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Non-invasive modulation of brain activity and behavior by transcranial radio frequency stimulation 经颅射频刺激对大脑活动和行为的无创调节。
IF 8.4 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2026-01-16 DOI: 10.1016/j.brs.2026.103032
Omid Yaghmazadeh , Leeor Alon , Tanzil M. Arefin , Zakia Ben Youss , Jiangyang Zhang , György Buzsáki

Background

Achieving non-invasive, targeted modulation of deep brain tissue remains a major challenge in neurotechnology. Current non-invasive brain stimulation methods—such as transcranial electrical (TES), magnetic (TMS), and focused ultrasound (TFUS) stimulation—suffer from limitations in spatial focality, penetration depth, or skull-related distortions. Radio frequency (RF) energy, which penetrates biological tissue effectively, offers an alternative avenue for neural modulation. This study introduces Transcranial Radio Frequency Stimulation (TRFS) as a novel, non-invasive neuromodulation technique that leverages RF-induced thermal effects to modulate neural activity in vivo.

Methods

We developed a custom RF stimulation system using 945 MHz stub antennas optimized for localized brain heating in mice. Using our unique experimental setup, we developed and tested two operational modes of TRFS:Pristine mode: RF stimulation applied to intact brain tissue.RF-genetics mode: RF stimulation applied to brain regions virally transduced to overexpress the thermosensitive TRPV1 ion channel.
Neural activity was recorded using metal-free one-photon fiber photometry with GCaMP calcium indicators. Behavioral effects were assessed through a rotational test in freely moving mice after MK-801-induced hyperlocomotion. Local temperature changes were monitored by optical thermometry.

Results

In pristine mode, RF exposure induced temperature rises leading to dose-dependent suppression of cortical parvalbumin (PV) interneuron activity. This neural suppression translated behaviorally into a unilateral rotational bias ipsilateral to the stimulated hemisphere in hyperlocomotive freely moving mice.In RF-genetics mode, RF stimulation of TRPV1-overexpressing regions produced temperature-dependent excitation of neural activity once local change in temperatures exceeded ΔT ≈ 1.5 °C. Behaviorally, this excitation reversed the direction of rotation in hyperlocomotive freely moving mice, yielding a contralateral bias.

Conclusions

TRFS represents a conceptual advance in neuromodulation, uniting the inherent capability of RF energy to target deep brain tissue with the biophysical reliability of thermal modulation. TRFS applications are bimodal, capable of influencing the pristine brain by suppressing the activity of specific neuronal populations in targeted regions, or of exciting selectively transfected neural ensembles expressing thermosensitive TRPV1 ion channels. The latter modality, first introduced here, represents a novel concept termed “RF-genetics.” TRFS represents a promising platform for next-generation non-invasive brain stimulation with potential translational applications in treating various neurological and psychiatric disorders.
背景:实现脑深部组织的无创、靶向调节仍然是神经技术的主要挑战。目前的非侵入性脑刺激方法——如经颅电刺激(TES)、磁刺激(TMS)和聚焦超声刺激(TFUS)——在空间聚焦性、穿透深度或头骨相关扭曲方面存在局限性。射频(RF)能有效地穿透生物组织,为神经调节提供了另一种途径。本研究介绍了经颅射频刺激(TRFS)作为一种新型的非接触式神经调节技术,利用射频诱导的热效应来调节体内的神经活动。方法:我们开发了一种定制的射频刺激系统,该系统采用945 MHz短天线,对小鼠局部脑加热进行了优化。利用我们独特的实验装置,我们开发并测试了TRFS的两种工作模式:原始模式:将射频刺激应用于完整的脑组织。RF遗传学模式:射频刺激应用于大脑区域,病毒转导热敏TRPV1离子通道过表达。神经活动记录采用无金属单光子光纤光度法与GCaMP钙指标。在mk -801诱导的过度运动后,通过旋转试验评估自由运动小鼠的行为影响。结果:在原始模式下,射频暴露诱导温度升高,导致皮质小白蛋白(PV)中间神经元活性的剂量依赖性抑制。在运动过度的自由运动小鼠中,这种神经抑制在行为上转化为受刺激半球同侧的单侧旋转偏倚。在RF遗传学模式下,一旦局部温度变化超过ΔT≈1.5°C, trpv1过表达区域的RF刺激就会产生温度依赖性的神经活动兴奋。从行为上讲,这种兴奋使运动过度的自由运动小鼠的旋转方向发生逆转,产生对侧偏倚。结论:TRFS代表了神经调节的概念进步,将射频能量靶向深部脑组织的固有能力与热调节的生物物理可靠性结合起来。TRFS的应用是双峰的,能够通过抑制目标区域特定神经元群的活动来影响原始大脑,或刺激选择性转染的表达热敏TRPV1离子通道的神经群。后一种模式,首先介绍在这里,代表了一个新概念称为“射频遗传学。”TRFS代表了下一代无创脑刺激的一个有前途的平台,在治疗各种神经和精神疾病方面具有潜在的转化应用。
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引用次数: 0
Postictal agitation is associated with brain-wide postictal microstructural changes after electroconvulsive therapy-induced seizures 电惊厥治疗诱发癫痫发作后,脑后躁动与脑后微结构改变有关。
IF 8.4 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2026-01-16 DOI: 10.1016/j.brs.2026.103031
Joey P.A.J. Verdijk , Tonia A.L. van Dijk-Schouten , Julia C.M. Pottkämper , Laurens A. van de Mortel , Freek ten Doesschate , Sven Stuiver , Maxime Chamberland , David G. Norris , Michel J.A.M. van Putten , Jeannette Hofmeijer , Guido A. van Wingen , Jeroen A. van Waarde

