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Low-Intensity Focused Ultrasound-Mediated Attenuation of Acute Seizure Activity Based on EEG Brain Functional Connectivity.

Authors: Zhang M, Li B, Lv X, Liu S, Liu Y, Tang R, Lang Y, Huang Q, He J

(1) Background: Ultrasound has been used for noninvasive stimulation and is a promising technique for treating neurological diseases. Epilepsy is a common neurological disorder, that is attributed to uncontrollable abnormal neuronal hyperexcitability. Abnormal synchronized activities can be observed across multiple brain regions during a seizure. (2) Methods: we used low-intensity focused ultrasound (LIFU) to sonicate the brains of epileptic rats, analyzed the EEG functional brain network to explore the effect of LIFU on the epileptic brain network, and continued to explore the mechanism of ultrasound neuromodulation. LIFU was used in the hippocampus of epileptic rats in which a seizure was induced by kainic acid. (3) Results: By comparing the brain network characteristics before and after sonication, we found that LIFU significantly impacted the functional brain network, especially in the low-frequency band. The brain network connection strength across multiple brain regions significantly decreased after sonication compared to the connection strength in the control group. The brain network indicators (the path length, clustering coefficient, small-worldness, local efficiency and global efficiency) all changed significantly in the low-frequency. (4) Conclusions: These results revealed that LIFU could reduce the network connections of epilepsy circuits and change the structure of the brain network at the whole-brain level.

Introduction

Purpose Transcranial ultrasound stimulation
Study Objective To investigate how low-intensity focused ultrasound (LIFU) alters EEG functional brain network organization and underlying mechanisms in a kainic acid–induced rat model of epilepsy.
Animal model / Human subject Rat (Rattus norvegicus), strain not specified, age not specified, sex not specified
Disease model epilepsy
MRI or image guidance method MRI
Targeted brain region(s) Hippocampus
Target coordinates not provided
Cargo name and characteristics Kainic acid — small-molecule excitotoxin used to induce seizures (epilepsy model) in rats; administered to the hippocampus.
Route of administration intraperitoneal injection

Outcomes and Safety

Summary of Outcomes Low-intensity focused ultrasound (LIFU) applied to the hippocampus of kainic-acid epileptic rats reduced functional connectivity across multiple brain regions—particularly in the low-frequency band—and significantly altered network metrics (path length, clustering coefficient, small-worldness, local efficiency, and global efficiency); no multiple ultrasound parameter variations were reported.
Duration of biological effect not specified
Safety-related matter No safety concerns, adverse effects, or harms are mentioned in the provided text.

Brain Region

Ultrasound Parameters

Ultrasound instrument two-channel waveform generator (33500B, Keysight Technologies Inc., Santa Rosa, CA, USA) and amplified through a radio frequency amplifier (North Star model SWA200D RF power amplifier, the Institute of Acoustics of the Chinese Academy of Sciences, Beijing, China).
FUS Frequency 0.25 and 0.65 MHz
FUS Intensity 101.1 mW/cm2
FUS Pressure not specified
FUS Mode not specified
Pulse duration not specified
Duration of a single FUS session not specified
Focal Characteristics 35 mm focal depth, 20 mm in diameter
Treatment frequency Single session

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