Magnetoencephalography System Research Articles

Simultaneous whole-head electrophysiological recordings using EEG and OPM-MEG

Abstract Electroencephalography (EEG) and magnetoencephalography (MEG) non-invasively measure human brain electrophysiology. They differ in nature; MEG offers better performance whilst EEG (a wearable platform) is more practical. They are also complementary, with studies showing that concurrent MEG/EEG provides advantages over either modality alone, and consequently clinical guidelines for MEG in epilepsy recommend simultaneous acquisition of MEG and EEG. In recent years, new instrumentation— the optically pumped magnetometer (OPM)— has had a significant impact on MEG, offering improved performance, lifespan compliance, and wearable MEG systems. Nevertheless, the ability to carry out simultaneous EEG/OPM-MEG remains critical. Here, we investigated whether simultaneous, wearable, whole-head EEG and OPM-MEG measurably degrades signal quality in either modality. We employed two tasks: a motor task known to modulate beta oscillations, and an eyes-open/closed task known to modulate alpha oscillations. In both, we characterised the performance of EEG alone, OPM-MEG alone, and concurrent EEG/OPM-MEG. Results show that the SNR of the beta response was similar, regardless of whether modalities were used individually or concurrently. Likewise, our alpha band recordings demonstrated that signal contrast was stable, regardless of the concurrent recording. We also demonstrate significant advantages of OPM-MEG; specifically, the OPM-MEG signal is less correlated across channels and less susceptible to interference from non-brain sources. Our results suggest that there are no barriers to simultaneous wearable EEG/OPM-MEG, and consequently this technique is ripe for neuroscientific and clinical adoption. This will be important in the clinic where simultaneous EEG and OPM-MEG recordings will facilitate better interpretation of OPM-MEG data in patients.

Spatiotemporal extended homogeneous field correction method for reducing complex interference in OPM-MEG

Novel magnetoencephalography (MEG) systems based on optically pumped magnetometers (OPMs) have undergone rapid development in recent years. However, environmental interference significantly degrades data quality. When the number of sensors in the OPM-MEG system is small, the traditional subspace projection denoising algorithms reliant on sensor space oversampling will be difficult to apply. Although the recently proposed homogeneous field correction (HFC) method resolves this problem by constructing a low-rank spatial model, it lacks the ability to suppress complex environmental interference such as nonhomogeneous fields. Therefore, this paper proposes a novel OPM-MEG environmental interference suppression method based on HFC. We first use a projection operator constructed from a sensor orientation matrix to project original data and empty-room noise data onto the null space of the homogeneous field; this enables dimensionality reduction to eliminate homogeneous field interference. The remaining interference is then suppressed through subspace projection in the space and time domains. We compare our method to four benchmark algorithms based on simulations and somatosensory-evoked experiments. The experimental results demonstrate that the proposed method has better interference suppression performance than the benchmark algorithms. Therefore, our method can provide high signal-to-noise ratio data for subsequent clinical applications and brain scientific research.

Optimising the sensitivity of optically-pumped magnetometer magnetoencephalography to gamma band electrophysiological activity

Abstract The measurement of electrophysiology is of critical importance to our understanding of brain function. However, current non-invasive measurements—electroencephalography (EEG) and magnetoencephalography (MEG)—have limited sensitivity, particularly compared to invasive recordings. Optically-Pumped Magnetometers (OPMs) are a new type of magnetic field sensor which ostensibly promise MEG systems with higher sensitivity; however, the noise floor of current OPMs remains high compared to cryogenic instrumentation and this limits the achievable signal-to-noise ratio of OPM-MEG recordings. Here, we investigate how sensor array design affects sensitivity, and whether judicious sensor placement could compensate for the higher noise floor. Through theoretical analyses, simulations, and experiments, we use a beamformer framework to show that increasing the total signal measured by an OPM array—either by increasing the number of sensors and channels, or by optimising the placement of those sensors—affords a linearly proportional increase in signal-to-noise ratio (SNR) following beamformer reconstruction. Our experimental measurements confirm this finding, showing that by changing sensor locations in a 90-channel array, we could increase the SNR of visual gamma oscillations from 4.8 to 10.5. Using a 180-channel optimised OPM-array, we capture broadband gamma oscillations induced by a naturalistic visual paradigm, with an SNR of 3; a value that compares favourably to similar measures made using conventional MEG. Our findings show how an OPM-MEG array can be optimised to measure brain electrophysiology with the highest possible sensitivity. This is important for the design of future OPM-based instrumentation.