Background

Electroconvulsive therapy (ECT) is effective in depression, but associated with postictal agitation. Mechanisms of postictal symptoms are largely unclear. We studied whether postictal symptoms are related to immediate postictal diffusivity changes.

Methods

In a randomized cross-over clinical trial, we acquired diffusion tensor imaging (DTI) scans before the ECT-course and three times immediately postictally in 22 patients. In this secondary analysis, mixed effects models and Generalized Estimating Equations were used to assess postictal changes in mean fractional anisotropy (FA) and mean diffusivity (MD), including relations with reorientation time and occurrence of postictal agitation. Additionally, with Tract-Based Spatial Statistics (TBSS), voxel-wise changes in the white matter (WM) skeleton were examined.

Results

Postictal agitation, but not reorientation time, was associated with decreased mean FA (β = −12.0, OR = 0.70, p = 0.02). This relationship was supported by voxel-wise analysis, that revealed associations with postictal FA reduction localized in the left anterior limb of the internal capsule. Additionally, postictal agitation was associated with increased mean MD (β = 1.02e4, OR = 1.42, p = 0.04) in white matter. No significant associations were observed with baseline values of MD or FA.

Conclusions

We show that postictal agitation is associated with brain-wide immediate postictal diffusivity changes, suggesting a clinically relevant role of changes in tissue microstructure shortly after an ECT-induced seizure.
背景:电痉挛治疗(ECT)对抑郁症有效,但与正性躁动有关。阳性症状的机制在很大程度上尚不清楚。我们研究了阳性症状是否与即时阳性扩散性改变有关。方法:在一项随机交叉临床试验中,我们在22例患者的ect治疗前和治疗后立即进行了3次弥散张量成像(DTI)扫描。在二次分析中,使用混合效应模型和广义估计方程来评估平均分数各向异性(FA)和平均扩散率(MD)的正向变化,包括与重新定向时间和正向搅拌发生的关系。此外,利用基于束的空间统计(TBSS),研究了白质(WM)骨骼的体素变化。结果:术后躁动与平均FA降低相关,但与重新定向时间无关(β = -12.0, OR = 0.70, p = 0.02)。这种关系得到了体素分析的支持,该分析显示,内囊左前肢的FA阳性减少与此相关。此外,脑后躁动与白质平均MD增加相关(β = 1.02e4, OR = 1.42, p = 0.04)。未观察到与MD或FA基线值有显著相关性。结论:我们发现脑电图后躁动与全脑即时脑电图后弥散性改变有关,这表明脑电图诱发癫痫发作后不久组织微观结构的改变具有临床意义。
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引用次数: 0
Re: Rezai A, Ranjan M, Bhagwat A et al. “Brain injury during focused ultrasound neuromodulation for substance use disorder.” Brain stimul. 2025 Rezai A, Ranjan M, Bhagwat A等人。聚焦超声神经调节治疗药物使用障碍期间的脑损伤脑刺激,2025年。
IF 8.4 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2026-01-14 DOI: 10.1016/j.brs.2026.103030
Muhammad Zubair
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引用次数: 0
Unilateral online ultrasound stimulation of early visual cortex suppresses responses to contralateral visual stimuli 单侧在线超声刺激早期视觉皮层抑制对侧视觉刺激的反应。
IF 8.4 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2026-01-11 DOI: 10.1016/j.brs.2025.103023
Suraya Dunsford , Keith Murphy , Ema Darrieutort , Elsa Fouragnan , Giorgio Ganis

