Why Temporal Inference Stimulation May Fail in the Human Brain: A Pilot Research Study

Biomedicines. 2023 Jun 24;11(7):1813. doi: 10.3390/biomedicines11071813.

Abstract

Temporal interference stimulation (TIS) aims at targeting deep brain areas during transcranial electrical alternating current stimulation (tACS) by generating interference fields at depth. Although its modulatory effects have been demonstrated in animal and human models and stimulation studies, direct experimental evidence is lacking for its utility in humans (in vivo). Herein, we directly test and compare three different structures: firstly, we perform peripheral nerve and muscle stimulation quantifying muscle twitches as readout, secondly, we stimulate peri-orbitally with phosphene perception as a surrogate marker, and thirdly, we attempt to modulate the mean power of alpha oscillations in the occipital area as measured with electroencephalography (EEG). We found strong evidence for stimulation efficacy on the modulated frequency in the PNS, but we found no evidence for its utility in the CNS. Possible reasons for failing to activate CNS targets could be comparatively higher activation thresholds here or inhibitory stimulation components to the carrier frequency interfering with the effects of the modulated signal.

Keywords: NIBS; TIS; noninvasive brain stimulation; tES; temporal interference stimulation; transcranial electrical stimulation.

Grants and funding

S.M. was supported by the Deutsche Forschungsgemeinschaft (DFG, German Research Foundation) within the Clinician Scientist Program “Cell Dynamics in Disease and Therapy” at the University Medical Center Göttingen (project number 413501650). We acknowledge the support of the Open Access Publication Funds of the University of Göttingen.