The coordinated activity of neural populations underlies myriad brain functions. Manipulating this activity using brain stimulation techniques has great potential for scientific and clinical applications, as it provides a tool to causally influence brain function. The state of the brain affects how neural populations respond to incoming sensory stimuli. Thus, taking into account pre-stimulation neural population activity may be crucial to achieve a desired causal manipulation using stimulation. In this work, we propose Online MicroStimulation Optimization (OMiSO), a brain stimulation framework that leverages brain state information to find stimulation parameters that can drive neural population activity toward specified states. OMiSO includes two key advances: i) it leverages the pre-stimulation brain state to choose optimal stimulation parameters, and ii) it adaptively refines the choice of those parameters by considering newly-observed stimulation responses. We tested OMiSO by applying intracortical electrical microstimulation in a monkey and found that it outperformed competing methods that do not incorporate these advances. Taken together, OMiSO provides greater accuracy in ach
Non-invasive stimulation of small, variably shaped brain sub-regions is crucial for advancing our understanding of brain functions. Current ultrasound neuromodulation faces two significant trade-offs when targeting brain sub-regions: miniaturization versus volumetric control and spatial resolution versus transcranial capability. Here, we present an optically-generated Bessel beam ultrasound (OBUS) device designed to overcome these limitations. This 2.33 mm-diameter miniaturized device delivers a column-shaped field achieving a lateral resolution of 152 um and an axial resolution of 1.93 mm, targeting brain sub-regions with an elongated volume of tissue activation. Immunofluorescence imaging of mouse brain slices confirms its ability to stimulate cells at a depth of 2.2 mm. Additionally, OBUS outperforms conventional Gaussian ultrasound in transcranial transmission efficiency and beam shape preservation. Electrophysiological recordings and functional MRI captured rodent brain responses evoked by OBUS, demonstrating OBUS's ability to non-invasively activate neural circuits in intact brains. This technology offers new possibilities for studying brain functions with precision and volum
Adaptive brain stimulation can treat neurological conditions such as Parkinson's disease and post-stroke motor deficits by influencing abnormal neural activity. Because of patient heterogeneity, each patient requires a unique stimulation policy to achieve optimal neural responses. Model-free reinforcement learning (MFRL) holds promise in learning effective policies for a variety of similar control tasks, but is limited in domains like brain stimulation by a need for numerous costly environment interactions. In this work we introduce Coprocessor Actor Critic, a novel, model-based reinforcement learning (MBRL) approach for learning neural coprocessor policies for brain stimulation. Our key insight is that coprocessor policy learning is a combination of learning how to act optimally in the world and learning how to induce optimal actions in the world through stimulation of an injured brain. We show that our approach overcomes the limitations of traditional MFRL methods in terms of sample efficiency and task success and outperforms baseline MBRL approaches in a neurologically realistic model of an injured brain.
Deep Brain Stimulation (DBS) is a well-established neurosurgical treatment aiming at symptom alleviation in a range of neurological and psychiatric diseases. Computational models of DBS are widely used to investigate the effects of stimulation on neural tissue, to explore stimulation targets and sweetspots, and ultimately, to aid clinicians in the DBS programming by calculating the stimulation parameters. Commonly, DBS is performed bilaterally, i.e. with one lead in each brain hemisphere, where computational models are solved independently for one lead at a time. This paper treats scenarios where multiple DBS leads are implanted in close proximity to one another, resulting in interacting electrical fields and, therefore, potentially overlapping stimulation spreads. In particular, a global dual-lead model is compared to approximations derived from single-lead approaches in a cohort of twelve multiple sclerosis (MS) tremor patients. It is concluded that simple superposition of volumes of tissue activated (VTAs) underestimates activation, while superposition of electric fields or activating functions leads to overestimation. It is concluded that given close proximity of DBS leads, the
Deep Brain Stimulation (DBS) is an effective treatment for Parkinson's disease, but conventional fixed-parameter stimulation can reduce battery life and cause side effects while failing to adapt to changing neural dynamics. Recent reinforcement learning approaches improve adaptability, yet most rely on deep neural networks that require offline training and are computationally too expensive for implantable hardware. This paper presents a resource-conscious adaptive DBS framework based on a Time- and Threshold-Triggered Pruned Multi-Armed Bandit (T3P MAB) algorithm. The proposed method jointly tunes stimulation frequency and amplitude, avoids prior training, and remains transparent enough to support clinician-guided adjustment. Using a computational basal ganglia-thalamic model, we show that T3P converges faster than competing MAB methods and outperforms deep-RL baselines in suppressing pathological beta-band activity while reducing stimulation power. We implemented it on different microcontrollers and report detailed energy measurements, showing convergence in under two minutes and suitability for resource-constrained implantable systems. These results support lightweight bandit-bas
