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Offline impact of transcranial focused ultrasound on cortical activation in primates

Lennart Verhagen, Cécile Gallea, Davide Folloni, Charlotte Constans, Daria EA Jensen, Harry Ahnine, Léa Roumazeilles, Mathieu Santin, Bashir Ahmed, Stéphane Lehericy, Miriam C Klein-Flügge, Kristine Krug, Rogier B Mars, Matthew FS Rushworth, Pierre Pouget, Jean-François Aubry, Jerome Sallet

eLife 2019, 8 · 10.7554/elife.40541

nonhuman primatehealthyfmriother mrihistology molecular

Abstract

To understand brain circuits it is necessary both to record and manipulate their activity. Transcranial ultrasound stimulation (TUS) is a promising non-invasive brain stimulation technique. To date, investigations report short-lived neuromodulatory effects, but to deliver on its full potential for research and therapy, ultrasound protocols are required that induce longer-lasting 'offline' changes. Here, we present a TUS protocol that modulates brain activation in macaques for more than one hour after 40 s of stimulation, while circumventing auditory confounds. Normally activity in brain areas reflects activity in interconnected regions but TUS caused stimulated areas to interact more selectively with the rest of the brain. In a within-subject design, we observe regionally specific TUS effects for two medial frontal brain regions - supplementary motor area and frontal polar cortex. Independently of these site-specific effects, TUS also induced signal changes in the meningeal compartment. TUS effects were temporary and not associated with microstructural changes.

Abstract via europepmc.

Speciesrhesus macaque (Macaca mulatta)
Subjects6 animals
Sessions per subject1
Randomisednot reported
Blindingnot reported
Sham / controlno treatment control, active control site
Auditory controlother
Readout timingoffline
Anaesthesiaanaesthetised
Readoutsfmri, other mri, histology molecular — resting-state fMRI connectivity fingerprints; T1w MRI for oedema; Nissl and H&E histology
Direction of effectmixed or unclearAfter 40 s of TUS, the stimulated area (SMA or FPC) changed its connectivity selectively: stronger coupling with closely connected areas, weaker with others; unstimulated site was largely unaffected. Non-specific meningeal signal changes also occurred.
Adverse eventsnone observedNo oedema on T1w MRI, no tissue burn at postmortem, and no neuronal alteration or haemorrhage on histology after pre-SMA TUS; simulated skull heating 2.9 C.

Exposures

Exposure 1: SMA TUS

Target: supplementary motor area — “SMA”
Device: Sonic Concepts · Sonic Concept, Bothell, WA, USA · H115-MR ✓

Pulse timing
Waveformpulsed
Fundamental frequency (kHz)250✓✓✓
Pulse duration (ms)30✓✓✓
Pulse repetition frequency (Hz)10✓✓✓⚑
Duty cycle (%)not reportedpulse duration × PRF gives 30%⚑
Sonication duration (s)40✓✓✓
Pressure and intensity, by domain
Free-field pressure (kPa)1,170, 1,350swept✓✓✓⚑
Free-field Isppa (W/cm²)not reported
Free-field Ispta (W/cm²)not reported
In-situ estimatesimulationsingle value
In-situ pressure (kPa)880✓✓✓⚑
In-situ Isppa (W/cm²)24.1✓✓✓
In-situ Ispta (W/cm²)7.2✓✓✓
Protocol, in the paper’s words

30 ms bursts of 250 kHz ultrasound generated every 100 ms for 40 s, a single train over the midline targeting both hemispheres; fMRI began after the train ended.

Exposure 2: FPC TUS

Target: anterior prefrontal cortex — “FPC”
Device: Sonic Concepts · Sonic Concept, Bothell, WA, USA · H115-MR ✓

Pulse timing
Waveformpulsed
Fundamental frequency (kHz)250✓✓✓
Pulse duration (ms)30✓✓✓
Pulse repetition frequency (Hz)10✓✓✓
Duty cycle (%)not reportedpulse duration × PRF gives 30%
Sonication duration (s)40✓✓✓
Pressure and intensity, by domain
Free-field pressure (kPa)1,170, 1,350swept✓✓✓
Free-field Isppa (W/cm²)not reported
Free-field Ispta (W/cm²)not reported
In-situ estimatesimulationsingle value
In-situ pressure (kPa)1,010✓✓✓
In-situ Isppa (W/cm²)31.7✓✓✓
In-situ Ispta (W/cm²)9.5✓✓✓
Protocol, in the paper’s words

30 ms bursts of 250 kHz ultrasound generated every 100 ms for 40 s, a single train over the midline targeting both hemispheres; fMRI began after the train ended.

Flags from extraction

  • n_subjects — Six macaques received TUS in experiments 1-3 (3 in SMA/FPC within-subject, 3 in FPC replication); three further animals received pre-SMA TUS for histology (experiment 4) and are not counted.
  • exposures[0].timing.duty_cycle_pct — Duty cycle not stated; 30 ms every 100 ms is given as bursts and interval.
  • exposures[0].timing.pulse_repetition_frequency_hz — PRF of 10 Hz stated in the discussion; methods give a burst every 100 ms.
  • auditory_control — Paper chose 250 kHz carrier and 10 Hz modulation to stay outside macaque hearing range and checked A1 coupling; no sound-masking or sham sound.
  • exposures[0].free_field.pressure_kpa — Range 1.17-1.35 MPa across sessions as measured in water; also 1.2 MPa at 130 V in simulation section.
  • exposures[0].in_situ.pressure_kpa — Simulated using a macaque CT; single transducer train over midline targets both hemispheres.
  • sham_type — Control state had all procedures except TUS; other-site TUS also served as a control.

Notes: Experiment 4 stimulated pre-SMA (coordinates given) for histology in three further animals; it is not listed as a separate exposure.