Author: Antoine Jérusalem / Source: Big Think

At the moment, non-invasive neuromodulation – changing brain activity without the use of surgery – looks poised to usher in a new era of healthcare. Breakthroughs could include the better management of Parkinson’s and Alzheimer’s disease, reducing the pain of migraines or even reversing cognitive disorders caused by brain injury.
But what happens if this technique for altering our brain waves escapes regulation and falls into the wrong hands? Imagine a dictatorial regime with access to the tricks and tools to change the way its citizens think or behave.
That’s the ethical battleground that Antoine Jerusalem, a professor of engineering science at Oxford University, finds himself in as he researches the potential of ultrasound technology to tackle neurological diseases and disorders.
In this interview, conducted as part of the World Economic Forum’s annual gathering in the Middle East of scientists, government and business, he tells us more about this growing field of research.
Controlling the brain with sound waves: how does it work?
Well, to get straight to the science, the principle of non-invasive neuromodulation is to focus ultrasound waves into a region in the brain so that they all gather in a small spot. Then hopefully, given the right set of parameters, this can change the activity of the neurons.
If you want to get rid of neurons that have gone wild, for example in epilepsy, then you might want to crank up the energy to essentially kill them. But if you want to selectively promote or block the neuronal activity, you need to fine-tune your ultrasound waves carefully.
In other words, there’s a difference between ultrasound stimulation used for removing tissue, and ultrasound neuromodulation, which is aimed at controlling neuronal activity without damaging the tissue.
Ultrasound neuromodulation is something that definitely works, but that we still don’t understand.

What social good can come of it?
The current buzzwords are Alzheimer’s and Parkinson’s disease, as well as traumatic brain injuries. But scientists are also looking at the spinal cord and peripheral nervous systems. As far as I am concerned, since the brain is the de facto centre of decision for so many processes, any of them could be targeted.
Is it safe?
When attempting to ‘control’ neuronal activity by providing minute mechanical vibrations to a region of the brain, it’s important that the…
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