Abstract:The validity of functional magnetic resonance imaging (FMRI) brain maps with respect to the sites of neuronal activation is still unknown. One source of localization error may be pixels with large signal amplitudes, since such pixels may be expected to overlie large vessels, running remote from the centre of neuronal activation. In this study, magnetoencephalography was used to determine the centre of neuronal activation in a simple finger tapping task. The localization accuracy of conventional FMRI depending … Show more
“…Apart from these theoretical considerations, mismatches between electrophysiological and hemodynamic signals, in terms of quantity (Ureshi et al, 2005) and spatial distribution, have been detected in several experiments (Malonek and Grinvald, 1996;Beisteiner et al, 1997;Disbrow et al, 2000). The fMRI BOLD signal may reflect effects in cortical microvasculature or in large vessels (Frahm et al, 1994), the latter reducing spatial precision in regard to the underlying neuronal activity.…”
“…Apart from these theoretical considerations, mismatches between electrophysiological and hemodynamic signals, in terms of quantity (Ureshi et al, 2005) and spatial distribution, have been detected in several experiments (Malonek and Grinvald, 1996;Beisteiner et al, 1997;Disbrow et al, 2000). The fMRI BOLD signal may reflect effects in cortical microvasculature or in large vessels (Frahm et al, 1994), the latter reducing spatial precision in regard to the underlying neuronal activity.…”
“…Functional MRI can be criticized for being sensitive not only to parenchymal changes of blood flow but also to changes in large veins near the site of activation [Lai et al, 1993;Boxerman et al, 1995;Menon et al, 1995]. Beisteiner et al [1997] suggested that parenchymal activation could be discerned from signals arising in larger vessels, if signals with the highest amplitudes were excluded. Nevertheless, studies using magnetic resonance angiography have indicated fMRI activation of the typical SI areas, even in the absence of large veins over the central sulcus [Puce et al, 1995;Sakai et al, 1995].…”
Section: Comparison Of Fmri and Meg Localizations: Technical Aspectsmentioning
We combined information from functional magnetic resonance imaging (fMRI) and magnetoencephalography (MEG) to assess which cortical areas and in which temporal order show macroscopic activation after right median nerve stimulation. Five healthy subjects were studied with the two imaging modalities, which both revealed significant activation in the contra- and ipsilateral primary somatosensory cortex (SI), the contra- and ipsilateral opercular areas, the walls of the contralateral postcentral sulcus (PoCS), and the contralateral supplementary motor area (SMA). In fMRI, two separate foci of activation in the opercular cortex were discerned, one posteriorly in the parietal operculum (PO), and one anteriorly near the insula or frontal operculum (anterior operculum, AO). The activation sites from fMRI were used to constrain the solution of the inverse problem of MEG, which allowed us to construct a model of the temporal sequence of activation of the different sites. According to this model, the mean onset latency for significant activation at the contralateral SI was 20 msec (range, 17-22 msec), followed by activation of PoCS at 23 msec (range, 21-25 msec). The contralateral PO was activated at 26 msec (range, 19-32 msec) and AO at 33 msec (range, 22-51 msec). The contralateral SMA became active at 36 msec (range, 24-48 msec). The ipsilateral SI, PO, and AO became activated at 54-67 msec. We conclude that fMRI provides a useful means to constrain the inverse problem of MEG, allowing the construction of spatiotemporal models of cortical activation, which may have significant implications for the understanding of cortical network functioning.
“…Some authors applied a multimodal noninvasive approach using MEG, fMRI, and motor evoked potentials and demonstrated that the combination of these techniques could further enhance the reliability for correct identification of central sulcus [129,130,131,132,133,134,135]. Finally, the results of MEG and fMRI localizations were integrated in frameless neuronavigational systems, providing the neurosurgeon with functional information in the eyepieces of the microscope.…”
Section: Localization Of Sensorimotor Cortexmentioning
The introduction of whole-head magnetoencephalography (MEG) systems facilitating simultaneous recording from the entire brain surface has led to a major breakthrough of MEG in presurgical epilepsy evaluation. Localizations of the interictal spike zone with MEG showed excellent agreement with invasive electrical recordings, were useful to clarify the spatial relationship of the irritative spike zone to structural lesions, and could attribute epileptic activity to lobar subcompartments both in temporal lobe and extratemporal epilepsy. MEG was especially useful for the study of patients with non-lesional neocortical epilepsy and of patients with large lesions, where it provided unique information on the epileptogenic zone. It could reliably localize sensorimotor cortex prior to surgical procedures adjacent to central fissure. MEG language mapping yielded concordant results with the Wada test and cortical stimulation studies. MEG localizations of epileptic activity and essential brain regions were successfully integrated into frameless stereotaxy systems providing accurate functional information intraoperatively. Because MEG and EEG yield both complementary and confirmatory information, combined MEG-EEG recordings in conjunction with advanced source modeling techniques will further improve the noninvasive evaluation of epilepsy patients and constantly reduce the need for invasive procedures.
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