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Focused Ultrasound-mediated Non-invasive Brain Stimulation: Examination of Sonication Parameters

Hyungmin Kim, Alan Chiu, Stephanie D. Lee, Krisztina Fischer, Seung-Schik Yoo

Brain Stimulation 2014, 7, 748-756 · 10.1016/j.brs.2014.06.011

rodenthealthybehaviourhistology molecular

Abstract

Background Transcranial focused ultrasound (FUS) has emerged as a new brain stimulation modality. The range of sonication parameters for successful brain stimulation warrants further investigation. Objective The objective of this study was to examine the range of FUS sonication parameters that minimize the acoustic intensity/energy deposition while successfully stimulating the motor brain area in Sprague-Dawley rats. Methods We transcranially administered FUS to the somatomotor area of the rat brain and measured the acoustic intensity that caused excitatory effects with respect to different pulsing parameters (tone-burst duration, pulse-repetition frequency, duty cycle, and sonication duration) at 350 and 650 kHz of fundamental frequency. Results We observed that motor responses were elicited at minimum threshold acoustic intensities (4.9-5.6 W/cm(2) in spatial-peak pulse-average intensity; 2.5-2.8 W/cm(2) in spatial-peak temporal-average intensity) in a limited range of sonication parameters, i.e. 1-5 ms of tone-burst duration, 50% of duty cycle, and 300 ms of sonication duration, at 350 kHz fundamental frequency. We also found that the pulsed sonication elicited motor responses at lower acoustic intensities than its equivalent continuous sonication. Conclusion Our results suggest that the pulsed application of FUS selectively stimulates specific brain areas-of-interest at an acoustic intensity that is compatible with regulatory safety limits on biological tissue, thus allowing for potential applications in neurotherapeutics.

Abstract via europepmc.

Speciesrat (Sprague-Dawley)
Subjects37 animals
Sessions per subjectnot reported
Randomisedyes
Blindingnot reported
Sham / controlnone
Auditory controlnot reported
Readout timingboth
Anaesthesiaanaesthetised
Readoutsbehaviour, histology molecularSonication-synchronised tail movement detected by a piezoelectric motion sensor (threshold = 3x baseline SD) and visual inspection; post-sonication H&E histology of brain tissue for hemorrhage/tissue damage
Direction of effectexcitatoryPulsed FUS elicited tail motor responses in an all-or-nothing manner; threshold acoustic intensity depended on tone-burst duration, duty cycle and sonication duration, with 1-5 ms TBD/50% DC/300 ms SD at 350 kHz giving the lowest thresholds; pulsed sonication required lower intensities than energy-matched continuous sonication, and 350 kHz required lower intensities than 650 kHz.
Adverse eventsobservedH&E histology showed no tissue damage or hemorrhage in 29 of 30 animals examined; one animal exposed to a high acoustic intensity (22.4 W/cm2 Isppa, 11.2 W/cm2 Ispta, MI 1.38, peak pressure 0.81 MPa) for a brief period later showed hemosiderin-containing areas suggesting prior local bleeding, though still well below the reported cavitation damage threshold (40 MPa).

Exposures

Exposure 1: Tail somatomotor cortex, 350 kHz, pulsed parameter sweep (TBD/DC/SD) and energy-matched continuous-wave comparison

Target: primary motor cortex — “somatomotor area of the brain that elicits tail movement (mid-line, 2 mm posterior to Bregma)
Device: custom-built

Pulse timing
Waveformpulsed, continuous
Fundamental frequency (kHz)350✓✓
Pulse duration (ms)0.25, 0.5, 1, 2, 3, 5swept✓✓
Pulse repetition frequency (Hz)60, 100, 140, 150, 170, 230, 250, 300, 350, 500, 600, 700, 1,000, 1,200, 1,400, 2,000, 2,800swept✓✓
Duty cycle (%)30, 50, 70, 100swept✓✓
Sonication duration (s)0.15, 0.2, 0.3, 0.4swept✓✓
Pressure and intensity, by domain
Free-field pressure (kPa)not reported
Free-field Isppa (W/cm²)not reported
Free-field Ispta (W/cm²)not reported
In-situ estimatederatingmean or range across subjects
In-situ pressure (kPa)420, 810swept✓✓
In-situ Isppa (W/cm²)4.9, 5.6, 7.73, 22.4swept✓✓
In-situ Ispta (W/cm²)2.5, 2.8, 7.73, 11.2swept✓✓
Protocol, in the paper’s words

