Yu-Chieh Hung1, Yi-Cheng Wang1, Hao-Li Liu2, and Hsu-Hsia Peng1
1Biomedical Engineering and Environmental Sciences, National Tsing Hua University, Hsinchu, Taiwan, 2Electrical Engineering, National Taiwan University, Taipei, Taiwan
Synopsis
Non-invasive
focused ultrasound (FUS) offered attractive advantages to modulate neuronal
activity. The functional connectivity (FC) between different brain regions is a
dynamic process during a period of examinations. We aim to explore FUS-induced
neuromodulation by dynamic FC. We observed the evolution of dynamic FC at
Pre-FUS, FUS-35min, and FUS-3hr for normal rats with FUS sonication at ventral
posteromedial and ventral posterolateral thalamic nuclei (VPM/VPL) region in
left thalamus. With K-means clustering, we quantitatively evaluated the evolution
of altered probability% of dynamic FC in seven states at Pre-FUS, FUS-35min,
and FUS-3hr, suggesting the potential of FUS-neuromodulation.
Introduction
Several
invasive and non-invasive methods of neuromodulation have been used in clinical
or under preclinical trials1-3. Focused ultrasound (FUS)-induced
neuromodulation offered attractive advantages of noninvasiveness, depth
penetration, high spatial precision, and ability to modulate neuronal activity4,5.
Low-intensity FUS-stimulation was proposed to present
mechanical displacements on targeting region, where the membrane stretching and
consequently opening of specific ion channels jointly resulted in the changes
of nerve activity6,7.
The functional connectivity (FC) in focused areas
as well as distant off-targeting regions was reported to be affected by
FUS-neuromodulation in human models by using functional MRI8. Beside,
FUS-neuromodulation has been observed by static FC with phase synchrony and
correlation coefficient9. A previous
study showed evident fluctuations in FC, implying that the functional
connectivity between different brain regions is a dynamic process during a
period of examinations10. Compared to healthy volunteers, abnormal
dynamic FC was reported in psychotic disorder patients11-13.
To date, studies of dynamic FC for
FUS-neuromodulation were still deficient. The purpose of this study was to
explore FUS-induced neuromodulation by dynamic FC.Methods
In this
study, 21 adult male Sprague-Dawley rats (300-420 g) were recruited and divided
to three groups: rats without FUS stimulation
(Pre-FUS group), rats with acquisition of MRI after 35-min and 3-hr of FUS
stimulation (FUS-35min and FUS-3hr group), respectively. A
single-element transducer (RK300, FUS instrument) delivered FUS pulses in a
burst mode with pulse repetition frequency=100 Hz, spatial peak negative
pressure amplitude=0.25 MI, duty cycle=30% to ventral posteromedial and ventral
posterolateral thalamic nuclei (VPM/VPL) region in left thalamus. The
stimulation paradigm was 30–sec on and 90-sec off for 5 cycles, totally 600
seconds.
All MRI images were acquired in a 7-Tesla MR
scanner (ClinScan, Bruker). An EPI sequence for functional signals was
performed in a coronal view with TE/TR=20/1000 ms, FOV=30×30 mm2,
matrix size=64×64, and slice thickness=1 mm.
Figure 1 illustrates the flow chart of computing
correlation coefficients of FC maps. The 36 ROIs in rat brain were selected
according to the previous study14. The BOLD signals underwent
preprocessing steps of realignment, coregistration, slice timing correction,
smoothing with a Gaussian kernel (FWHM=8 mm),
detrend, and bandpass frequency filtering (range=0.01 to 0.08 Hz) by using
SPM12 software. To generate dynamic FC maps, Pearson’s correlation coefficients
between 36 ROIs was computed with a sliding window scheme (window width=33 s,
shift 1 s per step, total 267 dynamic FC maps per rat).
In Figure 2, a K-means method (cluster no.=7, L1 distance, repeated 500 times) was
used to classify 5607 dynamic FC maps (267 FC maps x 7 rats x 3 groups) into seven centroids which indicate seven
representative states of the dynamic FC during the examination. The probability% of each state was evaluated
to illustrate the evolution of each state in Pre-FUS, FUS-35min, and FUS-3hr
groups. Results
Figure 3a illustrates 7
representative states of dynamic FC maps of Pre-FUS, FUS-35min, and FUS-3hr
groups. The probability% of each state in different groups was shown in Figure
3b and 3c. The probability% in State 1 revealed that FUS-35min (10%) and
FUS-3hr (11%) presented increased probability% in comparison with Pre-FUS (3%).
Similar probability% of State 2 was shown in the three groups. In State 3,
probability% increased from FUS-35min (8%) to FUS-3hr (14%). Compare to Pre-FUS
group, the probability% of State 4 decreased from 21% to 14% at FUS-35min and
recovered to 21% at FUS-3hr. In contrast, the probability% of State 5 first
increased from 18% to 29% and decreased again to 19% at FUS-3hr. The State 6
occupied 32% of probability at Pre-FUS and reduced substantially to half
(around 16%) in FUS-35min and FUS-3hr groups. State 7 was absent at Pre-FUS and
emerged in FUS-35min and FUS-3hr groups (4% and 2%).Discussion and Conclusions
In this
study, we observed the evolution of dynamic FC at Pre-FUS, FUS-35min, and
FUS-3hr for normal rats with FUS-induced neuromodulation at VPM/VPL regions.
The impacts of FUS sonication on dynamic FC were not restricted in VPM/VPL
regions but extended to other cortex regions. With K-means clustering, we quantitatively
evaluated the altered probability% of dynamic FC in seven states at Pre-FUS,
FUS-35min, and FUS-3hr.
The increased
probability% of State 1 reflected that high connectivity between
primary sensorimotor, cingulate cortex, hippocampus, and thalamus were
shown after FUS sonication. While those regions were reported to be with
hypoconnectivity in patients with
autism spectrum disorders15, the increased probability% of State 1 after FUS sonication might
imply a potential treatment by noninvasive FUS-neuromodulation.
The substantially
decreased probability% of State
6 described the reduced negative correlation between insula and cingulate cortex after FUS
sonication. A previous study proposed that patients with complex regional pain syndrome were with lower
FC between insula and
cingulate cortex16. Therefore, the response of altered dynamic FC
after FUS sonication might provide an alternative treatment for those patients.
In conclusion, the evolution of dynamic FC at Pre-FUS, FUS-35min,
and FUS-3hr suggested the potential of FUS for
neuromodulation. In the future, the applications of FUS to a specific disease
model may be helpful to comprehensively understand the effect of FUS for
neuromodulation. Acknowledgements
No acknowledgement found.References
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