The present disclosure generally relates to implantable electrode recording, and in particular to systems and methods for implantable electrode recording of an alternating electric field strength.
Electric field, as originating from a point charge, will radially project to a correspondent point of opposite charge. When applied to a living system, calculation of the magnitude of electric field strength and the vectoral direction of field is challenging. A multitude of proposed designs and patents exist for electric field detection, but none have been designed (or optimized) for minimizing the impact on organic tissue.
It is with these observations in mind, among others, that various aspects of the present disclosure were conceived and developed.
Corresponding reference characters indicate corresponding elements among the view of the drawings. The headings used in the figures do not limit the scope of the claims.
Various embodiments of a system and associated methods for measuring electric field within the body are disclosed herein. In particular, the system enables a practitioner to measure an electric field differential between various points within the brain, however in some embodiments the system can extend to measuring electric field differential within various points within the body. In some embodiments, the system includes a plurality of measuring contacts operable for placement at different points within the bodily structure to measure a voltage of the tissue and can further include at least one stimulating electrode operable to apply an applied voltage to the tissue. Further, the system includes a stimulating contact in communication with a computing system that enables determination of an electric field differential between the plurality of measuring contacts. In some embodiments, the system enables a practitioner to measure electric field differential through a bodily structure at various points by characterizing the electric field not only between the stimulating contact and the measuring contact, but also between measuring contacts by application of an electric field differential assessment using values measured by the measuring contacts. The determination of electric field differential between measuring contacts can enable a practitioner to create a mapping of electric field differential throughout an organic structure that can aid in understanding of how structural and material variability throughout the bodily structure affects electric field propagation through the structure. The methodology described for measurement relative to a single stimulating electrode can also be generalized to multiple stimulating electrodes.
Referring to
The physics of electric potential (voltage V) and electric field (E) permit the association of voltage with electric field within a simplified one-dimensional system or within higher dimensional systems, dependent upon the model system and desired outcome. E is representative of electric field, r is representative of a radial distance between a first point of voltage measurement and a second point of voltage measurement, V is representative of voltage at a point of measurement, and ΔV is representative of a difference in electric potential between the first and second points of voltage measurement. The simplified one-dimensional system can be approximated by the following scalar derivation −∫E·dr=ΔV. In one-dimensional space this can be simplified to: E=ΔV/r. To more accurately inform real-world estimations, this association between voltage and electric field can be represented by a vectoral quantity that reflects both a multidimensional magnitude and direction by the following derivation: −∫E·dr=ΔV. Rearranging this to solve for E permits: E=−d/dr−V{circumflex over (r)}. Given r will have a multi-dimensional component, the unit vector notation will be used for an example wherein the x, y, and z directions will be annotated with î, ĵ, and {circumflex over (k)} respectively. Given this calculation will require the use of partial derivatives the operator del (∇) can be substituted for the sum of the partial derivative in three-unit vector directions, as follows:
E=−∇V=−(î−∂V/∂x)−(j·∂V/∂y)−({circumflex over (k)}·∂V/∂x)].
Given the complexity in describing the measurement concepts within this disclosure alone, the examples will demonstrate a system 100 for conducting electrode recordings and predictions using the one-dimensional scalar derivation for the association between voltage and electric field. However, the principles can be applied to multidimensional systems for more advanced computational predictions including vectoral direction.
Referring to
|E|=|−(ΔV)/(Δd)| (Eq. 1)
where |E| is the magnitude of electric field differential E between measuring contacts 112, ΔV is a measured voltage difference between the measuring contacts 112, and Δd is a difference in position (distance) between measuring contacts 112. Notably, in some embodiments, ΔV can be expressed as a peak voltage (Vpeak) or the root-mean-square (rms) voltage of a sinusoidal source such that Vrms=Vpeak/√2 or 0.707Vpeak.
