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Neuromodulation - Science method

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I can't find the reference for the "Non-Invasive Brain Stimulation (NIBS) Survey".
It is a questionnaire developed to assess the experience and training of healthcare professionals in the application of various non-invasive neuromodulation techniques, including transcranial magnetic stimulation (TMS), transcranial direct current stimulation (tDCS), transcranial alternating current stimulation (tACS), among others. The survey consists of 37 questions divided into five sections:
  1. Demographics and professional experience: Questions about age, gender, educational background, specialization, length of clinical practice experience, among others.
  2. Knowledge and use of NIBS techniques: Questions about the knowledge and use of different non-invasive neuromodulation techniques, as well as the frequency of use, indications, and contraindications for each technique.
  3. NIBS training: Questions about specific training and education in non-invasive neuromodulation techniques, including participation in courses, workshops, or training programs.
  4. Safety and adverse effects: Questions about the safety and adverse effects of non-invasive neuromodulation techniques, as well as knowledge about safety measures and actions in case of adverse events.
  5. Opinions and perspectives on the future of NIBS: Questions about the opinions of healthcare professionals regarding the efficacy and usefulness of non-invasive neuromodulation techniques, as well as their perspectives for the future of the field.
The questionnaire includes closed-ended, multiple-choice, and open-ended questions in each section, allowing for a detailed evaluation of the experiences and perspectives of healthcare professionals regarding non-invasive neuromodulation techniques.
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Did you find a survey though?
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I have a patient whose lymph flow improves when she is wearing specific eyeglasses. Retinal stimulation alters neuromodulation via the retinohypothalamic tract, but I wondered if there is a cerebellar component (or vestibular or basal ganglia) to the fluid flow.... Thanks~
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Thanks I will read it....However this patient had a history of encephalitis and lupus. She does not have a neurodegenerative condition. It is weird though that the eyeglasses have a clearly measurable difference in lymph flow
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Hello! For our research we need to do simulations of GPI-anchored proteins in membrane with Martini force field. But we don't understand how to generate topology for protein with covalent modifications in Martini. Can you help? We are working with three-finger neuromodulators (Lynx1, Lynx2, Lypd6, Lypd6b). Thanks in advance!
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Over the past two decades, many studies have been conducted with the aim of finding a way to moderate chronic tinnitus. In these studies, various methods such as transcranial magnetic stimulation have been used.
An important factor in choosing the right treatment method is that it has longer lasting effects. Among the methods of rTMS,TENS, tDCS and VNS, which one does have more long-term effects?
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I think the mechanisms of action of all those methods are still poorly understood. I know the TMS is used with good results but much More research is needed to answer your question. Please note that (as far as I know) no one of these methods are approved by the legal entities to be used as treatment options in that disease...
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This study will be relatively small-scale, and will form part of my doctoral thesis. I am hoping to bilaterally stimulate the DLPFC in a group of cannabis users for a short duration, in order to assess whether craving can be temporarily modulated.
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Nice Dear Jonathan A Norton
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In much of the tDCS literature I have reviewed so far, the position of M1 for anodal tDCS is given as coincident with C3/C4. Likewise, the positon of primary somatosensory cortex S1 for cathodal tDCS is given as 2 cm posterior or occipital to C3/C4. But now I am reading "the course of the central sulcus (rolandic fissure) which separates the frontal lobe from the parietal lobe corresponds to thin lines touching CPz-C2-C4 and CPz-C1-C3, respectively, [& actually courses through the centers of C4 & C3, respectively.] The two gyri immediately neighboring the central sulcus are the primary motor cortex (in frontal direction), and primary sensory cortex (in occipital direction)."
If it is true that it is the central sulcus itself that is coincident with the C3/C4 positions and that primary sensory cortex is estimated at approx. 2 cm occipital/posterior, then why is primary motor cortex not estimated as 2 cm frontal / anterior? I have not seen this discussed anywhere in the literature I've reviewed so far.
