Current directions in the auricular vagus nerve stimulation II - an engineering perspective
- Author
- Eugenijus Kaniusas, Stefan Kampusch, Marc Tittgemeyer, Fivos Panetsos, Raquel Fernandez Gines, Michele Papa, Attila Kiss, Bruno Podesser, Antonino Mario Cassara, Emmeric Tanghe (UGent) , Mohammed Samoudi (UGent) , Thomas Tarnaud (UGent) , Wout Joseph (UGent) , Vaidotas Marozas, Arunas Lukosevicius, Niko Istuk, Sarah Lechner, Wlodzimierz Klonowski, Giedrius Varoneckas, Jozsef Constantin Szeles and Antonio Sarolic
- Organization
- Abstract
- Electrical stimulation of the auricular vagus nerve (aVNS) is an emerging electroceutical technology in the field of bioelectronic medicine with applications in therapy. Artificial modulation of the afferent vagus nerve - a powerful entrance to the brain - affects a large number of physiological processes implicating interactions between the brain and body. Engineering aspects of aVNS determine its efficiency in application. The relevant safety and regulatory issues need to be appropriately addressed. In particular, in silico modeling acts as a tool for aVNS optimization. The evolution of personalized electroceuticals using novel architectures of the closed-loop aVNS paradigms with biofeedback can be expected to optimally meet therapy needs. For the first time, two international workshops on aVNS have been held in Warsaw and Vienna in 2017 within the scope of EU COST Action "European network for innovative uses of EMFs in biomedical applications (BM1309)." Both workshops focused critically on the driving physiological mechanisms of aVNS, its experimental and clinical studies in animals and humans, in silico aVNS studies, technological advancements, and regulatory barriers. The results of the workshops are covered in two reviews, covering physiological and engineering aspects. The present review summarizes on engineering aspects - a discussion of physiological aspects is provided by our accompanying article (Kaniusas et al., 2019). Both reviews build a reasonable bridge from the rationale of aVNS as a therapeutic tool to current research lines, all of them being highly relevant for the promising aVNS technology to reach the patient.
- Keywords
- vagus nerve stimulation, auricular nerves, auricular transillumination, stimulation patterns, stimulation optimization, in silico modeling, personalized stimulation, CLOSED-LOOP, HEART-RATE, ELECTRICAL-STIMULATION, ATRIAL-FIBRILLATION, BRAIN-STEM, EFFICACY, MODEL, MODULATION, MECHANISMS, EXCITABILITY
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Citation
Please use this url to cite or link to this publication: http://hdl.handle.net/1854/LU-8632608
- MLA
- Kaniusas, Eugenijus, et al. “Current Directions in the Auricular Vagus Nerve Stimulation II - an Engineering Perspective.” FRONTIERS IN NEUROSCIENCE, vol. 13, 2019, doi:10.3389/fnins.2019.00772.
- APA
- Kaniusas, E., Kampusch, S., Tittgemeyer, M., Panetsos, F., Fernandez Gines, R., Papa, M., … Sarolic, A. (2019). Current directions in the auricular vagus nerve stimulation II - an engineering perspective. FRONTIERS IN NEUROSCIENCE, 13. https://doi.org/10.3389/fnins.2019.00772
- Chicago author-date
- Kaniusas, Eugenijus, Stefan Kampusch, Marc Tittgemeyer, Fivos Panetsos, Raquel Fernandez Gines, Michele Papa, Attila Kiss, et al. 2019. “Current Directions in the Auricular Vagus Nerve Stimulation II - an Engineering Perspective.” FRONTIERS IN NEUROSCIENCE 13. https://doi.org/10.3389/fnins.2019.00772.
