Friday, June 27, 2008

tDCS

Technology review has an interesting article about transcranial direct current stimulation (tDCS)

"The device is simple: a nine-volt battery that's been approved by the Food and Drug Administration for delivering (electricity) across the skin is connected to large flat sponges that are moistened and then applied to the head."
It also mentions about being able to create a device yourself with parts from radioshack.
"Half the people in this room could build this type of device with parts from RadioShack," Wassermann told a crowd at a neurotechnology conference in Cleveland last week.
Transcranial direct current stimulation (tDCS) has several benefits that may make this a fairly useful treatment in the near future. For one thing, it doesn't appear to have the risk of causing a seizure that is associated with transcranial magnetic stimulation (TMS). tDCS can also simultaneously upregulate activity in one area of the brain while decreasing activity in another. The electrode attached to the anode increases brain activity while the electrode attached to the cathode decreases brain activity. For many brain disorders it is common to have certain areas that are overactive or under active compared to a normal brain. So being able to selectively activate or deactivate cortical brain areas at the same time may be beneficial for mental illness.

Scientists are testing tDCS for schizophrenia and depression. Schizophrenics often have what are called negative symptoms. Negative symptoms include apathy, poor attention, poor grooming habits and poor motivation. These symptoms have been associated with under activity of the frontal lobes, particularly a brain area called the left dorsolateral prefrontal cortex. Positive schizophrenic symptoms such as hallucinations may be associated with over activity in different brain areas, like the temporal cortex. So tDCS may be able to up regulate activity in the left dorsolateral prefrontal cortex while simultaneously decreasing activity in the temporal cortex. This could have a substantial impact on a range of schizophrenic symptoms. For depression, tDCS may be able to up regulate activity in the left dorsolateral prefrontal cortex while simultaneously decreasing activity in the right dorsolateral prefrontal cortex. This will likely have a more robust antidepressant effect. TMS can also both increase and decrease activity in brain regions, however it cannot do it simultaneously like tDCS can.

Another benefit to tDCS is that the device is highly portable. This means that scientists can perform brain stimulation on patients while they are on the go, or when they are performing certain tasks. With TMS, it is much harder to do this since TMS is a fairly bulky device and you have to be lying down to get brain stimulation. With tDCS, a much wider variety of experiments become available. For instance recently scientists have used tDCS to reduce subjects propensity to punish unfair behavior in a game.
"Studying social behavior often requires the simultaneous interaction of many subjects. As yet, however, no painless, noninvasive brain stimulation tool existed that allowed the simultaneous affection of brain processes in many interacting subjects. Here we show that transcranial direct current stimulation (tDCS) can overcome these limits. We apply right prefrontal cathodal tDCS and show that subjects' propensity to punish unfair behavior is reduced significantly."
Experiments like this would not be possible with TMS due to the non-portability of the TMS device. So overall, tDCS has many potential uses as a fairly cheap and effective way to alter an individuals brain functioning.

9 comments:

Eric Wheelman said...

I wouldn't say tDCS is effective. Certainly wasn't for me. And I'm pretty sure TMS doesn't have to be so bulky as to be non-mobile.

Mike said...

What did you have tDCS done for? Did you not get any effect from it?

I'm still somewhat surprised that the electricity can actually move across the skull. You would think that would be a barrier.


As for the TMS, I think even the portable TMS device is a little bulky. It wouldn't make it easy to perform stuff on the go in the same manner as just having an electrode attached to your head. That's just my own impression though.

JM said...

I recently started using tDCs to treat anxiety, seizures and headaches due to chemical and allergen senstivities and am amazed at how well it works. An application of 1-2 minutes lasts several hours. I made my own tDC stimulator. It has built-in current limiting and a current flow indicator LED. The electrodes are cut from dishwashing sponges and put on titanium rods with insulated handles so I can hold them against my head. It matters where the electrodes are placed and the polarity, the amount of current and voltage. These parameters will vary from individual to individual and the goal of treatment. The big question is whether tDCs will continue to be effective over the course of weeks, months and years. My doctor told me that the currents and voltages in my stimulator aren't dangerous, so I use it several times a day (I live in an area with very high chemical/allergen levels).

