Depression treatment technique uses new helmet therapy | BBC News

Updated 9/3/18: TMSuino3 A low-cost arduino-based TMS (transcranial magnetic stimulation) device.

This github project is a step-by-step manual. Anyone with a high school diploma should be able to follow it and build a TMSuino themselves. That’s what I was aiming for. TMSuino’s principle of operation is taken from a scientific paper published in the 1990s. So it is free of valid patent claims. Costs for parts, materials and shipping should be around 150,- dollars/euros. There is no soldering required! Estimated build time is 2 1/2 hours.

A comment on the blog from Martin Mueller informed me of this very interesting new arduino-based TMS device. I’ve also posted a link to the r/diytdcs Reddit page in hopes of hearing feedback from more technically-minded folks. I will update this post as info emerges. TMSuino3 seems to be loosely based on the work of Steen Dissing whose device we looked at in 2015 (see below) where it’s referred to as Transcranial Pulsating Electro Magnetic Fields therapy or t-PEMF.

The Introduction to the github article collects the author’s frustrations and suspicions around transparency in the bipolar research community and basically comes away from the experience hypothesizing what sounds like a conspiracy. Wait, big pharma and medical device companies manipulating the market to ensure maximum profit? Either way, he shares an article that confirms Steen Dissing’s frustration in getting his device accepted and adopted for treatment of depression in Denmark. An Inventor’s Triumph and Frustration.

It turns out a medical grade device has been developed and approved for treatment of depression in Denmark. The Re5, made by Navamedic. There are a collection of research papers linked to at their site.
————————– Original 2015 article.
Thanks to reader Jerico for alerting me to this. Transcranial Pulsating Electro Magnetic Fields therapy is new to me. It does not seem to be experiencing anywhere near the level of research activity that is going on around tDCS. Some of the research I’m finding dates from 2001 (though the BBC article the quote is from and linked to below is from 2014).  But just to have it on our radar, and because the helmet looks so cool…

“The helmet is amazing,” said Annemette Ovlisen, a graphic artist who suffered recurrent depression for 16 years and a participant in the Hillerod trials.
It’s like the fog lifts. It was like somebody hit the reset button.”The device contains seven coils that deliver a dose of Transcranial Pulsating Electro Magnetic Fields (T-PEMF) to brain tissues.The pulses are so minute that the patient cannot detect any sensation, and the only side effect so far is occasional “tiny” nausea that immediately disappears after treatment.
Prof Steen Dissing, of Copenhagen’s Faculty of Health Sciences is the helmet’s principal architect.
He said: “The device mimics electrical fields in the brain, and triggers the body’s own healing mechanism.”
The pulses activate capillaries in the brain, which form new blood vessels and secrete growth hormones.

PEMFhelmet

I’ts like somebody hit the reset button and I was back to normal.

PEMFhelmetDissingPEMFhelmetInUsevia BBC News – Depression treatment technique uses new helmet therapy.

Gamma Waves Enhance the Brain’s Immune System to Treat Mice with Alzheimer’s disease.

Foc.us v2 40hz tACS

[Update 2/3/18] Nature reports on updates since the information about the research first emerged. How flashing lights and pink noise might banish Alzheimer’s, improve memory and more
———
I was first alerted to the story from a December 7 article in the Guardian, “Strobe lighting provides a flicker of hope in the fight against Alzheimer’s“. Researchers from the Picower Institute for Learning and Memory at MIT, working with (let’s call them) ‘Alzehiemer’s mice’, had discovered that flashing a light at 40hz (on-off at 40 times per second) increased gamma wave oscillations in the brain which led to the reduction of Amyloid beta (think, plaque) through the activation of microglia ‘clean-up’ immune cells. Here, let them explain it!

The paper, Gamma frequency entrainment attenuates amyloid load and modifies microglia makes clear that the light-flickering affected the visual cortex, which makes sense, as the light reaches the brain through the eyes. But wait, thinks I, what about tACS (transcranial Alternating Current Stimulation)… haven’t I seen numerous papers implying the ability to ‘entrain’ brain waves with tACS? What if you could increase 40hz Gamma in other parts of the brain? (Google Scholar Search: transcranial alternating, entrain, gamma)
But then I discovered that Radiolab just covered this exact story and it’s totally amazing! Really a must listen. So fun to hear the researcher’s amazement at this accidental (sort of) discovery!
So what’s with the photo of the Foc.us v2 device set up for a 40hz tACS session? Just that…

More about The Picower Institute for Learning and Memory at MIT

The Research Institute of the McGill University Health Centre, Montreal, Testing TMS For Alzheimer’s

It ‘makes sense’ that stimulating neurons in areas of the brain affected by Alzheimer’s would be of benefit, but as the researchers state, we won’t know for sure until the science is complete. In the meantime, if you know anyone in Montreal with Alzheimer’s issues, the study is recruiting.

