For years, neuroscientists have been looking for a way to
stimulate deeper brain regions that does not involve surgery. When it comes to stimulating
brain areas there are really only two options: invasive surgery to stimulate
deeper brain regions or noninvasive surface level stimulation. There are major
pros and cons to both of these methods. Deeper brain stimulations such as ECOG,
or electrocorticography, requires surgery where they remove part of the patient’s
skull and place electrodes on the brain. This provides better localization and
allows them to target deeper brain areas, but it is obviously extremely
invasive and is only performed on people who already need brain surgery for
medical reasons. Surface level stimulation such as EEG, or
electroencephalography, involves the patient wearing a skull cap with
electrodes on it. The benefits are it is noninvasive and can be used on a wider
range of people. However, researchers are restricted to only stimulating
surface level structures in the brain and it also has poor localization.
Now, researchers might have just discovered a method that is
the best of both worlds, called temporal interference. The method involves
beaming multiple electric frequencies that are too high for neurons to respond
to from electrodes on the skull’s surface. Where the frequencies intersect in
the brain end up canceling each other out and whatever the difference is between
the frequencies stimulates that area of the brain. So for example, if you
deliver 1,000 hertz and 1,001 hertz to an area in the brain, they will cancel
each other out and that area will react as if you were stimulating it with 1
hertz. However, all of the other areas that the 1,000 hertz is going through
will not react because the frequency is so high that it moves faster than our
brains can process. It is a similar concept to why we cannot hear sonar. This method
provides researchers with precise localization, which they further tested by
aiming electricity at certain areas in mice’s motor cortices. This resulted in
the mice moving their fore-paws, whiskers, or ears.
With this new method, comes a lot of practical questions. The
major one being that this study was done with rats, so how will it work on humans?
In an attempt to begin to answer this question, the study’s senior author and
co-director is testing the method on people without disorders to see if it
works in the human brain. There are other questions such as, how it would be
used on patients with complex diseases, like Parkinson’s, who would need
continuous stimulation. Also, would patients wear a portable electricity-delivery
device? Another concern is making sure to avoid brain areas that would cause
motor contractions or speech and vision impairments. One hope that researchers
have, is that temporal interference can be developed for patients with epilepsy
and provide them with an alternative to the extremely invasive procedure of ECOG.
This method is something that neuroscientists have been wanting for a long time
and if it is proved to be effective and safe through more research, temporal
interference could be used to help people with a range of neurological and
psychiatric disorders.
This new method is very interesting! It is promising to hear that temporal interference could be used as therapy for disorders such as Parkinson's or epilepsy in the future. I hope to see more studies done in the future confirming that temporal interference is usable in humans and is a viable treatment option for various disorders. Another interesting point brought up is how continuous treatment would be carried out, with the suggestion of a patient wearing a portable device for electricity delivery. I think this would be a decent option, but seems delicate and easily knocked out of place. As technology advances and further studies are done, hopefully more convenient solutions will arise.
ReplyDeleteI really liked all of the practical questions you posed in the last paragraph because many of the points you brought up were also concerns I had while reading what you said about temporal interference! It seems like a very promising method given that non-invasive procedures are going to be more practical for both the patient and the doctor. Seeing more studies done in humans that were similar to the mice study might give more insight into this method's use on humans. I wonder if this could have any application for a disease like Alzheimer's, but given that this disorder is neurodegenerative, it may be harder to apply temporal interference as treatment for these kinds of brain disorders. I see this method being useful in treating mental disorders like depression and anxiety, perhaps this method could even be used for Schizophrenia treatment. It seems temporal interference has opened the door for even more possibilities in neuroimaging and treatment!
ReplyDeleteI like how you described the original two ways of stimulating the brain followed by the novel method, temporal interference. Your description of how temporal interference stimulation actually works was very concise yet very explanatory with the example given of 1,000 hertz and 1,001 hertz and how they cancel each other out. It would be very interesting to see if the research would be able to be expanded to alleviate some of the effects of parkinson's by creating a mobile device that does not have interference on other functions as you stated. While the patients would need to wear this continuously, it would be well worth it for them since they might be able to have better functioning. However, I wonder if temporal interference would be able to suppress these effects despite parkinson's being a neurodegenerative disorder. If this stimulation could be applied to psychiatric disorders such as depression, anxiety, and maybe even schizophrenia, this would definitely change the world.
ReplyDeleteI think if this method eventually comes out on addressing some of the issues that go along with it through more research, it could truly be a revolutionary process. It would be great for patients who suffer from Parkinson's to have a way to get continuous stimulation however, I assume a portable device could come with risk. This procedure does not seem very complex especially when you explained the process of 1,000 hertz cancelling out the 1,001 hertz. It makes me hopeful that this technology can soon be of use so that people can avoid invasive procedures like ECOG. I think that the goal is for it to be safe and convenient but most importantly that it reaches those who need it and once that happens, it going to haven countless benefits. Its amazing how temporal interference can reach such a deep structure of the brain without it being invasive like the ECOG. Of course with research, discoveries come one step at a time but imagine where this could lead in helping other disorders if it's successful with Epilepsy or Parkinson's.
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