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© 2022 Author(s).
AIP Advances ARTICLE scitation.org/journal/adv
Xiao Fang,1 , 2,a) Chen Yun,1 Chaoxu Zeng,1 Hongfa Ding,2 Yongheng Huang,2 Wei Liu,1 and Yaoyao Luo1
AFFILIATIONS
1
The College of Nuclear Technology and Automation Engineering, Chengdu University of Technology, Chengdu 610059, China
2
Wuhan National High Magnetic Field Center, State Key Laboratory of Advanced Electromagnetic Engineering
and Technology, Huazhong University of Science and Technology, Wuhan 430000, China
a)
Author to whom correspondence should be addressed: fangxiao930106@163.com
ABSTRACT
As a non-invasive neuromodulation technology, transcranial magnetic stimulation (TMS) shows great potential in the treatment of mental
diseases. Using TMS to stimulate deep brain targets has significant scientific research value for the exploration of the causes of psychiatric
diseases. However, the focalized induced electrical field (E-field) generated by traditional TMS coils or coil arrays is largely restricted to
superficial cortical targets. To achieve focalized stimulation in the deep brain, a novel spatially symmetric array based on curved θ-type coils
(the θ-SSA) is proposed in this paper. Four θ-type coils in the array are symmetrical to the YZ and XZ planes. Each θ-type coil is placed
tangent to the human scalp and bent away from the human head to reduce the non-longitudinal component accumulation of the induced
E-field and enhance the stimulation focalization. The finite-element method is used to obtain the 3D spatial distributions of the intracra-
nial induced E-field generated by the proposed array. Results show that the θ-SSA can form an obvious focusing area in the deep brain
11 cm below the scalp. Under identical stimulation current excitation, the θ-SSA can increase the intracranial longitudinal attenuation ratio
by 77% compared to the traditional TMS coil. In addition, when generating the same focusing area, the stimulation depth of the θ-SSA is
1.67 times deeper than that of the traditional TMS coil. Meanwhile, the proposed array can dynamically steer the intracranial stimulated area,
and the spatial coordinates of the intracranial stimulation target point can be flexibly and continuously adjusted when changing the stimula-
tion current parameters applied to the array. An anatomically realistic human head model with gray matter is employed in this paper to verify
our method.
© 2022 Author(s). All article content, except where otherwise noted, is licensed under a Creative Commons Attribution (CC BY) license
(http://creativecommons.org/licenses/by/4.0/). https://doi.org/10.1063/5.0121692
(THC) can generate a magnetic field seven times stronger than that
generated by the FOE coil. The design of the THC coil aimed to
maximize the depth of stimulation without concern for stimulation
focalization.19
In this paper, the spatially symmetric array based on the
curved θ-type coil (the θ-SSA) is introduced as a new TMS array
with a special geometrical structure. The finite element method
(FEM) is adopted to obtain the relationships between the geomet-
ric parameters of the proposed array and the spatial distribution
characteristics of the intracranial induced E-field. The influence
of the stimulation current parameters on the spatial coordinates
of the stimulation target point is analyzed with the mathematical
method. Results show that the θ-SSA has great advantages over
the traditional TMS coil in deep brain stimulation performance.
The θ-SSA makes it possible to achieve focalized stimulation in
the deep brain, and fewer non-targeted tissues will be exposed to
strong stimulation. In addition, the location of the stimulation tar-
get point generated by the array can be flexibly and continuously
adjusted.
II. METHODS
A. Geometry of the θ-SSA
Until now, the Figure of Eight coil (FOE coil) has been the most
commonly used TMS coil because of its good focalization. The tra-
ditional FOE coil pair consists of two circular coil units, and the
current directions of the two coil units are identical at the tangent
point. The targeted point is right below the tangent point of the FOE
coil pair. There is only one tangent point in the FOE coil, which is
FIG. 1. 3D geometry of the θ-SSA and its relative positional relationship with the
advantageous to narrowing down the stimulating area; however, it
head.
limits the enhancement of stimulation intensity, and the focusing
area is restricted to the superficial cortical targets.
