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Boerger TF, Pahapill P, Butts AM, Arocho-Quinones E, Raghavan M, Krucoff MO. Large-scale brain networks and intra-axial tumor surgery: a narrative review of functional mapping techniques, critical needs, and scientific opportunities. Front Hum Neurosci 2023; 17:1170419. [PMID: 37520929 PMCID: PMC10372448 DOI: 10.3389/fnhum.2023.1170419] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2023] [Accepted: 05/16/2023] [Indexed: 08/01/2023] Open
Abstract
In recent years, a paradigm shift in neuroscience has been occurring from "localizationism," or the idea that the brain is organized into separately functioning modules, toward "connectomics," or the idea that interconnected nodes form networks as the underlying substrates of behavior and thought. Accordingly, our understanding of mechanisms of neurological function, dysfunction, and recovery has evolved to include connections, disconnections, and reconnections. Brain tumors provide a unique opportunity to probe large-scale neural networks with focal and sometimes reversible lesions, allowing neuroscientists the unique opportunity to directly test newly formed hypotheses about underlying brain structural-functional relationships and network properties. Moreover, if a more complete model of neurological dysfunction is to be defined as a "disconnectome," potential avenues for recovery might be mapped through a "reconnectome." Such insight may open the door to novel therapeutic approaches where previous attempts have failed. In this review, we briefly delve into the most clinically relevant neural networks and brain mapping techniques, and we examine how they are being applied to modern neurosurgical brain tumor practices. We then explore how brain tumors might teach us more about mechanisms of global brain dysfunction and recovery through pre- and postoperative longitudinal connectomic and behavioral analyses.
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Affiliation(s)
- Timothy F. Boerger
- Department of Neurosurgery, Medical College of Wisconsin, Milwaukee, WI, United States
| | - Peter Pahapill
- Department of Neurosurgery, Medical College of Wisconsin, Milwaukee, WI, United States
| | - Alissa M. Butts
- Department of Neurology, Medical College of Wisconsin, Milwaukee, WI, United States
- Mayo Clinic, Rochester, MN, United States
| | - Elsa Arocho-Quinones
- Department of Neurosurgery, Medical College of Wisconsin, Milwaukee, WI, United States
| | - Manoj Raghavan
- Department of Neurology, Medical College of Wisconsin, Milwaukee, WI, United States
| | - Max O. Krucoff
- Department of Neurosurgery, Medical College of Wisconsin, Milwaukee, WI, United States
- Department of Biomedical Engineering, Medical College of Wisconsin, Marquette University, Milwaukee, WI, United States
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Li L, Li S. Grip force makes wrist joint position sense worse. Front Hum Neurosci 2023; 17:1193937. [PMID: 37323932 PMCID: PMC10264640 DOI: 10.3389/fnhum.2023.1193937] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2023] [Accepted: 05/10/2023] [Indexed: 06/17/2023] Open
Abstract
Background The purpose of this study was to investigate how grip force affects wrist joint position sense. Methods Twenty-two healthy participants (11 men and 11 women) underwent an ipsilateral wrist joint reposition test at 2 distinct grip forces [0 and 15% of maximal voluntary isometric contraction (MVIC)] and 6 different wrist positions (pronation 24°, supination 24°, radial deviation 16°, ulnar deviation 16°, extension 32°, and flexion 32°). Results The findings demonstrated significantly elevated absolute error values at 15% MVIC (3.8 ± 0.3°) than at 0% MVIC grip force [3.1 ± 0.2°, t(20) = 2.303, P = 0.032]. Conclusion These findings demonstrated that there was significantly worse proprioceptive accuracy at 15% MVIC than at 0% MVIC grip force. These results may contribute to a better comprehension of the mechanisms underlying wrist joint injuries, the development of preventative measures to lower the risk of injuries, and the best possible design of engineering or rehabilitation devices.
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Bonnal J, Ozsancak C, Monnet F, Valery A, Prieur F, Auzou P. Neural Substrates for Hand and Shoulder Movement in Healthy Adults: A Functional near Infrared Spectroscopy Study. Brain Topogr 2023:10.1007/s10548-023-00972-x. [PMID: 37202647 DOI: 10.1007/s10548-023-00972-x] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2023] [Accepted: 05/11/2023] [Indexed: 05/20/2023]
Abstract
Characterization of cortical activation patterns during movements in healthy adults may help our understanding of how the injured brain works. Upper limb motor tasks are commonly used to assess impaired motor function and to predict recovery in individuals with neurological disorders such as stroke. This study aimed to explore cortical activation patterns associated with movements of the hand and shoulder using functional near-infrared spectroscopy (fNIRS) and to demonstrate the potential of this technology to distinguish cerebral activation between distal and proximal movements. Twenty healthy, right-handed participants were recruited. Two 10-s motor tasks (right-hand opening-closing and right shoulder abduction-adduction) were performed in a sitting position at a rate of 0.5 Hz in a block paradigm. We measured the variations in oxyhemoglobin (HbO2) and deoxyhemoglobin (HbR) concentrations. fNIRS was performed with a 24-channel system (Brite 24®; Artinis) that covered most motor control brain regions bilaterally. Activation was mostly contralateral for both hand and shoulder movements. Activation was more lateral for hand movements and more medial for shoulder movements, as predicted by the classical homunculus representation. Both HbO2 and HbR concentrations varied with the activity. Our results showed that fNIRS can distinguish patterns of cortical activity in upper limb movements under ecological conditions. These results suggest that fNIRS can be used to measure spontaneous motor recovery and rehabilitation-induced recovery after brain injury. The trial was restropectively registered on January 20, 2023: NCT05691777 (clinicaltrial.gov).
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Affiliation(s)
- Julien Bonnal
- Service de Neurologie, Centre Hospitalier Universitaire d'Orléans, 14 Avenue de l'Hôpital, 45100, Orleans, France.
- CIAMS, Université Paris-Saclay, 91405, Orsay Cedex, France.
- CIAMS, Université d'Orléans, 45067, Orléans, France.
- SAPRéM, Université d'Orléans, Orléans, France.
| | - Canan Ozsancak
- Service de Neurologie, Centre Hospitalier Universitaire d'Orléans, 14 Avenue de l'Hôpital, 45100, Orleans, France
| | - Fanny Monnet
- Institut Denis Poisson, Bâtiment de mathématiques, Université d'Orléans, CNRS, Université de Tours, Institut Universitaire de France, Rue de Chartres, 45067, Orléans cedex 2, B.P. 6759, France
| | - Antoine Valery
- Département d'Informations Médicales, Centre Hospitalier Universitaire d'Orléans, 14 Avenue de l'Hôpital, 45100, Orleans, France
| | - Fabrice Prieur
- CIAMS, Université Paris-Saclay, 91405, Orsay Cedex, France
- CIAMS, Université d'Orléans, 45067, Orléans, France
- SAPRéM, Université d'Orléans, Orléans, France
| | - Pascal Auzou
- Service de Neurologie, Centre Hospitalier Universitaire d'Orléans, 14 Avenue de l'Hôpital, 45100, Orleans, France
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BOLD fMRI and DTI fiber tracking for preoperative mapping of eloquent cerebral regions in brain tumor patients: impact on surgical approach and outcome. Neurol Sci 2023:10.1007/s10072-023-06667-2. [PMID: 36914833 DOI: 10.1007/s10072-023-06667-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2022] [Accepted: 02/01/2023] [Indexed: 03/15/2023]
Abstract
PURPOSE Task-based BOLD fMRI and DTI-fiber tracking have become part of the routine presurgical work-up of brain tumor patients in many institutions. However, their potential impact on both surgical treatment and neurologic outcome remains unclear, in despite of the high costs and complex implementation. METHODS We retrospectively investigated whether performing fMRI and DTI-ft preoperatively substantially impacted surgical planning and patient outcome in a series of brain tumor patients. We assessed (i) the quality of fMRI and DTI-ft results, by using a scale of 0-2 (0 = failed mapping; 1 = intermediate confidence; 2 = good confidence), (ii) whether functional planning substantially contributed to defining the surgical strategy to be undertaken (i.e., no surgery, biopsy, or resection, with or without ESM), the surgical entry point and extent of resection, and (iii) the incidence of neurological deficits post-operatively. RESULTS Twenty-seven patients constituted the study population. The mean confidence rating was 1.9/2 for fMRI localization of the eloquent cortex and lateralization of the language function and 1.7/2 for DTI-ft results. Treatment strategy was altered in 33% (9/27) of cases. Surgical entry point was modified in 8% (2/25) of cases. The extent of resection was modified in 40% (10/25). One patient (1/25, 4%) developed one new functional deficit post-operatively. CONCLUSION Functional MR mapping - which must not be considered an alternative to ESM - has a critical role preoperatively, potentially modifying treatment strategy or increasing the neurosurgeons' confidence in the surgical approach hypothesized based on conventional imaging.
