Patent Abstract:
A transcranial magnetic stimulation coil which is location-specific for frontal lobe regions, occipital lobe regions, parietal lobe regions, right temporal regions and left temporal regions is designed with multiple spaced apart stimulating elements having current flow in a substantially circular direction, and multiple return elements having current flow in substantially the same circular direction.

Full Description:
FIELD OF THE INVENTION 
     The present invention relates to a family of deep transcranial magnetic stimulation (TMS) coils, wherein a stimulating portion of the coils is at least partially circular and is configured to encircle at least a section of a body organ. 
     BACKGROUND OF THE INVENTION 
     Transcranial magnetic stimulation (TMS) is a noninvasive technique used to apply brief magnetic pulses to the brain, or to other human organs, and to thereby activate neuronal structures. The pulses are administered by passing high currents by a stimulator through an electromagnetic coil externally placed upon the patient (for example, placed on the scalp for brain treatment), inducing electrical currents in the underlying tissue, thereby producing a localized axonal depolarization. This technique has become a major tool in central nervous system research, as well as a potentially promising treatment option for various neurobehavioral and neurological disorders. 
     Most known TMS coils stimulate superficial brain regions in the brain cortex, but the rate of decay of the induced magnetic and electric field as a function of distance from the coil is high. Hence the efficacy of affecting deeper neuronal structures is low. Stimulating deeper neuronal structures may be feasible if the intensity of the induced field is greatly increased. Yet operation at such increased intensity may increase the risk for seizures and for physiological damage to the tissue. 
     A method for deep brain TMS with minimal stimulation of superficial regions is disclosed in U.S. Pat. No. 7,407,478, wherein deep brain stimulation is made possible while minimizing side effects. The device described therein includes a base and an extension portion, the base having individual windings for individual paths of current flow, and the extension portion designed so as to minimize unwanted stimulation of other regions of the brain. 
     However, there is a need for more specifically designed coils, which can target particular areas of the brain including deep neuronal structures with minimal effect on other brain regions. Examples of specific brain regions that may be desired to be stimulated are frontal lobe regions, occipital lobe regions, parietal lobe regions, right temporal regions and left temporal regions. Other examples may include activation of brain regions including deeper brain regions in a certain circumference of the brain, such as around a particular axial slice. 
     Thus, there is a need for specifically designed coils for deep TMS which are location-specific for frontal lobe, occipital lobe, parietal lobe or temporal lobe brain regions. The coils must induce the desired distribution of the electric field in the brain, and simultaneously induce electric field intensity in the relevant brain tissue which will be feasible for neuronal stimulation with available TMS stimulators for most of the population. The stimulation intensity is routinely calibrated individually for each subject based on his or her motor threshold. Hence the coil efficiency must guarantee that the motor threshold and stimulation intensity for most of the relevant population is within an acceptable range with respect to available stimulators power outputs. 
     The coils design must be efficient with respect to energy consumption, coil heating rate, compact size and ease of operation. 
     SUMMARY OF THE INVENTION 
     There is provided, in accordance with one embodiment of the present invention, a coil for transcranial magnetic stimulation. The coil includes a base portion having substantially parallel multiple stimulating elements, wherein the base portion is configured to encircle at least a portion of a first section of a body part and to provide electrical flow in a substantially circular path, and a return portion having substantially parallel multiple return elements, wherein the return portion is configured to encircle at least a portion of a second section of the body part which is different than the first section, and to provide electrical flow in a continuation of the substantially circular path of the base portion. 
     In embodiments of the present invention, the base portion is complementary to the human head or head portion, or to another body organ. The base has a flexibility that allows it to conform to the relevant body organ (such as the human head or head portion). 
     The base includes individual stimulating elements carrying electric current in one or more common directions, referred to herein as a “main direction.” In this main direction, the main physiologic effect (such as neuronal stimulation) is induced in the body organ. The elements are not dense together at a narrow segment, but are rather distributed at various locations around the body organ. In some embodiments the individual elements are evenly distributed across the base. In other embodiments some or all the elements may be grouped in two or more groups with certain distances between the groups. The spacing between adjacent elements may be uniform, variable, periodic or other. In embodiments where some or all the elements are grouped in groups, the spacing between adjacent groups or between a group and an adjacent element, and the breadth of each group, may be uniform across the base, variable, periodic or other. Any combination or arrangement of elements is included within the scope of the invention, with a particular feature being that the elements are not crowded together in a narrow segment. 