- Chicago author-date (all authors)
- Kaniusas, Eugenijus, Stefan Kampusch, Marc Tittgemeyer, Fivos Panetsos, Raquel Fernandez Gines, Michele Papa, Attila Kiss, Bruno Podesser, Antonino Mario Cassara, Emmeric Tanghe, Mohammed Samoudi, Thomas Tarnaud, Wout Joseph, Vaidotas Marozas, Arunas Lukosevicius, Niko Istuk, Sarah Lechner, Wlodzimierz Klonowski, Giedrius Varoneckas, Jozsef Constantin Szeles, and Antonio Sarolic. 2019. “Current Directions in the Auricular Vagus Nerve Stimulation II - an Engineering Perspective.” FRONTIERS IN NEUROSCIENCE 13. doi:10.3389/fnins.2019.00772.
- Vancouver
- 1.Kaniusas E, Kampusch S, Tittgemeyer M, Panetsos F, Fernandez Gines R, Papa M, et al. Current directions in the auricular vagus nerve stimulation II - an engineering perspective. FRONTIERS IN NEUROSCIENCE. 2019;13.
- IEEE
- [1]E. Kaniusas et al., “Current directions in the auricular vagus nerve stimulation II - an engineering perspective,” FRONTIERS IN NEUROSCIENCE, vol. 13, 2019.
@article{8632608, abstract = {{Electrical stimulation of the auricular vagus nerve (aVNS) is an emerging electroceutical technology in the field of bioelectronic medicine with applications in therapy. Artificial modulation of the afferent vagus nerve - a powerful entrance to the brain - affects a large number of physiological processes implicating interactions between the brain and body. Engineering aspects of aVNS determine its efficiency in application. The relevant safety and regulatory issues need to be appropriately addressed. In particular, in silico modeling acts as a tool for aVNS optimization. The evolution of personalized electroceuticals using novel architectures of the closed-loop aVNS paradigms with biofeedback can be expected to optimally meet therapy needs. For the first time, two international workshops on aVNS have been held in Warsaw and Vienna in 2017 within the scope of EU COST Action "European network for innovative uses of EMFs in biomedical applications (BM1309)." Both workshops focused critically on the driving physiological mechanisms of aVNS, its experimental and clinical studies in animals and humans, in silico aVNS studies, technological advancements, and regulatory barriers. The results of the workshops are covered in two reviews, covering physiological and engineering aspects. The present review summarizes on engineering aspects - a discussion of physiological aspects is provided by our accompanying article (Kaniusas et al., 2019). Both reviews build a reasonable bridge from the rationale of aVNS as a therapeutic tool to current research lines, all of them being highly relevant for the promising aVNS technology to reach the patient.}}, articleno = {{772}}, author = {{Kaniusas, Eugenijus and Kampusch, Stefan and Tittgemeyer, Marc and Panetsos, Fivos and Fernandez Gines, Raquel and Papa, Michele and Kiss, Attila and Podesser, Bruno and Cassara, Antonino Mario and Tanghe, Emmeric and Samoudi, Mohammed and Tarnaud, Thomas and Joseph, Wout and Marozas, Vaidotas and Lukosevicius, Arunas and Istuk, Niko and Lechner, Sarah and Klonowski, Wlodzimierz and Varoneckas, Giedrius and Szeles, Jozsef Constantin and Sarolic, Antonio}}, issn = {{1662-453X}}, journal = {{FRONTIERS IN NEUROSCIENCE}}, keywords = {{vagus nerve stimulation,auricular nerves,auricular transillumination,stimulation patterns,stimulation optimization,in silico modeling,personalized stimulation,CLOSED-LOOP,HEART-RATE,ELECTRICAL-STIMULATION,ATRIAL-FIBRILLATION,BRAIN-STEM,EFFICACY,MODEL,MODULATION,MECHANISMS,EXCITABILITY}}, language = {{eng}}, title = {{Current directions in the auricular vagus nerve stimulation II - an engineering perspective}}, url = {{http://doi.org/10.3389/fnins.2019.00772}}, volume = {{13}}, year = {{2019}}, }
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