Threshold acoustic intensities for eliciting tail movement were mapped at 350 kHz across combinations of tone-burst duration (0.25-5 ms), duty cycle (30/50/70%) and sonication duration (200/300/400 ms; fixed at 50% DC for the SD comparison), each stimulus given with an inter-stimulus interval of 2-3 s, success defined as sonication-synchronised tail movement on 5 consecutive stimuli. For comparison, a continuous-wave condition (100% duty cycle, 150 ms sonication duration, 350 kHz) was designed to deposit the same overall acoustic energy as the 50% DC/300 ms pulsed condition. The sequence of parameter sets was randomised and balanced across animals; repeated sessions on the same animal (different parameter sets, >=2 days apart) were allowed.

Exposure 2: Tail somatomotor cortex, 650 kHz, pulsed parameter sweep (fixed 50% DC/300 ms SD, varying TBD)

Target: primary motor cortex — “somatomotor area of the brain that elicits tail movement (mid-line, 2 mm posterior to Bregma)
Device: custom-built

Pulse timing
Waveformpulsed
Fundamental frequency (kHz)650✓✓
Pulse duration (ms)0.25, 0.5, 1, 2, 3, 5swept?
Pulse repetition frequency (Hz)100, 170, 250, 500, 1,000swept✓✓
Duty cycle (%)50✓✓
Sonication duration (s)0.3✓✓
Pressure and intensity, by domain
Free-field pressure (kPa)not reported
Free-field Isppa (W/cm²)not reported
Free-field Ispta (W/cm²)not reported
In-situ estimatederating
In-situ pressure (kPa)not reported
In-situ Isppa (W/cm²)not reported
In-situ Ispta (W/cm²)not reported
Protocol, in the paper’s words

Using 50% duty cycle and 300 ms sonication duration, threshold acoustic intensities were examined at 650 kHz across the same six tone-burst durations tested at 350 kHz, in a separate group of animals, to compare stimulation efficiency between the two fundamental frequencies; 350 kHz elicited responses at lower threshold intensities than 650 kHz for all tone-burst durations.

Flags from extraction

  • exposures[0].in_situ.isppa_w_cm2Threshold intensities vary continuously with TBD/DC/SD (Table 1, Figs 3-4); only the headline optimal range (abstract), the stated 'effective' operating point, and the one high-intensity/adverse-event case are captured here rather than every combination tested.
  • exposures[0].in_situ.pressure_kpaOnly two peak-pressure values are stated in the text (0.42 MPa for the effective parameters, 0.81 MPa for the high-intensity case that produced a histological finding); pressure is not given for other parameter combinations.
  • exposures[0].timing.duty_cycle_pctThe continuous-wave comparison condition (100% duty cycle, 150 ms sonication duration) is described in protocol_description rather than added to these numeric lists, because it cannot be represented as a parallel array element alongside the pulsed TBD/PRF values without breaking the pulsed-only correspondence between those two fields.
  • exposures[1].timing.pulse_repetition_frequency_hzThe source table's rows for 650 kHz at 0.25 and 0.5 ms tone-burst duration are corrupted/merged in text extraction (values bleed into adjacent rows); only the four legible PRF values (for 1, 2, 3 and 5 ms TBD) are included, though the main text states the full six-TBD range was tested at 650 kHz.
  • exposures[1].in_situ.isppa_w_cm2The paper states 350 kHz gave lower threshold intensities than 650 kHz across all TBDs but the specific 650 kHz threshold values are only shown in Fig. 5, not stated numerically in the main text.