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Deep Brain Stimulation with Simultaneous fMRI in Rodents
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Deep brain stimulation and electromagnetic interference.

Shervin Rahimpour1, Musa Kiyani1, Sarah E Hodges1

  • 1Department of Neurosurgery, Duke University Medical Center, Durham, NC, USA.

Clinical Neurology and Neurosurgery
|March 4, 2021
PubMed
Summary
This summary is machine-generated.

Electromagnetic interference (EMI) can harm deep brain stimulation (DBS) devices and patients. This review examines EMI sources and real-world cases, highlighting the need for better understanding and guidelines for safe DBS therapy.

Keywords:
Deep brain stimulationElectromagnetic interference

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Area of Science:

  • Neuromodulation
  • Biomedical Engineering
  • Medical Device Safety

Background:

  • Deep brain stimulation (DBS) is a vital therapy for neurological disorders.
  • External electromagnetic interference (EMI) poses risks to DBS device function and patient safety.
  • Limited literature exists on EMI effects and mitigation strategies for DBS.

Purpose of the Study:

  • To review the principles of EMI relevant to DBS.
  • To identify and categorize sources of unintentional and intentional EMI.
  • To analyze real-world EMI incidents affecting DBS devices using the MAUDE database.

Main Methods:

  • Literature review on EMI principles and DBS.
  • Categorization of EMI sources (unintentional and intentional).
  • Analysis of the MAUDE database for reported EMI events impacting US-implanted DBS devices.

Main Results:

  • Identified various EMI sources, including stray fields, MRI, and electrosurgery.
  • MAUDE database analysis revealed real-world EMI events associated with airport scanners, MRI, and electrosurgery.
  • Documented instances of DBS device malfunction and potential patient harm due to EMI.

Conclusions:

  • EMI presents a significant, under-addressed risk to deep brain stimulation therapy.
  • Understanding EMI sources and their impact is crucial for patient safety.
  • Further research and clear guidelines are needed to manage EMI risks in DBS patients.