Visualizing tissue activated by electrical stimulation

• US 9,259,181 B2
• Filed: 03/14/2013
• Issued: 02/16/2016
• Est. Priority Date: 04/26/2012
• Status: Active Grant

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Molnar, Gabriela C., Lazarewicz, Maciej T.
• Primary Examiner(s): Koharski, Christopher D
• Assistant Examiner(s): KIMBALL, JEREMIAH T
• Application Number:
  US13/826,448
• Publication Number:
  US 20130289380A1
• Time in Patent Office: 1,069 Days
• Field of Search: 607/2, 607/45, 607/59
• US Class Current: 1/1
• CPC Class Codes: A61B 5/0036 including treatment, e.g., using an implantable medical device, ablating, ventilating
• CPC Class Codes: A61B 5/24 Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
• CPC Class Codes: A61B 5/4893 Nerves
• CPC Class Codes: A61B 5/7225 Details of analog processing, e.g. isolation amplifier, gain or sensitivity adjustment, filtering, baseline or drift compensation A61B5/30, A61B5/316 take precedence; transformers for specific applications H01F38/00; amplifiers H03F
• CPC Class Codes: A61B 5/742 using visual displays A61B5/339 takes precedence
• CPC Class Codes: A61B 5/7475 User input or interface means, e.g. keyboard, pointing device, joystick
• CPC Class Codes: A61N 1/3605 Implantable neurostimulators for stimulating central or peripheral nerve system
• CPC Class Codes: A61N 1/36146 specified by the stimulation parameters
• CPC Class Codes: A61N 1/36182 Direction of the electrical field, e.g. with sleeve around stimulating electrode
• CPC Class Codes: A61N 1/36185 Selection of the electrode configuration
• CPC Class Codes: A61N 1/37247 User interfaces, e.g. input or presentation means

Abstract

A visualization of an area or volume of tissue activated during stimulation according to a set of stimulation parameters is generated. The area or volume of activation is modeled based on a non-uniform grid of model neurons. Select portions of the grid have the model neurons more closely spaced, resulting in finer resolution graphical representation, while less closely spaced model neurons in other portions of the grid may avoid additional computation time.

Claims

1. A method comprising:

defining, using at least one processor, an electrical field solution within a preselected medium, the electrical field solution defined based on a configuration of at least one electrode;

generating a first grid of neuron representatives in association with the at least one electrode;

determining, using the at least one processor, an activation threshold value for each of the neuron representatives within the first grid of neuron representatives based on the electrical field solution;

based on the activation threshold values for pairs of adjacent neuron representatives, adding additional neuron representatives between at least some of the pairs of adjacent neuron representatives; and

generating a second grid of neuron representatives comprising the first grid of representatives, and the additional neuron representatives.

2. The method of claim 1, wherein adding additional neuron representatives between at least some pairs of adjacent neuron representatives comprises adding an additional neuron representative for each pair of adjacent neuron representatives for which a first neuron representative of the pair has an activation threshold value below a predetermined value and a difference between the activation threshold value of the first neuron representative and an activation threshold value of a second neuron representative of the pair is at least some predetermined amount greater than the predetermined value.

3. The method of claim 2, further comprising:

determining an activation threshold value for each additional neuron representative, wherein the additional neuron representative comprises a first additional neuron representative;

adding a second additional neuron representative to the second grid of neuron representatives between the first neuron representative and the first additional neuron representative in response to determining a difference between the activation threshold values of the first additional neuron representative and the first neuron representative is at least some predetermined amount greater than the predetermined value; and

adding a third additional neuron representative to the second grid of neuron representatives between the second neuron representative and the first additional neuron representative in response to determining the first additional neuron representative has an activation threshold value below the predetermined value and a difference in activation threshold values between the second neuron representative and the first additional neuron representative is at least some predetermined amount greater the predetermined value.

4. The method of claim 2, wherein the difference between the activation threshold value of the first neuron representative and an activation threshold of a second neuron representative of the pair is at least twice the predetermined value.

5. The method of claim 2, wherein the predetermined value is approximately 30 mA.

6. The method of claim 1, wherein the activation threshold value for each of the neuron representatives is determined for a particular electrical stimulation parameter value.

7. The method of claim 6, further comprising determining a plurality of activation threshold values for each neuron representative, and wherein each activation threshold value of the plurality of activation threshold values is associated with a different electrical stimulation parameter value.

8. The method of claim 6, wherein the electrical stimulation parameter is a pulse width.

9. The method of claim 1, wherein each neuron representative has a fiber orientation, the method further comprising determining the activation threshold value of each neuron representative based on the fiber orientation.

