Non-Invasive Neuromodulation of the Central Nervous System

Non-Invasive Neuromodulation of the Central Nervous System
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Total Pages: 103
Release: 2015-11-02
Genre: Medical
ISBN: 0309376211

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Based on advances in biotechnology and neuroscience, non-invasive neuromodulation devices are poised to gain clinical importance in the coming years and to be of increasing interest to patients, clinicians,health systems, payers, and industry. Evidence suggests that both therapeutic and non-therapeutic applications of non-invasive neuromodulation will continue to expand in coming years, particularly for indications where treatments are currently insufficient, such as drug-resistant depression. Given the growing interest in non-invasive neuromodulation technologies, the Institute of Medicine's Forum on Neuroscience and Nervous System Disorders convened a workshop, inviting a range of stakeholders - including developers of devices and new technologies, researchers, clinicians, ethicists, regulators, and payers - to explore the opportunities, challenges, and ethical questions surrounding the development, regulation, and reimbursement of these devices for the treatment of nervous system disorders as well as for non-therapeutic uses, including cognitive and functional enhancement. This report highlights the presentation and discussion of the workshop.

Innovative Technologies and Clinical Applications for Invasive and Non-Invasive Neuromodulation: From the Workbench to the Bedside

Innovative Technologies and Clinical Applications for Invasive and Non-Invasive Neuromodulation: From the Workbench to the Bedside
Author: Matteo Bologna
Publisher: Frontiers Media SA
Total Pages: 149
Release: 2020-02-13
Genre:
ISBN: 2889634698

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The possibility of harvesting the power of electric and magnetic impulses in the human body, commonly referred to as “neuromodulation,” is one of the most recent and promising developments of the modern science. Since the late ´60s, multiple invasive and non-invasive technologies have been developed and tested in experimental and clinical settings with the final aim of modulating the function of the central and peripheral nervous system. Clinical applications include, but are not limited to, common neurological disorders such as Parkinson’s disease and other movement disorders. The bulk of evidence supporting the clinical efficacy of various invasive and non-invasive approaches for neuromodulation has progressively led scientific societies, patients’ associations, and regulatory entities to acknowledge the critical role played by neuromodulation in the therapeutic algorithms of a wide range of neurological disorders. As a result, new technologies have been recently introduced into the market or are currently under validation. Their potential implementation into innovative protocols for neuromodulation demands a critical revision of what are the unmet needs for neuromodulation in movement disorders.

Novel Techniques for Neuromodulation and Neural Signal Analysis

Novel Techniques for Neuromodulation and Neural Signal Analysis
Author: Yushan Wang
Publisher:
Total Pages: 198
Release: 2022
Genre:
ISBN:

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Neuromodulation, targeting either the central nervous system or peripheral nervous system, is a viable therapy for many diseases, particularly for patients who are refractory to traditional treatments. The first part of this thesis aims to develop the non-invasive neuromodulation technique targeting the central nervous system, specifically the brain with transcranial direct current stimulation (tDCS). Compared to the conventional tDCS which uses two large pad electrodes, high-density tDCS has recently received more attention. With the high-density electrode system, it is able to achieve better stimulation performance in terms of stimulation intensity and focality. To further improve the performance of this promising technique, we characterize the performance with respect to the electrode factor for the high-density tDCS system. In addition, we have developed an optimization algorithm, Stimulation with Balanced Focality and Intensity (SBFI), to guide the high-density system, which provides effective and focal stimulation. The robustness of the computational model with standard tissue conductivity is also evaluated. The proposed technique can be applied to transcutaneous spinal cord stimulation (tSCS). The second part aims to develop the electrical modulation technique targeting the peripheral nervous system, specifically one of the second brain organs - colon. Electrical stimulation has been demonstrated as an alternative approach to alleviate intractable colonic motor disorders. However, knowledge of optimal electrical stimulation modalities and regional specific functional effects of colonic neuromodulation is lacking. We have investigated the regional colonic motility in response to different electrical stimulation modalities. In addition, we have developed a novel and efficient technique employing bio-impedance characterization to monitor colonic motor activity.

Brain Neurotrauma

Brain Neurotrauma
Author: Firas H. Kobeissy
Publisher: CRC Press
Total Pages: 718
Release: 2015-02-25
Genre: Medical
ISBN: 1466565993

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With the contribution from more than one hundred CNS neurotrauma experts, this book provides a comprehensive and up-to-date account on the latest developments in the area of neurotrauma including biomarker studies, experimental models, diagnostic methods, and neurotherapeutic intervention strategies in brain injury research. It discusses neurotrauma mechanisms, biomarker discovery, and neurocognitive and neurobehavioral deficits. Also included are medical interventions and recent neurotherapeutics used in the area of brain injury that have been translated to the area of rehabilitation research. In addition, a section is devoted to models of milder CNS injury, including sports injuries.

