Systems and methods for analyzing electrical stimulation and selecting or manipulating volumes of activation

• US 9,956,419 B2
• Filed: 05/24/2016
• Issued: 05/01/2018
• Est. Priority Date: 05/26/2015
• Status: Active Grant

• Current Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Inventors: Bokil, Hemant
• Primary Examiner(s): Gedeon, Brian T
• Application Number:
  US15/163,581
• Publication Number:
  US 20160346557A1
• Time in Patent Office: 707 Days
• Field of Search: None
• CPC Class Codes: A61N 1/0534 Electrodes for deep brain stimulation
• CPC Class Codes: A61N 1/0551 Spinal or peripheral nerve electrodes
• CPC Class Codes: A61N 1/3605 Implantable neurostimulators for stimulating central or peripheral nerve system
• CPC Class Codes: A61N 1/36135 using physiological parameters
• CPC Class Codes: A61N 1/36182 Direction of the electrical field, e.g. with sleeve around stimulating electrode
• CPC Class Codes: A61N 1/37247 User interfaces, e.g. input or presentation means

Abstract

A system for identifying potential portions of a body in which electrical stimulation to treat a condition or disorder affects at least one symptom of the condition or disorder, stimulation effect, or side effect performs the following acts: obtaining, for each of multiple stimulation instances, an estimation of a region of the body stimulated during the stimulation instance and a score for each of at least one symptom, stimulation effect, or stimulation side effect; and determining, for each of multiple portions of the body using the scores and the estimates in a permutation test, a likelihood that stimulation of that portion of the body affects at least one symptom, stimulation effect, or stimulation side effect. In other embodiments, the system sets up a relationship between the outcomes of stimulation and influence of a particular part of the body on the outcome, and derives this influence using a pseudoinverse.

Claims

1. A system for identifying portions of a body in which electrical stimulation of that portion of the body to treat a condition or disorder affects at least one of at least one symptom of the condition or disorder, stimulation effect, or side effect, the system comprising:

a computer processor configured and arranged to perform the following acts;

obtaining, for each of a plurality of stimulation instances, an estimation of a region of the body stimulated during the stimulation instance and a score for each of at least one symptom of the condition or disorder, stimulation effect, or stimulation side effect;

determining, for each of a plurality of portions of the body using the scores and the estimates in a permutation test, a likelihood that stimulation of that portion of the body affects at least one symptom of the condition or disorder, stimulation effect, or stimulation side effect; and

storing or displaying the determined likelihoods to identify which portions of the body, when electrically stimulated, affect the at least one of the at least one symptom of the condition or disorder, stimulation effect, or stimulation side effect.

2. The system of claim 1, wherein the acts further include obtaining the plurality of stimulation instances and, for each stimulation instance, a set of stimulation parameters.

3. The system of claim 1, wherein obtaining an estimation of a region of the body stimulated during the stimulation instance comprises estimating the region of the body stimulated during the stimulation instance based on stimulation parameters used during the stimulation instance.

4. The system of claim 1, wherein determining a likelihood comprises forming a matrix for a selected portion of the body and for a selected symptom of the condition or disorder, stimulation effect, or stimulation side effect, the matrix comprising a plurality of rows and columns, wherein one of the columns or rows corresponds to each stimulation instance, wherein, for each of a plurality of the stimulation instances, a first entry in a column or row indicates whether the selected portion of the body is stimulated in that stimulation instance and a second entry in the column or row corresponds to the score for the selected symptom of the condition or disorder, stimulation effect, or side effect for that stimulation instance.

5. The system of claim 4, wherein determining a likelihood further comprises determining a likelihood that a null hypothesis is invalid, wherein the null hypothesis is that the selected portion of the body does not influence the scores for the selected symptom of the condition or disorder, stimulation effect, or side effect.

6. The system of claim 4, wherein determining a likelihood further comprises determining a difference between scores where the selected portion of the body is stimulated and scores where the selected portion of the body is not stimulated.

7. The system of claim 6, wherein determining a likelihood further comprises randomizing the second entries with respect to the first entries to form a plurality of additional matrices.

8. The system of claim 7, wherein determining a likelihood further comprises generating a distribution based on the matrix and the plurality of additional matrices.

9. The system of claim 2, wherein obtaining the plurality of stimulation instances comprises obtaining the plurality of stimulation instances from a plurality of patients.