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Piallat, B.

Publications and source records attributed to Piallat, B..

2 recordsLinked to original sources

Refining Brain Stimulation Therapies: An Active Learning Approach to Personalization

Brain stimulation holds promise for treating brain disorders, but personalizing therapy remains challenging. Effective treatment requires establishing a functional link between stimulation parameters and brain response, yet traditional methods like random sampling (RS) are inefficient and costly. To overcome this, we developed an active learning (AL) framework that identifies optimal relationships between stimulation parameters and brain response with fewer experiments. We validated this framework through three experiments: (1) in silico modeling with synthetic data from a Parkinsons disease model, (2) in silico modeling with real data from a non-human primate, and (3) in vivo modeling with a real-time rat optogenetic stimulation experiment. In each experiment, we compared AL models to RS models, using various query strategies and stimulation parameters (amplitude, frequency, pulse width). AL models consistently outperformed RS models, achieving lower error on unseen test data in silico (p<0.0056, N=1,000) and in vivo (p=0.0036, N=20). This approach represents a significant advancement in brain stimulation, potentially improving both research and clinical applications by making them more efficient and effective. Our findings suggest that AL can substantially reduce the cost and time required for developing personalized brain stimulation therapies, paving the way for more effective and accessible treatments for brain disorders.

neuroscience↗

Subthalamic nucleus activity modifications prior to clinical impairment in a progressive model of Parkinson's disease

Parkinsons disease (PD) is diagnosed after motor symptoms appear, although non-motor symptoms emerge years earlier. Following years of pharmacological treatment, high-frequency stimulation (HFS) of the subthalamic nucleus (STN), a key hub in goal-direct behaviors, can be proposed. While HFS-STN reliably improves motor symptoms, it does not specifically address non-motor symptoms. Clarifying how STN dysfunction contributes to non-motor symptoms could thus improve STN stimulation strategies. Here, we longitudinally recorded STN local field potentials in two macaques performing a counter-demanding task during chronic low-dose MPTP treatment. This progressive model, evolving from an asymptomatic stage to motivational, cognitive and ultimately motor deficits, enabled detailed examination of non-motor stages preceding motor impairment. Each stage was associated with distinct STN electrophysiological alterations, including early loss of reward-related theta activity, subsequent disappearance of decision-related theta oscillations, and later reduction of movement-related beta rebound. In the stable parkinsonian stage, stimulation of different STN territories provided complementary behavioral effect: dorsal HFS-STN improved motor performances, whereas ventral low-frequency stimulation alleviated motivational deficits. These findings reveal a temporal link between STN dysfunction and symptom onset, and suggest site and frequency-specific stimulation as a strategy to address both motor and non-motor symptoms in PD.

neuroscience↗