Nervous System Stimulation Using Microwave By Md Anas Boksh Mazady Project report of ELCT 891B This article is intended to investigate the possibilities of using microwave to stimulate the human nervous system so that people with peripheral nervous system disorders could be cured with non-invasive technique. We will start with first describing the human nervous system, and then we will try having some insight of how the signal propagates through this system. Later in this report we will review two papers, one of which will be dealing with the modeling of the stimulation of a nerve fiber, and the other will be dealing with the considerations to design a magnetic coil to serve as a stimulator. I will finish this article by describing my own findings in designing a magnetic coil. 1. HUMAN NERVOUS SYSTEM The human nervous system can broadly be categorized into two components, namely- the central nervous system and the peripheral nervous system. Brain, spinal cord, and nerve roots constitute the central nervous system. On the other hand, thirty one pairs of nerve roots when branches off the spinal cord to enable the body to move and feel are called the peripheral nerves. As shown in figure 1, spinal cord is extended from the lower part of the brain through the lower part of the body. It is responsible for carrying signal to and from the brain and different organs. Information about movement of our different limbs and organs or the information about how we feel in different environments, all of these communications between the body and brain are conveyed by the cable like structure of the spinal cord. This spinal cord is about an inch in diameter and 18 inches in length at its widest point. The peripheral nerves can be categorized into five sub-sections according to their function in human body. 1) 2) 3) 4) 5) Cervical Nerves (8 pairs of nerves) Thoracic Nerves (12 pairs of nerves) Lumbar Nerves (5 pairs of nerves) Sacral Nerves (5 pairs of nerves) Coccyx Nerves (1 pair of nerve) 1 Figure 1: Human nervous system structure Cervical nerves are responsible for the proper functioning of head, neck, breathing, upper arms, wrists, hands etc. Thoracic nerves, on the other hand, are responsible for the functioning of chest, abdominal muscle, internal organs etc. Similarly, lumbar nerves are for leg muscles, sacral nerves for bathroom capabilities, and coccyx nerves for parental capabilities The spinal cord is protected by a hard shell called vertebrae. Figure 2: Vertebrae 2 2. SIGNAL PROPAGATION IN HUMAN NERVOUS SYSTEM Neuron is the unit particle of the nervous system. When a neuron receives a stimulus, depending on the strength of the stimulus, it creates electrical pulses. These pulses then propagate through its cable like structure. Figure 3: A neuron cell The pulses always have constant magnitudes and duration irrespective of the strength of the stimulus. The intensity of the stimulus is conveyed by the number of pulses produced. The cell has input ends named dendrites and a long tail – axon. The axons differ in lengths for different parts of the body. The longest axons might even be more than 1 meter in length. Some of these axons are covered with fatty materials called myelin. These myelin sheaths are about 2 mm long, separated by gaps named Node of Ranvier. Human axons are very narrow in diameter. The largest axon might have a diameter of 20 µm. Squid have comparatively thicker axons. This is the reason why most of the experiments are done on squid axons. Neurons are of three types – sensory neurons, motor neurons, and interneurons. In a simple reflex action a stimulus produced by a muscle is transported to the spine, where it is carried to a motor neuron, the motor neurons then send impulses to control the muscle. 3 Figure 4: Reflex action Body fluids are dissociated into ions. As a result they can carry electrical signal. Fluids inside and outside the axons are separated by a thin membrane, axon membrane, which has very high resistivity. Resistivities of the fluids inside and outside the axon are about the same but they substantially differ in chemical compositions. Inside body fluid consists of potassium and negatively charged large organic ions. On the other hand, outside body fluid mostly consists of sodium and chloride ions. Figure 5: Axon membrane and body fluids In the resting condition the axon membrane is highly permeable to potassium than to sodium, as a result, the inside potential of axon is -70 mV at resting condition with respect to the outside. A mechanism called “sodium pump” hinders the sodium ions leaking into the axon through the membrane. 