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Baycrest Hospital | Vielight itPBM improves Brain Fluid Dynamics (MRI)

Key Takeaways:

  • Real-time Modulation: Vielight Photobiomodulation (PBM) induced immediate changes in CSF dynamics within just 4 minutes of stimulation.
  • 20x Efficiency: Vielight Intranasal PBM achieved results equivalent to Vielight transcranial PBM while using approximately 1/20th of the power density.

  • Universal Efficacy: The intranasal route bypasses the melanin barrier, which was shown to reduce efficacy in transcranial applications for darker skin tones.

  • Read the full published paper here: Link

 

This study from Baycrest Hospital with 45 participants highlights a significant breakthrough in neurotechnology using Vielight Photobiomodulation (PBM).

The glymphatic system is the brain’s waste clearance center. It utilizes cerebrospinal fluid (CSF) to wash away neurotoxic waste products, such as amyloid-beta. A groundbreaking new study published in Brain Stimulation has provided compelling quantitative evidence that Vielight’s intranasal-transcranial photobiomodulation (itPBM) technology can modulate these dynamics in real-time.

The study, conducted by Baycrest Hospital and Vielight technology on 45 healthy adults (aged 20–32) , compared the effects of Transcranial PBM (tPBM) applied to the forehead against Intranasal PBM (iPBM). The data highlights the remarkable efficiency of the intranasal delivery channel—a core component of Vielight’s patented technology.

Why this matters for Alzheimer’s disease

Alzheimer’s disease is characterized in part by the accumulation of neurotoxic proteins such as amyloid-beta and tau, and multiple lines of research implicate impaired brain “waste-clearance” pathways (including glymphatic/CSF-mediated clearance) as a factor associated with neurodegenerative risk and progression. Because glymphatic activity is closely linked to CSF dynamics and is influenced by physiological states such as sleep, interventions that measurably modulate CSF movement may warrant further investigation for relevance to Alzheimer’s-related mechanisms.

Measurable Changes in Fluid Dynamics

Using blood-oxygenation level-dependent (BOLD) functional MRI, the researchers observed distinct changes in brain fluid dynamics during the 4-minute stimulation windows.

The stimulation resulted in a 0.3% average increase in the fMRI signal in upper CSF regions. While this percentage sounds small, the researchers calculated that this corresponds to a physical CSF volume increase of between 3% and >20%.

Simultaneously, the “inflow” regions showed a signal decrease consistent with a reduction in CSF inflow velocity of 30% to 120%. This suggests that PBM successfully triggered a “flushing” mechanism, likely driven by vasodilation—the widening of blood vessels which pumps fluid out of the cranium to clear waste.

The Power of the Nasal Channel: Less Energy, Same Result

The most striking finding of the study was the sheer efficiency of the intranasal channel. Researchers tested various power densities (irradiance) to see what was required to stimulate CSF movement.

  • Transcranial (Forehead) Requirement: The tPBM protocol required high irradiance levels, testing between 100 mW/cm² and 200 mW/cm², to achieve significant modulation.

  • Intranasal Requirement: The iPBM protocol achieved comparable physiological results using only 5, 7, and 9 mW/cm².

The study explicitly notes that the energy deposition of the intranasal protocol was on average only 3–5% of the transcranial protocol. Despite utilizing roughly 1/20th of the power, the intranasal method produced a statistically equivalent modulation of CSF dynamics.

Treatment Parameters Value (tPBM) Value (iPBM)
Beam spot size at stimulation site (cm2) 1 cm2 Unknown
Wavelength (nm) 808 or 1064 808 or 1064
Distance from scalp (cm) ~0 ~0
Pulsation frequency (Hz) 10 or 40 10 or 40
Irradiance at stimulation site (mW/cm2) 100, 150, or 200 5, 7, or 9
Duration of stimulation (minutes) 4 4
Photon fluence (J/cm2) 12, 18, or 24 0.6, 0.9, or 1.1
Duty cycle 50% 50%

The Melanin Factor

The study also quantified the “melanin barrier” present in forehead stimulation. In the tPBM (forehead) trials, skin tone had a statistically significant effect on results. Participants with darker skin tones (lower Individual Topology Angles) showed a blunted CSF response because melanin absorbed the photon energy before it could reach the brain.

Intranasal PBM showed 0% dependence on melanin. Because the intranasal applicator bypasses the skin entirely, delivering light through the permeable cribriform plate, the dosage remained consistent and effective regardless of the participant’s physical characteristics.

Biological responses in the brain from transcranial PBM

The Mean fMRI fMRI time courses are shown in blue. In each average, the time courses from all scans of all participants are included, and grouped by the variable of interest only (collapsing across all other variable dimensions). (a) and (d) are grouped by frequency, (b) and (e) grouped by wavelength and (c) and (f) grouped by irradiance. The shaded regions represent the standard error.

No responses were measurable with an irradiance below 20 mW/cm2

Biological responses in the brain from intranasal PBM

The Mean fMRI fMRI time courses are shown in blue. In each average, the time courses from all scans of all participants are included, and grouped by the variable of interest only (collapsing across all other variable dimensions). (a) and (d) are grouped by frequency, (b) and (e) grouped by wavelength and (c) and (f) grouped by irradiance. The shaded regions represent the standard error.

No responses were measurable with an irradiance below 20 mW/cm2

Conclusion

This study provides robust numerical validation for the intranasal PBM approach. By demonstrating that 7–9 mW/cm² delivered intranasally can match the biological impact of 150–200 mW/cm² delivered through the forehead, the research underscores the superior efficiency of the intranasal patent.

For those optimizing for brain health, the intranasal channel offers a scientifically backed “shortcut” to the glymphatic system, achieving maximum impact with minimal energy exposure.

Reference: “PBM can modulate low-frequency dynamics of the cerebrospinal fluid,” Brain Stimulation, 2025.

This article was written by

Dr. Nazanin Hosseinkhah

Vielight | Biomedical Physicist

Nazanin manages brain imaging research projects with photobiomodulation in collaboration with major research organizations, such as the University of Alberta and Baycrest Hospital.

PhD in Medical Biophysics, University of Toronto
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