New Designs for Deep Brain Transcranial Magnetic Stimulation

New applications for transcranial magnetic stimulation are developing rapidly for both diagnostic and therapeutic purposes. Therefore, so is the demand for improved performance, particularly in terms of the ability to stimulate deeper regions of the brain and to do so selectively. The coil designs that are used presently are limited in their ability to stimulate the brain at depth and with high spatial focality. Consequently, any improvement in coil performance would have a significant impact in extending the usefulness of TMS in both clinical applications and academic research studies. New and improved coil designs have been developed, modeled, and tested as a result of this work. A large magnetizing coil, 300 mm in diameter and compatible with a commercial TMS system, has been constructed to determine its feasibility for use as a deep brain stimulator. This coil, used in a Helmholtz configuration, can produce 105 V/m at the surface of the head and 93 V/m at a depth of 15.2 mm compared to a single turn 60 mm coil which produces 82.6 V/m at the surface and only 15 V/m at 15.2 mm. The results of this work have suggested directions that could be pursued in order to further improve the coil designs.

[1]  H. Topka,et al.  Motor thresholds in humans: a transcranial magnetic stimulation study comparing different pulse waveforms, current directions and stimulator types , 2001, Clinical Neurophysiology.

[2]  Brian N. Pasley,et al.  State-Dependent Variability of Neuronal Responses to Transcranial Magnetic Stimulation of the Visual Cortex , 2009, Neuron.

[3]  Sven Bestmann,et al.  Concurrent brain-stimulation and neuroimaging for studies of cognition , 2009, Trends in Cognitive Sciences.

[4]  J. Lorberbaum,et al.  How coil-cortex distance relates to age, motor threshold, and antidepressant response to repetitive transcranial magnetic stimulation. , 2000, The Journal of neuropsychiatry and clinical neurosciences.

[5]  P. Fitzgerald,et al.  A comprehensive review of the effects of rTMS on motor cortical excitability and inhibition , 2006, Clinical Neurophysiology.

[6]  John C. Rothwell,et al.  Slow (1Hz) repetitive transcranial magnetic stimulation (rTMS) induces a sustained change in cortical excitability in patients with Parkinson’s disease , 2010, Clinical Neurophysiology.

[7]  Adib A. Becker,et al.  Forward electric field calculation using BEM for time-varying magnetic field gradients and motion in strong static fields , 2009 .

[8]  N. Tzourio,et al.  Functional Mapping of the Human Brain , 1993 .

[9]  A. Barker,et al.  NON-INVASIVE MAGNETIC STIMULATION OF HUMAN MOTOR CORTEX , 1985, The Lancet.

[10]  A. Brice,et al.  Neurophysiological evidence of corticospinal tract abnormality in patients with Parkin mutations , 2006, Journal of Neurology.

[11]  Ian N. Hsiao,et al.  Magnetic coil design considerations for functional magnetic stimulation , 2000, IEEE Transactions on Biomedical Engineering.

[12]  Sarah H. Lisanby,et al.  A Transcranial Magnetic Stimulator Inducing Near-Rectangular Pulses With Controllable Pulse Width (cTMS) , 2008, IEEE Transactions on Biomedical Engineering.

[13]  S. Bandinelli,et al.  Effects of coil design on delivery of focal magnetic stimulation. Technical considerations. , 1990, Electroencephalography and clinical neurophysiology.

[14]  K. Iramina,et al.  Influence of coil current configuration in magnetic stimulation of a nerve fiber in inhomogeneous and anisotropic conducting media , 2009, 2009 Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[15]  Shoogo Ueno,et al.  Calculating the electric field in real human head by transcranial magnetic stimulation with shield plate , 2009 .

[16]  J L Lancaster,et al.  3D modeling of the total electric field induced by transcranial magnetic stimulation using the boundary element method , 2009, Physics in medicine and biology.

[17]  L. Heller,et al.  Brain stimulation using electromagnetic sources: theoretical aspects. , 1992, Biophysical journal.

[18]  Achim Schweikard,et al.  H-coil: Induced electric field properties and input/output curves on healthy volunteers, comparison with a standard figure-of-eight coil , 2009, Clinical Neurophysiology.

[19]  K. Harada,et al.  Localized stimulation of neural tissues in the brain by means of a paired configuration of time-varying magnetic fields , 1988 .

[20]  Shuo Yang,et al.  Circular Coil Array Model for Transcranial Magnetic Stimulation , 2010, IEEE Transactions on Applied Superconductivity.

[21]  Mark Hallett,et al.  The electric field induced in the brain by magnetic stimulation: a 3-D finite-element analysis of the effect of tissue heterogeneity and anisotropy , 2003, IEEE Transactions on Biomedical Engineering.

[22]  E. R. Javor,et al.  Design of a Helmholtz coil for low frequency magnetic field susceptibility testing , 1998, 1998 IEEE EMC Symposium. International Symposium on Electromagnetic Compatibility. Symposium Record (Cat. No.98CH36253).