Introduction

Transcranial ultrasound stimulation (TUS) shows great promise for inducing neuroplastic changes that persist long after stimulation. Evidence of stimulation-locked (online) neural changes would enable the development of closed-loop application of TUS. However, such responses have been difficult to distinguish from coincident neural activity caused by auditory and somatosensory effects of TUS.

Methods

To dissociate genuine online neuromodulatory effects from peripheral confounds, we leveraged the contralateral retinotopic organization of the early visual cortex in nineteen subjects. Using a hemifield visual stimulation paradigm combined with high-precision, functional MRI-guided TUS, we applied TUS to the left early visual cortex while participants viewed checkerboards presented in the left or right visual hemifield. Randomized delivery of TUS on half of the trials enabled within-subject comparisons of hemisphere-specific, pattern-locked visual evoked potentials (VEPs) across stimulated and unstimulated hemispheres, as well as across visual-stimulus and no-stimulus conditions.

Results

TUS to the left visual cortex reduced mean VEP amplitude over the stimulated (left) hemisphere for right-hemifield (contralateral) stimuli. No such reduction appeared at the symmetric right-hemisphere sites for left-hemifield stimuli. The degree of online suppression correlated positively with target engagement, estimated by modelling the TUS field that accounted for inter-individual heterogeneity in skull transmission and its overlap with the fMRI-defined target. This relationship suggests that greater target engagement is reliably associated with stronger TUS-induced neural modulation.

Conclusions

These findings provide clear evidence of online, spatially specific TUS-induced neural modulation, dissociated from peripheral confounds. This approach establishes a robust framework for future studies aiming to map the TUS parameter space in real time by leveraging topographic organization to control for peripheral confounds, and supports the development of closed-loop neuromodulation protocols.
简介:经颅超声刺激(TUS)显示出巨大的希望,诱导神经可塑性的变化,持续很长一段时间后的刺激。刺激锁定(在线)神经变化的证据将使TUS闭环应用的发展成为可能。然而,这种反应很难与由TUS的听觉和体感效应引起的同步神经活动区分开来。方法:为了将真正的在线神经调节效应与外周干扰分离开来,我们利用了19名受试者早期视觉皮层的对侧视网膜组织。采用半视野视觉刺激范式,结合高精度、功能性mri引导的TUS,我们将TUS应用于左侧早期视觉皮层,同时参与者观看左侧或右侧视觉半球呈现的棋盘。在一半的试验中随机给予TUS,可以在受刺激和未受刺激的半球,以及视觉刺激和无刺激条件下,对半球特异性、模式锁定的视觉诱发电位(vep)进行受试者内比较。结果:对于右半脑区(对侧)刺激,左视皮层的TUS降低了受刺激(左)半球的平均VEP振幅。在左半球刺激的对称右半球部位没有出现这种减少。在线抑制的程度与目标接触呈正相关,这是通过模拟TUS场来估计的,该场考虑了颅骨传输的个体间异质性及其与fmri定义的目标的重叠。这一关系表明,更大的目标接触与更强的tus诱导的神经调节可靠地相关。结论:这些发现提供了明确的证据,表明在线的、空间特异性的tus诱导的神经调节与外周混淆分离。这种方法为未来的研究建立了一个强大的框架,旨在通过利用地形组织来控制外围干扰,实时绘制TUS参数空间,并支持闭环神经调节协议的发展。
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引用次数: 0
Hybrid optogenetic and electrical stimulation of retinal ganglion cells for artificial vision 视网膜神经节细胞光电混合刺激的人工视觉研究。
IF 8.4 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2026-01-01 DOI: 10.1016/j.brs.2025.103012
William C. Kwan , Emma K. Brunton , Toon Goris , James M. Begeng , Tatiana Kameneva , Paul R. Stoddart , Michael R. Ibbotson , Rachael T. Richardson , Wei Tong

