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Babeliowsky WA, Bot M, Potters WV, van den Munckhof P, Blok ER, de Bie RM, Schuurman R, van Rootselaar A. Deep Brain Stimulation for Orthostatic Tremor: An Observational Study. Mov Disord Clin Pract 2024; 11:676-685. [PMID: 38586984 PMCID: PMC11145120 DOI: 10.1002/mdc3.14035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2023] [Revised: 02/09/2024] [Accepted: 03/12/2024] [Indexed: 04/09/2024] Open
Abstract
BACKGROUND Primary orthostatic tremor (OT) can affect patients' life. Treatment of OT with deep brain stimulation (DBS) of the thalamic ventral intermediate nucleus (Vim) is described in a limited number of patients. The Vim and posterior subthalamic area (PSA) can be targeted in a single trajectory, allowing both stimulation of the Vim and/or dentatorubrothalamic tract (DRT). In essential tremor this is currently often used with positive effects. OBJECTIVE To evaluate the efficacy of Vim/DRT-DBS in OT-patients, based on standing time and Quality of Life (QoL), also on the long-term. Furthermore, to relate stimulation of the Vim and DRT, medial lemniscus (ML) and pyramidal tract (PT) to beneficial clinical and side-effects. METHODS Nine severely affected OT-patients received bilateral Vim/DRT-DBS. Primary outcome measure was standing time; secondary measures included self-reported measures, neurophysiological measures, structural analyses, surgical complications, stimulation-induced side-effects, and QoL up to 56 months. Stimulation of volume of tissue activated (VTA) were related to outcome measures. RESULTS Average maximum standing time increased from 41.0 s ± 51.0 s to 109.3 s ± 65.0 s after 18 months, with improvements measured in seven of nine patients. VTA (n = 7) overlapped with the DRT in six patients and with the ML and/or PT in six patients. All patients experienced side-effects and QoL worsened during the first year after surgery, which improved again during long-term follow-up, although remaining below age-related normal values. Most patients reported a positive effect of DBS. CONCLUSION Vim/DRT-DBS improved standing time in patients with severe OT. Observed side-effects are possibly related to stimulation of the ML and PT.
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Affiliation(s)
- Wietske A. Babeliowsky
- Neurology and Clinical NeurophysiologyAmsterdam UMC location University of AmsterdamAmsterdamThe Netherlands
| | - Maarten Bot
- NeurosurgeryAmsterdam UMC location University of AmsterdamAmsterdamThe Netherlands
| | - Wouter V. Potters
- Neurology and Clinical NeurophysiologyAmsterdam UMC location University of AmsterdamAmsterdamThe Netherlands
| | | | - Edwin R. Blok
- Neurology and Clinical NeurophysiologyAmsterdam UMC location University of AmsterdamAmsterdamThe Netherlands
| | - Rob M.A. de Bie
- Neurology and Clinical NeurophysiologyAmsterdam UMC location University of AmsterdamAmsterdamThe Netherlands
- Amsterdam NeuroscienceNeurodegenerationAmsterdamThe Netherlands
| | - Rick Schuurman
- NeurosurgeryAmsterdam UMC location University of AmsterdamAmsterdamThe Netherlands
| | - Anne‐Fleur van Rootselaar
- Neurology and Clinical NeurophysiologyAmsterdam UMC location University of AmsterdamAmsterdamThe Netherlands
- Amsterdam NeuroscienceNeurodegenerationAmsterdamThe Netherlands
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2
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Elias GJB, Germann J, Joel SE, Li N, Horn A, Boutet A, Lozano AM. A large normative connectome for exploring the tractographic correlates of focal brain interventions. Sci Data 2024; 11:353. [PMID: 38589407 PMCID: PMC11002007 DOI: 10.1038/s41597-024-03197-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2023] [Accepted: 03/28/2024] [Indexed: 04/10/2024] Open
Abstract
Diffusion-weighted MRI (dMRI) is a widely used neuroimaging modality that permits the in vivo exploration of white matter connections in the human brain. Normative structural connectomics - the application of large-scale, group-derived dMRI datasets to out-of-sample cohorts - have increasingly been leveraged to study the network correlates of focal brain interventions, insults, and other regions-of-interest (ROIs). Here, we provide a normative, whole-brain connectome in MNI space that enables researchers to interrogate fiber streamlines that are likely perturbed by given ROIs, even in the absence of subject-specific dMRI data. Assembled from multi-shell dMRI data of 985 healthy Human Connectome Project subjects using generalized Q-sampling imaging and multispectral normalization techniques, this connectome comprises ~12 million unique streamlines, the largest to date. It has already been utilized in at least 18 peer-reviewed publications, most frequently in the context of neuromodulatory interventions like deep brain stimulation and focused ultrasound. Now publicly available, this connectome will constitute a useful tool for understanding the wider impact of focal brain perturbations on white matter architecture going forward.
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Affiliation(s)
- Gavin J B Elias
- Division of Neurosurgery, Department of Surgery, University Health Network and University of Toronto, Toronto, Canada
- Krembil Research Institute, University of Toronto, Toronto, Canada
| | - Jürgen Germann
- Division of Neurosurgery, Department of Surgery, University Health Network and University of Toronto, Toronto, Canada
- Krembil Research Institute, University of Toronto, Toronto, Canada
- Center for Advancing Neurotechnological Innovation to Application (CRANIA), University Health Network, Toronto, Canada
| | | | - Ningfei Li
- Department of Neurology, Charité-Universitätsmedizin Berlin, Berlin, Germany
| | - Andreas Horn
- Department of Neurology, Charité-Universitätsmedizin Berlin, Berlin, Germany
- Einstein Center for Neurosciences Berlin, Charité-Universitätsmedizin Berlin, Berlin, Germany
- Center for Brain Circuit Therapeutics, Department of Neurology, Brigham & Women's Hospital, Harvard Medical School, Boston, USA
- Department of Neurosurgery, Massachusetts General Hospital, Harvard Medical School, Boston, USA
| | - Alexandre Boutet
- Division of Neurosurgery, Department of Surgery, University Health Network and University of Toronto, Toronto, Canada
- Krembil Research Institute, University of Toronto, Toronto, Canada
- Joint Department of Medical Imaging, University of Toronto, Toronto, Canada
| | - Andres M Lozano
- Division of Neurosurgery, Department of Surgery, University Health Network and University of Toronto, Toronto, Canada.
- Krembil Research Institute, University of Toronto, Toronto, Canada.
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3
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Kenney JPM, Milena Rueda-Delgado L, Hanlon EO, Jollans L, Kelleher I, Healy C, Dooley N, McCandless C, Frodl T, Leemans A, Lebel C, Whelan R, Cannon M. Neuroanatomical markers of psychotic experiences in adolescents: A machine-learning approach in a longitudinal population-based sample. Neuroimage Clin 2022; 34:102983. [PMID: 35287090 PMCID: PMC8920932 DOI: 10.1016/j.nicl.2022.102983] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2021] [Revised: 03/01/2022] [Accepted: 03/02/2022] [Indexed: 11/25/2022]
Abstract
It is important to identify accurate markers of psychiatric illness to aid early prediction of disease course. Subclinical psychotic experiences (PEs) are important risk factors for later mental ill-health and suicidal behaviour. This study used machine learning to investigate neuroanatomical markers of PEs in early and later stages of adolescence. Machine learning using logistic regression using Elastic Net regularization was applied to T1-weighted and diffusion MRI data to classify adolescents with subclinical psychotic experiences vs. controls across 3 timepoints (Time 1:11-13 years, n = 77; Time 2:14-16 years, n = 56; Time 3:18-20 years, n = 40). Neuroimaging data classified adolescents aged 11-13 years with current PEs vs. controls returning an AROC of 0.62, significantly better than a null model, p = 1.73e-29. Neuroimaging data also classified those with PEs at 18-20 years (AROC = 0.59;P = 7.19e-10) but performance was at chance level at 14-16 years (AROC = 0.50). Left hemisphere frontal regions were top discriminant classifiers for 11-13 years-old adolescents with PEs, particularly pars opercularis. Those with future PEs at 18-20 years-old were best distinguished from controls based on left frontal regions, right-hemisphere medial lemniscus, cingulum bundle, precuneus and genu of the corpus callosum (CC). Deviations from normal adolescent brain development in young people with PEs included an acceleration in the typical pattern of reduction in left frontal thickness and right parietal curvature, and accelerated progression of microstructural changes in right white matter and corpus callosum. These results emphasise the importance of multi-modal analysis for understanding adolescent PEs and provide important new insights into early phenotypes for psychotic experiences.
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Affiliation(s)
- Joanne P M Kenney
- School of Psychology, Trinity College Dublin, Dublin 2, Ireland; Trinity College Institute of Neuroscience, Trinity College Dublin, Dublin 2, Ireland; School of Psychology, Dublin City University, Dublin, Ireland
| | - Laura Milena Rueda-Delgado
- School of Psychology, Trinity College Dublin, Dublin 2, Ireland; Trinity College Institute of Neuroscience, Trinity College Dublin, Dublin 2, Ireland
| | - Erik O Hanlon
- Trinity College Institute of Neuroscience, Trinity College Dublin, Dublin 2, Ireland; Department of Psychiatry, Royal College of Surgeons in Ireland, University of Medicine and Health Sciences, Dublin 2, Ireland
| | - Lee Jollans
- School of Psychology, Trinity College Dublin, Dublin 2, Ireland
| | - Ian Kelleher
- Department of Psychiatry, Royal College of Surgeons in Ireland, University of Medicine and Health Sciences, Dublin 2, Ireland
| | - Colm Healy
- Department of Psychiatry, Royal College of Surgeons in Ireland, University of Medicine and Health Sciences, Dublin 2, Ireland
| | - Niamh Dooley
- Trinity College Institute of Neuroscience, Trinity College Dublin, Dublin 2, Ireland; Department of Psychiatry, Royal College of Surgeons in Ireland, University of Medicine and Health Sciences, Dublin 2, Ireland
| | - Conor McCandless
- Department of Psychiatry, Royal College of Surgeons in Ireland, University of Medicine and Health Sciences, Dublin 2, Ireland
| | - Thomas Frodl
- School of Medicine, Trinity College Dublin, Dublin 2, Ireland
| | - Alexander Leemans
- Images Sciences Institute, University Medical Center Utrecht, The Netherlands
| | - Catherine Lebel
- Alberta Children's Hospital Research Institute and the Hotchkiss Brain Institute, University of Calgary, Calgary, AB, Canada
| | - Robert Whelan
- School of Psychology, Trinity College Dublin, Dublin 2, Ireland; Global Brain Health Institute, Trinity College Dublin, Dublin 2, Ireland
| | - Mary Cannon
- Trinity College Institute of Neuroscience, Trinity College Dublin, Dublin 2, Ireland; Department of Psychiatry, Royal College of Surgeons in Ireland, University of Medicine and Health Sciences, Dublin 2, Ireland
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4
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A methodological scoping review of the integration of fMRI to guide dMRI tractography. What has been done and what can be improved: A 20-year perspective. J Neurosci Methods 2022; 367:109435. [PMID: 34915047 DOI: 10.1016/j.jneumeth.2021.109435] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2021] [Revised: 11/30/2021] [Accepted: 12/02/2021] [Indexed: 11/23/2022]
Abstract
Combining MRI modalities is a growing trend in neurosciences. It provides opportunities to investigate the brain architecture supporting cognitive functions. Integrating fMRI activation to guide dMRI tractography offers potential advantages over standard tractography methods. A quick glimpse of the literature on this topic reveals that this technique is challenging, and no consensus or "best practices" currently exist, at least not within a single document. We present the first attempt to systematically analyze and summarize the literature of 80 studies that integrated task-based fMRI results to guide tractography, over the last two decades. We report 19 findings that cover challenges related to sample size, microstructure modelling, seeding methods, multimodal space registration, false negatives/positives, specificity/validity, gray/white matter interface and more. These findings will help the scientific community (1) understand the strengths and limitations of the approaches, (2) design studies using this integrative framework, and (3) motivate researchers to fill the gaps identified. We provide references toward best practices, in order to improve the overall result's replicability, sensitivity, specificity, and validity.
