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Thin-film electroencephalographic electrodes using multi-walled carbon nanotubes are effective for neurosurgery
Kousuke Awara, Ryuhei Kitai1, Makoto Isozaki
1Department of Neurosurgery, University of Fukui, 23 Shimoaizuki Eiheijimatsuoka, Yoshida-gun, Fukui 910-1193, Japan. kitai@u-fukui.ac.jp.
Background:
Intraoperative morphological and functional monitoring is essential for safe neurosurgery. Functional monitoring is based on electroencephalography (EEG), which uses silver electrodes. However, these electrodes generate metal artifacts as silver blocks X-rays, creating white radial lines on computed tomography (CT) images during surgery. Thick electrodes interfere with surgical procedures. Thus, thinner and lighter electrodes are ideal for intraoperative use.
Methods:
The authors developed thin brain electrodes using carbon nanotubes that were formed into thin sheets and connected to electrical wires.
Results:
The nanotube sheets were soft and fitted the curve of the head very well. When attached to the head using paste, the impedance of the newly developed electrodes was 5 kΩ or lower, which was similar to that of conventional metal electrodes. These electrodes can be used in combination with intraoperative CT, magnetic resonance imaging (MRI), or cerebral angiography. Somatosensory-evoked potentials, auditory brainstem responses, and visually evoked potentials were clearly identified in ten volunteers. The electrodes, without any artifacts that distort images, did not interfere with X-rays, CT, or MR images. They also did not cause skin damage.
Conclusions:
Carbon nanotube electrodes may be ideal for neurosurgery.
