Increased Anatomical Specificity for Neuromodulation Using Modulated Focused Ultrasound

Increased Anatomical Specificity for Neuromodulation Using Modulated Focused Ultrasound PDF Author: Edin Mehić
Publisher:
ISBN:
Category :
Languages : en
Pages : 43

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Book Description
Transcranial ultrasound can alter brain function transiently and nondestructively, offering a new tool to study brain function now and to inform future therapies. Previous research on neuromodulation implemented pulsed low-frequency ultrasound with spatial peak temporal average intensities (ISPTA) of 0.1-10 W/cm2. That work used transducers that either insonified relatively large volumes of mouse brain (several mL) with relatively low-frequency ultrasound and produced bilateral motor responses, or relatively small volumes of brain (on the order of 0.06 mL) with relatively high-frequency ultrasound that produced unilateral motor responses. However, these previous studies have no modality for explaining how the ultrasound causes activation in the brain, and furthermore their ultrasound protocols do not allow for the precise activation that is required for the proper study of neuromodulation. This study seeks to increase anatomical specificity to neuromodulation with modulated focused ultrasound (mFU) as well as to provide an explanation for how the stimulation occurs biologically. We hypothesize that we can induce focal, central and associated peripheral activity in the motor cortex of primates using mFU in a manner comparable to electrical stimulation and capable of direct measurement by ECoG because we believe that neuromodulatory ultrasound stimulation of the brain excites neural circuits by depolarizing cells through the motor deformation of ion channels. Here, 'modulated' means modifying a focused 2-MHz carrier signal dynamically with a 500-kHz signal as in vibro-acoustography, thereby creating a low-frequency but small volume source of neuromodulation. We have shown that application of transcranial mFU to lightly anesthetized mice produces various motor movements with high spatial selectivity (on the order of 1 mm) that scales with the temporal average ultrasound intensity. Alone, mFU and focused ultrasound (FUS) each induce motor activity, including unilateral motions, though anatomical location and type of motion varied. We then moved to a primate model to determine the relative efficacy of mFU compared to electrical stimulation. Furthermore, our studies aimed to determine the biophysical processes through which they act. Currently, it is difficult to record neural activity after electric stimulation in the first few milliseconds after action potential onset due to various electrical problems. We have shown in vitro that with focused ultrasound, these problems can be bypassed. We explored the effects of this ultrasound applied to the brain by observing the resulting electrical activity induced through mechanical stimulation. We monitored neural excitation within our best approximation of the motor strip. Also of interest has been exploration of the potential research and clinical applications for targeted, transcranial neuromodulation created by modulated focused ultrasound, especially mFU's ability to produce compact sources of ultrasound at the very low frequencies (10-100s of Hertz) that correlate to the natural frequencies of the brain.

Increased Anatomical Specificity for Neuromodulation Using Modulated Focused Ultrasound

Increased Anatomical Specificity for Neuromodulation Using Modulated Focused Ultrasound PDF Author: Edin Mehić
Publisher:
ISBN:
Category :
Languages : en
Pages : 43

Get Book Here

Book Description
Transcranial ultrasound can alter brain function transiently and nondestructively, offering a new tool to study brain function now and to inform future therapies. Previous research on neuromodulation implemented pulsed low-frequency ultrasound with spatial peak temporal average intensities (ISPTA) of 0.1-10 W/cm2. That work used transducers that either insonified relatively large volumes of mouse brain (several mL) with relatively low-frequency ultrasound and produced bilateral motor responses, or relatively small volumes of brain (on the order of 0.06 mL) with relatively high-frequency ultrasound that produced unilateral motor responses. However, these previous studies have no modality for explaining how the ultrasound causes activation in the brain, and furthermore their ultrasound protocols do not allow for the precise activation that is required for the proper study of neuromodulation. This study seeks to increase anatomical specificity to neuromodulation with modulated focused ultrasound (mFU) as well as to provide an explanation for how the stimulation occurs biologically. We hypothesize that we can induce focal, central and associated peripheral activity in the motor cortex of primates using mFU in a manner comparable to electrical stimulation and capable of direct measurement by ECoG because we believe that neuromodulatory ultrasound stimulation of the brain excites neural circuits by depolarizing cells through the motor deformation of ion channels. Here, 'modulated' means modifying a focused 2-MHz carrier signal dynamically with a 500-kHz signal as in vibro-acoustography, thereby creating a low-frequency but small volume source of neuromodulation. We have shown that application of transcranial mFU to lightly anesthetized mice produces various motor movements with high spatial selectivity (on the order of 1 mm) that scales with the temporal average ultrasound intensity. Alone, mFU and focused ultrasound (FUS) each induce motor activity, including unilateral motions, though anatomical location and type of motion varied. We then moved to a primate model to determine the relative efficacy of mFU compared to electrical stimulation. Furthermore, our studies aimed to determine the biophysical processes through which they act. Currently, it is difficult to record neural activity after electric stimulation in the first few milliseconds after action potential onset due to various electrical problems. We have shown in vitro that with focused ultrasound, these problems can be bypassed. We explored the effects of this ultrasound applied to the brain by observing the resulting electrical activity induced through mechanical stimulation. We monitored neural excitation within our best approximation of the motor strip. Also of interest has been exploration of the potential research and clinical applications for targeted, transcranial neuromodulation created by modulated focused ultrasound, especially mFU's ability to produce compact sources of ultrasound at the very low frequencies (10-100s of Hertz) that correlate to the natural frequencies of the brain.

