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.

15 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.

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).

DG 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.

Unknown 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

Unknown 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

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.

JM said...

Subvert, sorry I'm so late to reply. A DC stimulator is easier than an AC stimulator. At its simplest, it's a battery plus resistor the limit the current. Fancier circuits turn the resistor into a current source and use a DC pulse generator to break up a continuous DC voltage.

My tests have indicated that simplest works best for me. Don't need a current source, don't need a pulse generator. The voltage does make a difference. 9V alone is not enough. A higher voltage works better even when the resistor value is scaled up to keep the amount of current flowing the same.

I'm not ready to say more about the circuit at this time. I don't want people to hurt themselves. There are a couple of do-it-yourself TDCS pages online.

Bare Brainer said...

Here's an interesting dialectic for you. I use my homemade tDCS device with binaural beats. I wouldn't suggest it to those with a psychotic disorder like schizophrenia, anyone with epilepsy, or anyone prone to excesses. Still, it really makes it work!

Unknown said...

could somebody just explain to me how to deal with skin resistance.
"It is important that the device is current controlled. What this means is that the device will adjust
the voltage up and down as the resistance changes so that the current never changes. For instance, if the
resistance of the skin is 10,000 ohms, then 10 volts will be needed to “push” 1 ma through the body. If for
some reason, the connection becomes poor and jumps to 20,000 ohms, then the device should
automatically increase the voltage to 20 volts in order to push the 1 ma current through the body."

Could could you tell me what I need to do, or give me a circuit similar to what I need

Unknown said...

I can't help but wonder if this is something Nikola Tesla knew a little something about. It might explain those hallucinations he had and would help to explain his extraordinary ability to model devices in incredible detail all within his head.

I recall some discussion about him identifying the frequency at which the human body resonates as well... Something like 3-7 Hz, maybe this could be applied to tDCS in some way?

The other thing, is what about his Tesla coil technology... You know, the one you put your hands on in science class and your hair stands on end? Did this have any affect on our brain or even bodily functions?

You'll have to forgive my meanderings, I'm no electrician, just a curious mind trying to make sense of its world.

EndoQuixote said...

I will try to summarize the device I made. I found the plans to my device in a forum somewhere...

You will need a 1K Ohm Resistor, An LM317 adjustable voltage regulator, a nine volt battery, some wires, and any miscellaneous things you want to add, like an enclosure, a switch, banana jacks, actual 9-volt connectors, etc..

The cathode, negative, ground, whatever you call it, hooks right up to your, that side is just a wire.

On the anode side, the "plus side" you wire it to the "IN" prong on the LM317. From the "OUT" prong on the LM317, you wire the 1K ohm resistor. From the "ADJ" prong on the LM317, you run a wire to join in the "OUT" wire, after the resistor. from there, you run it to your anode sponge electrode.

This is called a current source. I don't know electronics very well, but, my unit seems to work, that is, I notice an effect that is consistent with the articles.

I got everything at radio shack, or salvaged from other things. I didn't want to solder because I wanted to be able to reuse the parts if I wanted to later. Basically, I just stripped the ends of the wires and wrapped them tightly to make the circuit, using shrink wrap to insulate everything.

As a cautionary measure, I recommend not doing this unless you are willing to take the risk and are sure enough that you know what you are doing. It is always better to be safe than to gratify your curiosity.

ATA said...

sponge size is also important
safety limit in studies is about 0,06mA/cm2

more info and schema of my tDCS
http://brmlab.cz/project/brain_hacking/tdcs

mcgwyver said...

Humm... I have been designing medical devices for 15 years... TDCS is not that simple and for sure it can NOT be designed using radioshack parts, unless they have a secret place inside the store to sell state of the art technology.

EndoQuixote said...

ppoinIt has been several months since I was working on this. What had me chasing down the information was comments by researchers in the articles I was reading about how simple the device was.

Have you tried it mcgwyver? The parts at radio shack aren't surface mounted pieces, you have to solder the leads, but they do what they're supposed to. How state of the art do the components have to be?

It was a fun little project.