Evidence map›Paper›PMID 29126946›Full record

ArticleBrain stimulation

Sensory percepts induced by microwire array and DBS microstimulation in human sensory thalamus.

Brandon D Swan, Lynne B Gasperson, Max O Krucoff, Warren M Grill, Dennis A Turner

Open access · greenAbstract read
In one paragraph

Article in Brain stimulation. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.6field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 31 citations in OpenAlex.

  1. Clinical Applications and Future Translation of Somatosensory Neuroprostheses.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2024
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  4. Restoration of sensory information via bionic hands.Nature biomedical engineering · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Brandon D SwanDepartment of Biomedical Engineering, Duke University, Durham, NC 27710, United States.
Lynne B GaspersonDepartment of Neurosurgery, Duke University Medical Center, Durham, NC 27710, United States.
Max O KrucoffDepartment of Neurosurgery, Duke University Medical Center, Durham, NC 27710, United States.
Warren M GrillDepartment of Neurosurgery, Duke University Medical Center, Durham, NC 27710, United States; Department of Neurobiology, Duke University Medical Center, Durham, NC 27710, United States; Department of Biomedical Engineering, Duke University, Durham, NC 27710, United States.
Dennis A TurnerDepartment of Neurosurgery, Duke University Medical Center, Durham, NC 27710, United States; Department of Neurobiology, Duke University Medical Center, Durham, NC 27710, United States; Department of Biomedical Engineering, Duke University, Durham, NC 27710, United States. Electronic address: dennis.turner@duke.edu.
Duke University · USDuke Medical Center · US

Funding

Scalar Closed-Loop STN/GPi DBS Based on Evoked and Spontaneous PotentialsUH3NS103468 · NINDS · DUKE UNIVERSITY · PI TURNER, DENNIS ALAN · 2017 to 2021
$2.0M
NINDS Research Education Programs for Residents and Fellows in NeurosurgeryR25NS065731 · NINDS · DUKE UNIVERSITY · PI FECCI, PETER, HASAN, DAVID M. · 2009 to 2023
$968k
Realistic Human Perception of Spatio-Temporal Thalamic MicrostimulationR21NS066115 · NINDS · DUKE UNIVERSITY · PI TURNER, DENNIS ALAN · 2010 to 2011
$413k
NINDS NIH HHS R21 NS066115NINDS NIH HHS R25 NS065731NINDS NIH HHS UH3 NS103468
6 · The paper itself

Abstract

backgroundMicrostimulation in human sensory thalamus (ventrocaudal, VC) results in focal sensory percepts in the hand and arm which may provide an alternative target site (to somatosensory cortex) for the input of prosthetic sensory information. Sensory feedback to facilitate motor function may require simultaneous or timed responses across separate digits to recreate perceptions of slip as well as encoding of intensity variations in pressure or touch.

objectivesTo determine the feasibility of evoking sensory percepts on separate digits with variable intensity through either a microwire array or deep brain stimulation (DBS) electrode, recreating "natural" and scalable percepts relating to the arm and hand.

methodsWe compared microstimulation within ventrocaudal sensory thalamus through either a 16-channel microwire array (∼400 kΩ per channel) or a 4-channel DBS electrode (∼1.2 kΩ per contact) for percept location, size, intensity, and quality sensation, during thalamic DBS electrode placement in patients with essential tremor.

resultsPercepts in small hand or finger regions were evoked by microstimulation through individual microwires and in 5/6 patients sensation on different digits could be perceived from stimulation through separate microwires. Microstimulation through DBS electrode contacts evoked sensations over larger areas in 5/5 patients, and the apparent intensity of the perceived response could be modulated with stimulation amplitude. The perceived naturalness of the sensation depended both on the pattern of stimulation as well as intensity of the stimulation.

conclusionsProducing consistent evoked perceptions across separate digits within sensory thalamus is a feasible concept and a compact alternative to somatosensory cortex microstimulation for prosthetic sensory feedback. This approach will require a multi-element low impedance electrode with a sufficient stimulation range to evoke variable intensities of perception and a predictable spread of contacts to engage separate digits.

Indexed as

Touch PerceptionDeep Brain StimulationElectrodes, ImplantedFeedback, PhysiologicalFemaleHumansMaleSomatosensory CortexThalamusTouchArtificial sensationBrain machine interfaceNeuroprostheticsProprioceptionSensory encodingSensory prosthetic

Identifiers

PMID29126946
PMCPMC5803348
OpenAlexW2765142948

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.