Referring directly to
|Ex|=|−(ΔV/Δx)| (Eq. 2)
where Ex is a magnitude of the electric field differential between a first measuring contact 112A and a second measuring contact 112B where the first measuring contact 112A, the second measuring contact 110B, and a first stimulating contact 111A of a first stimulating electrode 104A on an X axis. Eq. 2 states that the magnitude of the electric field difference within the X axis of a Cartesian coordinate system is equal to the absolute value of the difference in voltage between the first and second measuring contacts 110A and 110B divided by a difference in position along the X axis. Therefore, a difference in voltage (ΔV) over a difference in position (Δx) (distance) represents a directional component of electric field vector within the reference plane (e.g. the X plane). This representation assumes a homogenous decline in electric field strength over the distance (x), which can be better informed by adding more measuring contacts 112 across a substrate of interest given an isotropic substance within the X plane is not anticipated in organic tissues.
The assessment of electric field differential between various points in an organic structure can provide insights into topology of the tissue as well as assess efficacy of treatments which rely on electrical stimulation of tissue. Referring to
In some embodiments, measuring contacts 112 are in electrical communication with a voltmeter (not shown); in some embodiments the voltmeter is located within a housing 101 of the system 100 and is configured to measure a voltage at each measuring contact 112 and provide the voltage measurement to the computing device 140. The computing device 140 includes one or more processors 160 associated with a memory 150, and the memory 150 includes instructions for execution of applications including electric field magnitude assessment processes/services 190. In one example, the system 100 receives a measurement value for a particular field strength being generated. In the event that field strength is 0.7 V/cm for example and the system 100 is required to deliver 1 V/cm, the system 100 can automatically enhance the input voltage to enhance the field strength until it returns the value of 1 V/cm
With further reference to the example of
|E1,2|=|−(V2−V1)/d1,2|. (Eq. 3)
Further, in some embodiments, the system 100 is operable to determine a magnitude E0,1 of an electric field differential between the second stimulating contact 111B and third measuring contact 112C based on delivered voltage at the stimulating contact 111B and the measured voltage at the third measuring contact 112C of the third electrode 106C. The system 100 determines the magnitude of the electric field differential E0,1 between the second stimulating contact 111B and the third measuring contact 112C of the third measuring electrode 106C as:
|E0,1|−(V1−V0)/d0,1| (Eq. 4)
Similarly, the system 100 is operable to determine a magnitude E0,2 of an electric field differential between the second stimulating contact 111B and the fourth measuring contact 112D of the fourth measuring electrode 106D, based on measured respective voltage values at the second stimulating contact 111B and the fourth measuring contact 112D. The system 100 determines the magnitude of the electric field differential E0,2 between the second stimulating contact 111B and the measuring contact 112D of the fourth measuring electrode 106D, as:
|E0,2|=|−(V2−V0)/d0,2| (Eq. 4)
In some embodiments as shown in
Using the relation of Eq. 2, an electric field differential can be estimated between any two measuring contacts 212A, 212B, 212C and 212D, and the knowledge of the position of the third stimulating contact 111C of the third stimulating electrode 104C.
|Ea_b|=|−{(Vb−Va,)/[(Xb−X0)−(Xa−X0)]}| (Eq. 5)
|Eb_c|=|−{(Vc−Vb,)/[(Xc−X0)−(Xb−X0)]}| (Eq. 6)
|Ec_d|=|−{(Va−Vc,)/[(Xa−X0)−(Xc−X0)]}| (Eq. 7)
While
Referring to
|E1,2|=|−[(V2−V1)/(d0,2−d0,1)]| (Eq. 8)
|E1,3|=|−[(V3−V1)/(d0,3−d0,1)]| (Eq. 9)
|E2,3|=|−[(V3−V2)/(d0,3−d0,2)]| (Eq. 10)
This differential assessment permits analysis of traversing electric field in a region between measuring electrodes 106, and not simply between a stimulating electrode 104 and a measuring electrode 106 as in the example of
Referring to
It should be noted that the use of determining electric field differential between measuring contacts 112/212/312/412, rather than exclusively between a measuring contact 112/212/312/412 and a stimulating contact 111/311/411, can enable a practitioner to understand electric field propagation through organic tissue while inserting fewer measuring contacts 112/212/312/412 into the tissue. In particular, in some embodiments, stimulating contacts 111 are not necessary to understand the field propagation. That is realized based on the recordings of the measuring electrodes 106. It is feasible to extrapolate the dispersion of electric field across the tissue based on a few measuring electrode recordings and thereby predict the dispersion of field within tissue (based on radial distance) that lacks the presence of additional measuring electrodes.
