Comparison of Radio Frequency Current and Microwave Energy for Transcatheter Renal Denervation
Aditya Rakhmadi, Kazuyuki Saito, Shohei Matsuhara, Tomoyuki Tajima, Nobuyoshi Takeshita.
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We present the feasibility of using microwave energy as a different energy source for RDN ablation treatment, by comparing to RF current energy source. In this paper, we designed a coaxial-slot antenna for microwave (2.45 GHz) and an electrode for RF current (500 kHz), with phantoms that match human muscle dielectric properties at each respective working frequency. Both phantoms thermal properties and material density were measured, and then used in simulation. A total of 10 ablation experiments were conducted to validate the numerical simulation results. Each temperature points of the experiments were measured at 1 mm interval between thermometer probes. The results of the experiment temperature distributions agree well with the simulation results, RF achieved 5-6 mm while microwave achieved 7-8 mm. Additionally, numerical calculations with different input power were conducted to understand the temperature characteristics of both energy source. Microwave energy offers higher input power for a more profound and broader ablation area as opposed to RF current.
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Take-Home Messages
- Utilizing microwave energy, a deeper, four-quadrant ablation area for transcatheter renal denervation (RDN) can be realized without causing complicated vascular lesions as opposed to widely used radio frequency current devices.
- An ablation depth of 8 mm or more with a lower maximum temperature of 65 ºC was achieved by using microwave energy as opposed to radio frequency currents 4-5 mm depth and 87 ºC maximum temperature, shown by numerical calculation and heating experiments.
- The potential application of this microwave technology is the RDN, aimed at reducing resistant hypertension.
- Main contribution of this paper is by comparing microwave energy to radio frequency current based devices in RDN treatment, both in numerical calculations and heating experiments, it is possible to overcome performance shortcomings of widely used devices right now.
- In addition, muscle phantoms at 500 kHz and 2.45 GHz respectively, was produced and both phantoms properties were measured to match parameters used in the numerical calculations and the heating experiments.
Modelling of the temperature changes induced by transcutaneous spinal direct current stimulation (tsDCS)
Serena Fiocchi, Emma Chiaramello, Alberto Priori, Paolo Ravazzani, Marta Parazzini.
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In this study, the temperature increase induced by a 3 mA stimulation in the tissue target (i.e. the spinal cord), in its surrounding tissues and in other tissues possibly more vulnerable to temperature increase were assessed through a computational approach. That solves Laplace equation and BioHeat equation for electric field and temperature distribution, respectively, on six whole body high resolution anatomical models, including three models of pregnant women at different gestational ages. Results show that temperature increase distribution in those targets is guided by a complex interaction between different mechanism in which electric stimulation plays a secondary role, in particular when blood perfusion is active. The very low heating assessed (below 1.5 m°C) is not consistent with the hypothesis that the induced temperature increase would critically activate metabolic changes in the target tissues here considered or would contribute to the few side effect that the applications of spinal direct current stimulation protocols have shown.
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- This study deals with safety thermal issues related to the application of spinal tDCS.
- Combined resolution of Laplace and bio-heat equation allows to assess temperature increase due to electric stimulation induced by spinal tDCS.
- This is the first study addressing the tissues temperature changes induced by tsDCS.
- The very low heating induced by tDCS is not likely to activate metabolic changes in the target tissues here considered or to contribute to the few side effect that the applications of spinal tDCS protocols have shown.
- Findings of this work respond to the need of evaluating the safety of the spinal tDCS application on different subjects (young male, female, and pregnant women).
Field Focusing for Implanted Medical Devices
Hossein Mehrpour Bernety, Huanan Zhang, David Schurig, Cynthia M. Furse.
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The small gap between the tips of the lines provides constructive coupling and augments the focused field. Compared to the case where no lines are used, the focused power is 8 times and 16 times larger if one line and two lines are utilized, respectively. The proposed design can be modified to focus fields with arbitrary polarizations at different depths inside the body. We propose a method to create this focusing structure by extrusion inside the body using heat-activated polymer-based conductors.
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- We present a novel method of electromagnetic field focusing applicable to 3D implantable devices.
- Compared to the case of no focusing device, the achieved focused power is 8 and 16 times greater when the proposed designs are used.
- It could improve telemetry or wireless power transfer for future miniaturized implantable medical devices (IMDs).
- The paper presents a novel field focusing method, which is simple and biocompatible applicable to 3D implantable devices.
- The proposed design can be modified to focus fields with arbitrary polarizations at different depths inside human tissue.
Electromagnetic Inversion for Noninvasive Specific Absorption Rate Characterization
Mario Phaneuf, Puyan Mojabi.
