Focal Brain Activation Research Articles

The Science and Fiction of Memory Removal

Eternal Sunshine of the Spotless Mind (ESSM) is a film that deals with the concept of erasing unwanted memories, a theme that goes back to Homer's (2000) Odyssey, in which the drug nepenthe induced forgetfulness and eased a troubled mind. Hollywood has popularized the nuances of human memory--as well as its impairments--in a number of other movies. Increased longevity has associated memory lacunae with dementia, Alzheimer's disease, and amnesia. However, ESSM's notion of young people seeking memory removal as a way of dealing with romantic hardship is a novel variation. Memory impairments afford writers the development of irregular temporal storylines, and writer Charlie Kaufman starts ESSM's plot at the end and lets it unfold via flashes of past and present that culminate in the beginning. He tells the story of Joel (Jim Carrey) and Clementine (Kate Winslet), a couple whose relationship turned from sweet to sour. After yet another fight, Joel finds that his partner treats him like a complete stranger. Distraught, he discovers that Clementine has erased him permanently from her mind--a service offered by Lacuna Inc. Joel then decides he too must use the good services of Lacuna Inc. to free his mind of the upsetting memories of Clementine. Although it takes more than one viewing of the film to do all the details justice, what transpires is a clever regression-digression-progression describing the emotional vicissitudes of the two lovers. Unwanted romantic memories aside, if Lacuna Inc. were to exist, it would offer a life-changing opportunity for many clinical populations. Neuropsychology provides fascinating accounts of superior memorists who would have loved to forget. An example is Luria's (1968) report of Mr. S., a synesthete (i.e., an individual in whom stimuli in one sensory domain evoke perceptions in multiple domains) who had a uniquely and astoundingly retentive memory but who was haunted by his involuntary ability to register everything around him. Less anecdotal is posttraumatic stress disorder, whereby afflicted individuals do not respond to many kinds of therapy as they struggle to let go of distressing events and memories. Research findings indicate that when stress hormones such as adrenaline and norepinephrine are elevated, new memories are formed more efficiently. Memories of stressful events, therefore, are more vivid and more difficult to forget. Propranolol, a type of beta blocker, interferes with the activity of stress hormones in the brain and, if given soon after trauma, may lessen the stronghold of emotional memories (Pitman et al., 2002). However, propranolol is a far cry from Lacuna Inc., and even behavioral interventions that have been around for more than 2 centuries may be as, if not more, effective. Using neuroimaging techniques that, at least in appearance, are on par with the brain accoutrements seen in ESSM, a recent study reported findings from imaging the living brain of highly hypnotizable individuals, showing that suggestion could modulate brain activity in specific neural circuits (Raz et al., 2005). Although it seems a stretch that the kind of memory loss that Joel and Clementine undergo in ESSM could be achieved through hypnotic suggestion, cognitive neuroscience is beginning to unravel how suggestion influences focal brain activity. These findings may be highly relevant to memory research, including memory removal. The creators of ESSM may well be tapping into a niche that is not just on the cusp of science's reach but within the acceptance of society. There is little doubt that Lacuna Inc. would be a popular place: After all, what we cannot remember might have never happened. (PsycINFO Database Record (c) 2006 APA, all rights reserved)

