Methods and system for targeted brain stimulation using electrical parameter maps

• US 9,037,256 B2
• Filed: 08/31/2012
• Issued: 05/19/2015
• Est. Priority Date: 09/01/2011
• Status: Active Grant

• Current Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Inventors: Bokil, Hemant Sharad
• Primary Examiner(s): Lavert, Nicole F
• Application Number:
  US13/600,855
• Publication Number:
  US 20130060305A1
• Time in Patent Office: 991 Days
• Field of Search: 607/45, 607/62
• US Class Current: 607/62
• CPC Class Codes: A61N 1/0529 Electrodes for brain stimulation
• CPC Class Codes: A61N 1/0551 Spinal or peripheral nerve electrodes
• CPC Class Codes: A61N 1/36146 specified by the stimulation parameters

Abstract

A system and method for selecting optimal stimulation parameter settings for a therapeutic neural stimulation for a current patient may include obtaining, by at least one processor, electrical parameter maps and corresponding score values of a patient population, and processing, by the at least one processor, the parameter maps and the score values to evaluate, based on a set of score criteria, parameter maps associated with potential stimulation parameter settings.

Claims

1. A system for selecting optimal stimulation parameter settings for a current patient, comprising:

at least one computer processor configured to;

obtain a plurality of electrical parameter maps and corresponding score values from a plurality of patients including the current patient, each electrical parameter map corresponding to a one of the plurality of patients and representing different sets of one or more electrical stimulation parameters, wherein each of the score values is associated with one of the different sets of one or more electrical stimulation parameters and represents a behavior of the patient upon electrical stimulation using that set of one or more electrical stimulation parameters; and

process the electrical parameter maps and the score values to evaluate, based on a set of score criteria, potential parameter maps, including a potential parameter map that is different than all of the plurality of electrical parameter maps, associated with respective potential stimulation parameter settings.

2. The system of claim 1, wherein at least one of the potential parameter maps is calculated based on simulated stimulation parameter settings.

3. The system of claim 1, wherein each electrical parameter map is an electric field map that includes voxels containing voltage values.

4. The system of claim 1, wherein each electrical parameter map is an electric field map that includes voxels containing second differences of voltage values.

5. The system of claim 1, wherein each electrical parameter map is an electric field map that includes voxels containing second derivatives of voltage values, taken along estimated directions of fiber pathways in a brain region to which the field map corresponds.

6. The system of claim 1, wherein each electrical parameter map is a current density map that includes voxels containing current values.

7. The system of claim 1, wherein each electrical parameter map is an activating function map that includes voxels containing activating function values.

8. The system of claim 1, wherein the set of score criteria includes at least one user-input score criterion.

9. The system of claim 1, wherein the set of score criteria includes at least one score criterion that is predetermined based on a clinical profile of the current patient.

10. The system of claim 1, wherein the score values include, for each of at least a subset of the electric parameter maps, a plurality of score values, different ones of the plurality of score values corresponding to different behavior categories.

11. The system of claim 1, wherein only the electrical parameter maps of patients who are similarly-situated to the current patient are processed.

12. The system of claim 1, wherein the processing of the electrical parameter maps comprises:

thresholding the electrical parameter maps based on the score criteria to extract a set of parameter maps that meet the score criteria; and

generating a weighted average parameter map, as one of the potential parameter maps, as a function of parameter map values and respective score values corresponding to the extracted parameter maps that meet the score criteria.

13. The system of claim 12, wherein the optimal stimulation parameter settings are selected based on a determination that the optimal stimulation parameter settings will generate a potential parameter map that best matches the weighted average parameter map compared to potential parameter maps corresponding to other tested stimulation parameter settings.

14. The system of claim 12, wherein each value of the weighted average parameter map is generated by averaging a product V ×

S for all of the extracted parameter maps, where V is a corresponding parameter map value and S is a respective derived score value derived from the score values corresponding to the respective extracted parameter map from which the corresponding parameter map value V is obtained.

15. The system of claim 14, wherein the derived score value S is a single score value selected from the score values of the respective extracted parameter map from which the corresponding parameter map value V is obtained.

16. The system of claim 14, wherein the derived score value S is derived from a combination of the score values of the respective extracted parameter map from which the corresponding parameter map value V is obtained.