According to the superposition principle of the electromagnetic
field, if the number of central tangent points of the magnetic coil pair direction of the stimulation current. It should be noticed that in
is increased to form two central segments with the identical current practice, the θ-type coil is tightly wound into multi-turn and multi-
direction, the amplitude of the induced E-field below the coil could layer structures and there is no large gap between copper wires.
be further increased and would be helpful in increasing the stim- The red transparent ellipse indicates the area where the induced
ulation depth. In addition, considering the ergonomic structure of E-field is strengthened below the θ-type coil. The θ-type coil can
the human head, the curved stimulation coil can physically limit the be obtained by winding the copper wire into a common planar
induced E-field in a smaller domain, which could be beneficial in semi-ellipse coil pair and then bending the initial coil pair along its
improving the stimulation focalization. When multiple curved coils central axis.
are designed in a specific location to form a stimulation array, the The geometry of the θ-type coil can be described as a × b (mm2 )
superposition effect of the intracranial induced E-field can be further with θ (○ ). a and b represent the length and width of the θ-type
improved. coil, respectively, and θ stands for the bending angle. The parameters
Based on these considerations, the θ-SSA is designed and pro- a (mm), b (mm), and θ (○ ) are marked in Fig. 2.
posed in this paper. The geometry of the θ-SSA is shown in Fig. 1. Each θ-type coil of the θ-SSA is placed tangent to the human
Different from the traditional planar TMS arrays, which are com- scalp and bent away from the human head to reduce the non-
posed of multiple flat coils, the θ-SSA consists of four curved θ-type longitudinal component accumulation of the induced E-field and
coils with identical geometric parameters. D (cm) describes the improve the stimulation focalization. The spatially symmetrical
vertical distance between the upper θ-type coil and the lower θ-type structure of the array enhances the superposition effect of the
coil on the same side of the head. The parameter D (cm) is marked induced E-field in the deep brain, and the double layer design of the
in Fig. 1. array is beneficial in further improving the stimulation depth.
Each curved θ-type coil contains two units. The stimulation
units in the θ-SSA are located in eight quadrants of the 3D coordi- B. Model establishment
nate system (as marked in Fig. 1), and they are symmetrical relative (1) The θ-SSA: The coils in this paper are wound by copper wire
to the YZ plane and XZ plane. The 3D geometry and the planar with a conductivity of 6.00 × 107 S/m. The size of copper is
winding structure of the θ-type coil are shown in Fig. 2. The red 3 × 4 mm2 . The coils have 16 turns and 4 layers. The cross
lines with arrows between copper conductors indicate the flowing sections of the stimulation current are in a fixed rectangle
The center of the human head coincides with the origin of the of the induced magnetic field increases, and the induced E-field
coordinate axis, and the scalp vertex is located at Z = 12.40 cm. is enhanced as well. It shows that with the increase in the coil
Accordingly, Ez.max has been adopted on test line X and test line size, the longitudinal attenuation performance of the intracranial
Y at Z = 1.40 cm to characterize the stimulation intensity in the induced E-field is improved, which agrees with the results of pre-
deep brain.22 vious studies that TMS coils with larger dimensions can provide
sufficient field strength and penetrate deeper.9,27 It also proves that
(1) Focalization: S70 and V 70 are adopted to evaluate the stim- the stimulation focalization will be weakened with the increase in
ulation focalization from 2D and 3D levels, respectively. S70 a or b. Previous studies have indicated that TMS coils with larger
√ the
represents the focusing area on the target plane where dimensions weaken the focalization, which is similar to the trend of
amplitude of the induced E-field exceeds Ez.max / 2. V 70 the θ-SSA.27,28
represents the focusing volume of the gray √ matter within
which the induced E-field exceeds Ez.max / 2.23–25
(2) Longitudinal attenuation ratio: The attenuation feature of the 2. Effect of θ
induced E-field is evaluated with the ratio δ = EGM.max /Ez.max , The influence of θ on the spatial distribution characteristics of
and EGM.max is the maximum induced E-field on the the intracranial induced E-field is shown in Fig. 5(a). As we can see,
surface of the gray matter. A larger ratio (δ) means when with the increase in θ, the stimulation intensity of the intracranial
the intensity of the induced E-field on the surface of target increased slightly, and the variation range was about 4.90%.
