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经颅聚焦超声治疗原发性震颤。

Noninvasive modulation of essential tremor with focused ultrasonic waves.

机构信息

Department of Biomedical Engineering, University of Utah, Salt Lake City, UT 84112, United States of America.

Department of Neurology, University of Utah, Salt Lake City, UT 84132, United States of America.

出版信息

J Neural Eng. 2024 Feb 27;21(1). doi: 10.1088/1741-2552/ad27ef.

Abstract

: Transcranial focused low-intensity ultrasound has the potential to noninvasively modulate confined regions deep inside the human brain, which could provide a new tool for causal interrogation of circuit function in humans. However, it has been unclear whether the approach is potent enough to modulate behavior.: To test this, we applied low-intensity ultrasound to a deep brain thalamic target, the ventral intermediate nucleus, in three patients with essential tremor.: Brief, 15 s stimulations of the target at 10% duty cycle with low-intensity ultrasound, repeated less than 30 times over a period of 90 min, nearly abolished tremor (98% and 97% tremor amplitude reduction) in 2 out of 3 patients. The effect was observed within seconds of the stimulation onset and increased with ultrasound exposure time. The effect gradually vanished following the stimulation, suggesting that the stimulation was safe with no harmful long-term consequences detected.: This result demonstrates that low-intensity focused ultrasound can robustly modulate deep brain regions in humans with notable effects on overt motor behavior.

摘要

经颅聚焦式低强度超声具有非侵入性地调节人类大脑深部受限区域的潜力,这可能为人类大脑回路功能的因果关系研究提供一种新工具。然而,目前尚不清楚该方法是否强大到足以调节行为。

为了检验这一点,我们将低强度超声应用于三名原发性震颤患者的深部丘脑靶点,即腹侧中间核。

在 90 分钟的时间内,以 10%的占空比重复进行 15 秒的短暂刺激,在 3 名患者中的 2 名中,近 98%和 97%的震颤幅度降低,几乎完全消除了震颤。刺激开始后几秒钟即可观察到效果,并随超声暴露时间的增加而增强。刺激后效果逐渐消失,表明刺激是安全的,没有发现任何有害的长期后果。

这项结果表明,低强度聚焦超声可以在人体深部脑区中进行强大的调节,对明显的运动行为具有显著的影响。

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