Annu Int Conf IEEE Eng Med Biol Soc. 2022 Jul;2022:4966-4969. doi: 10.1109/EMBC48229.2022.9871956.
Deep brain stimulation is currently the only technique used in the clinical setting to modulate the neural activity of deep brain nuclei. Recently, low-intensity transcranial focused ultrasound (LIFU) has been shown to reversibly modulate brain activity through a transcranial pathway. Transcranial LIFU requires a low-frequency ultrasound of around 0.5 MHz due to skull attenuation, thus providing poor axial and lateral resolution. This paper proposes a new conceptual device that would use a stent to place a high-frequency ultrasound array within the brain vasculature to achieve high axial and lateral spatial resolution. The first part of this work identified the most commonly treated deep brain nuclei and examined the human brain vasculature for stent placement. Next, a finite element analysis was carried out using a piezoelectric array that follows the blood vessels curvature, and its ability to focus ultrasound waves in clinically relevant brain nuclei was evaluated. The analytical solution provided promising results for deep brain stimulation via a stent with ultrasound transducers for high spatial resolution neuromodulation.
目前,深部脑刺激是唯一一种用于调节深部脑核团神经活动的临床技术。最近,低强度经颅聚焦超声(LIFU)已被证明可通过经颅途径可逆地调节大脑活动。由于颅骨衰减,经颅 LIFU 需要约 0.5 MHz 的低频超声,因此轴向和侧向分辨率较差。本文提出了一种新概念设备,该设备将使用支架将高频超声阵列放置在大脑脉管系统内,以实现高轴向和侧向空间分辨率。这项工作的第一部分确定了最常治疗的深部脑核,并检查了人体大脑脉管系统以进行支架放置。接下来,使用跟随血管曲率的压电阵列进行了有限元分析,并评估了其在临床相关脑核中聚焦超声波的能力。该分析解决方案为通过具有超声换能器的支架进行深部脑刺激提供了有前景的结果,可实现高空间分辨率的神经调节。