The study is still accepting new patients.To find out more, contact researchers at the Research Institute of the MUHC at 514-934-1934 ext 34439 or Rishanthi.sivakumaran [@] rimuhc.ca

Caputron Now Carrying Foc.us V2 Device

Robin at Caputron dropped me a note to let me know they are now carrying the Foc.us V2 device. Purchased alone, it does not include electrodes, but there is an option to add their ‘starter kit’ which includes the Caputron Universal Strap, Caputron Banana Adapter Cable for Focus Device, and Choice of 2×2 or 3×3 Electrodes. (Use diytdcs at checkout for generous discount). Foc.us V2 Device at Caputron.
If what attracted you to tDCS is all the news (and hype) around the possible benefits, cognitive and otherwise, that tDCS may provide, then I recommend the Foc.us V2 device. It’s had a thorough going over, and apart from the (then included) electrodes, proved to be an amazing piece of gear. tDCS, tACS, tRNS, tPCS in a single sub $300 unit with a software interface!

Elsewhere on the blog I’ve stated that I recommend the ActivaDose ll device. This is an FDA approved device – it’s NOT FDA approved for tDCS – it’s approval is for use as an Iontophoresis device. The point is that the electronics and workmanship have attained an FDA level of approval. It’s simple and straightforward to use.

The only reason I haven’t recommended other tDCS devices on the market is because I’m not in a position to analyze the quality of their workmanship myself. I recommend the Activadose ll because people looking to experiment with tDCS for the treatment of depression can’t be assumed to have a toolset for determining the mechanical workmanship of an electrical device they’re going to be attaching to their heads! The Activadose ll, an FDA approved device, at least assures the buyer the device itself is of high quality. It’s also more likely to retain some resale value in the event someone decides later on to sell it.

I recommend the Foc.us V2 because of it’s variety of stimulation modes. Folks who are sophisticated enough about neurostimulation to be experimenting with cognitive enhancement would obviously benefit from having the option to test other forms of stimulation that frequently come up in the scientific literature.

When you use code diytdcs at checkout at  Caputron you get a discount, and I get a small commission.

A Dancer, Musician, Jogger & Handball Player Try Halo Sport | Mario Marzo

I do hope to understand this better. Is it just that he was so impressed with his own Halo Sport experience that he was motivated to tell the world about it? Is it that Mario is a YouTube content creator and knew this would be compelling content? I will update the post as I learn more.

And here is the video Mario made in November, 2016 where he describes the impact using Halo Sport had on his piano playing.

Hey Mario, If you’re reading this drop me a line, I’d like to talk to you.

TMS For Depression Making Inroads Into Mainstream

Insurers are starting to cover TMS for depression (after determining that SSRIs or other medications aren’t working for the patient). A full course, 24-36 treatments, of TMS can cost well over $10k. Though this is purely conjecture on my part, one way tDCS might make it into the mainstream is as a method to ‘top up’ post-TMS treatment as effects begin to fade.

Published on Jun 19, 2017 | YouTube UCLA
As the number of people suffering from depression rises, doctors are looking for new, more targeted ways to treat it. One approach used by doctors at UCLA and a handful of other centers nationwide is to beam magnetic pulses deep into patients’ brains, a therapy known as transcranial magnetic stimulation (TMS). The therapy is time-consuming, and only a few hospitals or clinics offer it, but its ability to work in a fundamentally different way from medications is also what makes it so promising for people not helped by drugs.

NYC Neuromodulation 2017 | Yannick Roy

Yannick Roy of NeuroTechX put together a nice summary of his experience at the Neuromodulation 2017 conference in New York.
Read the whole Medium article here: NYC Neuromodulation 2017

Do not use the “Oreo Cookie” approach where you soak your sponge in your saline solution and squeeze it to remove the extra. Because it over saturates, it’s dripping, it’s very “subjective” and hard to reproduce. Get a syringe and put 8mL of saline solution on your sponge and make sure to also get the corners. Do that prior to insert the electrode in between the 2 layers. If it’s dripping wet, that’s bad (you’re doing it wrong!). You should not have to use a tower on the patient’s neck.

