Closed-loop systems for deep brain stimulation to treat neuropsychiatric disorders

被引：0
作者：
Balachandar, Arjun [1 ]
Phokaewvarangkul, Onanong [2 ,3 ]
Fasano, Alfonso [4 ,5 ,6 ,7 ]
机构：
[1] Univ Toronto, Div Neurol, Toronto, ON, Canada
[2] Chulalongkorn Univ, Fac Med, Dept Med, Chulalongkorn Ctr Excellence Parkinsons Dis & Rela, Bangkok, Thailand
[3] King Chulalongkorn Mem Hosp, Bangkok, Thailand
[4] Univ Toronto, Toronto Western Hosp, Edmond J Safra Program Parkinsons Dis, Div Neurol, Toronto, ON, Canada
[5] Univ Toronto, Toronto Western Hosp, Div Neurol, Morton & Gloria Shulman Movement Disorders Clin, Toronto, ON, Canada
[6] Krembil Res Inst, 399 Bathurst St, 7MacL412, Toronto, ON M5T 2S8, Canada
[7] Ctr Advancing Neurotechnol Innovat Applicat CRANIA, Toronto, ON, Canada
来源：
EXPERT REVIEW OF MEDICAL DEVICES | 2024年 / 21卷 / 12期
关键词：
Closed loop neuromodulation; deep brain stimulation; movement disorders; parkinson's disease; dystonia; essential tremor; Tourette syndrome; neuropsychiatric disorders; PARKINSONS-DISEASE; SUBTHALAMIC NUCLEUS; ESSENTIAL TREMOR; OSCILLATORY ACTIVITY; MOTOR IMPAIRMENT; ADAPTIVE DBS; NEUROMODULATION; CLASSIFICATION; POTENTIALS; RECORDINGS;
D O I：
10.1080/17434440.2024.2438309
中图分类号：
R318 [生物医学工程];
学科分类号：
0831 ;
摘要：
IntroductionA closed-loop or feedback-control system is a process which considers the system's output in order to automatically adjust the input. Compared to a traditional open-loop system, a closed-loop system allows for a higher degree of accuracy with minimal human intervention. Novel methods of closed loop 'adaptive' deep brain stimulation DBS (aDBS) are being developed.Areas coveredThis review focuses on the current state of aDBS for various neuropsychiatric conditions: common movement disorders such as Parkinson's disease, dystonia, essential tremor, and Tourette syndrome, as well as psychiatric disorders of depression and obsessive-compulsive disorder. Finally, the future directions of closed-loop neuromodulation treatments are also discussed.Expert opinionRecently, aDBS has been shown to offer benefits compared to open-loop DBS. Understanding the biomarkers of pathological states across various disorders is, however, crucial to implementation of aDBS, and improved sensing-capable hardware and advances in machine learning are poised to allow its effective implementation.
引用
收藏
页码：1141 / 1152
页数：12
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