     The individual elements in the base carrying current in the main direction are all or mostly tangential to the relevant body organ (such as a portion of a human skull), at all or a substantial part of their path. In order to optimize the efficacy of activation in deeper brain regions, it is desirable to minimize the non-tangential components of the induced electric field. Since the induced electric field orientation is in general parallel to the orientation of the elements carrying alternating currents, it is desirable to minimize the portions of coil elements which are non-tangential to the body organ (such as a human skull), especially in the base and its vicinity. 
     Coil elements carrying electric current in a direction opposite to the one or more main directions, are placed remote from the base. These elements are referred to herein as “return elements.” In some embodiments, the return elements are located adjacent to other body organs or other portions of a body organ (such as other head regions), relative to the base. These return elements are termed “contacting return elements.” In other embodiments, the return elements are located at a certain distance from the body and are not configured to contact the body. These return elements are termed “protruding return elements.” In some embodiments, some of the return elements are contacting and some of them are protruding. 
     The stimulating elements encircle a body organ (such as a human head or head portion). In some embodiments, the coil includes a single base which conforms to the head or other body organ in a certain region. In some embodiments, the base is adjacent to the frontal cortical region, while in other embodiments, the base is adjacent to the occipital region, temporal region or parietal region of the skull. In some embodiments, the base includes multiple portions, wherein each portion conforms to a different region of the body organ, such as the head. Spacing between adjacent elements may be different within one base portion than within another base portion. 
     Return elements are located remote from the base or from specific portions of the base. In some embodiments, return elements surround the body part (such as the head) as a continuation and in a similar plane to the base elements. For example, in some embodiments, the base elements may be adjacent to a frontal head region and the return elements may be adjacent to an occipital head region. Connecting elements connecting stimulating elements to return elements may run along the temporal lobe on the right and left hemispheres, for example. In some embodiments, return elements may run in a different plane than stimulating elements. For example, stimulating elements of the base may be adjacent to occipital head regions, while return elements run along parietal head regions. In some embodiments, return elements contact head regions which are remote from stimulating elements. In some embodiments, all stimulating elements and/or all return elements are contacting elements, while the spacing between elements and the density of elements may vary in different regions. In some embodiments, return elements are protruding elements. In yet other embodiments, some of the return elements are contacting and some are protruding. Similarly, connecting elements may be contacting, protruding, or partially contacting and partially protruding. 
     The definition of the base relates to the functional elements of the coil carrying electric currents. However, there is no limitation regarding other elements of the device, such as mechanical components, cases and covers. Thus, certain elements of the base may be encased in a case containing additional coil elements such as return elements and other elements. 
     The coil must induce the desired distribution of the electric field in the brain, and simultaneously induce an electric field intensity in the relevant brain tissue which is high enough to induce neuronal stimulation. 
     Several features of the coil are important in order to achieve the above goals. These include: 
     1. Arrangement of the base portion elements. This arrangement must be optimized for each coil design and each specific goal. An interplay between two competing ideals may take place: Better depth penetration profile, namely higher relative electric field in the deeper target brain region compared to superficial region, on one hand, and higher absolute electric field intensity in the target brain region on the other hand. As a non-limiting example, suppose a base portion contains two groups of elements with a certain distance d between them. Increasing d will improve the depth penetration profile but may reduce the absolute field intensity in the target brain region. The intensity must be such that it will enable induction of the desired physiological effect in the target neural structures in the majority of the population with stimulators available in the market. Hence the distance d—as well as other configuration parameters—must be optimized for each coil design. 
     2. Location of the return portions relative to the base portion. The distance between the portions must be optimized for each design: Too short a distance will lead to reduction of the total induced electric field in the target brain region, due to the effect of the return elements. Too long a distance will require long connecting coil elements and their effect must be taken into account. Furthermore, the coil size must be optimized for easy location, navigation and placement over the head. 
     3. Location of the return portions relative to the brain. The return elements affect closer brain regions. The location of the return portions must consider their effect on any brain structure and the design must lead to minimal undesired side effects such as motor activation or pain. 
