Noninvasive identification of human central sulcus: a comparison of gyral morphology, functional MRI, dipole localization, and direct cortical mapping
The locations of the human primary hand cortical somatosensory and motor areas were estimated using structural and functional MRI, scalp-recorded somatosensory-evoked potential dipole localization, expert judgments based on cortical anatomy, and direct cortical stimulation and recording studies. The...
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| Published in | NeuroImage (Orlando, Fla.) Vol. 19; no. 3; pp. 684 - 697 |
|---|---|
| Main Authors | , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
United States
Elsevier Inc
01.07.2003
Elsevier Limited |
| Subjects | |
| Online Access | Get full text |
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| Abstract | The locations of the human primary hand cortical somatosensory and motor areas were estimated using structural and functional MRI, scalp-recorded somatosensory-evoked potential dipole localization, expert judgments based on cortical anatomy, and direct cortical stimulation and recording studies. The within-subject reliability of localization (across 3 separate days) was studied for eight normal subjects. Intraoperative validation was obtained from five neurosurgical patients. The mean discrepancy between the different noninvasive functional imaging methods ranged from 6 to 26 mm. Quantitative comparison of the noninvasive methods with direct intraoperative stimulation and recording studies did not reveal a significant mean difference in accuracy. However, the expert judgments of the location of the sensory hand areas were significantly more variable (maximum error, 39 mm) than the dipole or functional MRI techniques. It is concluded that because expert judgments are less reliable for identifying the cortical hand area, consideration of the findings of noninvasive functional MRI and dipole localization studies is desirable for preoperative surgical planning. |
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| AbstractList | The locations of the human primary hand cortical somatosensory and motor areas were estimated using structural and functional MRI, scalp-recorded somatosensory-evoked potential dipole localization, expert judgments based on cortical anatomy, and direct cortical stimulation and recording studies. The within-subject reliability of localization (across 3 separate days) was studied for eight normal subjects. Intraoperative validation was obtained from five neurosurgical patients. The mean discrepancy between the different noninvasive functional imaging methods ranged from 6 to 26 mm. Quantitative comparison of the noninvasive methods with direct intraoperative stimulation and recording studies did not reveal a significant mean difference in accuracy. However, the expert judgments of the location of the sensory hand areas were significantly more variable (maximum error, 39 mm) than the dipole or functional MRI techniques. It is concluded that because expert judgments are less reliable for identifying the cortical hand area, consideration of the findings of noninvasive functional MRI and dipole localization studies is desirable for preoperative surgical planning.The locations of the human primary hand cortical somatosensory and motor areas were estimated using structural and functional MRI, scalp-recorded somatosensory-evoked potential dipole localization, expert judgments based on cortical anatomy, and direct cortical stimulation and recording studies. The within-subject reliability of localization (across 3 separate days) was studied for eight normal subjects. Intraoperative validation was obtained from five neurosurgical patients. The mean discrepancy between the different noninvasive functional imaging methods ranged from 6 to 26 mm. Quantitative comparison of the noninvasive methods with direct intraoperative stimulation and recording studies did not reveal a significant mean difference in accuracy. However, the expert judgments of the location of the sensory hand areas were significantly more variable (maximum error, 39 mm) than the dipole or functional MRI techniques. It is concluded that because expert judgments are less reliable for identifying the cortical hand area, consideration of the findings of noninvasive functional MRI and dipole localization studies is desirable for preoperative surgical planning. The locations of the human primary hand cortical somatosensory and motor areas were estimated using structural and functional MRI, scalp-recorded somatosensory-evoked potential dipole localization, expert judgments based on cortical anatomy, and direct cortical stimulation and recording studies. The within-subject reliability of localization (across 3 separate days) was studied for eight normal subjects. Intraoperative validation was obtained from five neurosurgical patients. The mean discrepancy between the different noninvasive functional imaging methods ranged from 6 to 26 mm. Quantitative comparison of the noninvasive methods with direct intraoperative stimulation and recording studies did not reveal a significant mean difference in accuracy. However, the expert judgments of the location of the sensory hand areas were significantly more variable (maximum error, 39 mm) than the dipole or functional MRI techniques. It is concluded that because expert judgments are less reliable for identifying the cortical hand area, consideration of the findings of noninvasive functional MRI and dipole localization studies is desirable for preoperative surgical planning. |
| Author | Pelizzari, Charles Hoffmann, Kenneth Khorasani, Leila Spire, Jean-Paul Scherg, Michael Chu, David Uftring, Stephen Towle, Vernon L Erickson, Robert K |
| Author_xml | – sequence: 1 givenname: Vernon L surname: Towle fullname: Towle, Vernon L email: v-towle@uchicago.edu organization: Department of Neurology, University of Chicago, Chicago, IL, USA – sequence: 2 givenname: Leila surname: Khorasani fullname: Khorasani, Leila organization: Department of Neurology, University of Chicago, Chicago, IL, USA – sequence: 3 givenname: Stephen surname: Uftring fullname: Uftring, Stephen organization: Department of Radiology, University of Chicago, Chicago, IL, USA – sequence: 4 givenname: Charles surname: Pelizzari fullname: Pelizzari, Charles organization: Department of Radiological Oncology, University of Chicago, Chicago, IL, USA – sequence: 5 givenname: Robert K surname: Erickson fullname: Erickson, Robert K organization: Department of Surgery, University of Chicago, Chicago, IL, USA – sequence: 6 givenname: Jean-Paul surname: Spire fullname: Spire, Jean-Paul organization: Department of Neurology, University of Chicago, Chicago, IL, USA – sequence: 7 givenname: Kenneth surname: Hoffmann fullname: Hoffmann, Kenneth organization: Department of Radiology, University of Buffalo, Buffalo, NY, USA – sequence: 8 givenname: David surname: Chu fullname: Chu, David organization: Fonar Corporation, Melville, NY, USA – sequence: 9 givenname: Michael surname: Scherg fullname: Scherg, Michael organization: Section of Biomagnetism, Department of Neurology, University of Heidelberg, Heidelberg, Germany |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/12880799$$D View this record in MEDLINE/PubMed |
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| Keywords | Sensory cortex Cortical mapping Functional MRI Somatosensory evoked potential Functional localization SEP Dipole localization Functional imaging |
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| SubjectTerms | Accuracy Adult Blindness - diagnostic imaging Blindness - physiopathology Brain Brain Mapping Cortical mapping Dipole localization Functional imaging Functional localization Functional MRI Humans Image Processing, Computer-Assisted Imagination - physiology Male Memory - physiology Middle Aged NMR Nuclear magnetic resonance Occipital Lobe - diagnostic imaging Occipital Lobe - physiopathology Parietal Lobe - diagnostic imaging Parietal Lobe - physiopathology Patients Sensory cortex SEP Somatosensory evoked potential Space Perception - physiology Studies Surgery Tomography, Emission-Computed Visual Pathways - anatomy & histology Visual Pathways - physiology Visual Perception - physiology |
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