1
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Taheri A. The partial upward migration of the laryngeal motor cortex: A window to the human brain evolution. Brain Res 2024; 1834:148892. [PMID: 38554798 DOI: 10.1016/j.brainres.2024.148892] [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: 01/26/2024] [Revised: 03/16/2024] [Accepted: 03/27/2024] [Indexed: 04/02/2024]
Abstract
The pioneer cortical electrical stimulation studies of the last century did not explicitly mark the location of the human laryngeal motor cortex (LMC), but only the "vocalization area" in the lower half of the lateral motor cortex. In the final years of 2010́s, neuroimaging studies did demonstrate two human cortical laryngeal representations, located at the opposing ends of the orofacial motor zone, therefore termed dorsal (LMCd) and ventral laryngeal motor cortex (LMCv). Since then, there has been a continuing debate regarding the origin, function and evolutionary significance of these areas. The "local duplication model" posits that the LMCd evolved by a duplication of an adjacent region of the motor cortex. The "duplication and migration model" assumes that the dorsal LMCd arose by a duplication of motor regions related to vocalization, such as the ancestry LMC, followed by a migration into the orofacial region of the motor cortex. This paper reviews the basic arguments of these viewpoints and suggests a new explanation, declaring that the LMCd in man is rather induced through the division of the unitary LMC in nonhuman primates, upward shift and relocation of its motor part due to the disproportional growth of the head, face, mouth, lips, and tongue motor areas in the ventral part of the human motor homunculus. This explanation may be called "expansion-division and relocation model".
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Affiliation(s)
- Abbas Taheri
- Neuroscience Razi, Berlin, Germany; Former Assistant Professor of Neurosurgery, Humboldt University, Berlin, Germany
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2
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Gordon EM, Chauvin RJ, Van AN, Rajesh A, Nielsen A, Newbold DJ, Lynch CJ, Seider NA, Krimmel SR, Scheidter KM, Monk J, Miller RL, Metoki A, Montez DF, Zheng A, Elbau I, Madison T, Nishino T, Myers MJ, Kaplan S, Badke D'Andrea C, Demeter DV, Feigelis M, Ramirez JSB, Xu T, Barch DM, Smyser CD, Rogers CE, Zimmermann J, Botteron KN, Pruett JR, Willie JT, Brunner P, Shimony JS, Kay BP, Marek S, Norris SA, Gratton C, Sylvester CM, Power JD, Liston C, Greene DJ, Roland JL, Petersen SE, Raichle ME, Laumann TO, Fair DA, Dosenbach NUF. A somato-cognitive action network alternates with effector regions in motor cortex. Nature 2023; 617:351-359. [PMID: 37076628 PMCID: PMC10172144 DOI: 10.1038/s41586-023-05964-2] [Citation(s) in RCA: 105] [Impact Index Per Article: 105.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2022] [Accepted: 03/16/2023] [Indexed: 04/21/2023]
Abstract
Motor cortex (M1) has been thought to form a continuous somatotopic homunculus extending down the precentral gyrus from foot to face representations1,2, despite evidence for concentric functional zones3 and maps of complex actions4. Here, using precision functional magnetic resonance imaging (fMRI) methods, we find that the classic homunculus is interrupted by regions with distinct connectivity, structure and function, alternating with effector-specific (foot, hand and mouth) areas. These inter-effector regions exhibit decreased cortical thickness and strong functional connectivity to each other, as well as to the cingulo-opercular network (CON), critical for action5 and physiological control6, arousal7, errors8 and pain9. This interdigitation of action control-linked and motor effector regions was verified in the three largest fMRI datasets. Macaque and pediatric (newborn, infant and child) precision fMRI suggested cross-species homologues and developmental precursors of the inter-effector system. A battery of motor and action fMRI tasks documented concentric effector somatotopies, separated by the CON-linked inter-effector regions. The inter-effectors lacked movement specificity and co-activated during action planning (coordination of hands and feet) and axial body movement (such as of the abdomen or eyebrows). These results, together with previous studies demonstrating stimulation-evoked complex actions4 and connectivity to internal organs10 such as the adrenal medulla, suggest that M1 is punctuated by a system for whole-body action planning, the somato-cognitive action network (SCAN). In M1, two parallel systems intertwine, forming an integrate-isolate pattern: effector-specific regions (foot, hand and mouth) for isolating fine motor control and the SCAN for integrating goals, physiology and body movement.
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Affiliation(s)
- Evan M Gordon
- Mallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, MO, USA.
| | - Roselyne J Chauvin
- Department of Neurology, Washington University School of Medicine, St Louis, MO, USA
| | - Andrew N Van
- Department of Neurology, Washington University School of Medicine, St Louis, MO, USA
- Department of Biomedical Engineering, Washington University in St. Louis, St Louis, MO, USA
| | - Aishwarya Rajesh
- Mallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, MO, USA
| | - Ashley Nielsen
- Department of Neurology, Washington University School of Medicine, St Louis, MO, USA
| | - Dillan J Newbold
- Department of Neurology, Washington University School of Medicine, St Louis, MO, USA
- Department of Neurology, New York University Langone Medical Center, New York, NY, USA
| | - Charles J Lynch
- Department of Psychiatry, Weill Cornell Medicine, New York, NY, USA
| | - Nicole A Seider
- Department of Neurology, Washington University School of Medicine, St Louis, MO, USA
- Department of Psychiatry, Washington University School of Medicine, St Louis, MO, USA
| | - Samuel R Krimmel
- Department of Neurology, Washington University School of Medicine, St Louis, MO, USA
| | - Kristen M Scheidter
- Department of Neurology, Washington University School of Medicine, St Louis, MO, USA
| | - Julia Monk
- Department of Neurology, Washington University School of Medicine, St Louis, MO, USA
| | - Ryland L Miller
- Department of Neurology, Washington University School of Medicine, St Louis, MO, USA
- Department of Psychiatry, Washington University School of Medicine, St Louis, MO, USA
| | - Athanasia Metoki
- Department of Neurology, Washington University School of Medicine, St Louis, MO, USA
| | - David F Montez
- Department of Neurology, Washington University School of Medicine, St Louis, MO, USA
| | - Annie Zheng
- Department of Neurology, Washington University School of Medicine, St Louis, MO, USA
| | - Immanuel Elbau
- Department of Psychiatry, Weill Cornell Medicine, New York, NY, USA
| | - Thomas Madison
- Department of Pediatrics, University of Minnesota, Minneapolis, MN, USA
| | - Tomoyuki Nishino
- Department of Psychiatry, Washington University School of Medicine, St Louis, MO, USA
| | - Michael J Myers
- Department of Psychiatry, Washington University School of Medicine, St Louis, MO, USA
| | - Sydney Kaplan
- Department of Neurology, Washington University School of Medicine, St Louis, MO, USA
| | - Carolina Badke D'Andrea
- Mallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, MO, USA
- Department of Psychiatry, Washington University School of Medicine, St Louis, MO, USA
- Department of Cognitive Science, University of California San Diego, La Jolla, CA, USA
| | - Damion V Demeter
- Department of Cognitive Science, University of California San Diego, La Jolla, CA, USA
| | - Matthew Feigelis
- Department of Cognitive Science, University of California San Diego, La Jolla, CA, USA
| | - Julian S B Ramirez
- Center for the Developing Brain, Child Mind Institute, New York, NY, USA
| | - Ting Xu
- Center for the Developing Brain, Child Mind Institute, New York, NY, USA
| | - Deanna M Barch
- Mallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, MO, USA
- Department of Psychiatry, Washington University School of Medicine, St Louis, MO, USA
- Department of Psychological and Brain Sciences, Washington University in St. Louis, St Louis, MO, USA
| | - Christopher D Smyser
- Mallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, MO, USA
- Department of Neurology, Washington University School of Medicine, St Louis, MO, USA
- Department of Pediatrics, Washington University School of Medicine, St Louis, MO, USA
| | - Cynthia E Rogers
- Department of Psychiatry, Weill Cornell Medicine, New York, NY, USA
- Department of Pediatrics, Washington University School of Medicine, St Louis, MO, USA
| | - Jan Zimmermann
- Department of Neuroscience, University of Minnesota, Minneapolis, MN, USA
| | - Kelly N Botteron
- Department of Psychiatry, Washington University School of Medicine, St Louis, MO, USA