Deep Brain Stimulation (DBS) is an effective treatment for neurological disorders but requires invasive surgery. This work presents a method for non-invasive DBS, based on microwave focusing of amplitude-modulated electric fields using an external antenna array of magnetic point dipoles. The proposed method combines iterative time reversal (iTR) and temporal interference (TI) optimization to jointly address electromagnetic field focusing and physiologically relevant neural stimulation. Antenna element positions, orientations, frequencies, amplitudes, and phases are optimized to localize stimulation within a target region. The method is evaluated in an anatomically realistic voxel head model with heterogeneous and lossy tissue properties. Systematic numerical studies, including perturbation analysis and statistical evaluation, demonstrate consistent spatial localization and robustness across all reported configurations. Safety is quantified using specific absorption rate (SAR), ensuring compliance with exposure limits. The study further provides insight into the influence of key parameters on field behavior and the associated trade-offs between focality, penetration, and safety in p
Deep Brain Stimulation (DBS) is a highly effective treatment for Parkinson's Disease (PD). Recent research uses reinforcement learning (RL) for DBS, with RL agents modulating the stimulation frequency and amplitude. But, these models rely on biomarkers that are not measurable in patients and are only present in brain-on-chip (BoC) simulations. In this work, we present an RL-based DBS approach that adapts these stimulation parameters according to brain activity measurable in vivo. Using a TD3 based RL agent trained on a model of the basal ganglia region of the brain, we see a greater suppression of biomarkers correlated with PD severity compared to modern clinical DBS implementations. Our agent outperforms the standard clinical approaches in suppressing PD biomarkers while relying on information that can be measured in a real world environment, thereby opening up the possibility of training personalized RL agents specific to individual patient needs.
Network control theory (NCT) has recently been utilized in neuroscience to facilitate our understanding of brain stimulation effects. A particularly useful branch of NCT is optimal control, which focuses on applying theoretical and computational principles of control theory to design optimal strategies to achieve specific goals in neural processes. However, most existing research focuses on optimally controlling brain network dynamics from the original state to a target state at a specific time point. In this paper, we present the first investigation of introducing optimal stochastic tracking control strategy to synchronize the dynamics of the brain network to a target dynamics rather than to a target state at a specific time point. We utilized fMRI data from healthy groups, and cases of stroke and post-stroke aphasia. For all participants, we utilized a gradient descent optimization method to estimate the parameters for the brain network dynamic system. We then utilized optimal stochastic tracking control techniques to drive original unhealthy dynamics by controlling a certain number of nodes to synchronize with target healthy dynamics. Results show that the energy associated with
Artificial intelligence (AI) is increasingly explored across deep brain stimulation (DBS) for movement disorders, yet whether current systems are approaching deployment remains unclear. To characterise their scope, validation maturity, and translational readiness, we systematically evaluated 239 peer-reviewed studies published between 2000 and 2025, assessing AI methods, validation practices, and barriers constraining clinical translation. Research was dominated by Parkinson's disease and subthalamic nucleus targeting, with limited coverage of other disorders and targets. Most studies reported encouraging internal performance; however, external validation was rare, evaluations remained predominantly retrospective and single-centre, and more than one-quarter involved small-sample, high-dimensional datasets with elevated overfitting risk. Technology readiness assessment revealed that most systems remain at early-to-intermediate translational stages, constrained more by limited validation than by algorithmic inadequacy, compounded by the biological heterogeneity and dynamic complexity inherent to DBS. Nevertheless, emerging external and prospective studies suggest a field moving towar
Deep Brain Stimulation (DBS) is a therapy widely used for treating the symptoms of neurological disorders. Electrical pulses are chronically delivered in DBS to a disease-specific brain target via a surgically implanted electrode. The stimulating contact configuration, stimulation polarity, as well as amplitude, frequency, and pulse width of the DBS pulse sequence are utilized to optimize the therapeutic effect. In this paper, the utility of therapy individualization by means of patient-specific mathematical modeling is investigated with respect to a specific case of a patient diagnosed with Essential Tremor (ET). Two computational models are compared in their ability to elucidate the impact of DBS stimulation on the dentato-rubrothalamic tract: (i) a conventional model of Volume of Tissue Activated (VTA) and (ii) a well-established neural fiber activation modeling framework known as OSS-DBS. The simulation results are compared with tremor measured in the patient under different DBS settings using a smartphone application. The findings of the study highlight that temporally static VTA models do not adequately describe the differences in the outcomes of bipolar stimulation settings
