Neuromodulation of the anterior thalamus: Current approaches and opportunities for the future

Pooja Venkatesh, Cody Wolfe, Bradley Lega, Illustrations by Corbyn Beach
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Abstract

The role of thalamocortical circuits in memory has driven a recent burst of scholarship, especially in animal models. Investigating this circuitry in humans is more challenging. And yet, the development of new recording and stimulation technologies deployed for clinical indications has created novel opportunities for data collection to elucidate the cognitive roles of thalamic structures. These technologies include stereoelectroencephalography (SEEG), deep brain stimulation (DBS), and responsive neurostimulation (RNS), all of which have been applied to memory-related thalamic regions, specifically for seizure localization and treatment. This review seeks to summarize the existing applications of neuromodulation of the anterior thalamic nuclei (ANT) and highlight several devices and their capabilities that can allow cognitive researchers to design experiments to assay its functionality. Our goal is to introduce to investigators, who may not be familiar with these clinical devices, the capabilities, and limitations of these tools for understanding the neurophysiology of the ANT as it pertains to memory and other behaviors. We also briefly cover the targeting of other thalamic regions including the centromedian (CM) nucleus, dorsomedial (DM) nucleus, and pulvinar, with associated potential avenues of experimentation.

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前丘脑的神经调节:目前的方法和未来的机会
丘脑皮质回路在记忆中的作用推动了最近的学术热潮,尤其是在动物模型中。在人类身上研究这种电路更具挑战性。然而,用于临床适应症的新记录和刺激技术的发展为数据收集创造了新的机会,以阐明丘脑结构的认知作用。这些技术包括立体脑电图(SEEG)、脑深部刺激(DBS)和反应性神经刺激(RNS),所有这些都已应用于记忆相关的丘脑区域,特别是癫痫定位和治疗。本综述旨在总结丘脑前核神经调控(ANT)的现有应用,并重点介绍认知研究人员设计实验以测定其功能的几种设备及其能力。我们的目标是向可能不熟悉这些临床设备的研究人员介绍这些工具的功能和局限性,以了解ANT的神经生理学,因为它与记忆和其他行为有关。我们还简要介绍了其他丘脑区域的靶向,包括正中核(CM)、背内侧核(DM)和枕,以及相关的潜在实验途径。
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