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@ARTICLE{Popovych:863805,
author = {Popovych, Oleksandr V. and Tass, Peter A.},
title = {{A}daptive delivery of continuous and delayed feedback deep
brain stimulation - a computational study},
journal = {Scientific reports},
volume = {9},
number = {1},
issn = {2045-2322},
address = {[London]},
publisher = {Macmillan Publishers Limited, part of Springer Nature},
reportid = {FZJ-2019-03792},
pages = {10585},
year = {2019},
abstract = {Adaptive deep brain stimulation (aDBS) is a closed-loop
method, where high-frequency DBS is turned on and off
according to a feedback signal, whereas conventional
high-frequency DBS (cDBS) is delivered permanently. Using a
computational model of subthalamic nucleus and external
globus pallidus, we extend the concept of adaptive
stimulation by adaptively controlling not only continuous,
but also demand-controlled stimulation. Apart from aDBS and
cDBS, we consider continuous pulsatile linear delayed
feedback stimulation (cpLDF), specifically designed to
induce desynchronization. Additionally, we combine adaptive
on-off delivery with continuous delayed feedback modulation
by introducing adaptive pulsatile linear delayed feedback
stimulation (apLDF), where cpLDF is turned on and off using
pre-defined amplitude thresholds. By varying the stimulation
parameters of cDBS, aDBS, cpLDF, and apLDF we obtain optimal
parameter ranges. We reveal a simple relation between the
thresholds of the local field potential (LFP) for aDBS and
apLDF, the extent of the stimulation-induced
desynchronization, and the integral stimulation time
required. We find that aDBS and apLDF can be more efficient
in suppressing abnormal synchronization than continuous
simulation. However, apLDF still remains more efficient and
also causes a stronger reduction of the LFP beta burst
length. Hence, adaptive on-off delivery may further improve
the intrinsically demand-controlled pLDF.},
cin = {INM-7},
ddc = {600},
cid = {I:(DE-Juel1)INM-7-20090406},
pnm = {574 - Theory, modelling and simulation (POF3-574)},
pid = {G:(DE-HGF)POF3-574},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:31332226},
UT = {WOS:000476713900049},
doi = {10.1038/s41598-019-47036-4},
url = {https://juser.fz-juelich.de/record/863805},
}