Dynamic stabilisation of magnetic fields measured inside a magnetically shielded room using an external coil system *

Magnetoencephalography (MEG) system based on optically pumped magnetometers (OPMs) requires a magnetically shielded room (MSR) to establish a stable near-zero field environment. Affected by external environmental electromagnetic interference, the magnetic noise in the MSR will become very severe. In order to overcome this problem, this paper proposes a method for dynamic stabilisation of magnetic fields measured inside a MSR using an external coil system. Firstly, the field form of the external compensation coil was analysed by taking the AC characteristics of the material into consideration. Then, the linear characteristic of the control system is studied and a high performance magnetic noise suppression controller is designed based on the environment noise characteristics. Finally, simulation and experimental are carried out through a self-developed 1250 mm × 1250 mm × 2100 mm MSR, which indicates that the proposed method can effectively suppress dynamic magnetic fluctuation and noise.

Functional brain alterations in symptomatic dermographism patients-An exploratory magnetoencephalography study.

Symptomatic dermographism (SD) is a common form of urticaria, which is triggered by stroking the skin. Brain involvement in its aetiology was investigated by means of magnetoencephalography (MEG) after provocation with histamine and dermography. Wheals were induced by histamine skin prick test and dermography in twelve SD patients and fourteen controls. Itch severity was scored on a Visual Analogue Scale (VAS). Relative power and functional connectivity (FC) were measured using a 306-channel whole-head MEG system at baseline and 10 min after histamine and dermography, and contrasted between groups and conditions. Furthermore, wheal diameter and itch scores after these procedures were correlated with the MEG values. SD patients had higher itch scores after histamine and dermography. No significant group-differences were observed in relative power or FC for any condition. In both groups, power decreases were mostly observed in the beta band, and power increases in the alpha bands, after provocation, with more regions involved in patients compared to controls. Increased FC was seen after histamine in patients, and after dermography in controls. In patients only, dermography and histamine wheal size correlated with the alpha2 power in the regions of interest that showed significant condition effects after these procedures. Our findings may be cautiously interpreted as aberrant itch processing, and suggest involvement of the central nervous system in the aetiology of SD.

Ultra-high consistency multichannel SERF atomic magnetometer based on diffractive optics

Multichannel spin-exchange relaxation-free (SERF) atomic magnetometers (AMs) have broad application prospects in array biomagnetic measurement systems because of their high spatial resolution. This study proposed an efficient and high-quality beam-splitting method based on a diffractive optical element (DOE), which enables multichannel SERF AM to maintain ultrahigh consistency with a channel interval of 3.27 mm. Based on the relaxation rate model under zero-field resonance, the minor differences in the magnetic linewidth of each channel were analyzed. The experimental results demonstrated ultra-high consistency of the magnetic field measurement signals between multiple channels, with a nonlinear error of less than 0.1%. The optimal sensitivity for a single channel was 11.9 fT/Hz1/2 @31.5 Hz, and 9.3 fT/Hz1/2 @31.5 Hz in the first-order gradiometer mode. The structure also satisfied the requirements of long-term high stability and high sensitivity, which are expected to further obtain more measurement channels. This method plays a critical role in improving the accuracy of magnetocardiography (MCG) and magnetoencephalography (MEG) systems.

