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Neuromodulation techniques - From non-invasive brain stimulation to deep brain stimulation
Benjamin Davidson1, Amitabh Bhattacharya2, Can Sarica3
1Division of Neurosurgery, Department of Surgery, University of Toronto, Toronto, Canada.
Summary
Neuromodulation therapies, including non-invasive brain stimulation and surgical interventions, have advanced significantly over 30 years, becoming standard treatments for various conditions. Ongoing research continues to explore new applications for these central nervous system techniques.
Area of Science:
- Neuroscience
- Biomedical Engineering
Background:
- The field of neuromodulation has advanced significantly over the past three decades.
- Neuromodulation techniques can probe and influence the central nervous system.
- Many neuromodulation therapies are now integrated into standard medical care.
Purpose of the Study:
- To provide an overview of the advancements in neuromodulation techniques.
- To highlight common non-invasive and invasive neuromodulation methods.
- To discuss the ongoing exploration of novel applications and paradigms in neuromodulation.
Main Methods:
- Overview of non-invasive neuromodulation techniques: Transcranial Magnetic Stimulation (TMS), Transcranial Direct Current Stimulation (tDCS), and Transcranial Ultrasound Stimulation (TUS).
- Overview of invasive (surgical) neuromodulation techniques: Deep Brain Stimulation (DBS), Spinal Cord Stimulation (SCS), and Vagus Nerve Stimulation (VNS).
- Mention of ongoing clinical trials investigating new uses for these interventions.
Main Results:
- Neuromodulation encompasses a wide range of techniques for central nervous system intervention.
- Non-invasive methods like TMS, tDCS, and TUS are widely used.
- Invasive methods such as DBS, SCS, and VNS are leading surgical options.
- Active clinical trials are expanding the applications and understanding of neuromodulation.
Conclusions:
- Neuromodulation has evolved substantially, offering diverse therapeutic options.
- Both non-invasive and invasive techniques play crucial roles in modern medicine.
- Continued research promises further innovation and expanded clinical utility in neuromodulation.

