Non-invasive stimulation with temporal interference: optimization of the electric field deep in the brain with the use of a genetic algorithm.

Objective. Since the introduction of transcranial temporal interference stimulation, there has been an ever-growing interest in this novel method, as it theoretically allows non-invasive stimulation of deep brain target regions. To date, attempts have been made to optimize the electrode montages and injected current to achieve personalized area targeting using two electrode pairs. Most of these methods use exhaustive search to find the best match, but faster and, at the same time, reliable solutions are required. In this study, the electrode combinations as well as the injected current for a two-electrode pair stimulation were optimized using a genetic algorithm, considering the right hippocampus as the region of interest (ROI).Approach. Simulations were performed on head models from the Population Head Model repository. First, each model was fitted with an electrode array based on the 10-10 international EEG electrode placement system. Following electrode placement, the models were meshed and solved for all single-pair electrode combinations, using an electrode on the left mastoid as a reference (ground). At the optimization stage, different electrode pairs and injection currents were tested using a genetic algorithm to obtain the optimal combination for each model, by setting three different maximum electric field thresholds (0.2, 0.5, and 0.8 V m-1) in the ROI. The combinations below the set threshold were given a high penalty.Main results. Greater focality was achieved with our optimization, specifically in the ROI, with a significant decrease in the surrounding electric field intensity. In the non-optimized case, the mean brain volumes stimulated above 0.2 V m-1were 99.9% in the ROI, and 76.4% in the rest of the gray matter. In contrast, the stimulated mean volumes were 91.4% and 29.6%, respectively, for the best optimization case with a threshold of 0.8 V m-1. Additionally, the maximum electric field intensity inside the ROI was consistently higher than that outside of the ROI for all optimized cases.Objective. Given that the accomplishment of a globally optimal solution requires a brute-force approach, the use of a genetic algorithm can significantly decrease the optimization time, while achieving personalized deep brain stimulation. The results of this work can be used to facilitate further studies that are more clinically oriented; thus, enabling faster and at the same time accurate treatment planning for the stimulation sessions.

Magnetic nanoparticles: An indicator of health risks related to anthropogenic airborne particulate matter.

Due to their small dimensions, airborne particles are able to penetrate through inhalation into many human organs, from the lungs to the cardiovascular system and the brain, which can threaten our health. This work establishes a novel approach of collecting quantitative data regarding the fraction, the composition and the size distribution of combustion-emitted particulate matter through the magnetic characterization and analysis of samples received by common air pollution monitoring. To this end, SQUID magnetometry measurements were carried out for samples from urban and suburban areas in Thessaloniki, the second largest city of Greece, taking into consideration the seasonal and weekly variation of airborne particles levels as determined by occurring traffic and meteorological conditions. The level of estimated magnetically-responding atmospheric particulate matter was at least 0.5 % wt. of the collected samples, mostly being present in the form of ultrafine particles with nuclei sizes of approximately 14 nm and their aggregates. The estimated quantities of magnetic particulate matter show maximum values during autumn months (0.8 % wt.) when increased commuting takes place, appearing higher in the city center by up to 50% than those in suburban areas. In combination with high-resolution transmission electron imaging and elemental analysis, it was found that Fe3O4 and similar ferrites, some of them attached to heavy metals (Co, Cr), are the dominant magnetic contributors arising from anthropogenic high-temperature processes, e.g. due to traffic emissions. Importantly, nasal cytologic samples collected from residents of both central and suburban areas showed same pattern in what concerns magnetic behavior, thus verifying the critical role of nanosized magnetic particles in the assessment of air pollution threats. Despite the inherent statistical limitations of our study, such findings also indicate the potential transmission of infectious pathogens by means of pollution-derived nanoparticles into the respiratory system of the human body.

Effect of low frequency magnetic fields on the growth of MNP-treated HT29 colon cancer cells.

