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High-resolution fluorescence-guided transcranial ultrasound mapping in the live mouse brain.

Authors: Estrada H, Robin J, Özbek A, Chen Z, Marowsky A, Zhou Q, Beck D, le Roy B, Arand M, Shoham S, Razansky D

Understanding the physiological impact of transcranial ultrasound in rodent brains may offer an important preclinical model for human scale magnetic resonance–guided focused ultrasound methods. However, precision tools for high-resolution transcranial ultrasound targeting and real-time in vivo tracking of its effects at the mouse brain scale are currently lacking. We report a versatile bidirectional hybrid fluorescence-ultrasound (FLUS) system incorporating a 0.35-mm precision spherical-phased array ultrasound emission with a fiberscope-based wide-field fluorescence imaging. We show how the marriage between cortex-wide functional imaging and targeted ultrasound delivery can be used to transcranially map previously undocumented localized fluorescence events caused by reversible thermal processes and perform high-speed large-scale recording of neural activity induced by focused ultrasound. FLUS thus naturally harnesses the extensive toolbox of fluorescent tags and ultrasound’s localized bioeffects toward visualizing and causally perturbing a plethora of normal and pathophysiological processes in the living murine brain.

Introduction

Purpose Transcranial ultrasound stimulation
Study Objective Develop and demonstrate a bidirectional hybrid fluorescence-ultrasound (FLUS) system for precise transcranial focused ultrasound targeting and real-time fluorescence-guided monitoring of its effects in the mouse brain.
Animal model / Human subject Mouse (Mus musculus); strain: C57BL/6J-Tg (Thy1-GCaMP6f); age: 6-9 weeks; sex: male and female
Disease model Healthy
MRI or image guidance method Fluorescence-guided (fiberscope-based wide-field fluorescence imaging)
Targeted brain region(s) Cerebral cortex

Outcomes and Safety

Summary of Outcomes Transcranial focused ultrasound produced highly localized, reversible fluorescence dips attributable to focal heating (no histological damage at 3 MPa/150 ms), while more intense or longer sonications caused pathological effects: 3.9 MPa/100 ms induced blood–brain barrier disruption and decreased functional connectivity, and stronger/longer stimulations (e.g., 4.8 MPa/150 ms and 300 ms exposures) reliably triggered cortical spreading depression. Parameters found to produce these effects: 3 MPa, 150 ms → thermal fluorescence dips (safe); 3.9 MPa, 100 ms → BBB disruption and network changes; 3–3.9 MPa, 100–300 ms (intermediate) → occasional CSD; 4.8 MPa, 150 ms (and 300 ms long pulses) → consistent CSD.
Safety-related matter No histological signs of brain damage or changes in functional connectivity were found after pulsed sonications at 3 MPa (sequence 1). However, more intense or longer sonications (e.g., 3.9 MPa or 300 ms) produced adverse effects including cortical spreading depression, negative network-level functional connectivity changes, blood–brain barrier disruption (IgG extravasation), and perivascular microglial/astrocytic gliosis indicative of local inflammation.

Brain Region

Ultrasound Parameters

Ultrasound instrument FLUS (bidirectional hybrid fluorescence–ultrasound system); 0.35-mm precision spherical phased-array ultrasound emitter; manufacturer: None
FUS Frequency 3 MHz
FUS Intensity 284-724 W/cm2
FUS Pressure 3-4.8 Mpa
FUS Mode pulsed
Pulse duration 150, 100-300 ms
Duration of a single FUS session 150 ms
Focal Characteristics focal depth: None, focal length: None, aperture size: None
Treatment frequency multiple sessions

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