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Medical Electronics

Deep Brain Stimulation Coding in Parkinson’s: An Evolving Approach

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Abstract

Deep brain stimulation (DBS) and functional-neurosurgery has been driven by frontier technological innovations has evolved since 1993, plus a new line to surgical targeting, estimate and in the relief-of-therapy at the target. In spite of right targeting and precise point of DBS electrode, efficient coding and encoding (the programming) is vital for a successful-outcome. A precise point-of-electrode (PoE) in the target-region and the effectual-coding of DBS devices are considered the most significant-factors for the effective outcome. Unlike in usual computer programming, in the open-loop DBS-devices, the encoding is cumbersome due to its manual process without any automatic compilation and/or execution especially for standard parameters-setting. Present approach entails use of broad rules connecting tenacity-of-electrode technical specification/configuration, type, battery corroboration and impedance-test. However, the protocol in connection with coding is not established well. This study presents the modern-management and some current-trends in DBS-encoding which includes directional-steering-of-current, fractionated current, interleaving, and the use of new impulse-generators. These scientific advances are paying attention on attaining to the prevention of cardinal features by the least dyskinesia’s. Current research on PD subjects emphasizes the significancy of wide spread networks coupled to precise-DBS-targets. Enhancing the targeting of anatomical—structural and functional net-works involved in the computationally generation of pathological neuronal and neural-activity will progress the DBS-effect clinically/prognostically and get rid of the dyskinesia’s. Study also discusses the technicalities on target-structures, targeting-strategies in DBS, and presents a comprehensive outline of frontier-technologies which will support DBS-coding/encoding and choosing-parameters in the prospect, following linked biofeedback-signals closed-loop adaptive deep-brain-stimulus devices.

Additional information

Funding

This work was supported by Government of India, Ministry of Science & Technology (MST) [Grant # D. O. No. SR/CSRI/201/2016], Department of Science and Technology (DST), Cognitive Science Research Initiative (CSRI), New Delhi.

Notes on contributors

Dabbeta Anji Reddy

Dabbeta Anji Reddy is working as associate professor in the Dept. of CSE, Vaageshwari College of Engineering (VCE) S4, Ramakrishna Colony, Karimnagar City, Telangana State, India. Currently, he is a PhD Scholar at Jawaharlal Nehru Technological University, Hyderabad (JNTUH). Email: [email protected]

Venkateshwarla Rama Raju

Venkateshwarla Rama Raju, received the BSc (Hons) degree in electronics from Osmania University in 1984, a post BTech (Hons) degree in computer science & engineering (CSE) with artificial intelligence – robotics & biomedical engineering (AI&R, BME) specialization from the University of Hyderabad (UoH), Central University (HCU) in 1988, a MTech degree in computer science & technology with AI/NLP specialization from JNU New Delhi in 1992, and a PhD degree in transdiscipline biomedical engineering & neurology from Nizam's Inst. of Medical-Sciences (NIMS) 2009 all in India. He also pursued an advanced master's degree through advanced research in cognitive science (AI/Medical-Neuroscience, Natural Language-and-Speech Processing, Speech-Technology & Auditory-Processing) at ILASH-Research Centre, Computer Science Department, University of Sheffield (England, 1994–1995), a MPhil/DSc degree in biomedical-signal-processing from the Bioengineering-Transducers-Signal-Processing (BTSP) Research Group of the University of Leicester (UoL), Department of Engineering (England, 1995–1997). He worked as scientist/engineer at Planning Commission (New Delhi) through Indian Engineering Services (IES), and Research Fellow at UOS-and-UoL. He has worked on a DST Project at NIMHANS Psychiatry and Neurology Departments in association with Indian Institute of Science (IISc)-TATA Institute, Bangalore (1997–1998). Later he worked as a Reader in the Departments of BME & ECE, Osmania University (1997–1999). Presently, he is a full professor at CMRCET-JNTU (UGC Autonomous) Hyderabad involved in developing and applying new estimation, systems and control tools in order to build computational simulation and statistical models of electrical-activity in neural circuits affected by Parkinson's disease (PD), understand electro-physiological-dynamics of neural circuits in health/disease-states during DBS treatment, design more effective, adaptive, and safer DBS-strategies for neurological-neurodegenerative disorders; design new clinical/clinico-statistical experiments, develop/apply systems-level mathematical frameworks for modeling-and-controlling neuronal network activity in the brain with DBS using AI machine and deep learning techniques, create a more intelligent system for both placing-and-controlling the electrodes; implant an intelligent chip that continuously measures/monitors neural activity, and finally build an effective new cadre-of-researchers who bridge the training and thinking gaps toward major-advances in transdiscipline neuroscience. He has over 180 papers published in national and international journals and over 12 chapters in IFMBE Springer Nature proceedings. He is a professional member of different scientific societies of engineering medicine biology and computing: Life member of ISTE, senior member of IEEE (USA), British Computing Society (BCS, UK), LAM of Indian Academy of Neurology (IAN), Life Member of Indian Academy of Neurosciences (IANs) Member of International Parkinson Disease and Movement Disorders Society (WI, USA), Neurological Society of India (NSI), Member of Andhra Pradesh Neurology Society and Neuroscientists Association, etc.

G. Narsimha

G Narsimha is professor in the Dept. of CSE, JNTU Hyderabad. He is guiding the PhD Scholars at JNTUH. Email: [email protected]

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