Introduction

Millions of adults worldwide experience severe visual impairment due to photoreceptor loss from retinal diseases such as retinitis pigmentosa and macular degeneration. Retinal prostheses that provide artificial vision by stimulating the surviving retinal ganglion cells (RGCs) have emerged as a promising therapy. However, all clinically approved retinal prostheses that use electrical stimulation face the issue of electrical spread. As such, the quality of restored vision provided by existing devices has been limited. Optogenetic approaches provide greater spatial precision, however, they have poor temporal properties compared to electrical stimulation.

Materials and methods

We developed an opto-electrical hybrid approach and surveyed this stimulation strategy in the retina of two animal models: normal-sighted transgenic mice that express ChR2-H134R in a sub-population of RGCs and the degenerated retina of Royal College of Surgeons rats with residual RGCs transduced with ChrimsonR. We conducted whole-cell patch clamp recordings and measured calcium transients with the biosensor GCaMP7s to determine single-cell and population responses to hybrid stimulation, respectively.

Results

Hybrid stimulation reduced both electrical and optogenetic activation thresholds. Optical thresholds could be halved with electrical supplementation and synergistically, the opto-electrical coupling reduced the electrical intensity requirements to elicit action potentials by ∼50 % (p < 0.0001). Additionally, hybrid stimulation evoked significantly higher firing frequencies, by an order of up to 2×, when compared to electrical or optical-only methods (p < 0.0001). These properties of hybrid stimulation were replicated in the diseased retina, where the reduced activation thresholds contributed to significantly reduced spread of activation compared to electrical stimulation alone (p < 0.05), a challenge that persists in devices that utilize extracellular electrical stimulation. Hybrid stimulation improved the spatial resolution of RGC activation when applied at retina-electrode spacing reflective of current epiretinal and suprachoroidal devices.