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5
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Petrovic BD, Burman D, Chowdhry S, Bailes JE, Meyer J. Pictorial essay: How co-registered BOLD fMRI and DTI data can improve diffusion tensor tractography. INTERDISCIPLINARY NEUROSURGERY 2021. [DOI: 10.1016/j.inat.2021.101258] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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6
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Kenzie JM, Findlater SE, Pittman DJ, Goodyear BG, Dukelow SP. Errors in proprioceptive matching post-stroke are associated with impaired recruitment of parietal, supplementary motor, and temporal cortices. Brain Imaging Behav 2020; 13:1635-1649. [PMID: 31218533 DOI: 10.1007/s11682-019-00149-w] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
Abstract
Deficits in proprioception, the ability to discriminate the relative position and movement of our limbs, affect ~50% of stroke patients and reduce functional outcomes. Our lack of knowledge of the anatomical correlates of proprioceptive processing limits our understanding of the impact that such deficits have on recovery. This research investigated the relationship between functional impairment in brain activity and proprioception post-stroke. We developed a novel device and task for arm position matching during functional MRI (fMRI), and investigated 16 subjects with recent stroke and nine healthy age-matched controls. The stroke-affected arm was moved by an experimenter (passive arm), and subjects were required to match the position of this limb with the opposite arm (active arm). Brain activity during passive and active arm movements was determined, as well as activity in association with performance error. Passive arm movement in healthy controls was associated with activity in contralateral primary somatosensory (SI) and motor cortices (MI), bilateral parietal cortex, supplementary (SMA) and premotor cortices, secondary somatosensory cortices (SII), and putamen. Active arm matching was associated with activity in contralateral SI, MI, bilateral SMA, premotor cortex, putamen, and ipsilateral cerebellum. In subjects with stroke, similar patterns of activity were observed. However, in stroke subjects, greater proprioceptive error was associated with less activity in ipsilesional supramarginal and superior temporal gyri, and lateral thalamus. During active arm movement, greater proprioceptive error was associated with less activity in bilateral SMA and ipsilesional premotor cortex. Our results enhance our understanding of the correlates of proprioception within the temporal parietal cortex and supplementary/premotor cortices. These findings also offer potential targets for therapeutic intervention to improve proprioception in recovering stroke patients and thus improve functional outcome.
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Affiliation(s)
- Jeffrey M Kenzie
- Department of Clinical Neurosciences, University of Calgary, 1403 29th St NW, South Tower - Room 905, Calgary, Alberta, T2N 2T9, Canada. .,Seaman Family MR Research Centre, Foothills Medical Centre, Alberta Health Services, Calgary, Canada. .,Hotchkiss Brain Institute, University of Calgary, Calgary, Canada. .,Cumming School of Medicine, Faculty of Medicine, University of Calgary, Calgary, Canada.
| | - Sonja E Findlater
- Department of Clinical Neurosciences, University of Calgary, 1403 29th St NW, South Tower - Room 905, Calgary, Alberta, T2N 2T9, Canada.,Seaman Family MR Research Centre, Foothills Medical Centre, Alberta Health Services, Calgary, Canada.,Hotchkiss Brain Institute, University of Calgary, Calgary, Canada
| | - Daniel J Pittman
- Seaman Family MR Research Centre, Foothills Medical Centre, Alberta Health Services, Calgary, Canada.,Hotchkiss Brain Institute, University of Calgary, Calgary, Canada.,Cumming School of Medicine, Faculty of Medicine, University of Calgary, Calgary, Canada
| | - Bradley G Goodyear
- Department of Clinical Neurosciences, University of Calgary, 1403 29th St NW, South Tower - Room 905, Calgary, Alberta, T2N 2T9, Canada.,Seaman Family MR Research Centre, Foothills Medical Centre, Alberta Health Services, Calgary, Canada.,Department of Radiology, University of Calgary, Calgary, Canada.,Hotchkiss Brain Institute, University of Calgary, Calgary, Canada.,Cumming School of Medicine, Faculty of Medicine, University of Calgary, Calgary, Canada
| | - Sean P Dukelow
- Department of Clinical Neurosciences, University of Calgary, 1403 29th St NW, South Tower - Room 905, Calgary, Alberta, T2N 2T9, Canada.,Hotchkiss Brain Institute, University of Calgary, Calgary, Canada.,Cumming School of Medicine, Faculty of Medicine, University of Calgary, Calgary, Canada
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7
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Yang Z, Li X, Zhou J, Wu X, Ding Z. Functional clustering of whole brain white matter fibers. J Neurosci Methods 2020; 335:108626. [PMID: 32032716 PMCID: PMC7093303 DOI: 10.1016/j.jneumeth.2020.108626] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2019] [Revised: 12/28/2019] [Accepted: 02/03/2020] [Indexed: 10/25/2022]
Abstract
BACKGROUND Large numbers of fibers produced by fiber tractography are often grouped into bundles with anatomical interpretations. Traditional clustering methods usually generate bundles with spatial anatomic coherences only. To associate bundles with function, some studies incorporate functional connectivity of grey matter to guide clustering on the premise that fibers provide the basis of information transmission for cortex. However, functional properties along fiber tracts were ignored by these methods. Considering several recent studies showing that BOLD (Blood-Oxygen-Level Dependent) signals of white matter contain functional information of axonal fibers, this work is motivated to demonstrate that whole brain white matter fibers can be clustered with integration of functional and structural information they contain. NEW METHODS We proposed a novel algorithm based on Gaussian mixture model and expectation maximization to achieve optimal bundling with both structural and functional coherences. The functional coherence between two fibers is defined as the average correlation in BOLD signal between corresponding points. Whole brain fibers under resting state and sensory stimulation conditions were used to demonstrate the effectiveness of the proposed technique. RESULTS Our in vivo experiments show the robustness of proposed algorithm and influences of weights between structure and function, and repeatability of reconstructed major bundles across individuals. COMPARISON WITH EXISTING METHODS In contrast to traditional methods, the proposed clustering method can achieve structurally more compact bundles, which are specifically related to evoking function. CONCLUSION The proposed concept and framework can be used to identify functional pathways and their structural features under specific function loading.
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Affiliation(s)
- Zhipeng Yang
- Department of Computer Science, Chengdu University of Information Technology, Chengdu, 610225, PR China; College of Electronic Engineering, Chengdu University of Information Technology, Chengdu, 610225, PR China
| | - Xiaojie Li
- Department of Computer Science, Chengdu University of Information Technology, Chengdu, 610225, PR China
| | - Jiliu Zhou
- Department of Computer Science, Chengdu University of Information Technology, Chengdu, 610225, PR China
| | - Xi Wu
- Department of Computer Science, Chengdu University of Information Technology, Chengdu, 610225, PR China
| | - Zhaohua Ding
- Vanderbilt University Institute of Imaging Science, Nashville, TN, 37232, United States; Department of Electrical Engineering and Computer Science, Vanderbilt University, Nashville, TN, 37232, United States; Department of Biomedical Engineering, Vanderbilt University, Nashville, TN, 37232, United States.
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8
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Sanvito F, Caverzasi E, Riva M, Jordan KM, Blasi V, Scifo P, Iadanza A, Crespi SA, Cirillo S, Casarotti A, Leonetti A, Puglisi G, Grimaldi M, Bello L, Gorno-Tempini ML, Henry RG, Falini A, Castellano A. fMRI-Targeted High-Angular Resolution Diffusion MR Tractography to Identify Functional Language Tracts in Healthy Controls and Glioma Patients. Front Neurosci 2020; 14:225. [PMID: 32296301 PMCID: PMC7136614 DOI: 10.3389/fnins.2020.00225] [Citation(s) in RCA: 19] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2019] [Accepted: 03/02/2020] [Indexed: 12/19/2022] Open
Abstract
BACKGROUND MR Tractography enables non-invasive preoperative depiction of language subcortical tracts, which is crucial for the presurgical work-up of brain tumors; however, it cannot evaluate the exact function of the fibers. PURPOSE A systematic pipeline was developed to combine tractography reconstruction of language fiber bundles, based on anatomical landmarks (Anatomical-T), with language fMRI cortical activations. A fMRI-targeted Tractography (fMRI-T) was thus obtained, depicting the subsets of the anatomical tracts whose endpoints are located inside a fMRI activation. We hypothesized that fMRI-T could provide additional functional information regarding the subcortical structures, better reflecting the eloquent white matter structures identified intraoperatively. METHODS Both Anatomical-T and fMRI-T of language fiber tracts were performed on 16 controls and preoperatively on 16 patients with left-hemisphere brain tumors, using a q-ball residual bootstrap algorithm based on High Angular Resolution Diffusion Imaging (HARDI) datasets (b = 3000 s/mm2; 60 directions); fMRI ROIs were obtained using picture naming, verbal fluency, and auditory verb generation tasks. In healthy controls, normalized MNI atlases of fMRI-T and Anatomical-T were obtained. In patients, the surgical resection of the tumor was pursued by identifying eloquent structures with intraoperative direct electrical stimulation mapping and extending surgery to the functional boundaries. Post-surgical MRI allowed to identify Anatomical-T and fMRI-T non-eloquent portions removed during the procedure. RESULTS MNI Atlases showed that fMRI-T is a subset of Anatomical-T, and that different task-specific fMRI-T involve both shared subsets and task-specific subsets - e.g., verbal fluency fMRI-T strongly involves dorsal frontal tracts, consistently with the phonogical-articulatory features of this task. A quantitative analysis in patients revealed that Anatomical-T removed portions of AF-SLF and IFOF were significantly greater than verbal fluency fMRI-T ones, suggesting that fMRI-T is a more specific approach. In addition, qualitative analyses showed that fMRI-T AF-SLF and IFOF predict the exact functional limits of resection with increased specificity when compared to Anatomical-T counterparts, especially the superior frontal portion of IFOF, in a subcohort of patients. CONCLUSION These results suggest that performing fMRI-T in addition to the 'classic' Anatomical-T may be useful in a preoperative setting to identify the 'high-risk subsets' that should be spared during the surgical procedure.
