Publications by authors named "Boxel S"

Purpose: It is hypothesized that a vestibular implant should re-establish baseline activity of the ampullary nerves. Use of a constant baseline stimulation potentially allows encoding of bi-directional head movements, through the addition of signal modulations. Effective stimulation of the vestibular nerves depends on the ability to acclimate to this baseline signal.

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Article Synopsis
  • The study aimed to assess the stability of electrode positions in vestibular implants (VI) over a one-year period with seven patients.
  • Fourteen out of 18 electrodes showed no significant displacement after surgery, indicating good stability, while some displacement occurred in four electrodes, possibly due to measurement error.
  • The results suggest that the surgical techniques used effectively stabilize the electrodes, preventing migration over time.
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Introduction: The vestibular implant is a neuroprosthesis which offers a potential treatment approach for patients suffering from vestibulopathy. Investigating the influence of electrical stimulation parameters is essential to improve the vestibular implant response. Optimization of the response focuses on the electrically evoked vestibulo-ocular reflex.

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Background: A combined vestibular (VI) and cochlear implant (CI) device, also known as the vestibulocochlear implant (VCI), was previously developed to restore both vestibular and auditory function. A new refined prototype is currently being investigated. This prototype allows for concurrent multichannel vestibular and cochlear stimulation.

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Purpose:  Vestibular implant electrode positioning close to the afferent nerve fibers is considered to be key for effective and selective electrical stimulation. However, accurate positioning of vestibular implant electrodes inside the semicircular canal ampullae is challenging due to the inability to visualize the target during the surgical procedure. This study investigates the accuracy of a new surgical protocol with real-time fluoroscopy and intraoperative CT imaging, which facilitates electrode positioning during vestibular implant surgery.

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The Locus Coeruleus (LC) and the Substantia Nigra (SN) are small brainstem nuclei that change with aging and may be involved in the development of various neurodegenerative and psychiatric diseases. Magnetization Transfer (MT) MRI has been shown to facilitate LC and the SN visualization, and the observed contrast is assumed to be related to neuromelanin accumulation. Imaging these nuclei may have predictive value for the progression of various diseases, but interpretation of previous studies is hindered by the fact that the precise biological source of the contrast remains unclear, though several hypotheses have been put forward.

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The misorientation relative to the average orientation of a grain and the point-to-point relative misorientation along a line across a moderately cold deformed grain, calculated from an electron backscatter diffraction (EBSD) dataset, are analysed in detail by visualizing both the misorientation angle and the misorientation axis. The significance of monitoring the misorientation axis is illustrated by an example of a grain subdivided into a misorientation band structure. A new technique to visualize the subdivision structure by assigning colours to misorientations in such a way that the contrast is maximized within a grain is introduced and discussed.

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