Towards adaptive deep brain stimulation: clinical and technical notes on a novel commercial device for chronic brain sensing.
Détails
ID Serval
serval:BIB_E38B62555C78
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Institution
Titre
Towards adaptive deep brain stimulation: clinical and technical notes on a novel commercial device for chronic brain sensing.
Périodique
Journal of neural engineering
ISSN
1741-2552 (Electronic)
ISSN-L
1741-2552
Statut éditorial
Publié
Date de publication
31/08/2021
Peer-reviewed
Oui
Volume
18
Numéro
4
Langue
anglais
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't ; Review
Publication Status: epublish
Publication Status: epublish
Résumé
Objective. Technical advances in deep brain stimulation (DBS) are crucial to improve therapeutic efficacy and battery life. We report the potentialities and pitfalls of one of the first commercially available devices capable of recording brain local field potentials (LFPs) from the implanted DBS leads, chronically and during stimulation. The aim was to provide clinicians with well-grounded tips on how to maximize the capabilities of this novel device, both in everyday practice and for research purposes.Approach. We collected clinical and neurophysiological data of the first 20 patients (14 with Parkinson's disease (PD), five with dystonia, one with chronic pain) that received the Percept™ PC in our centres. We also performed tests in a saline bath to validate the recordings quality.Main results. The Percept PC reliably recorded the LFP of the implanted site, wirelessly and in real time. We recorded the most promising clinically useful biomarkers for PD and dystonia (beta and theta oscillations) with and without stimulation. Furthermore, we provide an open-source code to facilitate export and analysis of data. Critical aspects of the system are presently related to contact selection, artefact detection, data loss, and synchronization with other devices.Significance. New technologies will soon allow closed-loop neuromodulation therapies, capable of adapting stimulation based on real-time symptom-specific and task-dependent input signals. However, technical aspects need to be considered to ensure reliable recordings. The critical use by a growing number of DBS experts will alert new users about the currently observed shortcomings and inform on how to overcome them.
Mots-clé
Artifacts, Brain, Deep Brain Stimulation, Humans, Parkinson Disease/diagnosis, Parkinson Disease/therapy, Parkinson’s disease, Percept PC, adaptive deep brain stimulation, artefacts, dystonia, local field potentials
Pubmed
Web of science
Open Access
Oui
Création de la notice
17/09/2021 17:52
Dernière modification de la notice
14/03/2023 6:50