4 2.1 Action Potential If the stimulus exceeds a certain threshold, typically 15 mV higher than the resting value, an impulse is then produced which propagates down the axon. This propagating impulse is known as action potential. Figure 6: Action Potential In figure 5, at resting condition the potential inside the axon is -70 mV. When a stimulus is encountered of higher than 15 mV, a sudden rise in the inside potential is observed. This typically goes up to +30 mV and then start to decrease. While decreasing, the potential goes below the resting condition for some time, -90 mV, and then returns to the resting condition. This impulse then propagates through the axon with a maximum speed of 100 m/sec. Propagation of this action potential sees only a little attenuation as the axon is insulated by the axon membrane. Moreover, the signal is reproduced at the nodes of Ranvier. Nerve impulses are produced at a rate proportional to strength of the stimulus, the upper limit however being limited by the maximum propagation speed of action potential. 2.2 Propagation of Action Potential When the potential difference between the inside and outside of an axon falls below some threshold, less than about 55 mV, the membrane becomes more permeable to the outside sodium ions. The rapid inflow of sodium ions quickly increases the inside potential to a value near 30 mV. This increase in the potential then increases the permeability of axon membrane to the sodium ions immediately ahead of it, which results in a spike in that region, and the action potential propagates. At the peak of the action potential the membrane closes its gate to sodium and opens it wide to potassium ions. Thus the inside potential becomes negative again. 5 Figure 7: Propagation of action potential. (a) Membrane becoming permeable to sodium, (b) Membrane closing its gate to sodium and opening to potassium making the inside potential negative again. Although the signal propagates by the transportation of the ions, the net flow of ions is much lower than number of ions at rest. Let’s illustrate with some calculations. We know, ∆Q = C ∆V But the potential difference inside the axon, ∆V = 70 mV - (-30) mV = 100 mV And the capacitance per unit length of a non-myelinated axon is C = 3 × 10 −7 F/m (see table 1) So the difference in charge appears to be ∆Q = 3 × 10 −8 C. Which gives the indication that the number of sodium ions entering per meter of axon length is ∆Q/q = 1.875 × 10 11 , this is much lower a number than the number of ions at rest ( 7 × 1015 ). 6 During the propagation of the action potential, the above capacitance is continuously discharged and recharged. The energy required to charge 1 m length of non-myelinated axon can be calculated as E= 1 1 CV 2 = × 3 × 10 −7 × (0.1) 2 = 1.5 × 10 −9 J/m 2 2 Since, the duration of the pulse is different for different part of the body. In the muscle fiber the duration is usually longer, about 20 msec whereas in heart muscle it may last a quarter of a second. Let’s assume a duration of 1/100 sec for this case, then the power required to charge the capacitor is 1.5 × 10 −7 W/m. At the far end the axon branches off to nerve endings which extend to the cells that are to be activated. The nerve endings are not in direct contact with the cells. This gap is about 1 nm and known as “synapse”. Figure 8: Synapse When signal reaches the nerve ending, a chemical substance is released in the synapse which activates the muscle cell. The deposition of this chemical substance occurs in discrete packets. 3. AXON AS AN ELECTRIC CABLE For a simplistic model of the axon, we can imagine it as an insulated electric cable. The cable is submerged in a conducting fluid having some electrical characteristics as shown in table 1. The axon membrane may be thought of as the insulation of the cable. The membrane is not a perfect electric insulator as there is some leakage through it. This lossy dielectric characteristic may be characterized by capacitance and resistance. 7 Figure 7 (a): An axon showing the flow of electrical signal Figure 7 (b): Equivalent circuit of an axon 8 Table 1: Electrical properties of an axon However, this model has some limitations as it fails to explain some key characteristics of an axon. First, in the above circuit electrical signal flows at a speed comparable to the speed of light ( 3 × 10 8 m/sec) but as we know the maximum speed of propagation of an electrical signal through an axon is limited to 100 m/sec. Second, in the above circuit electrical signals decay very quickly but in an axon action potentials propagate with very low attenuation. These shortcomings of the above model will be accounted for in a modified circuit model, Hodgkin-Huxley model, the description of which follows later in this report. 