Low Intensity Focused Ultrasound for Epilepsy- A New Approach to Neuromodulation
Ellen J Bubrick1, Nathan J McDannold2, Phillip J White2
1Department of Neurology, Brigham and Women's Hospital, Boston, MA, USA.
Epilepsy Currents
|December 7, 2022
Summary
Low intensity focused ultrasound (LIFUS) offers a novel, noninvasive treatment for drug-resistant epilepsy (DRE). This radiation-free neuromodulation technique shows promise in preclinical models and early human trials for seizure suppression without tissue damage.
Area of Science:
- Neurology
- Biomedical Engineering
- Neurosurgery
Background:
- Drug-resistant epilepsy (DRE) presents limited treatment options for non-surgical candidates.
- Current neuromodulation devices offer palliative benefits and have eligibility restrictions.
- Low intensity focused ultrasound (LIFUS) is an emerging noninvasive neuromodulation technology.
Purpose of the Study:
- To investigate the potential of LIFUS as a novel treatment for DRE.
- To evaluate the safety and efficacy of LIFUS in modulating neural tissue.
- To explore LIFUS as an alternative to existing palliative treatments for epilepsy.
Main Methods:
- Utilizing focused acoustic energy to noninvasively target specific brain regions.
- Applying LIFUS to modulate neural activity in animal models and human subjects.
- Conducting preclinical studies in epilepsy models and clinical trials in DRE patients.
Main Results:
- LIFUS demonstrated the ability to suppress seizures in animal models of epilepsy.
- Histopathological examination after sonication in epilepsy patients revealed no tissue damage.
- Ongoing trials are investigating LIFUS for hippocampal targeting in DRE.
Conclusions:
- LIFUS is a promising, incisionless, and radiation-free neuromodulation approach for epilepsy.
- If proven safe and effective, LIFUS could treat both cortical and deep brain structures.
- LIFUS is under extensive investigation for various neurological and psychiatric disorders, including epilepsy.
Keywords:
drug-resistant epilepsyfocusedlow intensity focused ultrasoundneuromodulationnovel treatmentsultrasound

