Focused ultrasound to the bilateral thalamus causally modulates human cognitive attention in a frequency- and intensity-dependent manner

The centromedian nucleus of the thalamus (CMT) is a core arousal center with potential for enhancing cognitive attention. While emergent focused ultrasound can reach this area, the stimulation paradigms which may enhance function in humans remain unknown. Here we performed bilateral stimulation of the CMT using a novel ultrasound neuromodulation wearable device using 3 distinct pulse frequencies. We found that a brief 25Hz stimulation enhanced reaction time in a in a directed attention Oddball task for at least 40 minutes. Pre-post task electrocortical EEG revealed a correlation between reaction time and the prevalence of arousal related alpha and theta cortical activity. Examination of dose dependence revealed bidirectional modulation of arousal state, with lower intensities preferentially enhancing cognitive function. Pre- and post-MRI scans showed no neuroradiological changes due to stimulation. Collectively, these findings demonstrate that targeted LIFU stimulation of the CMT can safely enhance cognitive function in healthy individuals with carefully designed parameters.