Magnetic noise analysis for small magnetically shielded room in different environmental magnetic fields

The compact high-performance magnetically shielded room (MSR) provides near-zero magnetic field environment for low-cost magnetoencephalography (MEG) measurements. Predicting the level of magnetic noise in the MSR under different magnetic field holds significant importance for the deployment of MEG systems. In this paper, the magnetic noise of MSR in different operational conditions is studied. The magnetic noise in MSR is modeled as residual environmental noise, material one, and additional one. A quantitative model for magnetic noise calculation is established, leading to the definition of the Weak Shielding Factor (WSF), which establishes a relationship between the environment magnetic noise and MSR one. Verification experiments are conducted using a compact MSR, a magnetically shielded box, and a cylindrical magnetically shielded bucket. The average magnetic noise error between calculated and measured values in 1–100 Hz range for the three shielding structures are 8.29%, 12.33%, and 7.50%, respectively, which shows the effectiveness of the proposed method.

Combining magnetoencephalography with telemetric streaming of intracranial recordings and deep brain stimulation—A feasibility study

Abstract The combination of subcortical Local Field Potential (LFP) recordings and stimulation with Magnetoencephalography (MEG) in Deep Brain Stimulation (DBS) patients enables the investigation of cortico-subcortical communication patterns and provides insights into DBS mechanisms. Until now, these recordings have been carried out in post-surgical patients with externalised leads. However, a new generation of telemetric stimulators makes it possible to record and stream LFP data in chronically implanted patients. Nevertheless, whether such streaming can be combined with MEG has not been tested. In the present study, we tested the most commonly implanted telemetric stimulator—Medtronic Percept PC with a phantom in three different MEG systems: two cryogenic scanners (CTF and MEGIN) and an experimental Optically Pumped Magnetometry (OPM)-based system. We found that when used in combination with the new SenSight segmented leads, Percept PC telemetric streaming only generates band-limited interference in the MEG at 123 Hz and harmonics. However, the “legacy streaming mode” used with older lead models generates multiple, dense artefact peaks in the physiological range of interest (below 50 Hz). The effect of stimulation on MEG critically depends on whether it is done in bipolar (between two contacts on the lead) or monopolar (between a lead contact and the stimulator case) mode. Monopolar DBS creates severe interference in the MEG as previously reported. However, we found that the OPM system is more resilient to this interference and could provide artefact-free measurements, at least for limited frequency ranges. A resting measurement in the MEGIN system from a Parkinson’s patient implanted with Percept PC and subthalamic SenSight leads revealed artefact patterns consistent with our phantom recordings. Moreover, analysis of LFP-MEG coherence in this patient showed oscillatory coherent networks consistent in their frequency and topography with those described in published group studies done with externalised leads. In conclusion, Percept PC telemetric streaming with SenSight leads is compatible with MEG. Furthermore, OPM sensors could provide additional new opportunities for studying DBS effects.

Role of optically pumped magnetometers in presurgical epilepsy evaluation: Commentary of the American Clinical Magnetoencephalography Society.