Conclusion

Combining the optogenetic and electrical modes of activation enabled significant reductions of each component in the stimulus, leading to more localised stimulation when compared to electrical-only stimulation, while also reducing the optical intensity required for optogenetic activation. Together with improvements in response reliability, hybrid stimulation may not only improve the resolution and refresh rate of future visual prostheses but may also provide greater control in neuromodulation for any bionic device that interfaces with neural tissue.
导言:全世界数以百万计的成年人由于视网膜疾病(如视网膜色素变性和黄斑变性)引起的光感受器丧失而经历严重的视力障碍。通过刺激存活的视网膜神经节细胞(RGCs)来提供人工视觉的视网膜假体已经成为一种很有前途的治疗方法。然而,所有临床批准的使用电刺激的视网膜假体都面临着电传播的问题。因此,现有设备提供的恢复视力的质量是有限的。光遗传学方法提供了更高的空间精度,然而,与电刺激相比,它们具有较差的时间特性。材料和方法:我们开发了一种光电混合方法,并在两种动物模型的视网膜上研究了这种刺激策略:在RGCs亚群中表达ChR2-H134R的正常视力转基因小鼠和残留RGCs转导了chrsonr的皇家外科医学院大鼠的退化视网膜。我们使用全细胞膜片钳记录并使用生物传感器GCaMP7s测量钙瞬态,分别测定单细胞和群体对杂交刺激的反应。结果:混合刺激降低了电和光遗传学激活阈值。光阈值可以通过电补充减半,并且协同作用下,光电耦合将引起动作电位的电强度要求降低了约50% (p)。与纯电刺激方法相比,混合刺激允许更多的局部刺激,并且可以提高响应可靠性,同时与纯光刺激方法相比,混合刺激可以降低光强度阈值,因此混合刺激不仅可以提高未来视觉假体的分辨率和刷新速率,还可以为任何与神经组织接口的仿生装置提供更好的神经调节控制。
{"title":"Hybrid optogenetic and electrical stimulation of retinal ganglion cells for artificial vision","authors":"William C. Kwan ,&nbsp;Emma K. Brunton ,&nbsp;Toon Goris ,&nbsp;James M. Begeng ,&nbsp;Tatiana Kameneva ,&nbsp;Paul R. Stoddart ,&nbsp;Michael R. Ibbotson ,&nbsp;Rachael T. Richardson ,&nbsp;Wei Tong","doi":"10.1016/j.brs.2025.103012","DOIUrl":"10.1016/j.brs.2025.103012","url":null,"abstract":"<div><h3>Introduction</h3><div>Millions of adults worldwide experience severe visual impairment due to photoreceptor loss from retinal diseases such as retinitis pigmentosa and macular degeneration. Retinal prostheses that provide artificial vision by stimulating the surviving retinal ganglion cells (RGCs) have emerged as a promising therapy. However, all clinically approved retinal prostheses that use electrical stimulation face the issue of electrical spread. As such, the quality of restored vision provided by existing devices has been limited. Optogenetic approaches provide greater spatial precision, however, they have poor temporal properties compared to electrical stimulation.</div></div><div><h3>Materials and methods</h3><div>We developed an opto-electrical hybrid approach and surveyed this stimulation strategy in the retina of two animal models: normal-sighted transgenic mice that express ChR2-H134R in a sub-population of RGCs and the degenerated retina of Royal College of Surgeons rats with residual RGCs transduced with ChrimsonR. We conducted whole-cell patch clamp recordings and measured calcium transients with the biosensor GCaMP7s to determine single-cell and population responses to hybrid stimulation, respectively.</div></div><div><h3>Results</h3><div>Hybrid stimulation reduced both electrical and optogenetic activation thresholds. Optical thresholds could be halved with electrical supplementation and synergistically, the opto-electrical coupling reduced the electrical intensity requirements to elicit action potentials by ∼50 % (p &lt; 0.0001). Additionally, hybrid stimulation evoked significantly higher firing frequencies, by an order of up to 2×, when compared to electrical or optical-only methods (p &lt; 0.0001). These properties of hybrid stimulation were replicated in the diseased retina, where the reduced activation thresholds contributed to significantly reduced spread of activation compared to electrical stimulation alone (p &lt; 0.05), a challenge that persists in devices that utilize extracellular electrical stimulation. Hybrid stimulation improved the spatial resolution of RGC activation when applied at retina-electrode spacing reflective of current epiretinal and suprachoroidal devices.</div></div><div><h3>Conclusion</h3><div>Combining the optogenetic and electrical modes of activation enabled significant reductions of each component in the stimulus, leading to more localised stimulation when compared to electrical-only stimulation, while also reducing the optical intensity required for optogenetic activation. Together with improvements in response reliability, hybrid stimulation may not only improve the resolution and refresh rate of future visual prostheses but may also provide greater control in neuromodulation for any bionic device that interfaces with neural tissue.</div></div>","PeriodicalId":9206,"journal":{"name":"Brain Stimulation","volume":"19 1","pages":"Article 103012"},"PeriodicalIF":8.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145826907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Large-scale mapping of artificial perceptions for neuroprostheses using spontaneous neuronal activity in macaque and human visual cortex 利用猕猴和人类视觉皮层的自发神经元活动对神经假体的人工感知进行大规模绘图。
IF 8.4 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2026-01-01 DOI: 10.1016/j.brs.2025.103019
Antonio Lozano , Xing Chen , Mike La Grouw , Bingshuo Li , Feng Wang , Maureen van der Grinten , Cristina Soto-Sánchez , Aitor Morales-Gregorio , Eduardo Fernández , Pieter R. Roelfsema

Background

High-channel-count neuroprostheses could one day restore functional vision in blind individuals by delivering electrical pulses to electrodes in the visual cortex that elicit perceptions known as ‘phosphenes’. However, if a high number of electrodes are used, it becomes challenging and time-consuming to map the visual field locations of all phosphenes. Furthermore, many blind users are not able to maintain stable fixation, impeding the localization of phosphenes, or may perceive spontaneous visual phenomena that interfere with detection of electrically induced phosphenes.

Objective

To introduce and evaluate NEural Unsupervised electrode mapping (NEUmap), a rapid, largely automated method for phosphene mapping that extracts spatial patterns from spontaneous activity across the visual cortex.