| | - John R Pruett
- Department of Psychiatry, Washington University School of Medicine, St Louis, MO, USA
| | - Jon T Willie
- Department of Neurology, Washington University School of Medicine, St Louis, MO, USA
- Department of Psychiatry, Weill Cornell Medicine, New York, NY, USA
- Department of Neurosurgery, Washington University School of Medicine, St Louis, MO, USA
| | - Peter Brunner
- Department of Biomedical Engineering, Washington University in St. Louis, St Louis, MO, USA
- Department of Neurosurgery, Washington University School of Medicine, St Louis, MO, USA
| | - Joshua S Shimony
- Mallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, MO, USA
| | - Benjamin P Kay
- Department of Neurology, Washington University School of Medicine, St Louis, MO, USA
| | - Scott Marek
- Mallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, MO, USA
| | - Scott A Norris
- Mallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, MO, USA
- Department of Neurology, Washington University School of Medicine, St Louis, MO, USA
| | - Caterina Gratton
- Department of Psychology, Florida State University, Tallahassee, FL, USA
| | - Chad M Sylvester
- Department of Psychiatry, Washington University School of Medicine, St Louis, MO, USA
| | - Jonathan D Power
- Department of Psychiatry, Weill Cornell Medicine, New York, NY, USA
| | - Conor Liston
- Department of Psychiatry, Weill Cornell Medicine, New York, NY, USA
| | - Deanna J Greene
- Department of Cognitive Science, University of California San Diego, La Jolla, CA, USA
| | - Jarod L Roland
- Department of Neurosurgery, Washington University School of Medicine, St Louis, MO, USA
| | - Steven E Petersen
- Mallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, MO, USA
- Department of Neurology, Washington University School of Medicine, St Louis, MO, USA
- Department of Biomedical Engineering, Washington University in St. Louis, St Louis, MO, USA
- Department of Psychological and Brain Sciences, Washington University in St. Louis, St Louis, MO, USA
- Department of Neuroscience, Washington University School of Medicine, St Louis, MO, USA
| | - Marcus E Raichle
- Mallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, MO, USA
- Department of Neurology, Washington University School of Medicine, St Louis, MO, USA
- Department of Biomedical Engineering, Washington University in St. Louis, St Louis, MO, USA
- Department of Psychological and Brain Sciences, Washington University in St. Louis, St Louis, MO, USA
- Department of Neuroscience, Washington University School of Medicine, St Louis, MO, USA
| | - Timothy O Laumann
- Department of Psychiatry, Washington University School of Medicine, St Louis, MO, USA
| | - Damien A Fair
- Department of Pediatrics, University of Minnesota, Minneapolis, MN, USA
- Masonic Institute for the Developing Brain, University of Minnesota, Minneapolis, MN, USA
- Institute of Child Development, University of Minnesota, Minneapolis, MN, 55455, United States
| | - Nico U F Dosenbach
- Mallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, MO, USA.
- Department of Neurology, Washington University School of Medicine, St Louis, MO, USA.
- Department of Biomedical Engineering, Washington University in St. Louis, St Louis, MO, USA.
- Department of Psychological and Brain Sciences, Washington University in St. Louis, St Louis, MO, USA.
- Department of Pediatrics, Washington University School of Medicine, St Louis, MO, USA.
- Program in Occupational Therapy, Washington University in St. Louis, St Louis, MO, USA.
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3
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Elmalem MS, Moody H, Ruffle JK, de Schotten MT, Haggard P, Diehl B, Nachev P, Jha A. A framework for focal and connectomic mapping of transiently disrupted brain function. Commun Biol 2023; 6:430. [PMID: 37076578 PMCID: PMC10115870 DOI: 10.1038/s42003-023-04787-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2022] [Accepted: 03/30/2023] [Indexed: 04/21/2023] Open
Abstract
The distributed nature of the neural substrate, and the difficulty of establishing necessity from correlative data, combine to render the mapping of brain function a far harder task than it seems. Methods capable of combining connective anatomical information with focal disruption of function are needed to disambiguate local from global neural dependence, and critical from merely coincidental activity. Here we present a comprehensive framework for focal and connective spatial inference based on sparse disruptive data, and demonstrate its application in the context of transient direct electrical stimulation of the human medial frontal wall during the pre-surgical evaluation of patients with focal epilepsy. Our framework formalizes voxel-wise mass-univariate inference on sparsely sampled data within the statistical parametric mapping framework, encompassing the analysis of distributed maps defined by any criterion of connectivity. Applied to the medial frontal wall, this transient dysconnectome approach reveals marked discrepancies between local and distributed associations of major categories of motor and sensory behaviour, revealing differentiation by remote connectivity to which purely local analysis is blind. Our framework enables disruptive mapping of the human brain based on sparsely sampled data with minimal spatial assumptions, good statistical efficiency, flexible model formulation, and explicit comparison of local and distributed effects.
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Affiliation(s)
- Michael S Elmalem
- UCL Queen Square Institute of Neurology, London, UK.
- National Hospital for Neurology and Neurosurgery, London, UK.
- Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany.
| | - Hanna Moody
- UCL Queen Square Institute of Neurology, London, UK
| | - James K Ruffle
- UCL Queen Square Institute of Neurology, London, UK
- National Hospital for Neurology and Neurosurgery, London, UK
| | - Michel Thiebaut de Schotten
- Groupe d'Imagerie Neurofonctionnelle, Institut des Maladies Neurodégénérative, University of Bordeaux, Bordeaux, France
- Brain Connectivity and Behaviour Laboratory, Sorbonne Universities, Paris, France
| | | | - Beate Diehl
- UCL Queen Square Institute of Neurology, London, UK
- National Hospital for Neurology and Neurosurgery, London, UK
| | - Parashkev Nachev
- UCL Queen Square Institute of Neurology, London, UK.
- National Hospital for Neurology and Neurosurgery, London, UK.
| | - Ashwani Jha
- UCL Queen Square Institute of Neurology, London, UK.
- National Hospital for Neurology and Neurosurgery, London, UK.
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4
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Jiang S, Lang L, Sun B, Wu D, Feng R, He J, Chen L, Hu J, Mao Y. Surgery for Epilepsy Involving Rolandic and Perirolandic Cortex: A Case Series Assessing Complications and Efficacy. Oper Neurosurg (Hagerstown) 2022; 23:287-297. [PMID: 35973401 DOI: 10.1227/ons.0000000000000324] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2021] [Accepted: 04/25/2022] [Indexed: 02/04/2023] Open
Abstract
BACKGROUND Surgical removal of lesions around the rolandic cortex remains a challenge for neurosurgeons owing to the high risk of neurological deficits. Evaluating the risk factors associated with motor deficits after surgery in this region may help reduce the occurrence of motor deficits. OBJECTIVE To report our surgical experience in treating epileptic lesions involving the rolandic and perirolandic cortices. METHODS We performed a single-center retrospective review of patients undergoing epilepsy surgeries with lesions located in the rolandic and perirolandic cortices. Patients with detailed follow-up information were included. The lesion locations, resected regions, and invasive exploration techniques were studied to assess their relationship with postoperative motor deficits. RESULTS Forty-one patients were included. Twenty-three patients suffered from a transient motor deficit, and 2 had permanent disabilities after surgery. Six patients with lesions at the posterior bank of the precentral sulcus underwent resection, and 5 experienced short-term motor deficits. Two patients with lesions adjacent to the anterior part of the precentral gyrus, in whom the adjacent precentral gyrus was removed, experienced permanent motor deficits. Lesions located at the bottom of the central sulcus and invading the anterior bank of the central sulcus were observed in 3 patients. The patients did not experience permanent motor deficits after surgery. CONCLUSION The anterior bank of the central sulcus is indispensable for motor function, and destruction of this region would inevitably cause motor deficits. The anterior bank of the precentral gyrus can also be removed without motor impairment if there is a preexisting epileptogenic lesion.