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Affiliation(s)
- Francesco Sanvito
- Neuroradiology Unit and CERMAC, IRCCS San Raffaele Scientific Institute, Milan, Italy
- School of Medicine, Vita-Salute San Raffaele University, Milan, Italy
| | - Eduardo Caverzasi
- UCSF Weill Institute for Neurosciences, Department of Neurology, University of California, San Francisco, San Francisco, CA, United States
| | - Marco Riva
- Department of Medical Biotechnology and Translational Medicine, Università degli Studi di Milano, Milan, Italy
- Neurosurgical Oncology Unit, Humanitas Clinical and Research Center – IRCCS, Rozzano, Italy
| | - Kesshi M. Jordan
- UCSF Weill Institute for Neurosciences, Department of Neurology, University of California, San Francisco, San Francisco, CA, United States
| | | | - Paola Scifo
- Nuclear Medicine Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy
| | - Antonella Iadanza
- Neuroradiology Unit and CERMAC, IRCCS San Raffaele Scientific Institute, Milan, Italy
- School of Medicine, Vita-Salute San Raffaele University, Milan, Italy
| | - Sofia Allegra Crespi
- Neuroradiology Unit and CERMAC, IRCCS San Raffaele Scientific Institute, Milan, Italy
- School of Psychology, Vita-Salute San Raffaele University, Milan, Italy
| | - Sara Cirillo
- Neuroradiology Unit and CERMAC, IRCCS San Raffaele Scientific Institute, Milan, Italy
- School of Medicine, Vita-Salute San Raffaele University, Milan, Italy
| | - Alessandra Casarotti
- Neurosurgical Oncology Unit, Humanitas Clinical and Research Center – IRCCS, Rozzano, Italy
| | - Antonella Leonetti
- Department of Medical Biotechnology and Translational Medicine, Università degli Studi di Milano, Milan, Italy
| | - Guglielmo Puglisi
- Department of Medical Biotechnology and Translational Medicine, Università degli Studi di Milano, Milan, Italy
| | - Marco Grimaldi
- Neuroradiology Unit, Humanitas Clinical and Research Center – IRCCS, Rozzano, Italy
| | - Lorenzo Bello
- Neurosurgical Oncology Unit, Humanitas Clinical and Research Center – IRCCS, Rozzano, Italy
- Department of Oncology and Hemato-Oncology, Università degli Studi di Milano, Milan, Italy
| | - Maria Luisa Gorno-Tempini
- UCSF Weill Institute for Neurosciences, Department of Neurology, University of California, San Francisco, San Francisco, CA, United States
| | - Roland G. Henry
- UCSF Weill Institute for Neurosciences, Department of Neurology, University of California, San Francisco, San Francisco, CA, United States
| | - Andrea Falini
- Neuroradiology Unit and CERMAC, IRCCS San Raffaele Scientific Institute, Milan, Italy
- School of Medicine, Vita-Salute San Raffaele University, Milan, Italy
| | - Antonella Castellano
- Neuroradiology Unit and CERMAC, IRCCS San Raffaele Scientific Institute, Milan, Italy
- School of Medicine, Vita-Salute San Raffaele University, Milan, Italy
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Neural Tract Injuries Revealed by Diffusion Tensor Tractography in a Patient With Severe Heat Stroke. Am J Phys Med Rehabil 2019; 99:e97-e100. [PMID: 31464756 DOI: 10.1097/phm.0000000000001291] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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10
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Hofstetter S, Sabbah N, Mohand-Saïd S, Sahel JA, Habas C, Safran AB, Amedi A. The development of white matter structural changes during the process of deterioration of the visual field. Sci Rep 2019; 9:2085. [PMID: 30765782 PMCID: PMC6375971 DOI: 10.1038/s41598-018-38430-5] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2018] [Accepted: 12/27/2018] [Indexed: 12/02/2022] Open
Abstract
Emerging evidence suggests that white matter plasticity in the adult brain is preserved after sensory and behavioral modifications. However, little is known about the progression of structural changes during the process of decline in visual input. Here we studied two groups of patients suffering from advanced retinitis pigmentosa with specific deterioration of the visual field: patients who had lost their peripheral visual field, retaining only central (“tunnel”) vision, and blind patients with complete visual field loss. Testing of these homogeneous groups made it possible to assess the extent to which the white matter is affected by loss of partial visual input and whether partially preserved visual input suffices to sustain stability in tracts beyond the primary visual system. Our results showed gradual changes in diffusivity that are indicative of degenerative processes in the primary visual pathway comprising the optic tract and the optic radiation. Interestingly, changes were also found in tracts of the ventral stream and the corticospinal fasciculus, depicting a gradual reorganisation of these tracts consequentially to the gradual loss of visual field coverage (from intact perception to partial vision to complete blindness). This reorganisation may point to microstructural plasticity underlying adaptive behavior and cross-modal integration after partial visual deprivation.
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Affiliation(s)
- Shir Hofstetter
- Department of Medical Neurobiology, The Institute for Medical Research Israel-Canada, Faculty of Medicine, The Hebrew University of Jerusalem, 91220, Jerusalem, Israel. .,The Edmond and Lily Safra Center for Brain Sciences, The Hebrew University of Jerusalem, 91220, Jerusalem, Israel.
| | - Norman Sabbah
- Sorbonne Université, INSERM, CNRS, Institut de la Vision, F-75012, Paris, France
| | - Saddek Mohand-Saïd
- Sorbonne Université, INSERM, CNRS, Institut de la Vision, F-75012, Paris, France.,CHNO des Quinze-Vingts, DHU Sight Restore, INSERM-DGOS CIC 1423, F-75012, Paris, France
| | - José-Alain Sahel
- Sorbonne Université, INSERM, CNRS, Institut de la Vision, F-75012, Paris, France.,CHNO des Quinze-Vingts, DHU Sight Restore, INSERM-DGOS CIC 1423, F-75012, Paris, France.,Fondation Ophtalmologique A. de Rothschild, F-75019, Paris, France.,Department of Ophthalmology, University of Pittsburgh School of Medicine, Pittsburgh, PA, 15213, USA
| | - Christophe Habas
- Sorbonne Université, INSERM, CNRS, Institut de la Vision, F-75012, Paris, France.,CHNO des Quinze-Vingts, DHU Sight Restore, INSERM-DGOS CIC 1423, F-75012, Paris, France.,Centre de Neuro-Imagerie, Centre Hospitalier National d'Ophtalmologie des Quinze-Vingts, Paris, F-75012, France
| | - Avinoam B Safran
- Sorbonne Université, INSERM, CNRS, Institut de la Vision, F-75012, Paris, France.,CHNO des Quinze-Vingts, DHU Sight Restore, INSERM-DGOS CIC 1423, F-75012, Paris, France.,Department of Clinical Neurosciences, Geneva University School of Medicine, Geneva, Switzerland
| | - Amir Amedi
- Department of Medical Neurobiology, The Institute for Medical Research Israel-Canada, Faculty of Medicine, The Hebrew University of Jerusalem, 91220, Jerusalem, Israel. .,The Edmond and Lily Safra Center for Brain Sciences, The Hebrew University of Jerusalem, 91220, Jerusalem, Israel. .,Sorbonne Université, INSERM, CNRS, Institut de la Vision, F-75012, Paris, France. .,The Cognitive Science Program, The Hebrew University of Jerusalem, 91220, Jerusalem, Israel.
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11
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Korthauer LE, Zhan L, Ajilore O, Leow A, Driscoll I. Disrupted topology of the resting state structural connectome in middle-aged APOE ε4 carriers. Neuroimage 2018; 178:295-305. [PMID: 29803958 PMCID: PMC6249680 DOI: 10.1016/j.neuroimage.2018.05.052] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2017] [Revised: 05/04/2018] [Accepted: 05/22/2018] [Indexed: 01/08/2023] Open
Abstract
The apolipoprotein E (APOE) ε4 allele is the best characterized genetic risk factor for Alzheimer's disease to date. Older APOE ε4 carriers (aged 60 + years) are known to have disrupted structural and functional connectivity, but less is known about APOE-associated network integrity in middle age. The goal of this study was to characterize APOE-related differences in network topology in middle age, as disentangling the early effects of healthy versus pathological aging may aid early detection of Alzheimer's disease and inform treatments. We performed resting state functional magnetic resonance imaging (rs-fMRI) and diffusion tensor imaging (DTI) in healthy, cognitively normal, middle-aged adults (age 40-60; N = 76, 38 APOE ε4 carriers). Graph theoretical analysis was used to calculate local and global efficiency of 1) a whole brain rs-fMRI network; 2) a whole brain DTI network; and 3) the resting state structural connectome (rsSC), an integrated functional-structural network derived using functional-by-structural hierarchical (FSH) mapping. Our results indicated no APOE ε4-associated differences in network topology of the rs-fMRI or DTI networks alone. However, ε4 carriers had significantly lower global and local efficiency of the integrated rsSC compared to non-carriers. Furthermore, ε4 carriers were less resilient to targeted node failure of the rsSC, which mimics the neuropathological process of Alzheimer's disease. Collectively, these findings suggest that integrating multiple neuroimaging modalities and employing graph theoretical analysis may reveal network-level vulnerabilities that may serve as biomarkers of age-related cognitive decline in middle age, decades before the onset of overt cognitive impairment.