4. DESIGN CONSIDERATIONS Here we will review two papers which will give us some insight about the design consideration of stimulation circuitry. The first paper describes an improved model of the nerve fiber. The authors then research the location of maximum stimulation along the nerve fiber. The second paper studies different magnetic coils to give an insight of which configuration will be better suited for a particular application of nerve stimulation. 4.1.1 Model of a Nerve fiber To continue from where we have stopped in Article 3, let’s review the paper by B. J. Roth et al (Roth & Basser, June 1990). 9 Figure 8: An electrical circuit representing the passive cable The passive electrical cable model of the axon shown in figure 8 is very much similar to what we have discussed in figure 7 (b). The extracellular potential is neglected here, marks the only difference than what we have previously discussed. Let’s first assume the axon to be at resting condition. Applying Ohm’s law we can then write ߲ܸ ݎ ܫ = − ߲ݔ Using KCL, membrane current can be written as, ݅ = − Again, ݅ = ܿ ߲ܫ ߲ݔ ߲ܸ ܸ + ߲ݎ ݐ Combining the above three equations we can write, Where, length constant λ = λ2 rm ri ∂ 2V ∂V −V = τ 2 ∂x ∂t And time constant, τ = cm rm Axial component of electric field along the fiber, Ei = − ∂V ∂x With electromagnetic induction by a time varying magnetic field, Ei = − ∂V + ε x ( x, t ) ∂x 10 Where ߝ௫ (ݔ, )ݐis the induced electric field parallel to the the axis of the axon. But the induced electric field equals the negative rate of change of the vector magnetic r potential r ∂A ε =− ∂t Now, ߲ܸ ݎ ܫ = − + ߝ௫ (ݔ, )ݐ ߲ݔ So, λ2 ∂ 2V ∂V ∂ε −V = τ + λ2 x 2 ∂x ∂t ∂x ……………………. (1) Let’s note that the derivative of the electric field, not the electric field itself, appears in the equation. This is because the membrane current ݅ , not the axial current along the fiber, depolarizes the axon. The membrane current is a maximum when the spatial gradient of the axial component of the current is maximum and the induced electric field is at its highest. From equation (1) we can draw an interesting conclusion, stimulation is not maximum at the locations where the induced electric field is maximum rather it would be zero there. The locations where the gradient of the electric field is maximum will have maximum stimulation. This model suffers from the limitations that we have previously discussed in Article 3. So, in the next article a modified approach has been discussed. 4.1.2 Hodgkin-Huxley Model Figure 9: Hodgkin-Huxley model of nerve fiber 11 The Hodgkin-Huxley model of the nerve fiber takes care of the membrane permeability to the sodium and potassium ions. The three conductances in each branch represent the membrane leakage, the sodium channel, and the potassium channel. The value of this parameters are summarized in table 2. Table 2: Parameter values for Hodgkin-Huxley model With this modification the cable equation becomes ܽ ߲ ଶܸ − ൫݃ே ݉ଷ ℎ(ܸ − ܧே ) + ݃ ݊ସ (ܸ − ܧ ) + ݃ (ܸ − ܧ )൯ 2ܴ ߲ ݔଶ ܽ ߲ߝ௫ ߲ܸ + (ݔ, )ݐ = ܥ ߲ ݐ2ܴ ߲ݔ Where, m, h, n can be found solving the below three differential equations, And, ߙ , ߚ , ߙ , ߚ , ߙ , ߚ can be calculated from the below four differential equations, 12 Here the resting potential is assumed as -65 mV. The induced electric field is related to the coil current and geometry by the following equation ε (r , t ) = dI (t ) µ 0 N (− dt 4π ∫ dl ′ ) r − r′ Where, I(t) is the current through the coil, r is the location where the electric field is calculated, r ′ is the position of the differential element of the coil dl ′ . 4.1.3 Numerical Computation of Stimulation For this computation, the coil was placed at a distance of 1 cm from the nerve. The coil had 30 turns and a radius of 2.5 cm. The nerve was parallel to x-axis and was tangent to the coil at y = rc . The coil was assumed to be a 64-sided polygon. 13 Figure 10: Coil arrangement for stimulation 4.1.4 Electric Field and its gradient ࢊࡵ Figure 11 (a): Electric field profile (ࢊ࢚ = 1 ܣ/ߤ)ݏ 14 Figure 11 (a) shows the electric field profile for the arrangement of figure 10. The corresponding electric field gradient is shown in figure 11 (b). Figure 11 (b): Electric field gradient It is interesting to note that the maximum of electric field gradient is not below the center of the coil nor even at the edges. Figure 11 (c) shows the contour plot of the spatial profile of electric field gradient. The bold circle represents the position of the magnetic coil with the arrow indicating the direction of rate of change of current. The dotted line indicates the location of the axon. The minus signs indicate the location of depolarization, i.e. stimulation, whereas the plus signs indicate the location of hyper polarization. 