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Brain Sensors

Sensor platform detects dopamine in sweat; could be used for future treatment

Penn State’s Aida Ebrahimi and Maurico Terrones, RPI’s Humberto Terrones, and colleagues, have developed a highly sensitive, non-invasive wearable Dopamine sensor platform. The goal is the use of the technology to develop wearable sensors able to track and eventually treat conditions caused by too much (ie schizophrenia) or too little (ie Parkinson’s, depression) dopamine.

The low cost, flexible detector was achieved by doping a Molybdenum disulfide with Manganes, embedded in two-dimensional transition metal dichalcogenide.

Current dopamine monitoring methods are invasive and require specialized lab equipment. The researchers described the new method as “very simple and scalable.”

Categories
Brain

Brain cholesterol map could lead to neurodegeneration therapies, help guide surgery

William Griffiths and Swansea University colleagues have developed a method to map cholesterol in the brain, and understand potential molecule conversion. This is the first technology that can map cholesterol metabolism in defined locations at microscopic levels, and visualize how it changes in pathological niches in the brain.

While only studied on mice, the hope is that the technology can also be used to understand brain function changes in humans with neurodegenerative disorders. Griffiths added that “tissue excised during surgery could rapidly be profiled by our method in-clinic and used to distinguish healthy from diseased tissue, informing the surgeon on the next step of the operation.”

Collaborator Yuqin Wang said: “Our results show that cholesterol turnover is particularly high in striatum, the area most affected in Huntington’s disease. We will apply this method to find out how cholesterol metabolism is associated with this disease. This may lead to the development of new therapies to a disease which currently has no cure.”

Categories
Brain EEG

Tattoo electrodes for long-term EEG, MEG measurements

Graz University professor Francesco Greco has built on his earlier work to create advanced inkjet printed conductive polymer electrodes on tattoo paper. The composition and thickness of the transfer paper and conductive polymer have been optimized to achieve a better electrode/skin connection and improve EEG signal quality.

The cheap, user-friendly, dry electrodes have shown similar reliability to traditional EEG electrodes in clinical tests. They can be used for long-term EEG and MEG measurements as they do not contain metal.

Categories
Brain Consciousness

Sniff test predicts consciousness recovery

Cambridge scientist Anat Arzi and Yaron Sacher of Israel’s Beit Lowenstein Rehabilitation Center have developed a simple olfactory consciousness test.

In a study, 43 unconscious brain-injured pateients were presented with jars containing various smells under their noses. Scents included pleasant shampoo, unpleasant rotten fish, and no odor.

Scientists measured the volume of air inhaled through the nose in response to the odors. Each jar was presented to the patient ten times in random order during several such sessions.

All patients who were classified as being in a ‘vegetative state’ and responded to the sniff test, later regained consciousness (sometimesi minimally.) According to Arzi, “In some cases, the result of the sniff test was the first sign that these patients were about to recover consciousness — and this reaction was observed days, weeks and even months prior to any other signs.”

The researchers claim that the sniff response was able to predict three year survival 92% accuracy.

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BCI Brain Featured

Facebook’s Mark Chevillet on Brain-Computer-Interfaces

Mark Chevillet’s recent talk at the ApplySci Silicon Valley conference, called “Imagining a new Interface: Hands-free Communication With Out Saying a Word” is now live on the ApplySci YouTube Channel.

Join ApplySci at Deep Tech Health + Neurotech Boston on September 24, 2020 at MIT

Categories
Brain DBS Parkinson's

Directional DBS system targets GPi to relieve Parkinson’s symptoms

Abbott received FDA approval for an expanded indication for its Deep Brain Stimulation system, to include targeting of internal globus pallidus. The GPi plays an integral role in motor function. When targeted with DBS, Parkonson’s symptoms not adequately controlled by medication can improve.

The directed stimulation system is now approved for all major targets used to treat movement disorders, using an iOS software platform and Bluetooth.

The company’s PROGRESS study is the largest DBS study for directional lead use in Parkinson’s disease.

