Neuro Flashcards

(40 cards)

1
Q

Q:What is a bioelectronic medicine or neuroprosthetic device in essence?

A

A:It is an electronic system that interfaces with physiology closes the loop on a compromised control system to treat disease examples include cardiac pacemakers deep brain stimulators and cochlear implants

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2
Q

Q:Why do engineers describe closed loop neurostimulators with a technology stack?

A

A:The stack divides the device into material interface sensors classifiers control policy and actuators which clarifies design goals constraints and risks

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3
Q

Q:Why is identifying a biomarker crucial in adaptive neurostimulation?

A

A:A biomarker is a measurable signal tied to disease state or user intent and without it the device cannot decide when or how to adjust therapy

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4
Q

Q:What are action potentials and why are they all or none?

A

A:They are rapid neuron voltage spikes produced by coordinated sodium and potassium channel dynamics and once threshold is crossed the spike propagates without attenuation ensuring reliable signalling

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5
Q

Q:List the main steps of Hodgkin Huxley membrane modelling

A

A:Model membrane as capacitor plus ionic conductances write current balance include voltage dependent gating variables and solve to predict action potentials

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6
Q

Q:What is the neural activation function in stimulation terms?

A

A:It is a simplified relation between external electric field and transmembrane voltage that predicts which stimulus parameters trigger or block action potentials

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7
Q

Q:How does the cable equation aid extracellular stimulation analysis?

A

A:It models axial and extracellular current flow with membrane capacitance letting designers compute spatial voltage gradients that set activation thresholds

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8
Q

Q:Define rheobase and chronaxie

A

A:Rheobase is the minimum current for an infinitely long pulse and chronaxie is the pulse width at twice rheobase indicating energy efficient duration

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9
Q

Q:How does ultrasound neuromodulation differ from electrical pulses?

A

A:Ultrasound focuses mechanical energy to modulate mechanosensitive channels can reach deep tissue noninvasively and has different dosing and safety profiles

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10
Q

Q:Why must chronic stimulation pulses be charge balanced?

A

A:Biphasic charge balanced pulses prevent net direct current thereby avoiding electrode corrosion tissue damage and pH shifts

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11
Q

Q:Name common electrode materials for implant interfaces

A

A:Platinum iridium stainless steel titanium nitride and iridium oxide are chosen for biocompatibility electrochemical stability high charge capacity and conductivity

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12
Q

Q:Contrast action potentials with local field potentials LFPs

A

A:Spikes occupy three hundred hertz to five kilohertz last about one millisecond and reach hundreds of microvolts while LFPs are below two hundred hertz slower and larger

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13
Q

Q:Compare ECoG with scalp EEG

A

A:ECoG uses cortical surface electrodes yields higher amplitude and wider bandwidth but is invasive whereas EEG is noninvasive but attenuated and lower resolution

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14
Q

Q:What is a differential amplifier’s role in neural recording?

A

A:It measures the voltage difference between signal and reference electrodes rejecting common mode noise to reveal microvolt neural signals

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15
Q

Q:State two design challenges for low noise neural amplifiers

A

A:They need megaohm input impedance with picoamp bias and must minimize thermal and flicker noise so spikes remain visible

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16
Q

Q:How does a physiologic closed loop controller differ from open loop therapy?

A

A:It senses a biomarker and automatically adjusts therapy improving efficacy reducing side effects and saving energy while open loop stays fixed

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17
Q

Q:Define the classifier block in a BMI for movement intent

A

A:It converts neural features into predicted movement state such as direction or action which then drives the control policy

18
Q

Q:Why can pure feedforward control be risky in bioelectronic devices?

A

A:Physiology changes with time and disturbances so without feedback a feedforward system may deliver unsafe or ineffective therapy

19
Q

Q:Give one automation risk and the IEC 60601 1 10 mitigation

A

A:Automation bias could cause unsafe stimulation and the standard mandates fallback modes user override and safety margins to protect patients

20
Q

Q:What is fallback mode in a closed loop medical device?

A

A:A predefined safe therapy level or shutdown entered when faults or uncertainties are detected until normal control is restored

21
Q

Q:How are large common mode artefacts mitigated in neural systems?

A

A:Use balanced high impedance electrodes differential amplifiers with strong rejection and synchronized filtering or blanking

22
Q

Q:List benefits of biphasic pulses

A

A:They maintain zero net charge reduce electrochemical damage enable reversible stimulation and extend electrode life

23
Q

Q:What does the strength duration curve illustrate?

A

A:It plots threshold current versus pulse width showing rheobase and chronaxie to guide energy efficient safe stimulus design

24
Q

Q:Explain electrode surface area trade offs

A

A:Larger area lowers charge density and damage risk but decreases spatial selectivity and can raise noise whereas small area does the opposite

25
Q:Why fuse cortical spikes with EMG in prosthetic control?
A:Combining central intent and peripheral output improves reliability by providing redundant evidence for correct movement commands
26
Q:Differentiate specificity and sensitivity in event detection
A:Sensitivity is true positive rate while specificity is true negative rate and designers balance them based on clinical risk
27
Q:What mechanism underlies extracellular electrical stimulation?
A:An applied field drives current through extracellular fluid altering transmembrane voltage to depolarize or hyperpolarize targeted neurons
28
Q:Give the typical passband for single unit spike amplifiers
A:High pass around three hundred hertz and low pass near five or ten kilohertz preserving spikes while filtering drift and noise
29
Q:Why include inertial sensors in adaptive DBS?
A:They monitor tremor or activity level providing direct motor feedback that complements neural biomarkers for better stimulation adjustment
30
Q:Describe the Noise Efficiency Factor NEF
A:NEF measures amplifier noise relative to power and bandwidth and lower NEF indicates better noise performance per microamp
31
Q:Give two methods to mitigate 5G interference in BMIs
A:Apply physical shielding with notch filters and implement software artefact detection that triggers safe fallback
32
Q:How is cost effectiveness via QALY calculated for new devices?
A:Multiply patient QALY gain by the payer threshold value to set a maximum cost that remains economically justified
33
Q:How to handle very high electrode impedance for recordings?
A:Place an ultra high input impedance buffer near the electrode with minimal leakage and shielded wiring to the main amplifier
34
Q:Summarize IEC 60601 1 10 physiologic controller architecture
A:It defines patient transfer element sensors comparison and control command transfer element and actuators plus required safety mitigations
35
Q:Why separate sensing and stimulation electrodes?
A:To prevent large stimulation artefacts from saturating recording amplifiers and to protect sensitive front ends
36
Q:List general IEC 60601 safety requirements for implants
A:They include protection from electric shock mechanical hazards electromagnetic compatibility and reliable isolation with loop specific safeguards
37
Q:What factors set extracellular spike amplitude?
A:Distance to neuron cell size electrode impedance and tissue conductivity typically yielding fifty to five hundred microvolt peaks
38
Q:How can classifier task complexity impact BMI driver safety?
A:Overly complex models may lag or misclassify causing dangerous delays so simpler states with manual override improve safety
39
Q:Compare pros and cons of ECoG and intracortical arrays for robotic arm control
A:ECoG is less invasive and more stable but lower resolution while intracortical arrays give fine control yet are highly invasive and may degrade
40
Q:Outline the lifecycle of developing a closed loop neural prosthesis
A:Define clinical need and biomarkers design architecture build and bench test subsystems perform animal then human trials gain regulatory approval and continue post market surveillance