the gray matter remains unchanged, a stronger induced This is because the direction of the stimulating current in the con-
E-field can be obtained within the deep brain area, and the ductors away from the centre of the coil is opposite to that of the
attenuated performance of the intracranial induced E-field is central conductors of the coil. When the induced E-field generated
better.25,26 by the central conductors is in the direction of +Z, the induced
E-field generated by the conductors away from the centre is in
the direction of −Z. With the increase in the bending angle, the
III. RESULTS AND DISCUSSION
distance between the conductors away from the centre of the coil
A. Influence of the θ-SSA geometric parameters and the head increases, and the induced E-field in the −Z direction
on the intracranial distribution of the induced E-field is also reduced; hence, the induced E-field in the +Z direction in the
In this part, the influence of the geometric parameters a (mm), intracranial target area will increase slightly.
b (mm), θ (○ ), and D (cm) of the proposed array on the distribu- When θ was increased from 50○ to 90○ , the longitudinal attenu-
tion of the induced E-field in the deep brain is studied in detail. The ation increased by 9.20%, the focusing area on the intracranial target
geometric parameters of the four θ-type coils are the same, and the plane increased by 1.40 cm2 , and the focusing volume in the gray
stimulation currents applied to the coils are with an amplitude of 1 A matter decreased by 9.30 cm3 .
and a frequency of 5 kHz.26,27 The above-mentioned results show that the bending character-
When the parameters of the stimulation currents in the four istics of the θ-type coil have a large impact on the spatial distribution
coils of the array are identical, the array will generate a focus- of the intracranial induced electric field and with the increase in the
ing E-field in the deep brain, and the stimulation target point is bending angle, the intensity of deep brain stimulation, the longitudi-
P (X = 0, Y = 0, Z = 1.40 cm). nal attenuation, and 3D focalization can be improved. Considering
the stress borne by the coil skeleton and copper wire in the actual
processing process, the maximum bending angle selected in this
1. Effect of a and b paper is 90○ .
As shown in Fig. 4(a), as the length of the θ-type coil increases
from 35 to 55 mm, the stimulation intensity increases by 54.10%,
and the intracranial longitudinal attenuation ratio δ increases by 3. Effect of D
13.40%. The focusing area and the volume increase by 1.20 cm2 and When the positions of the stimulation units at the lower layer of
5.20 cm3 , respectively. In addition, for parameter b, when b increases the array (unit V to unit VIII) are kept unchanged and the stimula-
from 20 to 40 mm, the stimulation intensity increases by 90%, and tion units at the upper layer (unit I to unit IV) move up, the vertical
intracranial longitudinal attenuation ratio δ increases by 20.50%. distance D increases from 6 to 11 cm. When a = 40 mm, b = 30 mm,
The focusing area and the volume increase by 1.90 cm2 and 2.90 cm3 , and θ = 80○ , the spatial distribution characteristics of the intracra-
respectively. nial induced E-field under different vertical distances D are shown
The effects of parameter a and parameter b on the spatial distri- in Fig. 5(b).
bution characteristics of the intracranial induced E-field are similar, With the increase in D, the stimulation intensity in the deep
but the influence of parameter b on the spatial distribution charac- brain decreases by 10.40%, the intracranial longitudinal attenuation
teristics of the intracranial induced E-field is more obvious than that ratio δ decreases by 15.50%, S70 increases by 5.70 cm2 , and V 70
of parameter a. increases by 111.20 cm3 . Results prove that the increase in the ver-
The increase in a and b is beneficial in enhancing the stim- tical distance between the upper and lower coils in the array will
ulation intensity. The reason is that according to the Maxwell significantly weaken the focalization in the deep brain. The closer the
equations, the stimulation intensity of the induced magnetic field coils of the array are placed to each other, the more conducive it is
is related to the length and shape of the stimulation current’s inte- to improve the spatial distribution characteristics of the intracranial
gral path. As the circumference of the coil increases, the amplitude induced E-field.
B. Relationship between stimulation currents flexible adjustment of spatial coordinates of the stimulation target
and the spatial coordinates of the intracranial point P.
stimulation target point P
The stimulation target point P is at the position with the 1. The influence of the stimulation current ratio
strongest induced electric field on the target plane in the deep brain. α on the stimulation target point P
In the analysis of the previous part, the stimulation current in each The XOY plane is used to divide the θ-SSA into upper parts
stimulation unit of the array is identical, and the stimulation target (unit I to unit IV) and lower parts (unit V to unit VIII), and the
point P (0, 0, and 1.40 cm) generated by the array is located at the amplitude ratio of the stimulation current in the upper units to that
center of the head. in the lower units is set to α.