RTMS for the treatment of auditory phantom perceptions

The pathophysiological mechanisms of idiopathic tinnitus remain unclear. Recent studies demonstrated focal brain activation in the auditory cortex of patients suffering from chronic tinnitus. Low frequency repetitive transcranial magnetic stimulation (rTMS) is able to reduce cortical hyperexcitability. Patients suffering from severe chronic tinnitus underwent a [18F]deoxyglucose- PET (positron emission tomography) and MRI (magnetic resonance imaging) measurement. Fusioning of the individual PET scan with the structural MRI-scan (T1, MPRAGE) allowed to exactly identify the area of increased metabolic activity in the auditory cortex, which was selected as the target point for rTMS. In this context, a neuronavigational system adapted for TMS positioning enabled to monitore the exact position of the figure 8-shaped magnetic coil in relation to the target area. rTMS (110% motor threshold; 1 Hz; 2000 stimuli/ day over 10 days) was performed using a placebo controlled design. Patients were blind regarding the stimulus condition. For the sham stimulation a specific sham-coil system was used. Treatment outcome was assessed with a specific tinnitus questionnaire (Goebel and Hiller). Up to date, 30 patients were included. In most of the patients we could localize an increased metabolic activation within the primary auditory cortex. After 10 days of verum rTMS a remarkable improvement of the tinnitus score was found. This effect could not be seen after sham stimulation.

Analysis of Light Propagation in a Realistic Head Model by a Hybrid Method for Optical Brain Function Measurement

Near infrared spectroscopy (NIRS) is used to measure the change in blood volume and oxygenation in the brain cortex induced by functional brain activation. The development of an adequate model to calculate light propagation in the head is very important because the light is strongly scattered in the tissue and this causes ambiguity in the volume of tissue interrogated with a source–detector pair of the NIRS instrument. In this study, a two-dimensional realistic head model is generated from a MRI scan of a human adult head. The light propagation in the head model is calculated by the hybrid Monte Carlo–diffusion method to obtain the change in detected intensity caused by a focal absorption change in the grey matter or in the white matter to discuss the relationship between the depth of the activated region and the sensitivity of the NIRS signal. The sensitivity to the activated region in the white matter steeply decreases with an increase of the depth of the activated region because the spatial sensitivity profile is mainly confined to the grey matter. The contribution of the focal brain activity to the NIRS signal is determined by not only the depth of the activated region from the head surface but also the depth of the activated region from the brain surface.

Long-term effects of repetitive transcranial magnetic stimulation (rTMS) in patients with chronic tinnitus

The pathophysiologic mechanisms of idiopathic tinnitus remain unclear. Recent studies demonstrated focal brain activation in the auditory cortex of patients with chronic tinnitus. Low-frequency repetitive transcranial magnetic stimulation (rTMS) is able to reduce cortical hyperexcitability. Fusing of the individual PET-scan with the structural MRI-scan (T1, MPRAGE) allowed us to identify exactly the area of increased metabolic activity in the auditory cortex of patients with chronic tinnitus. With the use of a neuronavigational system, this target area was exactly stimulated by the figure 8-shaped magnetic coil. In a prospective study, rTMS (110% motor threshold; 1 Hz; 2000 stimuli/day over 5 days) was performed using a placebo controlled cross-over design. Patients were blinded regarding the stimulus condition. For the sham stimulation a specific sham-coil system was used. Fourteen patients were followed for 6 months. Treatment outcome was assessed with a specific tinnitus questionnaire (Goebel and Hiller). Tertiary referral medical center. Increased metabolic activation in the auditory cortex was verified in all patients. After 5 days of verum rTMS, a highly significant improvement of the tinnitus score was found whereas the sham treatment did not show any significant changes. The treatment outcome after 6 months still demonstrated significant reduction of tinnitus score. These preliminary results demonstrate that neuronavigated rTMS offers new possibilities in the understanding and treatment of chronic tinnitus.

Behandlung von chronischem Tinnitus mit niedrigfrequenter repetitiver transkranieller Magnetstimulation (rTMS) - gibt es Langzeiteffekte?

Clinical, neurophysiological and neuroimaging data suggest that chronic tinnitus resembles neuropsychiatric syndromes characterised by focal brain activation. Low frequency repetitive transcranial magnetic stimulation (rTMS) has been proposed as an efficient method in treating brain hyperexcitability disorders. Patients suffering from chronic tinnitus underwent a [ (18)F]deoxyglucose-PET (positron emission tomography). Fusioning of the individual PET scan with the structural MRI-scan (magnetic resonance imaging, T1, MPRAGE) revealed an increased metabolic activation in the primary auditory cortex as target point for rTMS. A neuronavigational system enabled the positioning of the figure of eight coil in relation to the target area. rTMS (110 % motor threshold; 1 Hz; 2000 stimuli/day over 5 days) was performed using a placebo controlled cross-over design. Following active rTMS there was a moderate improvement of tinnitus perception. Treatment effects lasted up to six months in some patients. Neuronavigated rTMS offers new possibilities in the understanding and treatment of chronic tinnitus.

