1
|
Deshmukh A, Settell M, Cheng K, Knudsen B, Trevathan J, LaLuzerne M, Blanz S, Skubal A, Verma N, Romanauski B, Brucker-Hahn M, Lam D, Lavrov I, Suminski A, Weber D, Fisher L, Lempka S, Shoffstall A, Park H, Ross E, Zhang M, Ludwig K. Epidural spinal cord recordings (ESRs): sources of neural-appearing artifact in stimulation evoked compound action potentials. J Neural Eng 2025; 22:016050. [PMID: 39321832 DOI: 10.1088/1741-2552/ad7f8b] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2024] [Accepted: 09/25/2024] [Indexed: 09/27/2024]
Abstract
Objective. Evoked compound action potentials (ECAPs) measured during epidural spinal cord stimulation (SCS) can help elucidate fundamental mechanisms for the treatment of pain and inform closed-loop control of SCS. Previous studies have used ECAPs to characterize neural responses to various neuromodulation therapies and have demonstrated that ECAPs are highly prone to multiple sources of artifact, including post-stimulus pulse capacitive artifact, electromyography (EMG) bleed-through, and motion artifact. However, a thorough characterization has yet to be performed for how these sources of artifact may contaminate recordings within the temporal window commonly used to determine activation of A-beta fibers in a large animal model.Approach. We characterized sources of artifacts that can contaminate the recording of ECAPs in an epidural SCS swine model using the Abbott Octrode™ lead.Main results. Spinal ECAP recordings can be contaminated by capacitive artifact, short latency EMG from nearby muscles of the back, and motion artifact. The capacitive artifact can appear nearly identical in duration and waveshape to evoked A-beta responses. EMG bleed-through can have phase shifts across the electrode array, similar to the phase shift anticipated by propagation of an evoked A-beta fiber response. The short latency EMG is often evident at currents similar to those needed to activate A-beta fibers associated with the treatment of pain. Changes in CSF between the cord and dura, and motion induced during breathing created a cyclic oscillation in all evoked components of recorded ECAPs.Significance. Controls must be implemented to separate neural signal from sources of artifact in SCS ECAPs. We suggest experimental procedures and reporting requirements necessary to disambiguate underlying neural response from these confounds. These data are important to better understand the framework for epidural spinal recordings (ESRs), with components such as ECAPs, EMG, and artifacts, and have important implications for closed-loop control algorithms to account for transient motion such as postural changes and cough.
Collapse
Affiliation(s)
- Ashlesha Deshmukh
- Wisconsin Institute for Translational Neuroengineering (WITNe), University of Wisconsin-Madison, Madison, WI, United States of America
- Department of Biomedical Engineering, University of Wisconsin-Madison, Madison, WI, United States of America
| | - Megan Settell
- Department of Neurological Surgery, University of Wisconsin-Madison, Madison, WI, United States of America
- Wisconsin Institute for Translational Neuroengineering (WITNe), University of Wisconsin-Madison, Madison, WI, United States of America
- Department of Biomedical Engineering, University of Wisconsin-Madison, Madison, WI, United States of America
| | - Kevin Cheng
- Department of Neurological Surgery, University of Wisconsin-Madison, Madison, WI, United States of America
- Wisconsin Institute for Translational Neuroengineering (WITNe), University of Wisconsin-Madison, Madison, WI, United States of America
- Department of Biomedical Engineering, University of Wisconsin-Madison, Madison, WI, United States of America
| | - Bruce Knudsen
- Department of Neurological Surgery, University of Wisconsin-Madison, Madison, WI, United States of America
- Wisconsin Institute for Translational Neuroengineering (WITNe), University of Wisconsin-Madison, Madison, WI, United States of America
- Department of Biomedical Engineering, University of Wisconsin-Madison, Madison, WI, United States of America
| | - James Trevathan
- Department of Neurological Surgery, University of Wisconsin-Madison, Madison, WI, United States of America
- Wisconsin Institute for Translational Neuroengineering (WITNe), University of Wisconsin-Madison, Madison, WI, United States of America
