Low-intensity focused ultrasound to the insula differentially modulates the heartbeat-evoked potential: A proof-of-concept study.

Clin Neurophysiol

Fralin Biomedical Research Institute at Virginia Tech Carilion, 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; 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; Department of Neurosurgery, Carilion Clinic, Roanoke, VA 24016, USA. Electronic address:

Published: November 2024

AI Article Synopsis

  • The study investigates how focused ultrasound (LIFU) can modify brain responses tied to heartbeat, known as heartbeat evoked potentials (HEP), and focuses on specific brain regions like the insula and dorsal anterior cingulate cortex (dACC).
  • Healthy participants received targeted LIFU while their brain activity (EEG) and heart activity (ECG) were monitored, with the main goal of observing changes in HEP amplitudes.
  • Results showed that LIFU to the posterior insula reduced HEP amplitudes, but it did not alter heart rate or variability, indicating the potential for targeting brain areas to influence interoceptive processing.

Article Abstract

Objective: The heartbeat evoked potential (HEP) is a brain response time-locked to the heartbeat and a potential marker of interoceptive processing that may be generated in the insula and dorsal anterior cingulate cortex (dACC). Low-intensity focused ultrasound (LIFU) can selectively modulate sub-regions of the insula and dACC to better understand their contributions to the HEP.

Methods: Healthy participants (n = 16) received stereotaxically targeted LIFU to the anterior insula (AI), posterior insula (PI), dACC, or Sham at rest during continuous electroencephalography (EEG) and electrocardiography (ECG) recording on separate days. Primary outcome was HEP amplitudes. Relationships between LIFU pressure and HEP changes and effects of LIFU on heart rate and heart rate variability (HRV) were also explored.

Results: Relative to sham, LIFU to the PI, but not AI or dACC, decreased HEP amplitudes; PI effects were partially explained by increased LIFU pressure. LIFU did not affect heart rate or HRV.

Conclusions: These results demonstrate the ability to modulate HEP amplitudes via non-invasive targeting of key interoceptive brain regions.

Significance: Our findings have implications for the causal role of these areas in bottom-up heart-brain communication that could guide future work investigating the HEP as a marker of interoceptive processing in healthy and clinical populations.

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Source
http://dx.doi.org/10.1016/j.clinph.2024.09.006DOI Listing

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Low-intensity focused ultrasound to the insula differentially modulates the heartbeat-evoked potential: A proof-of-concept study.

Clin Neurophysiol

November 2024

Fralin Biomedical Research Institute at Virginia Tech Carilion, 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; 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; Department of Neurosurgery, Carilion Clinic, Roanoke, VA 24016, USA. Electronic address:

Article Synopsis
  • The study investigates how focused ultrasound (LIFU) can modify brain responses tied to heartbeat, known as heartbeat evoked potentials (HEP), and focuses on specific brain regions like the insula and dorsal anterior cingulate cortex (dACC).
  • Healthy participants received targeted LIFU while their brain activity (EEG) and heart activity (ECG) were monitored, with the main goal of observing changes in HEP amplitudes.
  • Results showed that LIFU to the posterior insula reduced HEP amplitudes, but it did not alter heart rate or variability, indicating the potential for targeting brain areas to influence interoceptive processing.
View Article and Find Full Text PDF

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