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Abbott, C. C.

Publications and source records attributed to Abbott, C. C..

5 recordsLinked to original sources

Accurate Hippocampal Electric Field Modeling for Electroconvulsive Therapy: Numerical Accuracy and Convergence

Accurate hippocampal electric field (E-field) prediction is important for individualized electroconvulsive therapy (ECT) dosing and emerging deep-brain stimulation approaches such as temporal interference. Because hippocampal fields are far weaker than those beneath the stimulation electrodes, they are highly sensitive to tissue interfaces, conductivity contrasts, and numerical discretization, so numerical error can rival the physical uncertainties of anatomy and conductivity. We investigate this numerical component of hippocampal dosimetry using individualized head models from eleven ECT patients. Identical head40 segmentations, comprising 40 tissue compartments including the bilateral hippocampi, were simulated with three independent numerical methods: a charge-based boundary-element fast multipole method (BEM-FMM), a voxel-based hexahedral finite-element solver, and a conformal tetrahedral finite-element solver. For each, resolution was increased systematically and convergence assessed from the average hippocampal E-field magnitude. At the highest attainable resolutions, the three methods agreed closely, differing by 6%-7% in the left hippocampus and 9%-12% in the right. At default or coarse resolutions, however, they disagreed by 28.8% on average and up to 50.3% in the right hippocampus. Numerical convergence should therefore be established before differences are attributed to anatomical or conductivity uncertainty, and independent-solver agreement provides a practical basis for reliable hippocampal dosimetry.

neuroscience↗

Model-based assessment of race, sex, and electrode montage in ECT

Objective: This computational modeling study quantified the influence of sex and race-related cranial anatomy on predicted brain-wide current flow during electroconvulsive therapy (ECT) across conventional (bifrontal (BF), bitemporal/bilateral (BL), right unilateral (RUL)) and experimental (focal electrically administered seizure therapy (FEAST) and frontomedial (FM)) electrode montages. The objective was to determine whether race-associated variability meaningfully contributes to differences in ECT stimulation metrics across montages. Methods: Finite element head models of Chinese, Black, and Caucasian subjects were developed using high-resolution magnetic resonance imaging and analyzed using the Realistic vOlumetric- Approach-based Stimulator for Transcranial electric stimulation (ROAST) pipeline (N = 150 total; n = 50 per cohort, comprising 25 M and 25 F, age range: 20-30 years). Five ECT montages were simulated under a constant-current condition (900mA). Stimulation strength (Ebrain/Eth) was quantified as 90th percentile of brain-wide E-field magnitude (Ebrain) relative to neuronal activation threshold (Eth = 0.25 V/cm) quantified stimulation strength. Overall focality was evaluated as a percentage of brain volume stimulated above the neural activation threshold (Ebrain [≥] Eth), while laterality was quantified as the median right-to-left hemispheric E-field magnitude ratio. The effects of race, sex, and montage on stimulation strength, focality, and hemispheric laterality were statistically analyzed. Results: Substantial race- and sex-related differences observed in cranial anatomy resulted in systematic variation in predicted ECT-induced E-field intensity. Brain-wide E-field magnitude varied by both race and montage, with the largest fields generally observed in Caucasian head models and during BL stimulation. Montage exerted the strongest effect on stimulation strength (Ebrain/Eth) with BL and FEAST producing the highest stimulation strengths, followed by RUL and FM, while BF produced the lowest. Caucasian subjects generally predicted higher stimulation strengths than Black and Chinese subjects, whereas females predicted modestly higher stimulation strengths than males. Laterality was primarily determined by montage, with FEAST producing the greatest hemispheric asymmetry, followed by RUL. Chinese subjects demonstrated higher laterality ratios than both Black and Caucasian subjects. BL, RUL, and FEAST stimulated substantially larger brain volumes above neural activation threshold (less focal stimulation) than BF. Lower focality was observed in Caucasian subjects relative to Black and Chinese subjects, and in females relative to males. Conclusions: Electrode montage was the primary determinant of predicted ECT stimulation strength, focality, and laterality. Race-related anatomical differences and, to a lesser extent, sex-related differences systematically altered stimulation patterns, supporting consideration of individualized anatomy in ECT dosing and treatment optimization.

