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Magnetically Induced Deep Brain Stimulation of Neuronal Firing for Pain Relief

机译:磁性诱导的深脑刺激神经元烧制疼痛缓解

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Pain, either acute pain or chronic pain, is usually treated/relieved by chemical means, in which nociceptive signals are blocked from transmitting into the pain registration sites in the brain. However, besides their side effects, chemical means of pain relief are not always effective, causing some serious clinical incidents like anesthesia awareness and chronic pains that are not treatable. A physical means of pain relief that physically modifies pain perception at the brain sites responsible for pain registration could be more effective, for both acute pain and chronic pain. In this paper a novel approach of magnetically induced deep brain modulation of neuronal firing is proposed for pain treatment/relief, in which pain treatment/relief is bioelectronics based and is non-invasive and free of side effects. A novel pulse magnetic field projector has been developed for pain relief through modulation of neuronal firing at the anterior cingulate cortex (ACC). It is based on the neuroscience findings that pain registration in the brain is closely related to the excitation of nociceptive neurons at the ACC, in which the nociceptive neuronal firing rate increases as pain gets more intense. The mechanism of pain relief in the proposed approach is to modify the nociceptive neuronal firing rate at the ACC by magnetically inducing a pulse electric field applying on the neurons in the ACC, hyperpolarizing the neurons that are firing at high frequency during pain perception, resulting in a low level firing rate associated to no pain. A parametric study has been carried out to determine the physical and technical parameters of the proposed approach. The feasibility of the approach has been verified by simulation with the modulation implemented on a reconstructed ACC LV pyramidal cell using Hodgkin-Huxley style model. Action potentials recorded in the soma indicated that the firing frequency can be modulated by the applied pulse electric field.
机译:疼痛,急性疼痛或慢性疼痛通常通过化学方法治疗/缓解,其中伤害伤害信号被阻止透射到大脑中的疼痛登记位点。然而,除了它们的副作用外,疼痛缓解的化学方法并不总是有效的,导致一些严重的临床事件,如麻醉意识和不可治疗的慢性痛苦。疼痛缓解的物理手段,在急性疼痛和慢性疼痛中,对负责疼痛登记的脑部位进行身体修饰疼痛感知的疼痛感知。本文提出了一种新型的磁诱导的神经元烧制的深脑调节方法,用于疼痛治疗/浮雕,其中疼痛治疗/浮雕是基于生物电体的,是非侵入性的,没有副作用。通过在前铰接皮质(ACC)处的神经元烧制的调节,开发了一种新型脉冲磁场投影仪。它基于神经科学发现,大脑中的疼痛登记与ACC的伤害性神经元的激发密切相关,因为疼痛变得更加激烈,伤害性神经元烧制率增加。所提出的方法中疼痛缓解机制是通过磁诱导施加在ACC的神经元的脉冲电场,在疼痛感知期间在高频率下射击的神经元的神经元进行脉冲电场来修饰ACC的伤害神经元烧制率。与无疼痛相关的低级射击率。已经进行了参数研究以确定所提出的方法的物理和技术参数。通过使用Hodgkin-Huxley风格模型在重建的ACC LV金字塔型电池上实现的调制来验证了该方法的可行性。记录在SOMA中的动作电位表明,烧制频率可以由所施加的脉冲电场调制。

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