Deep transcranial magnetic stimulation for the addiction treatment: Electric field distribution modeling
Serena Fiocchi, Emma Chiaramello, Livio Luzi, Anna Ferrulli, Marta Bonato, Yiftach Roth, Abraham Zangen, Paolo Ravazzani, Marta Parazzini.
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Recent clinical studies have focused on the use of H4 coils, which utilizes a left-right symmetric structure for bilateral stimulation of the prefrontal cortex, and demonstrated efficacy for therapy such as smoking cessation. The mechanism of activity, however, remains poorly understood, in part because the affected regions of the brain are not known in detail. To this purpose, computational techniques applied to highly detailed inhomogeneous tissue phantoms, provide a powerful tool for testing coil efficacy. In this work we quantified both electric field E distribution and its penetration depth in the prefrontal cortex, induced by a specific Hesed-coil, H4, designed for the addiction treatment and by the traditional figure-of-8 coil for comparison. Results show that H4 coil preferentially targets insula and cingulate cortex. Moreover, it can induce in the deepest tissues E amplitude ranging between the 20-40% of the cortical peak and it can penetrate the cortex up to 4 cm with a E>50% of the cortical peak, thus noticeably increasing the penetration depth of the traditional TMS systems.
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Take-Home Messages
- Deep Transcranial Magnetic Stimulation (dTMS), administered through H4 coil, has been recently proposed for the addiction treatment and it’s aimed to stimulate bilaterally the prefrontal cortex and to activate the reward pathway.
- Computational electromagnetic models help in gaining knowledge on the mechanism laying behind neurostimulation, by providing a detailed electric field distribution induced in cerebral tissues.
- Simulations demonstrates that H4 induces the highest electric fields at cortical level, targeting preferentially prefrontal cortex and the anterior cingulate cortex and then supporting its use for addiction treatment.
- This work represents, in contrast with prior works based on homogenous tissue phantoms, a powerful and informative tool for both planning, optimization and outcomes evaluation of clinical protocols based on dTMS systems for addiction treatment.
- Deep TMS coil H4 can be specifically used to target cortical and subcortical structures involved in food craving related disorders.
A Near Field Cloaking Study to Reduce MRI RF-Artefacts in Presence of Elongated Prostheses
Umberto Zanovello, Luca Zilberti, Ladislau Matekovits.
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The theoretical assumptions are proved by means of full-wave simulations that are also applied to a realistic hip prosthesis considering a frequency equal to 64 MHz and 128 MHz. Results: The numerical results confirm the theoretical assumptions. Both the theoretical analysis and the numerical simulations highlight the different role that the coat thickness and electric permittivity have in the definition of a proper dielectric coat. Clinical or Biological Impact: A particular cloaking approach leads to a dielectric coat whose constitutive electrical parameters may be simple enough to fit the considered application reducing the interaction between an elongated prosthesis and the RF antenna. Furthermore, results obtained at 64 MHz suggest the possibility to employ an existing biocompatible material to achieve the envisaged purposes.
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- A dielectric coat, if properly designed, may reduce the electromagnetic interaction between an elongated metallic prosthesis and the Magnetic Resonance Imaging (MRI) radiofrequency (RF) antenna moderating the RF-artefact rise at 64 MHz and 128 MHz.
- We described, by means of an equivalent circuit, the interaction between the MRI RF-antenna and an elongated metallic prosthesis explaining the optimal relation between the thickness and electric permittivity of a coat whose aim is to reduce the rise of RF-artefacts in an MRI exam.
- The targeted biological and medical applications are the elongated metallic prostheses worn by patients subjected to an MRI exam.
- An electromagnetic cloaking application tailored on a specific MRI field is introduced. The obtained results represent a key point for the design and realization of a coat material at 128 MHz whose effects are to strongly reduce the interaction between a metallic elongated prosthesis and the RF MRI antenna. Furthermore, results obtained at 64 MHz suggest that it is possible to cover a generic hip prosthesis through a proper ordinary biocompatible material to achieve the desired effects.
A Multi-Channel Passive Brain Implant for Wireless Neuropotential Monitoring
Wei-Chuan Chen, Cedric W. L. Lee, Asimina Kiourti, John L. Volakis.
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The proposed system consists of an external interrogator and a neuro-recorder implanted inside the scalp. For operation, the interrogator sends a) a 2.4 GHz carrier signal to “turn on” the implant, and b) an infrared control signal for channel selection. The latter activates the desired channel via a photo-activated multiplexer. For this channel, the carrier signal is mixed with the neural signal ( fneuro ) to generate a 4.8GHz±fneuro modulated signal. The latter is then transmitted back to the interrogator. To verify the implant’s operation inside biological tissues, in−vitro measurements are presented using pig skin. Experimental results show that the proposed neuropotential recorder exhibits 20 μVpp sensitivity at all eight channels (viz. it can record any signal generated by the human brain). The system is also in compliance with the strictest Federal Communications Commission standards for patient safety. Notably, the proposed approach is scalable to a much higher number of channels. As such, the proposed.