Recent investigations have attempted to understand and exploit the impact of magnetic field-actuated internalized magnetic nanoparticles (MNPs) on the proliferation rate of cancer cells. Due to the complexity of the parameters governing magnetic field-exposure though, individual studies to date have raised contradictory results. In our approach we performed a comparative analysis of key parameters related to the cell exposure of cancer cells to magnetic field-actuated MNPs, and to the magnetic field, in order to better understand the factors affecting cellular responses to magnetic field-stimulated MNPs. We used magnetite MNPs with a hydrodynamic diameter of 100 nm and studied the proliferation rate of MNPs-treated versus untreated HT29 human colon cancer cells, exposed to either static or alternating low frequency magnetic fields with varying intensity (40-200 mT), frequency (0-8 Hz) and field gradient. All three parameters, field intensity, frequency, and field gradient affected the growth rate of cells, with or without internalized MNPs, as compared to control MNPs-untreated and magnetic field-untreated cells. We observed that the growth inhibitory effects induced by static and rotating magnetic fields were enhanced by pre-treating the cells with MNPs, while the growth promoting effects observed in alternating field-treated cells were weakened by MNPs. Compared to static, rotating magnetic fields of the same intensity induced a similar extend of cell growth inhibition, while alternating fields of varying intensity (70 or 100 mT) and frequency (0, 4 or 8 Hz) induced cell proliferation in a frequency-dependent manner. These results, highlighting the diverse effects of mode, intensity, and frequency of the magnetic field on cell growth, indicate that consistent and reproducible results can be achieved by controlling the complexity of the exposure of biological samples to MNPs and external magnetic fields, through monitoring crucial experimental parameters. We demonstrate that further research focusing on the accurate manipulation of the aforementioned magnetic field exposure parameters could lead to the development of successful non-invasive therapeutic anticancer approaches.

Arrangement at the nanoscale: Effect on magnetic particle hyperthermia.

In this work, we present the arrangement of Fe3O4 magnetic nanoparticles into 3D linear chains and its effect on magnetic particle hyperthermia efficiency. The alignment has been performed under a 40 mT magnetic field in an agarose gel matrix. Two different sizes of magnetite nanoparticles, 10 and 40 nm, have been examined, exhibiting room temperature superparamagnetic and ferromagnetic behavior, in terms of DC magnetic field, respectively. The chain formation is experimentally visualized by scanning electron microscopy images. A molecular Dynamics anisotropic diffusion model that outlines the role of intrinsic particle properties and inter-particle distances on dipolar interactions has been used to simulate the chain formation process. The anisotropic character of the aligned samples is also reflected to ferromagnetic resonance and static magnetometry measurements. Compared to the non-aligned samples, magnetically aligned ones present enhanced heating efficiency increasing specific loss power value by a factor of two. Dipolar interactions are responsible for the chain formation of controllable density and thickness inducing shape anisotropy, which in turn enhances magnetic particle hyperthermia efficiency.

Optimizing magnetic nanoparticles for drinking water technology: The case of Cr(VI).

The potential of magnetite nanoparticles to be applied in drinking water treatment for the removal of hexavalent chromium is discussed. In this study, a method for their preparation which combines the use of low-cost iron sources (FeSO4 and Fe2(SO4)3) and a continuous flow mode, was developed. The produced magnetite nanoparticles with a size of around 20 nm, appeared relatively stable to passivation providing a removal capacity of 1.8 µg Cr(VI)/mg for a residual concentration of 50 µg/L when tested in natural water at pH7. Such efficiency is explained by the reducing ability of magnetite which turns Cr(VI) to an insoluble Cr(OH)3 form. The successful operation of a small-scale system consisting of a contact reactor and a magnetic separator demonstrates a way for the practical introduction and recovery of magnetite nanoparticles in water treatment technology.

Assessment of lung ventilation in infants with respiratory distress syndrome using electrical impedance tomography.

AIM: The aim of the present study was to determine immediate changes of global and regional lung function after exogenous surfactant administration in mechanically ventilated infants with respiratory distress syndrome (RDS) using electrical impedance tomography (EIT) measurements. MATERIALS AND METHODS: A prospective study was conducted in a Neonatal Intensive Care Unit at a university hospital. Seventeen preterm infants (<12 hours old) suffering from RDS were included in this study. Interventions taken were low-pressure recruitment maneuver, surfactant administration and minimal adjustments in ventilator settings. Repeated EIT measurements (401 in total) were performed before and after (15 min - 30 min) surfactant administration. Global lung function changes were assessed with two markers, namely absolute resistivity (AbsR) and normalized impedance change (ΔZ); redistribution of regional lung ventilation was assessed as well. Airway pressure and arterial blood gases were recorded. RESULTS: Surfactant administration resulted in a statistically significant increase of both the AbsR and ΔZ markers. Moreover, there was a ventilation shift towards dorsal - dependent lung areas with less asymmetry in the right-to-left air distribution. CONCLUSIONS: Surfactant administration in the recruited lung with RDS modifies regional ventilation, as assessed by EIT, contributing to a more homogeneous air distribution. Furthermore, significant changes in EIT markers reflect improvement of global lung function after surfactant administration.