- Department of Biomedical Engineering, University of Wisconsin-Madison, Madison, WI, United States of America
| | - Maria LaLuzerne
- Department of Neurological Surgery, University of Wisconsin-Madison, Madison, WI, United States of America
- Wisconsin Institute for Translational Neuroengineering (WITNe), University of Wisconsin-Madison, Madison, WI, United States of America
- Department of Biomedical Engineering, University of Wisconsin-Madison, Madison, WI, United States of America
| | - Stephan Blanz
- Department of Neurological Surgery, University of Wisconsin-Madison, Madison, WI, United States of America
- Wisconsin Institute for Translational Neuroengineering (WITNe), University of Wisconsin-Madison, Madison, WI, United States of America
| | - Aaron Skubal
- Department of Neurological Surgery, University of Wisconsin-Madison, Madison, WI, United States of America
- Wisconsin Institute for Translational Neuroengineering (WITNe), University of Wisconsin-Madison, Madison, WI, United States of America
- Department of Biomedical Engineering, University of Wisconsin-Madison, Madison, WI, United States of America
| | - Nishant Verma
- Wisconsin Institute for Translational Neuroengineering (WITNe), University of Wisconsin-Madison, Madison, WI, United States of America
- Department of Biomedical Engineering, University of Wisconsin-Madison, Madison, WI, United States of America
- Abbott Neuromodulation, Plano, TX, United States of America
| | - Ben Romanauski
- Department of Neurology, Mayo Clinic, Rochester, MN, United States of America
- Department of Physiology and Biomedical Engineering, Mayo Clinic, Rochester, MN, United States of America
| | - Meagan Brucker-Hahn
- Department of Biomedical Engineering, University of Michigan Ann Arbor, MI, United States of America
- Biointerfaces Institute, University of Michigan, Ann Arbor, MI, United States of America
| | - Danny Lam
- Department of Biomedical Engineering, Case Western Reserve University, Cleveland, OH, United States of America
- Advanced Platform Technology Center, Louis Stokes Cleveland VA Medical Center, Cleveland, OH, United States of America
| | - Igor Lavrov
- Department of Neurology, Mayo Clinic, Rochester, MN, United States of America
- Department of Physiology and Biomedical Engineering, Mayo Clinic, Rochester, MN, United States of America
| | - Aaron Suminski
- Department of Neurological Surgery, University of Wisconsin-Madison, Madison, WI, United States of America
- Wisconsin Institute for Translational Neuroengineering (WITNe), University of Wisconsin-Madison, Madison, WI, United States of America
| | - Douglas Weber
- Mechanical Engineering Department, Carnegie Mellon University, Pittsburgh, PA, United States of America
- Neuroscience Institute, Carnegie Mellon University, Pittsburgh, PA, United States of America
- NeuroMechatronics Lab, Carnegie Mellon University, Pittsburgh, PA, United States of America
| | - Lee Fisher
- Department of Physical Medicine and Rehabilitation, University of Pittsburgh, Pittsburgh, PA, United States of America
- Rehab Neural Engineering Laboratory (RNEL), University of Pittsburgh, Pittsburgh, PA, United States of America
- Department of Bioengineering, University of Pittsburgh, Pittsburgh, PA, United States of America
- Department of Biomedical Engineering, Carnegie Mellon University, Pittsburgh, PA, United States of America
| | - Scott Lempka
- Department of Biomedical Engineering, University of Michigan Ann Arbor, MI, United States of America
- Biointerfaces Institute, University of Michigan, Ann Arbor, MI, United States of America
- Department of Anesthesiology, University of Michigan, Ann Arbor, MI, United States of America
| | - Andrew Shoffstall
- Department of Biomedical Engineering, Case Western Reserve University, Cleveland, OH, United States of America
- Advanced Platform Technology Center, Louis Stokes Cleveland VA Medical Center, Cleveland, OH, United States of America
| | - Hyunjoo Park
- Abbott Neuromodulation, Plano, TX, United States of America
| | - Erika Ross
- Abbott Neuromodulation, Plano, TX, United States of America
| | - Mingming Zhang
- Abbott Neuromodulation, Plano, TX, United States of America
| | - Kip Ludwig
- Department of Neurological Surgery, University of Wisconsin-Madison, Madison, WI, United States of America