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McGrath H, Zaveri HP, Collins E, Jafar T, Chishti O, Obaid S, Ksendzovsky A, Wu K, Papademetris X, Spencer DD. High-resolution cortical parcellation based on conserved brain landmarks for localization of multimodal data to the nearest centimeter. Sci Rep 2022; 12:18778. [PMID: 36335146 PMCID: PMC9637135 DOI: 10.1038/s41598-022-21543-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2022] [Accepted: 09/28/2022] [Indexed: 11/06/2022] Open
Abstract
Precise cortical brain localization presents an important challenge in the literature. Brain atlases provide data-guided parcellation based on functional and structural brain metrics, and each atlas has its own unique benefits for localization. We offer a parcellation guided by intracranial electroencephalography, a technique which has historically provided pioneering advances in our understanding of brain structure-function relationships. We used a consensus boundary mapping approach combining anatomical designations in Duvernoy's Atlas of the Human Brain, a widely recognized textbook of human brain anatomy, with the anatomy of the MNI152 template and the magnetic resonance imaging scans of an epilepsy surgery cohort. The Yale Brain Atlas consists of 690 one-square centimeter parcels based around conserved anatomical features and each with a unique identifier to communicate anatomically unambiguous localization. We report on the methodology we used to create the Atlas along with the findings of a neuroimaging study assessing the accuracy and clinical usefulness of cortical localization using the Atlas. We also share our vision for the Atlas as a tool in the clinical and research neurosciences, where it may facilitate precise localization of data on the cortex, accurate description of anatomical locations, and modern data science approaches using standardized brain regions.
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Affiliation(s)
- Hari McGrath
- Department of Neurosurgery, Yale School of Medicine, New Haven, CT, USA.
- GKT School of Medical Education, King's College London, London, UK.
| | - Hitten P Zaveri
- Department of Neurology, Yale School of Medicine, New Haven, CT, USA
| | - Evan Collins
- Department of Neurosurgery, Yale School of Medicine, New Haven, CT, USA
- Yale School of Engineering and Applied Science, New Haven, CT, USA
- Department of Biological Engineering, Massachusetts Institute of Technology, Cambridge, MA, USA
| | - Tamara Jafar
- Department of Neurosurgery, Yale School of Medicine, New Haven, CT, USA
| | - Omar Chishti
- Department of Neurosurgery, Yale School of Medicine, New Haven, CT, USA
- Yale School of Engineering and Applied Science, New Haven, CT, USA
| | - Sami Obaid
- Department of Neurosurgery, Yale School of Medicine, New Haven, CT, USA
| | - Alexander Ksendzovsky
- Department of Neurosurgery, Yale School of Medicine, New Haven, CT, USA
- Department of Neurosurgery, University of Maryland School of Medicine, Baltimore, MD, USA
| | - Kun Wu
- Department of Neurosurgery, Yale School of Medicine, New Haven, CT, USA
| | - Xenophon Papademetris
- Department of Radiology and Biomedical Engineering, Yale School of Medicine, New Haven, CT, USA
- Department of Biomedical Engineering, Yale School of Medicine, New Haven, CT, USA
| | - Dennis D Spencer
- Department of Neurosurgery, Yale School of Medicine, New Haven, CT, USA
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Stronger proprioceptive BOLD-responses in the somatosensory cortices reflect worse sensorimotor function in adolescents with and without cerebral palsy. Neuroimage Clin 2022; 32:102795. [PMID: 34474316 PMCID: PMC8411230 DOI: 10.1016/j.nicl.2021.102795] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2020] [Revised: 08/16/2021] [Accepted: 08/17/2021] [Indexed: 12/18/2022]
Abstract
Cerebral palsy (CP) is a motor disorder where the motor defects are partly due to impaired proprioception. We studied cortical proprioceptive responses and sensorimotor performance in adolescents with CP and their typically-developed (TD) peers. Passive joint movements were used to stimulate proprioceptors during functional magnetic resonance imaging (fMRI) session to quantify the proprioceptive responses whose associations to behavioral sensorimotor performance were also examined. Twenty-three TD (15 females, age: mean ± standard deviation 14.2 ± 2.4 years) and 18 CP (12 females, age: mean ± standard deviation, 13.8 ± 2.3 years; 12 hemiplegic, 6 diplegic) participants were included in this study. Participants' index fingers and ankles were separately stimulated at 3 Hz and 1 Hz respectively with pneumatic movement actuators. Regions-of-interest were used to quantify BOLD-responses from the primary sensorimotor (SM1) and secondary (SII) somatosensory cortices and were compared across the groups. Associations between responses strengths and sensorimotor performance measures were also examined. Proprioceptive responses were stronger for the individuals with CP compared to their TD peers in SM1 (p < 0.001) and SII (p < 0.05) cortices contralateral to their more affected index finger. The ankle responses yielded no significant differences between the groups. The CP group had worse sensorimotor performance for hands and feet (p < 0.001). Stronger responses to finger stimulation in the dominant SM1 (p < 0.001) and both dominant and non-dominant SII (p < 0.01, p < 0.001) cortices were associated with the worse hand sensorimotor performance across all participants. Worse hand function was associated with stronger cortical activation to the proprioceptive stimulation. This association was evident both in adolescents with CP and their typically-developed controls, thus it likely reflects both clinical factors and normal variation in the sensorimotor function. The specific mechanisms need to be clarified in future studies.
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Maheshwari M, Deshmukh T, Leuthardt EC, Shimony JS. Task-based and Resting State Functional MRI in Children. Magn Reson Imaging Clin N Am 2021; 29:527-541. [PMID: 34717843 DOI: 10.1016/j.mric.2021.06.005] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
Functional MR imaging (MRI) is a valuable tool for presurgical planning and is well established in adult patients. The use of task-based fMRI is increasing in pediatric populations because it provides similar benefits for pre-surgical planning in children. This article reviews special adaptations that are required for successful applications of task-based fMRI in children, especially in the motor and language systems. The more recently introduced method of resting state fMRI is reviewed and its relative advantages and disadvantages discussed. Common pitfalls and other systems and networks that may be of interest in special circumstances also are reviewed.
