MAR 13, 2019 1:40 PM PDT

Clinical Updates: Towards Artificial Intelligence Based Adaptive Deep Brain Stimulation in Movement Disorders

Speaker
  • Wolf-Julian Neumann, MD

    Clinician Scientist, Movement Disorders and Neuromodulation Unit at the Department of Neurology, Charité - Universitätsmedizin Berlin, Germany
    BIOGRAPHY

Abstract

Deep brain stimulation (DBS) represents one of the major clinical breakthroughs in the age of translational neuroscience. In 1987, Benabid and colleagues demonstrated that high-frequency stimulation can mimic the effects of ablative neurosurgery in Parkinson's disease (PD), while offering two key advantages to previous procedures: adjustability and reversibility. Deep brain stimulation is now an established therapeutic approach that robustly alleviates symptoms in patients with movement disorders, such as Parkinson's disease, essential tremor, and dystonia, who present with inadequate or adverse responses to medication. Currently, stimulation electrodes are implanted in specific target regions of the basal ganglia-thalamic circuit and stimulation pulses are delivered chronically. Next-generation stimulation strategies will capitalize on recent advances in recurrent artificial neural networks to inspire intelligent neural prosthetics that learn when patients sleep, walk, speak or exhibit symptoms such as tremor or bradykinesia. This talk will give detailed insight into potential biomarkers and discuss neurosurgical and computational strategies, implementing advances in artificial intelligence, to further elevate the therapeutic potential of DBS by capitalizing on its modifiable nature. Development of intelligent aDBS, with an ability to deliver highly personalized treatment regimens and to create symptom-specific therapeutic strategies in real-time, could allow for significant further improvements in the quality of life for movement disorders patients with DBS that ultimately could outperform traditional drug treatment.


MAR 13, 2019 1:40 PM PDT

Clinical Updates: Towards Artificial Intelligence Based Adaptive Deep Brain Stimulation in Movement Disorders