Muutke küpsiste eelistusi

Non-Invasive Neuromodulation of the Central Nervous System: Opportunities and Challenges: Workshop Summary [Pehme köide]

  • Formaat: Paperback / softback, 120 pages, kõrgus x laius: 229x152 mm
  • Ilmumisaeg: 02-Dec-2015
  • Kirjastus: National Academies Press
  • ISBN-10: 0309376181
  • ISBN-13: 9780309376181
Teised raamatud teemal:
  • Formaat: Paperback / softback, 120 pages, kõrgus x laius: 229x152 mm
  • Ilmumisaeg: 02-Dec-2015
  • Kirjastus: National Academies Press
  • ISBN-10: 0309376181
  • ISBN-13: 9780309376181
Teised raamatud teemal:
Based on advances in biotechnology and neuroscience, non-invasive neuromodulation devices are poised to gain clinical importance in the coming years and to be of increasing interest to patients, clinicians,health systems, payers, and industry. Evidence suggests that both therapeutic and non-therapeutic applications of non-invasive neuromodulation will continue to expand in coming years, particularly for indications where treatments are currently insufficient, such as drug-resistant depression.



Given the growing interest in non-invasive neuromodulation technologies, the Institute of Medicine's Forum on Neuroscience and Nervous System Disorders convened a workshop, inviting a range of stakeholders - including developers of devices and new technologies, researchers, clinicians, ethicists, regulators, and payers - to explore the opportunities, challenges, and ethical questions surrounding the development, regulation, and reimbursement of these devices for the treatment of nervous system disorders as well as for non-therapeutic uses, including cognitive and functional enhancement. This report highlights the presentation and discussion of the workshop.

Table of Contents



Front Matter 1 Introduction 2 Overview of Gaps, Challenges, and Potential Opportunities 3 The Science and Technology of Non-Invasive Neuromodulation 4 Therapeutic Uses of Non-Invasive Neuromodulation 5 Using Non-Invasive Neuromodulation for Diagnosis and Research 6 Enhancement of Brain Function and Performance 7 Ethical, Legal, and Social Issues 8 Regulatory Issues 9 Reimbursement Issues 10 The Business Environment Appendix A: References Appendix B: Workshop Agenda Appendix C: Registered Attendees
1 Introduction
1(4)
Organization of Report
4(1)
2 Overview of Gaps, Challenges, and Potential Opportunities
5(16)
Research Gaps and Challenges
6(3)
Potential Research Opportunities
9(5)
Policy Issues and Potential Opportunities
14(7)
3 The Science and Technology of Non-Invasive Neuromodulation
21(10)
Targets and Mechanisms of Action
22(1)
Neurostimulation Effects on the Brain
22(2)
Non-Invasive Neuromodulation in Children
24(1)
Modeling Electrical Dose and Exposure
25(1)
Electromagnetic Devices
26(2)
Ultrasound
28(2)
Preclinical Studies in Animal Models
30(1)
4 Therapeutic Uses of Non-Invasive Neuromodulation
31(10)
Psychiatric Disorders
34(3)
Neurorehabilitation
37(1)
Other Neurologic Disorders
38(1)
Combining Neurostimulation with Other Therapies
39(2)
5 Using Non-Invasive Neuromodulation for Diagnosis and Research
41(4)
Diagnosis
42(1)
Presurgical Mapping
42(1)
Neuromodulation as a Research Tool
43(2)
6 Enhancement of Brain Function and Performance
45(4)
Direct-to-Consumer Products
48(1)
7 Ethical, Legal, and Social Issues
49(8)
Impact on "Self"
50(1)
Enhancement Versus Treatment
50(1)
Safety and Efficacy
51(2)
Freedom/Coercion/Involuntary Use
53(1)
The Do-It-Yourself Movement
54(3)
8 Regulatory Issues
57(8)
Regulatory Pathways
58(1)
Ensuring Safety and Efficacy
59(2)
Clinical Trial Design
61(2)
Regulatory Oversight for Over-the-Counter Use
63(2)
9 Reimbursement Issues
65(6)
Decision-Making Processes
66(1)
Improving the Evidence Base for Reimbursement
67(1)
Impact of Non-Reimbursement
68(3)
10 The Business Environment
71(4)
Industry Perspectives
71(2)
A Venture Capitalist's Perspective
73(2)
APPENDIXES
A References
75(10)
B Workshop Agenda
85(16)
C Registered Attendees
101