     4. The type of the return elements. Return elements may be either contacting or protruding as defined above. The ratio between contacting and protruding return elements is very important in various aspects and must be optimized for each specific coil design. In general, protruding elements induce electrostatic charge accumulation on the brain surface. This leads to reduction in the absolute electric field induced in the target brain regions, and also reduction in the relative intensity of the electric field in deeper brain regions compared to superficial regions. On the other hand, contacting elements may increase the effect in adjacent brain regions. Hence a delicate optimization must be performed in each case. 
     5. The distance of protruding return elements from the head, in coils containing protruding return elements. Longer distance reduces the direct effect of the return elements on the brain, but increases the charge accumulation due to the presence of longer non-tangential coil elements which are connected to the return elements and move them away from the head. A delicate optimization must be performed in each case to account for this effect. 
     6. The overall coil inductance. The number, length, configuration and packing parameters of the coil windings must be planned to lead to coil inductance in the desired range. Usually the desired range for TMS coils inductance is between 15 and 30 microHenri. Too high inductance may reduce coil efficacy, increase pulse width and is often associated with increased coil resistance, energy consumption and coil heating. Too small inductance may lead to fast rate of change of the electric current which may damage stimulator components. 
     Unless otherwise defined, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this invention belongs. Although methods and materials similar or equivalent to those described herein can be used in the practice or testing of the present invention, suitable methods and materials are described below. In case of conflict, the patent specification, including definitions, will control. In addition, the materials, methods, and examples are illustrative only and not intended to be limiting. 
    
    
     
       BRIEF DESCRIPTION OF THE DRAWINGS 
       The above and further advantages of the present invention may be better understood by referring to the following description in conjunction with the accompanying drawings in which: 
         FIG. 1  is a schematic illustration showing principles of stimulation for circular coils, in accordance with embodiments of the present invention; 
         FIGS. 2A-2C  are schematic illustrations of a base portion of the circular coil of  FIG. 1 , in accordance with embodiments of the present invention; 
         FIGS. 3A and 3B  are schematic illustrations of base portions and return portions of the circular coil of  FIG. 1 , wherein the base and return portions have various configurations in accordance with embodiments of the present invention; 
         FIG. 4  is an illustration of a return portion of the circular coil of  FIG. 1 , in accordance with embodiments of the present invention; 
         FIG. 5  is an illustration of anatomical sections of a head; 
         FIG. 6  is a perspective illustration of a coil which is an example of the circular coil of  FIG. 1 , in accordance with embodiments of the present invention; 
         FIG. 7  is a perspective illustration of a coil which is an example of the circular coil of  FIG. 1 , in accordance with embodiments of the present invention; 
         FIG. 8  is a perspective illustration of a coil which is an example of the circular coil of  FIG. 1 , in accordance with embodiments of the present invention; 
         FIG. 9  is an illustration of electric field distribution maps of the coil of  FIG. 6 , as measured in a human head phantom model; 
         FIG. 10  is an illustration of electric field distribution maps of the coil of  FIG. 7  as measured in a human head phantom model; and 
         FIG. 11  is an illustration of electric field distribution maps of the coil of  FIG. 8  as measured in a human head phantom model. 
     
    
    
     It will be appreciated that for simplicity and clarity of illustration, elements shown in the drawings have not necessarily been drawn accurately or to scale. For example, the dimensions of some of the elements may be exaggerated relative to other elements for clarity or several physical components may be included in one functional block or element. Further, where considered appropriate, reference numerals may be repeated among the drawings to indicate corresponding or analogous elements. Moreover, some of the blocks depicted in the drawings may be combined into a single function. 
     DETAILED DESCRIPTION OF THE INVENTION 
     In the following detailed description, numerous specific details are set forth in order to provide a thorough understanding of the present invention. It will be understood by those of ordinary skill in the art that the present invention may be practiced without these specific details. In other instances, well-known methods, procedures, components and structures may not have been described in detail so as not to obscure the present invention. 
     The present invention is directed to circular coils for deep TMS and methods of use thereof. The principles and operation of systems and methods according to the present invention may be better understood with reference to the drawings and accompanying descriptions. 
     Before explaining at least one embodiment of the present invention in detail, it is to be understood that the invention is not limited in its application to the details of construction and the arrangement of the components set forth in the following description or illustrated in the drawings. The invention is capable of other embodiments or of being practiced or carried out in various ways. Also, it is to be understood that the phraseology and terminology employed herein are for the purpose of description and should not be regarded as limiting. 