A method 500 of determining electric field differential between measuring contacts is illustrated in
At block 540, the system 100 accesses, by the processor 160, an intermediate radial distance value between the first measuring contact 112/212/312/412 and the second measuring contact 112/212/312/412. In particular, as shown in
To test this hypothesis a stimulating electrode was implanted into a cadaveric (formalin fixed) specimen with the grounding lead placed within the same specimen. A DBS depth electrode was placed horizontally into the specimen with contact 1 being placed farthest from the input voltage source, and contact 4 being closest. The measuring electrode is connected to a desktop digital data acquisition (DAQ). A single channel waveform generator is used to provide an input voltage of 5V (10 Vpp) with an alternating frequency of 1 kHz.
The measurements from the depth electrode permitted the following data:
V
pp=2.495 V, Vmax=1.309 V, Vmin=−1.186 V Contact 1:
V
pp=2.866 V, Vmax=1.408 V, Vmin=−1.459 V Contact 4:
In some embodiments of a depth electrode, the inter-contact distance is 0.5 mm and the intra-contact distance is 1.5 mm. Thus, the distance between the center of contact 1 and the center of contact 4 is 6 mm (0.75 mm+0.5 mm+1.5 mm+0.5 mm+1.5 mm+0.5 mm+0.75 mm) or 0.6 cm. For this comparison the electrodes will be considered in a linear 1-dimensional plane (X), along which axis the stimulating electrode has been placed. This calculation without disclosure of the stimulating source location (X0) is permissible because the stimulating source was within the 1D radial plane of X and therefore (X4−X0)−(X1−X0)→X4−X0−X1+X0→X4−X1. The zero point along X will be arbitrarily assigned to the center of Contact 4. Therefore, the electric field peak magnitude will be represented by |Ex|=|(ΔV/Δx)|=|(V4peak−V1peak)/(X4,0−X1,0)|=|(1.408−1.309)/(0−0.6)|=0.165V/cm.
To calculate the peak electric field differential magnitude estimate between contact 4 and the stimulating electrode, the same formula can be applied with the knowledge that contact 4 was 9.1 mm from the stimulating electrode, which was stimulating with an amplitude Vmax=5V (or 10 Vpp). Therefore: |Ex|=|(ΔV)/(Δd)|=|(5−1.408)/0.91|=3.991V/cm. If it was desired to present this value as RMS alternating electric field magnitude (ERMS) the value could simply be multiplied by calculated using Epeak/√2 or 0.707Epeak. Therefore, based on the above calculation evidence is obtained that within the 1-dimensional plane (x) the peak electric field magnitude between the stimulating electrode and the measuring electrode can be estimated as 3.991 V/cm. This insight provides a more accurate understanding of the change in electric field strength within the tissue than simply comparing the calculating the electric field strength at each individual contact relative to the stimulating electrode. This inter-contact calculation of electric field magnitude can also serve to educate predictive analytics of a tissue housing the measuring electrode(s) contacts to understand how certain pathological conditions, such as brain swelling, might impact traversing electric field.
A similar analysis was conducted using a grid electrode placed along the surface of the brain. This electrode has 4 contacts arranged horizontally along the surface of the specimen with contact 4 being placed farthest from the input voltage source and contact 4 being closest. The measuring electrode is connected to a desktop digital data acquisition (DAQ). A single channel waveform generator is used to provide an input voltage amplitude of 5V (10 Vpp) with an alternating frequency of 1 kHz.