15 Figure 11 (c): Contour plot of electric field gradient 4.1.5 The current in the magnetic coil The simplest way to produce a current pulse is to use a capacitor and inductor in parallel with a switch continually going back and forth. The capacitor is initially charged to V0 by Figure 12: Current pulse generator 16 a dc voltage source. Then the switch S is closed and the capacitor is discharged through the inductance L and resistance R of the magnetic coil (MC). The inductance L of a N turn coil with radius rc, and wire radius rw is given by 8rc ) − 1.75) rw Thus, a coil of radius 2.5 cm, wire radius 1 mm and having 30 turns has an inductance of 0.165 mH. L = µ 0 rc N 2 (ln( With R = 3 Ω, L = 0.165 mH, C = 200 µF ܴଶ 1 − = 5.2342 × 10 ≫ 1 ଶ ܥܮ 4ܮ So, the coil current I(t) would have an overdamped response. ܸ = )ݐ(ܫ ߱ܥଶ ݁ Where, ିఠభ ௧ ߱ଵ = ߱ଵ ଶ ቆ൬ ൰ − 1ቇ sinh (߱ଶ )ݐ ߱ଶ ܴ = 9.07 ݉ି ݏଵ 2ܮ ܴ ଶ 1 ඨ ߱ଶ = ൬ ൰ − = 7.21 ݉ି ݏଵ 2ܮ ܥܮ V0 = 200 V So, the resulting I(t) would be as shown in figure 13 (a). 17 Figure 13 (a): Current in a magnetic coil The time derivative of I(t) would then be as shown in figure 13 (b). Figure 13 (b): Time derivative of current in a magnetic coil (MC) Taking this time derivative of current into consideration the electric field gradient in figure 11 (b) will be modified to figure 14. 18 Figure 14: Electric field gradient taking MC current into consideration 4.1.6 Conclusion from (Roth & Basser, June 1990) From this paper we can draw several important conclusions. 1. The nerve fiber is stimulated by the gradient of the electric field that is parallel to the axis of the nerve fiber. 2. The electric field component hyperpolarizes or depolarizes the axon and may invoke an action potential depending on the strength of the electric field. 3. Hodgkin-Huxley model was introduced to represent a nerve fiber. 4. Maximum stimulation is neither below the center of the coil nor below its edges. 4.2 Magnetic Coil Design Considerations Here we will discuss another paper (Lin, Hsiao, & Dhaka, May 2000). In these paper coils of various geometric orientations was studied varying radius, number of turns, slinky, wire length etc. Different geometry of coils that were studied are shown in figure 15. 19 Figure 15: Different geometries of magnetic coils 4.2.1 Theoretical Computations Electric field generated by a magnetic coil (MC) can be calculated by ∂A ∂t ∂I dl ′ = −∇V − ( µ 0 / 4π ) ∫ ∂t r E = −∇V − A typical current wave form, generated by a capacitor initially charged to V0 volt and discharging through a coil (RLC circuit) is governed by the following equation I = (V 0 / ωL) sin(ωt ) exp(− at ) ∂I / ∂t = (V 0 / L)[cos(ωt ) − (a / ω ) sin(ωt )] exp(− at ) E = −∇V − {(V 0 / L)[cos(ωt ) − (a / ω ) sin(ωt )] × exp(− at )}( µ 0 / 4π ) ∫ dl ′ / r Where, a = R /(2 L) and ω = (1 / LC ) − a 2 20 For uniform current distribution along the coil ∇V becomes insignificant compared to the other factors. So, 1. E∞ ∫ 2. E∞ dl ′ r 1 L 4.2.2 Experimental Measurements Table 3: 21 Table 4: Table 3 & 4 summarizes different arrangement of the coils used in this experiment. Figure 16 shows the experimental set up. A plastic container of 30 ܿ݉ × 30 ܿ݉ × 25 ܿ݉ was used in this experiment. The container was filled with a saline solution of conductivity 0.002 S/cm (0.8% NaCl). The electrodes of the electric field probe were 0.2 cm – 0.5 cm apart. The frequency of the coil excitation current was 20 Hz. 22 Figure 16: Experimental setup The electric field distribution for coils IA-IE at 3 mm above them was found as follows Figure 17: Electric field distribution (IA-IE) 23 From figure 17 we can clearly see that the ratio of ாೝೌೝ ாೞೌೝ increases as number of slinky increases. This happens because with increased number of slinky in other planes than the horizontal, effective r increases as a result Esecondary decreases. Electric field distribution of circular (IB) vs rectangular (IF) coil is shown below for same resistance R. Figure 18: Electric field profile coil IB and IF We can observe that the circular coil has higher primary electric field but less focalization as compared to the rectangular coil (2.6 vs. 2.2). ாೝೌೝ Electric field profiles of coils IIB, IB, and IID with diameter 11.5, 7.62, and 5.08 cm respectively are plotted in figure 19. This figure shows that the ratio ாೞೌೝ ଵ decreases as the coil diameter increases. Eprimary decreases because ܦߙܮand ߙܧ. Esecondary is higher for larger diameter coil because of less interference from the side limb of the other coils. 24 Figure 19: Electric field profile for different diameter coil The field penetration by different diameter coils, IB (7.62 cm), IIB (11.5 cm), and IID (5.08 cm), were investigated in the following plot. Here we can see that lower diameter coil has higher initial field strength, but higher diameter coils penetrate deeper. 