Evidence map›Paper›PMID 33127579›Full record

Trial reportBrain stimulation

Sonication of the anterior thalamus with MRI-Guided transcranial focused ultrasound (tFUS) alters pain thresholds in healthy adults: A double-blind, sham-controlled study.

Bashar W Badran, Kevin A Caulfield, Sasha Stomberg-Firestein, Philipp M Summers, Logan T Dowdle, Matt Savoca, Xingbao Li, Christopher W Austelle, E Baron Short, Jeffrey J Borckardt and 3 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Brain stimulation. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05147142 (Low Intensity Focused Ultrasound), which is not on this map. Cited by 67 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed, 2 pooled it
–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.

NCT05147142 nacompletednot on this map

Low Intensity Focused Ultrasound: a New Paradigm for Depression and Anxiety

TypeinterventionalSponsorOcean State Research Institute, Inc.Ran2021 to 2026Enrolled25ConditionsDepressionArmsLow Intensity Focused Ultrasound
3 · Its place in the literature

Who cites it

67 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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7 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Bashar W BadranDepartment of Psychiatry & Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA. Electronic address: badran@musc.edu.
Kevin A CaulfieldDepartment of Psychiatry & Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA.
Sasha Stomberg-FiresteinDepartment of Psychiatry & Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA.
Philipp M SummersDepartment of Psychiatry & Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA.
Logan T DowdleCenter for Magnetic Resonance Research, University of Minnesota, Minneapolis, MN, USA.
Matt SavocaDepartment of Psychiatry & Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA.
Xingbao LiDepartment of Psychiatry & Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA.
Christopher W AustelleDepartment of Psychiatry & Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA.
E Baron ShortDepartment of Psychiatry & Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA.
Jeffrey J BorckardtDepartment of Psychiatry & Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA.
Norman SpivakUniversity of California, Los Angeles, Los Angeles, CA, USA.
Alexander BystritskyBrainSonix Corporation, Sherman Oaks, CA, USA.
Mark S GeorgeDepartment of Psychiatry & Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA; Ralph H. Johnson VA Medical Center, Charleston, SC, USA.

Funding

Treating Depression and Enhancing Locomotor Recovery Post-strokeP20GM109040 · NIGMS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI KAUTZ, STEVEN A. · 2014 to 2024
$23.5M
Techniques DevelopmentP2CHD086844 · NICHD · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI GEORGE, MARK S · 2015 to 2024
$12.7M
NICHD NIH HHS P2C HD086844NIGMS NIH HHS P20 GM109040
6 · The paper itself

Abstract

backgroundTranscranial focused ultrasound (tFUS) is a noninvasive brain stimulation method that may modulate deep brain structures. This study investigates whether sonication of the right anterior thalamus would modulate thermal pain thresholds in healthy individuals.

methodsWe enrolled 19 healthy individuals in this three-visit, double-blind, sham-controlled, crossover trial. Participants first underwent a structural MRI scan used solely for tFUS targeting. They then attended two identical experimental tFUS visits (counterbalanced by condition) at least one week apart. Within the MRI scanner, participants received two, 10-min sessions of either active or sham tFUS spread 10 min apart targeting the right anterior thalamus [fundamental frequency: 650 kHz, Pulse repetition frequency: 10 Hz, Pulse Width: 5 ms, Duty Cycle: 5%, Sonication Duration: 30s, Inter-Sonication Interval: 30 s, Number of Sonications: 10, ISPTA.

resultsThe right anterior thalamus was accurately sonicated in 17 of the 19 subjects. Thermal pain sensitivity was significantly attenuated after active tFUS. The pre-post x active-sham interaction was significant (F(1,245.95) = 4.03, p = .046). This interaction indicates that in the sham stimulation condition, thermal pain thresholds decreased 1.08 °C (SE = 0.28) pre-post session, but only decreased .51 °C (SE = 0.30) pre-post session in the active stimulation group.

conclusionsTwo 10-min sessions of anterior thalamic tFUS induces antinociceptive effects in healthy individuals. Future studies should optimize the parameter space, dose and duration of this effect which may lead to multi-session tFUS interventions for pain disorders.

Indexed as

AdultAnterior Thalamic NucleiCross-Over StudiesDouble-Blind MethodFemaleHumansMagnetic Resonance ImagingMalePainPain ThresholdSonicationFocused ultrasoundfuslifupLow intensity focued ultrasoundMRIPainSonicationtfusThalamus

Identifiers

PMID33127579
PMCPMC7888561

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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 OpenQuestion graph.