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Creation of various skin sensations using pulsed focused ultrasound: Evidence for functional neuromodulation

Wonhye Lee, Hyungmin Kim, Sungon Lee, Seung‐Schik Yoo, Yong An Chung

International Journal of Imaging Systems and Technology 2014 · 10.1002/ima.22091

human healthyhealthybehaviour

Abstract

Ultrasound application to neural tissues modifies their activity, and it is increasingly considered as a new mode of functional neuromodulation in both central and peripheral nervous system. We investigate that ultrasound focused to skin surface can induce differential peripheral sensations by modulating the activity of sensory receptors. Pulsed focused ultrasound was applied to the last digit of human hands for 10 s using combinations of acoustic frequencies (350 and 650 kHz), tone‐burst‐durations (0.1 and 1.0 ms), pulse repetition frequencies (10 and 100 Hz) with 1% duty cycle, and acoustic intensities (3–100 mW/cm 2 ), divided into two ambient temperatures (20 and 40°C). On insonification, volunteers reported cooling, warming, vibrotactile sensations, and mild nociception, while there was no actual increase to the skin temperature. Continuous insonification, in contrast to pulsed insonification, failed to elicit these sensations. Our results suggest that pulsed ultrasound temporarily modifies the activity of the sensory receptors on the skin, and casts future utility in dermatological applications as well as in the field of haptic device interfaces. © 2014 Wiley Periodicals, Inc. Int J Imaging Syst Technol, 24, 167–174, 2014

Abstract via crossref.

Specieshuman
Subjects9 participants
Sessions per subjectnot reported
Randomisedyes
Blindingnot reported
Sham / controlnone
Auditory controlnot reported
Readout timingonline
Anaesthesianot applicable
Readoutsbehaviour — Self-reported cooling, warming, vibrotactile and mild nociception sensations; thermocouple in tissue phantom
Direction of effectexcitatoryPulsed FUS to the fingertip elicited cooling, warming, vibrotactile and mild nociceptive sensations; continuous insonification at matched Ispta elicited none.
Adverse eventsnone observedNo adverse skin conditions at follow-up 1 week and 2 months; phantom showed no temperature change; MI and TIS kept below 1 and 0.05.

Exposures

Exposure 1: 350 kHz pulsed FUS to fingertip, 20 and 40 C ambient

Target: other — “palm side on the tip of the fifth phalange”
Device: other named manufacturer · Channeltech, CA ✓

Pulse timing
Waveformpulsed
Fundamental frequency (kHz)350✓✓✓
Pulse duration (ms)0.1, 1swept✓✓✓⚑
Pulse repetition frequency (Hz)100, 10swept✓✓✓
Duty cycle (%)1✓✓✓
Sonication duration (s)10✓✓✓
Pressure and intensity, by domain
Free-field pressure (kPa)118, 237, 284, 367, 639, 805, 958, 1,148swept✓✓✓⚑
Free-field Isppa (W/cm²)0.3, 0.5, 0.7, 1, 3, 5, 7, 10swept✓✓✓
Free-field Ispta (W/cm²)0.003, 0.005, 0.007, 0.01, 0.03, 0.05, 0.07, 0.1swept✓✓✓
In-situ estimatenot applicable
In-situ pressure (kPa)not applicable
In-situ Isppa (W/cm²)not applicable
In-situ Ispta (W/cm²)not applicable
Protocol, in the paper’s words

Tone-burst duration 0.1 ms at PRF 100 Hz or 1.0 ms at PRF 10 Hz, both 1% duty cycle, 10 s insonification per parameter combination, repeated at ambient temperatures of 20 and 40 C. Continuous insonification at 100 mW/cm2 Ispta was also tested as a comparison.

Exposure 2: 650 kHz pulsed FUS to fingertip, 20 and 40 C ambient

Target: other — “palm side on the tip of the fifth phalange”
Device: other named manufacturer · Channeltech, CA ✓

Pulse timing
Waveformpulsed
Fundamental frequency (kHz)650✓✓✓
Pulse duration (ms)0.1, 1swept✓✓✓
Pulse repetition frequency (Hz)100, 10swept✓✓✓
Duty cycle (%)1✓✓✓
Sonication duration (s)10✓✓✓
Pressure and intensity, by domain
Free-field pressure (kPa)210, 274, 339, 387, 645, 838, 935, 1,145swept✓✓✓
Free-field Isppa (W/cm²)0.3, 0.5, 0.7, 1, 3, 5, 7, 10swept✓✓✓
Free-field Ispta (W/cm²)0.003, 0.005, 0.007, 0.01, 0.03, 0.05, 0.07, 0.1swept✓✓✓
In-situ estimatenot applicable
In-situ pressure (kPa)not applicable
In-situ Isppa (W/cm²)not applicable
In-situ Ispta (W/cm²)not applicable
Protocol, in the paper’s words

Tone-burst duration 0.1 ms at PRF 100 Hz or 1.0 ms at PRF 10 Hz, both 1% duty cycle, 10 s insonification per parameter combination, repeated at ambient temperatures of 20 and 40 C. Continuous insonification at 100 mW/cm2 Ispta was also tested as a comparison.

Flags from extraction

  • n_subjects — OCR renders n = 9 as 'n 5 9' in the text
  • exposures[0].free_field.pressure_kpa — Pressures are per-intensity table values that differ by frequency; domain taken as free field because intensity was calibrated at the focus with a hydrophone in degassed water and no attenuation was applied; paper does not label the table column explicitly
  • exposures[0].timing.pulse_duration_ms — Pulse duration and PRF are paired (0.1 ms with 100 Hz, 1.0 ms with 10 Hz), recorded as parallel lists
  • sham_type — Continuous insonification at matched Ispta served as a comparison condition but is real output at a different waveform; recorded as no sham
  • exposures[0].target.terms — Target is skin receptors of the fingertip; no matching target id, so other