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Affiliation(s)
- Shize Jiang
- Department of Neurosurgery, Huashan Hospital, Fudan University, Shanghai, China.,State Key Laboratory of Medical Neurobiology and MOE Frontiers Center for Brain Science, School of Basic Medical Sciences and Institutes of Brain Science, Fudan University, Shanghai, China
| | - Liqin Lang
- Department of Neurosurgery, Huashan Hospital, Fudan University, Shanghai, China
| | - Bing Sun
- Department of Neurosurgery, Huashan Hospital, Fudan University, Shanghai, China
| | - Dongyan Wu
- Department of Neurology, Huashan Hospital, Fudan University, Shanghai, China
| | - Rui Feng
- Department of Neurosurgery, Huashan Hospital, Fudan University, Shanghai, China
| | - Juanjuan He
- Department of Neurosurgery, Huashan Hospital, Fudan University, Shanghai, China
| | - Liang Chen
- Department of Neurosurgery, Huashan Hospital, Fudan University, Shanghai, China.,State Key Laboratory of Medical Neurobiology and MOE Frontiers Center for Brain Science, School of Basic Medical Sciences and Institutes of Brain Science, Fudan University, Shanghai, China
| | - Jie Hu
- Department of Neurosurgery, Huashan Hospital, Fudan University, Shanghai, China
| | - Ying Mao
- Department of Neurosurgery, Huashan Hospital, Fudan University, Shanghai, China.,State Key Laboratory of Medical Neurobiology and MOE Frontiers Center for Brain Science, School of Basic Medical Sciences and Institutes of Brain Science, Fudan University, Shanghai, China
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5
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Carrete LR, Young JS, Cha S. Advanced Imaging Techniques for Newly Diagnosed and Recurrent Gliomas. Front Neurosci 2022; 16:787755. [PMID: 35281485 PMCID: PMC8904563 DOI: 10.3389/fnins.2022.787755] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2021] [Accepted: 01/19/2022] [Indexed: 12/12/2022] Open
Abstract
Management of gliomas following initial diagnosis requires thoughtful presurgical planning followed by regular imaging to monitor treatment response and survey for new tumor growth. Traditional MR imaging modalities such as T1 post-contrast and T2-weighted sequences have long been a staple of tumor diagnosis, surgical planning, and post-treatment surveillance. While these sequences remain integral in the management of gliomas, advances in imaging techniques have allowed for a more detailed characterization of tumor characteristics. Advanced MR sequences such as perfusion, diffusion, and susceptibility weighted imaging, as well as PET scans have emerged as valuable tools to inform clinical decision making and provide a non-invasive way to help distinguish between tumor recurrence and pseudoprogression. Furthermore, these advances in imaging have extended to the operating room and assist in making surgical resections safer. Nevertheless, surgery, chemotherapy, and radiation treatment continue to make the interpretation of MR changes difficult for glioma patients. As analytics and machine learning techniques improve, radiomics offers the potential to be more quantitative and personalized in the interpretation of imaging data for gliomas. In this review, we describe the role of these newer imaging modalities during the different stages of management for patients with gliomas, focusing on the pre-operative, post-operative, and surveillance periods. Finally, we discuss radiomics as a means of promoting personalized patient care in the future.
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Affiliation(s)
- Luis R. Carrete
- University of California San Francisco School of Medicine, San Francisco, CA, United States
| | - Jacob S. Young
- Department of Neurological Surgery, University of California, San Francisco, San Francisco, CA, United States
- *Correspondence: Jacob S. Young,
| | - Soonmee Cha
- Department of Radiology, University of California, San Francisco, San Francisco, CA, United States
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6
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Stern ER, Eng GK, De Nadai AS, Iosifescu DV, Tobe RH, Collins KA. Imbalance between default mode and sensorimotor connectivity is associated with perseverative thinking in obsessive-compulsive disorder. Transl Psychiatry 2022; 12:19. [PMID: 35022398 PMCID: PMC8755709 DOI: 10.1038/s41398-022-01780-w] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/11/2021] [Revised: 12/07/2021] [Accepted: 12/20/2021] [Indexed: 11/09/2022] Open
Abstract
Obsessive-compulsive disorder (OCD) is highly heterogeneous. Although perseverative negative thinking (PT) is a feature of OCD, little is known about its neural mechanisms or relationship to clinical heterogeneity in the disorder. In a sample of 85 OCD patients, we investigated the relationships between self-reported PT, clinical symptom subtypes, and resting-state functional connectivity measures of local and global connectivity. Results indicated that PT scores were highly variable within the OCD sample, with greater PT relating to higher severity of the "unacceptable thoughts" symptom dimension. PT was positively related to local connectivity in subgenual anterior cingulate cortex (ACC), pregenual ACC, and the temporal poles-areas that are part of, or closely linked to, the default mode network (DMN)-and negatively related to local connectivity in sensorimotor cortex. While the majority of patients showed higher local connectivity strengths in sensorimotor compared to DMN regions, OCD patients with higher PT scores had less of an imbalance between sensorimotor and DMN connectivity than those with lower PT scores, with healthy controls exhibiting an intermediate pattern. Clinically, this imbalance was related to both the "unacceptable thoughts" and "symmetry/not-just-right-experiences" symptom dimensions, but in opposite directions. These effects remained significant after accounting for variance related to psychiatric comorbidity and medication use in the OCD sample, and no significant relationships were found between PT and global connectivity. These data indicate that PT is related to symptom and neural variability in OCD. Future work may wish to target this circuity when developing personalized interventions for patients with these symptoms.
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Affiliation(s)
- Emily R. Stern
- grid.240324.30000 0001 2109 4251Department of Psychiatry, New York University Grossman School of Medicine, New York, NY USA ,grid.250263.00000 0001 2189 4777Nathan S. Kline Institute for Psychiatric Research, Orangeburg, NY USA
| | - Goi Khia Eng
- grid.240324.30000 0001 2109 4251Department of Psychiatry, New York University Grossman School of Medicine, New York, NY USA ,grid.250263.00000 0001 2189 4777Nathan S. Kline Institute for Psychiatric Research, Orangeburg, NY USA
| | - Alessandro S. De Nadai
- grid.264772.20000 0001 0682 245XDepartment of Psychology, Texas State University, San Marcos, TX USA
| | - Dan V. Iosifescu
- grid.240324.30000 0001 2109 4251Department of Psychiatry, New York University Grossman School of Medicine, New York, NY USA ,grid.250263.00000 0001 2189 4777Nathan S. Kline Institute for Psychiatric Research, Orangeburg, NY USA
| | - Russell H. Tobe
- grid.250263.00000 0001 2189 4777Nathan S. Kline Institute for Psychiatric Research, Orangeburg, NY USA
| | - Katherine A. Collins
- grid.250263.00000 0001 2189 4777Nathan S. Kline Institute for Psychiatric Research, Orangeburg, NY USA
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7
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Fornia L, Rossi M, Rabuffetti M, Bellacicca A, Viganò L, Simone L, Howells H, Puglisi G, Leonetti A, Callipo V, Bello L, Cerri G. Motor impairment evoked by direct electrical stimulation of human parietal cortex during object manipulation. Neuroimage 2021; 248:118839. [PMID: 34963652 DOI: 10.1016/j.neuroimage.2021.118839] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2021] [Revised: 12/03/2021] [Accepted: 12/18/2021] [Indexed: 10/19/2022] Open
Abstract
In primates, the parietal cortex plays a crucial role in hand-object manipulation. However, its involvement in object manipulation and related hand-muscle control has never been investigated in humans with a direct and focal electrophysiological approach. To this aim, during awake surgery for brain tumors, we studied the impact of direct electrical stimulation (DES) of parietal lobe on hand-muscles during a hand-manipulation task (HMt). Results showed that DES applied to fingers-representation of postcentral gyrus (PCG) and anterior intraparietal cortex (aIPC) impaired HMt execution. Different types of EMG-interference patterns were observed ranging from a partial (task-clumsy) or complete (task-arrest) impairment of muscles activity. Within PCG both patterns coexisted along a medio (arrest)-lateral (clumsy) distribution, while aIPC hosted preferentially the task-arrest. The interference patterns were mainly associated to muscles suppression, more pronounced in aIPC with respect to PCG. Moreover, within PCG were observed patterns with different level of muscle recruitment, not reported in the aIPC. Overall, EMG-interference patterns and their probabilistic distribution suggested the presence of different functional parietal sectors, possibly playing different roles in hand-muscle control during manipulation. We hypothesized that task-arrest, compared to clumsy patterns, might suggest the existence of parietal sectors more closely implicated in shaping the motor output.