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Affiliation(s)
- Mohit Maheshwari
- Department of Radiology, Medical College of Wisconsin, Children's Wisconsin, MS - 721, 9000 W Wisconsin Avenue, Milwaukee, WI 53226, USA.
| | - Tejaswini Deshmukh
- Department of Radiology, Medical College of Wisconsin, Children's Wisconsin, MS - 721, 9000 W Wisconsin Avenue, Milwaukee, WI 53226, USA
| | - Eric C Leuthardt
- Department of Neurosurgery, Washington University, 4525 Scott Avenue Campus Box 8131, St Louis, MO 63141, USA
| | - Joshua S Shimony
- Mallinckrodt Institute of Radiology, Washington University, 4525 Scott Avenue Campus Box 8131, St Louis, MO 63141, USA
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8
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Pneumatic artificial muscle-based stimulator for passive functional magnetic resonance imaging sensorimotor mapping in patients with brain tumours. J Neurosci Methods 2021; 359:109227. [PMID: 34052287 DOI: 10.1016/j.jneumeth.2021.109227] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2020] [Revised: 04/30/2021] [Accepted: 05/21/2021] [Indexed: 11/23/2022]
Abstract
BACKGROUND Two concerns with respect to pre-operative task-based motor functional magnetic resonance imaging (fMRI) in patients with brain tumours are inadequate performance due to patients' impaired motor function and head motion artefacts. NEW METHOD In the present study we validate the use of a stimulator based on a pneumatic artificial muscle (PAM) for fMRI mapping of the primary sensorimotor (SM1) cortex in twenty patients with rolandic or perirolandic brain tumours. All patients underwent both active and passive motor block-design fMRI paradigms, performing comparable active and passive PAM-induced flexion-extensions of the icontralesional index finger. RESULTS PAM-induced movements resulted in a significant BOLD signal increase in contralateral primary motor (M1) and somatosensory (S1) cortices in 18/20 and 19/20 (p<.05 FWE corrected in 16/18 and 18/19) patients, versus 18/20 and 16/20 (p<.05 FWE corrected) during active movements. The two patients in whom the PAM-based stimulator failed to induce any significant BOLD signal change in the contralateral M1 cortex differed from the two in whom active motion was conversely ineffective. At the group level, no significant difference in contrast magnitude was observed within the contralateral SM1 cortex when comparing active with passive movements. During passive movements, head motion was significantly reduced. Comparison with existing method(s) As compared to the several robotic devices for passive motion that were introduced in the past decades, our PAM-based stimulator appears smaller, handier, and easier to use. CONCLUSION The use of PAM-based stimulators should be included in routine pre-operative fMRI protocols along with active paradigms in such patients' population.
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Artificial intelligence to predict task activation from resting state fMRI. Eur Radiol 2021; 31:5251-5252. [PMID: 33959789 DOI: 10.1007/s00330-021-07975-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2021] [Accepted: 04/01/2021] [Indexed: 10/21/2022]
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Niu C, Cohen AD, Wen X, Chen Z, Lin P, Liu X, Menze BH, Wiestler B, Wang Y, Zhang M. Modeling motor task activation from resting-state fMRI using machine learning in individual subjects. Brain Imaging Behav 2021; 15:122-132. [PMID: 31903530 DOI: 10.1007/s11682-019-00239-9] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Resting-state functional MRI (rs-fMRI) has provided important insights into brain physiology. It has become an increasingly popular method for presurgical mapping, as an alternative to task-based functional MRI wherein the subject performs a task while being scanned. However, there is no commonly acknowledged gold standard approach for detecting eloquent brain areas using rs-fMRI data in clinical settings. In this study, a general linear model-based machine learning (GLM-ML) approach was tested to predict individual motor task activation based on rs-fMRI data. Its accuracy was then compared to a conventional independent component analysis (ICA) approach. 47 healthy subjects were scanned using resting state, active and passive motor task fMRI experiments using a clinically applicable low-resolution fMRI protocol. The model was trained to associate rs-fMRI network maps with that of hand movement task fMRI, then used to predict task activation maps for unseen subjects solely based on their rs-fMRI data. Our results showed that the GLM-ML approach can accurately predict individual differences in task activation using rs-fMRI data and outperform conventional ICA to detect task activation in the primary sensorimotor region. Furthermore, the predicted activation maps using the GLM -ML model matched well with the activation of passive hand movement fMRI on an individual basis. These results suggest that GLM-ML approach can robustly predict individual differences of task activation based on conventional low-resolution rs-fMRI data and has important implications for future clinical applications.
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Affiliation(s)
- Chen Niu
- Department of Medical Imaging, the First Affiliated Hospital of Xi'an Jiaotong University, No. 277 West Yanta Road, Xi'an, 710061, Shaanxi Province, China
- Institute for Biomedical Engineering, Technical University of Munich, Munich, Germany
| | - Alexander D Cohen
- Department of Radiology, Medical College of Wisconsin, 8701 Watertown Plank Road, Milwaukee, WI, 53226, USA
| | - Xin Wen
- Department of Medical Imaging, the First Affiliated Hospital of Xi'an Jiaotong University, No. 277 West Yanta Road, Xi'an, 710061, Shaanxi Province, China
| | - Ziyi Chen
- Department of Radiology, Medical College of Wisconsin, 8701 Watertown Plank Road, Milwaukee, WI, 53226, USA
| | - Pan Lin
- Department of Psychology and Cognition and Human Behavior Key Laboratory of Hunan Province, Hunan Normal University, Changsha, China
| | - Xin Liu
- Institute for Biomedical Engineering, Technical University of Munich, Munich, Germany
| | - Bjoern H Menze
- Institute for Biomedical Engineering, Technical University of Munich, Munich, Germany
- Department of Computer Science, Technical University of Munich, Munich, Germany
| | - Benedikt Wiestler
- Department of Neuroradiology, Klinikum rechts der Isar, TU München, Munich, Germany
| | - Yang Wang
- Department of Radiology, Medical College of Wisconsin, 8701 Watertown Plank Road, Milwaukee, WI, 53226, USA.
| | - Ming Zhang
- Department of Medical Imaging, the First Affiliated Hospital of Xi'an Jiaotong University, No. 277 West Yanta Road, Xi'an, 710061, Shaanxi Province, China.
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Niu C, Wang Y, Cohen AD, Liu X, Li H, Lin P, Chen Z, Min Z, Li W, Ling X, Wen X, Wang M, Thompson HP, Zhang M. Machine learning may predict individual hand motor activation from resting-state fMRI in patients with brain tumors in perirolandic cortex. Eur Radiol 2021; 31:5253-5262. [PMID: 33758954 DOI: 10.1007/s00330-021-07825-w] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2020] [Revised: 12/02/2020] [Accepted: 02/22/2021] [Indexed: 01/23/2023]
Abstract
OBJECTIVE The study aimed to evaluate the predictive validity of the neural network (NN) method for presurgical mapping of motor areas using resting-state functional MRI (rs-fMRI) data of patients with brain tumor located in the perirolandic cortex (PRC). METHODS A total of 109 patients with brain tumors occupying PRC underwent rs-fMRI and hand movement task-based fMRI (tb-fMRI) scans. Using a NN model trained on fMRI data of 47 healthy controls, individual task activation maps were predicted from their rs-fMRI data. NN-predicted maps were compared with task activation and independent component analysis (ICA)-derived maps. Spatial Pearson's correlation coefficients (CC) matrices and Dice coefficients (DC) between task activation and predicted activation using NN (DCNN_Act) and ICA (DCICA_Act) were calculated and compared using non-parametric tests. The effects of tumor types and head motion on predicted maps were demonstrated. RESULTS The CC matrix of NN-predicted maps showed higher diagonal values compared with ICA-derived maps (p < 0.001). DCNN_Act were higher than DCICA_Act (p < 0.001) for patients with or without motor deficits. Lower DCs were found in subjects with head motion greater than one voxel. DCs were higher on the nontumor side than on the tumor side (p < 0.001), especially in the glioma group compared with meningioma and metastatic groups. CONCLUSIONS This study indicated that the NN approach could predict individual motor activation using rs-fMRI data and could have promising clinical applications in brain tumor patients with anatomical and functional reorganizations. KEY POINTS • The neural network machine learning approach successfully predicted hand motor activation in patients with a tumor in the perirolandic cortex, despite space-occupying effects and possible functional reorganization. • Compared to the conventional independent component analysis, the neural network approach utilizing resting-state fMRI data yielded a higher correlation to the active task hand activation data. • The Dice coefficient of machine learning-predicted activation vs. task fMRI activation was different between tumor and nontumor side, also between tumor types, which might indicate different effects of possible neurovascular uncoupling on resting-state and task fMRI.
