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Orientation-selective and directional deep brain stimulation in swine assessed by functional MRI at 3T

JP. Slopsema, A. Canna, M. Uchenik, LJ. Lehto, J. Krieg, L. Wilmerding, DM. Koski, N. Kobayashi, J. Dao, M. Blumenfeld, P. Filip, HK. Min, S. Mangia, MD. Johnson, S. Michaeli

. 2021 ; 224 (-) : 117357. [pub] 20200909

Language English Country United States

Document type Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't, Research Support, U.S. Gov't, Non-P.H.S.

Grant support
P41 EB015894 NIBIB NIH HHS - United States
R01 NS094206 NINDS NIH HHS - United States
P30 NS076408 NINDS NIH HHS - United States
U01 NS103569 NINDS NIH HHS - United States
R25 NS118756 NINDS NIH HHS - United States
R01 NS081118 NINDS NIH HHS - United States
P50 NS098573 NINDS NIH HHS - United States
U54 MH091657 NIMH NIH HHS - United States

Functional MRI (fMRI) has become an important tool for probing network-level effects of deep brain stimulation (DBS). Previous DBS-fMRI studies have shown that electrical stimulation of the ventrolateral (VL) thalamus can modulate sensorimotor cortices in a frequency and amplitude dependent manner. Here, we investigated, using a swine animal model, how the direction and orientation of the electric field, induced by VL-thalamus DBS, affects activity in the sensorimotor cortex. Adult swine underwent implantation of a novel 16-electrode (4 rows x 4 columns) directional DBS lead in the VL thalamus. A within-subject design was used to compare fMRI responses for (1) directional stimulation consisting of monopolar stimulation in four radial directions around the DBS lead, and (2) orientation-selective stimulation where an electric field dipole was rotated 0°-360° around a quadrangle of electrodes. Functional responses were quantified in the premotor, primary motor, and somatosensory cortices. High frequency electrical stimulation through leads implanted in the VL thalamus induced directional tuning in cortical response patterns to varying degrees depending on DBS lead position. Orientation-selective stimulation showed maximal functional response when the electric field was oriented approximately parallel to the DBS lead, which is consistent with known axonal orientations of the cortico-thalamocortical pathway. These results demonstrate that directional and orientation-selective stimulation paradigms in the VL thalamus can tune network-level modulation patterns in the sensorimotor cortex, which may have translational utility in improving functional outcomes of DBS therapy.

References provided by Crossref.org

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