Estimate of the fetal temperature increase due to UHF RFID exposure.

Exposure from electromagnetic (EM) devices has increased during the last decades due to the rapid development of new technologies. Among them, radiofrequency identification (RFID) applications are used in almost every aspect of everyday life, which could expose people unselectively. This scenario could pose potential risks for certain groups of general population, such as pregnant women, who are more sensitive to thermal effects produced by EM exposure. In this paper, the temperature rise at the steady state in two pregnant women models exposed to UHF RFID has been assessed. Results show that heating of tissues is far from the threshold of biological effects indicated by radiation protection guidelines.

Theoretical investigation of transcranial alternating current stimulation using realistic head model.

Transcranial alternating current stimulation (tACs) is an important new technique that allows to modulate non-invasively high-order cortical processes. The underlying mechanisms of activation of this brain stimulation technique are still poorly understood. Herein, we use a finite difference time domain (FDTD) technique to investigate the penetration and focality of tACs in comparison to a time invariant (DC) stimulation. We show that stimulation using 10 Hz generates cerebral fields that are larger (× 2.5) and more focused than DC stimulation and that faster oscillating stimuli of 100 Hz and 1000 Hz, generate smaller and less focused cerebral fields than 10 Hz. The outcomes of this study may help tACs users to design better protocols and interpret experimental results.

Electrical Impedance Tomography: a new study method for neonatal Respiratory Distress Syndrome?

Treatment of cardiorespiratory system diseases is a procedure that usually demands data collection on terms of the anatomy and the operation of the organs that are under study. Electrical Impedance Tomography (EIT) is an alternative approach, in comparison to existing techniques. With EIT electrodes are placed in the perimeter of the human body and images of the estimated organ are reconstructed, using the measurement of its impendence (or resistance) distribution and determining its alteration through time, while at the same time the patient is not exposed to ionizing radiation. Its clinical use presupposes the correct placement of the electrodes over the perimeter of the human body, the rapid data collection and electrical safety. It is a low cost technique and it is implemented near the patient. It is able to determine the distribution of ventilation, blood supply, diffused or localized lung defects, but it can also estimate therapeutic interventions or alteration to assisted ventilation of the neonate. EIT was developed at the beginning of the 1980s, but it has only recently begun to be implemented on neonates, and especially in the study of their respiratory system function. The low rate of image analysis is considered to be a drawback, but it is offset by the potential offered for the estimation of lungs' function (both under normal and pathological conditions), since ventilation and resistance are two quite similar concepts. In this review the most important studies about EIT are mentioned as a method of estimating respiratory distress syndrome in neonates. In terms of the above mentioned development, it is supposed that this technique will offer a great amount of help to the doctor in his / her estimations of the cardiorespiratory system and to his / her selection of the best intervening strategies.

Magnetic stimulation of the spine: the role of tissues and their modelling.

Numerical modelling of magnetic stimulation in the spine is a scarce subject in the literature, although it has been gaining clinical acceptance. In the present work we present the results from a simplified computational model of the spine. The results indicate that it is necessary to use a numerical technique for solving the problem, which takes into account tissue dispersion and both dielectric properties (conductivity and permittivity), since a difference of 14% in the induced electric fields was found when displacement currents were included. With respect to the role of tissues in stimulation efficiency, it was confirmed that water-rich tissues lead to a shielding effect of the spinal cord. However, this effect becomes smaller at the height of the intervertebral discs, resulting in an increase of the field inside the spine.

Novel conformal technique to reduce staircasing artifacts at material boundaries for FDTD modeling of the bioheat equation.

The modeling of thermal effects, often based on the Pennes Bioheat Equation, is becoming increasingly popular. The FDTD technique commonly used in this context suffers considerably from staircasing errors at boundaries. A new conformal technique is proposed that can easily be integrated into existing implementations without requiring a special update scheme. It scales fluxes at interfaces with factors derived from the local surface normal. The new scheme is validated using an analytical solution, and an error analysis is performed to understand its behavior. The new scheme behaves considerably better than the standard scheme. Furthermore, in contrast to the standard scheme, it is possible to obtain with it more accurate solutions by increasing the grid resolution.

Radio frequency-induced temperature elevations in the human head considering small anatomical structures.

