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@ARTICLE{Popovych:843673,
author = {Popovych, Oleksandr and Tass, Peter A.},
title = {{M}ultisite {D}elayed {F}eedback for {E}lectrical {B}rain
{S}timulation},
journal = {Frontiers in physiology},
volume = {9},
issn = {1664-042X},
address = {Lausanne},
publisher = {Frontiers Research Foundation},
reportid = {FZJ-2018-01242},
pages = {46},
year = {2018},
abstract = {Demand-controlled deep brain stimulation (DBS) appears to
be a promising approach for the treatment of Parkinson's
disease (PD) as revealed by computational, pre-clinical and
clinical studies. Stimulation delivery is adapted to brain
activity, for example, to the amount of neuronal activity
considered to be abnormal. Such a closed-loop stimulation
setup might help to reduce the amount of stimulation
current, thereby maintaining therapeutic efficacy. In the
context of the development of stimulation techniques that
aim to restore desynchronized neuronal activity on a
long-term basis, specific closed-loop stimulation protocols
were designed computationally. These feedback techniques,
e.g., pulsatile linear delayed feedback (LDF) or pulsatile
nonlinear delayed feedback (NDF), were computationally
developed to counteract abnormal neuronal synchronization
characteristic for PD and other neurological disorders. By
design, these techniques are intrinsically demand-controlled
methods, where the amplitude of the stimulation signal is
reduced when the desired desynchronized regime is reached.
We here introduce a novel demand-controlled stimulation
method, pulsatile multisite linear delayed feedback (MLDF),
by employing MLDF to modulate the pulse amplitude of
high-frequency (HF) DBS, in this way aiming at a specific,
MLDF-related desynchronizing impact, while maintaining
safety requirements with the charge-balanced HF DBS.
Previously, MLDF was computationally developed for the
control of spatio-temporal synchronized patterns and cluster
states in neuronal populations. Here, in a physiologically
motivated model network comprising neurons from subthalamic
nucleus (STN) and external globus pallidus (GPe), we compare
pulsatile MLDF to pulsatile LDF for the case where the
smooth feedback signals are used to modulate the amplitude
of charge-balanced HF DBS and suggest a modification of
pulsatile MLDF which enables a pronounced desynchronizing
impact. Our results may contribute to further clinical
development of closed-loop DBS techniques.},
cin = {INM-7},
ddc = {610},
cid = {I:(DE-Juel1)INM-7-20090406},
pnm = {573 - Neuroimaging (POF3-573)},
pid = {G:(DE-HGF)POF3-573},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:29449814},
UT = {WOS:000423823500001},
doi = {10.3389/fphys.2018.00046},
url = {https://juser.fz-juelich.de/record/843673},
}