     Reference is now made to  FIG. 1 , which is a schematic illustration showing principles of stimulation for circular coils, in accordance with embodiments of the present invention. In the embodiment shown in  FIG. 1 , a schematic illustration of a circular coil depicts the elements of a circular coil in accordance with embodiments of the present invention, but does not depict the actual appearance of these elements. As shown in  FIG. 1 , circular coil  10  includes a base portion  12  and a return portion  32 . A “circular coil” is defined as a coil wherein base portion  12  encircles at least a portion of the body part and return portion  32  encircles at least a portion of the body part. Base portion  12  and return portion  32  are depicted schematically in  FIG. 1  as being semi-circular in shape. However, it should be readily apparent that other shapes are possible and may also be configured to encircle a body part in accordance with embodiments of the present invention, as will be described further hereinbelow—for example with reference to  FIG. 2B . Base portion  12  includes multiple stimulating elements  20 , depicted in  FIG. 1  with arrows to illustrate the direction of electrical flow. Multiple stimulating elements  20  are shown as individual stimulating elements labeled first stimulating element  21 , second stimulating element  22 , third stimulating element  23 , fourth stimulating element  24  and fifth stimulating element  25 . It should be readily apparent that although five individual stimulating elements are shown in  FIG. 1  schematically, circular coil  10  may include any suitable number of stimulating elements and are not limited to the amounts shown herein. Multiple stimulating elements  20  are substantially parallel to one another and are spaced apart from one another by distances, wherein first and second stimulating elements  21  and  22  are separated by a first stimulating distance D 1 , second and third stimulating elements  22  and  23  are separated by a second stimulating distance D 2 , third and fourth stimulating elements  23  and  24  are separated by a third stimulating distance D 3 , fourth and fifth stimulating elements  24  and  25  are separated by a fourth stimulating distance D 4 , and so on. Stimulating distances D 1 , D 2 , D 3 , etc. may be equal to one another or may vary in a random or periodic manner. The direction of electrical stimulation of each of stimulating elements  20  is substantially the same and is at least partially circular. That is, current flows through each of multiple stimulating elements in a curved or circular path, and multiple stimulating elements  20  are nested within one another, such that current flows in the same curved or circular path for each of stimulating elements  21 - 25  but separated by distances D 1 -D 4 . 
     Return portion  32  includes multiple return elements  40 . Return elements  40  are depicted in  FIG. 1  with arrows to illustrate the direction of electrical flow. Multiple return elements  40  are shown as individual return elements labeled first return element  41 , corresponding to first stimulating element  21 , second return element  42  corresponding to second stimulating element  22 , third return element  43  corresponding to third stimulating element  23 , fourth return element  44  corresponding to fourth stimulating element  24  and fifth return element  45  corresponding to fifth stimulating element  25 . It should be readily apparent that although five individual return elements are shown in  FIG. 1  schematically, circular coil  10  may include any suitable number of return elements and are not limited to the amounts shown herein. Generally, the number of return elements  40  corresponds to the number of stimulating elements  20 . Multiple return elements  40  are substantially parallel to one another and are spaced apart from one another by distances, wherein first and second return elements  41  and  42  are separated by a first return distance D 10 , second and third return elements  42  and  43  are separated by a second return distance D 11 , third and fourth stimulating elements  43  and  44  are separated by a third return distance D 12 , fourth and fifth return elements  44  and  45  are separated by a fourth return distance D 13 , and so on. Return distances D 10 , D 11 , D 12 , etc. may be equal to one another or may vary in a random or periodic manner. It should be readily apparent from  FIG. 1  that the direction of electrical flow for return elements  40  is a continuation of the circular path of electrical flow for stimulating elements  20 . Thus, if electrical flow for stimulating elements  20  is in a clockwise direction, electrical flow for return elements  40  is also in a clockwise direction. If electrical flow for stimulating elements  20  is in a counter-clockwise direction, electrical flow for return elements  40  is also in a counter-clockwise direction. In some embodiments, stimulating elements  20  are electrically connected to return elements  40  via connecting elements  52 . As shown in  FIG. 1 , connecting elements  52  carry electrical flow in the same clockwise or counterclockwise direction as stimulating elements  20  and return elements  40 . 
