"Neuro-vascular modulation: What a new mechanism suggests about how brain stimulation works and how to interpret hemodynamic imaging?" at the 3rd Annual Brain & Human Body Modeling (BHBM) Conference, Aug 18, 2024.
youtu.be/Sg7AN4SGx74?si=tKSJAT

New publication: 2023 update onLOTES standard for Limited-Output Transcranial Electrical Stimulation device design.

-International regulatory standards consolidation (with EU aberration).
-Updated label precautions including for pediatrics & in pregnancy.

sciencedirect.com/science/arti

New publication: "Novel Evoked Synaptic Activity Potentials (ESAPs) elicited by Spinal Cord Stimulation."
In a rodent Spinal Cord Stimulation (SCS) model we report that in addition to fast Evoked Compound Action Potentials (ECAPs) there are later slower signals we call: Evoked Synaptic Activity Potentials (ESAPs).

Why does this matter for Spinal Cord Stimulation (SCS) therapy:
1) ECAPs reflect only conduction of dorsal column axons, not necessarily a spinal circuit response. But ESAPs reflect network/synaptic activity within the dorsal horn. (We definitively show ESAPs are not myogenic). ESAPs may be a unique maker of pain / SCS state.
2) Slow potentials in human spinal electrophysiology have been studied for decades. Our study bridges this vast literature into modern SCS but showing slow signals from the dorsal horn can be evoked/detected with percutaneous SCS leads (i.e. existing SCS hardware).
3) But we show ESAPs require more nuance (than ECAPs) to detect. We suggest this is a *virtue* in providing insights for SCS optimization and mechanisms. It's no coincidence the originators of the pain gate-control-theory (Wall & Melzack) studied slow spinal potentials!
eneuro.org/content/10/5/ENEURO

Novel Evoked Synaptic Activity Potentials (ESAPs) Elicited by Spinal Cord Stimulation

Spinal cord stimulation (SCS) evokes fast epidural evoked compound action potential (ECAP) that represent activity of dorsal column axons, but not necessarily a spinal circuit response. Using a multimodal approach, we identified and characterized a delayed and slower potential evoked by SCS that reflects synaptic activity within the spinal cord. Anesthetized female Sprague Dawley rats were implanted with an epidural SCS lead, epidural motor cortex stimulation electrodes, an epidural spinal cord recording lead, an intraspinal penetrating recording electrode array, and intramuscular electromyography (EMG) electrodes in the hindlimb and trunk. We stimulated the motor cortex or the epidural spinal cord and recorded epidural, intraspinal, and EMG responses. SCS pulses produced characteristic propagating ECAPs (composed of P1, N1, and P2 waves with latencies <2 ms) and an additional wave (“S1”) starting after the N2. We verified the S1-wave was not a stimulation artifact and was not a reflection of hindlimb/trunk EMG. The S1-wave has a distinct stimulation-intensity dose response and spatial profile compared with ECAPs. 6-Cyano-7-nitroquinoxaline-2,3-dione (CNQX; a selective competitive antagonist of AMPA receptors (AMPARs)] significantly diminished the S1-wave, but not ECAPs. Furthermore, cortical stimulation, which did not evoke ECAPs, produced epidurally detectable and CNQX-sensitive responses at the same spinal sites, confirming epidural recording of an evoked synaptic response. Finally, applying 50-Hz SCS resulted in dampening of S1-wave but not ECAPs. Therefore, we hypothesize that the S1-wave is synaptic in origin, and we term the S1-wave type responses: evoked synaptic activity potentials (ESAPs). The identification and characterization of epidurally recorded ESAPs from the dorsal horn may elucidate SCS mechanisms.

www.eneuro.org

In this talk (part 4 of it) I explain how "functional targeting" supports boosting of ongoing plasticity by tDCS. And how 'functional targeting' modulates ongoing oscillations. All part of a conceptual framework of "tDCS of cortical columns". youtube.com/watch?v=vBO_1AwcWq

More recent work enhances these ideas including @lcparra showing 'functional targeting' down to the synapse level as "tDCS boosts Hebb". ncbi.nlm.nih.gov/pmc/articles/

Can machine learning predict risk of developing breast cancer in the future from the current mammogram? Can we use that to personalize screening?

Join us this Thursday Dec 1st at 11AM (ET) online for a conversation with Adam Yala from UC Berkeley pubmed.ncbi.nlm.nih.gov/347674

Coordinates for the event and other conversations : sites.google.com/view/ai-breas

My lecture at the Medical University of South Caroline (MUSC) on "Transcranial electrical stimulation (tES) technology: A difference to be a difference must make a difference."
I focus on what makes computational models of current flow useful in the development of better neuromodulation, especially transcranial Direct Current Stimulation (tDCS)
Video record: player.vimeo.com/video/7257084

Hello. My name is Marom Bikson. I am a biomedical engineer in developing devices to treat brain disorders. You can find all my papers here: neuralengr.org/bikson

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