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Transcranial focused ultrasound modulates spiking, LFP, and BOLD activity in the primate thalamus

Ning Zheng, Pai-Feng Yang, M. Anthony Phipps, Jiro Kusunose, Arabinda Mishra, Jixin Xia, William Rodriguez, Allen T. Newton, Benoit M. Dawant, John C. Gore, Charles F. Caskey, Li Min Chen

Nature Communications 2026, 17 · 10.1038/s41467-026-75826-8

nonhuman primatehealthyfmriother mriinvasive electrophysiology

Abstract

Transcranial-focused ultrasound (FUS) is a non-invasive neuromodulation technique capable of targeting deep brain regions with high precision. However, its mechanisms of action - particularly how it modulates neuronal activity and relates to fMRI BOLD signals - remain poorly understood. Using the macaque monkey thalamus and insular cortex as a model system, we show that low-intensity FUS evokes localized BOLD increases and preferentially modulates low-frequency (Delta, Theta, and Alpha) local field potentials and single-unit spiking in the ventroposterior lateral (VPL) nucleus, as well as through remote stimulation of the insular cortex. Compared with vibrotactile stimulation, FUS-evoked responses exhibit slower peak latencies. Importantly, we observe strong spatial correspondence between ultrasound-induced changes in spiking, LFP activity, and BOLD signals. These findings define the temporal and spatial characteristics of FUS neuromodulation and demonstrate the feasibility of precise, non-invasive targeting of deep brain circuits, supporting its translational potential for neuroscience and therapeutic applications.

Abstract via europepmc.

Speciescynomolgus and rhesus macaque (Macaca fascicularis, Macaca mulatta)
Subjects4 animals
Sessions per subject5
Randomisedyes
Blindingnot reported
Sham / controlnone
Auditory controlramped pulses
Readout timingboth
Anaesthesiaanaesthetised
Readoutsfmri, other mri, invasive electrophysiologyBlock-design BOLD fMRI; MR acoustic radiation force imaging (MR-ARFI) for targeting confirmation; 32-channel linear electrode recordings of local field potentials and single/multi-unit spiking in thalamic VPL
Direction of effectexcitatoryFUS to the thalamic VPL produced BOLD increases at the target and at 27 off-target regions including posterior insula, increased low-frequency (delta/theta/alpha) LFP power, and increased single/multi-unit firing rates in VPL; remote FUS stimulation of the posterior insula reproduced similar LFP and spiking increases in VPL.
Adverse eventsnot reportedThermal simulations estimated skull temperature rises up to about 2.46C and brain temperature rises below 2C at the highest transmit powers tested (computed cranial-bone thermal index TIC=7.4, above the ITRUSST-recommended 6.0, prompting additional subject-specific thermal simulation); no explicit behavioural or clinical adverse-event assessment was reported.

Exposures

Exposure 1: FUS to thalamic VPL nucleus

Target: ventral posterolateral nucleus — “ventroposterior lateral (VPL) thalamic nucleus, hand representation
Device: IGT / Imasonic · Imasonic

Pulse timing
Waveformpulsed
Fundamental frequency (kHz)650✓✓
Pulse duration (ms)0.5✓✓
Pulse repetition frequency (Hz)1,000✓✓
Duty cycle (%)50pulse duration × PRF gives 50%✓✓
Sonication duration (s)0.5✓✓
Pressure and intensity, by domain
Free-field pressure (kPa)2,690, 3,720swept✓✓
Free-field Isppa (W/cm²)not reported
Free-field Ispta (W/cm²)not reported
In-situ estimatederatingmean or range across subjects
In-situ pressure (kPa)550, 700, 1,450swept✓✓
In-situ Isppa (W/cm²)not reported
In-situ Ispta (W/cm²)not reported
Protocol, in the paper’s words

650 kHz pulse trains (500 ms train duration, PRF 1 kHz, 0.5 ms pulses, 50% duty cycle, 50 microsecond ramp up/down) were used for both fMRI and electrophysiology experiments targeting the VPL. For fMRI, trains were repeated at 0.5 Hz for a 16-s stimulation block (8 trains/block) followed by a minimum 30-s rest, targeting an in vivo pressure of 550 kPa (assuming 39% transmission through the skull). For electrophysiology, single 500-ms trains were delivered with a 5-s inter-stimulation interval (20-50 trials/run) at higher targeted in vivo pressures (0.70-1.45 MPa across the two subjects) than the fMRI protocol, to obtain robust electrophysiological signals while limiting thermal risk.

Exposure 2: Remote FUS to posterior insular cortex

Target: posterior insula — “posterior insular cortex
Device: IGT / Imasonic · Imasonic

Pulse timing
Waveformpulsed
Fundamental frequency (kHz)650✓✓
Pulse duration (ms)0.5✓✓
Pulse repetition frequency (Hz)1,000✓✓
Duty cycle (%)50pulse duration × PRF gives 50%✓✓
Sonication duration (s)0.5✓✓
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 estimatederatingsingle value
In-situ pressure (kPa)550, 1,000swept✓✓
In-situ Isppa (W/cm²)not reported
In-situ Ispta (W/cm²)not reported
Protocol, in the paper’s words

Same 650 kHz pulse parameters as the VPL target (500 ms train, PRF 1 kHz, 0.5 ms pulses, 50% duty cycle) were used to remotely stimulate the posterior insular cortex while recording LFP and spiking in the thalamic VPL; only 3 locations and 4 runs of insula stimulation were performed (versus 35 locations/41 runs for VPL). The fMRI protocol's common 550 kPa in-vivo target also applied to insula stimulation; a representative electrophysiology insula-stimulation run targeted 1.00 MPa in vivo.

Flags from extraction

  • n_subjectsPaper states 'Four monkeys participated in fMRI experiments, and two macaque monkeys (two female Macaca fascicularis and two male Macaca mulatta) participated in electrophysiology studies' - 'two macaque monkeys' is inconsistent with the four sex/species identifiers listed immediately after; unclear whether the electrophysiology animals overlap with the four fMRI animals or add to the total. n_subjects here uses the explicit 'Four monkeys underwent five MRI and FUS stimulation sessions' statement.
  • exposures[0].in_situ.pressure_kpaList combines the fMRI-protocol target pressure (550 kPa, single stated value, method: assumed 39% transmission) with the electrophysiology-protocol targeted range across two subjects (0.70-1.45 MPa); these were two distinct experimental sessions/modalities at the same target and frequency.
  • exposures[0].free_field.pressure_kpa2.69 MPa (subject 1) is the free-field pressure used specifically for a thermal-safety verification run at the highest transmit power tested; a second free-field pressure (3.72 MPa, subject 2, two runs) was also tested but is not included in this single value.
  • exposures[1].in_situ.pressure_kpa550 kPa is the common fMRI-protocol target pressure (also used for VPL); 1.00 MPa is the value reported specifically for an electrophysiology insula-stimulation run (Figure 6 legend).