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Affiliation(s)
- Luca Fornia
- Laboratory of Motor Control, Department of Medical Biotechnologies and Translational Medicine, Università degli Studi di Milano, Italy; IRCCS Fondazione Don Carlo Gnocchi, Milano, Italy
| | - Marco Rossi
- Neurosurgical Oncology Unit, Department of Oncology and Hemato-Oncology, Università degli Studi di Milano, Italy
| | | | - Andrea Bellacicca
- Laboratory of Motor Control, Department of Medical Biotechnologies and Translational Medicine, Università degli Studi di Milano, Italy
| | - Luca Viganò
- Neurosurgical Oncology Unit, Department of Oncology and Hemato-Oncology, Università degli Studi di Milano, Italy
| | - Luciano Simone
- Cognition, Motion & Neuroscience, Center for Human Technologies, Istituto Italiano di Tecnologia, Genoa, Italy
| | - Henrietta Howells
- Laboratory of Motor Control, Department of Medical Biotechnologies and Translational Medicine, Università degli Studi di Milano, Italy
| | - Guglielmo Puglisi
- Laboratory of Motor Control, Department of Medical Biotechnologies and Translational Medicine, Università degli Studi di Milano, Italy
| | - Antonella Leonetti
- Laboratory of Motor Control, Department of Medical Biotechnologies and Translational Medicine, Università degli Studi di Milano, Italy
| | - Vincenzo Callipo
- Laboratory of Motor Control, Department of Medical Biotechnologies and Translational Medicine, Università degli Studi di Milano, Humanitas Research Hospital IRCSS, Rozzano, Milano, Italy
| | - Lorenzo Bello
- Neurosurgical Oncology Unit, Department of Oncology and Hemato-Oncology, Università degli Studi di Milano, Italy
| | - Gabriella Cerri
- Laboratory of Motor Control, Department of Medical Biotechnologies and Translational Medicine, Università degli Studi di Milano, Humanitas Research Hospital IRCSS, Rozzano, Milano, Italy.
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8
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Sun F, Zhang G, Yu T, Zhang X, Wang X, Yan X, Qiao L, Ma K, Zhang X. Functional characteristics of the human primary somatosensory cortex: An electrostimulation study. Epilepsy Behav 2021; 118:107920. [PMID: 33770611 DOI: 10.1016/j.yebeh.2021.107920] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/14/2021] [Revised: 03/01/2021] [Accepted: 03/02/2021] [Indexed: 10/21/2022]
Abstract
The common knowledge of the functional organization of the human primary somatosensory cortex (S1) had been primarily established by Penfield who electrically stimulated the exposed surface [referred as Brodmann area (BA)1] of S1 under neurosurgical conditions. Nevertheless, the functional information regarding the deep surface (BA 2 and 3) of S1 is poorly understood. We retrospectively analyzed all the clinical manifestations induced by extra-operative cortical electrical stimulation (ES) in 33 patients with medically intractable epilepsy who underwent stereo-electroencephalography (SEEG) monitoring for presurgical assessment. Demographic and clinical data were gathered and evaluated to delineate the determinants of the occurrence of positive responses, types of responses, and size of body regions involved. The stimulation of 244 sites in S1 yielded 198 positive sites (81.1%), most of which were located in the sulcal cortex. In multivariable analyses, no clinical or demographic factors predicted the occurrence of responses or their threshold levels. The size of body region involved in the responses had ordinal association with the stimulated BA sites (p < 0.001). Various types of responses elicited from the S1 were documented and classified, and the predictors of those responses were also assessed. Our analysis revealed the functional characteristics of the entire S1 and proved the multiplicity of functions of S1.
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Affiliation(s)
- Fengqiao Sun
- Beijing Institute of Functional Neurosurgery, Xuanwu Hospital, Capital Medical University, No. 45, Changchun Street, Xicheng District, Beijing 100053, China
| | - Guojun Zhang
- Beijing Institute of Functional Neurosurgery, Xuanwu Hospital, Capital Medical University, No. 45, Changchun Street, Xicheng District, Beijing 100053, China.
| | - Tao Yu
- Beijing Institute of Functional Neurosurgery, Xuanwu Hospital, Capital Medical University, No. 45, Changchun Street, Xicheng District, Beijing 100053, China
| | - Xiaohua Zhang
- Beijing Institute of Functional Neurosurgery, Xuanwu Hospital, Capital Medical University, No. 45, Changchun Street, Xicheng District, Beijing 100053, China
| | - Xueyuan Wang
- Beijing Institute of Functional Neurosurgery, Xuanwu Hospital, Capital Medical University, No. 45, Changchun Street, Xicheng District, Beijing 100053, China
| | - Xiaoming Yan
- Beijing Institute of Functional Neurosurgery, Xuanwu Hospital, Capital Medical University, No. 45, Changchun Street, Xicheng District, Beijing 100053, China
| | - Liang Qiao
- Beijing Institute of Functional Neurosurgery, Xuanwu Hospital, Capital Medical University, No. 45, Changchun Street, Xicheng District, Beijing 100053, China
| | - Kai Ma
- Beijing Institute of Functional Neurosurgery, Xuanwu Hospital, Capital Medical University, No. 45, Changchun Street, Xicheng District, Beijing 100053, China
| | - Xi Zhang
- Beijing Institute of Functional Neurosurgery, Xuanwu Hospital, Capital Medical University, No. 45, Changchun Street, Xicheng District, Beijing 100053, China
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Asman P, Prabhu S, Bastos D, Tummala S, Bhavsar S, McHugh TM, Ince NF. Unsupervised machine learning can delineate central sulcus by using the spatiotemporal characteristic of somatosensory evoked potentials. J Neural Eng 2021; 18. [PMID: 33836520 PMCID: PMC8718352 DOI: 10.1088/1741-2552/abf68a] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2020] [Accepted: 04/09/2021] [Indexed: 11/16/2022]
Abstract
Objective. Somatosensory evoked potentials (SSEPs) recorded with electrocorticography (ECoG) for central sulcus (CS) identification is a widely accepted procedure in routine intraoperative neurophysiological monitoring. Clinical practices test the short-latency SSEPs for the phase reversal over strip electrodes. However, assessments based on waveform morphology are susceptible to variations in interpretations due to the hand area’s localized nature and usually require multiple electrode placements or electrode relocation. We investigated the feasibility of unsupervised delineation of the CS by using the spatiotemporal patterns of the SSEP captured with the ECoG grid. Approach. Intraoperatively, SSEPs were recorded from eight patients using ECoG grids placed over the sensorimotor cortex. Neurosurgeons blinded to the electrophysiology identified the sensory and motor gyri using neuronavigation based on sulcal anatomy. We quantified the most discriminatory time points in SSEPs temporal profile between the primary motor (M1) and somatosensory (S1) cortex using the Fisher discrimination criterion. We visualized the amplitude gradient of the SSEP over a 2D heat map to provide visual feedback for the delineation of the CS based on electrophysiology. Subsequently, we employed spectral clustering using the entire the SSEP waveform without selecting any time points and grouped ECoG channels in an unsupervised fashion. Main results. Consistently in all patients, two different time points provided almost equal discrimination between anterior and posterior channels, which vividly outlined the CS when we viewed the SSEP amplitude distribution as a spatial 2D heat map. The first discriminative time point was in proximity to the conventionally favored ~20 ms peak (N20), and the second time point was slightly later than the markedly high ~30 ms peak (P30). Still, the location of these time points varied noticeably across subjects. Unsupervised clustering approach separated the anterior and posterior channels with an accuracy of 96.3% based on the time derivative of the SSEP trace without the need for a subject-specific time point selection. In contrast, the raw trace resulted in an accuracy of 88.0%. Significance. We show that the unsupervised clustering of the SSEP trace assessed with subdural electrode grids can delineate the CS automatically with high precision, and the constructed heat maps can localize the motor cortex. We anticipate that the spatiotemporal patterns of SSEP fused with machine learning can serve as a useful tool to assist in surgical planning.
