Xin Zonghao, Abe Yoshifumi, Kuwahata Akihiro, Tanaka Kenji F, Sekino Masaki
Department of Bioengineering, School of Engineering, The University of Tokyo, Tokyo 113-8656, Japan.
Division of Brain Sciences, Institute for Advanced Medical Research, Keio University School of Medicine, Tokyo 160-8582, Japan.
Brain Sci. 2023 Sep 13;13(9):1317. doi: 10.3390/brainsci13091317.
Temporal interference (TI) stimulation, which utilizes multiple external electric fields with amplitude modulation for neural modulation, has emerged as a potential noninvasive brain stimulation methodology. However, the clinical application of TI stimulation is inhibited by its uncertain fundamental mechanisms, and research has previously been restricted to numerical simulations and immunohistology without considering the acute in vivo response of the neural circuit. To address the characterization and understanding of the mechanisms underlying the approach, we investigated instantaneous brainwide activation patterns in response to invasive interferential current (IFC) stimulation compared with low-frequency alternative current stimulation (ACS). Results demonstrated that IFC stimulation is capable of inducing regional neural responses and modulating brain networks; however, the activation threshold for significantly recruiting a neural response using IFC was higher (at least twofold) than stimulation via alternating current, and the spatial distribution of the activation signal was restricted. A distinct blood oxygenation level-dependent (BOLD) response pattern was observed, which could be accounted for by the activation of distinct types of cells, such as inhibitory cells, by IFC. These results suggest that IFC stimulation might not be as efficient as conventional brain modulation methods, especially when considering TI stimulation as a potential alternative for stimulating subcortical brain areas. Therefore, we argue that a future transcranial application of TI on human subjects should take these implications into account and consider other stimulation effects using this technique.
时间干扰(TI)刺激利用多个带有幅度调制的外部电场进行神经调制,已成为一种潜在的非侵入性脑刺激方法。然而,TI刺激的临床应用因其不确定的基本机制而受到抑制,并且此前的研究仅限于数值模拟和免疫组织学,未考虑神经回路的急性体内反应。为了阐明该方法潜在机制的特征并加深理解,我们研究了与低频交流电刺激(ACS)相比,侵入性干扰电流(IFC)刺激引起的全脑瞬时激活模式。结果表明,IFC刺激能够诱导局部神经反应并调节脑网络;然而,使用IFC显著引发神经反应的激活阈值高于交流电刺激(至少两倍),并且激活信号的空间分布受到限制。观察到一种独特的血氧水平依赖(BOLD)反应模式,这可以通过IFC对不同类型细胞(如抑制性细胞)的激活来解释。这些结果表明,IFC刺激可能不如传统的脑调制方法有效,特别是当将TI刺激视为刺激皮层下脑区的潜在替代方法时。因此,我们认为未来TI在人体受试者上的经颅应用应考虑到这些影响,并考虑使用该技术的其他刺激效果。
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