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Koponen, L. M.

Publications and source records attributed to Koponen, L. M..

9 recordsLinked to original sources

Practical TMS coils with maximum focality and various stimulation depths

Conventional transcranial magnetic stimulation (TMS) coils generate a diffuse and shallow electric field (E-field) in the brain. This results in limited spatial targeting precision (focality). Previously, we developed a methodology for designing theoretical TMS coils to achieve optimal trade-off between the depth and focality of the induced E-field, as well as the energy required by the coil. This paper presents methods for the practical design and implementation of such focal-deep TMS (fdTMS) coils. First, we consider how the coils shape affects energy requirements and design a curved "hat" former that enables a wide range of coil placements while improving energy efficiency compared to flat formers. Second, we introduce a hybrid layer winding implementation to improve energy efficiency by using multi-layer windings in some regions of the coil and a single layer in others. Using simulations with a spherical head model, we benchmark the focality of the fdTMS E-field in the brain and the scalp, as well as the required energy, against conventional TMS coils. We then implement two fdTMS coil designs using copper wire wound inside a 3d-printed plastic former. The E-field of the prototype fdTMS coils and two conventional figure-8 counterparts is measured with a robotic probe to validate the designs. The experimental measurements corroborate the simulations, demonstrating that the fdTMS coils produce a more compact E-field relative to standard figure-8 coils. One potential disadvantage of the fdTMS coil prototypes is wider spread of the scalp E-field and increased energy loss due to the additional windings. Nonetheless, the presented fdTMS coils could offer advantages for precise mapping studies, and the design framework could be leveraged for other coil optimizations.

bioengineering↗

Reduced Auditory Perception and Brain Response with Quiet TMS Coil

BACKGROUNDElectromagnetic forces in transcranial magnetic stimulation (TMS) coils generate a loud clicking sound that produces confounding auditory activation and is potentially hazardous to hearing. To reduce this noise while maintaining stimulation efficiency similar to conventional TMS coils, we previously developed a quiet TMS double containment coil (qTMS-DCC). OBJECTIVETo compare the stimulation strength, perceived loudness, and EEG response between qTMS-DCC and a commercial TMS coil. METHODSNine healthy volunteers participated in a within-subject study design. The resting motor thresholds (RMTs) for qTMS-DCC and MagVenture Cool-B65 were measured. Psychoacoustic titration matched the Cool-B65 loudness to qTMS-DCC pulsed at 80, 100, and 120% RMT. Event-related potentials (ERPs) were recorded for both coils. The psychoacoustic titration and ERPs were acquired with the coils both on and 6 cm off the scalp, the latter isolating the effects of airborne auditory stimulation from body sound and electromagnetic stimulation. The ERP comparisons focused on a centro-frontal region that encompassed peak responses in the global signal. RESULTSRMT did not differ significantly between the coils, with or without the EEG cap on the head. qTMS-DCC was perceived to be substantially quieter than Cool-B65. For example, qTMS-DCC at 100% coil-specific RMT sounded like Cool-B65 at 34% RMT. The general ERP waveform and topography were similar between the two coils, as were early-latency components, indicating comparable electromagnetic brain stimulation in the on-scalp condition. qTMS-DCC had a significantly smaller P180 component in both on-scalp and off-scalp conditions, supporting reduced auditory activation. CONCLUSIONSThe stimulation efficiency of qTMS-DCC matched Cool-B65, while having substantially lower perceived loudness and auditory-evoked potentials. HighlightsO_LIqTMS coil is subjectively and objectively quieter than conventional Cool-B65 coil C_LIO_LIqTMS coil at 100% motor threshold was as loud as Cool-B65 at 34% motor threshold C_LIO_LIAttenuated coil noise reduced auditory N100 and P180 evoked response components C_LIO_LIqTMS coil enables reduction of auditory activation without masking C_LI

bioengineering↗

Multi-locus transcranial magnetic stimulation system for electronically targeted brain stimulation

BackgroundTranscranial magnetic stimulation (TMS) allows non-invasive stimulation of the cortex. In multi-locus TMS (mTMS), the stimulating electric field (E-field) is controlled electronically without coil movement by adjusting currents in the coils of a transducer. ObjectiveTo develop an mTMS system that allows adjusting the location and orientation of the E-field maximum within a cortical region. MethodsWe designed and manufactured a planar 5-coil mTMS transducer to allow controlling the maximum of the induced E-field within a cortical region approximately 30 mm in diameter. We developed electronics with a design consisting of independently controlled H-bridge circuits to drive up to six TMS coils. To control the hardware, we programmed software that runs on a field-programmable gate array and a computer. To induce the desired E-field in the cortex, we developed an optimization method to calculate the currents needed in the coils. We characterized the mTMS system and conducted a proof-of-concept motor-mapping experiment on a healthy volunteer. In the motor mapping, we kept the transducer placement fixed while electronically shifting the E-field maximum on the precentral gyrus and measuring electromyography from the contralateral hand. ResultsThe transducer consists of an oval coil, two figure-of-eight coils, and two four-leaf-clover coils stacked on top of each other. The technical characterization indicated that the mTMS system performs as designed. The measured motor evoked potential amplitudes varied consistently as a function of the location of the E-field maximum. ConclusionThe developed mTMS system enables electronically targeted brain stimulation within a cortical region.

