Background: Intraoperative morphological and functional monitoring is essential for safe neurosurgery. Functional monitoring is based on electroencephalography (EEG), which uses silver electrodes. However, these electrodes generate metal artifacts as silver blocks X-rays, creating white radial lines on computed tomography (CT) images during surgery. Thick electrodes interfere with surgical procedures. Thus, thinner and lighter electrodes are ideal for intraoperative use. Methods: The authors developed thin brain electrodes using carbon nanotubes that were formed into thin sheets and connected to electrical wires. Results: The nanotube sheets were soft and fitted the curve of the head very well. When attached to the head using paste, the impedance of the newly developed electrodes was 5 kΩ or lower, which was similar to that of conventional metal electrodes. These electrodes can be used in combination with intraoperative CT, magnetic resonance imaging (MRI), or cerebral angiography. Somatosensory-evoked potentials, auditory brainstem responses, and visually evoked potentials were clearly identified in ten volunteers. The electrodes, without any artifacts that distort images, did not interfere with X-rays, CT, or MR images. They also did not cause skin damage. Conclusions: Carbon nanotube electrodes may be ideal for neurosurgery.
CITATION STYLE
Awara, K., Kitai, R., Isozaki, M., Neishi, H., Kikuta, K., Fushisato, N., & Kawamoto, A. (2014). Thin-film electroencephalographic electrodes using multi-walled carbon nanotubes are effective for neurosurgery. BioMedical Engineering Online, 13(1). https://doi.org/10.1186/1475-925X-13-166
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