I am also trying to match up the M1 & S1 homoncular maps with their approximately corresponding electrode positions, understanding that only one electrode position each intended to stimulate all of M1 or S1 is much too coarse for the application we have in mind. Does anyone have a reference they would be willing to share which ideally would match up the 10-20 electrode positions in the vicinity of C3/C4 with their approximately corresponding somatosensory & somatomotor functional homunculi with higher resolution & greater specificity?
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Quite a few published researchers are using Amrex branded sponge electrodes with banana jack connections for 1x1 low resolution tDCS. We have attempted to use them & have encountered several problems including one serious safety problem.
The electrode in question is a 3" by 3" square non-conductive rubber frame containing conductive wire mesh overlaid with a removable coarse kitchen-type sponge that protrudes out of a 2" by 2" aperture when soaked in saline. The rubber frame is stiff & does not conform well to the curvature of the cranium, especially with smaller subjects. This in turn results in difficulty placing it accurately & reproducibly & also in making good & uniform electrical contact. Though the maximum contact area of the sponge on the scalp is ideally 4 in² (25 cm²), in practice it is considerably less & variable with only a central area of contact which can be approximated as a circular disc inscribed within the 2" by 2" square aperture. This leads in turn to the most serious problem:
Injected current levels up to 2.0 mA are routine in tDCS research. The research community generally accepts a current density limit of .08 mA/cm² for the safety of the subject's skin in contact with the electrode & also to minimize potential damage to the underlying brain tissue. Even if the 2" by 2" sponge made perfect contact with the skin, at the 2.0 mA injected current level the current density limit is reached, exactly, as bulk current density = current / cross-sectional contact area = 2.0 mA / 25 cm² = .08 mA/cm². But these electrodes do not make perfect contact even when the they are secured tightly because of the rigid frames enclosing the sponges. So the contact area is rather less, resulting in the denominator being smaller and the current density necessarily exceeding the safety limit. Even at somewhat lower levels of injected current, taking the variable contact area of the sponges into account, the current density could easily exceed the safety limit. Furthermore, this is a very coarse bulk analysis. Taking nonhomogeneity, edge & corner effects into account, local areas of unacceptably high current density are unavoidable & can be demonstrated convincibly with a more sophisticated analysis (one using finite element methods for example).
Yet another practical problem with these electrodes is they have a strong & pungent odor which research subjects find objectionable, penetrates their hair & endures on the electrodes even after successive washings. If one electrode is placed supraorbitally, as is a common position in tDCS, the obnoxious smell in close proximity to the subject's nose even has the potential to affect the outcome of the experiment because it induces stress & stress-related neurological activity that has the potential to confound results.
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Hello researchers,
I'm planning to apply tACS on the scalp in corrispondence of two different cortical areas by using a multi-channel device (Enobio/Starstim, neuroelectrics) . Thus, I will use three electrodes, two "active" and one "return", but I'm wondering whether the value of the current intensity might be devided between the two "active" electrodes. For example, is 2mA of amplitude splitted in 1mA for active electrode 1 and 1mA for active electrode 2.?
May you suggest any work where I could find information about this issue?
Thank you in advance for any answer you may provide.
Gabriele
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Nice Dear Gabriele Fusco
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I am very interested in start this discussion with you colleages about binaural/monaural beats and isochronic tones for neuromodulating brain signals.
I would like to know if you consider this type of stimulation real or a scam, their potential clinic applications, if their effects are maintained and if there is any harmful effect (such as seizures).
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It's known that low frequency waves decreased brain activity. It's used for music therapy.
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I have not found many studies about this treatment. It has been approved by FDA based on very preliminary evidence. How much time does FDA take in general to approve a treatment in mental health field?
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I agree that we do not know how eTNS works on ADHD children, but in terms of clinical application, I recommend to use it because there are parents worrying about side effects of medication as well as being unable to manage ADHD symptoms.
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Although we can measure serotonin in peripheral blood, it may not reflect its activity in the central nervous system. Pupil dilation may serve as a marker for noradrenaline changes, but I can't think about one for serotonin. Is there a peripheral marker for changes in serotonergic drive?