Electroencephalogram-triggered functional magnetic resonance imaging in focal epilepsy.

The high spatial resolution and cost performance of functional magnetic resonance imaging (fMRI) is useful for estimating focus localization in epilepsy, but this is difficult in the case of ictal fMRI because this is susceptible to motion artifacts. Electroencephalogram (EEG)-triggered fMRI, which is interictal, can be performed without marked movement and is thought to be useful, but requires further investigation in order to establish a methodology. The authors studied EEG-triggered fMRI in partial epileptic patients. Six patients were examined using a Nihon Kohden digital EEG recorder and Signa Horizon High Speed LX 1.5 T MRI scanner. Six electrodes were attached in the vicinity of the focus detected by scalp EEG. The fMRI scans were recorded after the discharges (activation) and scans without spikes (baseline). Equal numbers of activation and baseline scans were collected and analyzed using SPM99. In three of the six patients, an activated area was observed near the focus, but no activated areas were found in the other three subjects who tended to have a low number of spikes and low spike amplitude. Although various approaches focusing on improvement of the activation/non-activation ratio are required, EEG-triggered fMRI is a promising technique for detecting focal epileptic brain activity.

Neuronavigated repetitive transcranial magnetic stimulation in patients with tinnitus: a short case series

Background Clinical as well as neurophysiological and neuroimaging data suggest that chronic tinnitus resembles neuropsychiatric syndromes characterized by focal brain activation. Low-frequency repetitive transcranial magnetic stimulation (rTMS) has been proposed as an efficient method in treating brain hyperexcitability disorders by reducing cortical excitability. Methods In three patients suffering from chronic tinnitus, the effect of magnetic resonance imaging and positron emission tomography guided neuronavigated 1 Hz rTMS on auditory cortex activity was evaluated, using a sham controlled double-blind crossover design. Results Two of three patients revealed clearly increased metabolic activity in circumscript areas of the primary auditory cortex (PAC), allowing a selective stimulation of these cortical areas with low-frequency rTMS. Considerable improvement in tinnitus was achieved in these patients. Conclusions Neuronavigated rTMS of increased PAC activity may help to better understand the neuronal basis of chronic tinnitus and might offer a new option for treating auditory phantom perceptions like chronic tinnitus.

Neuronavigated rTMS in a patient with chronic tinnitus. Effects of 4 weeks treatment

Clinical, neurophysiological and neuroimaging data suggest that chronic tinnitus resembles neuropsychiatric syndromes characterised by focal brain activation. Low frequency repetitive transcranial magnetic stimulation (rTMS) has been proposed as an efficient method in treating brain hyperexcitability disorders. In one patient suffering from chronic tinnitus, [18F]deoxyglucose PET revealed increased metabolic activity in a circumscript area of the left primary auditory cortex (PAC). The effect of MRI and PET guided neuronavigated IHz rTMS of this area was evaluated in a single-blind, sham-controlled, cross-over manner, followed by a 4-week open treatment. Following active stimulation there was a remarkable effect, enduring several weeks, on tinnitus sensation, which was paralleled by altered cortical excitability. These findings suggest that neuronavigated rTMS of increased PAC activity might offer a new option for treating auditory phantom perceptions like chronic tinnitus. NeuroReport 14:977–980 © 2003 Lippincott Williams & Wilkins.

