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An intracranial implantable ultrasound device for seizure mapping

机译:颅内植入式超声检查仪

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Epilepsy is the third most commonly diagnosed neurological disorder. For drug-resistant patients, epilepsy surgery is the only option. The outcome of epilepsy surgery largely depends on an accurate mapping of epileptogenic zone. In clinic, this is done with subdural electrode array to monitor the Electrocorticography (ECoG) with a disappointing low spatial resolution of ~ 1cm. As a result, the cure rate of neocortical epilepsy can barely reach ~ 30%. Recent study showed that the neurovascular based CBV(Cerebral Blood Volume) increases spatially overlapped with seizure focus and functional ultrasound imaging can provide high resolution 3D maps of seizure focus in animal models. To apply ultrasound imaging techniques in clinic, we propose to develop implanted ultrasound transducers 3mm*1.5mm*.8mm which can be incorporated with the electrode array to record the CBV changes during seizure onset. This device can provide high resolution 3D seizure maps to guide the epilepsy surgery.
机译:癫痫病是第三种最常见的神经系统疾病。对于耐药性患者,癫痫手术是唯一的选择。癫痫手术的结果在很大程度上取决于对癫痫发生区的精确定位。在临床上,这是通过硬膜下电极阵列来完成的,以令人失望的低至1cm的低空间分辨率监测皮质电图(ECoG)。结果,新皮层癫痫的治愈率几乎不能达到〜30%。最近的研究表明,基于神经血管的CBV(脑血容量)在空间上与癫痫病灶重叠,功能超声成像可以在动物模型中提供高分辨率的癫痫病灶3D图。为了将超声成像技术应用于临床,我们建议开发3mm * 1.5mm * .8mm的植入式超声换能器,该换能器可与电极阵列结合使用,以记录癫痫发作期间CBV的变化。该设备可以提供高分辨率的3D癫痫发作图,以指导癫痫手术。

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