Subvert said...

Hey, JM, do you have a circuit you'd be willing to share? I've constructed something like a TDCS based on circuits I've found online, but once I figured out the circuit was alternating the current, I realized I needed a different circuit. So far all of the experimental evidence points to the importance of using cathodal direct current, and you're not going to get that with an alternating current.

Meejo said...

I have insomnia and depression and signed up for a study at my University that was using tDCS treatment over two weeks to see if there was any difference. I didn't know if I was in the real tDCS group or the "sham" group until the end of the last day - turns out I was in the test group.

I have to say, when it was happening, it felt like nothing was happening. Sometimes a bit of tingling at the beginning. The protocol was 5 treatments of 20 minutes spread out like this - Wednesday, Friday, Monday, Wednesday, Friday. They did EEGs and neuropsych tests before and after the study - I won't get the results until late summer.

From day 1 the most noticable benefit for me was falling to sleep. Normally I would try to go to sleep at 11 or midnight, but not be able to fall asleep for 3-6 hours, and then waking up several times through the night. On day one I fell asleep at 11:30pm - basically right when my head hit the pillow. The non-treatment days would get later and later. On Sunday night (2nd non-treatment day) I again couldn't fall asleep until 3am.

So, the study ended one week ago, and now I'm back to having bad insomnia. I really would like to make my own little device since it had such a profound impact on my sleep, and no noticable negative impact in any other area. (They didn't give me the results of my neuropsych tests, but I think my performance improved, meaning the tDCS improved my cognitive ability somewhat as well. That would be nice to have, too.)

Anyhoo, I actually did just go to radio shack and didn't see anything specific that might help me re-create this. Even though all these people say it is an easy device, I still can't find anywhere on the web that has a step-by-step how-to.

Can anybody help me out yet (I see this is an older blog) with either directions to a website or actual instructions and part-list for creating a device?

Thanks in advance!
Marilyn, aka Sleepless in Santa Monica

Meejo said...

Oh, and here is the information I know about my treatment:

(from the consent document)
"For the tDCS treatments, a pair of electrode pads will be moistened with salt-water and placed on your head; these work even if there is hair on the scalp, so there is no need to shave those areas. The pads will be connected with wires to the computer-controlled source of energy, which is powered by a 9 volt battery. A very small (1.0 milliamp) current will be passed between the pads and be conducted through your head. Each treatment session lasts for 20 minutes.”

[from memory)
*they warmed the moistened sponges in the microwave for 10 seconds before placing them on me - for comfort purposes
*they strapped the sponges to my head with a black stretchy band that kind of buttoned closed on my lower forhead.
*The placement of the sponges was always one sponge in the middle of my right eyebrow and the other sponge about 1.5” above my left temple (and about 1.5” from the top of my scull at that point).
*From asking the doctor, he said the left sponge was supposed to be on my prefrontal dorsal ____ cortex. Sorry I can't remember the missing word.

Hope this helps somebody - or helps someone help me design a replica!

Thanks
Marilyn

Mike said...

Well, I'm not sure if I'm the best person to answer your question Meejo. I think you can just buy a battery from a store like radio shack. Then you have to set up a circuit with some resistors in parallel so the current is 1-2 milliamps. Just use ohms law (I=V/R) to figure out how to get the current (I). V is the voltage of the battery and R is the resistance. Also you need something like a voltmeter to be able to read the amount of current flowing through the circuit. If you don't know how to create the proper circuit, you might want to ask somebody who knows more about electronic stuff than I do.

You might also be able to just buy a tdcs device.
http://www.mindalive.com/2_2.htm
The device above appears to be both a tdcs and a ces device.

akomadi said...

I am also interested in buying tDCS. On the mindalive.com they write "CAUTIONS: tDCS is very powerful and if applied improperly, can result in negative side effects. Therefore, the sessions for tDCS will only be released to qualified clinicians." I am Hungarian, poor in English, this means that in case I buy it as a private person, the tDCS wouldn't be included?

Anonymous said...

Download the manual for the Mind Alive device and when you see all the things that it does for safety and efficacy, you realize that building your own device is a bad idea.