Slow Transcranial Magnetic Stimulation, Long-Term Depotentiation, and Brain Hyperexcitability Disorders

Many clinical syndromes in neuropsychiatry suggest focal brain activation. Repetitive transcranial magnetic stimulation (rTMS) has been proposed as a method for selectively altering neural activity. Studies assessing effects of "slow" rTMS, administered up to once per second, in normal people and in those with pathological conditions are reviewed. The findings are compared with those of animal studies examining long-term depression and long-term depotentiation through direct electrical stimulation of cortical tissue. Data suggest that slow rTMS reduces cortical excitability, both locally and in functionally linked cortical regions. Preliminary studies of patients with focal dystonia, epileptic seizures, and auditory hallucinations indicate symptom reductions following slow rTMS. Long-term depotentiation exhibits many features congruent with those of slow rTMS, including frequency dependence, spread to functionally linked cortical regions, additive efficacy, and extended duration of effects. Slow rTMS offers a new method for probing and possibly treating brain hyperexcitability syndromes. Further studies linking slow rTMS to animal models of neuroplasticity are indicated.

Flow-metabolism regulation during brain activation and respiratory manipulations

Flow-metabolism coupling was examined in awake human volunteers during graded focal brain activation and during graded exposure to CO 2, a systemic vasodilator. Data acquired during activation with arterial CO 2 levels stabilized to normal values suggest an invariant flow-metabolism coupling relationship, but CO 2-related variations in cerebral blood flow combined additively with activation-related flow responses, with negligible interaction between focal and systemic effects. These findings are inconsistent with the existence of a strictly homeostatic feedback scheme for the regulation of cerebral blood flow, and support the existence of multiple independent pathways of cerebrovascular control.

Focal epileptiform activity in the brain: detection with spike-related functional MR imaging--preliminary results.

The purpose of this study was to develop a spike-related functional magnetic resonance (MR) imaging method to detect epileptic brain activity. Correlations between simultaneous spike-related functional MR imaging and electroencephalographic (EEG) recordings were performed in 10 patients with focal epilepsy. Postprocessing techniques were implemented to eliminate contamination of the EEG recording from ballistocardiography and the echo-planar MR imaging sequence. A diagnostic EEG recording was achieved during functional MR imaging. Spike location correlated with the site of blood oxygen level-dependent signal increase. Spike-related functional MR imaging is a promising technique for detecting focal epileptic brain activity.

Electromagnetic stimulation in psychiatry

One hundred years ago, D'Arsonval and Beer first described the effects of magnetic fields on human brain function. Placing one's head into a powerful magnet produced phosphenes, vertigo or even syncopes (George & Belmaker, 2000). However, only since 1985 has the technology of fast discharging capacitors developed sufficiently to generate reproducible effects across the intact skull, with peak magnetic field strengths of about 1–2 tesla (Barker et al, 1985). The headline-grabbing news has been about therapeutic applications of transcranial magnetic stimulation (TMS), but in the meantime a revolution in functional brain research has taken place, based on the manipulation of brain activity by focused magnetic fields. TMS applied in this way is, in a manner of speaking, brain imaging in the reverse. While common modes of functional brain imaging, such as positron emission tomography (PET) and functional magnetic resonance imaging (fMRI), demonstrate associations between brain metabolic activity and ‘brain tasks', the causal interpretation of such associations can be difficult. Is the frontal lobe activation observed during a memory task, for example, necessary for performing the task, or does it correspond to monitoring activity that runs parallel to task performance proper? If, on the other hand, focal brain activation during TMS results in a muscle twitch, there is no doubt that stimulation of at least some of the neurons within the magnetic field is sufficient cause for the observed movement. Functional neuroimaging is now often combined with TMS, carried out in the same session in order to exploit the complementary strengths of the methods. Although direct stimulation of association (as opposed to motor or sensory) cortex does not usually result in an observable response, TMS applied in repetitive trains can produce reversible ‘lesions'. By interfering with tasks that are dependent on the functioning of the stimulated neurons, it can thus contribute to the localisation of brain function.