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Affiliation(s)
- Chen Niu
- Department of Medical Imaging, First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, 710061, Shaanxi, China.,Department of Computer Science, Technical University of Munich, Munich, Germany
| | - Yang Wang
- Department of Radiology, Medical College of Wisconsin, Milwaukee, WI, 53226, USA.
| | - Alexander D Cohen
- Department of Radiology, Medical College of Wisconsin, Milwaukee, WI, 53226, USA
| | - Xin Liu
- Department of Computer Science, Technical University of Munich, Munich, Germany
| | - Hongwei Li
- Department of Computer Science, Technical University of Munich, Munich, Germany
| | - Pan Lin
- Department of Psychology, Cognition and Human Behavior Key Laboratory of Hunan Province, Hunan Normal University, Changsha, 410081, Hunan, China
| | - Ziyi Chen
- Department of Radiology, Medical College of Wisconsin, Milwaukee, WI, 53226, USA
| | - Zhigang Min
- Department of Medical Imaging, First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, 710061, Shaanxi, China
| | - Wenfei Li
- Department of Medical Imaging, First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, 710061, Shaanxi, China
| | - Xiao Ling
- Department of Medical Imaging, First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, 710061, Shaanxi, China
| | - Xin Wen
- Department of Medical Imaging, First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, 710061, Shaanxi, China
| | - Maode Wang
- Department of Neurosurgery, First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, 710061, Shaanxi, China
| | - Hannah P Thompson
- Department of Radiology, Medical College of Wisconsin, Milwaukee, WI, 53226, USA
| | - Ming Zhang
- Department of Medical Imaging, First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, 710061, Shaanxi, China.
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Ku BD, An SJ, Yoon SS, Shin HY. Spontaneous interhemispheric subdural hematoma presenting as epilepsia partialis continua. Acta Neurol Belg 2020; 120:1457-1460. [PMID: 32040772 DOI: 10.1007/s13760-020-01294-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2019] [Accepted: 01/30/2020] [Indexed: 11/25/2022]
Affiliation(s)
- Bon D Ku
- Department of Neurology, International St. Mary's Hospital, Catholic Kwandong University College of Medicine, 25, Simgok-ro 100beon-gil, Seo-gu, Incheon, 22711, South Korea.
| | - Sang Joon An
- Department of Neurology, International St. Mary's Hospital, Catholic Kwandong University College of Medicine, 25, Simgok-ro 100beon-gil, Seo-gu, Incheon, 22711, South Korea
| | - Sung Sang Yoon
- Department of Neurology, KyungHee University School of Medicine, Seoul, South Korea
| | - Hyun Young Shin
- Department of Rheumatology, Shin Ill Medical Clinic, Seoul, South Korea
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Abstract
Functional magnetic resonance imaging (fMRI) is useful for localizing eloquent cortex in the brain prior to neurosurgery. Language and motor paradigms offer a wide range of tasks to test brain regions within the language and motor networks. With the help of fMRI, hemispheric language dominance can be determined. It also is possible to localize specific motor and sensory areas within the motor and sensory gyri. These findings are critical for presurgical planning. The most important factor in presurgical fMRI is patient performance. Patient interview and instruction time are crucial to ensure that patients understand and comply with the fMRI paradigm.
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Affiliation(s)
- Madeleine Gene
- Department of Radiology, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY 10065, USA
| | | | - Andrei I Holodny
- Department of Radiology, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY 10065, USA.
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Rowley CD, Bock NA, Deichmann R, Engeroff T, Hattingen E, Hellweg R, Pilatus U, Füzéki E, Gerten S, Vogt L, Banzer W, Pantel J, Fleckenstein J, Matura S. Exercise and microstructural changes in the motor cortex of older adults. Eur J Neurosci 2019; 51:1711-1722. [DOI: 10.1111/ejn.14585] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2019] [Revised: 09/03/2019] [Accepted: 09/25/2019] [Indexed: 12/17/2022]
Affiliation(s)
| | - Nicholas A. Bock
- Department of Psychology, Neuroscience and Behaviour McMaster University Hamilton ON Canada
| | | | - Tobias Engeroff
- Department of Sports Medicine Institute of Sports Sciences Goethe University Frankfurt am Main Germany
| | - Elke Hattingen
- Institute of Neuroradiology Goethe University Hospital Frankfurt Frankfurt am Main Germany
| | - Rainer Hellweg
- Neurobiology and Neurotrophins Laboratory Department of Psychiatry and Psychotherapy Charité University Medicine Berlin Berlin Germany
| | - Ulrich Pilatus
- Institute of Neuroradiology Goethe University Hospital Frankfurt Frankfurt am Main Germany
| | - Eszter Füzéki
- Division of Preventive and Sports Medicine Institute of Occupational, Social and Environmental Medicine Goethe-University Frankfurt Germany
| | - Sina Gerten
- Department of Sports Medicine Institute of Sports Sciences Goethe University Frankfurt am Main Germany
| | - Lutz Vogt
- Department of Sports Medicine Institute of Sports Sciences Goethe University Frankfurt am Main Germany
| | - Winfried Banzer
- Division of Preventive and Sports Medicine Institute of Occupational, Social and Environmental Medicine Goethe-University Frankfurt Germany
| | - Johannes Pantel
- Institute of General Practice Goethe University Frankfurt am Main Germany
| | - Johannes Fleckenstein
- Department of Sports Medicine Institute of Sports Sciences Goethe University Frankfurt am Main Germany
| | - Silke Matura
- Institute of General Practice Goethe University Frankfurt am Main Germany
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15
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Abstract
Functional MRI is a reliable, noninvasive technique which allows spatial mapping of the various functions like sensorimotor, language and vision in the brain. This is of immense help to the neurosurgeon in presurgical planning and intraoperative navigation in order to identify and preserve eloquent areas of the brain and minimize post-surgical neurological deficits. Using this technique in children pose unique challenges. This article discusses some of these challenges and how they can be overcome in successful application of this technique in pediatric patients.