- Wisconsin Institute for Translational Neuroengineering (WITNe), University of Wisconsin-Madison, Madison, WI, United States of America
- Department of Biomedical Engineering, University of Wisconsin-Madison, Madison, WI, United States of America
- Department of Surgery, University of Wisconsin-Madison, Madison, WI, United States of America
| |
Collapse
|
2
|
Chen W, Liu X, Wan P, Chen Z, Chen Y. Anti-artifacts techniques for neural recording front-ends in closed-loop brain-machine interface ICs. Front Neurosci 2024; 18:1393206. [PMID: 38784093 PMCID: PMC11111950 DOI: 10.3389/fnins.2024.1393206] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2024] [Accepted: 04/26/2024] [Indexed: 05/25/2024] Open
Abstract
In recent years, thanks to the development of integrated circuits, clinical medicine has witnessed significant advancements, enabling more efficient and intelligent treatment approaches. Particularly in the field of neuromedical, the utilization of brain-machine interfaces (BMI) has revolutionized the treatment of neurological diseases such as amyotrophic lateral sclerosis, cerebral palsy, stroke, or spinal cord injury. The BMI acquires neural signals via recording circuits and analyze them to regulate neural stimulator circuits for effective neurological treatment. However, traditional BMI designs, which are often isolated, have given way to closed-loop brain-machine interfaces (CL-BMI) as a contemporary development trend. CL-BMI offers increased integration and accelerated response speed, marking a significant leap forward in neuromedicine. Nonetheless, this advancement comes with its challenges, notably the stimulation artifacts (SA) problem inherent to the structural characteristics of CL-BMI, which poses significant challenges on the neural recording front-ends (NRFE) site. This paper aims to provide a comprehensive overview of technologies addressing artifacts in the NRFE site within CL-BMI. Topics covered will include: (1) understanding and assessing artifacts; (2) exploring the impact of artifacts on traditional neural recording front-ends; (3) reviewing recent technological advancements aimed at addressing artifact-related issues; (4) summarizing and classifying the aforementioned technologies, along with an analysis of future trends.
Collapse
Affiliation(s)
- Weijian Chen
- College of Microelectronics, Beijing University of Technology, Beijing, China
| | - Xu Liu
- College of Microelectronics, Beijing University of Technology, Beijing, China
| | - Peiyuan Wan
- College of Microelectronics, Beijing University of Technology, Beijing, China
| | - Zhijie Chen
- College of Microelectronics, Beijing University of Technology, Beijing, China
| | - Yi Chen
- Beijing Academy of Blockchain and Edge Computing, Beijing, China
| |
Collapse
|
4
|
Xu Y, De la Paz E, Paul A, Mahato K, Sempionatto JR, Tostado N, Lee M, Hota G, Lin M, Uppal A, Chen W, Dua S, Yin L, Wuerstle BL, Deiss S, Mercier P, Xu S, Wang J, Cauwenberghs G. In-ear integrated sensor array for the continuous monitoring of brain activity and of lactate in sweat. Nat Biomed Eng 2023; 7:1307-1320. [PMID: 37770754 PMCID: PMC10589098 DOI: 10.1038/s41551-023-01095-1] [Citation(s) in RCA: 25] [Impact Index Per Article: 12.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2022] [Accepted: 08/14/2023] [Indexed: 09/30/2023]
Abstract
Owing to the proximity of the ear canal to the central nervous system, in-ear electrophysiological systems can be used to unobtrusively monitor brain states. Here, by taking advantage of the ear's exocrine sweat glands, we describe an in-ear integrated array of electrochemical and electrophysiological sensors placed on a flexible substrate surrounding a user-generic earphone for the simultaneous monitoring of lactate concentration and brain states via electroencephalography, electrooculography and electrodermal activity. In volunteers performing an acute bout of exercise, the device detected elevated lactate levels in sweat concurrently with the modulation of brain activity across all electroencephalography frequency bands. Simultaneous and continuous unobtrusive in-ear monitoring of metabolic biomarkers and brain electrophysiology may allow for the discovery of dynamic and synergetic interactions between brain and body biomarkers in real-world settings for long-term health monitoring or for the detection or monitoring of neurodegenerative diseases.