Methods

As correlations between neuronal activity on nearby electrodes are stronger than those between distant electrodes, we first use dimensionality-reduction algorithms to generate maps of relative positions of electrodes. We then determine visual field coordinates of phosphenes. To this aim, the subject manually reports phosphene locations for a small subset of electrodes, which we call ‘anchor points’, e.g. by pointing or drawing phosphene locations on a tablet. NEUmap then aligns the anchor points to the map of relative distances to obtain an estimate of the visual field coordinates of all phosphenes.

Results

NEUmap was applied to data recorded from 896 V1 electrodes in each of two sighted monkeys, and 96 V1/V2 electrodes in each of 3 blind human volunteers. NEUmap generated high quality maps across ∼300–700 electrodes in each of the monkeys and across 73–91 electrodes in each of the human volunteers.

Conclusion

Existing clinical methods of phosphene mapping on many electrodes are tedious. NEUmap can alleviate some of this burden for future prosthesis users by permitting the mapping of hundreds of electrodes using less than a second of resting-state data.
背景:有一天,高通道数的神经假体可以通过向视觉皮层的电极传递电脉冲来激发被称为“光幻视”的感知,从而恢复盲人的功能性视力。然而,如果使用大量电极,则绘制所有光幻视的视野位置变得具有挑战性和耗时。此外,许多盲人用户无法保持稳定的注视,阻碍了光幻视的定位,或者可能会感知到干扰电诱导光幻视检测的自发视觉现象。目的:介绍和评价神经无监督电极映射(NEUmap),这是一种快速、高度自动化的光幻视映射方法,可以从视觉皮层的自发活动中提取空间模式。方法:由于近电极上神经元活动之间的相关性比远电极之间的相关性强,我们首先使用降维算法生成电极相对位置的地图。然后确定光幻视的视野坐标。为此,受试者手动报告一小部分电极的磷光烯位置,我们称之为“锚点”,例如通过在平板电脑上指向或绘制磷光烯位置。然后,NEUmap将锚点对准相对距离地图,以获得所有光幻视的视野坐标估计。结果:将NEUmap应用于两只视力正常的猴子的896个V1电极和3名盲人志愿者的96个V1/V2电极记录的数据。NEUmap在每只猴子的约300-700个电极上生成了高质量的地图,在每个人类志愿者的73-91个电极上生成了高质量的地图。结论:临床现有的多电极磷光测定方法繁琐。NEUmap可以在一定程度上减轻未来义肢使用者的负担,因为它允许使用不到一秒的静息状态数据绘制数百个电极。
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引用次数: 0
US FDA approves home-delivered tDCS for treating depression 美国FDA批准家用tDCS治疗抑郁症
IF 8.4 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2026-01-01 DOI: 10.1016/j.brs.2025.103021
Marom Bikson PhD , Andre R. Brunoni MD PhD , Mark S. George MD
On Dec 8, 2025, the US Food and Drug Administration (FDA) approved the Flow Neuroscience transcranial Direct Current Stimulation (tDCS) device for the treatment of “moderate to severe major depressive disorder (MDD) in the current episode, either as monotherapy or as an adjunctive treatment, in patients 18 years and older who are not considered treatment refractory to medication.” This represents the first FDA premarket approval (PMA) for a home-use non-invasive brain-stimulation device specifically indicated for depression treatment. This is a major regulatory milestone in non-pharmacological treatment of depression, and paves the way for additional uses and new technologies of home-based neuromodulation.
2025年12月8日,美国食品和药物管理局(FDA)批准了Flow Neuroscience经颅直流电刺激(tDCS)设备用于治疗“当前发作的中度至重度重度抑郁症(MDD),无论是作为单一治疗还是作为辅助治疗,均适用于18岁及以上的非药物治疗难治性患者”。这是FDA首次批准专门用于抑郁症治疗的家用非侵入性脑刺激设备上市前(PMA)。这是抑郁症非药物治疗的一个重要里程碑,并为家庭神经调节的其他用途和新技术铺平了道路。
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引用次数: 0
At home monitoring of chronic adaptive deep brain stimulation for Parkinson's disease 慢性适应性深部脑刺激治疗帕金森病的家庭监测。
IF 8.4 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2026-01-01 DOI: 10.1016/j.brs.2026.103028
Chuyi Cui , Jin Woo Choi , Shreesh Karjagi , Kevin B. Wilkins , Aarushi Negi , Helen M. Bronte-Stewart
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引用次数: 0
Neuromodulator timing regulates adult cortical plasticity via the synaptic eligibility trace 神经调节剂时间通过突触适性痕迹调节成人皮层可塑性。
IF 8.4 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2026-01-01 DOI: 10.1016/j.brs.2025.103004
Brendan M. Williams , Michael S. Borland , Tanya T. Danaphongse , Lasya Pasapula , Jayant K. Rajagopal , Seth A. Hays , Crystal T. Engineer

