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Reduced Apparent Diffusion Coefficient in Various Brain Areas following Low-Intensity Transcranial Ultrasound Stimulation.

Authors: Yuan Y, Dong Y, Hu S, Zheng T, Du D, Du J, Liu L

Diffusion of water molecules closely related to physiological and pathological information of brain tissue. Low-intensity transcranial ultrasound stimulation (TUS) has advantages of noninvasive, high spatial resolution and penetration depth. Previous studies have demonstrate that TUS can modulate neuronal activity and alter cortical hemodynamic. However, how TUS affect diffusion of water molecules remain unclear. In this paper, in order to evaluate the effect of low-intensity TUS on the diffusion of water molecules in brain tissue, diffusion-weighted magnetic resonance (MR) imaging was performed in 19 healthy Sprague-Dawley rats in sham surgery group (six rats) and TUS group (thirteen rats) Subsequently, rats were stimulated by low-intensity transcranial ultrasound for 5 min in TUS group. Finally, rats of sham surgery group and TUS group were imaged again by diffusion-weighted MR imaging. The apparent diffusion coefficient (ADC) was measured in caudate putamen region and middle brain motor-related region of each rat in sham surgery group and TUS group. Surgery-related and TUS-related changes were calculated using a statistical analysis. The mean ADC values of marked regions of six rats in sham surgery group were 0.743 ± 0.031 (pre-surgery) and 0.745 ± 0.029 (post-surgery). The mean ADC values of marked regions of 13 rats in TUS group were 0.749 ± 0.032 (pre-TUS) and 0.712 ± 0.033 (post-TUS) Compared to the pre-TUS values, the mean ADC values of the rats decreased 4.9% (<sup>*</sup><i>P</i> < 0.05) post-TUS. These results of this study demonstrate that low-intensity TUS can restrict the diffusion of water molecules in brain tissue.

Introduction

Purpose Transcranial ultrasound stimulation
Study Objective To evaluate whether low-intensity transcranial ultrasound stimulation alters water diffusion in rat brain tissue by measuring apparent diffusion coefficient (ADC) using diffusion-weighted MRI.
Animal model / Human subject Sprague-Dawley rats (sex: male, age: 3 months)
Disease model Healthy
MRI or image guidance method MRI
Targeted brain region(s) Caudate Putamen; Middle Brain Motor-Related Region

Outcomes and Safety

Summary of Outcomes Low-intensity transcranial ultrasound stimulation (5 min) reduced brain apparent diffusion coefficient (ADC) by ~4.9% in rats, indicating restricted water diffusion with significant decreases in the caudate putamen and motor-related regions.
Safety-related matter No safety issues, adverse effects, or tissue damage were reported or discussed in the paper; no adverse events were mentioned.

Brain Region

Ultrasound Parameters

Ultrasound instrument ultrasonic brain stimulator (DK-102T, Dukang Medical Devices, CO., LTD, Shijiazhuang, China)
FUS Frequency 0.8 MHz
FUS Intensity ISPPA: 1.2 W/cm^2, ISPTA: 0.12 W/cm^2
FUS Mode pulsed
Pulse duration 10 ms
Duration of a single FUS session 5 min
Treatment frequency single session

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