The overall objective of this research program is to enhance the precision and ease with which transcranial magnetic stimulation (TMS) can be used for the diagnosis and treatment of neurological and psychiatric disorders and for neuroscience research. This will be achieved through a coordinated program of technical developments, validations and theory-driven physiological experimentation which culminate in an aiming/holding robotic manipulandum for TMS (the TMS AHRM/TM; pronounced """"""""arm""""""""). The technical development program builds upon the capabilities of an FDA- approved neurosurgical robot (the NeuroMate), creating a new application for this device by extensive algorithmic developments and supportive mechanical developments. Algorithm developments target treatment planning and treatment delivery, including: algorithms for rapidly modeling the 3-D electric field created in the rain by a TMS coil at any external location; cortical surface modeling (extraction and visualization); scalar product (electric-field vector times cortical-surface vector) computation and visualization; and merging of functional images, structural images and treatment-planning models (surfaces & fields). Treatment-delivery tools include: frameless registration of head, brain image, and robot; fully automated robotic positions of the TMS coil; robotic sensing of TMS orientation (about a manually operated tool-rotation axis). Hardware extensions include: a passive digitizing arm, a TMS tool mount; a passive tool-rotation axis with an orientation sensor; and a general-purpose mobile cart. Technical validations measure the errors of each algorithm and procedure. Physiological validations test a new theory for modeling TMS local effects on the brain, called the Columnar Aiming Principles (CAPs). The technical development program will create an aiming/holding robotic manipulandum for TMS: the TMS AHRM/TM. The TMS AHRM/TM will greatly extend the capabilities of an FDA-approved medical robot, creating a prototype system for imaged-guided planning and robotic delivery for TMS. This prototype is intended for subsequent commercialization (e.g., through an SBIR award). In this proposal, a general aiming theory, the Columnar Aiming Principles (CAPs) for TMS will be validated. Collectively, these technical developments and physiological validations will create a system with wide potential for clinical and research applications.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Research Project (R01)
Project #
5R01MH060246-03
Application #
6392551
Study Section
Special Emphasis Panel (ZRG1-BDCN-6 (01))
Program Officer
Huerta, Michael F
Project Start
1999-09-15
Project End
2003-05-31
Budget Start
2001-06-01
Budget End
2003-05-31
Support Year
3
Fiscal Year
2001
Total Cost
$247,736
Indirect Cost
Name
University of Texas Health Science Center San Antonio
Department
Radiation-Diagnostic/Oncology
Type
Schools of Medicine
DUNS #
800772162
City
San Antonio
State
TX
Country
United States
Zip Code
78229
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Narayana, Shalini; Laird, Angela R; Tandon, Nitin et al. (2012) Electrophysiological and functional connectivity of the human supplementary motor area. Neuroimage 62:250-65
Narayana, Shalini; Jacks, Adam; Robin, Donald A et al. (2009) A noninvasive imaging approach to understanding speech changes following deep brain stimulation in Parkinson's disease. Am J Speech Lang Pathol 18:146-61
Fox, Peter T; Narayana, Shalini; Tandon, Nitin et al. (2006) Intensity modulation of TMS-induced cortical excitation: primary motor cortex. Hum Brain Mapp 27:478-87
Fox, Peter T; Narayana, Shalini; Tandon, Nitin et al. (2004) Column-based model of electric field excitation of cerebral cortex. Hum Brain Mapp 22:1-14
Ingham, Roger J; Fox, Peter T; Ingham, Janis C et al. (2004) Brain correlates of stuttering and syllable production: gender comparison and replication. J Speech Lang Hear Res 47:321-41
Lancaster, Jack L; Narayana, Shalini; Wenzel, Dennis et al. (2004) Evaluation of an image-guided, robotically positioned transcranial magnetic stimulation system. Hum Brain Mapp 22:329-40
Ingham, Roger J; Ingham, Janis C; Finn, Patrick et al. (2003) Towards a functional neural systems model of developmental stuttering. J Fluency Disord 28:297-317; quiz 317-8
Lee, Jae Sung; Narayana, Shalini; Lancaster, Jack et al. (2003) Positron emission tomography during transcranial magnetic stimulation does not require micro-metal shielding. Neuroimage 19:1812-9
Feng, Ching-Mei; Liu, Ho-Ling; Fox, Peter T et al. (2003) Dynamic changes in the cerebral metabolic rate of O2 and oxygen extraction ratio in event-related functional MRI. Neuroimage 18:257-62

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