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Low-intensity transcranial ultrasound stimulation improves memory behavior in an ADHD rat model by modulating cortical functional network connectivity

Mengran Wang, Zhenyu Xie, Teng Wang, Shuxun Dong, Zhenfang Ma, Xiangjian Zhang, Xin Li, Yi Yuan

NeuroImage 2024 · 10.1016/j.neuroimage.2024.120841

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Abstract

Working memory in attention deficit hyperactivity disorder (ADHD) is closely related to cortical functional network connectivity (CFNC), such as abnormal connections between the frontal, temporal, occipital cortices and with other brain regions. Low-intensity transcranial ultrasound stimulation (TUS) has the advantages of non-invasiveness, high spatial resolution, and high penetration depth and can improve ADHD memory behavior. However, how it modulates CFNC in ADHD and the CFNC mechanism that improves working memory behavior in ADHD remain unclear. In this study, we observed working memory impairment in ADHD rats, establishing a corresponding relationship between changes in CFNCs and the behavioral state during the working memory task. Specifically, we noted abnormalities in the information transmission and processing capabilities of CFNC in ADHD rats while performing working memory tasks. These abnormalities manifested in the network integration ability of specific areas, as well as the information flow and functional differentiation of CFNC. Furthermore, our findings indicate that TUS effectively enhances the working memory ability of ADHD rats by modulating information transmission, processing, and integration capabilities, along with adjusting the information flow and functional differentiation of CFNC. Additionally, we explain the CFNC mechanism through which TUS improves working memory in ADHD. In summary, these findings suggest that CFNCs are important in working memory behaviors in ADHD.

Abstract via europepmc.

Speciesrat (Sprague-Dawley; spontaneously hypertensive; Wistar Kyoto)
Subjects8, 8, 8swept animals
Sessions per subject7
Randomisedyes
Blindingnot reported
Sham / controlinactive transducer
Auditory controlramped pulses
Readout timingoffline
Anaesthesianot reported
Readoutseeg meg, behaviour — 13-channel cortical EEG with phase transfer entropy network analysis; Y-maze spontaneous alternation and distance
Direction of effectmixed or unclearIn SHR (ADHD model) rats, 7 days of prefrontal TUS increased Y-maze spontaneous alternation and reduced hyperactivity versus SHR and SHR-SHAM, and shifted theta- and beta-band cortical network measures; no net excitation or inhibition was defined.
Adverse eventsnot reported

Exposures

Exposure 1: TUS to right prefrontal cortex for 7 days

Target: dorsolateral prefrontal cortex — “The stimulation position was in the prefrontal cortex (1.25 mm right, -4.5 mm from bregma), while the specific area that ultrasound can mainly affect was the dorsolateral prefrontal cortex (DLPFC)”
Device: Olympus / Panametrics · Olympus · V301-SU ✓

Pulse timing
Waveformpulsed
Fundamental frequency (kHz)500✓✓✓
Pulse duration (ms)50✓✓✓⚑
Pulse repetition frequency (Hz)1✓✓✓
Duty cycle (%)5pulse duration × PRF gives 5%✓✓✓
Sonication duration (s)900✓✓✓⚑
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 estimatenot reported
In-situ pressure (kPa)not reported
In-situ Isppa (W/cm²)not reported
In-situ Ispta (W/cm²)not reported
Pressure, domain unspecified (kPa)360✓✓✓
Isppa, domain unspecified (W/cm²)4.3✓✓✓⚑
Ispta, domain unspecified (W/cm²)0.216✓✓✓
Protocol, in the paper’s words

FF 500 kHz, PRF 1 Hz, DC 5% and stimulation duration (SD) 50 ms; total duration of each stimulation 15 min, once daily for 7 days.

Flags from extraction

  • n_subjects — 16 SD, 16 SHR and 16 WKY rats were used, split into control and TUS groups of 8; plus an SHR-SHAM group of N = 8 whose origin is not explained. Group sizes of the three TUS groups given; total exposed not stated.
  • exposures[0].timing.pulse_duration_ms — Paper states stimulation duration 50 ms with PRF 1 Hz and DC 5%; 50 ms is taken as the pulse length by the burst rule (DC/PRF = 50 ms).
  • exposures[0].timing.sonication_duration_s — 15 min is the total duration of each stimulation session of 1 Hz pulses; it is not one uninterrupted train.
  • exposures[0].unspecified_domain.isppa_w_cm2 — Intensity unit printed as 'w/cm-2' (garbled); Ispta stated as 215.8 mW/cm-2 and converted to 0.2158 W/cm2; domain not stated.
  • anaesthesia — Anaesthesia state during TUS not stated; isoflurane used for surgery only; behaviour in freely moving rats.
  • auditory_control — Separate experiment with trapezoidal (smoothed) pulses reported in Fig. S6 to test auditory effects.
  • exposures[0].timing.waveform — Sham: power amplifier turned off in SHR-SHAM group.