One of the major challenges of modern epileptology is the underutilization of epilepsy surgery for treatment of patients with focal, medication resistant epilepsy (MRE). Aggravating this distressing failure to deliver optimum care to these patients is the underuse of proven localizing tools, such as magnetoencephalography (MEG), a clinically validated, non-invasive, neurophysiological method used to directly measure and localize brain activity. A sizable mass of published evidence indicates that MEG can improve identification of surgical candidates and guide pre-surgical planning, increasing the yield of SEEG and improving operative outcomes. However, despite at least 10 common, evidence supported, clinical scenarios in MRE patients where MEG can offer non-redundant information and improve the pre-surgical evaluation, it is regularly used by only a minority of USA epilepsy centers. The current state of the art in MEG sensors employs SQUIDs, which require cooling with liquid helium to achieve superconductivity. This sensor technology has undergone significant generational improvement since whole head MEG scanners were introduced around in 1990s, but still has limitations. Further advances in sensor technology which may make ME G more easily accessible and affordable have been eagerly awaited, and development of new techniques should be encouraged. Of late, optically pumped magnetometers (OPMs) have received considerable attention, even prompting some potential acquisitions of new MEG systems to be put on hold, based on a hope that OPMs will usher in a new generation of MEG equipment and procedures. The development of any new clinical test used to guide intracranial EEG monitoring and/or surgical planning must address several specific issues. The goal of this commentary is to recognize the current state of OPM technology and to suggest a framework for it to advance in the clinical realm where it can eventually be deemed clinically valuable to physicians and patients. The American Clinical MEG Society (ACMEGS) strongly supports more advanced and less expensive technology and looks forward to continuing work with researchers to develop new sensors and clinical devices which will improve the experience and outcome for patients, and perhaps extend the role of MEG. However, currently, there are no OPM devices ready for practical clinical use. Based on the engineering obstacles and the clinical tradeoffs to be resolved, the assessment of experts suggests that there will most likely be another decade relying solely on "frozen SQUIDs" in the clinical MEG field.

An Iterative Implementation of the Signal Space Separation Method for Magnetoencephalography Systems with Low Channel Counts.

The signal space separation (SSS) method is routinely employed in the analysis of multichannel magnetic field recordings (such as magnetoencephalography (MEG) data). In the SSS method, signal vectors are posed as a multipole expansion of the magnetic field, allowing contributions from sources internal and external to a sensor array to be separated via computation of the pseudo-inverse of a matrix of the basis vectors. Although powerful, the standard implementation of the SSS method on MEG systems based on optically pumped magnetometers (OPMs) is unstable due to the approximate parity of the required number of dimensions of the SSS basis and the number of channels in the data. Here we exploit the hierarchical nature of the multipole expansion to perform a stable, iterative implementation of the SSS method. We describe the method and investigate its performance via a simulation study on a 192-channel OPM-MEG helmet. We assess performance for different levels of truncation of the SSS basis and a varying number of iterations. Results show that the iterative method provides stable performance, with a clear separation of internal and external sources.

From cryogenic to on-scalp magnetoencephalography for the evaluation of paediatric epilepsy.

Magnetoencephalography (MEG) is a neurophysiological technique based on the detection of brain magnetic fields. Whole-head MEG systems typically house a few hundred sensors requiring cryogenic cooling in a rigid one-size-fits-all (commonly adult-sized) helmet to keep a thermal insulation space. This leads to an increased brain-to-sensor distance in children, because of their smaller head circumference, and decreased signal-to-noise ratio. MEG allows detection and localization of interictal and ictal epileptiform discharges, and pathological high frequency oscillations, as a part of the presurgical assessment of children with refractory focal epilepsy, where electroencephalography is not contributive. MEG can also map the eloquent cortex before surgical resection. MEG also provides insights into the physiopathology of both generalized and focal epilepsy. On-scalp recordings based on cryogenic-free sensors have demonstrated their use in the field of childhood focal epilepsy and should become a reference technique for diagnosing epilepsy in the paediatric population. WHAT THIS PAPER ADDS: Magnetoencephalography (MEG) contributes to the diagnosis and understanding of paediatric epilepsy. On-scalp MEG recordings demonstrate some advantages over cryogenic MEG.