10. The method of claim 9, further comprising determining a plurality of activation threshold values for each neuron representative, and wherein each activation threshold value of the plurality of activation threshold values is associated with a different fiber orientation.

11. The method of claim 10, wherein each activation threshold value of the plurality of activation threshold values is associated with a fiber orientation between 0 and 90 degrees.

12. The method of claim 9, further comprising determining a plurality of activation threshold values for each neuron representative, and wherein each activation threshold value of the plurality of activation threshold values is associated with a fiber orientation and a stimulation parameter value combination.

13. The method of claim 1, wherein the electrical field is generated based on the Laplace equation ∇

·

σ

∇

V=0, wherein σ

equals an electrical conductivity of the preselected medium and V equals an extracellular potential.

14. The method of claim 1, further comprising:

generating a plurality of neuron representative grids, each grid being associated with a different electrode configuration; and

generating a look-up table comprising each neuron representative grid of the plurality of neuron representative grids.

15. The method of claim 1, further comprising:

determining a plurality of activation threshold values for each of the neuron representatives within the first grid of neuron representatives, each activation threshold value of the plurality of activation threshold values for each of the neuron representatives being associated with a respective one of a plurality of stimulation parameter values of electrical stimulation,

generating a set of activation threshold values for each stimulation parameter value of the plurality of stimulation parameter values, and

wherein adding additional neuron representatives between at least some of the pairs of adjacent neuron representatives comprises adding additional neuron representatives between at least some of the adjacent neuron representatives for each set of activation threshold values for the plurality of stimulation parameter values,

wherein the second grid of neuron representatives comprises the first grid and the additional neuron representatives for each set of activation threshold values for the plurality of stimulation parameter values.

16. The method of claim 1, wherein adding additional neuron representatives between at least some pairs of adjacent neuron representatives comprises adding an additional neuron representative for each pair of adjacent neuron representatives for which a difference between an activation threshold value of a first neuron representative and an activation threshold value of a second neuron representative of the pair is greater than a predetermined value.

17. A system comprising:

a processor configured to

define an electrical field solution within a preselected medium, the electrical field solution defined based on a configuration of least one electrode;

generate a first grid of neuron representatives in association with the at least one electrode;

determine an activation threshold value for each of the neuron representatives within the first grid of neuron representatives based on the electrical field solution;

add additional neuron representatives between at least some pairs of adjacent neuron representatives based on the activation threshold values for the pairs of adjacent neuron representatives; and

generate a second grid of neuron representatives comprising the first grid of representatives, and the additional neuron representatives; and

a memory configured to store the second grid of neuron representations.

18. The system of claim 17, wherein the processor is configured to add an additional neuron representative for each pair of adjacent neuron representatives when a first neuron representative of the pair has an activation threshold value below a predetermined value and a difference between the activation threshold value of the first neuron representative and an activation threshold value of a second neuron representative of the pair is at least some predetermined amount greater than the predetermined value.

19. The system of claim 18, wherein the processor is further configured to:

determine an activation threshold value for each additional neuron representative, wherein the additional neuron representative comprises a first additional neuron representative;

add a second additional neuron representative to the second grid of neuron representatives between the first neuron representative and the first additional neuron representative in response to a difference in activation threshold values between the first neuron representative and the first additional neuron representative being at least some predetermined amount greater than the predetermined value; and

add a third additional neuron representative to the second grid of neuron representatives between the second neuron representative and the first additional neuron representative in response to the first additional neuron representative having an activation threshold value below the predetermined value and a difference in activation threshold values between the first addition neuron representative and the second neuron representative being at least twice the predetermined value.

20. The system of claim 18, wherein the predetermined value is approximately 30 mA.

21. The system of claim 18, wherein the difference between the activation threshold value of the first neuron representative and an activation threshold of a second neuron representative of the pair is at least twice the predetermined value.

22. The system of claim 17, wherein the activation threshold value for each of the neuron representatives is determined for a particular electrical stimulation parameter value.

23. The system of claim 22, wherein the processor is further configured to determine a plurality of activation threshold values for each neuron representative, and wherein each of the plurality of activation threshold values is associated with a different electrical stimulation parameter value.

24. The system of claim 17, wherein each neuron representative has a fiber orientation, and the processor is further configured to determine the activation threshold value of each neuron representative based on the fiber orientation.