When the configuration of stimulation current parameters When a = 40 mm, b = 30 mm, θ = 80○ , and D = 11 cm,
in each stimulation unit changes, the spatial superposition effect keeping the current amplitude of the lower stimulation units
of the intracranial induced E-field will be affected to realize the unchanged and increasing the stimulation current amplitude in the
upper units to increase α from 1.0 to 3.0, the results show that α = 1.5 and α = 2.5, and it also agrees with the result that the
the stimulation target point gradually moves upward toward the stimulation target point moves upward.
+Z direction. The reason is that when α = 1, the currents in the upper and
The comparison of the induced electric field distribution on the lower stimulation units are equal, the induced E-fields in the upper
intracranial target plane at α = 1.5 and α = 2.5 is taken as an exam- and lower half of the brain are symmetrical, and the stimulation tar-
ple, shown in Fig. 6. Figures 6(a) and 6(b) show the distribution of get point P is located at the center of the brain. With the increase
the intracranial induced E-field on the target plane at α = 1.5 and in the current amplitude in the upper stimulation units, the induced
α = 2.5, respectively. With the increase in α, the intracranial focused E-field in the upper half of the head is stronger than that in the lower
field [the dark red area in Figs. 6(a) and 6(b)] moves upward obvi- half, resulting in the upward movement of point P. When α < 2, the
ously. When α increased from 1.5 to 2.3, the Z-ordinate of the Z coordinate of the stimulation target point increases quickly, and
stimulation target point P increased from 2.40 to 6.10 cm. Figure 6(c) when α > 2, the increase in the Z ordinate of the stimulation target
shows the distribution of the induced E-field along test line Z at point is relatively slowed down.
With the use of the polynomial numerical fitting method, β = 4, respectively. With the increase in β, the intracranial focused
the mathematical relationships between the Z ordinate of the field [the dark red area in Figs. 7(a) and 7(b)] moves toward the +Y
stimulation target point and α can be obtained as direction. When β increased from 2 to 4, the Y-ordinate of the stim-
ulation target point P increased from 1.4 to 2.5 cm. Figure 7(c) shows
Z(cm) = −4.26 + 5.81 × α − 0.66α2. (1) the distribution of the induced E-field along test line Y at β = 2 and
β = 4.
The correlation coefficient R2 α = 0.98, which reaches a signifi- In the relationship between the ratio α and the Z-coordinate
cant level, and the fitting effect is good. of the stimulation target point P, as the ratio α increases, the
Z-coordinate moves toward the stimulation with the larger coil.
2. The influence of the stimulation current ratio However, in the relationship between the ratio β and the
β on the stimulation target point P Y-coordinate of the stimulation target point P, the Y-coordinate
Similarly, the XOZ plane is taken to divide the array into front moves toward the stimulation units with smaller stimulation
parts (units I, IV, V, and VIII) and rear parts (units II, III, VI, and currents as the ratio β increases. The reason is that under this cir-
VII). The front stimulation units are located in the −Y direction, and cumstance, in the Y direction, the superposition effect of the induced
the rear stimulation units are located in the +Y direction. The cur- E-field generated by two stimulation units in a coil pair is the main
rent amplitude ratio of the front units to the rear stimulation units is factor affecting the formation of the stimulation target point P.
β. When the amplitudes of the induced E-field vectors generated by
When a = 40 mm, b = 30 mm, θ = 80○ , and D = 11 cm, keeping the two stimulation units are close and the included vector angle is
the current amplitude of the rear stimulation units unchanged and small, it is beneficial to form a higher synthetic E-field. If the stim-
increasing the stimulation current amplitude in the front stimula- ulation current applied to a certain stimulation unit in the coil is
tion units to increase β from 1.0 to 3.0, it is found that the stimulation large, the induced E-field generated by it needs to travel further to
target point P gradually moves toward the +Y direction, that is, in attenuate to be close to the amplitude of the induced E-field gener-
the direction with a smaller amplitude of current. ated by another stimulation unit, so the stimulation target point P
The comparison of the induced electric field distribution on the will be farther away from the stimulation unit with larger current
intracranial target plane at β = 2 and β = 4 is taken as an exam- and closer to the stimulation unit with smaller current. This rule is
ple, shown in Fig. 7. Figures 7(a) and 7(b) show the distribution consistent with the previous research results that took the FOE coil
of the intracranial induced E-field on the target plane at β = 2 and as an example.29
5
between array stimulation current parameters and spatial coordi- C. Liu, H. Ding, X. Fang, and Z. Wang, “Optimal design of transcranial mag-
nates of the stimulation target point in the deep brain are obtained netic stimulation thin core coil with trade-off between stimulation effect and heat
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6
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same stimulation conditions, the array can improve the intracra- in Parkinson’s disease,” Parkinsonism Relat. Disord. 66, 3–8 (2019).
