Systems and methods for determining volume of activation for spinal cord and peripheral nerve stimulation

• US 8,606,360 B2
• Filed: 04/30/2010
• Issued: 12/10/2013
• Est. Priority Date: 03/09/2006
• Status: Active Grant

• Current Assignee: Cleveland Clinic Foundation
• Original Assignee: Cleveland Clinic Foundation
• Inventors: Butson, Christopher R., Maks, Christopher B., McIntyre, Cameron C.
• Primary Examiner(s): Bertram, Eric D.
• Assistant Examiner(s): Dinga, Roland
• Application Number:
  US12/662,722
• Publication Number:
  US 20110066407A1
• Time in Patent Office: 1,320 Days
• Field of Search: 607 45- 46, 607/117
• US Class Current: 607/45
• CPC Class Codes: A61B 5/053 Measuring electrical impedance or conductance of a portion of the body
• CPC Class Codes: A61B 5/0538 invasively, e.g. using a catheter
• CPC Class Codes: A61B 5/407 Evaluating the spinal cord A61B5/4896 takes precedence
• CPC Class Codes: A61B 5/7217 of noise originating from a therapeutic or surgical apparatus, e.g. from a pacemaker
• CPC Class Codes: A61B 5/7257 using Fourier transforms
• CPC Class Codes: A61N 1/0534 Electrodes for deep brain stimulation
• CPC Class Codes: G06F 30/23 using finite element methods [FEM] or finite difference methods [FDM]

Abstract

This document discloses, among other things, systems and methods for determining volume of activation for spinal cord stimulation (“SCS”) using a finite element model (FEM) circuit to determine a FEM of an implanted electrode and a spinal cord in which the electrode is implanted, a Fourier FEM solver circuit to calculate a potential distribution in the spinal cord using information from the FEM circuit and a capacitive component of at least one of the implanted electrode and the spinal cord, and a volume of activation (VOA) circuit to predict a VOA using the potential distribution and a neuron model.

Claims

1. A computer system comprising:

a processor that is configured to execute;

a finite element model (FEM) module to determine a FEM that models an implanted electrode and a spinal cord in which the electrode is implanted;

a Fourier FEM solver module to calculate a potential distribution in the spinal cord using information obtained by the execution of the FEM module and a capacitive component of at least one of the electrode and the spinal cord, wherein, with the execution of the Fourier FEM solver module, the processor is configured to;

separate a stimulus waveform into frequency components;

obtain a solution of a Poisson equation at at least one frequency component with a stiffness matrix (σ

+iω

), wherein the stiffness matrix is representative of the capacitive component of the at least one of the electrode and the spinal cord; and

use the solution to reassemble the stimulus waveform; and

a volume of activation (VOA) module to provide a predicted VOA using the potential distribution and a neuron model.

2. The system of claim 1, wherein, with the execution of the Fourier FEM solver module, the processor is configured to calculate the potential distribution in the spinal cord using information obtained by the execution of the FEM module and the capacitive component of the electrode.

3. The system of claim 1, wherein, with the execution of the Fourier FEM solver module, the processor is configured to calculate the potential distribution in the spinal cord using information obtained by the execution of the FEM module and the capacitive component of the spinal cord.

4. The system of claim 1, wherein:

with the execution of the FEM module, the processor is configured to determine a FEM that models the electrode, the spinal cord, and an electrode-tissue interface; and

with the execution of the Fourier FEM solver module, the processor is configured to calculate the potential distribution in the spinal cord using information obtained by the execution of the FEM module and the capacitive component of at least one of the electrode, the spinal cord, and the electrode-tissue interface.

5. The system of claim 4, wherein, with the execution of the Fourier FEM solver module, the processor is configured to calculate the potential distribution in the spinal cord using information obtained by the execution of the FEM module and the capacitive component of the electrode-spinal cord interface.

6. The system of claim 5, wherein the electrode-spinal cord interface includes an encapsulation area around the electrode.

7. The system of claim 1, wherein, with the execution of the Fourier FEM solver module, the processor is configured to calculate the potential distribution in the spinal cord in both time and space.