neuroscience↗

Assessing suitability of ultra-low-field MRI for TES electric field models

ObjectiveRecent ultra-low-field (ULF) MRI systems provide an option for more accessible and cost-effective imaging to widely used higher field (HF, usually 3T) systems. However, it remains uncertain whether ULF scans can be used for reliable TES current-flow modeling as opposed to using 3T MRI. MethodsWe used raw anatomical scans of 23 healthy adults from 64 mT and 3T systems. We enhanced the 64 mT scans using SynthSR. Using our established current-flow modeling pipeline we determined the electric fields (EF) for the ULF and 3T scans induced by the classic M1-SO electrode montage. We quantified the differences in EF at three regions of interest (ROI): left motor cortex (LMC), anterior commissure (AC), and left hippocampus (LHC). ResultsAt the cortical ROI (LMC), the individual mean EF based on a 3T scan was found to be 27% higher than the corresponding ULF scan. The average mean relative error was found to be 40%. At AC, the individual mean EF based on a 3T scan continued to be elevated by about 13% in magnitude with respect to the corresponding ULF scan with a mean error range of 31-34%. At LHC, comparison of the induced individual mean EF magnitudes indicated no clear bias between 3T-based and ULF-based models. The average mean relative error at this level dropped to [~]20%. DiscussionThe substantial decrease in cortical EF when using an ULF scan is predominantly explained by the overestimation of cerebrospinal fluid (CSF) noted by prior morphological comparison studies. Scaling up EF magnitude to match predicted cortical values to a 3T scan may be considered depending on the modeling question being addressed. While preliminary, our results suggest an "equalizing" effect between ULF and 3T predictions with increasing depth within the brain.

bioengineering↗

Improved Source Localization of Auditory Evoked Fields using Reciprocal BEM-FMM

The precise localization of auditory evoked fields (AEFs) from magnetoencephalography (MEG) data is very important for the functional understanding of the auditory cortex in medicine and cognitive neuroscience. The numerical solution of the field equations in the human head using the boundary element method (BEM) is a powerful tool for achieving this. We hypothesized that the spatial resolution of the BEM is crucial for the achievable accuracy. However, in classical BEM (as implemented, e.g., in MNE-Python), very high resolutions are impractical due to the associated prohibitive computational effort. In contrast, our recently introduced reciprocal boundary element fast multipole method (reciprocal BEM-FMM) allows for hitherto unprecedented spatial resolution. In this work, we apply our reciprocal BEM-FMM technique for source estimation to localize AEFs, and we compare our results with the source estimates produced using a 3-layer BEM model (standard BEM) via MNE-Python. We first validate our methodology through comparison of source estimates of simulated N1m components of AEFs using a receiver operating characteristic (ROC) measure. While we obtain ROC measures of about 80% for the standard BEM, reciprocal BEM-FMM reaches about 90%, a significant statistical improvement. We then apply this methodology to analyze the source estimates of experimental data obtained from a cohort of 7 participants subjected to binaural auditory stimulation. Using a dispersion measurement to quantify the focality of localized sources, we find improvements upwards of 30% using reciprocal BEM-FMM over the standard BEM. Analyses from both simulated and experimental data show localization of AEFs using high-resolution reciprocal BEM-FMM is significantly better in terms of accuracy and focality than those estimates of the low-resolution standard BEM. We therefore recommend using the high-resolution reciprocal BEM-FMM to utilize high spatial anatomical precision for the modeling of neural activity.

neuroscience↗

Dynamic functional connectivity links with treatment response of electroconvulsive therapy in major depressive disorder

BackgroundElectroconvulsive Therapy (ECT) is one of the most effective treatments for major depressive disorder (DEP). There is recently increasing attention to evaluate ECTs effect on resting-state functional magnetic resonance imaging (rs-fMRI). This study aims to compare rs-fMRI of DEP patients with healthy participants, investigate whether dynamic functional network connectivity network (dFNC) estimated from rs-fMRI predicts the ECT outcome, and explore the effect of ECT on brain network states. MethodResting-state fMRI data were collected from 119 patients with depression or DEP (76 females), and 61 Healthy (HC) participants (34 females) with an age mean of 52.25 (N=180) years old. The pre-ECT and post-ECT Hamilton Depression Rating Scale (HDRS) were 25.59{+/-}6.14 and 11.48{+/-}9.07, respectively. Twenty-four independent components from default mode (DMN) and cognitive control network (CCN) were extracted using group-independent component analysis from pre-ECT and post-ECT rs-fMRI. Then, the sliding window approach was used to estimate the pre-and post-ECT dFNC of each participant. Next, k-means clustering was separately applied to pre-ECT dFNC and post-ECT dFNC to assess three distinct states from each participant. We calculated the amount of time each individual spends in each state, called occupancy rate or OCR. Next, we compared OCR values between HC and DEP participants. We also calculated the partial correlation between pre-ECT OCRs and HDRS change while controlling for age, gender, number of treatment, and site. Finally, we evaluated the effectiveness of ECT by comparing pre-and post-ECT OCR of DEP and HC participants. ResultsThe main findings include: 1) DEP patients had significantly lower OCR values than the HC group in a state, where connectivity between CCN and DMN was relatively higher than other states (corrected p= 0.015), 2) Pre-ECT OCR of state, with more negative connectivity between CCN and DMN components, predicted the HDRS changes (R=0.23 corrected p=0.03). This means that those DEP patients who spend less time in this state showed more HDRS change, and 3) The post-ECT OCR analysis suggested that ECT increased the amount of time DEP patients spend in state 2 (corrected p=0.03). Finally, we found ECT increases the total traveled distance in DEP. ConclusionOur finding suggests that dFNC features, estimated from CCN and DMN, show promise as a predictive biomarker of the ECT outcome of DEP patients. Also, this study identified a possible underlying mechanism associated with the ECT effect in DEP patients.

neuroscience↗