25. The system of claim 24, wherein the processor is further configured to determine a plurality of activation threshold values for each neuron representative, and wherein each activation threshold value of the plurality of activation threshold values is associated with a different fiber orientation.

26. The system of claim 25, wherein each activation threshold of the plurality of activation threshold values is associated with a fiber orientation between 0 and 90 degrees.

27. The system of claim 24, wherein the processor is further configured to determine a plurality of activation threshold values for each neuron representative, and wherein each activation threshold value of the plurality of activation threshold values is associated with a fiber orientation and stimulation parameter value combination.

28. The system of claim 17, wherein the electrical field solution is generated based on the Laplace equation ∇

·

σ

∇

V=0, wherein σ

equals an electrical conductivity of the preselected medium and V equals an extracellular potential.

29. The system of claim 17, wherein the processor is further configured to

generate a plurality of neuron representative grids, each grid associated with a different electrode configuration;

and

generate a look-up table comprising each neuron representative grid of the plurality of neuron representative grids.

30. The system of claim 17, wherein the processor is further configured to

determine a plurality of activation threshold values for each of the neuron representatives within the first grid of neuron representatives, each activation threshold value of the plurality of activation threshold values for each of the neuron representatives being associated with a respective one of a plurality of stimulation parameter values;

generate a set of activation threshold values for each of the plurality of stimulation parameter values; and

wherein adding additional neuron representatives between at least some of the pairs of adjacent neuron representatives, comprises adding additional neuron representatives between at least some of the adjacent neuron representatives for each set of activation threshold values for the plurality of stimulation parameter values, and

wherein the second grid of neuron representatives comprises the first grid and the additional neuron representatives for each set of activation threshold values for the plurality of stimulation parameter values.

31. The system of claim 17, further comprising:

a display configured to present a rendered image of an area activated by electrical stimulation; and

an implantable stimulator configured to provide electrical stimulation according to a set of one or more stimulation parameters.

32. A system comprising:

means for defining an electrical field to be generated by electrical stimulation within a preselected medium the electrical field solution defined based on a configuration of at least one electrode;

means for generating a first grid of neuron representatives in association with the at least one electrode;

means for determining an activation threshold value for each of the neuron representatives within the first grid of neuron representatives based on the electrical field solution;

means for adding additional neuron representatives between at least some of pairs of adjacent neuron representatives based on the activation threshold values for the pairs of adjacent neuron representatives; and

means for generating a second grid of neuron representatives comprising the first grid of representatives, and the additional neuron representatives.

33. The system of claim 32, wherein adding additional neuron representatives between at least some pairs of adjacent neuron representatives comprises adding an additional neuron representative for each pair of adjacent neuron representatives for which a first neuron representative of the pair has an activation threshold value below a predetermined value and a difference between the activation threshold value of the first neuron representative and an activation threshold value of a second neuron representative of the pair is at least twice the predetermined value.

34. The system of claim 33, further comprising

means for determining an activation threshold value for each additional neuron representative, wherein the additional neuron representative comprises a first additional neuron representative;

means for adding a second additional neuron representative to the second grid of neuron representatives between the first neuron representative and the first additional neuron representative in response to determining a difference between the activation threshold values of the first additional neuron representative and the first neuron representative is at least twice the predetermined value; and

means for adding a third additional neuron representative to the second grid of neuron representatives between the second neuron representative and the first additional neuron representative in response to determining the first additional neuron representative has an activation threshold value below the predetermined value and a difference in activation threshold values between the second neuron representative and the first additional neuron representative is at least twice the predetermined value.

35. A non-transitory computer readable storage medium comprising a set of instructions, that, when executed by a processor, cause the programmable processor to:

define an electrical field to be generated by electrical stimulation within a preselected medium, the electrical field solution defined based on a configuration of at least one electrode;

generate a first grid of neuron representatives in association with the at least one electrode;

determine an activation threshold value for each of the neuron representatives within the first grid of neuron representatives based on the electrical field solution;

add additional neuron representatives between at least some pairs of adjacent neuron representatives based on the activation threshold values for the pairs of adjacent neuron representatives; and

generate a second grid of neuron representatives comprising the first grid of representatives, and the additional neuron representatives.

36. The computer readable storage medium of claim 35, wherein the set of instructions, when executed by a processor, further cause the programmable processor to add an additional neuron representative for each pair of adjacent neuron representatives wherein a first neuron representative of the pair has an activation threshold value below a predetermined value and a difference between the activation threshold value of the first neuron representative and an activation threshold value of a second neuron representative of the pair is at least twice the predetermined value.