Neuromodulation in Psychiatry

Neuromodulation in Psychiatry
Author: Clement Hamani
Publisher: John Wiley & Sons
Total Pages: 518
Release: 2016-01-26
Genre: Medical
ISBN: 1118801040

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Edited by an expert multidisciplinary team, Neuromodulation in Psychiatry is the first reference guide to address both invasive and non-invasive neuromodulation strategies used in psychiatry. Covers basic principles, technical aspects, clinical applications and ethical considerations Presents up-to-date evidence in comprehensive summaries suitable for all levels of experience Each technique is clearly explained along with its implications for real-world clinical practice Allows psychiatrists to make informed decisions regarding neuromodulation for their patients

Brain and Human Body Modeling 2020

Brain and Human Body Modeling 2020
Author: Sergey N. Makarov
Publisher: Springer Nature
Total Pages: 395
Release: 2021
Genre: Biomedical engineering
ISBN: 3030456234

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The 41st Annual International Conference of the IEEE EMBS, took place between July 23 and 27, 2019, in Berlin, Germany. The focus was on "Biomedical engineering ranging from wellness to intensive care." This conference provided an opportunity for researchers from academia and industry to discuss a variety of topics relevant to EMBS and hosted the 4th Annual Invited Session on Computational Human Models. At this session, a bevy of research related to the development of human phantoms was presented, together with a substantial variety of practical applications explored through simulation.

Textbook of Neuromodulation

Textbook of Neuromodulation
Author: Helena Knotkova
Publisher: Springer
Total Pages: 284
Release: 2014-11-15
Genre: Medical
ISBN: 1493914081

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Until recently, it was thought that the adult brain is modifiable only during early stages of ontogenesis. However, neurophysiological and neuroimaging studies now indicate that the mature human brain is, under certain conditions, capable of substantial neuroplastic changes. Neuroplasticity reflects the ability of the human brain to alter the pattern of neural activation in response to previous experience, and recent findings indicate that the effects of experience can lead to both structural as well as functional reorganization. It has been shown that pathological neuroplastic changes can be reverted/normalized and that the modulation of the neuroplastic changes can be paralleled by improvement of the patient's status. However, there is a gap between the potential of neuromodulation, technical progress and actual preparedness of medical personnel to provide this type of treatment. A prevalent opinion among medical professionals indicates that training programs and educational materials in neuromodulatory techniques are well needed and appreciated. Neuromodulation will focus on the description and discussion of methods currently available for invasive and non-invasive neuromodulation, their clinical potential, significance and practical applications. In order to facilitate understanding of the topic, the initial part of the textbook will review neurophysiological systems involved in neuromodulation and will provide readers with basic principles of neuroplasticity that constitutes the rationale for neuromodulation in human medicine. Additionally, the clinical use of these techniques will be described with special regard to safety and avoidance of complications.

Neuromodulation

Neuromodulation
Author:
Publisher: Academic Press
Total Pages: 1089
Release: 2009-05-05
Genre: Science
ISBN: 0080921396

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Neuromodulation will be the first comprehensive and in-depth reference textbook covering all aspects of the rapidly growing field of neuromodulation. This book provides a complete discussion of the fundamental principles of neuromodulation and therapies applied to the brain, spinal cord, peripheral nerves, autonomic nerves and various organs. The textbook is highly structured and organized into overarching sections that cover chronic pain, movement disorders, psychiatric disorders, epilepsy, functional electrical stimulation, cardiac, gastrointestinal, genitourinary and organ neuromodulation. The fundamental principles of electricity and infusion, neural tissue interface, biomedical engineering, neuromodulation devices, basic science, neuroanatomy, neurophysiology, imaging and mechanisms are emphasized. In addition to providing details pertaining to the state-of-the-art current practice, innovative and emerging applications are discussed in specific chapters. Finally, the textbook provides specific chapters focusing on the technical aspects of the various neuromodulation procedures as well as technical specifications of various implantable devices. All of the contributors to Neuromodulation represent leading experts in the field. The editors are internationally renowned in their respective fields of neuromodulation, pain management, functional neurosurgery and biomedical engineering. Neuromodulation will be the first and foremost authoritative text on neuromodulation therapies and will establish the gold standard that defines the field for years to come. Key Features The first comprehensive reference on the emerging field of Neuromodulation Editors and authors include all leading figures in the field, and the leaders of the International Neuromodulation Society Over 90 chapters on topics ranging from a layout of the fundamentals (e.g. neuroanatomy, plasticity, bioelectrical effects, infusion therapies), solutions for the biomedical engineering challenges (e.g. materials, how to preserve normal function etc.), to a rundown of the existing applications and their future promise Over 1200 pages in splendid full color, richly illustrated Important areas of application include: control of chronic pain delivery of drugs to the nervous system via implanted devices control of epilepsy, Parkinson, etc. functional restoration, e.g. visual, auditory, restoration after stroke, restoration of motor function after traumatic events stimulation of body organs via neural devices (incl. the heart, abdominal organs, genitourinary organs) overview over newly emerging fields - control of obesity, blood pressure, tinnitus, brain injury, neurodegenerative diseases, brain-machine interfaces

Operative Neuromodulation

Operative Neuromodulation
Author: Damianos E. Sakas
Publisher: Springer Science & Business Media
Total Pages: 455
Release: 2007-05-27
Genre: Medical
ISBN: 3211330798

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This is the first part in a two-volume work on neuromodulation. It describes techniques and procedures applied in internal contact with non-neural tissues surrounding the nervous system (dura or cerebrospinal fluid), as in the case of epidural stimulation for pain or intrathecal drug application for the treatment of spasticity and pain. In addition, coverage also includes a special section on non-invasive functional neuroprosthetic systems.