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- What are the innovative features of utilizing electromagnetics for biomedical applications in this manuscript, in one sentence?
- What is the conclusion in this manuscript, in one sentence?
- What are the targeted biological and/or medical applications, in one sentence?
- What is the significance/breakthrough of this work?
- Accomplishments in this manuscript you would like to highlight that are not mentioned above, for our readers, in one sentence?
A Blood Perfusion Model Of A RMS Tumor In A Local Hyperthermia Multi-Physic Scenario: A Preliminary Study
Giacomo Muntoni, Alessandro Fanti, Giorgio Montisci, Marta Muntoni.
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The main goal of this therapy, primarily used as adjuvant therapy along with radio and chemotherapy, is to reach a suitable temperature inside the neoplastic mass – about 7-8 degrees above the normal body temperature – able to kill the cancerous cells without compromising the healthy tissues. Many factors contribute to this goal, such as the radiation characteristics of the antenna, the thermal profiles of the healthy and cancerous tissues and the dynamic of the water flux inside the bolus. Moreover, despite being often overlooked, an important role is played by the perfusion characteristics of the tumor. In this work, we present a multi-physic analysis in a local hyperthermia scenario, considering a simple patch antenna resonating at 434 MHz as a heat source, a water bolus, a bi-layered body phantom and, most importantly, a tumor placed inside the phantom described employing a realistic space-dependent blood perfusion model. The results of this study show the effectiveness of the hyperthermia treatment using the physiopathology-driven perfusion model, and they may be useful in a real local hyperthermia case.
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- The electromagnetic behaviour of a radiator has been coupled with two other physical phenomena, and with a space-dependent blood perfusion model of a tumor, to better understand the role of each process and how they relate together to accomplish an hyperthermia tumour therapy.
- The proposed multi-physic analysis based on the blood perfusion model is an efficient solution to have a deep insight on the hyperthermia treatment.
- This work can be a powerful supporting tool in oncology applications where the hyperthermic treatment is often used as adjuvant therapy alongside with radiotherapy and chemotherapy.
- To the best of the authors’ knowledge, this is the first time that a complete analysis on the coupling of physical phenomena for a hyperthermia application of a tumour based on a realistic blood perfusion model has been done.
Comparison between Delay and Sum and Range Migration Algorithms for Image Reconstruction in Through-the-Wall Radar Imaging Systems
Stefano Pisa, Emanuele Piuzzi, Erika Pittella, Paolo D’Atanasio, Alessandro Zambotti, Giulia Sacco.
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These algorithms have been applied to analytical, simulated, and measured data both in the absence and in the presence of a wall between the antenna and the target. Both techniques were able to accurately reconstruct the position of targets behind a wall. The DAS presents a wider angle of non-ambiguity while the RM is faster. An improvement of the DAS, in terms of accuracy in the target positioning, is achieved applying the Fermat’s principle.
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- TWRI systems can remotely monitor thieves or robbers inside a building or subjects under the rubble.
- Delay and sum (DAS) and range migration (RM) algorithms are among the most used techniques for image reconstruction and in this paper their pros and cons are investigated.
- The two inversion algorithms have been compared based on analytical, numerical and experimental data acquired for realistic scenarios.
- DAS and RM have similar resolution and dynamics with the former having a better field of view and the latter being faster.
Water models in molecular dynamics simulation prediction of dielectric properties of biomaterials
Michal Cifra, Jiri Prusa, Daniel Havelka, Ondrej Krivosudsky.
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However, such measurements require dedicated hardware and physical availability of sufficient volume of biological samples of interest. Instead, here we demonstrate the prediction of complex permittivity of a simple biomolecular sample using computational molecular dynamics simulations. We focus here on the role of a molecular model of water since it is the major compound determining microwave dielectric properties of biological tissues and wet samples. Here, for the first time, we analyze how the common molecular water models (SPCE, TIP3P, and TIP4P) affect complex permittivity of biomolecular solutions predicted by molecular dynamics simulations. We found that the type of the molecular water model used in the simulation affects not only water contribution but also biomolecule contribution to the permittivity spectra. Our results contribute to in silico prediction and understanding of dielectric properties of biomaterials
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- Virtual dielectric spectroscopy of biomolecular samples is possible using computation methods.
- Molecular models of water affect complex permittivity predicted by molecular dynamics simulations.
- Our method enables rationalization of microwave biosensor design.
- Molecular dynamics simulation predicts and interprets complex permittivity of biosamples.