neuroscience↗

Modular multilevel TMS device with wide output range and ultrabrief pulse capability for sound reduction

ObjectiveThis article presents a novel transcranial magnetic stimulation (TMS) pulse generator with a wide range of pulse shape, amplitude, and width. ApproachBased on a modular multilevel TMS (MM-TMS) topology we had proposed previously, we realized the first such device operating at full TMS energy levels. It consists of ten cascaded H-bridge modules, each implemented with insulated-gate bipolar transistors, enabling both novel high-amplitude ultrabrief pulses as well as pulses with conventional amplitude and duration. The MM-TMS device can output pulses including up to 21 voltage levels with a step size of up to 1100 V, allowing relatively flexible generation of various pulse waveforms and sequences. The circuit further allows charging the energy storage capacitor on each of the ten cascaded modules with a conventional TMS power supply. Main resultsThe MM-TMS device can output peak coil voltages and currents of 11 kV and 10 kA, respectively, enabling suprathreshold ultrabrief pulses (> 8.25 s active electric field phase). Further, the MM-TMS device can generate a wide range of near-rectangular monophasic and biphasic pulses, as well as more complex staircase-approximated sinusoidal, polyphasic, and amplitude-modulated pulses. At matched estimated stimulation strength, briefer pulses emit less sound, which could enable quieter TMS. Finally, the MM-TMS device can instantaneously increase or decrease the amplitude from one pulse to the next in discrete steps by adding or removing modules in series, which enables rapid pulse sequences and paired-pulse protocols with variable pulse shapes and amplitudes. SignificanceThe MM-TMS device allows unprecedented control of the pulse characteristics which could enable novel protocols and quieter pulses.

bioengineering↗

Probing the orientation specificity of excitatory and inhibitory circuitries in the primary motor cortex with multi-channel TMS

BackgroundThe electric field orientation is a crucial parameter for optimizing the excitation of neuronal tissue in transcranial magnetic stimulation (TMS). Yet, the effects of stimulus orientation on the short-interval intracortical inhibition (SICI) and intracortical facilitation (ICF) paradigms are poorly known, mainly due to significant technical challenges in manipulating the TMS-induced stimulus orientation within milliseconds. ObjectiveOur aim is to assess the effect of the TMS-induced stimulus orientation on the SICI and ICF paradigms and search for the optimal orientations to maximize the facilitation and suppression of the motor evoked potentials (MEP). MethodsWe applied paired-pulse multi-channel TMS in healthy subjects to generate SICI and ICF with conditioning and test pulses in the same, opposite, and perpendicular orientations to each other. The conditioning- and test-stimulus intensities were 80% and 110% of the resting motor threshold, respectively. ResultsBoth SICI and ICF were significantly affected by the conditioning- and test-stimulus orientation. MEP suppression and facilitation were strongest with both pulses delivered in the same direction. SICI with a 2.5-ms and ICF with a 6.0-ms interstimulus interval (ISI) were more sensitive to changes in stimulus orientation compared with SICI at 0.5- and ICF at 8.0-ms ISIs, respectively. ConclusionOur findings provide evidence that SICI and ICF at specific ISIs are mediated by distinct mechanisms. Such mechanisms exhibit a preferential orientation depending on the anatomical and morphological arrangement of inhibitory and excitatory neuronal populations. We also demonstrate that the SICI and ICF can be maximized by adjusting the TMS-induced electric field orientation.

neuroscience↗

Fine multi-coil electronic control of transcranial magnetic stimulation: effects of stimulus orientation and intensity