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Affiliation(s)
- Priscella Asman
- Department of Biomedical Engineering, University of Houston, Houston, TX, United States of America
| | - Sujit Prabhu
- Department of Neurosurgery, UT MD Anderson Cancer Center, Houston, TX, United States of America
| | - Dhiego Bastos
- Department of Neurosurgery, UT MD Anderson Cancer Center, Houston, TX, United States of America
| | - Sudhakar Tummala
- Department of Neurosurgery, UT MD Anderson Cancer Center, Houston, TX, United States of America
| | - Shreyas Bhavsar
- Department of Anesthesiology, UT MD Anderson Cancer Center, Houston, TX, United States of America
| | - Thomas Michael McHugh
- Department of Anesthesiology, UT MD Anderson Cancer Center, Houston, TX, United States of America
| | - Nuri Firat Ince
- Department of Biomedical Engineering, University of Houston, Houston, TX, United States of America
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10
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Intraoperative mapping of pre-central motor cortex and subcortex: a proposal for supplemental cortical and novel subcortical maps to Penfield's motor homunculus. Brain Struct Funct 2021; 226:1601-1611. [PMID: 33871691 PMCID: PMC8096772 DOI: 10.1007/s00429-021-02274-z] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2020] [Accepted: 04/09/2021] [Indexed: 12/17/2022]
Abstract
Penfield’s motor homunculus describes a caricaturised yet useful representation of the map of various body parts on the pre-central cortex. We propose a supplemental map of the clinically represented areas of human body in pre-central cortex and a novel subcortical corticospinal tract map. We believe this knowledge is essential for safe surgery in patients with eloquent brain lesions. A single-institution retrospective cohort study of patients who underwent craniotomy for motor eloquent lesions with intraoperative motor neuromonitoring (cortical and subcortical) between 2015 and 2020 was performed. All positive cortical and subcortical stimulation points were taken into account and cartographic maps were produced to demonstrate cortical and subcortical areas of motor representation and their configuration. A literature review in PubMed was performed. One hundred and eighty consecutive patients (58.4% male, 41.6% female) were included in the study with 81.6% asleep and 18.4% awake craniotomies for motor eloquent lesions (gliomas 80.7%, metastases 13.8%) with intraoperative cortical and subcortical motor mapping. Based on the data, we propose a supplemental clinical cortical and a novel subcortical motor map to the original Penfield’s motor homunculus, including demonstration of localisation of intercostal muscles both in the cortex and subcortex which has not been previously described. The supplementary clinical cortical and novel subcortical motor maps of the homunculus presented here have been derived from a large cohort of patients undergoing direct cortical and subcortical brain mapping. The information will have direct relevance for improving the safety and outcome of patients undergoing resection of motor eloquent brain lesions.
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11
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Richard N, Desmurget M, Teillac A, Beuriat PA, Bardi L, Coudé G, Szathmari A, Mottolese C, Sirigu A, Hiba B. Anatomical bases of fast parietal grasp control in humans: A diffusion-MRI tractography study. Neuroimage 2021; 235:118002. [PMID: 33789136 DOI: 10.1016/j.neuroimage.2021.118002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2020] [Revised: 01/26/2021] [Accepted: 03/24/2021] [Indexed: 11/26/2022] Open
Abstract
The dorso-posterior parietal cortex (DPPC) is a major node of the grasp/manipulation control network. It is assumed to act as an optimal forward estimator that continuously integrates efferent outflows and afferent inflows to modulate the ongoing motor command. In agreement with this view, a recent per-operative study, in humans, identified functional sites within DPPC that: (i) instantly disrupt hand movements when electrically stimulated; (ii) receive short-latency somatosensory afferences from intrinsic hand muscles. Based on these results, it was speculated that DPPC is part of a rapid grasp control loop that receives direct inputs from the hand-territory of the primary somatosensory cortex (S1) and sends direct projections to the hand-territory of the primary motor cortex (M1). However, evidence supporting this hypothesis is weak and partial. To date, projections from DPPC to M1 grasp zone have been identified in monkeys and have been postulated to exist in humans based on clinical and transcranial magnetic studies. This work uses diffusion-MRI tractography in two samples of right- (n = 50) and left-handed (n = 25) subjects randomly selected from the Human Connectome Project. It aims to determine whether direct connections exist between DPPC and the hand control sectors of the primary sensorimotor regions. The parietal region of interest, related to hand control (hereafter designated DPPChand), was defined permissively as the 95% confidence area of the parietal sites that were found to disrupt hand movements in the previously evoked per-operative study. In both hemispheres, irrespective of handedness, we found dense ipsilateral connections between a restricted part of DPPChand and focal sectors within the pre and postcentral gyrus. These sectors, corresponding to the hand territories of M1 and S1, targeted the same parietal zone (spatial overlap > 92%). As a sensitivity control, we searched for potential connections between the angular gyrus (AG) and the pre and postcentral regions. No robust pathways were found. Streamline densities identified using AG as the starting seed represented less than 5 % of the streamline densities identified from DPPChand. Together, these results support the existence of a direct sensory-parietal-motor loop suited for fast manual control and more generally, for any task requiring rapid integration of distal sensorimotor signals.
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Affiliation(s)
- Nathalie Richard
- Institute of Cognitive Neuroscience Marc Jeannerod, CNRS / UMR 5229, 69500 Bron, France; Université Claude Bernard, Lyon 1, 69100 Villeurbanne, France
| | - Michel Desmurget
- Institute of Cognitive Neuroscience Marc Jeannerod, CNRS / UMR 5229, 69500 Bron, France; Université Claude Bernard, Lyon 1, 69100 Villeurbanne, France
| | - Achille Teillac
- Institute of Cognitive Neuroscience Marc Jeannerod, CNRS / UMR 5229, 69500 Bron, France; Université Claude Bernard, Lyon 1, 69100 Villeurbanne, France; Institut de neurosciences cognitives et intégratives d'Aquitaine, CNRS / UMR 5287, 33076 Bordeaux, France
| | - Pierre-Aurélien Beuriat
- Institute of Cognitive Neuroscience Marc Jeannerod, CNRS / UMR 5229, 69500 Bron, France; Université Claude Bernard, Lyon 1, 69100 Villeurbanne, France; Department of Pediatric Neurosurgery, Hôpital Femme Mère Enfant, 69500, Bron, France
| | - Lara Bardi
- Institute of Cognitive Neuroscience Marc Jeannerod, CNRS / UMR 5229, 69500 Bron, France; Université Claude Bernard, Lyon 1, 69100 Villeurbanne, France
| | - Gino Coudé
- Institute of Cognitive Neuroscience Marc Jeannerod, CNRS / UMR 5229, 69500 Bron, France; Université Claude Bernard, Lyon 1, 69100 Villeurbanne, France
| | - Alexandru Szathmari
- Institute of Cognitive Neuroscience Marc Jeannerod, CNRS / UMR 5229, 69500 Bron, France; Université Claude Bernard, Lyon 1, 69100 Villeurbanne, France; Department of Pediatric Neurosurgery, Hôpital Femme Mère Enfant, 69500, Bron, France
| | - Carmine Mottolese
- Institute of Cognitive Neuroscience Marc Jeannerod, CNRS / UMR 5229, 69500 Bron, France; Université Claude Bernard, Lyon 1, 69100 Villeurbanne, France; Department of Pediatric Neurosurgery, Hôpital Femme Mère Enfant, 69500, Bron, France
| | - Angela Sirigu
- Institute of Cognitive Neuroscience Marc Jeannerod, CNRS / UMR 5229, 69500 Bron, France; Université Claude Bernard, Lyon 1, 69100 Villeurbanne, France
| | - Bassem Hiba
- Institute of Cognitive Neuroscience Marc Jeannerod, CNRS / UMR 5229, 69500 Bron, France; Université Claude Bernard, Lyon 1, 69100 Villeurbanne, France.
