Deep brain stimulation (DBS) is an effective treatment for movement disorders and a promising therapy for treating epilepsy and psychiatric disorders. Despite the clinical successes of DBS, there are several aspects of the therapy that can be improved. For example, surgeries to replace primary cell batteries, or to correct misplaced leads, increase the cost and risks of the therapy. The overall research objective is to design and test novel DBS electrode geometries that increase the power efficiency and selectivity of brain stimulation. The outcome will reduce the cost and risks associated with revision surgeries, making DBS a more cost effective and safer therapy, and it will also broaden our understanding of the role of electrode geometry in electrical stimulation.
The first aim i s to use our biophysical model of electrical stimulation and engineering optimization to design electrodes that are more efficient at stimulating various neural elements. We will design two optimal electrode geometries for stimulating the white and grey matter regions of the brain, respectively, by coupling cable models of neurons, finite element models of electric fields, and a search heuristic, the genetic algorithm. The goal of this design optimization is to develop electrodes that are better suited to their intended anatomical target.
The second aim i s to measure experimentally the efficiency and selectivity of the optimized electrode designs during DBS in an animal model. We will quantify the electrical impedance of our electrode designs in vitro, and measure the in vivo stimulation efficiency and selectivity in anesthetized cats. The purpose of these experiments is to compare our results to the predications of the computational models from Aim 1, and to compare the performance of our optimized designs against the conventional DBS electrode used clinically (Medtronic model 3387). Successful execution of this research will impact the clinical efficacy of DBS, as well as other therapies using electrical stimulation, including spinal cord stimulation. In the long-term, the research will help transform electrode design from an ad hoc practice to a calculated science.

Public Health Relevance

Deep brain stimulation (DBS) is an effective treatment for movement disorders, including Parkinson's disease and essential tremor, as well as a promising therapy for treating epilepsy and drug-resistance psychiatric disorders. However, despite the successes of DBS, there are still several areas where the therapy can be improved, such as reducing the number of surgeries required to replace batteries and to correct misplaced leads. Developing innovative approaches to increase the efficiency and selectivity of DBS will increase battery life and reduce the sensitivity of clinical outcomes to electrode (mis) placement, respectively, which will mitigate the cost and risks of battery and lead replacement surgery.

Agency
National Institute of Health (NIH)
Institute
National Institute of Neurological Disorders and Stroke (NINDS)
Type
Predoctoral Individual National Research Service Award (F31)
Project #
5F31NS079105-02
Application #
8538262
Study Section
Special Emphasis Panel (ZRG1-F03B-G (20))
Program Officer
Ludwig, Kip A
Project Start
2012-09-01
Project End
2015-08-31
Budget Start
2013-09-01
Budget End
2014-08-31
Support Year
2
Fiscal Year
2013
Total Cost
$31,596
Indirect Cost
Name
Duke University
Department
Biomedical Engineering
Type
Schools of Engineering
DUNS #
044387793
City
Durham
State
NC
Country
United States
Zip Code
27705