25 Figure 20: Electric field penetration of coils IID, IB, and IIB 4.2.3 Analytic Computation A computer program FARADAY was used to simulate the electric field in different coil arrangements. This software uses boundary integral equation to solve for the fields. For this simulation current through the coil conductor was 30,000 A at 4 KHz. ாೝೌೝ The analytic computation results of electric fields for coils IA-IE is shown in figure 21. The ratio ாೞೌೝ is observed to increase as the number of slinky increases. This is because effective r increases and thus Esecondary decreases. 26 Figure 21: Electric field profile of coils IA-IE Coils IIB, IB, and IID were studied to learn the behavior of different diameter coils. The diameters were 11.5, 7.62, and 5.08 cm respectively. The initial field strengths were 454, 517, and 789 V/m respectively. So, the smallest diameter coil had the highest field strength. This happens for the same reason as stated in Art 4.2.2. Eprimary increases ଵ because ܦߙܮand ߙܧ. Esecondary is higher for larger diameter coil because of less interference from the side limb of the other coils. The ratio primary to secondary field was found to be 1.5, 2.0, and 2.3 respectively. So the ratio decreases as the coil diameter increases, agreeing to the experimental results. But the larger diameter coil maintained a higher field strength after 30 mm distance. 4.2.4 Findings from (Lin, Hsiao, & Dhaka, May 2000) Slinky arrangement of coils produces more focalized electric field than the planar circular coils. Peak primary to secondary electric field ratios were found to be 1, 2.2, 2.85, 2.62, and 3.54 for coils with slinky 1 to 5 respectively. Coils with larger diameters have better penetration depth than those with smaller diameter coils. Coils with less number of turns have higher initial field strength. 5. MY FINDINGS 27 I used XFDTD 6.5 to simulate a homogeneous rectangular phantom of 225 ݉݉ × 150 ݉݉ × 150 ݉݉. 2 mm shell was used in the phantom that was facing the magnetic coil. 30,000 A electric current was flowing through the coil conductor at 915 MHz. Muscle simulating tissue had conductivity 0.97 S/m, relative permittivity of 41.5 and density 1000 Kg/m3. The shell had conductivity of 0 S/m, relative permittivity of 3.7 and density 0 Kg/m3. Two coils were placed such that the wires in one edge of a coil were at the middle of the two wires of the other coil. In this way, we can facilitate maximum electric field near the intersection of the two coils. The other edges would try to decrease the effect of the other coil. So, we will be having maximum focused electric field. Each of the coils had 4 turns and radius of 38.1 mm. The wire had a length of 80 mm and radius of 0.25 mm. The wire material was selected to perfect electrical conductor (PEC). The coils were placed such that the nearest coil element was 3 mm away from the tissue. Base cell size of 1 mm was chosen in all directions. Liao absorbing boundary was used to simulate. Figure 22: The phantom and coil arrangement for simulation Results After the simulation was performed the electric field profile at the underneath of the intersection of the two coils (mid points) and the side edges (side limb) were plotted in figure 23. 28 Figure 23: Electric field profile of midpoint and side limb with respect to time From the above figure, Eprimary is 2.2 × 10ହ V/m and Esecondary is 1.1 × 10ହ V/m. So the ratio is 2. 6. CONCLUSION How signal propagates through human nervous system has been described in this report in terms of electrical point of view. Some electrochemical changes has also been discussed. A simplified model of the nerve fiber was then presented which was later modified with Hodgkin-Huxley model. An analytic model of stimulation in the nerve fiber was then developed based on this model. It was found that maximum stimulation was neither beneath the center of the coil nor at the edges. Then different magnetic coils were studied to find a suitable one for a particular application of nerve stimulation. Stimulation of peripheral nerves at different organs demands different magnetic coils. Some may require higher penetration and some may require a focalized beam. At last a simple simulation model was developed in XFDTD. Future scope of this project lies in studying the behavior of magnetic coil at different frequencies and study of magnetic coil built with different magnetic materials. Some in vitro experiments are also left for future work. 29 Bibliography Davidovits, P. (2007). Physics in Biology and Medicine. Lin, V. W.-H., Hsiao, I. N., & Dhaka, a. V. (May 2000). Magnetic Coil Design Considerations for Functional Magnetic Stimulation. IEEE Trans. on Biomed. Eng. , Vol. 47, No. 5. Roth, B. J., & Basser, P. J. (June 1990). A model of the stimulation of a nerve fibre by electromagnetic induction. IEEE Transactions on Biomedical Engineering , vol. 37, No. 6. Spine Universe. (n.d.). Retrieved April 2009, from www.spineuniverse.com 30