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Transcranial Focused Ultrasound Stimulation of Periaqueductal Gray for Analgesia

Tao Zhang, Zhen Wang, Huageng Liang, Zhengjie Wu, Jiapu Li, Jun Ou-Yang, Xiaofei Yang, Yuan Bo Peng, Benpeng Zhu

IEEE Transactions on Biomedical Engineering 2022, 69, 3155-3162 · 10.1109/tbme.2022.3162073

rodentotherinvasive electrophysiologyhistology molecular

Abstract

Objective Transcranial focused ultrasound (tFUS) is regarded as a promising non-invasive stimulation tool for modulating brain circuits. The aim of this study is to explore the feasibility of tFUS stimulation for analgesia applications. Methods 50 µl of 3% formalin solution was injected into the rat's left hindpaw to build a pain model, and then the local field potential (LFP) activities of the dorsal horn were tracked after a recording electrode was placed in the spinal cord. Rats were randomly divided into two groups: control group and tFUS group. At the 30 th minute after formalin injection, tFUS (US-650 kHz, PD = 1 ms, PRF = 100 Hz, 691 mW/cm 2 ) was conducted to stimulate the periaqueductal gray (PAG) for 5 minutes (on 5 s and off 5 s) in the tFUS group, but there was no treatment in the control group. In addition, the analgesia mechanism (LFP recording from the PAG) and safety assessment (histology analysis) were carried out. Results The tFUS stimulation of the PAG can suppress effectively the nociceptive activity generated by formalin. The findings of the underlying mechanism exploration indicated that the tFUS stimulation was able to activate the PAG directly without causing notable temperature change and tissue injury. Conclusion The results illustrated that the tFUS stimulation of the PAG can achieve the effect of analgesia. Significance This work provides new insights into the development of non-invasive analgesic technology in the future.

Abstract via europepmc.

Speciesrat (Sprague-Dawley)
Subjects6 animals
Sessions per subject1
Randomisedyes
Blindingnot reported
Sham / controlnone
Auditory controlnot reported
Readout timingonline
Anaesthesiaanaesthetised
Readoutsinvasive electrophysiology, histology molecularlocal field potential (LFP) recording from spinal cord dorsal horn (L5) and periaqueductal gray; hematoxylin and eosin (H&E) staining
Direction of effectexcitatorytFUS increased LFP activity in the PAG during stimulation and suppressed formalin-induced nociceptive LFP power (delta, theta, beta, gamma bands) in the spinal dorsal horn, consistent with an analgesic effect mediated by PAG activation.
Adverse eventsnone observedH&E staining showed no notable brain tissue injury after tFUS stimulation of the PAG; temperature increase in brain tissue was not higher than 0.2 °C, and peak pressure (0.47 MPa) was far below the cavitation threshold (40 MPa).

Exposures

Exposure 1: tFUS stimulation of the periaqueductal gray (PAG)

Target: periaqueductal gray — “periaqueductal gray (PAG)
Device: custom-built

Pulse timing
Waveformpulsed
Fundamental frequency (kHz)650✓✓
Pulse duration (ms)1✓✓
Pulse repetition frequency (Hz)100✓✓
Duty cycle (%)10pulse duration × PRF gives 10%✓✓
Sonication duration (s)5✓✓
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 estimatemeasurementsingle value
In-situ pressure (kPa)470✓✓
In-situ Isppa (W/cm²)not reported
In-situ Ispta (W/cm²)0.691✓✓
Protocol, in the paper’s words

tFUS (650 kHz, PD=1 ms, PRF=100 Hz, DC=10%) was applied to the PAG for a 5-min session structured as repeating 5-s-on/5-s-off cycles, beginning 30 min after formalin injection (or, in the separate mechanistic recording, delivered directly while an electrode recorded PAG LFP).

Flags from extraction

  • n_subjectsPaper states a total of 14 rats used in the study but only explicitly labels 6 as the tFUS (ultrasound-exposed) group in the main electrophysiology experiment; how the remaining rats (temperature measurement, PAG mechanism recording) were allocated to ultrasound exposure is not clearly separated.
  • exposures[0].free_field.pressure_kpaOnly relative attenuation without skull (~25-29% of with-skull intensity) is given; no absolute free-field pressure/intensity value is stated in the text.