Cheers
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There are nine raphe nuclei reaching almost every part of the central nervous system, where serotonin has various effects. Involved in many homeostatic as well as cognitive functions. Might need to be more specific for which 5-HT neurons you want to find "physiological signal". Maybe thermoregulation and body Temp.
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Hello. I would like to publish an RCT protocol in a restricted-access (no-fee) journal, in the area of neuromodulation and obesity. Any ideas?
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Unfortunately, I am not aware of any Journal that does not have any fee, but typical Journals that came to my mind were:
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Hi everyone,
I would like to find a relation between several cortical parameters I extracted from sMRI data (as gyrification, sulci depth, thickness of grey matter) and behavior. Does anyone know if there is an atlas or something similar (papers, references,...) that I can use?
Thank you very much!
Edoardo
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Dear Edoardo,if I understand well your question, you are asking if anybody ever described data such as "length of ascending branch of left sylvian fissure correlates with verbal fluency" or "degree of convexity of the precentral knob predicts dexterity in finger movements". Well, as far as I know there are no descriptions of relations between normal anatomical variants of macroscopic sulcal anatomy and behavior. If I had to bet I would probably think that there is no clear relation, but it's just my opinion. Sorry for negative answer. I hope I'm wrong and that some neuroanatomists provide more acurate responses!
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Dear ResearchGate,
Im in the look out for a highly viscous eeg/tACS gel and donut shaped tCS rubber carbon electrodes needed for my sleep study. Both of these are demonstrated in https://www.jove.com/video/53527/concurrent-electroencephalography-recording-during-transcranial
In regards to the donut shaped tCS electrodes i can't find them anywhere. Does anyone know who sells them? Additionally, is it safe to make them by hole punching a circular tCS electrode?
In regards to viscuous gel i've found some options but they either dont show/tell how viscuous it is or . Does anyone have any recommended brands?
Thank you for your help!
Regards,
Achilleas
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Thank you for your suggestion. I'll have a look on this Abralyt EEG paste
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Hey, I have a pulser from Prizmatix but i am not sure how to program it to generate different pulses of 1-200 Hz.
it would be nice if someone can have good idea about it.
thanks
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the pulses are defined in miliseconds, rather than HZ.
in order to program a 50 hz pulse, for instance, you need program a 20ms interval and a 20ms pulse duration.
the answer by refik is pretty accurate.
if you need pulses with decimal point timing (2.5ms, for instance) please contact PRIZMATIX support and we will provide you with a software update.
arie
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Can anyone tell whether 30Hz TBS may be used as an equivalent of 50Hz TBS? Some researchers (e.g. Wu et al.) suggest that the effects of 30Hz TBS at higher intensities (90 or 100% RMT) are roughly the same as compared to those when 50Hz is applied. The question is simply practical. Our stimulator is capable of reaching 50Hz only when the intensity is set at max 30%, which limits the number of potential subjects. Does any of you use 30Hz TBS? Thanks in advance.
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I don't have much experience with 30Hz TBS, and I doubt very many people do. The higher frequency burst in Human TBS were selected based on TBS protocols in hippocampal slices- frequencies higher than 50Hz provided no additional benefit (in a very small sample) according to YZH and JR. There is probably nothing special about 50Hz. However, it is worthwhile noting that the effects of 50Hz TBS are variable enough, without adding to the confusion!
TBS with  little studied frequency will irk reviewers, unless you have a 'check measure' - for example an MEP measure post TBS to ensure that you've modulated cortical excitability in the right direction. Also, it will be worth your while thinking of a valid reason (other than lack of appropriate equipment) to use a barely studied protocol over one with >1000 citations. A reviewer might ask, if you didn't have the right equipment for TBS could you have  used another protocol (old-fashioned 1hz) or NIBS modality (TDCS) instead?. TBS is not superior (or inferior) to these....