Abbott’s Erika Ross will discuss advanced neurmodulation technologies at ApplySci’s Wearable Tech + Digital Health + Neurotech Silicon Valley conference on February 11-12, 2020

Categories
Brain

Injected nanoparticles could reduce TBI swelling

In what he believes might be the first “real and practical treatment for people with significant traumatic brain injury,” Northwestern’s John Kessler was able to significantly reduce brain swelling and damage by injecting nanoparticles into the bloodstream within two hours after the injury. The very promising technology has, so far, only been tested on mice.

After a traumatic brain injury, the body launches an inflammatory reaction that triggers a cascade of immune responses that result in brain swelling. Surgeons can open the skull to relieve the pressure, but the brain still continues to swell.”   

The nanoparticles work as a decoy to distract the immune cells from charging into the brain and causing more damage. The immune modifying nanoparticles do not contain drugs or cargo.

After a traumatic brain injury, monocytes rush to the injury site and attempt to clean up debris from damaged brain cells and secrete inflammatory proteins that stimulate other immune cells. However, this produces swelling and inflammation that damages surrounding healthy brain tissue.

When the scientists inject the nanoparticles into the bloodstream shortly after the injury, these monocytes are tricked into thinking the nanoparticles are invading foreign materials. They engulf the particles and usher them to the spleen for disposal. The distracted monocytes are no longer around to enter the brain and cause problems.  

In the study, mice that received the nanoparticles after a traumatic brain injury had greatly reduced swelling and half the damage to brain tissue compared to those who did not receive the nanoparticles. One of the injury models mimicked a closed head traumatic brain injury common in humans. In that model, the animals’ motor and visual function improved after the nanoparticle injection.

Join ApplySci at the 13th Wearable Tech + Digital Health + Neurotech Silicon Valley conference on February 11-12, 2020 at Quadrus Sand Hill Road.  Speakers include:  Zhenan Bao, Stanford – Vinod Khosla, Khosla Ventures – Mark Chevillet, Facebook – Shahin Farshchi, Lux Capital – Carla Pugh, Stanford – Nathan Intrator, Tel Aviv University | Neurosteer – Wei Gao, Caltech – Sergiu Pasca, Stanford – Walter Greenleaf, Stanford – Sheng Xu, UC San Diego – Dror Ben-Zeev, University of Washington – Mikael Eliasson, Roche  – Unity Stoakes, StartUp Health – Garth Smith, Ontario Brain Institute – Erika Ross, Abbott Neuromodulation

Categories
Brain Ultrasound

Study: Focused ultrasound reduced essential tremor symptoms for 3 years

In a recent study, Casey Halpern and  colleagues used ultrasound to relieve symptoms of essential tremor, for up to three years. The treatment is used when medication does not work.

76 people with an average age of 71 who had essential tremor for an average of 17 years were studied. 56  received focused ultrasound thalamotomy, and 20 had a sham therapy. After three months, those who received the sham were offered the treatment. 23 people left the study. The researchers believe that those who left did not respond as well as others to the treatment.

Hand tremors, level of disability and quality of life were measured at the start, and after six months, one year, two years and three years. After three years, on average, participants improved in hand tremors by 50 percent, disability by 56 percent, and quality of life by 42 percent.

No new side effects occurred. Existing side effects, which continued during the study, included numbness and tingling, imbalance and unsteadiness.  The researchers claimed that none worsened, and two were resolved, during the treatment.

Current recommended treatment for people with severe essential tremor responding insufficiently to medication is deep brain stimulation. Ultrasound is much less invasive, performed in one session. There is no need for follow-up visits, and there is immediate benefit.  Ultrasound does, however, produce an irreversible brain legion.

Cala Health has also developed a non-invasive therapy for essential tremor, using a neuromodulation wearable on the wrist. The device  stimulates nerves responsible for the tremor, interrupting circuits, to allow for better movement control.


