Endovascular Coiling for a Wide-neck Bifurcated Aneurysm with Anterograde Horizontal Stenting via Microcatheter Looping: A Technical Case Report.

Technical advances with devices such as catheters, balloons, and stents have widened the indications for endovascular coiling for unfavorable aneurysms. The authors report two cases of coil embolization for a wide-neck bifurcated aneurysm with anterograde horizontal stenting via microcatheter looping. Two women, aged 56 and 38 years, respectively, had an undertall- and overwide-neck aneurysm with bifurcated branches at the basilar bifurcation and middle cerebral bifurcation, respectively. The delivery microcatheter was steamed so that it could be looped deliberately to the opposite vessel. The enterprise stent was first anchored to the vessel of the posterior cerebral artery on one side. The remaining portion was spanned into a looped microcatheter to the opposite branch while pushing the stent. The Neuroform Atlas stent was passed directly through the looped segment of the microcatheter at the M2 branch and spanned horizontally by unsheathing. Under horizontal stenting, complete coil embolization was achieved without immediate or delayed complications in both cases. This novel technique presents a viable option for stent-assisted coiling within an optimal anatomy.

Influence of the anisotropic mechanical properties of the skull in low-intensity focused ultrasound towards neuromodulation of the brain.

Lately, neuromodulation of the brain is considered one of the promising applications of ultrasound technology in which low-intensity focused ultrasound (LIFU) is used noninvasively to excite or inhibit neuronal activity. In LIFU, one of critical barriers in the propagation of ultrasound wave is the skull, which is known to be highly anisotropic mechanically: this affects the ultrasound focusing, thereby neuromodulation effects. This study aims to investigate the influence of the anisotropic properties of the skull on the LIFU via finite element head models incorporating the anisotropic properties of the skull. We have examined the pressure and stress distributions within the head in LIFU. Our results show that though most of the pressure that reaches to the brain is due to the longitudinal wave propagation through the skull, the normal stress in the transverse direction of the wave propagation has the main role to control the pressure profile inside the brain more than the shear stress. The results also show that the anisotropic properties of skull contribute in broadening the focal zone in comparison to that of the isotropic skull.

An efficient words typing P300-BCI system using a modified T9 interface and random forest classifier.

The conventional P300-based character spelling BCI system consists of a character presentation paradigm and a classification system. In this paper, we propose modifications to both in order to increase the word typing speed and accuracy. In the paradigm part, we have modified the T9 (Text on Nine keys) interface which is similar to the keypad of mobile phones being used for text messaging. Then we have integrated a custom-built dictionary to give word suggestions to a user while typing. The user can select one out of the given suggestions to complete word typing. Our proposed paradigms significantly reduce the word typing time and make words typing more convenient by typing complete words with only few initial character spellings. In the classification part we have adopted a Random Forest (RF) classifier. The RF improves classification accuracy by combining multiple decision trees. We conducted experiments with five subjects using the proposed BCI system. Our results demonstrate that our system increases typing speed significantly: our proposed system took an average time of 1.83 minutes per word, while typing ten random words, whereas the conventional spelling required 3.35 minutes for the same words under the same conditions, decreasing the typing time by 45.37%.