Background: Chronic implants for neural data acquisition must meet several criteria that can be difficult to integrate. Surgical procedures should be as short as possible to reduce unnecessary stress and risks, yet implants must precisely fit to the location of interest and last long periods of time. Implants also must be lightweight but stable enough to withstand the subject's daily life and experimental needs.
New Method: Here we introduce a novel, 3D-printed and open-source modular implant. Our modular design philosophy allows altering parts of the implant either before implantation or later, during the course of experiments. The implant consists of a base individually designed, for instance using an MRI of the subject for an exact skull fit. This base remains permanently on the subject and can contain multiple sites for craniotomies, microdrives and head stage connectors. All movable components (drives with probes, connectors, reference/ground points) are securely screwed onto this base, allowing for replacement and recovery.
Results: After implantation of the bases, self-made microdrives carrying commercial silicon probes were implanted. Once the experimental goals were achieved, they were recovered for further use. Should the quality of the data decrease during the experimental period, the components were replaced, allowing for the experimentation to continue. On an exemplary free-moving subject, under wireless electrophysiological data collection, we reliably obtained single and multi unit data up to 86 days after a silicon probe implantation. In this specific case, after this time we successfully substituted the components and collected similar quality data for additional 11 days.
Comparison With Existing Methods: Our approach allows to remove, reposition and exchange components during minimally invasive procedures, not requiring new incisions, bone drilling (unless new craniotomies are planned sequentially) or removal of dental cement or glue structures. Splitting complex implantations into multiple shorter procedures reduce the risks inherent to long surgical procedures. A careful plan of action allows to re-use and reduce subject's usage.
Conclusion: This novel approach reduces the duration of surgical procedures. It allows for minimally invasive follow-up procedures, including component replacements between experiments. The design is stable, proven to yield good results, in a very long-term period. This approach increases the chance of successful long experimental paradigms, and help reducing the use of subjects.
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http://dx.doi.org/10.1016/j.jneumeth.2025.110407 | DOI Listing |
JMIR Med Inform
March 2025
LynxCare Inc, Leuven, Belgium.
Background: Processing data from electronic health records (EHRs) to build research-grade databases is a lengthy and expensive process. Modern arthroplasty practice commonly uses multiple sites of care, including clinics and ambulatory care centers. However, most private data systems prevent obtaining usable insights for clinical practice.
View Article and Find Full Text PDFClin Transplant
March 2025
Division of Cardiac Surgery, CardioVascular Center, Tufts Medical Center, Boston, Massachusetts, USA.
Background: This study aims to analyze the patient characteristics, clinical outcomes, and contemporary trends concerning type A aortic dissection (TAAD) in previous recipients of abdominal solid organ transplantation (ASOT) in the United States.
Methods: The National Inpatient Sample was queried to identify all patients aged ≥18 with TAAD and a history of ASOT (TAAD-ASOT) between 2002 and 2015Q3 using ICD-9 diagnosis and procedure codes. Baseline characteristics and in-hospital outcomes were compared between TAAD-ASOT patients and TAAD patients without a history of ASOT (TAAD-non-ASOT).
PLoS One
March 2025
Department of Infectious Diseases, CHU Nantes, Nantes, France.
Aim(s): To investigate the impact of the absence of specific advice for oral fluid intake, compared to supplementation water intake on the occurrence of post-dural puncture headache.
Design: A prospective, open-label, non-inferiority, multicenter trial including hospitalized patients requiring a diagnostic lumbar puncture in seven hospitals in France.
Methods: Patients were randomly allocated (1:1) either to receive no specific advice on oral fluid intake (FREE-FLUID), or to be encouraged to drink 2 liters of water (CONTROL) within the 2 hours after lumbar puncture.
J Immunol
January 2025
Division of Infectious Diseases, Center for Inflammation and Tolerance, Department of Pediatrics, Cincinnati Children's Hospital, University of Cincinnati College of Medicine, Cincinnati, OH, United States.
Organ transplant recipients require continual immune-suppressive therapies to sustain allograft acceptance. Although medication nonadherence is a major cause of rejection, the mechanisms responsible for graft loss in this clinically relevant context among individuals with preceding graft acceptance remain uncertain. Here, we demonstrate that skin allograft acceptance in mice maintained with clinically relevant immune-suppressive therapies, tacrolimus and mycophenolate, sensitizes hypofunctional PD1hi graft-specific CD8+ T cells.
View Article and Find Full Text PDFEur J Cardiothorac Surg
March 2025
Department of Cardiothoracic Surgery, Radboud University Medical Center, Nijmegen, Netherlands.
Objectives: This study evaluates a staged selective hybrid approach for acute type A aortic dissection. The approach involves a zone 2 aortic arch replacement with debranching of the brachiocephalic trunk and left common carotid artery to create a landing zone for thoracic endovascular aortic repair. This repair is performed either preemptively in the subacute phase to promote remodelling or electively in the chronic phase to manage aneurysm formation.
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