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Affiliation(s)
- L E Korthauer
- Department of Psychology, University of Wisconsin-Milwaukee, Milwaukee, WI, USA; Warren Alpert Medical School, Brown University, Providence, RI, USA.
| | - L Zhan
- Engineering and Technology Department, University of Wisconsin-Stout, Menomonie, WI, USA; Department of Electrical and Computer Engineering, University of Pittsburgh, Pittsburgh, PA, USA
| | - O Ajilore
- Department of Psychiatry, University of Illinois at Chicago, Chicago, IL, USA
| | - A Leow
- Department of Psychiatry, University of Illinois at Chicago, Chicago, IL, USA; Department of Bioengineering, University of Illinois at Chicago, Chicago, IL, USA
| | - I Driscoll
- Department of Psychology, University of Wisconsin-Milwaukee, Milwaukee, WI, USA
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12
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Jang SH, Lee HD. Recovery of an injured medial lemniscus with concurrent recovery of pusher syndrome in a stroke patient: a case report. Medicine (Baltimore) 2018; 97:e10963. [PMID: 29851845 PMCID: PMC6392885 DOI: 10.1097/md.0000000000010963] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
RATIONALE A 67-year-old, right-handed male patient underwent craniotomy and drainage for hematoma removal related to an intracerebral hemorrhage (ICH) in the right thalamus and basal ganglia at the neurosurgery department of a university hospital. PATIENT CONCERNS He presented with severe motor weakness of left extremities, impairment of proprioception, and severe pusher syndrome at the start of rehabilitation. DIAGNOSES He was diagnosed as ICH in the right thalamus and basal ganglia. INTERVENTIONS The patient received comprehensive rehabilitative therapy, movement therapy, and somatosensory stimulation. OUTCOMES Four months after onset, left leg motor function (Motricity Index [MI] = 51) did not show significant recovery from that at two months after onset (MI = 41); however, in the same period, Nottingham Sensory Assessment and scale for contraversive pushing significantly improved. At four months, the patient was able to stand independently but required manual contact of one person during independent walking on an even floor. At seven months after onset, he was able to walk independently on an even floor. LESSONS Recovery of a severely injured medial lemniscus with concurrent recovery of impaired proprioception and pusher syndrome.
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13
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Chu SH, Parhi KK, Lenglet C. Function-specific and Enhanced Brain Structural Connectivity Mapping via Joint Modeling of Diffusion and Functional MRI. Sci Rep 2018; 8:4741. [PMID: 29549287 PMCID: PMC5856752 DOI: 10.1038/s41598-018-23051-9] [Citation(s) in RCA: 31] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2017] [Accepted: 02/22/2018] [Indexed: 12/20/2022] Open
Abstract
A joint structural-functional brain network model is presented, which enables the discovery of function-specific brain circuits, and recovers structural connections that are under-estimated by diffusion MRI (dMRI). Incorporating information from functional MRI (fMRI) into diffusion MRI to estimate brain circuits is a challenging task. Usually, seed regions for tractography are selected from fMRI activation maps to extract the white matter pathways of interest. The proposed method jointly analyzes whole brain dMRI and fMRI data, allowing the estimation of complete function-specific structural networks instead of interactively investigating the connectivity of individual cortical/sub-cortical areas. Additionally, tractography techniques are prone to limitations, which can result in erroneous pathways. The proposed framework explicitly models the interactions between structural and functional connectivity measures thereby improving anatomical circuit estimation. Results on Human Connectome Project (HCP) data demonstrate the benefits of the approach by successfully identifying function-specific anatomical circuits, such as the language and resting-state networks. In contrast to correlation-based or independent component analysis (ICA) functional connectivity mapping, detailed anatomical connectivity patterns are revealed for each functional module. Results on a phantom (Fibercup) also indicate improvements in structural connectivity mapping by rejecting false-positive connections with insufficient support from fMRI, and enhancing under-estimated connectivity with strong functional correlation.
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Affiliation(s)
- Shu-Hsien Chu
- Electrical and Computer Engineering Department, University of Minnesota, Minneapolis, 55455, USA
| | - Keshab K Parhi
- Electrical and Computer Engineering Department, University of Minnesota, Minneapolis, 55455, USA
| | - Christophe Lenglet
- Center for Magnetic Resonance Research, University of Minnesota, Minneapolis, 55455, USA.
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14
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Gupta D, Barachant A, Gordon AM, Ferre C, Kuo HC, Carmel JB, Friel KM. Effect of sensory and motor connectivity on hand function in pediatric hemiplegia. Ann Neurol 2017; 82:766-780. [PMID: 29034483 DOI: 10.1002/ana.25080] [Citation(s) in RCA: 35] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2017] [Revised: 10/12/2017] [Accepted: 10/13/2017] [Indexed: 11/07/2022]
Abstract
OBJECTIVE We tested the hypothesis that somatosensory system injury would more strongly affect movement than motor system injury in children with unilateral cerebral palsy (USCP). This hypothesis was based on how somatosensory and corticospinal circuits adapt to injury during development; whereas the motor system can maintain connections to the impaired hand from the uninjured hemisphere, this does not occur in the somatosensory system. As a corollary, cortical injury strongly impairs sensory function, so we hypothesized that cortical lesions would impair hand function more than subcortical lesions. METHODS Twenty-four children with unilateral cerebral palsy had physiological and anatomical measures of the motor and somatosensory systems and lesion classification. Motor physiology was performed with transcranial magnetic stimulation and somatosensory physiology with vibration-evoked electroencephalographic potentials. Tractography of the corticospinal tract and the medial lemniscus was performed with diffusion tensor imaging, and lesions were classified by magnetic resonance imaging. Anatomical and physiological results were correlated with measures of hand function using 2 independent statistical methods. RESULTS Children with disruptions in the somatosensory connectivity and cortical lesions had the most severe upper extremity impairments, particularly somatosensory function. Motor system connectivity was significantly correlated with bimanual function, but not unimanual function or somatosensory function. INTERPRETATION Both sensory and motor connectivity impact hand function in children with USCP. Somatosensory connectivity could be an important target for recovery of hand function in children with USCP. Ann Neurol 2017;82:766-780.
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Affiliation(s)
- Disha Gupta
- Burke Medical Research Institute, White Plains, NY.,Weill Cornell Medicine, New York, NY.,Computational Science and Engineering, Cornell University, Ithaca, NY.,Helen Hayes Hospital, West Haverstraw, NY
| | | | | | | | - Hsing-Ching Kuo
- Alberta Children's Hospital Research Institute, University of Calgary, Calgary, Alberta, Canada
| | - Jason B Carmel
- Burke Medical Research Institute, White Plains, NY.,Weill Cornell Medicine, New York, NY.,Blythedale Children's Hospital, Valhalla, NY
| | - Kathleen M Friel
- Burke Medical Research Institute, White Plains, NY.,Weill Cornell Medicine, New York, NY.,Blythedale Children's Hospital, Valhalla, NY
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15
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Rodríguez-Mena R, Piquer-Belloch J, Llácer-Ortega JL, Riesgo-Suárez P, Rovira-Lillo V. [3D anatomy of cerebellar peduncles based on fibre microdissection and a demonstration with tractography]. Neurocirugia (Astur) 2016; 28:111-123. [PMID: 27986388 DOI: 10.1016/j.neucir.2016.10.001] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2016] [Revised: 10/02/2016] [Accepted: 10/30/2016] [Indexed: 10/20/2022]
Abstract
OBJECTIVE To perform an anatomical and radiological study, using fibre microdissection and diffusion tensor tractography (DTT), to demonstrate the three-dimensionality of the superior, middle and inferior cerebellar peduncles. MATERIAL AND METHODS A total of 15 brain-stem, 15 cerebellar hemispheres, and 5 brain hemispheres were dissected in the laboratory under the operating microscope with microsurgical instruments between July 2014 and July 2015. Brain magnetic resonance imaging was obtained from 15 healthy subjects between July and December of 2015, using diffusion-weighted images, in order to reproduce the cerebellar peduncles on DTT. RESULTS The main bundles of the cerebellar peduncles were demonstrated and delineated along most of their trajectory in the cerebellum and brain-stem, noticing their overall anatomical relationship to one another and with other white matter tracts and the grey matter nuclei the surround them, with their corresponding representations on DTT. CONCLUSIONS The arrangement, architecture, and general topography of the cerebellar peduncles were able to be distinguished using the fibre microdissection technique. This knowledge has given a unique and profound anatomical perspective, supporting the correct representation and interpretation of DTT images. This information should be incorporated in the clinical scenario in order to assist surgeons in the detailed and critical analysis of lesions that may be located near these main bundles in the cerebellum and/or brain-stem, and therefore, improve the surgical planning and achieve a safer and more precise microsurgical technique.
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Affiliation(s)
- Ruben Rodríguez-Mena
- Hospital Universitario de la Ribera, Alzira, Valencia, España; Cátedra de Neurociencias - Fundación NISA-CEU, Valencia, España.
| | - José Piquer-Belloch
- Hospital Universitario de la Ribera, Alzira, Valencia, España; Cátedra de Neurociencias - Fundación NISA-CEU, Valencia, España
| | - José Luis Llácer-Ortega
- Hospital Universitario de la Ribera, Alzira, Valencia, España; Cátedra de Neurociencias - Fundación NISA-CEU, Valencia, España
| | - Pedro Riesgo-Suárez
- Hospital Universitario de la Ribera, Alzira, Valencia, España; Cátedra de Neurociencias - Fundación NISA-CEU, Valencia, España
| | - Vicente Rovira-Lillo
- Hospital Universitario de la Ribera, Alzira, Valencia, España; Cátedra de Neurociencias - Fundación NISA-CEU, Valencia, España
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16
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Rodríguez-Mena R, Türe U. The Medial and Lateral Lemnisci: Anatomically Adjoined But Functionally Distinct Fiber Tracts. World Neurosurg 2016; 99:241-250. [PMID: 27890749 DOI: 10.1016/j.wneu.2016.11.095] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2016] [Revised: 11/14/2016] [Accepted: 11/15/2016] [Indexed: 11/17/2022]
Abstract
OBJECTIVE The dense and complex distribution of neural structures in the brainstem makes it challenging to understand their real configuration. We used the fiber microdissection technique to show the course of the medial and lateral lemnisci within the brainstem. Although these structures seem anatomically alike, they are functionally distinct. METHODS Fifteen human brainstems and 8 brain hemispheres (formalin-fixed and previously frozen) were dissected and studied under the operating microscope by applying the fiber microdissection technique. RESULTS We delineated and described the medial and lateral lemnisci, noting their gross elaborate arrangement. These structures are intimately compact and closely related to one another in their common trajectory through the tegmenta of the pons and midbrain. However, we were not able to identify the exact origin and termination of their fibers or the accurate delimitation between the medial lemniscus, spinothalamic tract, and lateral lemniscus along their course in the brainstem. CONCLUSIONS Using the fiber microdissection technique, we were able to define a general perspective of the topography and architecture of the medial and lateral lemnisci in the brainstem. This perspective should be incorporated into interpretations of magnetic resonance imaging techniques, recognizing both their benefits and limitations. It should also be applied to surgical planning and strategies to achieve a safer and more precise microsurgical procedure.
