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Optically-generated focused ultrasound for noninvasive brain stimulation with ultrahigh precision

Yueming Li, Ying Jiang, Lu Lan, Xiaowei Ge, Ran Cheng, Yuewei Zhan, Guo Chen, Linli Shi, Runyu Wang, Nan Zheng, Chen Yang, Ji-Xin Cheng

Light: Science & Applications 2022, 11 · 10.1038/s41377-022-01004-2

in vitro cellrodenthealthyhistology molecularemg mepcellular imaging

Abstract

High precision neuromodulation is a powerful tool to decipher neurocircuits and treat neurological diseases. Current non-invasive neuromodulation methods offer limited precision at the millimeter level. Here, we report optically-generated focused ultrasound (OFUS) for non-invasive brain stimulation with ultrahigh precision. OFUS is generated by a soft optoacoustic pad (SOAP) fabricated through embedding candle soot nanoparticles in a curved polydimethylsiloxane film. SOAP generates a transcranial ultrasound focus at 15 MHz with an ultrahigh lateral resolution of 83 µm, which is two orders of magnitude smaller than that of conventional transcranial-focused ultrasound (tFUS). Here, we show effective OFUS neurostimulation in vitro with a single ultrasound cycle. We demonstrate submillimeter transcranial stimulation of the mouse motor cortex in vivo. An acoustic energy of 0.6 mJ/cm 2 , four orders of magnitude less than that of tFUS, is sufficient for successful OFUS neurostimulation. OFUS offers new capabilities for neuroscience studies and disease treatments by delivering a focus with ultrahigh precision non-invasively.

Abstract via europepmc.

Speciesmouse (C57BL/6J, in vivo); rat (Sprague-Dawley, cultured cortical neurons)
Subjectsnot reported animals
Sessions per subject1
Randomisednot reported
Blindingnot reported
Sham / controlactive control site
Auditory controlcontrol experiment
Readout timingboth
Anaesthesiaanaesthetised
Readoutshistology molecular, emg mep, cellular imagingc-Fos/DAPI immunofluorescence staining; H&E histology; hindlimb biceps femoris EMG; GCaMP6f calcium imaging in cultured neurons
Direction of effectexcitatoryOFUS evoked calcium transients in cultured cortical neurons (direct and transcranial-through-skull), increased c-Fos-positive neuron counts at the targeted mouse motor cortex versus contralateral control, and produced strong contralateral hindlimb EMG responses; no response was seen with light-leakage or somatosensory-cortex control stimulation.
Adverse eventsnone observedEstimated transcranial peak-to-peak pressure (6.0 MPa) was below the reported no-lesion level (40 MPa) and peak negative pressure (2.7 MPa) was below the bubble-cloud threshold (25-30 MPa); MI was estimated at 0.5, below the FDA limit of 1.9; H&E staining showed no morphological change after stimulation; repeated-stimulation cell-viability assays in vitro showed no significant difference from unstimulated controls; temperature rise at the focus was estimated <0.1 K at the longest duration used.

Exposures

Exposure 1: OFUS stimulation of cultured cortical neurons in vitro, direct and transcranial (through a mouse skull fragment)

Target: cultured neurons — “primary cortical neurons in culture (rat, expressing GCaMP6f), stimulated directly or through an ex vivo mouse skull fragment
Device: custom-built · Soft optoacoustic pad (SOAP), candle-soot/PDMS (CS-PDMS) optoacoustic emitter, NA 0.95, driven by a Q-switched Nd:YAG laser (Quantel Laser, CFR ICE450)

Pulse timing
Waveformpulsed
Fundamental frequency (kHz)15,000✓✓
Pulse duration (ms)0.00009✓✓
Pulse repetition frequency (Hz)not reported
Duty cycle (%)not applicable
Sonication duration (s)0.00000009✓✓
Pressure and intensity, by domain
Free-field pressure (kPa)46,000, 65,500swept✓✓
Free-field Isppa (W/cm²)6,300✓✓
Free-field Ispta (W/cm²)not reported
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

For each trial, a single laser pulse delivered a single optoacoustic ultrasound cycle to the neurons (single-cycle stimulation), with laser energy increased stepwise until activation (max delta F/F > 10%) was observed. Direct stimulation threshold (single cycle) was 46.0 +/- 12.8 MPa; with a piece of mouse skull embedded in the SOAP (transcranial), the threshold rose to 65.5 +/- 9.4 MPa, consistent with the ~69% transcranial efficiency measured separately. For repeated-stimulation safety tests, groups of neurons received 30 cycles total, delivered as 3 consecutive cycles at 10 Hz with a 5 s interval between groups of 3.

