A neurostimulator system for real, sham, and multi-target transcranial magnetic stimulation

Background: Transcranial magnetic stimulation (TMS) is a clinically effective therapeutic instrument used to modulate neural activity. Despite three decades of research, two challenging issues remain, the possibility of changing the 1) stimulated spot and 2) stimulation type (real or sham) without p...

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Main Authors: Memarian Sorkhabi, M, Denison, TJ
Format: Journal article
Language:English
Published: IOP Publishing 2022
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author Memarian Sorkhabi, M
Denison, TJ
author_facet Memarian Sorkhabi, M
Denison, TJ
author_sort Memarian Sorkhabi, M
collection OXFORD
description Background: Transcranial magnetic stimulation (TMS) is a clinically effective therapeutic instrument used to modulate neural activity. Despite three decades of research, two challenging issues remain, the possibility of changing the 1) stimulated spot and 2) stimulation type (real or sham) without physically moving the coil. Objective: In this study, a second-generation programmable TMS (pTMS2) device with advanced stimulus shaping is introduced that uses a 5-level cascaded H-bridge inverter and phase-shifted pulse-width modulation (PWM). The principal idea of this research is to obtain real, sham, and multi-locus stimulation using the same TMS system. Methods: We propose a two-channel modulation-based magnetic pulse generator and a novel coil arrangement, consisting of two circular coils with a physical distance of 20 mm between the coils and a control method for modifying the effective stimulus intensity, which leads to the live steerability of the target and type of stimulation. Results: Based on the measured system performance, the stimulation profile can be steered ± 20 mm along a line from the centroid of the coil locations by modifying the modulation index. Conclusion: The proposed system supports electronic control of the stimulation spot without physical coil movement, resulting in tunable modulation of targets, which is a crucial step towards automated TMS machines.
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spelling oxford-uuid:242832ae-147b-4e3e-9262-66087c4fc2b22022-06-29T07:57:58ZA neurostimulator system for real, sham, and multi-target transcranial magnetic stimulationJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:242832ae-147b-4e3e-9262-66087c4fc2b2EnglishSymplectic ElementsIOP Publishing2022Memarian Sorkhabi, MDenison, TJBackground: Transcranial magnetic stimulation (TMS) is a clinically effective therapeutic instrument used to modulate neural activity. Despite three decades of research, two challenging issues remain, the possibility of changing the 1) stimulated spot and 2) stimulation type (real or sham) without physically moving the coil. Objective: In this study, a second-generation programmable TMS (pTMS2) device with advanced stimulus shaping is introduced that uses a 5-level cascaded H-bridge inverter and phase-shifted pulse-width modulation (PWM). The principal idea of this research is to obtain real, sham, and multi-locus stimulation using the same TMS system. Methods: We propose a two-channel modulation-based magnetic pulse generator and a novel coil arrangement, consisting of two circular coils with a physical distance of 20 mm between the coils and a control method for modifying the effective stimulus intensity, which leads to the live steerability of the target and type of stimulation. Results: Based on the measured system performance, the stimulation profile can be steered ± 20 mm along a line from the centroid of the coil locations by modifying the modulation index. Conclusion: The proposed system supports electronic control of the stimulation spot without physical coil movement, resulting in tunable modulation of targets, which is a crucial step towards automated TMS machines.
spellingShingle Memarian Sorkhabi, M
Denison, TJ
A neurostimulator system for real, sham, and multi-target transcranial magnetic stimulation
title A neurostimulator system for real, sham, and multi-target transcranial magnetic stimulation
title_full A neurostimulator system for real, sham, and multi-target transcranial magnetic stimulation
title_fullStr A neurostimulator system for real, sham, and multi-target transcranial magnetic stimulation
title_full_unstemmed A neurostimulator system for real, sham, and multi-target transcranial magnetic stimulation
title_short A neurostimulator system for real, sham, and multi-target transcranial magnetic stimulation
title_sort neurostimulator system for real sham and multi target transcranial magnetic stimulation
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