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Affiliation(s)
- Ruben Rodríguez-Mena
- Department of Neurosurgery, Yeditepe University School of Medicine, Kozyatagi Kadikoy, Istanbul, Turkey
| | - Uğur Türe
- Department of Neurosurgery, Yeditepe University School of Medicine, Kozyatagi Kadikoy, Istanbul, Turkey.
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17
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Hanaie R, Mohri I, Kagitani-Shimono K, Tachibana M, Matsuzaki J, Hirata I, Nagatani F, Watanabe Y, Fujita N, Taniike M. White matter volume in the brainstem and inferior parietal lobule is related to motor performance in children with autism spectrum disorder: A voxel-based morphometry study. Autism Res 2016; 9:981-92. [PMID: 26808675 DOI: 10.1002/aur.1605] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2014] [Revised: 11/26/2015] [Accepted: 12/26/2015] [Indexed: 12/24/2022]
Abstract
Many studies have reported poor motor performance in autism spectrum disorder (ASD); however, the underlying brain mechanisms remain unclear. Recent neuroimaging studies have suggested that abnormalities of the white matter (WM) are related to the features of ASD. In this study, we used voxel-based morphometry (VBM) to investigate which WM regions correlate with motor performance in children with ASD, and whether the WM volume in those brain regions differed between children with ASD and typically developing (TD) children. The subjects included 19 children with ASD and 20 TD controls. Motor performance was assessed using the Movement Assessment Battery for Children 2 (M-ABC 2). Children with ASD showed poorer motor performance than did the controls. There was a significant positive correlation between the total test score on the M-ABC 2 and the volume of WM in the brainstem and WM adjacent to the left supramarginal gyrus (SMG). In addition, compared with the TD controls, children with ASD had a decreased volume of WM in the brainstem and adjacent to the left intraparietal sulcus, which is close to the SMG. These findings suggest that structural changes in the WM in the brainstem and left inferior parietal lobule may contribute to poor motor performance in children with ASD. Autism Res 2016, 9: 981-992. © 2016 International Society for Autism Research, Wiley Periodicals, Inc.
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Affiliation(s)
- Ryuzo Hanaie
- Molecular Research Center for Children's Mental Development, United Graduate School of Child Development, Osaka University, 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan
| | - Ikuko Mohri
- Molecular Research Center for Children's Mental Development, United Graduate School of Child Development, Osaka University, 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan.,Division of Developmental Neuroscience, United Graduate School of Child Development, Osaka University, 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan.,Department of Pediatrics, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan
| | - Kuriko Kagitani-Shimono
- Division of Developmental Neuroscience, United Graduate School of Child Development, Osaka University, 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan.,Department of Pediatrics, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan
| | - Masaya Tachibana
- Division of Developmental Neuroscience, United Graduate School of Child Development, Osaka University, 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan.,Department of Pediatrics, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan
| | - Junko Matsuzaki
- Molecular Research Center for Children's Mental Development, United Graduate School of Child Development, Osaka University, 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan.,Division of Developmental Neuroscience, United Graduate School of Child Development, Osaka University, 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan
| | - Ikuko Hirata
- Department of Pediatrics, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan
| | - Fumiyo Nagatani
- Molecular Research Center for Children's Mental Development, United Graduate School of Child Development, Osaka University, 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan
| | - Yoshiyuki Watanabe
- Department of Diagnostic and Interventional Radiology, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan
| | - Norihiko Fujita
- Department of Diagnostic and Interventional Radiology, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan
| | - Masako Taniike
- Molecular Research Center for Children's Mental Development, United Graduate School of Child Development, Osaka University, 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan. .,Division of Developmental Neuroscience, United Graduate School of Child Development, Osaka University, 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan. .,Department of Pediatrics, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan.
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18
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Frontoparietal white matter integrity predicts haptic performance in chronic stroke. NEUROIMAGE-CLINICAL 2015; 10:129-39. [PMID: 26759788 PMCID: PMC4683424 DOI: 10.1016/j.nicl.2015.11.007] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/16/2015] [Revised: 11/06/2015] [Accepted: 11/11/2015] [Indexed: 11/21/2022]
Abstract
Frontoparietal white matter supports information transfer between brain areas involved in complex haptic tasks such as somatosensory discrimination. The purpose of this study was to gain an understanding of the relationship between microstructural integrity of frontoparietal network white matter and haptic performance in persons with chronic stroke and to compare frontoparietal network integrity in participants with stroke and age matched control participants. Nineteen individuals with stroke and 16 controls participated. Haptic performance was quantified using the Hand Active Sensation Test (HASTe), an 18-item match-to-sample test of weight and texture discrimination. Three tesla MRI was used to obtain diffusion-weighted and high-resolution anatomical images of the whole brain. Probabilistic tractography was used to define 10 frontoparietal tracts total; Four intrahemispheric tracts measured bilaterally 1) thalamus to primary somatosensory cortex (T–S1), 2) thalamus to primary motor cortex (T–M1), 3) primary to secondary somatosensory cortex (S1 to SII) and 4) primary somatosensory cortex to middle frontal gyrus (S1 to MFG) and, 2 interhemispheric tracts; S1–S1 and precuneus interhemispheric. A control tract outside the network, the cuneus interhemispheric tract, was also examined. The diffusion metrics fractional anisotropy (FA), mean diffusivity (MD), axial (AD) and radial diffusivity (RD) were quantified for each tract. Diminished FA and elevated MD values are associated with poorer white matter integrity in chronic stroke. Nine of 10 tracts quantified in the frontoparietal network had diminished structural integrity poststroke compared to the controls. The precuneus interhemispheric tract was not significantly different between groups. Principle component analysis across all frontoparietal white matter tract MD values indicated a single factor explained 47% and 57% of the variance in tract mean diffusivity in stroke and control groups respectively. Age strongly correlated with the shared variance across tracts in the control, but not in the poststroke participants. A moderate to good relationship was found between ipsilesional T–M1 MD and affected hand HASTe score (r = − 0.62, p = 0.006) and less affected hand HASTe score (r = − 0.53, p = 0.022). Regression analysis revealed approximately 90% of the variance in affected hand HASTe score was predicted by the white matter integrity in the frontoparietal network (as indexed by MD) in poststroke participants while 87% of the variance in HASTe score was predicted in control participants. This study demonstrates the importance of frontoparietal white matter in mediating haptic performance and specifically identifies that T–M1 and precuneus interhemispheric tracts may be appropriate targets for piloting rehabilitation interventions, such as noninvasive brain stimulation, when the goal is to improve poststroke haptic performance. Poststroke participants had a wide range of haptic performance, the majority were impaired. A good relationship was found between ipsilesional Thal–M1 integrity and poststroke haptics. Around 90% of haptic performance was predicted by frontoparietal white matter integrity. Precuneus interhemispheric tract integrity was a strong predictor of haptic performance. Diminished integrity across the frontoparietal network suggests a general stroke-related factor.
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19
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Jang SH, Chang CH, Kim SH, Jung YJ, Hong JH. Thalamic Reorganization in Chronic Patients With Intracerebral Hemorrhage: A Retrospective Cross-Sectional Study. Medicine (Baltimore) 2015; 94:e1391. [PMID: 26313781 PMCID: PMC4602938 DOI: 10.1097/md.0000000000001391] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/08/2023] Open
Abstract
The aim of this study was to investigate changes of synaptic area of the spinothalamic tract and its thalamocortical pathway (STT) in the thalamus in chronic patients with putaminal hemorrhage.Twenty four patients with a lesion in the ventral posterior lateral nucleus (VPL) of the thalamus following putaminal hemorrhage were recruited for this study. The subscale for tactile sensation of the Nottingham Sensory Assessment (NSA) was used for the determination of somatosensory function. Diffusion tensor tractography of the STT was reconstructed using the Functional Magnetic Resonance Imaging of the Brain Software Library. We classified patients according to 2 groups: the VPL group, patients whose STTs were synapsed in the VPL; and the non-VPL group, patients whose STTs were synapsed in other thalamic areas, except for the VPL.Thirteen patients belonged to the VPL group, and 8 patients belonged to the non-VPL group. Three patients were excluded from grouping due to interrupted integrity of the STTs. The tactile sensation score of the NSA in the non-VPL group (10.50 ± 0.93) was significantly decreased compared with that of the VPL group (19.45 ± 1.33) (P < 0.05).We found that 2 types of patient had recovered via the VPL area or other areas of the STT. It appears that patients who showed shifting of the thalamic synaptic area of the STT might have recovered by the process of thalamic reorganization following thalamic injury. In addition, thalamic reorganization appears to be related to poorer somatosensory outcome.
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Affiliation(s)
- Sung Ho Jang
- From the Department of Physical Medicine and Rehabilitation (SHJ); Departments of Neurosurgery, College of Medicine, Yeungnam University (CHC, SHK, YJJ); and Department of Physical Therapy, Sun Moon University, Asan-si, Chungnam, Republic of Korea (JHH)
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20
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Zitella LM, Xiao Y, Teplitzky BA, Kastl DJ, Duchin Y, Baker KB, Vitek JL, Adriany G, Yacoub E, Harel N, Johnson MD. In Vivo 7T MRI of the Non-Human Primate Brainstem. PLoS One 2015; 10:e0127049. [PMID: 25965401 PMCID: PMC4428864 DOI: 10.1371/journal.pone.0127049] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2014] [Accepted: 04/11/2015] [Indexed: 12/28/2022] Open
Abstract
Structural brain imaging provides a critical framework for performing stereotactic and intraoperative MRI-guided surgical procedures, with procedural efficacy often dependent upon visualization of the target with which to operate. Here, we describe tools for in vivo, subject-specific visualization and demarcation of regions within the brainstem. High-field 7T susceptibility-weighted imaging and diffusion-weighted imaging of the brain were collected using a customized head coil from eight rhesus macaques. Fiber tracts including the superior cerebellar peduncle, medial lemniscus, and lateral lemniscus were identified using high-resolution probabilistic diffusion tractography, which resulted in three-dimensional fiber tract reconstructions that were comparable to those extracted from sequential application of a two-dimensional nonlinear brain atlas warping algorithm. In the susceptibility-weighted imaging, white matter tracts within the brainstem were also identified as hypointense regions, and the degree of hypointensity was age-dependent. This combination of imaging modalities also enabled identifying the location and extent of several brainstem nuclei, including the periaqueductal gray, pedunculopontine nucleus, and inferior colliculus. These clinically-relevant high-field imaging approaches have potential to enable more accurate and comprehensive subject-specific visualization of the brainstem and to ultimately improve patient-specific neurosurgical targeting procedures, including deep brain stimulation lead implantation.