Join ApplySci at the 13th Wearable Tech + Digital Health + Neurotech Silicon Valley conference on February 11-12, 2020 at Quadrus Sand Hill Road.  Speakers include:  Zhenan Bao, Stanford – Vinod Khosla, Khosla Ventures – Mark Chevillet, Facebook – Shahin Farshchi, Lux Capital – Carla Pugh, Stanford – Nathan Intrator, Tel Aviv University | Neurosteer – Wei Gao, Caltech – Sergiu Pasca, Stanford – Rudy Tanzi, Harvard – Sheng Xu, UC San Diego – Dror Ben-Zeev, University of Washington – Mikael Eliasson, Roche

Categories
Brain Robotics

Remote, robotic surgery for aneurysm, stroke

Vitor Mendes Pereira at Toronto Western Hospital and Krembil Brain Institute .used a Siemens Healthineers-developed robot arm to help remove an aneurysm.  A catheter was guided to the patient’s brain from an incision made near the groin in the interventional procedure.

The CorPath GRX robotics platform is controlled by joysticks and a touchscreen. A bedside  technician interacts with the robot to exchange devices including guidewires, microcatheters, and coils.

The goal is the use of robots for remote stroke patient treatment.


Join ApplySci at the 12th Wearable Tech + Digital Health + Neurotech conference on February 11-12, 2020 at Quadrus Sand Hill Road.  Speakers include:  Zhenan Bao, Stanford – Vinod Khosla, Khosla Ventures – Mark Chevillet, Facebook – Shahin Farshchi, Lux Capital – Carla Pugh, Stanford – Nathan Intrator, Tel Aviv University | Neurosteer – Wei Gao, Caltech – Sergiu Pasca, Stanford – Rudy Tanzi, Harvard – Sheng Xu, UC San Diego – Dror Ben-Zeev, University of Washington – Mikael Eliasson, Roche

Categories
Brain

High resolution brain map traces wiring within, between, thalamus and cortex

Allen Institute scientists have created a high-resolution brain map, which traces thousands of connections between brain areas in mice, which they believe  can help us understand how brain circuitry changes in diseases and disorders such as Alzheimer’s disease and schizophrenia.

This is the most detailed map of connections in a mammalian brain to date, tracing neural wiring within and between the thalamus and cortex, responsible for higher level functions like memory, decision making, and understanding the world around us.

The study describes a high-resolution expansion of the Allen Mouse Brain Connectivity Atlas

Alterations in brain connections have been seen in Alzheimer’s disease, Parkinson’s and several other brain diseases and disorders.

Using a computational approach, the researchers found that different sections of the cortex and thalamus can be mapped into a hierarchy, much like a company’s org chart. Parts of the cortex that are specialized for information gathered via our senses, like vision and smell, are on the bottom rungs, and regions that handle more complicated input — like calling up a memory evoked by a familiar scent — are at the top. Connections flow both up and down the brain’s org chart, but the connections moving up are different than those moving down. They also found that not all connections respect these hierarchical laws. There are hints that the human cortex uses the same organizational system.

Allen Institute president Christof Koch said that “the next step will be to look directly at how neurons pass information through their electrical activity to confirm that this pattern matters.”


Join ApplySci at the 12th Wearable Tech + Digital Health + Neurotech Boston conference on November 14, 2019 at Harvard Medical School featuring talks by Brad Ringeisen, DARPA – Joe Wang, UCSD – Carlos Pena, FDA  – George Church, Harvard – Diane Chan, MIT – Giovanni Traverso, Harvard | Brigham & Womens – Anupam Goel, UnitedHealthcare  – Nathan Intrator, Tel Aviv University | Neurosteer – Arto Nurmikko, Brown – Constance Lehman, Harvard | MGH – Mikael Eliasson, Roche – Nicola Neretti, Brown – R. Jacob  Vogelstein, Camden Partners – Yael Mandelblat-Cerf, Biogen

Categories
Brain

MRI-detected microbleeds may help determine disability after brain injury

NINDS researcher Lawrence Latour has used an advanced imaging method to detect vascular microbleeds after head injury.   The lesions, which are too small to be detected by CT, may predict worse outcomes.