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12
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Sun F, Zhang G, Ren L, Yu T, Ren Z, Gao R, Zhang X. Functional organization of the human primary somatosensory cortex: A stereo-electroencephalography study. Clin Neurophysiol 2021; 132:487-497. [PMID: 33465535 DOI: 10.1016/j.clinph.2020.11.032] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2020] [Revised: 10/31/2020] [Accepted: 11/24/2020] [Indexed: 11/27/2022]
Abstract
OBJECTIVE The classical homunculus of the human primary somatosensory cortex (S1) established by Penfield has mainly portrayed the functional organization of convexial cortex, namely Brodmann area (BA) 1. However, little is known about the functions in fissural cortex including BA2 and BA3. We aim at drawing a refined and detailed somatosensory homunculus of the entire S1. METHODS We recruited 20 patients with drug-resistant focal epilepsy who underwent stereo-electroencephalography for preoperative assessments. Direct electrical stimulation was performed for functional mapping. Montreal Neurological Institute coordinates of the stimulation sites lying in S1 were acquired. RESULTS Stimulation of 177 sites in S1 yielded 149 positive sites (84%), most of which were located in the sulcal cortex. The spatial distribution of different body-part representations across the S1 surface revealed that the gross medial-to-lateral sequence of body representations within the entire S1 was consistent with the classical "homunculus". And we identified several unreported body-part representations from the sulcal cortex, such as forehead, deep elbow and wrist joints, and some dorsal body regions. CONCLUSIONS Our results reveal general somatotopical characteristics of the entire S1 cortex and differences with the previous works of Penfield. SIGNIFICANCE The classical S1 homunculus was extended by providing further refinement and additional detail.
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Affiliation(s)
- Fengqiao Sun
- Beijing Institute of Functional Neurosurgery, Xuanwu Hospital, Capital Medical University, No. 45, Changchun Street, Xicheng District, Beijing 100053, China
| | - Guojun Zhang
- Beijing Institute of Functional Neurosurgery, Xuanwu Hospital, Capital Medical University, No. 45, Changchun Street, Xicheng District, Beijing 100053, China.
| | - Liankun Ren
- Department of Neurology, Xuanwu Hospital, Capital Medical University, No. 45, Changchun Street, Xicheng District, Beijing 100053, China
| | - Tao Yu
- Beijing Institute of Functional Neurosurgery, Xuanwu Hospital, Capital Medical University, No. 45, Changchun Street, Xicheng District, Beijing 100053, China
| | - Zhiwei Ren
- Beijing Institute of Functional Neurosurgery, Xuanwu Hospital, Capital Medical University, No. 45, Changchun Street, Xicheng District, Beijing 100053, China
| | - Runshi Gao
- Beijing Institute of Functional Neurosurgery, Xuanwu Hospital, Capital Medical University, No. 45, Changchun Street, Xicheng District, Beijing 100053, China
| | - Xiaohua Zhang
- Beijing Institute of Functional Neurosurgery, Xuanwu Hospital, Capital Medical University, No. 45, Changchun Street, Xicheng District, Beijing 100053, China
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13
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Weiss Lucas C, Nettekoven C, Neuschmelting V, Oros-Peusquens AM, Stoffels G, Viswanathan S, Rehme AK, Faymonville AM, Shah NJ, Langen KJ, Goldbrunner R, Grefkes C. Invasive versus non-invasive mapping of the motor cortex. Hum Brain Mapp 2020; 41:3970-3983. [PMID: 32588936 PMCID: PMC7469817 DOI: 10.1002/hbm.25101] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2019] [Revised: 05/05/2020] [Accepted: 06/08/2020] [Indexed: 11/26/2022] Open
Abstract
Precise and comprehensive mapping of somatotopic representations in the motor cortex is clinically essential to achieve maximum resection of brain tumours whilst preserving motor function, especially since the current gold standard, that is, intraoperative direct cortical stimulation (DCS), holds limitations linked to the intraoperative setting such as time constraints or anatomical restrictions. Non‐invasive techniques are increasingly relevant with regard to pre‐operative risk‐assessment. Here, we assessed the congruency of neuronavigated transcranial magnetic stimulation (nTMS) and functional magnetic resonance imaging (fMRI) with DCS. The motor representations of the hand, the foot and the tongue regions of 36 patients with intracranial tumours were mapped pre‐operatively using nTMS and fMRI and by intraoperative DCS. Euclidean distances (ED) between hotspots/centres of gravity and (relative) overlaps of the maps were compared. We found significantly smaller EDs (11.4 ± 8.3 vs. 16.8 ± 7.0 mm) and better spatial overlaps (64 ± 38% vs. 37 ± 37%) between DCS and nTMS compared with DCS and fMRI. In contrast to DCS, fMRI and nTMS mappings were feasible for all regions and patients without complications. In summary, nTMS seems to be the more promising non‐invasive motor cortex mapping technique to approximate the gold standard DCS results.
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Affiliation(s)
- Carolin Weiss Lucas
- Medical Faculty and University Hospital, Center for Neurosurgery, University of Cologne, Cologne, Germany
| | - Charlotte Nettekoven
- Medical Faculty and University Hospital, Center for Neurosurgery, University of Cologne, Cologne, Germany
| | - Volker Neuschmelting
- Medical Faculty and University Hospital, Center for Neurosurgery, University of Cologne, Cologne, Germany
| | | | - Gabriele Stoffels
- Research Centre Jülich, Institute of Neuroscience and Medicine, Jülich, Germany
| | | | - Anne K Rehme
- Research Centre Jülich, Institute of Neuroscience and Medicine, Jülich, Germany.,Medical Faculty and University Hospital, Department of Neurology, University of Cologne, Cologne, Germany
| | - Andrea Maria Faymonville
- Medical Faculty and University Hospital, Center for Neurosurgery, University of Cologne, Cologne, Germany
| | - N Jon Shah
- Research Centre Jülich, Institute of Neuroscience and Medicine, Jülich, Germany.,Department of Neurology, RWTH Aachen University, University Clinic Aachen, Aachen, Germany
| | - Karl Josef Langen
- Research Centre Jülich, Institute of Neuroscience and Medicine, Jülich, Germany
| | - Roland Goldbrunner
- Medical Faculty and University Hospital, Center for Neurosurgery, University of Cologne, Cologne, Germany
| | - Christian Grefkes
- Research Centre Jülich, Institute of Neuroscience and Medicine, Jülich, Germany.,Medical Faculty and University Hospital, Department of Neurology, University of Cologne, Cologne, Germany
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14
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Wahlbom A, Enander JMD, Bengtsson F, Jörntell H. Focal neocortical lesions impair distant neuronal information processing. J Physiol 2019; 597:4357-4371. [PMID: 31342538 PMCID: PMC6852703 DOI: 10.1113/jp277717] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2019] [Accepted: 07/08/2019] [Indexed: 12/14/2022] Open
Abstract
KEY POINTS Parts of the fields of neuroscience and neurology consider the neocortex to be a functionally parcelled structure. Viewed through such a conceptual filter, there are multiple clinical observations after localized stroke lesions that seem paradoxical. We tested the effect that localized stroke-like lesions have on neuronal information processing in a part of the neocortex that is distant to the lesion using animal experiments. We find that the distant lesion degrades the quality of neuronal information processing of tactile input patterns in primary somatosensory cortex. The findings suggest that even the processing of primary sensory information depends on an intact neocortical network, with the implication that all neocortical processing may rely on widespread interactions across large parts of the cortex. ABSTRACT Recent clinical studies report a surprisingly weak relationship between the location of cortical brain lesions and the resulting functional deficits. From a neuroscience point of view, such findings raise questions as to what extent functional localization applies in the neocortex and to what extent the functions of different regions depend on the integrity of others. Here we provide an in-depth analysis of the changes in the function of the neocortical neuronal networks after distant focal stroke-like lesions in the anaesthetized rat. Using a recently introduced high resolution analysis of neuronal information processing, consisting of pre-set spatiotemporal patterns of tactile afferent activation against which the neuronal decoding performance can be quantified, we found that stroke-like lesions in distant parts of the cortex significantly degraded the decoding performance of individual neocortical neurons in the primary somatosensory cortex (decoding performance decreased from 30.9% to 24.2% for n = 22 neurons, Wilcoxon signed rank test, P = 0.028). This degrading effect was not due to changes in the firing frequency of the neuron (Wilcoxon signed rank test, P = 0.499) and was stronger the higher the decoding performance of the neuron, indicating a specific impact on the information processing capacity in the cortex. These findings suggest that even primary sensory processing depends on widely distributed cortical networks and could explain observations of focal stroke lesions affecting a large range of functions.
