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Computational modeling and minimization of unintended neuronal excitation in a LIFU stimulation.

Authors: Fan B, Goodman W, Cho RY, Sheth SA, Bouchard RR, Aazhang B

The neuromodulation effect of low-intensity focused ultrasound (LIFU) is highly target-specific. Unintended off-target neuronal excitation can be elicited when the beam focusing accuracy and resolution are limited, whereas the resulted side effect has not been evaluated quantitatively. There is also a lack of methods addressing the minimization of such side effects. Therefore, this work introduces a computational model of unintended neuronal excitation during LIFU neuromodulation, which evaluates the off-target activation area (OTAA) by integrating an ultrasound field model with the neuronal spiking model. In addition, a phased array beam focusing scheme called constrained optimal resolution beamforming (CORB) is proposed to minimize the off-target neuronal excitation area while ensuring effective stimulation in the target brain region. A lower bound of the OTAA is analytically approximated in a simplified homogeneous medium, which could guide the selection of transducer parameters such as aperture size and operating frequency. Simulations in a human head model using three transducer setups show that CORB markedly reduces the OTAA compared with two benchmark beam focusing methods. The high neuromodulation resolution demonstrates the capability of LIFU to effectively limit the side effects during neuromodulation, allowing future clinical applications such as treatment of neuropsychiatric disorders.

Introduction

Purpose Transcranial ultrasound stimulation
Study Objective To develop a computational model to quantify unintended off-target neuronal excitation (OTAA) during low-intensity focused ultrasound (LIFU) neuromodulation and to propose and evaluate a phased-array beamforming method (CORB) that minimizes this OTAA while ensuring effective target stimulation.
Disease model Healthy

Outcomes and Safety

Summary of Outcomes CORB reduced unintended off-target neuronal excitation while maintaining target activation in stimulated LIFU neuromodulation. Off-target activation increased with intensity, duration and duty cycle.
Safety-related matter The paper identifies unintended off-target neuronal excitation as a primary side effect of LIFU and also notes potential side effects on supportive tissue (especially with transcranial single-array setups); it proposes the CORB beamforming method and intensity thresholds (~0.05 W/cm^2 continuous, ~0.45 W/cm^2 pulsed) to minimize these effects. No actual adverse events were reported, as the study is computational/simulation-based and did not observe recorded adverse effects.

Brain Region

Visualization unavailable

Ultrasound Parameters

Ultrasound instrument phased array transducer
FUS Frequency 500 kHz
FUS Intensity 0.078 W/cm2; 0.175 W/cm2
FUS Mode continuous and pulsed
Pulse duration 0.36 ms
Duration of a single FUS session 100 ms
Focal Characteristics Focal depth: None; Focal length: None; Aperture size: None

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