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Transcranial direct current stimulation (tDCS) induces an electrical field in the target zone of the brain, polarizing or depolarizing neurons. Actually tDCS protocols only consider current, time and sometimes current density as main variables to design therapeutic paradigms. Brain is a highly anysotropic mass and electrical fields, which are responsable of neuromodulation, are hardly calculated.
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Hi Carlos,
    EEG and ECoG have been previously used to monitor the response to tDCS.  If you are looking for the least invasive approach see this paper for reference on scalp EEG.
Best,
Trent
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How to measure oxytocin from 6-month old infants?
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Thank you for pointing out some practical issues, Amirouche. CSF seems to be a good idea. I am also considering other options, like salivary and plasma oxytocin. But I am not sure to what extent these three measures are correlated and reliable.
In general, I am interested in measuring oxytocin level from infants (2-6 months old) who have higher risks to develop autism. As such, I can test whether early oxytocin level can predict later developmental outcomes of autism, such as social impairment.
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Transcranial magnetic stimulation (TMS) is a neurostimulation and neuromodulation technique that has provided over two decades of data in focal, non-invasive brain stimulation based on the principles of electromagnetic induction. Its minimal risk, excellent tolerability and increasingly sophisticated ability to interrogate neurophysiology and plasticity make it an enviable technology for use in pediatric research with future extension into therapeutic trials. While adult trials show promise in using TMS as a novel, non-invasive, non-pharmacologic diagnostic and therapeutic tool in a variety of nervous system disorders, its use in children is only just emerging.
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Yes, it is just emerging. So far the results are promising but it is early. The variability in the damage and resulting reorganization of brain and spinal pathways may mean that the pattern of stimulation will likely have to differ for each child (e.g., inhibitory, excititory or both). Also it is not clear whether it should be paired with movement, what type of movement and for how long. Nonetheless, there are several groups making strides in the area.
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An interesting paper has been published on Journal of Neurosurgical Sciences.
The title is: Is there still a role for lesioning in functional neurosurgery: the Italian experience of delivering focused ultrasound high energy through a 1,5 tesla MR apparatus
Is there still a role for lesioning in functional neurosurgery?
Is neuromodulation a real "no lesion" treatment?
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Yes.  Decidedly yes. There are many patients with diseases whose conditions are not amenable to implanted electrodes for whom an ablative procedure can be very helpful.  There are, for example, elderly patients whose underlying cardiovascular disease mandates anticoagulant therapy that cannot be discontinued who may be candidates for radiosurgical treatment of a movement disorder, and patients with gelastic seizures from hypothalamic hamartomas that cannot be safely resected for whom an ablative or neuromodulatory radiosurgical procedure can improve seizure control.  Obsessive compulsive disorder and medial temporal lobe epilepsy have been successfully treated with Gamma Knife radiosurgery and musicians' dystonia is yet another condition that has been shown to be successfully treated by ablative neurosurgical procedures. 
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i would like to inject substance P intravenously in rats. i will use Substance P acetate salt hydrate from sigma-Aldrich. is it better to dissolve in water or saline. is it better to use intraperitoneal route.
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Im not sure for what purposes are you going to inject it (that depends is it going to be IV or IP) but any way for IV it MUST be dissolved in saline. For IP there are other vehicles that can be used besides saline but i have never seen that someone uses water as solvent!
all best
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Can you recommend materials on the subject mentioned in the questions' title for someone who just starts his journey with computer modelling of dynamic complex systems, such as nervous system? The question is asked  particularly in the context of current distribution over the brain matter, scalp, and skin, applied e.g in the tDCS, tACS or tRNS protocols. Thank you in advance.
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check out this essay about nervous system  with python, it might help you 
regards
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So to be a bit more specific, i'm looking for channels that are affected by 5-HT1a. Are there any resources, books etc.
Thank you for your help!
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Dear collegae,
One book I would certainly recomment is: "Stahl's Essential Psychopharmacology: Neuroscientific Basis and Practical Applications" (2013) by Stephen M. Stahl.
Another one: "Behavioral Pharmacology of 5-HT" by P Bevan et al., 2013.  
