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Uncertainty quantification of TMS simulations considering MRI segmentation errors.

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Uncertainty quantification of TMS simulations considering MRI segmentation errors.

Hao Zhang1, Luis Gomez2, Johann Guilleminot3

  • 1Department of Civil and Environmental Engineering, Duke University, 121 Hudson Hall, Durham, 27708-0187, UNITED STATES.

Journal of Neural Engineering
|February 8, 2022
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Summary
This summary is machine-generated.

Accurate Transcranial Magnetic Stimulation (TMS) electric field (E-field) prediction requires precise cerebrospinal fluid (CSF) segmentation. Averaging E-fields over regions, rather than point-wise estimates, improves robustness against segmentation errors.

Keywords:
TMS simulationnon-Gaussian random fieldpatient-specific brain geometryuncertainty quantification

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Area of Science:

  • Neuroscience
  • Biomedical Engineering
  • Computational Modeling

Background:

  • Transcranial Magnetic Stimulation (TMS) is a key tool for brain research and therapy.
  • Accurate computational models of TMS electric fields (E-fields) are crucial for effective application.
  • Current modeling methods face challenges due to geometric errors from medical image segmentation.

Purpose of the Study:

  • To investigate the impact of segmentation accuracy on TMS E-field prediction fidelity.
  • To identify which tissue boundaries most significantly affect E-field simulation accuracy.
  • To explore methods for improving the robustness of TMS dosimetry.

Main Methods:

  • Modeled segmentation errors as geometric uncertainty in tissue boundaries.
  • Utilized an in-house boundary element method for forward propagation analysis.
  • Quantified the effect of boundary uncertainties on induced cortical E-fields.

Main Results:

  • E-field predictions showed low sensitivity to segmentation errors in scalp, skull, and white matter.
  • High sensitivity was observed for cerebrospinal fluid (CSF) segmentation errors.
  • CSF-gray matter interface errors impacted gyral crown E-fields; CSF-white matter errors affected sulci.
  • Averaging E-fields over cortical regions reduced uncertainty compared to point-wise estimates.

Conclusions:

  • Cerebrospinal fluid (CSF) segmentation accuracy is a primary limitation for current cortical E-field simulations.
  • Averaging E-fields across cortical regions offers a more robust dosimetry measure, less susceptible to segmentation inaccuracies.