In order to enable a detailed numerical radio frequency (RF) dosimetry and the computations of RF-induced temperature elevations, high-resolution (0.1 mm) numerical models of the human eye, the inner ear organs and the pineal gland were developed and inserted into a commercially available head model. As radiation sources, generic models of handsets at 400, 900 and 1850 MHz operating in close proximity to the head were considered. The results, obtained by finite-difference time domain-based computations, showed a highly heterogeneous specific absorption rate (SAR) distribution and SAR-peaks inside the inner ear structures; however, the corresponding RF-induced temperature elevations were well below 0.1 degrees C, when considering typical output power values of handheld devices. In case of frontal exposure, with the radiation sources approximately 2.5 cm in front of the closed eye, maximum temperature elevations in the eye in the range of approximately 0.2-0.6 degrees C were found for typical device output powers. A reduction in tissue perfusion mainly affected the maximum RF-induced temperature elevation of tissues deep inside the head. Similarly, worst-case considerations regarding pulsed irradiation affected temperature elevations in deep tissue significantly more than in superficial tissues.

Characterization of the electromagnetic near-field absorption in layered biological tissue in the frequency range from 30 MHz to 6,000 MHz.

Currently, standards for the compliance testing of wireless devices are being extended to cover a wider frequency band and different usage patterns of mobile phones as well as of novel body-worn and handheld devices. As a consequence, not only the head but also strongly varying tissue distributions of the body are exposed to electromagnetic radiation. Several authors have reported changes in the SAR absorption of body tissue due to the presence of a low permittivity fat layer. This paper identifies two different effects which can lead to increased SAR in layered tissue in comparison to the SAR assessed using homogeneous tissue simulating liquid: (1) for larger distances between the tissue and the antenna, standing wave effects occur depending on the frequency and fat layer thickness. (2) In the very close near-field (distances approximately lambda/40), reactive E-field components lead to high local absorption in the skin. The latter effect occurs at lower frequencies and depends on the antenna type. Modification of the parameters of the homogeneous liquids cannot compensate for these effects. However, a conservative exposure estimate can be obtained by applying a multiplication factor between 1 and 3 to the values assessed using current experimental dosimetric techniques.

Effects of geometry discretization aspects on the numerical solution of the bioheat transfer equation with the FDTD technique.

In this work, we highlight two issues that have to be taken into consideration for accurate thermal modelling with the finite-difference time-domain (FDTD) method, namely the tissue interfaces and the staircasing effect. The former appears less critical in the overall accuracy of the results, whereas the latter may have an influence on the worst-case approach used in numerical dosimetry of non-ionizing radiation.

Effects of waterbolus size, shape and configuration on the SAR distribution pattern of the Lucite cone applicator.

The effects of waterbolus dimensions and configuration on the effective field size (EFS) of the Lucite cone applicator (LCA) for superficial hyperthermia are presented. The goal of the research is to develop guidelines which mark out a sub-set of optimal LCA-waterbolus set-ups. The effects of variations in (i) waterbolus thickness, (ii) waterbolus area, (iii) waterbolus length/width ratio and (iv) eccentric placement of the applicator have been investigated in an FDTD model study. The prominent effects are verified with IR thermography measurements. An optimal EFS value of 80 cm2 is found for waterbolus area of 200-400 cm2. A small (10 x 10 cm2) waterbolus area restricts the EFS to 25% of the optimal value. The sensitivity to sub-optimal waterbolus area and length/width ratio increases with waterbolus height. Eccentric placement of the LCA near the waterbolus edge reduces the EFS to up to 50% of the optimal value. The IR measurements confirm the model findings. Based on the results, the following guidelines for the clinical application of the LCA have been defined: the waterbolus (i) should extend the LCA aperture at least 2.5 cm, especially at the Lucite windows, and (ii) the height should not exceed 2 cm.

Development of a guideline for the water bolus temperature in superficial hyperthermia.

PURPOSE: The research presented in this work investigates the influence of the water bolus temperature on temperature distributions in tissue during superficial hyperthermia treatments using Lucite cone applicators. The goal of the research was to develop a guideline for the selection of the water bolus temperature based on 3-D electromagnetic and thermal modelling. METHODS: A 3-D model was set up to simulate an abstraction of the treatment. In the model a convection coefficient for the water bolus to skin surface was employed. In order to simulate the heat balance as realistically as possible, convection coefficients were measured for different water boluses and ranged from 70-152W (m(2) K)(-1). The model was evaluated by simulating three clinical treatments and comparing the outcome of the model to the clinical measurements. RESULTS: The model was found to predict the temperature distribution well on a global view; root mean square errors between 0.66-1.5 degrees C were found for the three treatments. For some temperature probes a deviation of 1.5-2.0 degrees C between measured and predicted temperature was found. These large deviations can be explained by local variations in cooling by blood vessels, tissue inhomogeneity, a varying convection coefficient of the water bolus and of course the complexity of the anatomy. CONCLUSIONS: The model was used to set up guidelines for the water bolus temperature selection in clinical practice for the target depths and applicator arrays used in the Rotterdam Erasmus Medical Center.