Atlas of Ultrasound-Guided Procedures in Interventional Pain Management

Atlas of Ultrasound-Guided Procedures in Interventional Pain Management PDF Author: Samer N. Narouze
Publisher: Springer
ISBN: 9781493992751
Category : Medical
Languages : en
Pages : 334

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Book Description
With a focus on anatomy and sonoantomy, this beautifully illustrated updated edition captures the latest advances in the rapidly growing field of ultrasound-guided pain medicine and MSK procedures. This atlas is divided into seven sections that provide an overview and focus on interventional approaches and advancements. Authored by international experts, each clinical chapter features a maximal number of instructive illustrations and sonograms and provides a description of sonoanatomy, instructions on performing the procedure and how to confirm appropriate needle placement. This book will help encourage and stimulate physicians to master approaches in interventional MSK and pain management.

MRI-Guided Focused Ultrasound Surgery

MRI-Guided Focused Ultrasound Surgery PDF Author: Ferenc A. Jolesz
Publisher: CRC Press
ISBN: 1420019937
Category : Medical
Languages : en
Pages : 217

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Book Description
MRI-Guided Focused Ultrasound Surgery will be the first publication on this new technology, and will present a variety of current and future clinical applications in tumor ablation treatment. This source helps surgeons and specialists evaluate, analyze, and utilize MRI-guided focused ultrasound surgery - bridging the gap between phase 3 clinical tr

Non-Invasive Neuromodulation of the Central Nervous System

Non-Invasive Neuromodulation of the Central Nervous System PDF Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309376211
Category : Medical
Languages : en
Pages : 103

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Book Description
Based on advances in biotechnology and neuroscience, non-invasive neuromodulation devices are poised to gain clinical importance in the coming years and to be of increasing interest to patients, clinicians,health systems, payers, and industry. Evidence suggests that both therapeutic and non-therapeutic applications of non-invasive neuromodulation will continue to expand in coming years, particularly for indications where treatments are currently insufficient, such as drug-resistant depression. Given the growing interest in non-invasive neuromodulation technologies, the Institute of Medicine's Forum on Neuroscience and Nervous System Disorders convened a workshop, inviting a range of stakeholders - including developers of devices and new technologies, researchers, clinicians, ethicists, regulators, and payers - to explore the opportunities, challenges, and ethical questions surrounding the development, regulation, and reimbursement of these devices for the treatment of nervous system disorders as well as for non-therapeutic uses, including cognitive and functional enhancement. This report highlights the presentation and discussion of the workshop.

Connectomic Deep Brain Stimulation

Connectomic Deep Brain Stimulation PDF Author: Andreas Horn
Publisher: Academic Press
ISBN: 0128218622
Category : Medical
Languages : en
Pages : 602

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Book Description
Connectomic Deep Brain Stimulation (DBS) covers this highly efficacious treatment option for movement disorders such as Parkinson’s Disease, Essential Tremor and Dystonia. The book examines its impact on distributed brain networks that span across the human brain in parallel with modern-day neuroimaging concepts and the connectomics of the brain. It asks several questions, including which cortical areas should DBS electrodes be connected in order to generate the highest possible clinical improvement? Which connections should be avoided? Could these connectomic insights be used to better understand the mechanism of action of DBS? How can they be transferred to individual patients, and more. This book is suitable for neuroscientists, neurologists and functional surgeons studying DBS. It provides practical advice on processing strategies and theoretical background, highlighting and reviewing the current state-of-the-art in connectomic surgery. Written to provide a "hands-on" approach for neuroscience graduate students, as well as medical personnel from the fields of neurology and neurosurgery Includes preprocessing strategies (such as co-registration, normalization, lead localization, VTA estimation and fiber-tracking approaches) Presents references (key articles, books and protocols) for additional detailed study Provides data analysis boxes in each chapter to help with data interpretation

Diagnostic Ultrasound Imaging: Inside Out

Diagnostic Ultrasound Imaging: Inside Out PDF Author: Thomas L. Szabo
Publisher: Academic Press
ISBN: 012396542X
Category : Science
Languages : en
Pages : 829