Detection of central auditory compensation in unilateral deafness with functional magnetic resonance tomography

Functional magnetic resonance imaging (fMRI) is a noninvasive method to detect focal brain activity at high spatial resolution. Acoustic stimulation induces an increase of regional cerebral blood flow in the primary auditory cortex. This entails an increased concentration of diamagnetic oxyhemoglobin in the capillaries and the venous system. The resulting decrease of the local magnetic susceptibility was detected as a signal increase in T2*-weighted images. The central auditory pathways predominantly cross to the contralateral hemisphere in normally hearing subjects. The aim of the present study was to investigate the primary auditory cortex after acoustic stimulation in unilateral deaf patients using fMRI. Magnetic resonance images were acquired on a 1.5 T Siemens Vision scanner. For fMRI, a single shot gradient recalled, echo planar imaging (EPI) sequence with decreasing excitation order was used, allowing the aquisition of 9 slices within 1.8 s. The 9 slices covered a slab of 3.6 cm in cranio-caudal extension in the region of the temporal lobes. For statistical processing of the raw image data the SPM96 software package was used. A p-value of p < 0.01 was applied to differentiate between activated and non-activated. The resulting functional activation maps were superimposed onto the EPI scan. The number of activated pixels was used to quantitate the cortical response upon acoustic stimulation. Stimulation consisted of a 1000-Hz sine tone (100 dB SPL at the distal end of the head phone, pulsed at 6 Hz) to which the patients were asked to listen passively. A piezoelectric loudspeaker was mounted on the subject table and connected to a plastic tube system leading to a combination of bilateral ear- and headphones. Auditory paradigms require disentangling experimental excitation from the scanner noise that approximates 90 dB. Headphones suppress noise by approximately 30 dB. To decrease the acoustic background-to-stimulation ratio and to keep background noise constant during stimulation and resting, we employed short scanning (1.8 s) and long resting periods (10.2 s; TR = 12 s). This acquisition mode allows sufficient recovery during off-periods and sufficient excitation during on-periods. 14 unilateral deaf patients were examined. The mean duration of deafness was 22.5 years. Acoustic stimulation of the deaf ear revealed only weak cortical activation which could be explained by sound transmission via bone conduction to the other ear. A significant increase of BOLD (blood oxygen level dependent)-activation in the primary auditory cortex could be demonstrated in all patients after stimulation of the hearing ear. However, remarkable individual differences were noticed concerning the absolute number of activated pixels. The lateralization ratio was calculated by the number of activated pixels on the hearing side divided by the number of activated pixels on the deaf side. A mean lateralization ratio of 0.9 (Stdv +/- 0.6) was found. The mean lateralization ratio for patients with a right deaf ear (n = 8) and those with a left deaf ear (n = 5) was 1.1 (Stdv +/- 0.7) and 0.6 (Stdv +/- 0.3) respectively. However, the difference was not significant (Wilcoxon test: p = 0.08). Central-auditory compensation by bilateral cortical activation was demonstrated in unilateral deaf patients. Moreover, a tendency towards a dominance of the left primary auditory cortex was found, although the difference between both hemispheres was not significant. The lateralization ratio in unilateral deaf patients is similar to findings after binaural stimulation in normally hearing subjects.

Automatic localization of EEG electrode markers within 3D MR data

The electrical activity of the brain can be monitored using ElectroEncephaloGraphy (EEG). From the positions of the EEG electrodes, it is possible to localize focal brain activity. Thereby, the accuracy of the localization strongly depends on the accuracy with which the positions of the electrodes can be determined. In this work, we present an automatic, simple, and accurate scheme that detects EEG electrode markers from 3D MR data of the human head.