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Affiliation(s)
- Laura M. Zitella
- Department of Biomedical Engineering, University of Minnesota, Minneapolis, Minnesota, United States of America
| | - YiZi Xiao
- Department of Biomedical Engineering, University of Minnesota, Minneapolis, Minnesota, United States of America
| | - Benjamin A. Teplitzky
- Department of Biomedical Engineering, University of Minnesota, Minneapolis, Minnesota, United States of America
| | - Daniel J. Kastl
- Department of Biomedical Engineering, University of Minnesota, Minneapolis, Minnesota, United States of America
| | - Yuval Duchin
- Center for Magnetic Resonance Research, University of Minnesota, Minneapolis, Minnesota, United States of America
| | - Kenneth B. Baker
- Department of Neurology, University of Minnesota, Minneapolis, Minnesota, United States of America
| | - Jerrold L. Vitek
- Department of Neurology, University of Minnesota, Minneapolis, Minnesota, United States of America
| | - Gregor Adriany
- Center for Magnetic Resonance Research, University of Minnesota, Minneapolis, Minnesota, United States of America
| | - Essa Yacoub
- Center for Magnetic Resonance Research, University of Minnesota, Minneapolis, Minnesota, United States of America
| | - Noam Harel
- Center for Magnetic Resonance Research, University of Minnesota, Minneapolis, Minnesota, United States of America
| | - Matthew D. Johnson
- Department of Biomedical Engineering, University of Minnesota, Minneapolis, Minnesota, United States of America
- Institute for Translational Neuroscience, University of Minnesota, Minneapolis, Minnesota, United States of America
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21
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Zhu D, Zhang T, Jiang X, Hu X, Chen H, Yang N, Lv J, Han J, Guo L, Liu T. Fusing DTI and fMRI data: a survey of methods and applications. Neuroimage 2014; 102 Pt 1:184-91. [PMID: 24103849 PMCID: PMC4012015 DOI: 10.1016/j.neuroimage.2013.09.071] [Citation(s) in RCA: 78] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2013] [Revised: 05/20/2013] [Accepted: 09/27/2013] [Indexed: 01/20/2023] Open
Abstract
The relationship between brain structure and function has been one of the centers of research in neuroimaging for decades. In recent years, diffusion tensor imaging (DTI) and functional magnetic resonance imaging (fMRI) techniques have been widely available and popular in cognitive and clinical neurosciences for examining the brain's white matter (WM) micro-structures and gray matter (GM) functions, respectively. Given the intrinsic integration of WM/GM and the complementary information embedded in DTI/fMRI data, it is natural and well-justified to combine these two neuroimaging modalities together to investigate brain structure and function and their relationships simultaneously. In the past decade, there have been remarkable achievements of DTI/fMRI fusion methods and applications in neuroimaging and human brain mapping community. This survey paper aims to review recent advancements on methodologies and applications in incorporating multimodal DTI and fMRI data, and offer our perspectives on future research directions. We envision that effective fusion of DTI/fMRI techniques will play increasingly important roles in neuroimaging and brain sciences in the years to come.
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Affiliation(s)
- Dajiang Zhu
- Cortical Architecture Imaging and Discovery Lab, Department of Computer Science, The University of Georgia, Athens, GA, USA
| | - Tuo Zhang
- School of Automation, Northwestern Polytechnical University, Xi'an, China
| | - Xi Jiang
- Cortical Architecture Imaging and Discovery Lab, Department of Computer Science, The University of Georgia, Athens, GA, USA
| | - Xintao Hu
- School of Automation, Northwestern Polytechnical University, Xi'an, China
| | - Hanbo Chen
- Cortical Architecture Imaging and Discovery Lab, Department of Computer Science, The University of Georgia, Athens, GA, USA
| | - Ning Yang
- School of Automation, Northwestern Polytechnical University, Xi'an, China
| | - Jinglei Lv
- School of Automation, Northwestern Polytechnical University, Xi'an, China
| | - Junwei Han
- School of Automation, Northwestern Polytechnical University, Xi'an, China
| | - Lei Guo
- School of Automation, Northwestern Polytechnical University, Xi'an, China
| | - Tianming Liu
- Cortical Architecture Imaging and Discovery Lab, Department of Computer Science, The University of Georgia, Athens, GA, USA; BioImaging Research Center, The University of Georgia, Athens, GA, USA
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Jang SH, Seo JP. Differences of the medial lemniscus and spinothalamic tract according to the cortical termination areas: A diffusion tensor tractography study. Somatosens Mot Res 2014; 32:67-71. [PMID: 25365478 DOI: 10.3109/08990220.2014.966899] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Abstract
We investigated differences of the medial lemniscus and its thalamocortical pathway (ML), and the spinothalamic tract and its thalamocortical pathway (STT) according to the cortical termination areas. We found that the ML and STT terminated in the motor cortex and the somatosensory cortex. The ML may be closely related to the motor cortex for motor planning and execution, while the STT may be closely related to the cerebral cortex for somatosensory function and motor execution.
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Affiliation(s)
- Sung Ho Jang
- Department of Physical Medicine and Rehabilitation, College of Medicine, Yeungnam University , Namku, Taegu , Republic of Korea
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Zakszewski E, Adluru N, Tromp DPM, Kalin N, Alexander AL. A diffusion-tensor-based white matter atlas for rhesus macaques. PLoS One 2014; 9:e107398. [PMID: 25203614 PMCID: PMC4159318 DOI: 10.1371/journal.pone.0107398] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2014] [Accepted: 08/11/2014] [Indexed: 01/20/2023] Open
Abstract
Atlases of key white matter (WM) structures in humans are widely available, and are very useful for region of interest (ROI)-based analyses of WM properties. There are histology-based atlases of cortical areas in the rhesus macaque, but none currently of specific WM structures. Since ROI-based analysis of WM pathways is also useful in studies using rhesus diffusion tensor imaging (DTI) data, we have here created an atlas based on a publicly available DTI-based template of young rhesus macaques. The atlas was constructed to mimic the structure of an existing human atlas that is widely used, making results translatable between species. Parcellations were carefully hand-drawn on a principle-direction color-coded fractional anisotropy image of the population template. The resulting atlas can be used as a reference to which registration of individual rhesus data can be performed for the purpose of white-matter parcellation. Alternatively, specific ROIs from the atlas may be warped into individual space to be used in ROI-based group analyses. This atlas will be made publicly available so that it may be used as a resource for DTI studies of rhesus macaques.
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Affiliation(s)
- Elizabeth Zakszewski
- Waisman Laboratory for Brain Imaging and Behavior, University of Wisconsin - Madison, Madison, Wisconsin, United States of America
- Department of Medical Physics, University of Wisconsin - Madison, Wisconsin Institutes for Medical Research, Madison, Wisconsin, United States of America
| | - Nagesh Adluru
- Waisman Laboratory for Brain Imaging and Behavior, University of Wisconsin - Madison, Madison, Wisconsin, United States of America
| | - Do P. M. Tromp
- Health Emotions Research Institute, University of Wisconsin - Madison, Health Emotions Research Institute Madison, Wisconsin, United States of America
| | - Ned Kalin
- Health Emotions Research Institute, University of Wisconsin - Madison, Health Emotions Research Institute Madison, Wisconsin, United States of America
- Department of Psychiatry, University of Wisconsin - Madison, Wisconsin Psychiatric Institute & Clinics, Madison, Wisconsin, United States of America
| | - Andrew L. Alexander
- Waisman Laboratory for Brain Imaging and Behavior, University of Wisconsin - Madison, Madison, Wisconsin, United States of America
- Department of Psychiatry, University of Wisconsin - Madison, Wisconsin Psychiatric Institute & Clinics, Madison, Wisconsin, United States of America
- Department of Medical Physics, University of Wisconsin - Madison, Wisconsin Institutes for Medical Research, Madison, Wisconsin, United States of America
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Gupta PK, Garg RK, Gupta RK, Malhotra HS, Paliwal VK, Rathore RKS, Verma R, Singh MK, Rai Y, Pandey CM. Diffusion tensor tractography and neuropsychological assessment in patients with vitamin B12 deficiency. Neuroradiology 2013; 56:97-106. [DOI: 10.1007/s00234-013-1306-y] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2013] [Accepted: 11/28/2013] [Indexed: 11/30/2022]
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Jang SH, Kwon HG. Anatomical location of the medial lemniscus and spinothalamic tract at the pons in the human brain: a diffusion tensor tractography study. Somatosens Mot Res 2013; 30:206-9. [PMID: 23738628 DOI: 10.3109/08990220.2013.796923] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
Abstract
Using diffusion tensor tractography, we investigated the anatomical location of medial lemniscus (ML) and spinothalamic tract (STT) at pons. We recruited 47 healthy volunteers. Evaluation of the anatomical location of ML and STT was performed using the highest probabilistic location at the upper, middle, and lower pons. According to findings, MLs were located around the middle to medial one-third, between midline and lateral boundary of pons in the pontine tegmentum and STTs were located posterolaterally to ML.
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Affiliation(s)
- Sung Ho Jang
- Department of Physical Medicine and Rehabilitation, College of Medicine, Yeungnam University , Namku, Taegu , Republic of Korea
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26
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Jang SH, Son SM, Lee DY, Hong JH. Relationship between somatosensory function and the spinothalamocortical pathway in chronic stroke patients. Somatosens Mot Res 2013; 30:197-200. [PMID: 23697637 DOI: 10.3109/08990220.2013.790808] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
Diffusion tensor tractography (DTT) allows for identification and evaluation of the spinothalamic tract and its thalamocortical pathway (STP). We attempted to investigate the relationship between tactile sensation and the STP in chronic stroke patients. We measured fractional anisotropy, mean diffusivity, and tract volume of the STP. The tactile sensation score of the affected side in patients with preserved STP integrity was higher compared with that of patients with an interrupted STP. The remaining volume and integrity of the STP in the affected hemisphere were important factors for tactile sensation of the affected side in chronic patients with intracerebral hemorrhage (ICH).
