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Rampersad, S.

Publications and source records attributed to Rampersad, S..

3 recordsLinked to original sources

A Systematic Comparison of tTIS Optimization Approaches for Focal Neuromodulation

Transcranial temporal interference stimulation (tTIS) is a promising non-invasive brain stimulation technique that has the potential to selectively modulate deep brain regions by delivering two high-frequency alternating currents that interfere to produce a low-frequency amplitude-modulated envelope at the target. A key challenge in deploying tTIS is finding electrode current patterns that are simultaneously effective, focal, and safe. This is a fundamentally non-convex optimization problem for which a number of methods have recently been proposed. However, no systematic comparison of these methods across a large and diverse set of brain targets has been performed, leaving practitioners without clear guidance on how best to optimize for a particular experimental setting. In this work, we present a comprehensive benchmarking study comparing seven tTIS optimization methods that have appeared in the literature in recent years: exhaustive search, genetic algorithm, multi-objective evolutionary algorithm (MOVEA), min-max optimization, convex TI (CVXTI), non-convex optimization with convex relaxations, and an unsupervised neural network. All methods were evaluated across 250 brain targets spanning cortical and subcortical gray matter and white matter regions in five finite element head models. Each method was evaluated on two key metrics: mean electric field strength within the target region of interest, and off-target stimulated brain volume. Results were stratified by tissue type and target depth to identify systematic performance differences. Based on these results, we provide practical evidence-based recommendations for optimization method selection among these seven methods depending on target location, tissue type, and available computation time. Moreover we provide the code base that will allow other investigators to use these methods for their own applications. Our goal is to provide researchers and clinicians with a clear, evidence-based framework for choosing a tTIS optimization method suited to their specific target and application.

neuroscience↗

Blinding efficacy and adverse events following repeated transcranial alternating current, direct current, and random noise stimulation.

As transcranial electrical stimulation (tES) protocols advance, assumptions underlying the technique need to be retested to ensure they still hold. Whilst the safety of stimulation has been demonstrated mainly for a small number of sessions, and small sample size, adverse events (AEs) following multiple sessions remain largely untested. Similarly, whilst blinding procedures are typically assumed to be effective, the effect of multiple stimulation sessions on the efficacy of blinding procedures also remains under question. This is especially relevant in multisite projects where small unintentional variations in protocol could lead to inter-site difference. We report AE and blinding data from 1,019 participants who received up to 11 semi-consecutive sessions of active or sham transcranial alternating current stimulation (tACS), direct current stimulation (tDCS), and random noise stimulation (tRNS), at 4 sites in the UK and US. We found that AEs were often best predicted by factors other than tES, such as testing site or session number. Results from the blinding analysis suggested that blinding was less effective for tDCS and tACS than tRNS. The occurrence of AEs did not appear to be linked to tES despite the use of smaller electrodes or repeated delivery. However, blinding efficacy was impacted in tES conditions with higher cutaneous sensation, highlighting a need for alternative stimulation blinding protocols. This may be increasingly necessary in studies wishing to deliver stimulation with higher intensities.

neuroscience↗

Prospects for transcranial temporal interference stimulation in humans: a computational study

Transcranial alternating current stimulation (tACS) is a noninvasive method used to modulate activity of superficial brain regions. Deeper and more steerable stimulation could potentially be achieved using transcranial temporal interference stimulation (tTIS): two high-frequency alternating fields interact to produce a wave with an envelope frequency in the range thought to modulate neural activity. Promising initial results have been reported for experiments with mice. In this study we aim to better understand the electric fields produced with tTIS and examine its prospects in humans through simulations with murine and human head models. A murine head finite element model was used to simulate previously published experiments of tTIS in mice. With a total current of 0.776 mA, tTIS electric field strengths up to 383 V/m were reached in the modeled mouse brain, affirming experimental results indicating that suprathreshold stimulation is possible in mice. Using a detailed anisotropic human head model, tTIS was simulated with systematically varied electrode configurations and input currents to investigate how these parameters influence the electric fields. An exhaustive search with 88 electrode locations covering the entire head (146M current patterns) was employed to optimize tTIS for target field strength and focality. In all analyses, we investigated maximal effects and effects along the predominant orientation of local neurons. Our results showed that it was possible to steer the peak tTIS field by manipulating the relative strength of the two input fields. Deep brain areas received field strengths similar to conventional tACS, but with less stimulation in superficial areas. Maximum field strengths in the human model were much lower than in the murine model, too low to expect direct stimulation effects. While field strengths from tACS were slightly higher, our results suggest that tTIS is capable of producing more focal fields and allows for better steerability. Finally, we present optimal four-electrode current patterns to maximize tTIS in regions of the pallidum (0.37 V/m), hippocampus (0.24 V/m) and motor cortex (0.57 V/m).

biophysics↗