Development of Ultra-Low Field Magnetic Resonance Imaging System at 1 mT

Ultra-low field (ULF) magnetic resonance imaging (MRI) is considered an innovative MRI technique that can be combined with magnetoencephalography (MEG). In this study, a 1-mT ULF-MRI system without a pre-polarization technique aiming at combining an MEG system is developed. The intensity of the static magnetic field B0 is decided considered to be 1 mT because of the limitation of the magnetic field exposed to our MEG sensor made of superconducting quantum interference devices (SQUIDs). A square-shaped (750 mm × 750 mm) B0-coil based on a Merritt-type configuration is fabricated. The inhomogeneity of B0 is less than 0.07 % in the ±125 mm area. Further, an induction coil is employed to detect the magnetic resonance signal instead of the SQUID sensors of the MEG to confirm the feasibility of realizing MRI measurement at 1 mT without the pre-polarization technique. Relaxation time measurements and MR imaging of a phantom made of a CuSO4 aqueous solution are performed. Reasonable longitudinal and transverse relaxation times are obtained, and clear shapes of the phantom are obtained using the gradient- and spin-echo pulse sequences with this ULF-MRI system. These results indicate the potential of the proposed 1-mT ULF-MRI to effectively integrate ULF-MRI and MEG systems without pre-polarization.

Sensor array design of optically pumped magnetometers for accurately estimating source currents

An optically pumped magnetometer (OPM) is a new generation of magnetoencephalography (MEG) devices that is small, light, and works at room temperature. Due to these characteristics, OPMs enable flexible and wearable MEG systems. On the other hand, if we have a limited number of OPM sensors, we need to carefully design their sensor arrays depending on our purposes and regions of interests (ROIs). In this study, we propose a method that designs OPM sensor arrays for accurately estimating the cortical currents at the ROIs. Based on the resolution matrix of minimum norm estimate (MNE), our method sequentially determines the position of each sensor to optimize its inverse filter pointing to the ROIs and suppressing the signal leakage from the other areas. We call this method the Sensor array Optimization based on Resolution Matrix (SORM). We conducted simple and realistic simulation tests to evaluate its characteristics and efficacy for real OPM-MEG data. SORM designed the sensor arrays so that their leadfield matrices had high effective ranks as well as high sensitivities to ROIs. Although SORM is based on MNE, the sensor arrays designed by SORM were effective not only when we estimated the cortical currents by MNE but also when we did so by other methods. With real OPM-MEG data we confirmed its validity for real data. These analyses suggest that SORM is especially useful when we want to accurately estimate ROIs’ activities with a limited number of OPM sensors, such as brain-machine interfaces and diagnosing brain diseases.

An integrated full-head OPM-MEG system based on 128 zero-field sensors.

Compact optically-pumped magnetometers (OPMs) are now commercially available with noise floors reaching 10 fT/Hz1/2. However, to be used effectively for magnetoencephalography (MEG), dense arrays of these sensors are required to operate as an integrated turn-key system. In this study, we present the HEDscan, a 128-sensor OPM MEG system by FieldLine Medical, and evaluate its sensor performance with regard to bandwidth, linearity, and crosstalk. We report results from cross-validation studies with conventional cryogenic MEG, the Magnes 3,600 WH Biomagnetometer by 4-D Neuroimaging. Our results show high signal amplitudes captured by the OPM-MEG system during a standard auditory paradigm, where short tones at 1000 Hz were presented to the left ear of six healthy adult volunteers. We validate these findings through an event-related beamformer analysis, which is in line with existing literature results.

Suppression of modulation-magnetic-fields crosstalk for single-beam optically-pumped magnetometers

We propose a feasible method that enables suppression of crosstalk induced by the additional transverse (sinusoidal/noise) magnetic field near the modulation frequency of the arrayed single-beam optically-pumped magnetometers (OPMs), which is usually generated by adjacent channels, by locking the remanence to zero through a closed-loop control. Based on a miniaturized 87Rb atomic cell of 3 × 3 × 3 mm, our method can significantly suppress the modulation magnetic field crosstalk. In addition, the magnetic field control circuit structure is optimized by investigating the effect of magnetic field noise on the sensitivity of the magnetometer. The sensitivity of OPM can reach 16fT/Hz1/2 between 10 and 100 Hz. These crosstalk amplitude results show good agreement with theoretical analysis. Our method is especially advantageous for future high-resolution magnetocardiography and magnetoencephalography systems where dense array with large amount of miniaturized magnetometers are required.