Preserving Plasticity: New Directions in Research for the Developing Brain

After completing this article, readers should be able to: 1. Characterize the process of corticogenesis. 2. Describe findings of magnetic resonance imaging of the developing brain. Cerebral development of the fetus is under genetic control, and during the third trimester of gestation, synapse development, dendritic spine elaboration, and cortical-cortical connections proceed as the period of developmental plasticity begins. In contrast to infants born at term, those who are born preterm can suffer significant developmental disability; many reports have shown that the neurodevelopmental outcome of very low-birthweight preterm infants is related directly to gestational age at birth. Infants weighing less than 1,000 g at birth now represent almost 1% of all live births in the United States, and the survival rate for this population approaches 85%. In stark contrast to the improved survival, however, are the emerging reports of neurodevelopmental disability in these very tiny and frequently critically ill infants. The incidence of cerebral palsy is increasing as the survival rate increases, and the incidence of cognitive deficits in this population has not changed during the past decade. The incidence of major neurodevelopmental handicaps in very preterm infants ranges from 12% to 32%, and even “healthy” preterm infants experience a high degree of educational difficulties. When we examined 200 very low-birthweight survivors of the Randomized Indomethacin Intraventricular Hemorrhage Prevention Trial who had reached 8 years of age, more than 50% required special assistance in school or were educated in full-time special education classrooms, and 25% already had repeated at least one grade in school. These data are consistent with those of other observers and indicate that preterm birth disrupts the normal genetically programmed series of events regulating corticogenesis in the developing brain. Intracranial hemorrhage (ICH), or hemorrhage into the germinal matrix tissues of the developing brain, is a major cause of neurodevelopmental handicap …

Evolution of cortical activation during recovery from corticospinal tract infarction.

Recovery from hemiparesis due to corticospinal tract infarction is well documented, but the mechanism of recovery is unknown. Functional MRI (fMRI) provides a means of identifying focal brain activity related to movement of a paretic hand. Although prior studies have suggested that supplementary motor regions in the ipsilesional and contralesional hemisphere play a role in recovery, little is known about the time course of cortical activation in these regions as recovery proceeds. Eight patients with first-ever corticospinal tract lacunes causing hemiparesis had serial fMRIs within the first few days after stroke and at 3 to 6 months. Six healthy subjects were used as controls. Statistically significant voxels during a finger-thumb opposition task were identified with an automated image processing program. An index of ipsilateral versus contralateral activity was used to compare relative contributions of the 2 hemispheres to motor function in the acute and chronic phases after stroke. Controls showed expected activation in the contralateral sensorimotor cortex (SMC), premotor, and supplementary motor areas. Stroke patients differed from control patients in showing greater activation in the ipsilateral SMC, ipsilateral posterior parietal, and bilateral prefrontal regions. Compared with the nonparetic hand, the ratio of contralateral to ipsilateral SMC activity during movement of the paretic hand increased significantly over time as the paretic hand regained function. The evolution of activation in the SMC from early contralesional activity to late ipsilesional activity suggests that a dynamic bihemispheric reorganization of motor networks occurs during recovery from hemiparesis.

Regional brain activation by bicuculline visualized by functional magnetic resonance imaging. Time-resolved assessment of bicuculline-induced changes in local cerebral blood volume using an intravascular contrast agent

Functional magnetic resonance imaging (fMRI) has been applied to study rat focal brain activation induced by intravenous administration of the GABA(A) antagonist bicuculline. Using magnetite nanoparticles as a blood pool contrast agent, local changes in cerebral blood volume (CBV) were assessed with high temporal (10 s) and spatial (0.35 x 0.6 mm(2)) resolutions. Upon infusion of the bicuculline region-specific increases in CBV have been observed, suggesting CBV to reflect brain activity. During the first 2 min, the signal increases were predominant in the cortex, followed by increases in other brain areas, such as the caudate putamen, thalamus and cerebellum. Ten minutes after the start of infusion, a dominant response was observed in the thalamus, while in the caudate putamen a biphasic response pattern was seen. The magnitude of the signal responses in all brain regions was dependent on the dose of bicuculline and, in general, matched the known distribution of GABA(A) binding sites. This study suggests that pharmacological fMRI, displaying brain function at the highly specific level of drug-receptor interaction, should foster our understanding of normal and pathological brain function.

