Development of a Parallel Robotic Positioning System With Specific Workspace for Noninvasive Brain Stimulation

Brain stimulation using noninvasive methods has been widely adopted in neuropsychiatric disorder therapies. Clinicians who use the innovative methods situate the stimulator manually in a typical setup. However, this causes practical difficulties in precisely locating the stimulation device at a desired pose. This article proposes a robotic positioning system that can precisely position a brain stimulation device at the desired pose. The design concepts are focused on the development of a system with a workspace specialized in noninvasive brain stimulation. To stimulate the overall area around the upper part of the head, the system is designed to have a specific posture with a six-degrees-of-freedom (6-DOF) movable parallel mechanism and a 1-DOF extra revolute joint. The combined system not only significantly increases the workspace of the system but also increases its physical safety. In the movable parallel mechanism, we realize sufficient mobility for the robotic device using three-<inline-formula><tex-math notation="LaTeX">${\bar{\bf{P}}}$</tex-math></inline-formula> <underline>R</underline>PS chains (<inline-formula><tex-math notation="LaTeX">${\bar{\bf{P}}}$</tex-math></inline-formula>: curved prismatic joint, R: revolute joint, P: prismatic joint, and S: spherical joint). The curved prismatic joint (<inline-formula><tex-math notation="LaTeX">${\bar{\bf{P}}}$</tex-math></inline-formula>) is a revolute joint realized by curved rail and enables efficient movement of the stimulator around the subject's head. Furthermore, the parallel mechanism offers good physical safety and load-carrying capacity. The moving platform, which is close to the head, exhibits low inertia, and there is no rapid change in the acceleration due to the failure of control because the moving platform is moved as a combination of joint movements. The system can accommodate stimulators of varying weights, such as those employing transcranial magnetic stimulation and ultrasound transducers. A prototype of the proposed system was developed using the design specifications, and its performance was verified experimentally.

[1]  Joel L. Voss,et al.  Selective and coherent activity increases due to stimulation indicate functional distinctions between episodic memory networks , 2018, Science Advances.

[2]  Sungon Lee,et al.  Development of a Wearable Robotic Positioning System for Noninvasive Transcranial Focused Ultrasound Stimulation , 2016, IEEE/ASME Transactions on Mechatronics.

[3]  Mark S. George,et al.  The Clinical TMS Society Consensus Review and Treatment Recommendations for TMS Therapy for Major Depressive Disorder , 2016, Brain Stimulation.

[4]  Pablo Celnik,et al.  Transcranial magnetic stimulation facilitates neurorehabilitation after pediatric traumatic brain injury , 2015, Scientific Reports.

[5]  M. Bikson,et al.  Brief Report: Excitatory and Inhibitory Brain Metabolites as Targets of Motor Cortex Transcranial Direct Current Stimulation Therapy and Predictors of Its Efficacy in Fibromyalgia , 2015, Arthritis & rheumatology.

[6]  R. Buckner,et al.  Resting-state networks link invasive and noninvasive brain stimulation across diverse psychiatric and neurological diseases , 2014, Proceedings of the National Academy of Sciences.

[7]  R. Friedlander,et al.  Transcranial focused ultrasound modulates the activity of primary somatosensory cortex in humans. , 2014, Neurosurgery.

[8]  Walter Paulus,et al.  Therapeutic effects of non-invasive brain stimulation with direct currents (tDCS) in neuropsychiatric diseases , 2014, NeuroImage.

[9]  Mohamed Saoud,et al.  Examining transcranial direct-current stimulation (tDCS) as a treatment for hallucinations in schizophrenia. , 2012, The American journal of psychiatry.

[10]  Laurent Goffin,et al.  Design and Evaluation of a Robotic System for Transcranial Magnetic Stimulation , 2012, IEEE Transactions on Biomedical Engineering.

[11]  Min Ho Chun,et al.  Cathodal transcranial direct current stimulation of the right Wernicke’s area improves comprehension in subacute stroke patients , 2011, Brain and Language.

[12]  Yusuf Tufail,et al.  Ultrasonic neuromodulation by brain stimulation with transcranial ultrasound , 2011, Nature Protocols.

[13]  Jong-Hwan Lee,et al.  Focused ultrasound modulates region-specific brain activity , 2011, NeuroImage.

[14]  Alexander Schlaefer,et al.  Towards direct head navigation for robot-guided Transcranial Magnetic Stimulation using 3D laserscans: Idea, setup and feasibility , 2010, 2010 Annual International Conference of the IEEE Engineering in Medicine and Biology.

[15]  S. Tillery,et al.  Transcranial Pulsed Ultrasound Stimulates Intact Brain Circuits , 2010, Neuron.

[16]  Chao Wu,et al.  Optimal Design of Spherical 5R Parallel Manipulators Considering the Motion/Force Transmissibility , 2010 .

[17]  Andreas Erfurth,et al.  Neurophysiological and neuropsychiatric aspects of transcranial magnetic stimulation , 2009 .

[18]  Jayashri Kulkarni,et al.  A Randomized Trial of rTMS Targeted with MRI Based Neuro-Navigation in Treatment-Resistant Depression , 2009, Neuropsychopharmacology.

[19]  William W. McDonald,et al.  Efficacy and Safety of Transcranial Magnetic Stimulation in the Acute Treatment of Major Depression: A Multisite Randomized Controlled Trial , 2007, Biological Psychiatry.

[20]  Natalia Vykhodtseva,et al.  500‐element ultrasound phased array system for noninvasive focal surgery of the brain: A preliminary rabbit study with ex vivo human skulls , 2004, Magnetic resonance in medicine.

[21]  Koji Ikuta,et al.  Safety Evaluation Method of Design and Control for Human-Care Robots , 2003, Int. J. Robotics Res..

[22]  Han S. Kim,et al.  Forward/inverse force transmission capability analyses of fully parallel manipulators , 2001, IEEE Trans. Robotics Autom..

[23]  L. W. Tsai,et al.  Robot Analysis: The Mechanics of Serial and Parallel Ma-nipulators , 1999 .

[24]  Joseph Duffy,et al.  Statics and Kinematics with Applications to Robotics , 1996 .