Evidence map›Paper›PMID 37309308›Full record

ArticleCNS neuroscience & therapeutics2023

Excitatory-inhibitory modulation of transcranial focus ultrasound stimulation on human motor cortex.

Tingting Zhang, Bingqi Guo, Zhentao Zuo, Xiaojing Long, Shimin Hu, Siran Li, Xin Su, Yuping Wang, Chunyan Liu

Open access · goldAbstract read
In one paragraph

Article in CNS neuroscience & therapeutics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
5.2field-weighted citation impact, top 4% of its field
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

25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 42 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Transcranial Ultrasound Stimulation of Internal Globus Pallidus Region and Motor Cortex in Parkinson's Disease.Movement disorders : official journal of the Movement Disorder Society · 2026
    Trial
  4. Review
  5. Article
  6. [Research progress on the neuromodulation targets in stroke rehabilitation].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2026
    Review
  7. Article
  8. Article
  9. Review
  10. Review
  11. Transcranial Focused Ultrasound Enhances the Discriminative Power of Targeted Voluntary Motor Signals in Humans.IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society · 2026
    Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. Review
  17. Article
  18. Review
  19. Review
  20. Review
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

9 authors at 4 institutions in 2 countries.

Tingting ZhangDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.ORCID 0000-0003-3687-3623
Bingqi GuoDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.
Zhentao ZuoState Key Laboratory of Brain and Cognitive Science, Beijing MR Center for Brain Research, Institute of Biophysics, Chinese Academy of Sciences, Beijing, China.
Xiaojing LongShenzhen Institutes of Advanced Technology, Chinese Academy of Sciences, Shenzhen, China.
Shimin HuDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.
Siran LiDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.
Xin SuDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.
Yuping WangDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.
Chunyan LiuDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.
Capital Medical University · CNChinese Academy of Sciences · CNHebei Medical University · CNShenzhen Institutes of Advanced Technology · CN

Funding

Ministry of Science and Technology of China 2019YFA0707103Ministry of Science and Technology of China 2020AAA0105601National Key R&D Program of China 2017YFE0118800National Key R&D Program of China 2021YFC2501400National Key R&D Program of China 2021YFC2501403National Natural Science Foundation of China 82071483Natural Science Foundation of Beijing 7212048STI2030-Major Projects 2021ZD0201801University Synergy Innovation Program of Anhui Province GXXT-2021-002
6 · The paper itself

Abstract

aimsTranscranial focus ultrasound stimulation (tFUS) is a promising non-invasive neuromodulation technology. This study aimed to evaluate the modulatory effects of tFUS on human motor cortex (M1) excitability and explore the mechanism of neurotransmitter-related intracortical circuitry and plasticity.

methodsSingle pulse transcranial magnetic stimulation (TMS)-eliciting motor-evoked potentials (MEPs) were used to assessed M1 excitability in 10 subjects. Paired-pulse TMS was used to measure the effects of tFUS on GABA- and glutamate-related intracortical excitability and

resultsThe etFUS significantly increased M1 excitability, decreased short interval intracortical inhibition (SICI) and long interval intracortical inhibition (LICI). The itFUS significantly suppressed M1 excitability, increased SICI, LICI, and decreased intracortical facilitation (ICF). Seven times of etFUS decreased the GABA concentration (6.32%), increased the Glx concentration (12.40%), and decreased the GABA/Glx ratio measured by MRS, while itFUS increased the GABA concentration (18.59%), decreased Glx concentration (0.35%), and significantly increased GABA/Glx ratio.

conclusionThe findings support that tFUS with different parameters can exert excitatory and inhibitory neuromodulatory effects on the human motor cortex. We provide novel insights that tFUS change cortical excitability and plasticity by regulating excitatory-inhibition balance related to the GABAergic and glutamatergic receptor function and neurotransmitter metabolic level.

Indexed as

Motor CortexEvoked Potentials, Motorgamma-Aminobutyric AcidGlutamic AcidHumansNeural InhibitionNeurotransmitter AgentsTranscranial Magnetic Stimulationgamma-Aminobutyric AcidGlutamic AcidNeurotransmitter Agentscortical plasticityproton magnetic resonance spectroscopytranscranial focus ultrasound stimulationtranscranial magnetic stimulation

Identifiers

PMID37309308
PMCPMC10651987
OpenAlexW4380422824

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.