Olivier Tessier-Larivière

Pascal Fortier-Poisson

Jorin Mamen

Max Pinkney

Susannah Lee

Elvijs Sarkans

Luca Annecchino

Ben Appleton

Philip Garsed

Bret Patterson

Samuel Gonshaw

Matjaž Jakopec

Sudhakaran Shunmugam

Tristan Edwards

Aleksi Tukiainen

Joel Jennings … (voir 3 de plus)

Emil Hewage

Oliver Armitage

2024-06-17

Bioelectronic Medicine (publié)

Online Bayesian optimization of vagus nerve stimulation.

Lorenz Wernisch

Tristan Edwards

Antonin Berthon

Elvijs Sarkans

Myrta Stoukidi

Pascal Fortier-Poisson

Max Pinkney

Michael Thornton

Catherine Hanley

Susannah Lee

Joel Jennings

Ben Appleton

Philip Garsed

Bret Patterson

Buttinger Will

Samuel Gonshaw

Matjaž Jakopec

Sudhakaran Shunmugam

Jorin Mamen … (voir 4 de plus)

Aleksi Tukiainen

Oliver Armitage

Emil Hewage

OBJECTIVE In bioelectronic medicine, neuromodulation therapies induce neural signals to the brain or organs, modifying their function. Stimu… (voir plus)lation devices capable of triggering exogenous neural signals using electrical waveforms require a complex and multi-dimensional parameter space to control such waveforms. Determining the best combination of parameters (waveform optimization or dosing) for treating a particular patient's illness is therefore challenging. Comprehensive parameter searching for an optimal stimulation effect is often infeasible in a clinical setting due to the size of the parameter space. Restricting this space, however, may lead to suboptimal therapeutic results, reduced responder rates, and adverse effects. Approach. As an alternative to a full parameter search, we present a flexible machine learning, data acquisition, and processing framework for optimizing neural stimulation parameters, requiring as few steps as possible using Bayesian optimization. This optimization builds a model of the neural and physiological responses to stimulations, enabling it to optimize stimulation parameters and provide estimates of the accuracy of the response model. The vagus nerve innervates, among other thoracic and visceral organs, the heart, thus controlling heart rate, making it an ideal candidate for demonstrating the effectiveness of our approach. Main results. The efficacy of our optimization approach was first evaluated on simulated neural responses, then applied to vagus nerve stimulation intraoperatively in porcine subjects. Optimization converged quickly on parameters achieving target heart rates and optimizing neural B-fiber activations despite high intersubject variability. Significance. An optimized stimulation waveform was achieved in real time with far fewer stimulations than required by alternative optimization strategies, thus minimizing exposure to side effects. Uncertainty estimates helped avoiding stimulations outside a safe range. Our approach shows that a complex set of neural stimulation parameters can be optimized in real-time for a patient to achieve a personalized precision dosing. .

2024-03-13

Journal of Neural Engineering (publié)

Online Bayesian Optimization of Nerve Stimulation

Lorenz Wernisch

Tristan Edwards

Antonin Berthon

Elvijs Sarkans

Myrta Stoukidi

Pascal Fortier-Poisson

Max Pinkney

Michael Thornton

Catherine Hanley

Susannah Lee

Joel Jennings

Ben Appleton

Philip Garsed

Bret Patterson

Buttinger Will

Samuel Gonshaw

Matjaž Jakopec

Sudhakaran Shunmugam

Jorin Mamen … (voir 4 de plus)

Aleksi Tukiainen

Oliver Armitage

Emil Hewage

2023-09-01

bioRxiv (prépublication)

PNS-GAN: Conditional Generation of Peripheral Nerve Signals in the Wavelet Domain via Adversarial Networks

Luke Y. Prince

Pascal Fortier-Poisson

Lorenz Wernisch

Oliver Armitage

Emil Hewage

Blake Richards

Simulated datasets of neural recordings are a crucial tool in neural engineering for testing the ability of decoding algorithms to recover k… (voir plus)nown ground-truth. In this work, we introduce PNS-GAN, a generative adversarial network capable of producing realistic nerve recordings conditioned on physiological biomarkers. PNS-GAN operates in the wavelet domain to preserve both the timing and frequency of neural events with high resolution. PNS-GAN generates sequences of scaleograms from noise using a recurrent neural network and 2D transposed convolution layers. PNS-GAN discriminates over stacks of scaleograms with a network of 3D convolution layers. We find that our generated signal reproduces a number of characteristics of the real signal, including similarity in a canonical time-series feature-space, and contains physiologically related neural events including respiration modulation and similar distributions of afferent and efferent signalling.

2021-05-04

International IEEE/EMBS Conference on Neural Engineering (publié)