Yu-Chieh Hung1, Yi-Cheng Wang1, Hao-Li Liu2, and Hsu-Hsia Peng1
1Department of Biomedical Engineering and Environmental Sciences, National Tsing Hua University, Hsinchu, Taiwan, 2Department of Electrical Engineering, National Taiwan University, Taipei, Taiwan
Synopsis
Focused
ultrasound (FUS) has been considered
as a noninvasive neuromodulation method. In addition to evaluate the
functional connectivity (FC) by an average of BOLD signals across the whole
scan, a dynamic FC (dFC) can help to comprehend the instant alternation of FC. We aimed to
investigate the alterations of dFC after FUS-neuromodulation at VPM/VPL in a
normal rat model.
We used k-means and
dynamic network analyses to evaluate changes of dFC at Pre-FUS, Sham, 35-min,
3-hr, and 3-day for rats with FUS sonication
at VPM/VPL. We found an instant effect of FUS-neuromodulation (35-min) and a
recovering trend in 3-day.
Introduction
Focused ultrasound (FUS) has been considered as a noninvasive
neuromodulation method because of the advantages of penetration depth and high
spatial precision1. Low-intensity
FUS-stimulation was proposed to alternate neural activity by stretching
membrane and opening ion channel2,3. Ventral
posteromedial and ventral posterolateral thalamic nuclei (VPM/VPL) were thalamus
regions. A previous study reported that FUS sonication at thalamus leads to
increase level of extracellular dopamine, implying the potential of
ameliorating symptoms of Parkinson's disease4.
Resting state
fMRI (rs-fMRI) is a non-invasive approach of measuring neural activity. Most
of studies calculated the correlation of BOLD signals averaged across the whole
scan as functional connectivity (FC) between different brain regions. However,
a previous study indicated that FC is a dynamic process during a period of
examinations5. Accordingly, dynamic functional connectivity (dFC) is
suggested as an effective approach to comprehend short-term FC changes.
In this study, we aimed to investigate the
alterations of dFC after FUS-neuromodulation at VPM/VPL in a normal rat
model. Methods
Thirty-four adult male Sprague-Dawley rats (8-12 weeks, 300-420
g) divided into five groups: 7 rats without FUS stimulation (Pre-FUS), 7 rats
with FUS stimulation at nose (Sham) for evaluation of FUS effect on auditory
system, rats with acquisition of rs-fMRI after 35-min (7 rats), 3-hr (7 rats), and
3-day (6 rats) of FUS stimulation at VPM/VPL in left thalamus (35-min, 3-hr,
3-day group).
A single-element
transducer (RK300, FUS instrument) delivered FUS pulses in a burst mode. The
FUS protocol, which can induce neuromodulation6, was with pulse
repetition frequency=100 Hz, peak negative pressure amplitude=0.25 MI, duty
cycle=30%, stimulation paradigm: 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). The scanning parameters of GE-EPI were: TE/TR=20ms/1000ms, FOV=30×30mm2,
matrix size=64×64, slice thickness=1mm, number of slices=15, and 300 volumes.
Figure 1
illustrates the flowchart of generating dFC maps. The 36 ROIs in rat brain were
selected as in previous study7. The preprocessing steps for BOLD signals
included realignment, coregistration, slice-timing correction, smoothing,
detrend, and band-pass filtering with range of 0.01-0.08 Hz. The dFC analysis
was performed with sliding window approach (window width=33 s, 1 s per step) and
Pearson’s correlation coefficients of BOLD signals were computed among 36 ROIs.
Figure 2
demonstrates K-means clustering analysis and graph theoretical network. K-means
clustering (cluster number=4 (elbow method8), L1 distance, repeated 500 times) was used to
classify all dFC maps of 34 rats. An index of probability% indicates occurrence
percentages of a specific state. The mean dwell time denotes average numbers of
consecutive windows assigned to a specific state. The standard deviation (SD)
of global efficiency (Eg) and local efficiency (Eloc) evaluated the variability
in functional network based on graph-theory (edge density thresholds=20% to 50%
with a 5% interval)9.
Kruskal-Wallis test and
post-hoc test were used when appropriate. A p<0.05 was considered as
statistically significant.Results
Figure 3a displays four representative states clustering from dFC maps of Pre-FUS, Sham,
35-min, 3-hr, and 3-day groups.
In Figure 3b, the probability% of State 1 has an
increased trend from Pre-FUS (1%) to 35-min (13%) and decreasingly recover to almost
0% in 3-day group. By contrast, the 35-min group exhibited significantly
decreased probability% of State 3 in comparison to Pre-FUS (12% vs. 42%,
p<0.05) and maintained as a decreased probability% till 3-day. In Figure 3c,
the changes of mean dwell time in State 1 and State 3 exhibited similar trends as
in probability%. Of note, 35-min group presented significantly decreased mean
dwell time of State 3 in comparison to Pre-FUS (37.9±32.2(windows) vs. 7.9±7.4(windows),
p<0.05).
In Figure 4, 35-min group possessed increased trends
of SD of Eg and Eloc in
comparison with Pre-FUS and this trend diminished with time, particular in SD
of Eg (35-min vs. 3-day: 0.14±0.07
vs. 0.06±0.02). There are no
significant changes of probability%, dwell time, and SD of Eg and Eloc in Sham
group.Discussion and Conclusions
In this study, we used k-means and dynamic network analyses
to evaluate changes of dFC at Pre-FUS, Sham, 35-min, 3-hr, and 3-day for normal
rats with FUS sonication at VPM/VPL. We
found an instant effect of FUS-neuromodulation (35-min) and a recovering trend
in 3-day.
After FUS
stimulation at VPM/VPL, dFC map of State 3 exhibited decreased probability% and
mean dwell time. State 3 presented relatively strong positive FC among
somatosensory system, visual system, DMN and negative FC between DMN and
partial somatosensory regions. A previous study reported that patients with
Parkinson’s disease possessed increased probability% and mean dwell time in a state
with similar feature in comparison with healthy controls10. Therefore, the response of dynamic FC after FUS
sonication at VPM/VPL might reveal the potential of using FUS stimulation to
modulate FC of brain in patients with Parkinson’s disease.
Eg and Eloc were
considered as measures of integration and segregation11. We observed
high variability of Eg and Eloc in 35-min, suggesting more
efficient and adaptive communication12 between different brain regions after FUS
sonication.
In conclusion, the
obvious and temporary changes of dFC suggested the potential of FUS for
neuromodulation at VPM/VPL. Acknowledgements
No acknowledgement found.References
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