Real-time artifact removal via PARRM could enable biomarker detection during ongoing neurostimulation to enhance efficacy of closed-loop neuromodulation
(A) Three example applications of closed-loop neuromodulation: DBS applied at 150 Hz via the Activa PC + S for treatment of refractory OCD (top), DBS applied at 120 Hz in an epilepsy monitoring unit-like (EMU-like) scenario for treatment of TRD, and SCS applied at 50 Hz for treatment of chronic pain. Blue trace shows theoretical injected DBS waveform and black trace shows DBS waveform sampled in vivo at 200 Hz, 2 kHz, and 30 kHz, via Activa PC + S, Blackrock Cerebus, and Ripple Nomad, respectively.
(B) Control policy for closed-loop DBS. Electrodes in the brain sense neural signals and artifacts. PARRM attenuates stimulation without contaminating the underlying neural signal, enabling feature estimation for the closed-loop control of stimulation amplitude to relieve symptoms.