Montreal Neurological Institute, McGill University, Montreal, Quebec, Canada.
Nat Commun. 2024 May 29;15(1):4558. doi: 10.1038/s41467-024-48962-2.
Electrical stimulation can regulate brain activity, producing clear clinical benefits, but focal and effective neuromodulation often requires surgically implanted electrodes. Recent studies argue that temporal interference (TI) stimulation may provide similar outcomes non-invasively. During TI, scalp electrodes generate multiple electrical fields in the brain, modulating neural activity only at their intersection. Despite considerable enthusiasm for this approach, little empirical evidence demonstrates its effectiveness, especially under conditions suitable for human use. Here, using single-neuron recordings in non-human primates, we establish that TI reliably alters the timing, but not the rate, of spiking activity. However, we show that TI requires strategies-high carrier frequencies, multiple electrodes, and amplitude-modulated waveforms-that also limit its effectiveness. Combined, these factors make TI 80 % weaker than other forms of non-invasive brain stimulation. Although unlikely to cause widespread neuronal entrainment, TI may be ideal for disrupting pathological oscillatory activity, a hallmark of many neurological disorders.
电刺激可以调节大脑活动,产生明显的临床益处,但局部和有效的神经调节通常需要通过手术植入电极。最近的研究表明,时频干扰(TI)刺激可能可以非侵入性地提供类似的效果。在 TI 期间,头皮电极在大脑中产生多个电场,仅在它们的交点处调节神经活动。尽管人们对这种方法非常感兴趣,但很少有经验证据表明其有效性,尤其是在适合人类使用的条件下。在这里,我们使用非人类灵长类动物的单个神经元记录来证明 TI 确实可靠地改变了尖峰活动的时间,但不改变其速率。然而,我们表明 TI 需要一些策略——高载波频率、多个电极和幅度调制波形——这也限制了它的有效性。综合起来,这些因素使 TI 的效果比其他形式的非侵入性脑刺激弱 80%。虽然不太可能引起广泛的神经元同步,但 TI 可能是破坏许多神经疾病的标志性病理振荡活动的理想选择。