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Affiliation(s)
- Sung Ho Jang
- Department of Physical Medicine and Rehabilitation, College of Medicine, Yeungnam University , Daegu , Republic of Korea and
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Seo JP, Jang SH. Traumatic thalamic injury demonstrated by diffusion tensor tractography of the spinothalamic pathway. Brain Inj 2013; 27:749-53. [PMID: 23672449 DOI: 10.3109/02699052.2013.771794] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
BACKGROUND This study reports on a patient with traumatic brain injury (TBI) with a thalamic lesion in the ventroposterolateral nucleus which was demonstrated by diffusion tensor tractography (DTT) for the spinothalamic tract and its thalamocortical pathway (STP). METHODS One patient with TBI and eight normal control subjects were recruited. A 64-year-old woman who had suffered a motor vehicle accident presented with a persisting tingling sensation and pain in her right upper and lower extremities at 3 weeks after onset. The patient showed impaired touch sensation, but normal proprioception. Diffusion tensor imaging was performed at 1 month after onset. Fractional anisotropy (FA) and mean diffusivity were measured using a region of interest method along the STP. RESULTS DTT showed normal STP integrities as compared with normal controls. However, the FA values of the left STP at the thalamus were more than 2 SD decreased. The diminished FA value of the left STP in the left thalamus seems to indicate injury of the left ventrolateroposterior nucleus. Central pain and impaired touch sensation of right extremities supports the presence of left STP injury at the ventroposterolateral nucleus in this patient. CONCLUSION It is believed that DTT for the STP provides a useful means of detecting thalamic injury in TBI.
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Affiliation(s)
- Jeong Pyo Seo
- Department of Physical Medicine and Rehabilitation, College of Medicine, Yeungnam University , Taegu , Republic of Korea
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Recovery mechanisms of somatosensory function in stroke patients: implications of brain imaging studies. Neurosci Bull 2013; 29:366-72. [PMID: 23471867 DOI: 10.1007/s12264-013-1315-1] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2012] [Accepted: 08/20/2012] [Indexed: 10/27/2022] Open
Abstract
Somatosensory dysfunction is associated with a high incidence of functional impairment and safety in patients with stroke. With developments in brain mapping techniques, many studies have addressed the recovery of various functions in such patients. However, relatively little is known about the mechanisms of recovery of somatosensory function. Based on the previous human studies, a review of 11 relevant studies on the mechanisms underlying the recovery of somatosensory function in stroke patients was conducted based on the following topics: (1) recovery of an injured somatosensory pathway, (2) peri-lesional reorganization, (3) contribution of the unaffected somatosensory cortex, (4) contribution of the secondary somatosensory cortex, and (5) mechanisms of recovery in patients with thalamic lesions. We believe that further studies in this field using combinations of diffusion tensor imaging, functional neuroimaging, and magnetoencephalography are needed. In addition, the clinical significance, critical period, and facilitatory strategies for each recovery mechanism should be clarified.
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Hakky MM, Erbay KD, Brewer E, Midle JB, French R, Erbay SH. T2 hyperintensity of medial lemniscus: higher threshold application to ROI measurements is more accurate in predicting small vessel disease. J Neuroimaging 2013; 23:345-51. [PMID: 23343196 DOI: 10.1111/jon.12011] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
Abstract
BACKGROUND Medial lemniscus T2 hyperintensity (MLH) has been recently demonstrated as potential imaging marker for small vessel disease (SVD). Our purpose in this study is to improve accuracy of regions of interest (ROI) analysis for this imaging finding. METHODS AND METHODS Two neuroradiologists retrospectively reviewed 103 consecutive outpatient brain MRI. Medial lemniscus signal in dorsal pons was evaluated; visually on FLAIR and with ROI on T2. Original MRI interpretations were divided into three categories; SVD, multiple sclerosis (MS), and nonspecific WM changes (non). RESULTS Thirty-seven patients had SVD, 14 patients had MS, 52 had Non. Visual MLH was seen exclusively with SVD and was generally bilateral. Patients with visual MLH belonged to advanced SVD by imaging and clinical parameters. Compared to visual data, ROI analyses of MLH has been known to be compounded by false positives and negatives at low threshold (20% of adjacent to normal brainstem signal). With application of higher ROI threshold (25%), false positives were eliminated but false negatives increased. ROI analyses of MLH by experienced neuroradiologist were more reliable. CONCLUSION MLH seen on high threshold ROI analysis is a reliable radiologic marker in predicting SVD. ROI analysis of MLH should be performed by an experienced neuroradiologist.
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Affiliation(s)
- Michael M Hakky
- Department of Radiology, Lahey Clinic Medical Center, Burlington, MA 01805, USA
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T2 hyperintensity of medial lemniscus is an indicator of small-vessel disease. AJR Am J Roentgenol 2012; 199:163-8. [PMID: 22733908 DOI: 10.2214/ajr.11.7444] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
OBJECTIVE Small-vessel disease is a common MRI finding that can be difficult to differentiate from other white matter (WM) diseases because of the lack of a specific pattern of brain involvement. The purpose of our study was to evaluate medial lemniscus hyperintensity seen on FLAIR images as an imaging marker for small-vessel disease. MATERIALS AND METHODS Two blinded neuroradiologists retrospectively reviewed 103 consecutive outpatient brain MRI studies. Medial lemniscus signal in the dorsal pons was evaluated visually on FLAIR images and after placing regions of interest (ROIs) on T2-weighted images. On the basis of the original interpretations, scans were divided into three categories: small-vessel disease, multiple sclerosis (MS), and normal or nonspecific WM changes. Cardiovascular risk factors were recorded. Analysis of variance and Fisher exact tests were used to determine group differences, and kappa statistics was used to determine interrater agreement. RESULTS Thirty-seven patients had small-vessel disease, 14 patients had MS, and 52 had nonspecific WM changes. Medial lemniscus hyperintensity was seen in about 20% of patients with small-vessel disease and was generally bilateral. Although ROI analyses identified a slightly higher number of patients with medial lemniscus signal > 20% of adjacent to normal-appearing brainstem, interrater reliability was moderate, and there were false-positive and false-negative cases in comparison with visual data. When small-vessel disease patients were further subdivided into mild or advanced subgroups, medial lemniscus hyperintensity was selectively seen in advanced small-vessel disease. Patients with medial lemniscus hyperintensity were older (p < 0.001) and had higher prevalence of diabetes (p = 0.03), hypertension (p = 0.009), and hypercholesterolemia (p = 0.03). CONCLUSION Medial lemniscus hyperintensity seen on FLAIR images is a reliable radiologic marker of advanced small-vessel disease.
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Jang SH, Kwon YH, Lee MY, Lee DY, Hong JH. Termination differences in the primary sensorimotor cortex between the medial lemniscus and spinothalamic pathways in the human brain. Neurosci Lett 2012; 516:50-3. [PMID: 22480695 DOI: 10.1016/j.neulet.2012.03.053] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2012] [Accepted: 03/20/2012] [Indexed: 11/18/2022]
Abstract
The medial lemniscus (ML) and its thalamocortical pathway is responsible for proprioception, in contrast, the spinothalamic tract (ST) and its thalamocortical pathway is the neural tract for pain and body temperature. Therefore, the ML pathway plays a crucial role in skillful movements and may be more linked to motor function than the ST pathway. We investigated the differences in the distribution of the primary motor cortex (M1) and the primary somatosensory cortex (S1) between the ML and ST pathways. Adults (mean age: 40.4 years, range: 21-61 years) were recruited for this study. The seed masks for the ML and ST pathways were given on the color map of the medulla according to the known anatomy and waypoint masks were placed on the ventro-postero-lateral nucleus of the thalamus. The volume of ML pathway did not show any difference between the M1 (10.94) and S1 (13.02) (p>0.05). By contrast, the mean voxel number of the ST pathway in the M1 (18.25) and S1 (27.38) showed significant difference between the M1 and S1 (p<0.05). As for relative voxel number percentage of the M1 compared to the S1, the ML pathway (84%) was significantly higher than ST pathway (67%) (p<0.05). We found that more neural fibers of the ML pathway were terminated in the M1 relative to the S1 compared to the SLP, and this may be linked to the inherent execution of movements of the M1.
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Affiliation(s)
- Sung Ho Jang
- Department of Physical Medicine and Rehabilitation, College of Medicine, Yeungnam University, Republic of Korea
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Jung YJ, Jang SH, Yeo SS, Lee E, Kim S, Lee DG, Kim HS, Son SM. Medial lemniscus lesion in pediatric hemiplegic patients without corticospinal tract and posterior thalamic radiation lesion. Eur Neurol 2012; 67:211-6. [PMID: 22414658 DOI: 10.1159/000335872] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2011] [Accepted: 12/11/2012] [Indexed: 11/19/2022]
Abstract
OBJECTIVES Using diffusion tensor imaging (DTI), we investigated the state of medial lemniscus (ML), corticospinal tract (CST), and posterior thalamic radiation (PTR), which were expected as probable reasons for clinical hemiplegia in pediatric patients, especially those who showed impaired fine motor control and proprioception, but no definite motor weakness or spasticity. METHODS We recruited 13 hemiplegic patients and 8 age-matched healthy control subjects. Fractional anisotropy (FA) and apparent diffusion coefficient (ADC) for the bilateral ML, CST, and PTR were calculated and compared between the affected hemisphere of the patient (AP), the unaffected hemisphere of the patient (UP), and the mean value of the bilateral hemispheres in control subjects (MC). RESULTS FA and ADC values for the CST and PTR did not differ significantly between the AP, UP, and MC subgroups (p > 0.05). However, the FA value for the ML in AP showed a significant decrease, compared with that in UP (p = 0.012) and MC (p = 0.047). DTT for the CST and PTR showed preserved integrity and ML in the UP also had continuity to the cortex; however, ML in AP showed disruption. CONCLUSIONS Using DTI, we demonstrated that the ML lesion might be related to clinical hemiplegia in pediatric patients.