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16
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Blagovechtchenski E, Agranovich O, Kononova Y, Nazarova M, Nikulin VV. Perspectives for the Use of Neurotechnologies in Conjunction With Muscle Autotransplantation in Children. Front Neurosci 2019; 13:99. [PMID: 30828288 PMCID: PMC6384248 DOI: 10.3389/fnins.2019.00099] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2018] [Accepted: 01/28/2019] [Indexed: 11/28/2022] Open
Affiliation(s)
- Evgueni Blagovechtchenski
- Centre for Cognition and Decision Making, Institute for Cognitive Neuroscience, National Research University Higher School of Economics, Moscow, Russia
| | - Olga Agranovich
- The Turner Scientific Research Institute for Children's Orthopedics, Saint Petersburg, Russia
| | - Yelisaveta Kononova
- The Turner Scientific Research Institute for Children's Orthopedics, Saint Petersburg, Russia
| | - Maria Nazarova
- Centre for Cognition and Decision Making, Institute for Cognitive Neuroscience, National Research University Higher School of Economics, Moscow, Russia.,Federal Center for Cerebrovascular Pathology and Stroke, Moscow, Russia
| | - Vadim V Nikulin
- Centre for Cognition and Decision Making, Institute for Cognitive Neuroscience, National Research University Higher School of Economics, Moscow, Russia.,Department of Neurology, Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany
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17
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Lolli V, Rovai A, Trotta N, Bourguignon M, Goldman S, Sadeghi N, Jousmäki V, De Tiège X. MRI-compatible pneumatic stimulator for sensorimotor mapping. J Neurosci Methods 2019; 313:29-36. [DOI: 10.1016/j.jneumeth.2018.12.014] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2018] [Revised: 11/27/2018] [Accepted: 12/18/2018] [Indexed: 11/25/2022]
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18
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Brain Activation During Passive and Volitional Pedaling After Stroke. Motor Control 2019; 23:52-80. [PMID: 30012052 PMCID: PMC6685765 DOI: 10.1123/mc.2017-0059] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2017] [Revised: 01/06/2018] [Accepted: 02/25/2018] [Indexed: 11/18/2022]
Abstract
Background: Prior work indicates that pedaling-related brain activation is lower in people with stroke than in controls. We asked whether this observation could be explained by between-group differences in volitional motor commands and pedaling performance. Methods: Individuals with and without stroke performed passive and volitional pedaling while brain activation was recorded with functional magnetic resonance imaging. The passive condition eliminated motor commands to pedal and minimized between-group differences in pedaling performance. Volume, intensity, and laterality of brain activation were compared across conditions and groups. Results: There were no significant effects of condition and no Group × Condition interactions for any measure of brain activation. Only 53% of subjects could minimize muscle activity for passive pedaling. Conclusions: Altered motor commands and pedaling performance are unlikely to account for reduced pedaling-related brain activation poststroke. Instead, this phenomenon may be due to functional or structural brain changes. Passive pedaling can be difficult to achieve and may require inhibition of excitatory descending drive.
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19
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Dall'Orso S, Steinweg J, Allievi AG, Edwards AD, Burdet E, Arichi T. Somatotopic Mapping of the Developing Sensorimotor Cortex in the Preterm Human Brain. Cereb Cortex 2018; 28:2507-2515. [PMID: 29901788 PMCID: PMC5998947 DOI: 10.1093/cercor/bhy050] [Citation(s) in RCA: 51] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2017] [Accepted: 02/13/2018] [Indexed: 01/26/2023] Open
Abstract
In the mature mammalian brain, the primary somatosensory and motor cortices are known to be spatially organized such that neural activity relating to specific body parts can be somatopically mapped onto an anatomical "homunculus". This organization creates an internal body representation which is fundamental for precise motor control, spatial awareness and social interaction. Although it is unknown when this organization develops in humans, animal studies suggest that it may emerge even before the time of normal birth. We therefore characterized the somatotopic organization of the primary sensorimotor cortices using functional MRI and a set of custom-made robotic tools in 35 healthy preterm infants aged from 31 + 6 to 36 + 3 weeks postmenstrual age. Functional responses induced by somatosensory stimulation of the wrists, ankles, and mouth had a distinct spatial organization as seen in the characteristic mature homunculus map. In comparison to the ankle, activation related to wrist stimulation was significantly larger and more commonly involved additional areas including the supplementary motor area and ipsilateral sensorimotor cortex. These results are in keeping with early intrinsic determination of a somatotopic map within the primary sensorimotor cortices. This may explain why acquired brain injury in this region during the preterm period cannot be compensated for by cortical reorganization and therefore can lead to long-lasting motor and sensory impairment.
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Affiliation(s)
- S Dall'Orso
- Department of Bioengineering, Imperial College London, London, UK
- Centre for the Developing Brain, School of Biomedical Engineering and Imaging Sciences, King's College London, King's Health Partners, St Thomas' Hospital, London, UK
| | - J Steinweg
- Centre for the Developing Brain, School of Biomedical Engineering and Imaging Sciences, King's College London, King's Health Partners, St Thomas' Hospital, London, UK
| | - A G Allievi
- Department of Bioengineering, Imperial College London, London, UK
| | - A D Edwards
- Department of Bioengineering, Imperial College London, London, UK
- Centre for the Developing Brain, School of Biomedical Engineering and Imaging Sciences, King's College London, King's Health Partners, St Thomas' Hospital, London, UK
| | - E Burdet
- Department of Bioengineering, Imperial College London, London, UK
| | - T Arichi
- Department of Bioengineering, Imperial College London, London, UK
- Centre for the Developing Brain, School of Biomedical Engineering and Imaging Sciences, King's College London, King's Health Partners, St Thomas' Hospital, London, UK
- Paediatric Neurosciences, Evelina London Children's Hospital, St Thomas' Hospital, London, UK
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20
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Marquis R, Jastrzębowska M, Draganski B. Novel imaging techniques to study the functional organization of the human brain. CLINICAL AND TRANSLATIONAL NEUROSCIENCE 2017. [DOI: 10.1177/2514183x17714104] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Despite more than a century of investigation into the cortical organization of motor function, the existence of motor somatotopy is still debated. We review functional magnetic resonance imaging (fMRI) studies examining motor somatotopy in the cerebral cortex. In spite of a substantial overlap of representations corresponding to different body parts, especially in non-primary motor cortices, geographic approaches are capable of revealing somatotopic ordering. From the iconic homunculus in the contralateral primary cortex to the subtleties of ipsilateral somatotopy and its relations with lateralization, we outline potential reasons for the lack of segregation between motor representations. Among these are the difficulties in distinguishing activity that arises from multiple muscular effectors, the need for flexible motor control and coordination of complex movements through functional integration and artefacts in fMRI. Methodological advances with regard to the optimization of experimental design and fMRI acquisition protocols as well as improvements in spatial registration of images and indices aiming at the quantification of the degree of segregation between different functional representations are inspected. Additionally, we give some hints as to how the functional organization of motor function might be related to various anatomical landmarks in brain morphometry.
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Affiliation(s)
- Renaud Marquis
- LREN – Department of Clinical Neurosciences, CHUV, University of Lausanne, Lausanne, Switzerland
| | - Maya Jastrzębowska
- LREN – Department of Clinical Neurosciences, CHUV, University of Lausanne, Lausanne, Switzerland
- Laboratory of Psychophysics, Brain Mind Institute, École Polytechnique Fédérale de Lausanne, Lausanne, Switzerland
| | - Bogdan Draganski
- LREN – Department of Clinical Neurosciences, CHUV, University of Lausanne, Lausanne, Switzerland
- Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany
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21
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Choudhri AF, Patel RM, Siddiqui A, Whitehead MT, Wheless JW. Cortical Activation Through Passive-Motion Functional MRI. AJNR Am J Neuroradiol 2015; 36:1675-81. [PMID: 26228890 DOI: 10.3174/ajnr.a4345] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2014] [Accepted: 02/13/2015] [Indexed: 12/24/2022]
Abstract
BACKGROUND AND PURPOSE Functional brain mapping is an important technique for neurosurgical planning, particularly for patients with tumors or epilepsy; however, mapping has traditionally involved invasive techniques. Existing noninvasive techniques require patient compliance and may not be suitable for young children. We performed a retrospective review of our experience with passive-motion functional MR imaging in anesthetized patients to determine the diagnostic yield of this technique. MATERIALS AND METHODS A retrospective review of patients undergoing passive-motion fMRI under general anesthesia at a single institution over a 2.5-year period was performed. Clinical records were evaluated to determine the indication for fMRI, the ability to detect cortical activation, and, if present, the location of cortical activation. RESULTS We identified 62 studies in 56 patients in this time period. The most common indication for fMRI was epilepsy/seizures. Passive-motion fMRI identified upper-extremity cortical activation in 105 of 119 (88%) limbs evaluated, of which 90 (86%) activations were in an orthotopic location. Lower-extremity cortical activation was identified in 86 of 118 (73%) limbs evaluated, of which 73 (85%) activations were in an orthotopic location. CONCLUSIONS Passive-motion fMRI was successful in identifying cortical activation in most of the patients. This tool can be implemented easily and can aid in surgical planning for children with tumors or candidates for epilepsy surgery, particularly those who may be too young to comply with existing noninvasive functional measures.