BackgroundTranscranial magnetic stimulation (TMS) coils allow only a slow, mechanical adjustment of the stimulating electric field (E-field) orientation in the cerebral tissue. Fast E-field control is needed to synchronize the stimulation with the ongoing brain activity. Also, empirical models that fully describe the relationship between evoked responses and the stimulus orientation and intensity are still missing. ObjectiveWe aimed to (1) develop a TMS transducer for manipulating the E-field orientation electronically with high accuracy at the neuronally meaningful millisecond-level time scale and (2) devise and validate a physiologically based model describing the orientation selectivity of neuronal excitability. MethodsWe designed and manufactured a two-coil TMS transducer. The coil windings were computed with a minimum-energy optimization procedure, and the transducer was controlled with our custom-made electronics. The electronic E-field control was verified with a TMS characterizer. The motor evoked potential amplitude and latency of a hand muscle were mapped in 3{degrees} steps of the stimulus orientation in 16 healthy subjects for three stimulation intensities. We fitted a logistic model to the motor response amplitude. ResultsThe two-coil TMS transducer allows one to manipulate the pulse orientation accurately without manual coil movement. The motor response amplitude followed a logistic function of the stimulus orientation; this dependency was strongly affected by the stimulus intensity. ConclusionThe developed electronic control of the E-field orientation allows exploring new stimulation paradigms and probing neuronal mechanisms. The presented model helps to disentangle the neuronal mechanisms of brain function and guide future non-invasive stimulation protocols.

neuroscience↗

Individual head models for estimating the TMS-induced electric field in rat brain

In transcranial magnetic stimulation (TMS), the initial cortical activation due to stimulation is determined by the state of the brain and the magnitude, waveform, and direction of the induced electric field (E-field) in the cortex. The E-field distribution depends on the conductivity geometry of the head. The effects of deviations from a spherically symmetric conductivity profile have been studied in detail in humans. In small mammals, such as rats, these effects are more pronounced due to their smaller and less spherical heads. In this study, we describe a simple method for building individual realistically shaped head models for rats from high-resolution X-ray tomography images. We computed the TMS-induced E-field with the boundary element method and assessed the effect of head-model simplifications on the estimated E-field. The deviations from spherical symmetry have large, non-trivial effects on the E-field distribution: in some cases, even the direction of the E-field in the cortex cannot be reliably predicted by the coil orientation unless these deviations are properly considered.

neuroscience↗

Sound comparison of seven TMS coils at matched simulation strength

BackgroundAccurate data on the sound emitted by transcranial magnetic stimulation (TMS) coils is lacking.\n\nMethodsWe recorded the sound waveforms of seven coils with high bandwidth. We estimated the neural stimulation strength by measuring the induced electric field and applying a strength-duration model to account for different waveforms.\n\nResultsAcross coils, at maximum stimulator output and 25 cm distance, the sound pressure level (SPL) was 98-125 dB(Z) per pulse and 75-97 dB(A) for a 15 Hz pulse train. At 5 cm distance, these values were estimated to increase to 112-139 dB(Z) and 89-111 dB(A), respectively.\n\nConclusionsThe coils sound was below, but near, relevant exposure limits for operators and may exceed some limits for the subject. Exposure standards may inadequately capture some risks to hearing. For persons near operating TMS coils we recommend hearing protection, and we consider it essential for the TMS subject.\n\nHighlights O_LICoil click varies by over 20 dB(Z) between TMS coils at matched stimulation strength.\nC_LIO_LIClose to TMS coil, sound pressure level may reach nearly 140 dB(Z).\nC_LIO_LIFor rTMS, the continuous sound level can exceed 110 dB(A).\nC_LIO_LIHearing protection is recommended during TMS, especially for the subject.\nC_LI

neuroscience↗

Real-time computation of the TMS-induced electric field in a realistic head model

BackgroundTranscranial magnetic stimulation (TMS) is often targeted using a model of TMS-induced electric field (E). In such navigated TMS, the E-field models have been based on spherical approximation of the head. Such models omit the effects of cerebrospinal fluid (CSF) on the E-field, leading to potentially large errors in the computed field. So far, realistic models have been too slow for interactive TMS navigation. ObjectiveWe present computational methods that enable real-time solving of the E-field in a realistic head model that contains the CSF. MethodsUsing reciprocity and Geselowitz integral equation, we separate the computations to coil-dependent and -independent parts. For the coil-dependent part of Geselowitz integrals, we present a fast numerical quadrature. Further, we present a moment-matching approach for optimizing dipole-based coil models. We verify the new methods using simulations in a realistic head model that contains the brain, CSF, skull, and scalp. ResultsThe new quadrature introduces a relative error of 1.1%. The total error of the quadrature and coil model was 1.43% and 1.15% for coils with 38 and 76 dipoles, respectively. The difference between our head model and a simpler realistic model that omits the CSF was 29%. Using a standard PC and a 38-dipole coil, our solver computed the E-field in 84 coil positions per second in 20000 points on the cortex. ConclusionThe presented methods enable real-time solving of the TMS-induced E-field in a realistic head model that contains the CSF. The new methodology allows more accurate targeting and precise adjustment of intensity during experimental or clinical TMS mapping.

neuroscience↗