     Reference is now made to  FIGS. 2A and 2B , which are schematic illustrations of base portion  12  in accordance with embodiments of the present invention. In one embodiment, as shown schematically in  FIG. 2A , base portion  12  includes a first base portion group  14  and a second base portion group  16 . First base portion group  14  may be separated from second base portion group  16  by a first base portion group distance D 20 . In some embodiments, additional base portion groups may be included as well, and separated from one another by additional base portion group distances. Each base portion group is defined as a group by one of several criteria, including location, spacing, and connection to return elements. For example, first base portion group  14  may include multiple stimulating elements each separated by equal distances D 1  and D 2 , while second base portion group  16  may include multiple stimulating elements separated from one another by equal distances D 3  and D 4 , wherein D 1  and D 2  are different than D 3  and D 4 . In another embodiment, first base portion group  14  may be configured to be positioned on one portion of the head while second base portion group  16  may be configured to be positioned on another portion of the head. In yet another embodiment, first base portion group  14  may be connected to return elements which are in contact with the head and second base portion group  16  may be connected to return elements which are protruding from the head. It should be readily apparent that a direction of current flow in first base portion group  14  is substantially the same as a direction of current flow in second base portion group  16 . 
     Reference is now made to  FIGS. 2B and 2C , which are illustrations of base portion  12  in accordance with additional embodiments of the present invention. In the embodiments shown herein, base portion  12  includes multiple stimulating elements  20  which follow a modified curved path. For example, as shown in  FIG. 2B , each of multiple stimulating elements  20  is configured in a step formation on two ends of a substantially semi-circular path. As another example, as shown in  FIG. 2C , each of multiple stimulating elements  20  is configure in a partially outwardly curved and partially straight formation. Many other configurations are possible. In all of the embodiments, multiple stimulating elements are configured to conform to the shape of the body part, such as the head, and to encircle at least a portion of the body part. 
     Return portion  32  may follow a similar pattern as base portion  12  or may have a different configuration. For example, as shown in  FIG. 3A , base portion  12  may include a step configuration while return portion  32  may be semi-circular. As another example, as shown in  FIG. 3B , base portion  12  may include a first base portion group  14  having a first configuration and a second base portion group  16  having a second configuration, while return portion  32  has a single configuration for all of return elements  40 . Alternatively, return portion  32  may include multiple return portion groups. 
     Reference is now made to  FIG. 4 , which is an illustration of a return portion  32 , in accordance with embodiments of the present invention. Depicted in  FIG. 4  is a return portion  32  configured to be positioned on a side of the head, although it should be readily apparent that similar configurations of return portion  32  may be used for other areas, such as a rear portion of the head, for example. Return elements  40  are shown at two different heights, wherein some of return elements  40  are configured to be in contact with a body part and are on a same plane as base portion  12  (not shown). These return elements  40  are referred to as contacting return elements  54 . Some of return elements  40  are configured to be protruding from the plane of base portion  12 , and are referred to as protruding return elements  56 . Protruding return elements  52  may be at a vertical distance or a horizontal distance from base portion  12 , as long as protruding return elements  56  are configured to protrude from circular coil  10  such that they are configured not to contact the body part which base portion  12  is configured to contact. Thus, connecting elements  52  may be horizontal connecting elements  51  or may be vertical connecting elements  53  or may have additional configurations as needed to connect return portion  32  to base portion  12 . 
     In some embodiments, some of multiple return elements  40  are contacting return elements  54  and some of multiple return elements  40  are protruding return elements  56 . In some embodiments, all of multiple return elements  40  are contacting return elements  54 . In some embodiments all of multiple return elements  40  are protruding return elements  56 . Any combination of protruding and/or contacting return elements is possible and is included within the scope of the present invention. 