Theoretical investigation of measurement procedures for the quality assurance of superficial hyperthermia applicators.

This work presents the results obtained from simple numerical models concerning the measurement uncertainty with thermographic techniques used for the evaluation of superficial hyperthermia applicators. Based upon the calculations performed, it is shown that, when using a thermographic technique to measure the SAR distribution of an applicator, heating times from 60-120s and measuring times of 10s are acceptable for an accurate assessment of the half-width at half power (HWHP) of an applicator (error less than 2%) with an expected HWHP larger than 2.5 cm. Only when the HWHP is expected to be less than 2.5 cm does the heating time need to be adapted to obtain an accuracy of 2% or better. For the assessment of the maximum SAR, the situation is worse. Even with a careful experimental design, it is difficult to measure the maximum SAR with an error less than 7%.

Secular growth and its harmful ramifications.

Secular growth has been occurring in Europe for about 150 years. In the USA, since 1900, each new generation has increased by an average of 1in (2.54cm) in height and about 10lb (4.54kg) in weight. This trend has generally been viewed as favorable and tallness is admired, with the current ideal height for a man in the Western world being 6ft 2in (188cm). The Japanese have increased in height since the end of the Second World War by about 5in (12.7cm) in height and the Chinese have been growing at the rate of 2.54cm/decade since the 1950s. In spite of admiring greater height, a world population of increasing height and body-weight is a major threat to our environment, health and survival. Based on more than two decades of research, quantitative data are given for increased use of resources, and increased pollution, energy and fiscal costs resulting from a population of larger people. The laws of scaling are described to show why the impact of increasing stature has a non-linear impact on consumption, body-weight, strength, pollution and economic costs. Paleontological findings indicating that larger body size increases the risk of extinction are also discussed. Various studies indicate a loss of 0.47 year of longevity for each cm increment of height. Caloric restricted diets are also reviewed for their applicability to humans. Recommendations are made for dietary practices to moderate growth in our youth and to postpone development of chronic or degenerative diseases.

Electromagnetic and heat transfer computations for non-ionizing radiation dosimetry.

Reliable information on the heat distribution inside biological tissues is essential for the planning and optimization of experiments which aim to study the effects of non-ionizing radiation (NIR). In electrodynamics, the finite-difference time-domain (FDTD) technique has become the dominant technique for radiofrequency dosimetry. In order to obtain the electromagnetic field and heat distributions within the same simulation run without changing discretization, a heat diffusion solver has been directly integrated into an advanced electrodynamic FDTD kernel. The implementation enables both coupled and sequential simulations. It also includes the ability to work with complex bodies and to accelerate heat diffusion. This paper emphasizes the importance of this combination in the field of NIR dosimetry. Two examples from this area are given: the validation of dosimetry with temperature probes and the estimation of the highest thermal load during bioexperiments.

Height, body size and longevity.

Life expectancy, mortality and longevity data related to height and body size for various US and world population samples are reviewed. Research on energy restriction, smaller body size and longevity is also examined. Information sources include various medical and scientific journals, books and personal communications with researchers. Additional information is presented based on research involving eight populations of the world noted for their health, vigor and longevity. This information includes the findings of one of the authors who led research teams to study these populations. While conflicting findings exist on the cardiovascular death rates for shorter people, many examples of short populations with very little heart disease are described. Most cancer studies indicate that shorter people have significantly lower mortality risk. Considerable data suggest that shorter people generally have greater longevity than taller people, and extensive animal research supports human longevity findings. Tall populations with low mortality rates are also described. Shorter stature and smaller body weight appear to promote better health and longevity in the absence of malnutrition and infectious diseases. Several theoretical reasons for this greater longevity potential are covered. Also discussed, is the role of socioeconomic status, diet, relative weight, environment and other factors in increasing or decreasing the longevity of individuals, regardless of their heights and weights.