The measurements from the grid electrode permitted the following data:
Vpp=2.475 V, Vmax=1.252 V, Vmin=−1.224 V Contact 1:
Vpp=4.099 V, Vmax=2.034 V, Vmin=−2.065 V Contact 4:
In some embodiments, an intercontact distance is 6.2 mm, and the intracontact distance is 4 mm. This makes the distance between the center of contact 1 and the center of contact 4 to be 30.6 mm (2.0 mm+6.2 mm+4.0 mm+6.2 mm+4.0 mm+6.2 mm+2.0 mm) or 3.06 cm. For this example the electrodes will be considered in a linear 1-dimensional plane (X), along which axis the stimulating electrode has been placed. This calculation without disclosure of the stimulating source location (X0) is permissible because the stimulating source was within the 1D radial plane of X and therefore (X4−X0)−(X1−X0)→X4−X0−X1+X0→X4−X1. The zero point along X will represent the center of Contact 4. Therefore, the electric field magnitude will be represented by |Ex|=|−(ΔV/AX)=|−(V4peak−V1peak)/(X4,0−X1,0)|=(2.034−1.252)/(0−3.06)=0.255 V/cm.
A similar calculation of the peak electric field magnitude estimate between contact 4 and the stimulating electrode can be conducted with the knowledge that contact 4 was 9.0 mm from the stimulating electrode, which was stimulating with a Vmax=5V (or 10 Vpp). Therefore: |Ex|=|−(ΔV)/(Δd)|=|−(5−2.034)/0.91=3.300V/cm.
Multi-electrode measurement configurations were demonstrated in the lab where fresh Ovis aries cerebral tissue was placed in a dish. Notably, there will be innate error in this estimation of radially dispersed alternating electric field magnitude (Ex) due to lack of isotropic tissue (i.e. differences in tissue conductivity and permittivity), assumption of a uniform electric field, and assumption of a singular plane of reference the radial distance will be represented on, X. One stimulating electrode 104 was placed along the margin of the cerebral tissue (white lead). Three measuring electrodes 102A, 102B and 102C were placed in a triangular configuration, as demonstrated in
A single channel waveform generator is used to provide an input voltage of 5V with an alternating frequency of 1 kHz via the stimulating electrode. The measuring electrodes were connected to a desktop digital data acquisition (DAQ).
The measurements from the depth electrodes permitted the following data:
V
pp=3.227 V, Vmax=1.628 V, Vmin=−1.599 V Lead 1:
V
pp=2.512 V, Vmax=1.302 V, Vmin=−1.210 V Lead 2:
V
pp=3.474 V, Vmax=1.685 V, Vmin=−1.789 V Lead 3:
|E1,2|=|−(ΔV/Δd)|=|−(V2−V1)/(d2,0−d1,0)|=|−(1.302−1.628)/(2.65−1.21)|=0.226 V/cm
|E2,3|=|−(ΔV/Δd)|=|−(V3−V2)/(d3,0−d2,0)|=|−(1.685−1.302)/(1.43−2.65)|=0.314 V/cm
|E1,3|=|−(ΔV/Δd)|=|−(V3−V1)/(d3,0−d1,0)|=|−(1.685−1.628)/(1.43−1.21)|=0.259 V/cm
The result of these calculations demonstrates the expected results of peak electric field differential simplified to be projected along a single radial dimension from the stimulating electrode 104, based on the distance from the voltage source to the electrodes of interest. The same calculations can be conducted between the input voltage source and the individual electrode contacts to provide an estimate of the electric field magnitude between the measuring contact 102A/102B/102C and the stimulating electrode 104 (not shown due to redundancy with above examples).
The idea presented within this disclosure will allow for correction of the assumption that uniform electric field is maintained between a stimulation source and a single measuring electrode contact. When multiple electrode contacts are referenced between the source (for stimulating strength) and other measuring electrodes (for modification) the electric field dispersion can be estimated in the intervening region. Notably, these examples do not include multiple stimulating electrodes or examples with multiple stimulating electrodes that demonstrate phase shifting of the waveforms for stimulation within multi-electrode stimulation configurations. If multiple stimulating electrodes are present than the waveform of stimulation would need to be referenced by the computing device 140 to isolate the stimulating electrode exemplifying peak voltage at the exact moment in time that the measuring electrode is sampling the tissue. In that situation the stimulating electrode currently demonstrating the highest voltage would be the source for electric field stimulation to the measuring electrode. Phase shifting between stimulating electrodes is an advantageous method for maximizing the electric field magnitude within organic tissue and given there will be an offset between the sinusoidal stimulating waves for example, the computing device 140 will be able to isolate the stimulating electrode providing the momentary peak in voltage and thereby permit computation of the electric field magnitude.