Yannick Roy from NeuroTechX with Marom Bikson, chair of the Neuromodulation Conference. The interview was recorded at City College, NYC, during the Neuromodulation 2017.

Andrea Coravos at the NYC Neuromodulation 2017 Conference trying out Halo Sport (with Brett Wingeier)

Halo Neuroscience in the News

There’s been a lot of attention to the Halo Neuroscience device, much of it around use by olympic-level athletes. Halo Sport is a VC-backed tDCS device that targets the Motor Cortex. We’ve covered it previously elsewhere on the blog.

US Olympic track star out to prove Halo Sport headphones make him faster, stronger
The Brain-Zapping Olympians
Olympic Athletes Try Zapping Their Brains to Boost Performance

Sleep Spindles tACS and Memory Consolidation | Frohlich Lab

For the first time, UNC School of Medicine scientists report using transcranial alternating current stimulation, or tACS, to target a specific kind of brain activity during sleep and strengthen memory in healthy people.


Flavio Frohlich, PhD

Full Story: No dream: electric brain stimulation during sleep can boost memory
Paper: Feedback-Controlled Transcranial Alternating Current Stimulation Reveals a Functional Role of Sleep Spindles in Motor Memory Consolidation

Mind machines – the promise and problems of cognitive enhancement devices

In this video Roi Cohen Kadosh (Professor of Cognitive Neuroscience at the University of Oxford) likens the use tDCS without a task and purpose, to an athlete taking steroids and not exercising. He discusses recent papers coming out of his lab and describes the research that resulted in this paper: Combining brain stimulation and video game to promote long-term transfer of learning and cognitive enhancement. Kadosh points out that while tDCS did enhance performance in a math challenge, it simultaneously had a negative impact on another. Following Kadosh, Dr Hannah Maslen discusses DIY and DTC tDCS in the context of regulation in the EU.

Those who received real tDCS performed significantly better in the game than the sham group, and showed transfer effects to working memory, a related but non-numerical cognitive domain. This transfer effect was absent in active and sham control groups. Furthermore, training gains were more pronounced amongst those with lower baseline cognitive abilities, suggesting the potential for reducing cognitive inequalities. All effects associated with real tDCS remained 2 months post-training. Our study demonstrates the potential benefit of this approach for long-term enhancement of human learning and cognition.

Understanding The Mechanism Underlying The Effects of tDCS

The paper, Calcium imaging reveals glial involvement in transcranial direct current stimulation-induced plasticity in mouse brain, is being lauded as a major discovery among tDCS researchers. It is however, extremely hard to follow. Fortunately RIKEN also issued a press release describing the study in a way most tDCS-curious will understand. Read the full press release here.

Researchers at the RIKEN Brain Science Institute in Japan have discovered that the benefits of stimulating the brain with direct current come from its effects on astrocytes — not neurons — in the mouse brain. Published in Nature Communications, the work shows that applying direct current to the head releases synchronized waves of calcium from astrocytes that can reduce depressive symptoms and lead to a general increase in neural plasticity — the ability of neuronal connections to change when we try to learn or form memories.


(top) Low spontaneous calcium activity in a normal mouse followed by tDCS-induced calcium surges. (bottom) tDCS-induced calcium surges are absent in IP3 Receptor 2 knockout mice, indicating that the calcium surges originate in astrocytes, not neurons.
Note: The upper. ‘normal’ mouse brain vs. modified mouse brain, bottom. Watch near ticking clock when ‘spontaneous’ switches to ‘tDCS’.

Let’s put this in some context by having a quick look at astrocytes and glial cells. From 2-Minute Neuroscience

Prefrontal Electrical Stimulation in Non-depressed Reduces Levels of Reported Negative Affects from Daily Stressors

Prefrontal Electrical Stimulation in Non-depressed Reduces Levels of Reported Negative Affects from Daily Stressors

In two sham-controlled experiments, we found that repeated daily prefrontal tDCS sessions over 5 several days could effectively modulate how non-depressed individuals self-assess their mood states. Results show that participants experienced less psychological distress from daily stressors, a well established cause in the establishment of a negative emotional state. We replicated this finding in an independent, randomized, double-blind experiment applying similar protocol and stimulation on 3 consecutive days.

anode over the left F3 10–20 position, cathode over the contralateral F4 position

anode over the left F3 10–20 position, cathode over the contralateral F4 position