Evidence map›Paper›PMID 40513772›Full record

ArticleBrain stimulation

Parameter optimisation for mitigating somatosensory confounds during transcranial ultrasonic stimulation.

Benjamin R Kop, Linda de Jong, Butts Pauly Kim, Hanneke E M den Ouden, Lennart Verhagen

Abstract read
In one paragraph

Article in Brain stimulation. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Benjamin R KopDonders Institute for Brain, Cognition, and Behaviour, Radboud University, Thomas van Aquinostraat 4, 6525 GD, Nijmegen, the Netherlands. Electronic address: benjamin.kop@donders.ru.nl.
Linda de JongDonders Institute for Brain, Cognition, and Behaviour, Radboud University, Thomas van Aquinostraat 4, 6525 GD, Nijmegen, the Netherlands. Electronic address: linda.dejong@ru.nl.
Butts Pauly KimDepartment of Radiology, Stanford University, 300 Pasteur Drive, Stanford, CA, USA. Electronic address: kimbutts@stanford.edu.
Hanneke E M den OudenDonders Institute for Brain, Cognition, and Behaviour, Radboud University, Thomas van Aquinostraat 4, 6525 GD, Nijmegen, the Netherlands. Electronic address: hanneke.denouden@donders.ru.nl.
Lennart VerhagenDonders Institute for Brain, Cognition, and Behaviour, Radboud University, Thomas van Aquinostraat 4, 6525 GD, Nijmegen, the Netherlands. Electronic address: lennart.verhagen@donders.ru.nl.

Funding

Neurostimulation by Ultrasound: Physical, Biophysical, and Neural MechanismsR01NS112152 · NINDS · STANFORD UNIVERSITY · PI BACCUS, STEPHEN A, BUTTS-PAULY, KIM · 2020 to 2024
$4.9M
Step 1 in Designing Appropriate Shams and Controls in Human TUSR01MH131684 · NIMH · STANFORD UNIVERSITY · PI Kim Butts Pauly · 2023 to 2026
$2.6M
CRCNS: Crossbeam Transcranial Ultrasound Technology to Stimulate the Deep BrainR01EB032743 · NIBIB · STANFORD UNIVERSITY · PI BUTTS-PAULY, KIM · 2021 to 2023
$520k
NIBIB NIH HHS R01 EB032743NIMH NIH HHS R01 MH131684NINDS NIH HHS R01 NS112152
6 · The paper itself

Abstract

backgroundTranscranial ultrasonic stimulation (TUS) redefines what is possible with non-invasive neuromodulation by offering unparalleled spatial precision and flexible targeting capabilities. However, peripheral confounds pose a significant challenge to reliably implementing this technology. While auditory confounds during TUS have been studied extensively, the somatosensory confound has been overlooked thus far. It will become increasingly vital to quantify and manage this confound as the field shifts towards higher doses, more compact stimulation devices, and more frequent stimulation through the temples where co-stimulation is more pronounced.

methodsHere, we provide a systematic characterisation of somatosensory co-stimulation during TUS. We also identify the conditions under which this confound can be mitigated most effectively by mapping the confound-parameter space. Specifically, we investigate dose-response effects, pulse shaping characteristics, and transducer-specific parameters.

resultsWe demonstrate that somatosensory confounds can be mitigated by avoiding near-field intensity peaks in the scalp, spreading energy across a greater area of the scalp, ramping the pulse envelope, and delivering equivalent doses via longer, lower-intensity pulses rather than shorter, higher-intensity pulses. Additionally, higher pulse repetition frequencies and fundamental frequencies reduce somatosensory effects. Through our systematic mapping of the parameter space, we also find preliminary evidence that particle displacement (strain) may be a primary biophysical driving force behind peripheral somatosensory co-stimulation.

conclusionThis study provides actionable strategies to minimise somatosensory confounds, which will support the thorough experimental control required to unlock the full potential of TUS for scientific research and clinical interventions.

Indexed as

Evoked Potentials, SomatosensorySomatosensory CortexUltrasonic WavesAdultFemaleHumansMaleYoung AdultExperimental design & controlNeuromodulationPeripheral confoundsPeripheral nervous systemSomatosensory confoundsTranscranial ultrasonic stimulation (TUS)

Identifiers

PMID40513772
PMCPMC13314075

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.