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Suppression of pathological oscillations with transcranial focused ultrasound in Parkinson's disease

Abstract:
Transcranial ultrasound stimulation (TUS) is an emerging method for non-invasive neuromodulation of deep brain structures. However, to date, there is no evidence that TUS can directly modulate disease-related pathological oscillations in the same direction as known therapies. Inspired by clinical deep brain stimulation, in this randomised controlled cross-over study we probed the effects of pallidal TUS pulsed at 130 Hz on subthalamic beta-band activity, a biomarker in Parkinson's Disease (PD) in four male participants with PD. Beta-band power reduced in the ipsilateral subthalamic nucleus (STN) by 10.34% (95% CI:3.81% to 16.87%, p < 0.05, false discovery rate (FDR) adjusted). Beta power reduction was correlated between the ipsilateral (R2 = 0.980, p < 0.05, FDR adjusted), but not contralateral, STN and primary motor cortex. Bradykinesia, as measured by change in reaction time, was also reduced by 17.70% (95% CI:8.95% to 26.41%, p < 0.05, FDR adjusted). In this proof of concept study, we demonstrate that TUS can suppress pathological oscillations, potentially opening the door for therapeutic TUS (NCT06932185).
Publication status:
Published
Peer review status:
Peer reviewed

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Publisher copy:
10.1038/s41467-026-70714-7

Authors

More by this author
Institution:
University of Oxford
Division:
MSD
Department:
Surgical Sciences
Role:
Author
ORCID:
0000-0002-2261-0729
More by this author
Institution:
University of Oxford
Division:
MPLS
Department:
Engineering Science
Sub department:
Institute of Biomedical Engineering
Role:
Author
More by this author
Institution:
University of Oxford
Division:
MSD
Department:
Surgical Sciences
Role:
Author
More by this author
Institution:
University of Oxford
Division:
MSD
Department:
Clinical Neurosciences
Role:
Author
ORCID:
0000-0002-5269-1902
More by this author
Institution:
University of Oxford
Division:
MPLS
Department:
Engineering Science
Sub department:
Institute of Biomedical Engineering
Role:
Author


More from this funder
Funder identifier:
https://ror.org/03wnrjx87
Grant:
IES\R3\213123
More from this funder
Funder identifier:
https://ror.org/04e3zg361
Grant:
ID2021\100054
More from this funder
Funder identifier:
https://ror.org/03x94j517
Grant:
MR/X006417/1
More from this funder
Funder identifier:
https://ror.org/00aps1a34
Grant:
NIHR203316


Publisher:
Springer Nature
Journal:
Nature Communications More from this journal
Volume:
17
Article number:
4471
Place of publication:
England
Publication date:
2026-03-25
Acceptance date:
2026-03-04
DOI:
EISSN:
2041-1723
Pmid:
41876482


Language:
English
Pubs id:
2395340
Local pid:
pubs:2395340
Source identifiers:
W7140170497
Deposit date:
2026-03-31
ARK identifier:

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