Yttrium-Iron Garnet Magnetometer in MEG: Advance towards Multi-Channel Arrays.

Recently, a new kind of sensor applicable in magnetoencephalography (MEG) has been presented: a solid-state yttrium-iron garnet magnetometer (YIGM). The feasibility of yttrium-iron garnet magnetometers (YIGMs) was demonstrated in an alpha-rhythm registration experiment. In this paper, we propose the analysis of lead-field matrices for different possible multi-channel on-scalp sensor layouts using YIGMs with respect to information theory. Real noise levels of the new sensor were used to compute signal-to-noise ratio (SNR) and total information capacity (TiC), and compared with corresponding metrics that can be obtained with well-established MEG systems based on superconducting quantum interference devices (SQUIDs) and optically pumped magnetometers (OPMs). The results showed that due to YIGMs' proximity to the subject's scalp, they outperform SQUIDs and OPMs at their respective noise levels in terms of SNR and TiC. However, the current noise levels of YIGM sensors are unfortunately insufficient for constructing a multichannel YIG-MEG system. This simulation study provides insight into the direction for further development of YIGM sensors to create a multi-channel MEG system, namely, by decreasing the noise levels of sensors.

Measurement of Frontal Midline Theta Oscillations using OPM-MEG

Optically pumped magnetometers (OPMs) are an emerging lightweight and compact sensor that can measure magnetic fields generated by the human brain. OPMs enable construction of wearable magnetoencephalography (MEG) systems, which offer advantages over conventional instrumentation. However, when trying to measure signals at low frequency, higher levels of inherent sensor noise, magnetic interference and movement artefact introduce a significant challenge. Accurate characterisation of low frequency brain signals is important for neuroscientific, clinical, and paediatric MEG applications and consequently, demonstrating the viability of OPMs in this area is critical. Here, we undertake measurement of theta band (4–8 Hz) neural oscillations and contrast a newly developed 174 channel triaxial wearable OPM-MEG system with conventional (cryogenic-MEG) instrumentation. Our results show that visual steady state responses at 4 Hz, 6 Hz and 8 Hz can be recorded using OPM-MEG with a signal-to-noise ratio (SNR) that is not significantly different to conventional MEG. Moreover, we measure frontal midline theta oscillations during a 2-back working memory task, again demonstrating comparable SNR for both systems. We show that individual differences in both the amplitude and spatial signature of induced frontal-midline theta responses are maintained across systems. Finally, we show that our OPM-MEG results could not have been achieved without a triaxial sensor array, or the use of postprocessing techniques. Our results demonstrate the viability of OPMs for characterising theta oscillations and add weight to the argument that OPMs can replace cryogenic sensors as the fundamental building block of MEG systems.

A New Generation of OPM for High Dynamic and Large Bandwidth MEG: The 4He OPMs-First Applications in Healthy Volunteers.

MagnetoEncephaloGraphy (MEG) provides a measure of electrical activity in the brain at a millisecond time scale. From these signals, one can non-invasively derive the dynamics of brain activity. Conventional MEG systems (SQUID-MEG) use very low temperatures to achieve the necessary sensitivity. This leads to severe experimental and economical limitations. A new generation of MEG sensors is emerging: the optically pumped magnetometers (OPM). In OPM, an atomic gas enclosed in a glass cell is traversed by a laser beam whose modulation depends on the local magnetic field. MAG4Health is developing OPMs using Helium gas (4He-OPM). They operate at room temperature with a large dynamic range and a large frequency bandwidth and output natively a 3D vectorial measure of the magnetic field. In this study, five 4He-OPMs were compared to a classical SQUID-MEG system in a group of 18 volunteers to evaluate their experimental performances. Considering that the 4He-OPMs operate at real room temperature and can be placed directly on the head, our assumption was that 4He-OPMs would provide a reliable recording of physiological magnetic brain activity. Indeed, the results showed that the 4He-OPMs showed very similar results to the classical SQUID-MEG system by taking advantage of a shorter distance to the brain, despite having a lower sensitivity.

