Evidence map›Paper›PMID 39577741›Full record

ArticleBrain stimulation

Examination of the interaction of parameters for low-intensity focused ultrasound of the human motor cortex.

Areej Ennasr, Gabriel Isaac, Andrew Strohman, Wynn Legon

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 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 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.

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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. 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
  9. Review
  10. Article
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

4 authors.

Areej EnnasrFralin Biomedical Research Institute at Virginia Tech Carilion, Roanoke, VA, 24016, USA; Virginia Tech Carilion School of Medicine, Roanoke, VA, 24016, USA.
Gabriel IsaacSchool of Neuroscience, Virginia Polytechnic Institute and State University, Blacksburg, VA, 24016, USA.
Andrew StrohmanFralin Biomedical Research Institute at Virginia Tech Carilion, Roanoke, VA, 24016, USA; Virginia Tech Carilion School of Medicine, Roanoke, VA, 24016, USA; Graduate Program in Translational Biology, Medicine, and Health, Virginia Polytechnic Institute and State University, Roanoke, VA, 24016, USA.
Wynn LegonFralin Biomedical Research Institute at Virginia Tech Carilion, Roanoke, VA, 24016, USA; Virginia Tech Carilion School of Medicine, Roanoke, VA, 24016, USA; Center for Human Neuroscience Research, Fralin Biomedical Research Institute at Virginia Tech Carilion, Roanoke, VA, 24016, USA; Center for Health Behaviors Research, Fralin Biomedical Research Institute at Virginia Tech Carilion, Roanoke, VA, 24016, USA; School of Neuroscience, Virginia Polytechnic Institute and State University, Blacksburg, VA, 24016, USA; Graduate Program in Translational Biology, Medicine, and Health, Virginia Polytechnic Institute and State University, Roanoke, VA, 24016, USA; Department of Neurosurgery, Carilion Clinic, Roanoke, VA, 24016, USA. Electronic address: wlegon@vt.edu.

Funding

An investigation of low-intensity focused ultrasound for addictionR01DA052893 · NIDA · UNIVERSITY OF VIRGINIA · PI Wendy Jean Lynch, B. JILL VENTON · 2022 to 2026
$2.9M
Low-intensity focused ultrasound for cocaine use disorder: High resolution targeting of the human insulaUG3DA054789 · NIDA · UNIVERSITY OF VIRGINIA · PI AIT-DAOUD, NASSIMA, LEGON, WYNN · 2022 to 2023
$1.2M
Towards treatment for the complex patient: investigations of low-intensity focused ultrasound.UG3DA059407 · NIDA · INSTITUTE FOR CLINICAL RESEARCH, INC. · PI LEE, MARY, LEGON, WYNN · 2023 to 2023
$779k
NIDA NIH HHS R01 DA052893NIDA NIH HHS UG3 DA054789NIDA NIH HHS UG3 DA059407
6 · The paper itself

Abstract

backgroundLow-intensity focused ultrasound (LIFU) is a promising form of non-invasive neuromodulation characterized by a rich parameter space that includes intensity, duration, duty cycle and pulsing strategy. The effect and interaction of these parameters to affect human brain activity is poorly understood. A better understanding of how parameters interact is critical to advance LIFU as a potential therapeutic. OBJECTIVE/HYPOTHESIS: To determine how intensity, duration, and duty cycle interact to produce neuromodulation effects in the human motor cortex. Further, this study assesses the effect of pulsing versus continuous ultrasound. We hypothesize that higher duty cycles will confer excitation. Increasing intensity or duration will increase the magnitude of effect. Pulsing LIFU will not be more effective than continuous wave ultrasound.

methodsN = 18 healthy human volunteers underwent 20 different parameter combinations that included a fully parametrized set of two intensities (I

resultsThere was no evidence of excitation from any parameter combination. 3 of the 24 parameter sets resulted in significant inhibition. The parameter set that resulted in the greatest inhibition (∼30 %) was an intensity of 6W/cm

conclusionsLIFU to M1 in humans, in the range employed, either conferred inhibition or had no effect. Significant excitation was not observed. In general, lower intensity looks to be more efficacious for inhibition that depends on duration. In addition, pulsed ultrasound looks to be more effective for inhibition as compared to continuous wave after controlling for total energy delivered. Non-specific auditory effects may contribute to these results.

Indexed as

Evoked Potentials, MotorMotor CortexTranscranial Magnetic StimulationAdultFemaleHumansMaleYoung AdultHumanLow-intensity focused ultrasoundMotor evoked potentialParametersPrimary motor cortexTMS

Identifiers

PMID39577741
PMCPMC12105879

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.