     Reference is now made to  FIG. 5 , which is an illustration of anatomical sections of a head  100 . For the purposes of illustrating the present invention, head  100  has four sections: a frontal section  102  at a front portion of head  100 , a parietal section  104  to the rear of frontal section  102  and at a top portion of head  100 , a temporal section  106  on the side of head  100  and an occipital section  108  at a rear portion of head  100 . Circular coil  10  is configured such that base portion  12  with stimulating elements  20  are positionable on and at least partially encircle a first section of head  100 , and return portion  32  with return elements  40  are positionable on and at least partially encircle a second section of head  100  which is different than the first section. Thus, for example, base portion  12  may be positioned on frontal section  102  and return portion  32  on parietal section  104 . Alternatively, base portion  12  may be positioned on parietal section  104  and return portion positioned on occipital section  108 . In other examples base portion  12  may be positioned on frontal section  102  and return portion  32  on occipital section  108 . In this way, base portion  12  stimulates a section of the brain, while return portion brings returning current back at a section which is remote from the stimulated section of the brain. In some embodiments, both base portion  12  and return portion  32  are adjacent to the head, and in some embodiments, base portion  12  is adjacent to the head while return portion  32  is remote from the head. In some embodiments, connecting elements  52  are adjacent to the head and in other embodiments, connecting elements  52  are remote from the head. 
     Reference is now made to  FIG. 6 , which is a perspective illustration of a coil  110  which is an example of a circular coil  10  in accordance with embodiments of the present invention. Coil  110  includes a base portion  12  having a first base portion group  14  of multiple stimulating elements  20 , a second base portion group  16  of multiple stimulating elements  20  and a third base portion group  18  of multiple stimulating elements  20 . Coil  110  further includes a return portion  32  including return elements  40  corresponding to multiple stimulating elements  20 . Thus, return portion  32  also includes a first return portion group  34  corresponding to first base portion group  14 , a second return portion group  36  corresponding to second base portion group  16 , and a third return portion group  38  corresponding to third base portion group  18 . In the embodiment shown herein, base portion  12  is configured to be positioned on a frontal section  102  of head  100  and return portion  32  is configured to be positioned on an occipital section  108  of head  100 . First base portion group  14  is positioned at a top portion of base portion  12 , and first return portion group  34 , corresponding to first base portion group  34 , is comprised of protruding return elements  56 . Second base portion group  16  is positioned below first base portion group  14 , and distances between multiple stimulating elements  20  of second base portion group  16  are greater than distances between multiple stimulating elements  20  of first group  14 . Second return portion group  36  corresponding to first base portion group  16  is comprised of contacting return elements  54 , which are configured to contact and at least partially encircle an occipital section  108  of head  100 . Third base portion group  18  is positioned below first and second base portion groups  14  and  16 , and includes multiple stimulating elements  20  which have a different shape than multiple stimulating elements  20  of first and second base portion groups  14  and  16 . Third return portion group  38  corresponding to third base portion group  18  is comprised of contacting return elements  54  and is positioned above second return portion group  36 . Third return portion group  38  is also configured to be positioned on occipital section  108  of head  100 . Connecting elements  52  include vertical connecting elements  53  and horizontal connecting elements  51  wherein horizontal connecting elements  51  protrude from base portion  12 . 
     Coil  110  is used to stimulate lateral and medial prefrontal and orbitofrontal brain regions with a bilateral symmetry, and may be useful for treating, for example, Alzheimer&#39;s disease. 
     Reference is now made to  FIG. 7 , which is a perspective illustration of a coil  210 , which is an example of a circular coil  10  in accordance with embodiments of the present invention. Coil  210  is similar in construction to coil  110 . However, third base portion group  18  of coil  210  has a different configuration than third base portion group  18  of coil  110 . Third base portion  18  of coil  210  has a step configuration such as that shown in  FIG. 2B . 
     Coil  210  is used to stimulate lateral and medial prefrontal and orbitofrontal brain regions with a bilateral symmetry, and may be useful for treating, for example, Alzheimer&#39;s disease. 
     Reference is now made to  FIG. 8 , which is a perspective illustration of a coil  310 , which is an example of a circular coil  10  in accordance with embodiments of the present invention. 
     Coil  310  includes a base portion  12  having a first base portion group  14  of multiple stimulating elements  20  and a second base portion group  16  of multiple stimulating elements  20 . Coil  310  further includes a return portion  32  including return elements  40  corresponding to multiple stimulating elements  20 . In the embodiment shown herein, base portion  12  is configured to be positioned on an occipital section  108  of head  100  and return portion  32  is configured to be positioned on a top of parietal section  104  of head  100 . Alternatively, base portion  12  may be positioned on a parietal section  104  and return portion may be positioned on an occipital portion  108  of head  100 . First base portion group  14  is positioned at a lower portion of base portion  12  and second base portion group  16  is positioned higher than first base portion group  14  and is separated from first base portion group  14  by a distance D 20 . Return elements  40  of return portion  32  are contacting return elements  54 , which are configured to contact and at least partially encircle portion of head  100 . Connecting elements  52  are configured to contact the head as well. 