And finally, "The Serotonin Receptors: From Molecular Pharmacology to Human Therapeutics" by  Bryan L. Roth (2013)
Regards, M Arts 
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I'm looking for an (in vivo) optogenetics setup to illuminate one hemisphere of the mice brain with one light (i.e. blue for ChR2) and the other with a different wavelength (i.e. green for eArch3.0) using different patterns of stimulation. I have got some quotes from different companies but there are too many options to evaluate and I'm still not sure about what's the best:
1) Laser vs LED based system
2) Normal LED vs miniaturized LED
3) How much power (mW or mW/mm2) do I need at the end of the cannula for efficient stimulation of these channel?
Any comments will be very appreciated.
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Hi Dr. Roa,
By "patterns of stimulation," I'm assuming temporal patterns (e.g. pulses) through a fiber, not spatial patterning through a window.
Summary : I'd suggest a blue led coupled to a fiber for ChR2 and a green laser with a fast optical shutter for Arch3. LEDs are easier to drive, but a laser is probably required for inhibitory ion pumps.
1) LEDs have nearly nearly linear electrical current to optical power output, so if your study requires highly precise temporal patterns of stimulation, this would be the way to go. However, LEDs emit light in many directions, so it is difficult to focus the light into the fiber. The ability to couple a high percentage of the LED's output into a small diameter fiber, the coupling efficiency, is a key way to differentiate the available products.
Lasers can be coupled at a much higher efficiency. However, cheap diode lasers perform quite poorly when pulsed. A laser rated at 100 mW might only put out 3 mW when pulse for 1 ms. The best way to use a cheap dpss laser is to leave the laser on and then gate the light with a fast optical shutter. However, this approach can only be used for rectangular pulses, not arbitrary temporal patterns.
2.) I'm guessing that miniaturized LEDs help get more light into the end of the fiber. I hope someone else will comment on this. Might be the best solution.
3) If you can get >5 mW out of a 200 micrometer fiber, you'll have more than enough for the ChR2 studies, but inhibitory ion pumps require relatively more light. A green laser with an optical shutter would probably be best.
Additional considerations: Variations using LEDs and cranial windows may suffice if you are working in the cortex.
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I know UPDRS is the standard rating for clinical follow up. I am interested in any knowledge about imaging data or other means to quantify disease progression that is independant of clinical evaluation.
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Rosi - I think most clinicians are sill wedded to the dopamine story if only because it's an easy explanation for patients. Research has long switched to protein misfolding as the source of all the NDDs and conformational diseases in general. The relative failure, however, of drugs developed to reduce beta amyloid protein tangles to produce any lasting benefit to AD patients has damaged confidence in the (unwarranted) assumption that because all the NDDs are associated with protein tangles then their must be a causative connection. Research continues of course, but more circumspectly than before. There is an excellent review (BBA_Molecular_Basis_Diseases_1822_261.pdf) edited by Vladimir Uversky, that pulls it all together.
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tDCS is a technique I am going to be using as part of MSc and throughout my PhD and I am interested in the successes/failures people have had using this technique, experimentally (e.g., manipulating performance on specific tasks, improving outcomes for patients with brain damage).
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Due to strong inter individual differences in the tDCS effects I recommend using experimental designs with repeated measurements rather than comparing different samples. Usually I prefer testing an experimental group in which the effects of (e.g.) cathodal tDCS is investigated in one session and contrasting this effect with a second session (one week later and in randomized order to exclude carry over effects) using sham tDCS. Then we test a second experimental group comparing the opposite polarity with sham tDCS. Such a design allows computing the effect size of both polarities compared to sham tDCS, which is important for clinical studies. Also if possible try to measure some neurophysiological parameters in addition to the behavioral data. The notion that anodal tDCS increases and cathodal tDCS decreases cortical excitability has not always been observed.
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other than ITB, Spinal Cord Stimulation, FES
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N responded privately with a fantastic opporunity. I hope to present several diverse papers in the Berlin Conference in June. Thanks to N.