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Affiliation(s)
- A F Choudhri
- From the Departments of Radiology (A.F.C., A.S., M.T.W.) Neurosurgery (A.F.C.) Le Bonheur Neuroscience Institute (A.F.C., A.S., M.T.W., J.W.W.), Le Bonheur Children's Hospital, Memphis, Tennessee
| | - R M Patel
- College of Medicine (R.M.P.), University of Tennessee Health Science Center, Memphis, Tennessee
| | - A Siddiqui
- From the Departments of Radiology (A.F.C., A.S., M.T.W.) Le Bonheur Neuroscience Institute (A.F.C., A.S., M.T.W., J.W.W.), Le Bonheur Children's Hospital, Memphis, Tennessee
| | - M T Whitehead
- From the Departments of Radiology (A.F.C., A.S., M.T.W.) Le Bonheur Neuroscience Institute (A.F.C., A.S., M.T.W., J.W.W.), Le Bonheur Children's Hospital, Memphis, Tennessee Department of Radiology (M.T.W.), Children's National Medical Center, Washington, DC
| | - J W Wheless
- Pediatrics (J.W.W.) Le Bonheur Neuroscience Institute (A.F.C., A.S., M.T.W., J.W.W.), Le Bonheur Children's Hospital, Memphis, Tennessee
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22
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Bachasson D, Singh A, Shah S, Lane JG, Ward SR. The role of the peripheral and central nervous systems in rotator cuff disease. J Shoulder Elbow Surg 2015; 24:1322-35. [PMID: 26189809 PMCID: PMC4508670 DOI: 10.1016/j.jse.2015.04.004] [Citation(s) in RCA: 37] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/02/2014] [Revised: 03/19/2015] [Accepted: 04/04/2015] [Indexed: 02/01/2023]
Abstract
Rotator cuff (RC) disease is an extremely common condition associated with shoulder pain, reduced functional capacities, and impaired quality of life. It primarily involves alterations in tendon health and mechanical properties that can ultimately lead to tendon failure. RC tendon tears induce progressive muscle changes that have a negative impact on surgical reparability of the RC tendons and clinical outcomes. At the same time, a significant base of clinical data suggests a relatively weak relationship between RC integrity and clinical presentation, emphasizing the multifactorial aspects of RC disease. This review aims to summarize the potential contribution of peripheral, spinal, and supraspinal neural factors that may (1) exacerbate structural and functional muscle changes induced by tendon tear, (2) compromise the reversal of these changes during surgery and rehabilitation, (3) contribute to pain generation and persistence of pain, (4) impair shoulder function through reduced proprioception, kinematics, and muscle recruitment, and (5) help explain interindividual differences and response to treatment. Given the current clinical and scientific interest in peripheral nerve injury in the context of RC disease and surgery, we carefully reviewed this body of literature with a particular emphasis on suprascapular neuropathy that has generated a large number of studies in the past decade. Within this process, we highlight the gaps in current knowledge and suggest research avenues for scientists and clinicians.
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Affiliation(s)
- Damien Bachasson
- Department of Radiology, University of California San Diego, La Jolla, CA, USA
| | - Anshuman Singh
- Department of Orthopaedics, Kaiser Permanente Southern California, San Diego, CA, USA
| | - Sameer Shah
- Department of Orthopaedic Surgery, University of California San Diego, La Jolla, CA, USA,Department of Bioengineering, University of California San Diego, La Jolla, CA, USA
| | | | - Samuel R. Ward
- Department of Radiology, University of California San Diego, La Jolla, CA, USA,Department of Orthopaedic Surgery, University of California San Diego, La Jolla, CA, USA,Department of Bioengineering, University of California San Diego, La Jolla, CA, USA
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23
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Ulmer JL, Klein AP, Mark LP, Tuna I, Agarwal M, DeYoe E. Functional and Dysfunctional Sensorimotor Anatomy and Imaging. Semin Ultrasound CT MR 2015; 36:220-33. [PMID: 26233857 DOI: 10.1053/j.sult.2015.05.014] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
The sensorimotor system of the human brain and body is fundamental only in its central role in our daily lives. On further examination, it is a system with intricate and complex anatomical, physiological, and functional relationships. Sensorimotor areas including primary sensorimotor, premotor, supplementary motor, and higher order somatosensory cortices are critical for function and can be localized at routine neuroimaging with a familiarity of sulcal and gyral landmarks. Likewise, a thorough understanding of the functions and dysfunctions of these areas can empower the neuroradiologist and lead to superior imaging search patterns, diagnostic considerations, and patient care recommendations in daily clinical practice. Presurgical functional brain mapping of the sensorimotor system may be necessary in scenarios with distortion of anatomical landmarks, multiplanar localization, homunculus localization, congenital brain anomalies, informing diffusion tensor imaging interpretations, and localizing nonvisible targets.
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Affiliation(s)
- John L Ulmer
- Department of Radiology, Medical College of Wisconsin, 9200 W. Wisconsin Avenue, Milwaukee, WI 53226.
| | - Andrew P Klein
- Department of Radiology, Medical College of Wisconsin, 9200 W. Wisconsin Avenue, Milwaukee, WI 53226
| | - Leighton P Mark
- Department of Radiology, Medical College of Wisconsin, 9200 W. Wisconsin Avenue, Milwaukee, WI 53226
| | - Ibrahim Tuna
- Department of Radiology, Medical College of Wisconsin, Milwaukee, WI
| | - Mohit Agarwal
- Department of Radiology, Medical College of Wisconsin, 9200 W. Wisconsin Avenue, Milwaukee, WI 53226
| | - Edgar DeYoe
- Department of Radiology, Medical College of Wisconsin, 9200 W. Wisconsin Avenue, Milwaukee, WI 53226
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24
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Jiang T, Wu W, Wang X, Weng C, Wang Q, Guo Y. Activation of brain areas following ankle dorsiflexion versus plantar flexion: Functional magnetic resonance imaging verification. Neural Regen Res 2015; 7:501-5. [PMID: 25745435 PMCID: PMC4348995 DOI: 10.3969/j.issn.1673-5374.2012.07.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2011] [Accepted: 01/06/2012] [Indexed: 11/18/2022] Open
Abstract
Changes in activated areas of the brain during ankle active dorsiflexion and ankle active plantar flexion were observed in six healthy subjects using functional magnetic resonance imaging. Excited areas of ankle active dorsiflexion involved the bilateral primary motor area and the primary somatosensory area, as well as the bilateral supplementary sensory area, the primary visual area, the right second visual area, and the vermis of cerebellum. Excited areas of ankle active plantar flexion included the ipsilateral supplementary motor area, the limbic system, and the contralateral corpus striatum. Fine movements of the cerebral cortex control the function of the ankle dorsiflexion to a larger extent than ankle plate flexion, and the function of ankle plate flexion is more controlled by the subcortical area.