     Coil  310  is used to stimulate occipital brain regions and regions in the cerebellum and may be useful for treating, for example, Parkinson&#39;s disease or migraine. 
     EXAMPLES 
     The field distribution produced by coil  110  of  FIG. 6  was measured in a human head phantom model. A probe was moved in three directions inside the phantom model using a displacement system with 1 mm resolution, and the field distribution of coil  110  was measured in the whole head model volume with 1 cm resolution. Axial and coronal field maps were produced. The field maps were superimposed on anatomical T1-weighted MRI coronal slices, to show the induced field in each anatomical brain region. 
     Reference is now made to  FIG. 9 , which is an illustration of electric field distribution maps of coil  110  as measured in the human head phantom model. The field maps are shown for stimulator output set at 120% of threshold. The dark pixels indicate field magnitude above the threshold for neuronal activation. The threshold was set to 100 V/m, which is within the accepted range of thresholds required for hand motor activation. The intensity of stimulator power output used for drawing the maps representing the distribution of the electric field for coil  110  was set to the level required to obtain 120% of the neural motor threshold, at a depth of 1.5 cm, according to the approximate depth of hand motor cortex sites. It can be seen that when placing the base portion of coil  110  over the prefrontal cortex, supra-threshold field is induced bilaterally in lateral prefrontal, medial prefrontal and orbitofrontal regions and in parietal regions. Coil  110  is being used in a clinical trial studying the safety and efficacy of treating subjects suffering from Alzheimer&#39;s disease. Subjects receive 3 treatments per week for 4 weeks and 1 treatment/week for an additional 4 weeks. Assessments are performed at 1-8 weeks and also after 16 weeks, i.e. 8 weeks after treatment completion. Analysis after 38 patients revealed that in the group treated with this coil at 10 Hz frequency there was improvement of 0.9 points at the end of the 8 week treatment period and additional improvement of 2.2 points at the 16 week follow up (total improvement of 3.1 points). The sham group showed no change at 8 weeks and a 1.1 point worsening at the 16 week follow up (total worsening of 1.1 points). The percentage of patients improving more than 8 points (responders) in the stimulation group was 18%, as opposed to 7% in the sham group. From the analysis of individual patient data, it appears that those subjects with more severe cognitive dysfunction at baseline may have experienced more improvement from the active treatment than those with less severe cognitive dysfunction at baseline. In the computerized Mindstreams™ global cognitive score, a significant (p&lt;0.05) difference was observed in the improvement of the group receiving the treatment, relative to the changes measured in the sham control group in the 8 and 16 weeks time points. 
     Reference is now made to  FIG. 10 , which is an illustration of electric field distribution maps of coil  210  of  FIG. 7 . The field distribution produced by coil  210  was measured using the same method as for  FIG. 9 . The field maps are shown for stimulator output set at 120% of motor threshold. It can be seen that when placing the base portion of the coil over the prefrontal cortex, supra-threshold field is induced bilaterally in lateral prefrontal, medial prefrontal and orbitofrontal regions and in parietal regions. 
     Reference is now made to  FIG. 11 , which is an illustration of electric field distribution maps of coil  310  of  FIG. 8 . The field distribution produced by coil  310  was measured using the same method as for  FIG. 9 . The field maps are shown for stimulator output set at 120% of motor threshold. It can be seen that when placing the base portion of the coil over the occipital cortex, supra-threshold field is induced bilaterally in occipital and cerebellar regions and in parietal regions. 
     It is appreciated that certain features of the invention, which are, for clarity, described in the context of separate embodiments, may also be provided in combination in a single embodiment. Conversely, various features of the invention, which are, for brevity, described in the context of a single embodiment, may also be provided separately or in any suitable sub-combination. 
     While certain features of the present invention have been illustrated and described herein, many modifications, substitutions, changes, and equivalents may occur to those of ordinary skill in the art. It is, therefore, to be understood that the appended claims are intended to cover all such modifications and changes as fall within the true spirit of the present invention.

Technology Classification (CPC): 0