17. The system of claim 1. each of the plurality of electrical parameter maps is a spatial distribution of electrical values, which the processor associated with a respective set of stimulation parameter settings, the processing of the electrical parameter maps includes analyzing a correspondence between the plurality of spatial distributions of electrical values to their corresponding score values, and the processor is configured to select, based on the set of score criteria, stimulation parameter settings estimated to produce an electrical distribution which the analysis indicates would satisfy the score criteria.

18. The system of claim 1, wherein the processing of the electrical parameter map comprises:

for each of at least a subset of the electrical parameter maps, performing a series expansion to generate for each electrical parameter map a set of expansion terms, each expansion term including a mathematical function and a corresponding coefficient value ;

performing a regression analysis to determine a probabilistic relationship between coefficient values and score values specified by at least one of the score criteria; and

based on the probabilistic relationship, determining which of a plurality of coefficient sets corresponding to the electrical parameter maps of the current patient provides score values that best meets the score values specified by the at least one of the score criteria.

19. The system of claim 18, wherein the processing of the electrical parameter maps further comprises:

generating at least one target coefficient set by selecting coefficient values that most-closely relate to the score values specified by the at least one of the score criteria;

determining which of the plurality of coefficient sets of the current patient best matches at least one of the generated target coefficient sets; and

selecting settings associated with the matching coefficient set.

20. The system of claim 18, wherein the processing of the electrical parameter maps further comprises:

generating a score prediction function based on the probabilistic relationship;

using the score prediction function, calculating a set of predicted scores for each of the plurality of coefficient sets of the current patient;

determining which of a plurality of coefficient sets of the current patient has a predicted score set that best meets the score values specified by the at least one of the score criteria; and

selecting settings associated with the coefficient set that has the best meeting predicted score set.

21. The system of claim 18, wherein the series expansion is a Fourier-Bessel expansion and each coefficient value corresponds to a complex exponential function, a real exponential f unction and a Bessel function.

22. The system of claim 18, wherein the series expansion is a Fourier-Spherical Harmonics expansion and each coefficient value corresponds to a complex exponential function and a spherical harmonics function.

23. The system of claim 18, wherein each coefficient value indicates a degree to which a respective mathematical function reflects the electrical parameter map to which the set of coefficient values that contains the coefficient value corresponds.

24. The system of claim 18, wherein the regression analysis is performed using one of a generalized additive model or a generalized linear model.

25. The system of claim 18, wherein the regression analysis is performed using a uni-variate regression model for each score value specified by the at least one score criteria.

26. The system of claim 18, wherein the regression analysis is performed using a single, multi-variate regression model that indicates a relationship between the coefficient values and a plurality of score values specified by the at least one score criteria.

27. A computer-implemented method for selecting optimal stimulation parameter settings for a current patient, comprising:

obtaining, by a computer processor, a plurality of electrical parameter maps and corresponding score values from a plurality of patients including the current patient, each electrical parameter map corresponding to a one of the plurality of patients and representing different sets of one or more electrical stimulation parameters, wherein each of the score values is associated with one of the different sets of one or more electrical stimulation parameters and represents a behavior of the patient upon electrical stimulation using that set of one or more electrical stimulation parameters; and

processing, by the computer processor, the electrical parameter maps and the score values to evaluate, based on a set of score criteria, potential parameter maps, including a potential parameter map that is different than all of the plurality of electrical parameter maps, associated with respective potential stimulation parameter settings.

28. A non-transitory hardware-implemented computer-readable storage medium having stored thereon a series of instructions executable by a processor, the instructions which, when executed, cause the processor to perform a method for selecting optimal stimulation parameter settings for a current patient, the method comprising:

obtaining a plurality of electrical parameter maps and corresponding score values from a plurality of patients including the current patient, each electrical parameter map corresponding to a one of the plurality of patients and representing different sets of one or more electrical stimulation parameters, wherein each of the score values is associated with one of the different sets of one or more electrical stimulation parameters and represents a behavior of the patient upon electrical stimulation using, that set of one or more electrical stimulation parameters; and

processing the electrical parameter maps and the score values to evaluate, based on a set of score criteria, potential parameter maps, including , a potential parameter map that is different than all of the plurality of electrical parameter maps, associated with respective potential stimulation parameter settings.