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Affiliation(s)
- Tianyu Jiang
- Department of Rehabilitation Medicine, Clinical Division of Nanlou, Chinese PLA General Hospital, Beijing 100853, China
| | - Weiping Wu
- Department of Neurology, Clinical Division of Nanlou, Chinese PLA General Hospital, Beijing 100853, China
| | - Xinglin Wang
- Center of Rehabilitation Medicine, Division of Medical Technology, Chinese PLA General Hospital, Beijing 100853, China
| | - Changshui Weng
- Department of Rehabilitation Medicine, Clinical Division of Nanlou, Chinese PLA General Hospital, Beijing 100853, China
| | - Qiuhua Wang
- Department of Rehabilitation Medicine, Clinical Division of Nanlou, Chinese PLA General Hospital, Beijing 100853, China
| | - Yanmei Guo
- Department of Rehabilitation Medicine, Clinical Division of Nanlou, Chinese PLA General Hospital, Beijing 100853, China
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25
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Radmanesh A, Zamani AA, Whalen S, Tie Y, Suarez RO, Golby AJ. Comparison of seeding methods for visualization of the corticospinal tracts using single tensor tractography. Clin Neurol Neurosurg 2014; 129:44-9. [PMID: 25532134 DOI: 10.1016/j.clineuro.2014.11.021] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2014] [Revised: 11/24/2014] [Accepted: 11/28/2014] [Indexed: 12/14/2022]
Abstract
OBJECTIVES To compare five different seeding methods to delineate hand, foot, and lip components of the corticospinal tract (CST) using single tensor tractography. METHODS We studied five healthy subjects and 10 brain tumor patients. For each subject, we used five different seeding methods, from (1) cerebral peduncle (CP), (2) posterior limb of the internal capsule (PLIC), (3) white matter subjacent to functional MRI activations (fMRI), (4) whole brain and then selecting the fibers that pass through both fMRI and CP (WBF-CP), and (5) whole brain and then selecting the fibers that pass through both fMRI and PLIC (WBF-PLIC). Two blinded neuroradiologists rated delineations as anatomically successful or unsuccessful tractography. The proportions of successful trials from different methods were compared by Fisher's exact test. RESULTS To delineate hand motor tract, seeding through fMRI activation areas was more effective than through CP (p<0.01), but not significantly different from PLIC (p>0.1). WBF-CP delineated hand motor tracts in a larger proportion of trials than CP alone (p<0.05). Similarly, WBF-PLIC depicted hand motor tracts in a larger proportion of trials than PLIC alone (p<0.01). Foot motor tracts were delineated in all trials by either PLIC or whole brain seeding (WBF-CP and WBF-PLIC). Seeding from CP or fMRI activation resulted in foot motor tract visualization in 87% of the trials (95% confidence interval: 60-98%). The lip motor tracts were delineated only by WBF-PLIC and in 36% of trials (95% confidence interval: 11-69%). CONCLUSIONS Whole brain seeding and then selecting the tracts that pass through two anatomically relevant ROIs can delineate more plausible hand and lip motor tracts than seeding from a single ROI. Foot motor tracts can be successfully delineated regardless of the seeding method used.
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Affiliation(s)
- Alireza Radmanesh
- Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston 02115, USA.
| | - Amir A Zamani
- Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston 02115, USA
| | - Stephen Whalen
- Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston 02115, USA
| | - Yanmei Tie
- Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston 02115, USA
| | - Ralph O Suarez
- Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston 02115, USA
| | - Alexandra J Golby
- Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston 02115, USA
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26
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Fu Y, Zhang Q, Zhang J, Zhang YT. Comparative functional MRI study to assess brain activation upon active and passive finger movements in patients with cerebral infarction. Eur Neurol 2014; 73:13-9. [PMID: 25358673 DOI: 10.1159/000366099] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2014] [Accepted: 07/21/2014] [Indexed: 11/19/2022]
Abstract
PURPOSE To compare the effects of active and passive movements on brain activation in patients with cerebral infarction using fMRI. METHODS Twenty-four hemiplegic patients with cerebral infarction were evaluated using fMRI. All patients performed active and passive finger opposition movements. Patients were instructed to perform the finger opposition movement for the active movement task. For the passive movement task, the subject's fingers were moved by the examiner to perform the finger opposition movement. Statistical parametric mapping software was used for statistical analyses and to process all data. RESULTS In the affected hemisphere, sensorimotor cortex (SMC) activation intensity and range were significantly stronger during the passive movement of the affected fingers compared to the active movement of the affected fingers (p < 0.05). However, there were no significant differences between active and passive movements of unaffected fingers in SMC activation intensity and range in the unaffected hemisphere (p > 0.05). In addition, the passive movement activated many other regions of the brain. The brain regions activated by passive movements of the affected fingers tended to center toward the contralateral SMC. CONCLUSION Our findings suggest that passive movements induce cortical reorganization in patients with cerebral infarction. Therefore, passive movement is likely beneficial for motor function recovery in patients with cerebral infarction.
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Affiliation(s)
- Yue Fu
- Department of Radiology, Tianjin Medical University General Hospital, Tianjin, China
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27
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A Reliability Study on Brain Activation During Active and Passive Arm Movements Supported by an MRI-Compatible Robot. Brain Topogr 2014; 27:731-46. [DOI: 10.1007/s10548-014-0355-9] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2013] [Accepted: 02/10/2014] [Indexed: 10/25/2022]
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28
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Modulation of cortical interhemispheric interactions by motor facilitation or restraint. Neural Plast 2014; 2014:210396. [PMID: 24707408 PMCID: PMC3953668 DOI: 10.1155/2014/210396] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2013] [Accepted: 01/13/2014] [Indexed: 11/28/2022] Open
Abstract
Cortical interhemispheric interactions in motor control are still poorly understood and it is important to clarify how these depend on inhibitory/facilitatory limb movements and motor expertise, as reflected by limb dominance. Here we addressed this problem using functional magnetic resonance imaging (fMRI) and a task involving dominant/nondominant limb mobilization in the presence/absence of contralateral limb restraint. In this way we could modulate excitation/deactivation of the contralateral hemisphere. Blocks of arm elevation were alternated with absent/present restraint of the contralateral limb in 17 participants. We found the expected activation of contralateral sensorimotor cortex and ipsilateral cerebellum during arm elevation. In addition, only the dominant arm elevation (hold period) was accompanied by deactivation of ipsilateral sensorimotor cortex, irrespective of presence/absence of contralateral restraint, although the latter increased deactivation. In contrast, the nondominant limb yielded absent deactivation and reduced area of contralateral activation upon restriction. Our results provide evidence for a difference in cortical communication during motor control (action facilitation/inhibition), depending on the “expertise” of the hemisphere that controls action (dominant versus nondominant). These results have relevant implications for the development of facilitation/inhibition strategies in neurorehabilitation, namely, in stroke, given that fMRI deactivations have recently been shown to reflect decreases in neural responses.
