Neurophysiologically Realistic Environment for Comparing Adaptive Deep Brain Stimulation Algorithms in Parkinson Disease

Adaptive deep brain stimulation (aDBS) has emerged as a promising treatment for Parkinson disease (PD). In aDBS, a surgically placed electrode sends dynamically altered stimuli to the brain based on neurophysiological feedback: an invasive gadget that limits the amount of data one could collect for optimizing the control offline. As a consequence, a plethora of synthetic models of PD and those of the control algorithms have been proposed. Herein, we introduce the first neurophysiologically realistic benchmark for comparing said models. Specifically, our methodology covers not only conventional basal ganglia circuit dynamics and pathological oscillations, but also captures 15 previously dismissed physiological attributes, such as signal instabilities and noise, neural drift, electrode conductance changes and individual variability - all modeled as spatially distributed and temporally registered features via beta-band activity in the brain and a feedback. Furthermore, we purposely built our framework as a structured environment for training and evaluating deep reinforcement learning (RL) algorithms, opening new possibilities for optimizing aDBS control strategies and inviting the machine learning community to contribute to the emerging field of intelligent neurostimulation interfaces.

@article{kuzmina2025_2505.09624,
  title={ Neurophysiologically Realistic Environment for Comparing Adaptive Deep Brain Stimulation Algorithms in Parkinson Disease },
  author={ Ekaterina Kuzmina and Dmitrii Kriukov and Mikhail Lebedev and Dmitry V. Dylov },
  journal={arXiv preprint arXiv:2505.09624},
  year={ 2025 }
}