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Infrared neural stimulation of human spinal nerve roots in vivo

Identifieur interne : 000055 ( Pmc/Corpus ); précédent : 000054; suivant : 000056

Infrared neural stimulation of human spinal nerve roots in vivo

Auteurs : Jonathan M. Cayce ; Jonathon D. Wells ; Jonathan D. Malphrus ; Chris Kao ; Sharon Thomsen ; Noel B. Tulipan ; Peter E. Konrad ; E. Duco Jansen ; Anita Mahadevan-Jansen

Source :

RBID : PMC:4478764

Abstract

Abstract.

Infrared neural stimulation (INS) is a neurostimulation modality that uses pulsed infrared light to evoke artifact-free, spatially precise neural activity with a noncontact interface; however, the technique has not been demonstrated in humans. The objective of this study is to demonstrate the safety and efficacy of INS in humans in vivo. The feasibility of INS in humans was assessed in patients (n=7) undergoing selective dorsal root rhizotomy, where hyperactive dorsal roots, identified for transection, were stimulated in vivo with INS on two to three sites per nerve with electromyogram recordings acquired throughout the stimulation. The stimulated dorsal root was removed and histology was performed to determine thermal damage thresholds of INS. Threshold activation of human dorsal rootlets occurred in 63% of nerves for radiant exposures between 0.53 and 1.23J/cm2. In all cases, only one or two monitored muscle groups were activated from INS stimulation of a hyperactive spinal root identified by electrical stimulation. Thermal damage was first noted at 1.09J/cm2 and a 21 safety ratio was identified. These findings demonstrate the success of INS as a fresh approach for activating human nerves in vivo and providing the necessary safety data needed to pursue clinically driven therapeutic and diagnostic applications of INS in humans.


Url:
DOI: 10.1117/1.NPh.2.1.015007
PubMed: 26157986
PubMed Central: 4478764

Links to Exploration step

PMC:4478764

Le document en format XML

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safety ratio was identified. These findings demonstrate the success of INS as a fresh approach for activating human nerves
<italic>in vivo</italic>
and providing the necessary safety data needed to pursue clinically driven therapeutic and diagnostic applications of INS in humans.</p>
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<article-title>Infrared neural stimulation of human spinal nerve roots
<italic>in vivo</italic>
</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Cayce</surname>
<given-names>Jonathan M.</given-names>
</name>
<xref ref-type="aff" rid="aff1">a</xref>
<xref ref-type="other" rid="b1"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Wells</surname>
<given-names>Jonathon D.</given-names>
</name>
<xref ref-type="aff" rid="aff2">b</xref>
<xref ref-type="other" rid="b2"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Malphrus</surname>
<given-names>Jonathan D.</given-names>
</name>
<xref ref-type="aff" rid="aff1">a</xref>
<xref ref-type="other" rid="b3"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Kao</surname>
<given-names>Chris</given-names>
</name>
<xref ref-type="aff" rid="aff3">c</xref>
<xref ref-type="other" rid="b4"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Thomsen</surname>
<given-names>Sharon</given-names>
</name>
<xref ref-type="aff" rid="aff4">d</xref>
<xref ref-type="other" rid="b5"></xref>
<xref ref-type="author-notes" rid="fn1"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Tulipan</surname>
<given-names>Noel B.</given-names>
</name>
<xref ref-type="aff" rid="aff3">c</xref>
<xref ref-type="other" rid="b6"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Konrad</surname>
<given-names>Peter E.</given-names>
</name>
<xref ref-type="aff" rid="aff1">a</xref>
<xref ref-type="aff" rid="aff3">c</xref>
<xref ref-type="other" rid="b7"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Jansen</surname>
<given-names>E. Duco</given-names>
</name>
<xref ref-type="aff" rid="aff1">a</xref>
<xref ref-type="aff" rid="aff3">c</xref>
<xref ref-type="other" rid="b8"></xref>
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<contrib contrib-type="author">
<name>
<surname>Mahadevan-Jansen</surname>
<given-names>Anita</given-names>
</name>
<xref ref-type="aff" rid="aff1">a</xref>
<xref ref-type="aff" rid="aff3">c</xref>
<xref ref-type="corresp" rid="cor1">*</xref>
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<institution>Vanderbilt University</institution>
, Department of Biomedical Engineering, 5824 Stevenson Center, Station B, Box 351631 Nashville, Tennessee 37235-1631,
<country>United States</country>
</aff>
<aff id="aff2">
<label>b</label>
<institution>Lockheed Martin</institution>
, 22121 20th Avenue SE, Bothell, Washington 98021,
<country>United States</country>
</aff>
<aff id="aff3">
<label>c</label>
<institution>Vanderbilt University</institution>
, Department of Neurological Surgery, 1161 21st Avenue, Nashville, Tennessee 37232-2380,
<country>United States</country>
</aff>
<aff id="aff4">
<label>d</label>
<institution>University of Texas</institution>
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<country>United States</country>
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<author-notes>
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Address all correspondence to: Anita Mahadevan-Jansen, E-mail:
<email>anita.mahadevan-jansen@vanderbilt.edu</email>
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<fn id="fn1">
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<p>Retired pathologist.</p>
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<day>23</day>
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<year>2015</year>
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<volume>2</volume>
<issue>1</issue>
<elocation-id>015007</elocation-id>
<history>
<date date-type="received">
<day>12</day>
<month>11</month>
<year>2014</year>
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<month>1</month>
<year>2015</year>
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<abstract>
<title>Abstract.</title>
<p>Infrared neural stimulation (INS) is a neurostimulation modality that uses pulsed infrared light to evoke artifact-free, spatially precise neural activity with a noncontact interface; however, the technique has not been demonstrated in humans. The objective of this study is to demonstrate the safety and efficacy of INS in humans
<italic>in vivo</italic>
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safety ratio was identified. These findings demonstrate the success of INS as a fresh approach for activating human nerves
<italic>in vivo</italic>
and providing the necessary safety data needed to pursue clinically driven therapeutic and diagnostic applications of INS in humans.</p>
</abstract>
<kwd-group>
<title>Keywords:</title>
<kwd>infrared neural stimulation</kwd>
<kwd>neurophotonics</kwd>
<kwd>spinal nerve roots</kwd>
<kwd>electromyography</kwd>
<kwd>optics</kwd>
</kwd-group>
<funding-group>
<award-group id="sp1">
<funding-source>W. M. Keck Foundation Free Electron Laser Center, MFEL/AFOSR program</funding-source>
<award-id>FA9550-04-1-0045</award-id>
</award-group>
<award-group id="sp2">
<funding-source>National Institutes of Health</funding-source>
<award-id>R01 NS052407-01</award-id>
</award-group>
</funding-group>
<counts>
<fig-count count="4"></fig-count>
<table-count count="0"></table-count>
<ref-count count="51"></ref-count>
<page-count count="9"></page-count>
</counts>
<custom-meta-group>
<custom-meta>
<meta-name>running-head</meta-name>
<meta-value>Cayce et al.: Infrared neural stimulation of human spinal nerve roots
<italic>in vivo</italic>
</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
</pmc>
</record>

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