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Boscolo Galazzo I, Storti SF, Formaggio E, Pizzini FB, Fiaschi A, Beltramello A, Bertoldo A, Manganotti P. Investigation of brain hemodynamic changes induced by active and passive movements: A combined arterial spin labeling-BOLD fMRI study. J Magn Reson Imaging 2013; 40:937-48. [DOI: 10.1002/jmri.24432] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2013] [Accepted: 08/30/2013] [Indexed: 12/13/2022] Open
Affiliation(s)
- Ilaria Boscolo Galazzo
- Department of Neurological and Movement Sciences, Section of Neurology; University of Verona; Italy
| | - Silvia F. Storti
- Department of Neurological and Movement Sciences, Section of Neurology; University of Verona; Italy
| | - Emanuela Formaggio
- Department of Neurophysiology Foundation IRCCS; San Camillo Hospital; Venice Italy
| | | | - Antonio Fiaschi
- Department of Neurological and Movement Sciences, Section of Neurology; University of Verona; Italy
- Department of Neurophysiology Foundation IRCCS; San Camillo Hospital; Venice Italy
- Clinical Neurophysiology and Functional Neuroimaging Unit; AOUI of Verona; Italy
| | | | | | - Paolo Manganotti
- Department of Neurological and Movement Sciences, Section of Neurology; University of Verona; Italy
- Department of Neurophysiology Foundation IRCCS; San Camillo Hospital; Venice Italy
- Clinical Neurophysiology and Functional Neuroimaging Unit; AOUI of Verona; Italy
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30
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King J, Harding E, Karduna A. The shoulder and elbow joints and right and left sides demonstrate similar joint position sense. J Mot Behav 2013; 45:479-86. [PMID: 24079516 DOI: 10.1080/00222895.2013.832136] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Abstract
Proper orientation of the shoulder and elbow is necessary for accurate and precise positioning of the hand. The authors' goal was to compare these joints with an active joint position sense task, while also taking into account the effects of joint flexion angle and arm dominance. Fifteen healthy subjects were asked to replicate presented joint angles with a single degree of freedom active positioning protocol. There were no significant differences in angular joint position sense errors with respect to joint (shoulder vs. elbow) and side (left vs. right). However, when considering linear positioning, errors were lower for the elbow, due to a shorter lever arm. Also, as flexion angles increased toward 90°, there was a consistent pattern of lower errors for both joints.
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Affiliation(s)
- Jacqlyn King
- a Department of Human Physiology , University of Oregon , Eugene
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31
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Corticokinematic coherence during active and passive finger movements. Neuroscience 2013; 238:361-70. [DOI: 10.1016/j.neuroscience.2013.02.002] [Citation(s) in RCA: 53] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2012] [Revised: 12/22/2012] [Accepted: 02/03/2013] [Indexed: 11/19/2022]
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Richter L, Neumann G, Oung S, Schweikard A, Trillenberg P. Optimal coil orientation for transcranial magnetic stimulation. PLoS One 2013; 8:e60358. [PMID: 23593200 PMCID: PMC3623976 DOI: 10.1371/journal.pone.0060358] [Citation(s) in RCA: 56] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2012] [Accepted: 02/26/2013] [Indexed: 01/21/2023] Open
Abstract
We study the impact of coil orientation on the motor threshold (MT) and present an optimal coil orientation for stimulation of the foot. The result can be compared to results of models that predict this orientation from electrodynamic properties of the media in the skull and from orientations of cells, respectively. We used a robotized TMS system for precise coil placement and recorded motor-evoked potentials with surface electrodes on the abductor hallucis muscle of the right foot in 8 healthy control subjects. First, we performed a hot-spot search in standard (lateral) orientation and then rotated the coil in steps of 10° or 20°. At each step we estimated the MT. For navigated stimulation and for correlation with the underlying anatomy a structural MRI scan was obtained. Optimal coil orientation was 33.1±18.3° anteriorly in relation to the standard lateral orientation. In this orientation the threshold was 54±18% in units of maximum stimulator output. There was a significant difference of 8.0±5.9% between the MTs at optimal and at standard orientation. The optimal coil orientations were significantly correlated with the direction perpendicular to the postcentral gyrus (). Robotized TMS facilitates sufficiently precise coil positioning and orientation to study even small variations of the MT with coil orientation. The deviations from standard orientation are more closely matched by models based on field propagation in media than by models based on orientations of pyramidal cells.
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Affiliation(s)
- Lars Richter
- Institute for Robotics and Cognitive Systems, University of Lübeck, Lübeck, Germany.
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Trillenberg P, Bremer S, Oung S, Erdmann C, Schweikard A, Richter L. Variation of stimulation intensity in transcranial magnetic stimulation with depth. J Neurosci Methods 2012; 211:185-90. [DOI: 10.1016/j.jneumeth.2012.09.007] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2012] [Revised: 08/28/2012] [Accepted: 09/04/2012] [Indexed: 01/20/2023]
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Karduna AR, Sainburg RL. Similarities in the neural control of the shoulder and elbow joints belie their structural differences. PLoS One 2012; 7:e45837. [PMID: 23082116 PMCID: PMC3474811 DOI: 10.1371/journal.pone.0045837] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2012] [Accepted: 08/24/2012] [Indexed: 11/19/2022] Open
Abstract
Movement of the hand in three dimensional space is primarily controlled by the orientation of the shoulder and elbow complexes. Due to discrepancies in proprioceptive acuity, overlap in motor cortex representation and grossly different anatomies between these joints, we hypothesized that there would be differences in the accuracy of aimed movements between the two joints. Fifteen healthy young adults were tested under four conditions – shoulder motion with the elbow constrained and unconstrained, and elbow motion with the shoulder constrained and unconstrained. End point target locations for each joint were set to coincide with joint excursions of 10, 20 or 30 degrees of either the shoulder or elbow joint. Targets were presented in a virtual reality environment. For the constrained condition, there were no significant differences in angular errors between the two joints, suggesting that the central nervous system represents linked segment models of the limb in planning and controlling movements. For the unconstrained condition, although angle errors were higher, hand position errors remained the same as those of the constrained trials. These results support the idea that the CNS utilizes abundant degrees of freedom to compensate for the potentially different contributions to end-point errors introduced by each joint.
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Affiliation(s)
- Andrew R Karduna
- Department of Human Physiology, University of Oregon, Eugene, Oregon, USA.
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Conrad MO, Scheidt RA, Schmit BD. Effects of wrist tendon vibration on arm tracking in people poststroke. J Neurophysiol 2011; 106:1480-8. [PMID: 21697444 DOI: 10.1152/jn.00404.2010] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
The goal of this study was to evaluate the influence of wrist tendon vibration on a multijoint elbow/shoulder tracking task. We hypothesized that tendon vibration applied at the wrist musculature would improve upper arm tracking performance in chronic stroke survivors through increased, Ia-afferent feedback to the central nervous system (CNS). To test this hypothesis, 10 chronic stroke and 5 neurologically intact subjects grasped the handle of a planar robot as they tracked a target through a horizontal figure-8 pattern. A total of 36 trials were completed by each subject. During the middle trials, 70-Hz tendon vibration was applied at the wrist flexor tendons. Position, velocity, and electromyography data were evaluated to compare the quality of arm movements before, during, and after trials with concurrent vibration. Despite tracking a target that moved at a constant velocity, hand trajectories appeared to be segmented, displaying alternating intervals of acceleration and deceleration. Segments were identifiable in tangential velocity data as single-peaked, bell-shaped speed pulses. When tendon vibration was applied at the wrist musculature, stroke subjects experienced improved tracking performance in that hand path lengths and peak speed variability decreased, whereas movement smoothness increased. These performance improvements were accompanied by decreases in the muscle activity during movement. Possible mechanisms behind improved movement control in response to tendon vibration may include improved sensorimotor integration or improved cortical modulation of spinal reflex activity.
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Affiliation(s)
- Megan O Conrad
- Department of Biomedical Engineering, Marquette University, PO Box 1881, Milwaukee, WI 53201-1881, USA
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