Exploring the limits of MEG spatial resolution with multipolar expansions

The advent of scalp magnetoencephalography (MEG) based on optically pumped magnetometers (OPMs) may represent a step change in the field of human electrophysiology. Compared to cryogenic MEG based on superconducting quantum interference devices (SQUIDs, placed 2–4 cm above scalp), scalp MEG promises significantly higher spatial resolution imaging but it also comes with numerous challenges regarding how to optimally design OPM arrays. In this context, we sought to provide a systematic description of MEG spatial resolution as a function of the number of sensors (allowing comparison of low- vs. high-density MEG), sensor-to-brain distance (cryogenic SQUIDs vs. scalp OPM), sensor type (magnetometers vs. gradiometers; single- vs. multi-component sensors), and signal-to-noise ratio. To that aim, we present an analytical theory based on MEG multipolar expansions that enables, once supplemented with experimental input and simulations, quantitative assessment of the limits of MEG spatial resolution in terms of two qualitatively distinct regimes. In the regime of asymptotically high-density MEG, we provide a mathematically rigorous description of how magnetic field smoothness constraints spatial resolution to a slow, logarithmic divergence. In the opposite regime of low-density MEG, it is sensor density that constraints spatial resolution to a faster increase following a square-root law. The transition between these two regimes controls how MEG spatial resolution saturates as sensors approach sources of neural activity. This two-regime model of MEG spatial resolution integrates known observations (e.g., the difficulty of improving spatial resolution by increasing sensor density, the gain brought by moving sensors on scalp, or the usefulness of multi-component sensors) and gathers them under a unifying theoretical framework that highlights the underlying physics and reveals properties inaccessible to simulations. We propose that this framework may find useful applications to benchmark the design of future OPM-based scalp MEG systems.

Somatosensory and motor representations following bilateral transplants of the hands: A 6-year longitudinal case report on the first pediatric bilateral hand transplant patient

A vascularized composite tissue allotransplantation (VCA) was performed at the Children’s Hospital of Philadelphia (CHOP), on an 8-year-old patient in 2015, six years after bilateral hand and foot amputation. Hand VCA resulted in reafferentation of the medial, ulnar, and radial nerves serving hand somatosensation and motor function. We used magnetoencephalography (MEG) to assess somatosensory cortical plasticity following the post-transplantation recovery of the peripheral sensory nerves of the hands. Our 2-year postoperative MEG showed that somatosensory lip representations, initially observed at “hand areas”, reverted to canonical, orthotopic lip locations with recovery of post-transplant hand function. Here, we continue the assessment of motor and somatosensory responses up to 6-years post-transplant. Magnetoencephalographic somatosensory responses were recorded eight times over a six-year period following hand transplantation, using a 275-channel MEG system. Somatosensory tactile stimuli were presented to the right lower lip (all 8 visits) as well as right and left index fingers (visits 3-8) and fifth digits (visits 4-8). In addition, left and right-hand motor responses were also recorded for left index finger and right thumb (visit 8 only).During the acute recovery phase (visits 3 and 4), somatosensory responses of the digits were observed to be significantly larger and more phasic (i.e., smoother) than controls. Subsequent measures showed that digit responses maintain this atypical response profile (evoked-response magnitudes typically exceed 1 picoTesla). Orthotopic somatosensory localization of the lip, D2, and D5 was preserved. Motor beta-band desynchrony was age-typical in localization and response magnitude; however, the motor gamma-band response was significantly larger than that observed in a reference population.These novel findings show that the restoration of somatosensory input of the hands resulted in persistent and atypically large cortical responses to digit stimulation, which remain atypically large at 6 years post-transplant; there is no known perceptual correlate, and no reports of phantom pain. Normal somatosensory organization of the lip, D2, and D5 representation remain stable following post-recovery reorganization of the lip’s somatosensory response.