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The unique aspect of this inverse source algorithm is that it casts the problem as the simultaneous inversion (SI) of two sets of equivalent currents: one for the device under test (DUT), and the other for the phantom. The dependency of these two sets of currents is then incorporated as an explicit regularization term in the resulting algorithm. The method is proposed to be relatively robust in terms of measurement noise. A simplified two-dimensional problem is presented to support this proposition.
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- The simultaneous inversion algorithm has been proposed for the purpose of specific absorption rate characterization for the first time.
- The simultaneous inversion approach is a robust algorithm for noninvasive specific absorption rate applications.
- The proposed algorithm is applicable to the characterization of the specific absorption rate in human phantoms.
- The proposed algorithm is robust in terms of noise resistance.
- The noninvasive approach allows for the use of solid and inhomogeneous phantoms and allows for the use of existing field measurement hardware to be adapted for SAR applications.
A 0.09 mm2On-Chip Coil Designed in 0.5 μm CMOS process for Brain Neuromodulation Applications
Dipon K. Biswas, Ifana Mahbub.
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To stimulate multiple neurons simultaneously, distributed miniaturized implants are needed to cover a wide range of areas. In this paper, an on-chip design of an inductively coupled wireless power transfer (WPT) system for an optogenetic implant is presented. A $0.3 text{mm} times 0.3 text{mm}$ on-chip spiral coil is designed using a standard $0.5 mu m$ CMOS process and characterized as the receiver of the WPT system. The EM field distribution through different tissue layers is investigated which helps to further evaluate the maximum Specific Absorption Rate (SAR) and temperature through the brain tissue. The system achieves a power transfer efficiency (PTE) of 0.65% and 0.96% with matching networks through 10 mm tissue layer and air links respectively. At 10 dBm transmitted power, the maximum SAR value is simulated to be 1.51 W/kg with the maximum temperature increase of 0.73 °C through the skin layer due to the EM field exposure. A case study of the proposed on-chip coil based WPT system shows the different light intensity level that can be achieved for optognetic neuromodulation application. Thus, the proposed miniaturized system proves to be a good candidate for the future distributive neural interfacing application.
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- Near-field communication (NFC) technique is used to design an on-chip implantable WPT system for neuromodulation applications.
- Neuromodulation approach such as optogenetics is a revolutionary approach for the treatment of various neural diseases by stimulating the genetically modified neurons. A non-invasive or minimally invasive and miniaturized implantable system is the most desirable for optogenetic stimulation techniques.
- The proposed on-chip coil reduced the size of the receiver (RX) module by 96% compared to the state-of-theart while achieving similar power transfer efficiency (PTE) performance and the best figure of merit (FOM) performance.
- The analysis of the Electric field (E-field), Magnetic field (H-field), Specific Absorption Rate (SAR) and temperature increase through the different brain tissue layers is presented to identify the working range of the system.
- A case-study of the proposed on-chip coil integrated with the commercial off-the-shelf (COTS) component based rectifier and μLED for optogenetic neuromodulation is presented to validate the system.
Design and Optimization of a Slotted Monopole Antenna for Ultra-wide Band Body Centric Imaging Applications
Isah Musa Danjuma, Mobayode Olusola Akinsolu, Chang Hwang See, Raed Abd-Alhameed, Bo Liu.
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To ensure that the proposed designs are meeting the required specifications with reduced design time, the parallel surrogate model-assisted hybrid differential evolution for antenna optimization (PSADEA) is proposed to optimize the design. Based on the best set of geometry parameter for the optimum antenna performance, the antenna prototype is realized on an FR-4 substrate and analyzed in terms of bandwidth, gain, efficiency, and radiation pattern with and without the tissue models. All measured results are found to be in good agreement with the simulated results. The antenna provides a good reflection coefficient (S11 <-10 dB) in the UWB frequency band from 3.1 GHz to 10.6 GHz and maintains its bandwidth UWB operation without detuning when placed in closed contact with the human body or breast mimicking tissues (phantoms).
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- Microwave imaging provide an in expensive, non-ionizing and nondestructive evaluation of the cell tissues for clinical analysis and medical diagnosis.
- We demonstrate that the antenna performs well even in close proximity to the phantoms and operationally covers the Federal Communications Commission (FCC) range of the Ultra-Wide Band (UWB) spectrum.
- Our target application is centered on the detection of breast cancer at early stage, which serve as a key factor in the successful treatment of the disease.
- This work has demonstrated the use of Parallel Surrogate Assistance Differential Evolution Algorithm (PSADEA) optimisation technique in reducing the size of the antennas considerably.
- The optimization techniques used in this our work provide the sensor with a good return loss in the UWB frequencies of 3.1 to 10.6 GHz and maintains its bandwidth UWB operation without detuning when placed in closed contact with the human body or breast mimicking tissue (phantom).