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Affiliation(s)
- Anders Wahlbom
- Neural Basis of Sensorimotor Control, Department of Experimental Medical Science, BMC F10 Tornavägen 10, SE-221 84, Lund, Sweden
| | - Jonas M D Enander
- Neural Basis of Sensorimotor Control, Department of Experimental Medical Science, BMC F10 Tornavägen 10, SE-221 84, Lund, Sweden
| | - Fredrik Bengtsson
- Neural Basis of Sensorimotor Control, Department of Experimental Medical Science, BMC F10 Tornavägen 10, SE-221 84, Lund, Sweden
| | - Henrik Jörntell
- Neural Basis of Sensorimotor Control, Department of Experimental Medical Science, BMC F10 Tornavägen 10, SE-221 84, Lund, Sweden
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15
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Freedman DJ, Ibos G. An Integrative Framework for Sensory, Motor, and Cognitive Functions of the Posterior Parietal Cortex. Neuron 2019; 97:1219-1234. [PMID: 29566792 DOI: 10.1016/j.neuron.2018.01.044] [Citation(s) in RCA: 69] [Impact Index Per Article: 13.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2017] [Revised: 01/12/2018] [Accepted: 01/23/2018] [Indexed: 11/28/2022]
Abstract
Throughout the history of modern neuroscience, the parietal cortex has been associated with a wide array of sensory, motor, and cognitive functions. The use of non-human primates as a model organism has been instrumental in our current understanding of how areas in the posterior parietal cortex (PPC) modulate our perception and influence our behavior. In this Perspective, we highlight a series of influential studies over the last five decades examining the role of the PPC in visual perception and motor planning. We also integrate long-standing views of PPC functions with more recent evidence to propose a more general model framework to explain integrative sensory, motor, and cognitive functions of the PPC.
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Affiliation(s)
- David J Freedman
- Department of Neurobiology, The University of Chicago, Chicago, IL 60637, USA; Grossman Institute for Neuroscience, Quantitative Biology and Human Behavior, The University of Chicago, Chicago, IL 60637, USA.
| | - Guilhem Ibos
- Department of Neurobiology, The University of Chicago, Chicago, IL 60637, USA; Institut de Neuroscience de la Timone, UMR 7289 CNRS & Aix-Marseille Université, Marseille, France.
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16
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Affiliation(s)
- Marco Catani
- NatBrainLab, Department of Neuroimaging and Department of Forensic and Neurodevelopmental Sciences, Sackler Institute for Translational Neurodevelopmental Sciences, Institute of Psychiatry, Psychology and Neuroscience, King's College London, De Crespigny Park, London SE5 8AF, UK
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17
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Enander JMD, Spanne A, Mazzoni A, Bengtsson F, Oddo CM, Jörntell H. Ubiquitous Neocortical Decoding of Tactile Input Patterns. Front Cell Neurosci 2019; 13:140. [PMID: 31031596 PMCID: PMC6474209 DOI: 10.3389/fncel.2019.00140] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2018] [Accepted: 03/20/2019] [Indexed: 11/13/2022] Open
Abstract
Whereas functional localization historically has been a key concept in neuroscience, direct neuronal recordings show that input of a particular modality can be recorded well outside its primary receiving areas in the neocortex. Here, we wanted to explore if such spatially unbounded inputs potentially contain any information about the quality of the input received. We utilized a recently introduced approach to study the neuronal decoding capacity at a high resolution by delivering a set of electrical, highly reproducible spatiotemporal tactile afferent activation patterns to the skin of the contralateral second digit of the forepaw of the anesthetized rat. Surprisingly, we found that neurons in all areas recorded from, across all cortical depths tested, could decode the tactile input patterns, including neurons of the primary visual cortex. Within both somatosensory and visual cortical areas, the combined decoding accuracy of a population of neurons was higher than for the best performing single neuron within the respective area. Such cooperative decoding indicates that not only did individual neurons decode the input, they also did so by generating responses with different temporal profiles compared to other neurons, which suggests that each neuron could have unique contributions to the tactile information processing. These findings suggest that tactile processing in principle could be globally distributed in the neocortex, possibly for comparison with internal expectations and disambiguation processes relying on other modalities.
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Affiliation(s)
- Jonas M D Enander
- Neural Basis of Sensorimotor Control, Department of Experimental Medical Science, Lund University, Lund, Sweden
| | - Anton Spanne
- Neural Basis of Sensorimotor Control, Department of Experimental Medical Science, Lund University, Lund, Sweden
| | - Alberto Mazzoni
- The BioRobotics Institute, Scuola Superiore Sant'Anna, Pisa, Italy
| | - Fredrik Bengtsson
- Neural Basis of Sensorimotor Control, Department of Experimental Medical Science, Lund University, Lund, Sweden
| | | | - Henrik Jörntell
- Neural Basis of Sensorimotor Control, Department of Experimental Medical Science, Lund University, Lund, Sweden
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18
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Keysers C, Paracampo R, Gazzola V. What neuromodulation and lesion studies tell us about the function of the mirror neuron system and embodied cognition. Curr Opin Psychol 2018; 24:35-40. [PMID: 29734039 PMCID: PMC6173305 DOI: 10.1016/j.copsyc.2018.04.001] [Citation(s) in RCA: 25] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2018] [Revised: 03/28/2018] [Accepted: 04/04/2018] [Indexed: 12/20/2022]
Abstract
We review neuromodulation and lesion studies that address how activations in the mirror neuron system contribute to our perception of observed actions. Past reviews showed disruptions of this parieto-premotor network impair imitation and goal and kinematic processing. Recent studies bring five new themes. First, focal perturbations of a node of that circuit lead to changes across all nodes. Second, primary somatosensory cortex is an integral part of this network suggesting embodied representations are somatosensory-motor. Third, disturbing this network impairs the ability to predict the actions of others in the close (∼300ms) future. Fourth, disruptions impair our ability to coordinate our actions with others. Fifth, disrupting this network, the insula or cingulate also impairs emotion recognition.
