency of them were higher than the one with fixed boundary. In addition, shell element model with beam coupled had a broader applicability.


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