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用于调节认知功能的神经调节技术:提高刺激精度和干预效果。

Neuromodulation techniques for modulating cognitive function: Enhancing stimulation precision and intervention effects.

作者信息

Cao Hanwen, Shang Li, Hu Deheng, Huang Jianbing, Wang Yu, Li Ming, Song Yilin, Yang Qianzi, Luo Yan, Wang Ying, Cai Xinxia, Liu Juntao

机构信息

State Key Laboratory of Transducer Technology, Aerospace Information Research Institute, Chinese Academy of Sciences, Beijing, China.

School of Electronic, Electrical and Communication Engineering, University of Chinese Academy of Sciences, Beijing, China.

出版信息

Neural Regen Res. 2026 Feb 1;21(2):491-501. doi: 10.4103/NRR.NRR-D-24-00836. Epub 2024 Dec 7.

Abstract

Neuromodulation techniques effectively intervene in cognitive function, holding considerable scientific and practical value in fields such as aerospace, medicine, life sciences, and brain research. These techniques utilize electrical stimulation to directly or indirectly target specific brain regions, modulating neural activity and influencing broader brain networks, thereby regulating cognitive function. Regulating cognitive function involves an understanding of aspects such as perception, learning and memory, attention, spatial cognition, and physical function. To enhance the application of cognitive regulation in the general population, this paper reviews recent publications from the Web of Science to assess the advancements and challenges of invasive and non-invasive stimulation methods in modulating cognitive functions. This review covers various neuromodulation techniques for cognitive intervention, including deep brain stimulation, vagus nerve stimulation, and invasive methods using microelectrode arrays. The non-invasive techniques discussed include transcranial magnetic stimulation, transcranial direct current stimulation, transcranial alternating current stimulation, transcutaneous electrical acupoint stimulation, and time interference stimulation for activating deep targets. Invasive stimulation methods, which are ideal for studying the pathogenesis of neurological diseases, tend to cause greater trauma and have been less researched in the context of cognitive function regulation. Non-invasive methods, particularly newer transcranial stimulation techniques, are gentler and more appropriate for regulating cognitive functions in the general population. These include transcutaneous acupoint electrical stimulation using acupoints and time interference methods for activating deep targets. This paper also discusses current technical challenges and potential future breakthroughs in neuromodulation technology. It is recommended that neuromodulation techniques be combined with neural detection methods to better assess their effects and improve the accuracy of non-invasive neuromodulation. Additionally, researching closed-loop feedback neuromodulation methods is identified as a promising direction for future development.

摘要

神经调节技术有效地干预认知功能,在航空航天、医学、生命科学和脑研究等领域具有重大的科学和实践价值。这些技术利用电刺激直接或间接靶向特定脑区,调节神经活动并影响更广泛的脑网络,从而调节认知功能。调节认知功能涉及对感知、学习与记忆、注意力、空间认知和身体功能等方面的理解。为了增强认知调节在普通人群中的应用,本文综述了来自科学网的近期出版物,以评估侵入性和非侵入性刺激方法在调节认知功能方面的进展和挑战。本综述涵盖了用于认知干预的各种神经调节技术,包括深部脑刺激、迷走神经刺激以及使用微电极阵列的侵入性方法。所讨论的非侵入性技术包括经颅磁刺激、经颅直流电刺激、经颅交流电刺激、经皮穴位电刺激以及用于激活深部靶点的时间干扰刺激。侵入性刺激方法虽然对于研究神经疾病的发病机制很理想,但往往会造成更大的创伤,并且在认知功能调节方面的研究较少。非侵入性方法,特别是更新的经颅刺激技术,更为温和,更适合在普通人群中调节认知功能。这些方法包括使用穴位的经皮穴位电刺激和用于激活深部靶点的时间干扰方法。本文还讨论了神经调节技术当前的技术挑战和未来可能的突破。建议将神经调节技术与神经检测方法相结合,以更好地评估其效果并提高非侵入性神经调节的准确性。此外,研究闭环反馈神经调节方法被认为是未来发展的一个有前景的方向。

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