# Refining Brain Stimulation Therapies: An Active Learning Approach to Personalization

**Authors:** Mohammad S. E. Sendi, Eric R. Cole, Brigitte Piallat, Charles A. Ellis, Thomas E. Eggers, Nealen G. Laxpati, Babak Mahmoudi, Claire-Anne Gutekunst, Annaelle Devergnas, Helen Mayberg, Robert E. Gross, Vince D. Calhoun

PMC · DOI: 10.21203/rs.3.rs-4876094/v1 · Research Square · 2024-09-04

## TL;DR

This paper introduces an active learning framework to improve the efficiency of personalizing brain stimulation therapies, reducing the need for costly and time-consuming experiments.

## Contribution

The novel contribution is an active learning framework that outperforms traditional random sampling in optimizing brain stimulation parameters.

## Key findings

- Active learning models achieved lower error than random sampling models in both in silico and in vivo experiments.
- The AL framework reduced the number of experiments needed to identify optimal stimulation parameters.
- The approach shows potential to improve efficiency and accessibility of brain stimulation therapies for disorders like Parkinson’s.

## Abstract

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 Parkinson’s 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=1000) 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.

## Linked entities

- **Diseases:** Parkinson’s disease (MONDO:0005180)
- **Species:** Rattus norvegicus (taxon 10116)

## Full-text entities

- **Diseases:** brain disorders (MESH:D001927), Parkinson's disease (MESH:D010300)
- **Species:** Homo sapiens (human, species) [taxon 9606], Rattus norvegicus (brown rat, species) [taxon 10116]

## Full text

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## Figures

5 figures with captions in the complete paper: https://tomesphere.com/paper/PMC11398577/full.md

## References

45 references — full list in the complete paper: https://tomesphere.com/paper/PMC11398577/full.md

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Source: https://tomesphere.com/paper/PMC11398577