The methodology described within this disclosure utilizing depth or grid electrodes with multiple contacts permit single-electrode recordings of electric field magnitude within a single dimension along the axis of the electrode. Application of the advanced unit vector-based mathematics described within the introduction would permit multi-dimensional calculations of this metric (not shown). It was also demonstrated that electric field magnitude measurements between electrodes can be computed based on contact measurements from separate electrodes. Lastly, it demonstrated the feasibility and methodology for measuring electric fields within tissue by comparing the applied voltage with point measurements taken within the tissue. This approach does oversimplify the calculation based on the assumption of a uniform electric field within the substance being implanted but provides a useful approximation of electric field magnitude. This can also assist with the planning and execution of accommodation for anatomical obstacles when strategic cerebral implantation is necessary. The ability to measure electric field magnitude described in this disclosure permits real-time feedback wherein the stimulating electrode(s) are contained in a closed loop system, to achieve a desired electric field magnitude at a target tissue region.
Device 600 can include one or more network interfaces 610 (e.g., wired, wireless, PLC, etc.), at least one processor 620 which in some embodiments is processor 160 of
Network interface(s) 610 include the mechanical, electrical, and signaling circuitry for communicating data over the communication links coupled to a communication network. Network interfaces 610 are configured to transmit and/or receive data using a variety of different communication protocols. As illustrated, the box representing network interfaces 610 is shown for simplicity, and it is appreciated that such interfaces may represent different types of network connections such as wireless and wired (physical) connections. Network interfaces 610 are shown separately from power supply 660, however it is appreciated that the interfaces that support PLC protocols may communicate through power supply 660 and/or may be an integral component coupled to power supply 660.
Memory 640 includes a plurality of storage locations that are addressable by processor 620 and network interfaces 610 for storing software programs and data structures associated with the embodiments described herein. In some embodiments, device 600 may have limited memory or no memory (e.g., no memory for storage other than for programs/processes operating on the device and associated caches).
Processor 620 includes hardware elements or logic adapted to execute the software programs (e.g., instructions) and manipulate data structures 645. An operating system 642, portions of which are typically resident in memory 640 and executed by the processor, functionally organizes device 600 by, inter alia, invoking operations in support of software processes and/or services executing on the device. These software processes and/or services may include electric field magnitude or direction (when applied to multi-dimensional mathematics) assessment processes/services 190 described herein. Note that while electric field assessment processes/services 190 is illustrated in centralized memory 640, alternative embodiments provide for the process to be operated within the network interfaces 610, such as a component of a MAC layer, and/or as part of a distributed computing network environment.
It will be apparent to those skilled in the art that other processor and memory types, including various computer-readable media, may be used to store and execute program instructions pertaining to the techniques described herein. Also, while the description illustrates various processes, it is expressly contemplated that various processes may be embodied as modules or engines configured to operate in accordance with the techniques herein (e.g., according to the functionality of a similar process). In this context, the term module and engine may be interchangeable. In general, the term module or engine refers to model or an organization of interrelated software components/functions. Further, while the electric field assessment processes/services 190 is shown as a standalone process, those skilled in the art will appreciate that this process may be executed as a routine or module within other processes.
It should be understood from the foregoing that, while particular embodiments have been illustrated and described, various modifications can be made thereto without departing from the spirit and scope of the invention as will be apparent to those skilled in the art. Such changes and modifications are within the scope and teachings of this invention as defined in the claims appended hereto.
Filing Document | Filing Date | Country | Kind |
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PCT/US2021/057572 | 11/1/2021 | WO |
Number | Date | Country | |
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63128223 | Dec 2020 | US | |
63108992 | Nov 2020 | US |