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Affiliation(s)
- Yong Jae Jung
- Department of Physical Medicine and Rehabilitation, College of Medicine, Yeungnam University, Daegu, Republic of Korea
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Corticoreticular pathway in the human brain: diffusion tensor tractography study. Neurosci Lett 2011; 508:9-12. [PMID: 22197953 DOI: 10.1016/j.neulet.2011.11.030] [Citation(s) in RCA: 84] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2011] [Revised: 11/16/2011] [Accepted: 11/17/2011] [Indexed: 11/21/2022]
Abstract
The corticoreticular pathway (CRP) is involved in postural control and locomotor function. No study has been conducted for identification of the CRP in the human brain. In the current study, we attempted to identify the CRP in the human brain, using diffusion tensor tractography (DTT). We recruited 24 healthy volunteers for this study. Diffusion tensor images were scanned using 1.5-T. For reconstruction of the CRP, a seed region of interest (ROI) was placed on the reticular formation of the medulla. The first target ROI was placed on the midbrain tegmentum and the second target ROI was placed on the premotor cortex (Brodmann area 6). Values of fractional anisotropy, mean diffusivity, and tract volume of the CRP were measured. The CRP, which originated from the premotor cortex, descended through the corona radiata and the posterior limb of the internal capsule anterior to the corticospinal tract. In the midbrain and pons, it passed through the tegmentum and terminated at the pontomedullary reticular formation. No differences in terms of fractional anisotropy, mean diffusivity, and tract volume were observed between hemispheres (P>0.05). We identified the CRP in the human brain using DTT. These methods and results would be helpful to both clinicians and researchers in the neuroscience field.
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Jang SH, Hong JH. The anatomical characteristics of superior longitudinal fasciculus I in human brain: Diffusion tensor tractography study. Neurosci Lett 2011; 506:146-8. [PMID: 22085696 DOI: 10.1016/j.neulet.2011.10.069] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2011] [Revised: 10/17/2011] [Accepted: 10/29/2011] [Indexed: 10/15/2022]
Abstract
The superior longitudinal fasciculus (SLF) I is known to be involved in regulation of higher aspects of motor function. Using diffusion tensor imaging (DTI), we attempted to identify the SLF I and to investigate the anatomical characteristics of the SLF I in the human brain. We recruited 30 healthy subjects for this study. The SLF I was obtained using the FMRIB Software Library. The seed region of interest (ROI) was given at the superior parietal lobule (SPL) and the target ROI was the supplementary motor area (SMA) along with the dorsal part of the premotor area (PMA). Values of fractional anisotropy (FA), mean diffusivity (MD), and tract volume were measured. The SLF I originated from the SPL and medial parietal cortex, passed through the white matter of the SPL and superior frontal gyrus, and then terminated in the SMA and dorsal PMA. There were no significant differences between hemispheres in terms of the FA, MD, and tract volume. We present with the anatomical characteristics of the SLF I in the human brain using DTI. We think that the methodology and results of this study would be helpful to researchers in this field.
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Affiliation(s)
- Sung Ho Jang
- Department of Physical Medicine and Rehabilitation, College of Medicine, Yeungnam University, Republic of Korea
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Kwon HG, Hong JH, Hong CP, Lee DH, Ahn SH, Jang SH. Dentatorubrothalamic tract in human brain: diffusion tensor tractography study. Neuroradiology 2011; 53:787-91. [PMID: 21547376 DOI: 10.1007/s00234-011-0878-7] [Citation(s) in RCA: 90] [Impact Index Per Article: 6.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2011] [Accepted: 04/19/2011] [Indexed: 11/26/2022]
Abstract
INTRODUCTION The dentatorubrothalamic tract (DRTT) originates from the dentate nucleus in the cerebellum and terminates in the contralateral ventrolateral nucleus (VL) of the thalamus after decussating to the contralateral red nucleus. Identification of the DRTT is difficult due to the fact that it is a long, multisynaptic, neural tract crossing to the opposite hemisphere. In the current study, we attempted to identify the DRTT in the human brain using a probabilistic tractography technique of diffusion tensor imaging. METHODS Diffusion tensor imaging was performed at 1.5-T using a synergy-L sensitivity encoding head coil. DRTTs were obtained by selection of fibers passing through three regions of interest (the dentate nucleus, the superior cerebellar peduncle, and the contralateral red nucleus) from 41 healthy volunteers. Probabilistic mapping was obtained from the highest probabilistic location at 2.3 mm above the anterior commissure-posterior commissure level. RESULTS DRTTs of all subjects, which originated from the dentate nucleus, ascended through the junction of the superior cerebellar peduncle and the contralateral red nucleus and then terminated at the VL nucleus of the thalamus. The highest probabilistic location for the DRTT at the thalamus was compatible with the location of the VL nucleus. CONCLUSIONS We identified the DRTT in the human brain using probabilistic tractography. Our results could be useful in research on movement control.
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Affiliation(s)
- Hyeok Gyu Kwon
- Department of Physical Therapy, Graduate School of Rehabilitation Science, Daegu University, Daegu, South Korea
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Romanowski C, Hutton M, Rowe J, Yianni J, Warren D, Bigley J, Wilkinson I. The Anatomy of the Medial Lemniscus within the Brainstem Demonstrated at 3 Tesla with High Resolution Fat Suppressed T1-Weighted Images and Diffusion Tensor Imaging. Neuroradiol J 2011; 24:171-6. [DOI: 10.1177/197140091102400202] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2010] [Accepted: 01/03/2011] [Indexed: 11/17/2022] Open
Abstract
The medial lemniscus is part of the main somatosensory pathways ascending within the brainstem. It is formed by the heavily myelinated axons of the second order neurones of the dorsal column nuclei. This pathway ascends through the rostral medulla, pons and mesencephalon to finally terminate by synapsing with third order neurones in the ventral posterior nucleus of the thalamus. The medial lemniscus conveys proprioception and fine tactile discrimination as part of the somatosensory system. Conventional MRI studies of the brainstem have been relatively poor in demonstrating these fibre pathways. Diffusion tensor imaging and tractography may demostrated fibre pathways in the brainstem. These techniques do however suffer from relatively poor spatial resolution and some degree of image distortion – especially if based on echo planar imaging techniques. Knowledge of the anatomical relationships of the medial lemniscus is important for the understanding of clinical manifestations of disease processes affecting the somatosensory pathways and also to demonstrate important adjacent structures. Specifically, the pedunculopontine nucleus (PPN) lies in close anatomical relationship to the medial lemniscus and the decussation of the superior cerebellar peduncle. This nucleus is a promising target for deep brain stimulator placement for alleviation of non-dopamine responsive dystonias. Six healthy male volunteers (mean age 33 years) were imaged at 3 Tesla. Imaging protocols consisted of thin section, high resolution, fat suppressed T1-weighted sequences as well as thin section, high isotropic resolution diffusion tensor imaging (DTI), which was analysed to generate colour fractional anisotropy (FA) maps. These were correlated with the fat suppressed T1 weighted images. In all volunteers the medial lemniscus was seen as a pair of bands of low signal on axial, high resolution, fat suppressed T1-weighted images. They were indentified through the upper medulla, pons and mesencephalon. They correlated well with the head to foot orientated fibres on the colour FA maps generated from the DTI data. This study of normal volunteers has illustrated the value of high resolution, fat suppressed T1-weighted images in demonstrating the anatomy of the heavily myelinated medial lemniscus within the brainstem. These high resolution images with good spatial accuracy can potentially be used to aid the localisation of other nuclei, such as the PPN.
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Affiliation(s)
| | - M. Hutton
- Academic Unit of Radiology, Department of Human Metabolism, University of Sheffield
| | - J. Rowe
- Department of Neurosurgery, Royal Hallamshire Hospital; Sheffield
| | - J. Yianni
- Department of Neurosurgery, Royal Hallamshire Hospital; Sheffield
| | - D. Warren
- Department of Neuroradiology, Royal Hallamshire Hospital; Sheffield
| | - J. Bigley
- Academic Unit of Radiology, Department of Human Metabolism, University of Sheffield
| | - I.D. Wilkinson
- Academic Unit of Radiology, Department of Human Metabolism, University of Sheffield
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Naganawa S, Yamazaki M, Kawai H, Sone M, Nakashima T, Isoda H. Anatomical Details of the Brainstem and Cranial Nerves Visualized by High Resolution Readout-segmented Multi-shot Echo-planar Diffusion-weighted Images using Unidirectional MPG at 3T. Magn Reson Med Sci 2011; 10:269-75. [PMID: 22214914 DOI: 10.2463/mrms.10.269] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Affiliation(s)
- Shinji Naganawa
- Department of Radiology, Nagoya University Graduate School of Medicine, Japan.
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Mammillothalamic tract in human brain: Diffusion tensor tractography study. Neurosci Lett 2010; 481:51-3. [DOI: 10.1016/j.neulet.2010.06.052] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2010] [Revised: 06/17/2010] [Accepted: 06/21/2010] [Indexed: 11/20/2022]
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Hong JH, Jang SH. Neural pathway from nucleus basalis of Meynert passing through the cingulum in the human brain. Brain Res 2010; 1346:190-4. [DOI: 10.1016/j.brainres.2010.05.088] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2010] [Revised: 03/25/2010] [Accepted: 05/27/2010] [Indexed: 10/19/2022]
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Hong JH, Son SM, Jang SH. Identification of spinothalamic tract and its related thalamocortical fibers in human brain. Neurosci Lett 2009; 468:102-5. [PMID: 19879333 DOI: 10.1016/j.neulet.2009.10.075] [Citation(s) in RCA: 43] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2009] [Revised: 10/21/2009] [Accepted: 10/22/2009] [Indexed: 10/20/2022]
Abstract
Little is known about the spinothalamic tract (STT) and its related thalamocortical fibers. In the current study, we attempted to identify the STT and related thalamocortical fibers in the human brain, using diffusion tensor tractography (DTT). We recruited 23 healthy volunteers for this study. Diffusion tensor images (DTIs) were scanned using 1.5-T, and the STT and medial lemniscus (ML) were obtained using FMRIB software. Normalized DTI tractography was reconstructed using the Montreal Neurological Institute (MNI) echo-planar imaging (EPI) template supplied with the SPM. The STT began at the posterolateral medulla and ascended to the ventral posterior-lateral (VPL) nucleus of the thalamus, through the pontine tegmentum posterolateral to the ML, and through the mesencephalic tegmentum posterior to the ML. STT-related thalamocortical fibers originated from the VPL nucleus of the thalamus and ascended through the posterior limb of the internal capsule and the posterior portion of the corona radiata, terminating at the primary somatosensory cortex. We identified the STT and its related thalamocortical fibers using DTT. These results would be helpful in the clinical field and also in research on somatosensory function in the human brain.
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Affiliation(s)
- Ji Heon Hong
- Department of Physical Medicine and Rehabilitation, College of Medicine, Yeungnam University, 317-1, Daemyungdong, Namku, Daegu, 705-717, Republic of Korea
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