Deep Brain Stimulation (DBS) is an established and powerful treatment method in various neurological disorders. It involves chronically delivering electrical pulses to a certain stimulation target in the brain in order to alleviate the symptoms of a disease. Traditionally, the effect of DBS on neural tissue has been modeled based on the geometrical intersection of the static Volume of Tissue Activated (VTA) and the stimulation target. Recent studies suggest that the Dentato-Rubro-Thalamic Tract (DRTT) may serve as a potential common underlying stimulation target for tremor control in Essential Tremor (ET). However, clinical observations highlight that the therapeutic effect of DBS, especially in ET, is strongly influenced by the dynamic DBS parameters such as pulse width and frequency, as well as stimulation polarity. This study introduces a computational model to elucidate the effect of the stimulation signal shape on the DRTT under neural input. The simulation results suggest that achieving a specific pulse amplitude threshold is necessary before eliciting the therapeutic effect through adjustments in pulse widths and frequencies becomes feasible. Longer pulse widths proved more
Advancements in neurosurgical robotics have improved medical procedures, particularly deep brain stimulation, where robots combine human and machine intelligence to precisely implant electrodes in the brain. While effective, this procedure carries risks and side effects. Noninvasive deep brain stimulation (NIDBS) offers promise by making brain stimulation safer, more affordable, and accessible. However, NIDBS lacks guidelines for electrode placement. This study explores adapting robotic principles to enhance the accuracy of NIDBS targeting and provides preliminary guidelines for transcranial electrode placement. Safety is also emphasized, ensuring a balance between therapeutic effectiveness and patient safety by maintaining electric fields within safe limits.
Conventional deep brain stimulation (DBS) of basal ganglia uses high-frequency regular electrical pulses to treat Parkinsonian motor symptoms and has a series of limitations. Relatively new and not yet clinically tested optogenetic stimulation is an effective experimental stimulation technique to affect pathological network dynamics. We compared the effects of electrical and optogenetic stimulation of the basal ganglia on the pathological parkinsonian rhythmic neural activity. We studied the network response to electrical stimulation and excitatory and inhibitory optogenetic stimulations. Different stimulations exhibit different interactions with pathological activity in the network. We studied these interactions for different network and stimulation parameter values. Optogenetic stimulation was found to be more efficient than electrical stimulation in suppressing pathological rhythmicity. Our findings indicate that optogenetic control of neural synchrony may be more efficacious than electrical control because of the different ways of how stimulations interact with network dynamics.
For decades, focal non-invasive neuromodulation of deep brain regions has not been possible because of the steep depth-focality trade-off of conventional non-invasive brain stimulation (NIBS) techniques, such as transcranial magnetic stimulation (TMS) or classical transcranial electric stimulation (tES). Deep brain stimulation has therefore largely relied on invasive approaches in clinical populations, requiring surgery. Transcranial Temporal Interference Stimulation (tTIS) has recently emerged as a promising method to overcome this challenge and allows for the first time focal non-invasive electrical deep brain stimulation. The method, which was first validated through computational modeling and rodent work, has now been successfully translated to humans to target deep brain regions such as the hippocampus or striatum. In this Perspective, we present current evidence for tTIS-based neuromodulation, underlying mechanisms and discuss future developments of this promising technology. More specifically, we highlight key opportunities and challenges for fundamental neuroscience as well as for the design of new interventions in neuropsychiatric disorders. We also discuss the status of u
The reconstruction of brain neural network connections occurs not only during the infancy and early childhood stages of brain development, but also in patients with cognitive impairment in middle and old age under the therapy with stimulated external interference, such as the non-invasive repetitive transcranial magnetic stimulation (rTMS) and the transcranial direct current stimulation(tDCS). However, until now, it is not clear how brain stimulation triggers and controls the reconstruction of neural network connections in the brain. This paper combines the EEG data analysis and the cortical neuronal network modeling methods. On one hand, an E-I balanced cortical neural network model was constructed under a long-lasting external stimulation of sinusoidal-exponential form TMS or square-wave tDCS was introduced into the network model for simulate the treatment process for the brain connections. On the other hand, by combining Butterworth filter and functional connectivity algorithm, the paper analyzes the relations between the attentional gamma oscillation responses and the brain connection based on the publicly available EEGs during the pre-tDCS and post-tDCS treatment phases. First
The electrical stimulation to the seizure onset zone (SOZ) serves as an efficient approach to seizure suppression. Recently, seizure dynamics have gained widespread attendance in its network propagation mechanisms. Compared with the direct stimulation to SOZ, other brain network-level approaches that can effectively suppress epileptic seizures remain under-explored. In this study, we introduce a platform equipped with a system identification module and a control strategy module, to validate the effectiveness of the hub of the epileptic brain network in suppressing seizure. The identified surrogate dynamics show high predictive performance in reconstructing neural dynamics which enables the model predictive framework to achieve accurate neural stimulation. The electrical stimulation on the hub of the epileptic brain network shows remarkable performance as the direct stimulation of SOZ in suppressing seizure dynamics. Underpinned by network control theory, our platform offers a general tool for the validation of neural stimulation.