8. The system of claim 1, wherein, with the execution of the VOA module, the processor is configured to interpolate the potential distribution onto a plurality of model axons.

9. The system of claim 1, wherein, with the execution of the VOA module, the processor is configured to predict a VOA using multiple stimulation waveforms.

10. The system of claim 1, wherein the processor is configured to:

execute an impedance module to calculate an impedance by dividing a stimulation voltage by an integrated current density along an active electrode contact; and

calculate a potential distribution using the calculated impedance.

11. A non-transitory computer-readable storage medium, including instructions that, when performed by a computer, cause the computer to:

determine a finite element model (FEM) of an implanted electrode and a spinal cord in which the electrode is implanted;

calculate a potential distribution in the spinal cord using a Fourier FEM solver and a capacitive component of at least one of the electrode and the spinal cord, wherein, the calculating includes;

separating a stimulus waveform into frequency components;

obtaining a solution of a Poisson equation at at least one frequency component with a stiffness matrix (σ

+iω

), wherein the stiffness matrix is representative of the capacitive component of the at least one of the electrode and the spinal cord; and

using the solution to reassemble the stimulus waveform; and

predict a volume of activation (VOA) using the potential distribution and a neuron model.

12. A computer system comprising:

a processor that is configured to;

determine a finite element model (FEM) of an implanted electrode and a spinal cord in which the electrode is implanted;

calculate a potential distribution in the spinal cord using a Fourier FEM solver and a capacitive component of at least one of the electrode and the spinal cord, wherein, the calculating includes;

separating a stimulus waveform into frequency components;

obtaining a solution of a Poisson equation at at least one frequency component with a stiffness matrix (σ

+iω

), wherein the stiffness matrix is representative of the capacitive component of the at least one of the electrode and the spinal cord; and

using the solution to reassemble the stimulus waveform; and

predict a volume of activation (VOA) using the potential distribution and a neuron model.

13. A computer-assisted method comprising:

determining, by a computer processor, a finite element model (FEM) of an implanted electrode and a spinal cord in which the electrode is implanted;

calculating, by the processor, a potential distribution in the spinal cord using a Fourier FEM solver and a capacitive component of at least one of the electrode and the spinal cord, wherein, the calculating includes;

separating a stimulus waveform into frequency components;

obtaining a solution of a Poisson equation at at least one frequency component with a stiffness matrix (σ

+iω

), wherein the stiffness matrix is representative of the capacitive component of the at least one of the electrode and the spinal cord; and

using the solution to reassemble the stimulus waveform; and

predicting, by the processor, a volume of activation (VOA) using the potential distribution and a neuron model.

14. The method of claim 13, wherein the calculating the potential distribution in the spinal cord includes using the Fourier FEM solver and the capacitive component of the electrode.

15. The method of claim 13, wherein the calculating the potential distribution in the spinal cord includes using the Fourier FEM solver and the capacitive component of the spinal cord.

16. The method of claim 13, wherein:

the determining the FEM includes determining a FEM of the electrode, the spinal cord, and an electrode-spinal cord interface; and

the calculating the potential distribution in the spinal cord includes using the Fourier FEM solver and a capacitive component of at least one of the electrode, the spinal cord, and the electrode-spinal cord interface.

17. The method of claim 16, wherein the calculating the potential distribution in the spinal cord includes using the Fourier FEM solver and the capacitive component of the electrode-spinal cord interface.

18. The method of claim 17, wherein the using the capacitive component of the electrode-spinal cord interface includes using the capacitive component of an encapsulation layer around the electrode.

19. The method of claim 13, wherein the calculating the potential distribution in the spinal cord includes calculating the potential distribution in the spinal cord in both time and space.

20. The method of claim 13, wherein the using the potential distribution and the neuron model includes interpolating the potential distribution onto a plurality of model axons.

21. The method of claim 13, wherein the predicting the VOA includes using multiple stimulation waveforms.

22. The method of claim 13, including calculating an impedance by dividing a stimulation voltage by an integrated current density along an active electrode contact, wherein the calculating the potential distribution includes using the calculated impedance.