Abstract
Objective: This work aims to reduce the acoustic noise level of transcranial magnetic stimulation (TMS) coils. TMS requires high currents (several thousand amperes) to be pulsed through the coil, which generates a loud acoustic impulse whose peak sound pressure level (SPL) can exceed 130 dB(Z). This sound poses a risk to hearing and elicits unwanted neural activation of auditory brain circuits.
Methods: We propose a new double-containment coil with enhanced winding mounting (DCC), which utilizes acoustic impedance mismatch to contain and dissipate the impulsive sound within an air-tight outer casing. The coil winding is potted into a rigid block, which is mounted to the outer casing through the blocḱs acoustic nodes that are subject to minimum vibration during the pulse. The rest of the winding block is isolated from the casing by an air gap, and the sound is absorbed by polyester fiber panels within the casing. The casing thickness under the winding center is minimized to maximize the electric field output.
Results: Compared to commercial figure-of-eight TMS coils, the DCC prototype has 18-41 dB(Z) lower peak SPL at matched stimulation strength, whilst providing 28% higher maximum stimulation strength than equally focal coils.
Conclusion: The DCC design greatly reduces the acoustic noise of TMS while increasing the achievable stimulation strength. Significance: The acoustic noise reduction from our coil design is comparable to that provided by typical hearing protection devices. This coil design approach can enhance hearing safety and reduce auditory co-activations in the brain and other detrimental effects of TMS sound.
Original language | English |
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Article number | 9311190 |
Pages (from-to) | 2233-2240 |
Number of pages | 8 |
Journal | IEEE Transactions on Biomedical Engineering |
Volume | 68 |
Issue number | 7 |
Early online date | 30 Dec 2020 |
DOIs | |
Publication status | Published - Jul 2021 |
Bibliographical note
Funding Information:L. M. Koponen, S. M. Goetz, and A. V. Peterchev are inventors on patents and patent applications on TMS technology including the quiet TMS coil technology described in this paper. Related to TMS technology, S. M. Goetz has received research funding from Magstim, and A. V. Peterchev has received research funding, travel support, patent royalties, consulting fees, equipment loans, hardware donations, and/or patent application support from Rogue Research, Tal Medical/Neurex, Magstim, MagVenture, Neuronetics, BTL Industries, and ACI.
Manuscript received July 2, 2020; revised October 20, 2020 and December 6, 2020; accepted December 22, 2020. Date of publication December 30, 2020; date of current version June 18, 2021. Research reported in this publication was supported by the National Institute of Mental Health of the National Institutes of Health under Award Number R01MH111865 as well as by hardware donations from Magstim. (Correspondence author: Angel V. Peterchev.) Lari M. Koponen is with the Department of Psychiatry and Behavioral Sciences, Duke University.
Publisher Copyright:
© 1964-2012 IEEE.
Keywords
- acoustic noise
- coil design
- optimization
- TMS
- Transcranial magnetic stimulation
ASJC Scopus subject areas
- Biomedical Engineering