Objective
Neuroimaging techniques, such as diffusion tensor imaging (DTI) and blood oxygenation level–dependent (BOLD) functional magnetic resonance imaging (fMRI), provide insights into the functional reorganization of the cortical motor system after stroke. This study explores the relationship between upper extremity motor function, white matter integrity, and BOLD response of cortical motor areas.
Methods
Seventeen patients met study inclusion criteria; of these 12 completed DTI assessment of white matter integrity and 9 completed fMRI assessment of motor-related activation. Primary clinical outcome measures were the Wolf Motor Function Test (WMFT) and the upper limb portion of the Fugl-Meyer (FM) motor assessment. Structural integrity of the posterior limb of the internal capsule was assessed by examining the fractional anisotropy (FA) asymmetry in the PLIC. Laterality index of motor cortical areas was measured as the BOLD response in each patient during a finger pinch task. Linear regression analyses were performed to determine whether clinical outcome was associated with structural or functional MRI measures.
Results
There were strong relationships between clinical outcome measures and FA asymmetry (eg, FM score [R2 = .655, P = .001] and WMFT asymmetry score [R2 = .651, P < .002]) but relationships with fMRI measures were weaker.
Conclusion
Clinical motor function is more closely related to the white matter integrity of the internal capsule than to BOLD response of motor areas in patients 3 to 9 months after stroke. Thus, use of DTI to assess white matter integrity in the internal capsule may provide more useful information than fMRI to interpret motor deficits following supratentorial brain injury.
In this paper, we jointly consider communication, caching and computation in a multi-user cache-assisted mobile edge computing (MEC) system, consisting of one base station (BS) of caching and computing capabilities and multiple users with computation-intensive and latency-sensitive applications. We propose a joint caching and offloading mechanism which involves task uploading and executing for tasks with uncached computation results as well as computation result downloading for all tasks at the BS, and efficiently utilizes multi-user diversity and multicasting opportunities. Then, we formulate the average total energy minimization problem subject to the caching and deadline constraints to optimally allocate the storage resource at the BS for caching computation results as well as the uploading and downloading time durations. The problem is a challenging mixed discrete-continuous optimization problem. We show that strong duality holds, and obtain an optimal solution using a dual method. To reduce the computational complexity, we further propose a low-complexity suboptimal solution. Finally, numerical results show that the proposed suboptimal solution outperforms existing comparison schemes.
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