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Book Description
Diagnostic Ultrasound Imaging provides a unified description of the physical principles of ultrasound imaging, signal processing, systems and measurements. This comprehensive reference is a core resource for both graduate students and engineers in medical ultrasound research and design. With continuing rapid technological development of ultrasound in medical diagnosis, it is a critical subject for biomedical engineers, clinical and healthcare engineers and practitioners, medical physicists, and related professionals in the fields of signal and image processing. The book contains 17 new and updated chapters covering the fundamentals and latest advances in the area, and includes four appendices, 450 figures (60 available in color on the companion website), and almost 1,500 references. In addition to the continual influx of readers entering the field of ultrasound worldwide who need the broad grounding in the core technologies of ultrasound, this book provides those already working in these areas with clear and comprehensive expositions of these key new topics as well as introductions to state-of-the-art innovations in this field. - Enables practicing engineers, students and clinical professionals to understand the essential physics and signal processing techniques behind modern imaging systems as well as introducing the latest developments that will shape medical ultrasound in the future - Suitable for both newcomers and experienced readers, the practical, progressively organized applied approach is supported by hands-on MATLAB® code and worked examples that enable readers to understand the principles underlying diagnostic and therapeutic ultrasound - Covers the new important developments in the use of medical ultrasound: elastography and high-intensity therapeutic ultrasound. Many new developments are comprehensively reviewed and explained, including aberration correction, acoustic measurements, acoustic radiation force imaging, alternate imaging architectures, bioeffects: diagnostic to therapeutic, Fourier transform imaging, multimode imaging, plane wave compounding, research platforms, synthetic aperture, vector Doppler, transient shear wave elastography, ultrafast imaging and Doppler, functional ultrasound and viscoelastic models

Neuromodulation in Psychiatry

Neuromodulation in Psychiatry PDF Author: Clement Hamani
Publisher: John Wiley & Sons
ISBN: 1118801040
Category : Medical
Languages : en
Pages : 518

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Book Description
Edited by an expert multidisciplinary team, Neuromodulation in Psychiatry is the first reference guide to address both invasive and non-invasive neuromodulation strategies used in psychiatry. Covers basic principles, technical aspects, clinical applications and ethical considerations Presents up-to-date evidence in comprehensive summaries suitable for all levels of experience Each technique is clearly explained along with its implications for real-world clinical practice Allows psychiatrists to make informed decisions regarding neuromodulation for their patients

Oxford Handbook of Transcranial Stimulation

Oxford Handbook of Transcranial Stimulation PDF Author: Eric Wassermann
Publisher: Oxford University Press
ISBN: 0198568924
Category : Medical
Languages : en
Pages : 773

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Book Description
Transcranial stimulation comprises an important set of techniques for investigating brain function, some of which promise to treat diseases. This book provides a review of the scientific and technical background required to understand transcranial stimulation, for neuroscientists, neurologists, and psychiatrists.

Practical Guide to Transcranial Direct Current Stimulation

Practical Guide to Transcranial Direct Current Stimulation PDF Author: Helena Knotkova
Publisher: Springer
ISBN: 3319959484
Category : Medical
Languages : en
Pages : 651

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Book Description
This book provides a comprehensive overview on Transcranial Direct Current Stimulation (tDCS) and the clinical applications of this promising technique. Separated into three parts, the book begins with basic principles, mechanisms and approaches of tDCS. This is followed by a step-by-step practicum, methodological considerations and ethics and professional conduct pertaining to this novel technique. Chapters are authored by renowned experts who also direct and plan tDCS educational events worldwide. Bridging the existing gap in instructional materials for tDCS while addressing growing interest in education in this field, professionals within a broad range of medical disciplines will find this text to be an invaluable guide.

Innovative Technologies and Clinical Applications for Invasive and Non-Invasive Neuromodulation: From the Workbench to the Bedside

Innovative Technologies and Clinical Applications for Invasive and Non-Invasive Neuromodulation: From the Workbench to the Bedside PDF Author: Matteo Bologna
Publisher: Frontiers Media SA
ISBN: 2889634698
Category :
Languages : en
Pages : 149

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Book Description
The possibility of harvesting the power of electric and magnetic impulses in the human body, commonly referred to as “neuromodulation,” is one of the most recent and promising developments of the modern science. Since the late ´60s, multiple invasive and non-invasive technologies have been developed and tested in experimental and clinical settings with the final aim of modulating the function of the central and peripheral nervous system. Clinical applications include, but are not limited to, common neurological disorders such as Parkinson’s disease and other movement disorders. The bulk of evidence supporting the clinical efficacy of various invasive and non-invasive approaches for neuromodulation has progressively led scientific societies, patients’ associations, and regulatory entities to acknowledge the critical role played by neuromodulation in the therapeutic algorithms of a wide range of neurological disorders. As a result, new technologies have been recently introduced into the market or are currently under validation. Their potential implementation into innovative protocols for neuromodulation demands a critical revision of what are the unmet needs for neuromodulation in movement disorders.