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Phys Med Biol ; 61(12): 4466-78, 2016 06 21.
Artigo em Inglês | MEDLINE | ID: mdl-27223274

RESUMO

An intricate network of a variety of nerves is embedded within the complex anatomy of the human body. Although nerves are shielded from unwanted excitation, they can still be stimulated by external electromagnetic sources that induce strongly non-uniform field distributions. Current exposure safety standards designed to limit unwanted nerve stimulation are based on a series of explicit and implicit assumptions and simplifications. This paper demonstrates the applicability of functionalized anatomical phantoms with integrated coupled electromagnetic and neuronal dynamics solvers for investigating the impact of magnetic resonance exposure on nerve excitation within the full complexity of the human anatomy. The impact of neuronal dynamics models, temperature and local hot-spots, nerve trajectory and potential smoothing, anatomical inhomogeneity, and pulse duration on nerve stimulation was evaluated. As a result, multiple assumptions underlying current safety standards are questioned. It is demonstrated that coupled EM-neuronal dynamics modeling involving realistic anatomies is valuable to establish conservative safety criteria.


Assuntos
Modelos Neurológicos , Guias de Prática Clínica como Assunto , Estimulação Elétrica Nervosa Transcutânea/efeitos adversos , Campos Eletromagnéticos/efeitos adversos , Humanos , Fibras Nervosas/fisiologia , Fibras Nervosas/efeitos da radiação , Imagens de Fantasmas , Temperatura , Estimulação Elétrica Nervosa Transcutânea/métodos , Estimulação Elétrica Nervosa Transcutânea/normas
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