Exposure 2: OFUS transcranial stimulation of mouse primary motor cortex in vivo (c-Fos mapping and EMG)

Target: primary motor cortex — “mouse motor cortex (stereotaxic coordinates ML 1.5, AP 0.5)
Device: custom-built · Soft optoacoustic pad (SOAP), candle-soot/PDMS (CS-PDMS) optoacoustic emitter, driven by a Q-switched Nd:YAG laser at 10 Hz repetition rate

Pulse timing
Waveformpulsed
Fundamental frequency (kHz)15,000✓✓
Pulse duration (ms)0.00009✓✓
Pulse repetition frequency (Hz)10✓✓
Duty cycle (%)33pulse duration × PRF gives 0%, which disagrees with the stated value✓✓
Sonication duration (s)2✓✓
Pressure and intensity, by domain
Free-field pressure (kPa)8,500✓✓
Free-field Isppa (W/cm²)not reported
Free-field Ispta (W/cm²)not reported
In-situ estimatederatingsingle value
In-situ pressure (kPa)2,700?
In-situ Isppa (W/cm²)not reported
In-situ Ispta (W/cm²)not reported
Protocol, in the paper’s words

Two in vivo protocols were used at the same target/frequency: (1) for c-Fos mapping, OFUS (8.5 MPa nominal pressure) was delivered as a pulse train with 33% duty cycle (2 s laser-on, 4 s laser-off) for 30 min, after which mice rested 1 h before perfusion; (2) for EMG, a pulse train of 2 s duration (comprising 20 individual optoacoustic cycles, i.e. the laser's fixed 10 Hz single-cycle repetition rate) was delivered once while recording hindlimb EMG. Because the laser fires discrete single ultrasound cycles at a fixed 10 Hz rate nested inside the stated on/off duty-cycle envelope, it is ambiguous which duration corresponds to 'pulse duration' versus 'sonication duration' in the four-number schema; pulse_duration_ms and PRF are left not_reported and both timescales are described here.

Exposure 3: Conventional 20 MHz focused-transducer ultrasound stimulation of cultured cortical neurons (comparison to OFUS)

Target: cultured neurons — “primary cortical neurons in culture, stimulated with a conventional piezoelectric transducer for comparison to OFUS
Device: not reported · 20 MHz conventional focused ultrasound transducer

Pulse timing
Waveformcontinuous
Fundamental frequency (kHz)20,000✓✓
Pulse duration (ms)not applicable
Pulse repetition frequency (Hz)not applicable
Duty cycle (%)not applicable
Sonication duration (s)0.5✓✓
Pressure and intensity, by domain
Free-field pressure (kPa)not reported
Free-field Isppa (W/cm²)32✓✓
Free-field Ispta (W/cm²)not reported
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

We started with a low ultrasound intensity and a short duration of continuous wave (CW) ultrasound, then increased them step by step until a neural response with max delta F/F > 10% was recorded, in exactly the same experimental setup used for OFUS.

Flags from extraction

  • n_subjectsThe paper reports per-figure sample sizes (dishes, cultures, and small numbers of mice, e.g. n=3 for c-Fos quantification) but never a single total count of animals/cultures used across the study.
  • exposures[0].timing.pulse_duration_msDerived from Table 1's stated duration of 0.09x10^-6 s (converted to ms), which the table attributes to a single optoacoustic cycle at 15 MHz.
  • exposures[0].in_situ.pressure_kpareported_as is coded as mean_or_range_across_subjects because the value is a mean+/-SD across N=46 trials from 11 cultures, not a single fixed measurement.
  • exposures[1].timing.pulse_duration_msThe c-Fos protocol nests a fixed 10 Hz single-optoacoustic-cycle laser repetition inside a stated 33% duty-cycle on/off envelope (2 s on, 4 s off); it is ambiguous which timescale corresponds to schema pulse_duration vs sonication_duration, so both are left not_reported and described in protocol_description (burst-rule ambiguity).
  • exposures[1].in_situ.pressure_kpaPaper also reports an estimated transcranial peak-to-peak pressure of 6.0 MPa (a different pressure metric) for the same exposure; the peak-negative-pressure value (2.7 MPa) is recorded here since it is the more standard convention, but both are in the source quote.
  • auditory_controlNo explicit auditory-masking/deafening method was used; the paper instead used a spatial control (somatosensory cortex stimulation, no EMG response) and spatial confinement of c-Fos signal to argue against an auditory/bone-conduction confound.