Generative models of brain activity have been instrumental in testing hypothesized mechanisms underlying brain dynamics against experimental datasets. Beyond capturing the key mechanisms underlying spontaneous brain dynamics, these models hold an exciting potential for understanding the mechanisms underlying the dynamics evoked by targeted brain-stimulation techniques. This paper delves into this emerging application, using concepts from dynamical systems theory to argue that the stimulus-evoked dynamics in such experiments may be shaped by new types of mechanisms distinct from those that dominate spontaneous dynamics. We review and discuss: (i) the targeted experimental techniques across spatial scales that can both perturb the brain to novel states and resolve its relaxation trajectory back to spontaneous dynamics; and (ii) how we can understand these dynamics in terms of mechanisms using physiological, phenomenological, and data-driven models. A tight integration of targeted stimulation experiments with generative quantitative modeling provides an important opportunity to uncover novel mechanisms of brain dynamics that are difficult to detect in spontaneous settings.
In individuals afflicted with conditions such as paralysis, the implementation of Brain-Computer-Interface (BCI) has begun to significantly impact their quality of life. Furthermore, even in healthy individuals, the anticipated advantages of brain-to-brain communication and brain-to-computer interaction hold considerable promise for the future. This is attributed to the liberation from bodily constraints and the transcendence of existing limitations inherent in contemporary brain-to-brain communication methods. To actualize a comprehensive BCI, the establishment of bidirectional communication between the brain and the external environment is imperative. While neural input technology spans diverse disciplines and is currently advancing rapidly, a notable absence exists in the form of review papers summarizing the technology from the standpoint of the latest or potential input methods. The challenges encountered encompass the requisite for bidirectional communication to achieve a holistic BCI, as well as obstacles related to information volume, precision, and invasiveness. The review section comprehensively addresses both invasive and non-invasive techniques, incorporating nanotech/m
Transcranial photobiomodulation is an optical method for non-invasive brain stimulation. The method projects red and near-infrared light through the scalp within 600-1100 nm and low energy within the 1-20 J/cm2 range. Recent studies have been optimistic about replacing this method with pharmacotherapy and invasive brain stimulation. However, concerns and ambiguities exist regarding the light penetration depth and possible thermal side effects. While the literature survey indicates that the skin temperature rises after experimental optical brain stimulation, inadequate evidence supports a safe increase in temperature or the amount of light penetration in the cortex. Therefore, we aimed to conduct a comprehensive study on the heat transfer of near-infrared stimulation for the human brain. Our research considers the transcranial photobiomodulation over the human brain model by projecting 810 nm light with 100 mW/cm2 power density to evaluate its thermal and optical effects using bioheat transfer and radiative transfer equation. Our results confirm that the near-infrared light spectrum has a small incremental impact on temperature and approximately penetrates 1 cm, reaching the cortex.
The brain stimulation and its widespread use is one of the most important subjects in studies of neurophysiology. In brain electrical stimulation methods, following the surgery and electrode implantation, electrodes send electrical impulses to the specific targets in the brain. The use of this stimulation method is provided therapeutic benefits for treatment chronic pain, essential tremor, Parkinsons disease, major depression, and neurological movement disorder syndrome (dystonia). One area in which advancements have been recently made is in controlling the movement and navigation of animals in a specific pathway. It is important to identify brain targets in order to stimulate appropriate brain regions for all the applications listed above. An animal navigation system based on brain electrical stimulation is used to develop new behavioral models for the aim of creating a platform for interacting with the animal nervous system in the spatial learning task. In the context of animal navigation the electrical stimulation has been used either as creating virtual sensation for movement guidance or virtual reward for movement motivation. In this paper, different approaches and techniques