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with the traditional FOE coil. When producing an equal focusing of resistant depression: Changes of specific neurotransmitter precursor amino
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area, the stimulation depth of the array is 1.67 times that of the 8
A. Fahad, A. Somaa, and A. T. Sack, “Transcranial magnetic stimulation in the
traditional FOE coil. This design provides a flexible way to con-
treatment of neurological diseases,” Front. Neurol. 13, 793253 (2022).
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in the deep brain and makes it possible to generate an induced
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ACKNOWLEDGMENTS J. Appl. Phys. 64(10), 5862–5864 (1988).
11
V. Guadagnin, M. Parazzini, S. Fiocchi, I. Liorni, and P. Ravazzani, “Deep tran-
This work was supported by the National Natural Science scranial magnetic stimulation: Modeling of different coil configurations,” IEEE
Foundation of China (Grant No. 51407015) and by the Beijing Trans. Biomed. Eng. 63(7), 1543–1550 (2016).
Municipal Science and Technology Commission (Grant Nos. 12
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AUTHOR DECLARATIONS (2006).
14
Conflict of Interest A. Zangen, Y. Roth, B. Voller, and M. Hallett, “Transcranial magnetic stimula-
tion of deep brain regions: Evidence for efficacy of the H-coil,” Clin. Neurophysiol.
The authors have no conflicts to disclose. 116(4), 775–779 (2005).
15
B. Lonergan et al., “Patient- and technician-oriented attitudes toward tran-
scranial magnetic stimulation devices,” J. Neuropsychiatry Clin. Neurosci. 30(3),
Author Contributions 242–245 (2018).
16
Xiao Fang: Conceptualization (lead); Formal analysis (lead); M. Lu and S. Ueno, “Comparison of the induced fields using different coil
configurations during deep transcranial magnetic stimulation,” PLoS One 12(6),
Writing – original draft (lead); Writing – review & editing (equal).
e0178422 (2017).
Chen Yun: Formal analysis (equal); Writing – original draft (equal). 17
M. B. Field, Y. Zhang, H. Miao, M. Gerace, and J. A. Parrell, “Optimizing con-
Chaoxu Zeng: Data curation (equal); Writing – review & editing
ductors for high field applications,” IEEE Trans. Appl. Supercond. 24(3), 1–4
(lead). Hongfa Ding: Funding acquisition (equal); Supervision (2014).
(equal). Yongheng Huang: Formal analysis (equal); Validation 18
S. Zibman and G. S. Pell, “Application of transcranial magnetic stimulation for
(equal); Writing – original draft (equal). Wei Liu: Methodology major depression: Coil design and neuroanatomical variability considerations,”
(equal); Validation (equal); Writing – original draft (equal). Yaoyao Eur. Neuropsychopharmacol. 6, 11–18 (2019).
Luo: Validation (equal); Visualization (equal); Writing – review & 19
P. Rastogi, E. G. Lee, and R. L. Hadimani, “Transcranial magnetic stimulation:
editing (equal). Development of a novel deep-brain triple-halo coil,” IEEE Magn. Lett. 10, 3102205
(2019).
20
E. G. Lee et al., “Investigational effect of brain-scalp distance on the efficacy of
DATA AVAILABILITY transcranial magnetic stimulation treatment in depression,” IEEE Trans. Magn.
52(7), 5000804 (2016).
The data that support the findings of this study are available 21
Y.-W. Lu and M. Lu, “Comparison of induced fields in virtual human and rat
from the corresponding author upon reasonable request.
heads by transcranial magnetic stimulation,” BioMed Res. Int. 2018, 5270279.
22
Z. Chen, S. Zhang, Z. Liu, and Y. Tao, “Simulation study to improve focalization
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