Neurocognition of auditory sentence comprehension: event related fMRI reveals sensitivity to syntactic violations and task demands

The present study investigates the sensitivity of distinct brain regions to the syntactic processing of running speech. Experimental conditions varied the grammaticality of sentence types (correct vs. incorrect). Moreover, two different groups of subjects listened to the same sentence material, but followed two different task instructions. All participants were asked to listen to the auditory stimuli and to perform in a grammaticality judgment-task, whereas only half of the subjects were instructed to additionally repair incorrect sentences covertly. Significantly increased brain responses occurred in several left temporal areas as a function of sentences’ grammaticality, particularly, in the ‘pure’ judgment-group. Spatial extent as well as the strength of focal brain activation changed as a function of grammaticality and task demand. A generally enhanced pattern of local blood supply to the right peri-sylvian cortex could be observed when individuals additionally realized the repair-task. In particular, the right inferior frontal gyrus (pars opercularis and pars triangularis) and the right temporal transverse gyrus (Heschl's gyrus) were more strongly affected by the repair-task demand. In contrast, an anterior portion of the superior temporal gyrus (planum polare) displayed increased activation bilaterally. Although left hemisphere activation varied clearly as a function of a sentence's grammaticality, the present findings demonstrate an involvement of the right peri-sylvian cortex, in particular, when task demands explicitly require an on-line repair. The results as a whole suggest a reconsideration of the notion that auditory language comprehension is restricted to the left hemisphere. The underlying mechanisms and the respective roles of both the left and the right hemisphere during speech processing are discussed.

The electroencephalogram through a software microscope: non-invasive localization and visualization of epileptic seizure activity from inside the brain

Objective: We developed a novel non-invasive analysis to localize the source and visualize the time course of electrical activity generated inside the brain but unclear from the scalp. This analysis applies to signals with unique waveform characteristics, such as seizures.Methods: The method extracts activity from an EEG data matrix as a spatiotemporal component having waveforms uncorrelated to the other concurrent activities. The method also provides the location and orientation of the dipole generating this activity. We applied this method to ten scalp seizures in three patients with temporal lobe epilepsy and single-focus seizures confirmed by intracerebral recordings. A realistic head model based on MRI was used for computation of field distributions.Results: When seizure activity was still not visually identifiable on the scalp, the method demonstrated in all scalp seizures a source in the temporal neocortex corresponding clearly to the region of seizure activity in intracerebral recordings. Frequency characteristics of the estimated activities also resembled those of the intracerebral seizures.Conclusions: This method enables estimation of focal brain activity when its effect on scalp EEG is unclear to visual examination. It works in situations where currently available source analyses methods, which require noiseless definite activity, are not applicable.

A FAIR Study of Motor Cortex Activation under Normo- and Hypercapnia Induced by Breath Challenge

In this study an arterial spin-tagging technique based on flow-sensitive alternating inversion recovery (FAIR) with single-shot spiral data acquisition was used to study how the basal cerebral blood flow (CBF) elevated by breath holding affects the regional cerebral blood flow (rCBF) response to focal brain activation in the motor cortex. Six subjects were examined using three types of activation studies. These were (a) bilateral finger tapping paced at 4 Hz under normal breathing, (b) repeated expiration breath holding of 30 s, and (c) simultaneous breath holding and finger tapping. It was found that in five of six subjects the prevailing CBF level adjusted by breath challenge and the increase in rCBF in motor cortex associated with bilateral finger tapping were completely additive. This finding from FAIR-based functional magnetic resonance imaging is in accordance with that reported from published positron emission tomography studies. The results indicate that in the majority of the subjects examined the regulatory mechanisms for vasodilatory reaction to CO2 and rCBF response to neural activation in motor cortex region are independent.