A SYSTEM AND DEVICE FOR FOCAL tDCS: HIGH–DEFINITION(HD) tDCS Abhishek Datta Jeff Borckardt, Mark George, Mar Cortes, Dylan Edwards, Felipe Fregni, Eric.

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A SYSTEM AND DEVICE FOR FOCAL tDCS: HIGH–DEFINITION(HD) tDCS Abhishek Datta Jeff Borckardt, Mark George, Mar Cortes, Dylan Edwards, Felipe Fregni, Eric Wassermann, Marom Bikson Neural Engineering Laboratory - Department of Biomedical Engineering The City College of New York of CUNY Neuromodulation Laboratory, Spaulding Rehabilatation Hospital Harvard Medical School

-application of currents delivered through the scalp to modulate brain activity. TRANSCRANIAL DIRECT CURRENT STIMULATION (tDCS) -number of disorders, rehabilatation and cognitive enhancement -safe,easy to apply, CHEAP!

SPATIAL TARGETING Brain Stimulation Electrodes Current flow and brain modulation Conventional Sponge-based Transcranial DC Stimulation

SPATIAL TARGETING Brain Stimulation Electrodes Current flow and brain modulation High-Definition (HD) Transcranial DC Stimulation Ring Configuration

High-definition (HD) Transcanial (4x1 Ring) Conventional Transcanial (large pad) FEM ANALYSIS OF TRANSCRANIAL ELECTROTHERAPY FOCALITY

CONVENTIONAL tDCS

Min Max Electric field 1 mA Datta et al., 2009 CONVENTIONAL tDCS

HIGH DEFINITION (HD)- tDCS

Min Max Electric field 2 mA HIGH DEFINITION (HD)- tDCS Datta et al., 2009

HD tDCS – 4x1 Hardware DevelopmentClinical Trials NIH-NINDS Eric Wassermann, Egas Caparelli Dáquer MUSC Mark George Jeff Borckardt Burke Rehabilitation Dylan Edwards Mar Cortes Harvard (Spaulding) Felipe Fregni ……. Soterix Medical

PILOT CLINICAL STUDY 1: EXPERIMENTAL PAIN (MUSC) Setup

PILOT CLINICAL STUDY 1: EXPERIMENTAL PAIN (MUSC) Borckardt et al., under review Analgesic effects in an experimental pain model…… Significant effect for sensory thresholds.

Edwards et al., under review Targeting Validation PILOT CLINICAL STUDY 2: COMBINED TES & MODELING (BURKE REHABILATATION) Transcranial Electrical Stimulation (TES) – short high-intensity pulse that triggers motor response (MEP)

ANODE:C3 CATHODE:FC5,FC1,CP5,CP1 PILOT CLINICAL STUDY 2: COMBINED TES & MODELING (BURKE REHABILATATION) ANODE:F3 CATHODE:AF7,AFz,FC5,FC1 ANODE:P3 CATHODE:CP5,CP1,PO7,POz Peak 0 Electric field/Current density 33% 66% Edwards et al., under review

-Retains advantages of conventional therapy ADVANTAGE OF HD CONFIGURATIONS: Other configurations can be used: (4 X 4, 5X2…) based on application -Cortical regions can be selectively targeted using a HD system. -Customizable (individualized therapy) Procedures, implants… Skull Defects / TBI Stroke