439 head injury patients who were treated in the emergency department were studied. MRI scans within 48 hours of injury, and again during four subsequent visits, showed that 31% of participants had evidence of microbleeds. (58% with severe head injury showed microbleeds and 27% of mild cases.)

Patients with microbleeds were more likely to have a greater level of disability, based on a commonly used outcome scale, compared to patients with out.


Join ApplySci at the 12th Wearable Tech + Digital Health + Neurotech Boston conference on November 14, 2019 at Harvard Medical School featuring talks by Brad Ringeisen, DARPA – Joe Wang, UCSD – Carlos Pena, FDA  – George Church, Harvard – Diane Chan, MIT – Giovanni Traverso, Harvard | Brigham & Womens – Anupam Goel, UnitedHealthcare  – Nathan Intrator, Tel Aviv University | Neurosteer – Arto Nurmikko, Brown – Constance Lehman, Harvard | MGH – Mikael Eliasson, Roche – Nicola Neretti, Brown

Join ApplySci at the 13th Wearable Tech + Neurotech + Digital Health Silicon Valley conference on February 11-12, 2020 on Sand Hill Road featuring talks by Zhenan Bao, Stanford – Rudy Tanzi, Harvard – Shahin Farshchi – Lux Capital – Sheng Xu, UCSD – Carla Pugh, Stanford – Nathan Intrator, Tel Aviv University | Neurosteer – Wei Gao, Caltech – Mikael Eliasson, Roche

Categories
Brain

DBS study shows long-term antidepressant effect in treatment-resistant depression

Helen Mayberg at Mount Sinai has published a study showing that deep brain stimulation of the subcallosal cingulate provides a lasting antidepressant effect in treatment-resistant depression.

According to Mayberg: “Over eight years of observation, most of our study participants experienced an antidepressant response to the deep brain stimulation of Area 25 that was robust and sustained. Given that patients with treatment-resistant depression are highly susceptible to recurrent depressive episodes, the ability of DBS to support long-term maintenance of an antidepressant response and prevention of relapse is a treatment advance that can mean the difference between getting on with your life or always looking over your shoulder for your next debilitating depressive episode.”

The study documents 4-8 years of outcomes data for 28 patients. Response and remission rates were maintained at or above 50 percent and 30 percent, respectively, through years 2-8 of the follow-up period. Three-quarters of all participants met the treatment response criterion for more than half of their participation in the study, with 21 percent of all participants demonstrating continuous response to treatment from the first year forward. Of 28 participants, 14 completed at least eight years of follow-up, 11 others completed at least four years, and three dropped out prior to eight years of participation.

The researchers conclude that data presented through this study support the long-term safety and sustained efficacy of SCC DBS for treatment-resistant depression.


Join ApplySci at the 12th Wearable Tech + Digital Health + Neurotech Boston conference on November 14, 2019 at Harvard Medical School featuring talks by Brad Ringeisen, DARPA – Joe Wang, UCSD – Carlos Pena, FDA  – George Church, Harvard – Diane Chan, MIT – Giovanni Traverso, Harvard | Brigham & Womens – Anupam Goel, UnitedHealthcare  – Nathan Intrator, Tel Aviv University | Neurosteer – Arto Nurmikko, Brown – Constance Lehman, Harvard | MGH – Mikael Eliasson, Roche – Nicola Neretti, Brown

Join ApplySci at the 13th Wearable Tech + Neurotech + Digital Health Silicon Valley conference on February 11-12, 2020 on Sand Hill Road featuring talks by Zhenan Bao, Stanford – Rudy Tanzi, Harvard – Shahin Farshchi – Lux Capital – Sheng Xu, UCSD – Carla Pugh, Stanford – Nathan Intrator, Tel Aviv University | Neurosteer – Wei Gao, Caltech