Objective. This study employs a human head model with real skull to demonstrate the feasibility of transcranial acoustoelectric brain imaging (tABI) as a new modality for electrical mapping of deep dipole sources during treatment of epilepsy with much better resolution and accuracy than conventional mapping methods. Approach. This technique exploits an interaction between a focused ultrasound (US) beam and tissue resistivity to localize current source densities as deep as 63 mm at high spatial resolution (1 to 4 mm) and resolve fast time-varying currents with sub-ms precision. Main results. Detection thresholds through a thick segment of the human skull at biologically safe US intensities was below 0.5 mA and within range of strong currents generated by the human brain. Significance. This work suggests that 4D tABI may emerge as a revolutionary modality for real-time high-resolution mapping of neuronal currents for the purpose of monitoring, staging, and guiding treatment of epilepsy and other brain disorders characterized by abnormal rhythms.

Acoustoelectric Imaging (AEI) is a disruptive technology that exploits an ultrasound (US) beam to transiently interact with physiologic or artificial currents, producing a radiofrequency signature detected by one or more surface electrodes. By rapidly sweeping the US beam and simultaneously detecting the acoustoelectric modulations, 4D current density images are generated at high spatial resolution determined by the ultrasound beam focus. The principle has been used for in vivo mapping of currents in the swine heart during the cardiac activation wave. When applied to the brain, transcranial acoustoelectric imaging (tABI) overcomes limitations with electroencephalography (EEG), which suffers from poor spatial resolution and inaccuracies due to blurring of electrical signals as they pass through the brain and skull, and, unlike fMRI and PET that measure slow metabolic or hemodynamic signals, tABI directly maps fast time-varying current within a defined brain volume at the mm and ms scales. This invited presentation will describe the underlying physics and mathematics of tABI, recent progress and challenges using numerical simulations and bench-top models, and its potential impact as a cutting-edge noninvasive modality for fast and accurate electrical brain mapping in humans.