Collapse
Affiliation(s)
- Yuchen Xu
- Shu Chien - Gene Lay Department of Bioengineering, University of California San Diego, La Jolla, CA, USA
| | - Ernesto De la Paz
- Department of Nanoengineering, University of California San Diego, La Jolla, CA, USA
| | - Akshay Paul
- Shu Chien - Gene Lay Department of Bioengineering, University of California San Diego, La Jolla, CA, USA
| | - Kuldeep Mahato
- Department of Nanoengineering, University of California San Diego, La Jolla, CA, USA
| | - Juliane R Sempionatto
- Department of Nanoengineering, University of California San Diego, La Jolla, CA, USA
| | - Nicholas Tostado
- Department of Nanoengineering, University of California San Diego, La Jolla, CA, USA
| | - Min Lee
- Shu Chien - Gene Lay Department of Bioengineering, University of California San Diego, La Jolla, CA, USA
| | - Gopabandhu Hota
- Department of Electrical and Computer Engineering, University of California San Diego, La Jolla, CA, USA
| | - Muyang Lin
- Department of Nanoengineering, University of California San Diego, La Jolla, CA, USA
| | - Abhinav Uppal
- Shu Chien - Gene Lay Department of Bioengineering, University of California San Diego, La Jolla, CA, USA
| | - William Chen
- Shu Chien - Gene Lay Department of Bioengineering, University of California San Diego, La Jolla, CA, USA
| | - Srishty Dua
- Department of Nanoengineering, University of California San Diego, La Jolla, CA, USA
| | - Lu Yin
- Department of Nanoengineering, University of California San Diego, La Jolla, CA, USA
| | - Brian L Wuerstle
- Department of Electrical and Computer Engineering, University of California San Diego, La Jolla, CA, USA
| | - Stephen Deiss
- Shu Chien - Gene Lay Department of Bioengineering, University of California San Diego, La Jolla, CA, USA
| | - Patrick Mercier
- Department of Electrical and Computer Engineering, University of California San Diego, La Jolla, CA, USA.
| | - Sheng Xu
- Shu Chien - Gene Lay Department of Bioengineering, University of California San Diego, La Jolla, CA, USA.
- Department of Nanoengineering, University of California San Diego, La Jolla, CA, USA.
| | - Joseph Wang
- Department of Nanoengineering, University of California San Diego, La Jolla, CA, USA.
| | - Gert Cauwenberghs
- Shu Chien - Gene Lay Department of Bioengineering, University of California San Diego, La Jolla, CA, USA.
| |
Collapse
|
9
|
Li J, Liu X, Mao W, Chen T, Yu H. Advances in Neural Recording and Stimulation Integrated Circuits. Front Neurosci 2021; 15:663204. [PMID: 34421507 PMCID: PMC8377741 DOI: 10.3389/fnins.2021.663204] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2021] [Accepted: 07/08/2021] [Indexed: 11/13/2022] Open
Abstract
In the past few decades, driven by the increasing demands in the biomedical field aiming to cure neurological diseases and improve the quality of daily lives of the patients, researchers began to take advantage of the semiconductor technology to develop miniaturized and power-efficient chips for implantable applications. The emergence of the integrated circuits for neural prosthesis improves the treatment process of epilepsy, hearing loss, retinal damage, and other neurological diseases, which brings benefits to many patients. However, considering the safety and accuracy in the neural prosthesis process, there are many research directions. In the process of chip design, designers need to carefully analyze various parameters, and investigate different design techniques. This article presents the advances in neural recording and stimulation integrated circuits, including (1) a brief introduction of the basics of neural prosthesis circuits and the repair process in the bionic neural link, (2) a systematic introduction of the basic architecture and the latest technology of neural recording and stimulation integrated circuits, (3) a summary of the key issues of neural recording and stimulation integrated circuits, and (4) a discussion about the considerations of neural recording and stimulation circuit architecture selection and a discussion of future trends. The overview would help the designers to understand the latest performances in many aspects and to meet the design requirements better.
Collapse
Affiliation(s)
- Juzhe Li
- College of Microelectronics, Beijing University of Technology, Beijing, China
| | - Xu Liu
- College of Microelectronics, Beijing University of Technology, Beijing, China
| | - Wei Mao
- School of Microelectronics, Southern University of Science and Technology, Shenzhen, China
| | - Tao Chen
- Advanced Photonics Institute, Beijing University of Technology, Beijing, China
| | - Hao Yu
- School of Microelectronics, Southern University of Science and Technology, Shenzhen, China
| |
Collapse
|