Introduction

Learning-induced cortical reorganization is facilitated by neuromodulator release. However, the precise temporal relationship between neuromodulator release and neural activity required to induce plasticity is not well understood. In single synapses, eligibility traces regulate plasticity such that neuromodulator arrival must occur within seconds of activity. Cortical plasticity can also be induced by pairing neuromodulator release with neural activity, but it is unknown whether plasticity in populations of neurons is regulated by the same temporal constraints.

Methods

To determine whether the synaptic eligibility trace regulates cortical plasticity, we used vagus nerve stimulation (VNS) to drive neuromodulator release 3 s before, 1 s before, concurrent with, or 3 s after tone-evoked activity in auditory cortex. After 20 days of pairing, we used in vivo electrophysiology to quantify the proportion of auditory cortex responding to the paired tone frequency.

Results

We found that VNS 1 s before or concurrent with tone onset significantly expanded the representation of the paired tone frequency (-1s, p = 0.04; 0s, p = 0.02), whereas 3 s before or after did not (-3s, p = 0.87; +3s, p = 0.53). Confirming the role of neuromodulators in this eligibility trace, we found that depletion of norepinephrine prevented VNS-tone pairing-induced plasticity (0s + DSP4, p = 0.23).

Discussion

Our study demonstrates that cortical plasticity is regulated by time constraints similar to the synaptic eligibility trace and highlights the importance of considering the timing of neuromodulator release when employing methods to enhance plasticity.
神经调节剂的释放促进了学习诱导的皮层重组。然而,神经调节剂释放与诱导可塑性所需的神经活动之间的确切时间关系尚不清楚。在单个突触中,适性痕迹调节着可塑性,因此神经调节剂必须在活动后几秒钟内到达。皮质可塑性也可以通过神经调节剂释放与神经活动的配对来诱导,但尚不清楚神经元群体中的可塑性是否受到相同的时间约束。方法:采用迷走神经刺激(VNS)在听觉皮层声调诱发活动前3秒、前1秒、同时及后3秒驱动神经调节剂释放,以确定突触适性痕迹是否调节皮层可塑性。配对20天后,我们使用体内电生理学来量化听觉皮层对配对音调频率的响应比例。结果:我们发现,在音调开始前1秒或同时出现的VNS显著扩大了成对音调频率的表征(- 15秒,p=0.04; 0s, p=0.02),而在音调开始前3秒或之后3秒没有(-3秒,p=0.87; +3秒,p=0.53)。我们发现,去甲肾上腺素的消耗阻止了VNS-tone配对诱导的可塑性(0s+DSP4, p=0.23),证实了神经调节剂在这一适应性追踪中的作用。讨论:我们的研究表明,皮质可塑性受到时间限制的调节,类似于突触资格轨迹,并强调了在采用增强可塑性的方法时考虑神经调节剂释放时间的重要性。
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引用次数: 0
Temporal variation of brain hemodynamics with accelerated iTBS for depression: A single-case concurrent TMS/fNIRS study 加速iTBS治疗抑郁症的脑血流动力学的时间变化:单例TMS/fNIRS并发研究。
IF 8.4 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2026-01-01 DOI: 10.1016/j.brs.2025.103020
Adam Weili Xia , Minxia Jin , Penny Ping Qin , Ivan K.Y. Chak , Bella Bingbing Zhang , Rebecca L.D. Kan , Sharie X. Wang , Tim T.Z. Lin , Nancy M.X.Y. Shi , Vera Lam , Wanda M.W. Chau , Alvin H.P. Tang , Nolan Williams , Frank Padberg , Georg S. Kranz
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引用次数: 0
期刊
Brain Stimulation
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