Fini Maria, Tyler William J
a School of Biological and Health Systems Engineering , Arizona State University , Tempe , AZ , USA.
Int Rev Psychiatry. 2017 Apr;29(2):168-177. doi: 10.1080/09540261.2017.1302924. Epub 2017 Apr 21.
Ultrasound (US) is widely known for its utility as a biomedical imaging modality. An abundance of evidence has recently accumulated showing that US is also useful for non-invasively modulating brain circuit activity. Through a series of studies discussed in this short review, it has recently become recognized that transcranial focused ultrasound can exert mechanical (non-thermal) bioeffects on neurons and cells to produce focal changes in the activity of brain circuits. In addition to highlighting scientific breakthroughs and observations that have driven the development of the field of ultrasonic neuromodulation, this study also provides a discussion of mechanisms of action underlying the ability of ultrasound to physically stimulate and modulate brain circuit activity. Exemplifying some forward-looking tools that can be developed by integrating ultrasonic neuromodulation with other advanced acoustic technologies, some innovative acoustic imaging, beam forming, and focusing techniques are briefly reviewed. Finally, the future outlook for ultrasonic neuromodulation is discussed, specifically in the context of applications employing transcranial focused ultrasound for the investigation, diagnosis, and treatment of neuropsychiatric disorders.
超声(US)作为一种生物医学成像方式,其效用广为人知。最近积累了大量证据表明,超声在无创调节脑回路活动方面也很有用。通过本简短综述中讨论的一系列研究,人们最近已经认识到,经颅聚焦超声可以对神经元和细胞产生机械(非热)生物效应,从而在脑回路活动中产生局部变化。除了强调推动超声神经调节领域发展的科学突破和观察结果外,本研究还讨论了超声物理刺激和调节脑回路活动能力背后的作用机制。通过将超声神经调节与其他先进声学技术相结合,简要回顾了一些可以开发的前瞻性工具,如一些创新的声学成像、波束形成和聚焦技术。最后,讨论了超声神经调节的未来前景,特别是在采用经颅聚焦超声进行神经精神疾病的研究、诊断和治疗的应用背景下。
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