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Affiliation(s)
- Christian Keysers
- Netherlands Institute for Neuroscience, an institute of the Royal Netherlands Academy of Art and Sciences (KNAW), Meibergdreef 47, 1105 BA Amsterdam, The Netherlands; Faculty of Social and Behavioural Sciences, University of Amsterdam (UvA), 1001 NK Amsterdam, The Netherlands.
| | - Riccardo Paracampo
- Netherlands Institute for Neuroscience, an institute of the Royal Netherlands Academy of Art and Sciences (KNAW), Meibergdreef 47, 1105 BA Amsterdam, The Netherlands
| | - Valeria Gazzola
- Netherlands Institute for Neuroscience, an institute of the Royal Netherlands Academy of Art and Sciences (KNAW), Meibergdreef 47, 1105 BA Amsterdam, The Netherlands; Faculty of Social and Behavioural Sciences, University of Amsterdam (UvA), 1001 NK Amsterdam, The Netherlands
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19
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Lindner A. Motor Control: Parietal Stimulation Prevents Voluntary Hand Movement. Curr Biol 2018; 28:R1200-R1202. [DOI: 10.1016/j.cub.2018.09.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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20
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Avanzini P, Pelliccia V, Lo Russo G, Orban GA, Rizzolatti G. Multiple time courses of somatosensory responses in human cortex. Neuroimage 2018; 169:212-226. [PMID: 29248698 PMCID: PMC5864517 DOI: 10.1016/j.neuroimage.2017.12.037] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2017] [Revised: 11/22/2017] [Accepted: 12/13/2017] [Indexed: 02/04/2023] Open
Abstract
Here we show how anatomical and functional data recorded from patients undergoing stereo-EEG can be used to decompose the cortical processing following nerve stimulation in different stages characterized by specific topography and time course. Tibial, median and trigeminal nerves were stimulated in 96 patients, and the increase in gamma power was evaluated over 11878 cortical sites. All three nerve datasets exhibited similar clusters of time courses: phasic, delayed/prolonged and tonic, which differed in topography, temporal organization and degree of spatial overlap. Strong phasic responses of the three nerves followed the classical somatotopic organization of SI, with no overlap in either time or space. Delayed responses presented overlaps between pairs of body parts in both time and space, and were confined to the dorsal motor cortices. Finally, tonic responses occurred in the perisylvian region including posterior insular cortex and were evoked by the stimulation of all three nerves, lacking any spatial and temporal specificity. These data indicate that the somatosensory processing following nerve stimulation is a multi-stage hierarchical process common to all three nerves, with the different stages likely subserving different functions. While phasic responses represent the neural basis of tactile perception, multi-nerve tonic responses may represent the neural signature of processes sustaining the capacity to become aware of tactile stimuli.
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Affiliation(s)
- P Avanzini
- Istituto di Neuroscienze, Consiglio nazionale delle Ricerche - CNR, Parma, Italy; Dipartimento di Medicina e Chirurgia, University of Parma, Italy.
| | - V Pelliccia
- Dipartimento di Medicina e Chirurgia, University of Parma, Italy; Centro per la chirurgia dell'Epilessia "Claudio Munari", Ospedale Ca'Granda-Niguarda, Milano, Italy
| | - G Lo Russo
- Centro per la chirurgia dell'Epilessia "Claudio Munari", Ospedale Ca'Granda-Niguarda, Milano, Italy
| | - G A Orban
- Dipartimento di Medicina e Chirurgia, University of Parma, Italy
| | - G Rizzolatti
- Istituto di Neuroscienze, Consiglio nazionale delle Ricerche - CNR, Parma, Italy; Dipartimento di Medicina e Chirurgia, University of Parma, Italy
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Dubbioso R, Raffin E, Karabanov A, Thielscher A, Siebner HR. Centre-surround organization of fast sensorimotor integration in human motor hand area. Neuroimage 2017; 158:37-47. [DOI: 10.1016/j.neuroimage.2017.06.063] [Citation(s) in RCA: 40] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2017] [Revised: 06/19/2017] [Accepted: 06/22/2017] [Indexed: 11/26/2022] Open
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Lipski WJ, Wozny TA, Alhourani A, Kondylis ED, Turner RS, Crammond DJ, Richardson RM. Dynamics of human subthalamic neuron phase-locking to motor and sensory cortical oscillations during movement. J Neurophysiol 2017; 118:1472-1487. [PMID: 28592690 DOI: 10.1152/jn.00964.2016] [Citation(s) in RCA: 33] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2016] [Revised: 05/01/2017] [Accepted: 06/01/2017] [Indexed: 01/19/2023] Open
Abstract
Coupled oscillatory activity recorded between sensorimotor regions of the basal ganglia-thalamocortical loop is thought to reflect information transfer relevant to movement. A neuronal firing-rate model of basal ganglia-thalamocortical circuitry, however, has dominated thinking about basal ganglia function for the past three decades, without knowledge of the relationship between basal ganglia single neuron firing and cortical population activity during movement itself. We recorded activity from 34 subthalamic nucleus (STN) neurons, simultaneously with cortical local field potentials and motor output, in 11 subjects with Parkinson's disease (PD) undergoing awake deep brain stimulator lead placement. STN firing demonstrated phase synchronization to both low- and high-beta-frequency cortical oscillations, and to the amplitude envelope of gamma oscillations, in motor cortex. We found that during movement, the magnitude of this synchronization was dynamically modulated in a phase-frequency-specific manner. Importantly, we found that phase synchronization was not correlated with changes in neuronal firing rate. Furthermore, we found that these relationships were not exclusive to motor cortex, because STN firing also demonstrated phase synchronization to both premotor and sensory cortex. The data indicate that models of basal ganglia function ultimately will need to account for the activity of populations of STN neurons that are bound in distinct functional networks with both motor and sensory cortices and code for movement parameters independent of changes in firing rate.NEW & NOTEWORTHY Current models of basal ganglia-thalamocortical networks do not adequately explain simple motor functions, let alone dysfunction in movement disorders. Our findings provide data that inform models of human basal ganglia function by demonstrating how movement is encoded by networks of subthalamic nucleus (STN) neurons via dynamic phase synchronization with cortex. The data also demonstrate, for the first time in humans, a mechanism through which the premotor and sensory cortices are functionally connected to the STN.
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Affiliation(s)
- Witold J Lipski
- Brain Modulation Laboratory, Department of Neurological Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.,Center for the Neural Basis of Cognition, University of Pittsburgh, Pittsburgh, Pennsylvania; and
| | - Thomas A Wozny
- Brain Modulation Laboratory, Department of Neurological Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
| | - Ahmad Alhourani
- Brain Modulation Laboratory, Department of Neurological Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
| | - Efstathios D Kondylis
- Brain Modulation Laboratory, Department of Neurological Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
| | - Robert S Turner
- Department of Neurobiology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.,Center for the Neural Basis of Cognition, University of Pittsburgh, Pittsburgh, Pennsylvania; and.,University of Pittsburgh Brain Institute, Pittsburgh, Pennsylvania
| | - Donald J Crammond
- Brain Modulation Laboratory, Department of Neurological Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
| | - Robert Mark Richardson
- Brain Modulation Laboratory, Department of Neurological Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania; .,Department of Neurobiology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.,Center for the Neural Basis of Cognition, University of Pittsburgh, Pittsburgh, Pennsylvania; and.,University of Pittsburgh Brain Institute, Pittsburgh, Pennsylvania
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Krug K, Salzman CD, Waddell S. Understanding the brain by controlling neural activity. Philos Trans R Soc Lond B Biol Sci 2015; 370:20140201. [PMID: 26240417 PMCID: PMC4528814 DOI: 10.1098/rstb.2014.0201] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023] Open
Abstract
Causal methods to interrogate brain function have been employed since the advent of modern neuroscience in the nineteenth century. Initially, randomly placed electrodes and stimulation of parts of the living brain were used to localize specific functions to these areas. Recent technical developments have rejuvenated this approach by providing more precise tools to dissect the neural circuits underlying behaviour, perception and cognition. Carefully controlled behavioural experiments have been combined with electrical devices, targeted genetically encoded tools and neurochemical approaches to manipulate information processing in the brain. The ability to control brain activity in these ways not only deepens our understanding of brain function but also provides new avenues for clinical intervention, particularly in conditions where brain processing has gone awry.
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Affiliation(s)
- Kristine Krug
- Deparment of Physiology, Anatomy and Genetics, University of Oxford, Oxford, UK
| | - C Daniel Salzman
- Departments of Neuroscience and Psychiatry, Columbia University, New York, NY, USA New York State Psychiatric Institute, New York, NY 10032, USA
| | - Scott Waddell
- Centre for Neural Circuits and Behaviour, University of Oxford, Oxford, UK
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