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      An intra-neural microstimulation system for ultra-high field magnetic resonance imaging and magnetoencephalography

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          Highlights

          • We propose an intra-neural microstimulation system for 7 T fMRI and MEG.

          • This custom-built system removes issues with existing equipment.

          • It provides efficient work-flow and improved participant comfort and safety.

          • Stimulating single mechanoreceptors evokes activity in 7 T fMRI and MEG.

          • Responses to unitary stimulation are shown for the first time in MEG.

          Abstract

          Background

          Intra-neural microstimulation (INMS) is a technique that allows the precise delivery of low-current electrical pulses into human peripheral nerves. Single unit INMS can be used to stimulate individual afferent nerve fibres during microneurography. Combining this with neuroimaging allows the unique monitoring of central nervous system activation in response to unitary, controlled tactile input, with functional magnetic resonance imaging (fMRI) providing exquisite spatial localisation of brain activity and magnetoencephalography (MEG) high temporal resolution.

          New method

          INMS systems suitable for use within electrophysiology laboratories have been available for many years. We describe an INMS system specifically designed to provide compatibility with both ultra-high field (7 T) fMRI and MEG. Numerous technical and safety issues are addressed. The system is fully analogue, allowing for arbitrary frequency and amplitude INMS stimulation.

          Results

          Unitary recordings obtained within both the MRI and MEG screened-room environments are comparable with those obtained in ‘clean’ electrophysiology recording environments. Single unit INMS (current <7 μA, 200 μs pulses) of individual mechanoreceptive afferents produces appropriate and robust responses during fMRI and MEG.

          Comparison with existing method(s)

          This custom-built MRI- and MEG-compatible stimulator overcomes issues with existing INMS approaches; it allows well-controlled switching between recording and stimulus mode, prevents electrical shocks because of long cable lengths, permits unlimited patterns of stimulation, and provides a system with improved work-flow and participant comfort.

          Conclusions

          We demonstrate that the requirements for an INMS-integrated system, which can be used with both fMRI and MEG imaging systems, have been fully met.

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          Most cited references18

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          Basic mathematical and electromagnetic concepts of the biomagnetic inverse problem

          J Sarvas (1987)
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            Properties of cutaneous mechanoreceptors in the human hand related to touch sensation.

            Recordings from single peripheral nerve fibres made it possible to analyse the functional properties of tactile afferent units supplying the glabrous skin of the human hand and to assess directly the relation between impulse discharge and perceptive experiences. The 17,000 tactile units in this skin area of the human hand are of four different types: two fast adapting types, FA I and FA II (formerly RA and PC), and two slowly adapting types, SA I and SA II. The receptive field characteristics and the densities in the skin of the type I units (FA I and SA I) indicate that these account for the detailed spatial resolution that is of paramount importance for the motor skill and the explorative role of the hand. The relationship between the stimulus amplitude and perceived intensity during sustained skin indentations did not match the corresponding stimulus response functions of SA units suggesting non-linear transformations within the central nervous system. These transformations, in turn, appear to vary between subjects. A single impulse in a single FA I unit may be felt when originating from the most important tactile regions of the hand, indicating that the psychophysical detection may be set by the threshold of the sense organs. Moreover, no significant noise seems to be superimposed in the respective central sensory pathways.
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              Transcutaneous Electrical Nerve Stimulation: Mechanisms, Clinical Application and Evidence

              Transcutaneous electrical nerve stimulation (TENS) is a non-invasive, inexpensive, self-administered technique to relieve pain.There are few side effects and no potential for overdose so patients can titrate the treatment as required.TENS techniques include conventional TENS, acupuncture-like TENS and intense TENS. In general, conventional TENS is used in the first instance.The purpose of conventional TENS is to selectively activate large diameter non-noxious afferents (A-beta) to reduce nociceptor cell activity and sensitization at a segmental level in the central nervous system.Pain relief with conventional TENS is rapid in onset and offset and is maximal when the patient experiences a strong but non-painful paraesthesia beneath the electrodes. Therefore, patients may need to administer TENS throughout the day.Clinical experience suggests that TENS may be beneficial as an adjunct to pharmacotherapy for acute pain although systematic reviews are conflicting. Clinical experience and systematic reviews suggest that TENS is beneficial for chronic pain.
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                Author and article information

                Contributors
                Journal
                J Neurosci Methods
                J. Neurosci. Methods
                Journal of Neuroscience Methods
                Elsevier/North-Holland Biomedical Press
                0165-0270
                1872-678X
                01 October 2017
                01 October 2017
                : 290
                : 69-78
                Affiliations
                [a ]Sir Peter Mansfield Imaging Centre, University of Nottingham, Nottingham, NG7 2RD, UK
                [b ]Department of Physiology, University of Gothenburg, Gothenburg, 40530, Sweden
                [c ]Laboratoire de Neurosciences Intégratives et Adaptatives (UMR 7260), Aix-Marseille Université − CNRS, 13331 Marseille CEDEX 03, France
                [d ]School of Natural Sciences and Psychology, Liverpool John Moores University, Liverpool, L3 3AF, UK
                [e ]Institute of Psychology, Health & Society, Liverpool University, L3 5DA, UK
                Author notes
                [* ]Corresponding author at: The Sir Peter Mansfield Imaging Centre, School of Physics and Astronomy, University of Nottingham, Nottingham. NG7 2RD. UK.Sir Peter Mansfield Imaging CentreUniversity of NottinghamNottinghamNG7 2RDUK Paul.Glover@ 123456Nottingham.ac.uk
                Article
                S0165-0270(17)30259-5
                10.1016/j.jneumeth.2017.07.016
                5594527
                28743633
                b03f9bb5-9fce-4793-8d8d-0e15988d10d0
                © 2017 The Author(s)

                This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).

                History
                : 1 March 2017
                : 19 June 2017
                : 19 July 2017
                Categories
                Research Paper

                Neurosciences
                instrumentation,stimulus generation,low-noise amplifier,nerve stimulation,magnetoencephalography,functional magnetic resonance imaging,ultra-high magnetic field,human,microneurography,tactile,touch,low-threshold mechanoreceptor

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