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Tactile stimulation designs adapted to clinical settings result in reliable fMRI-based somatosensory digit maps. | LitMetric

AI Article Synopsis

  • Movement constraints in stroke survivors often involve issues with somatosensory perception, highlighting the need to study the primary somatosensory cortex's role in these movement deficits.
  • The study compares two fMRI-based mapping techniques in neurotypical volunteers, finding both methods effectively created complete digit maps with consistent layouts and similar activation patterns.
  • While retest-reliability for individual digit locations was high, the overlap of activation areas showed moderate reliability, suggesting that this mapping method can be useful in clinical settings for diagnosing and treating upper limb issues in stroke patients.

Article Abstract

Movement constraints in stroke survivors are often accompanied by additional impairments in related somatosensory perception. A complex interplay between the primary somatosensory and motor cortices is essential for adequate and precise movements. This necessitates investigating the role of the primary somatosensory cortex in movement deficits of stroke survivors. The first step towards this goal could be a fast and reliable functional Magnetic Resonance Imaging (fMRI)-based mapping of the somatosensory cortex applicable for clinical settings. Here, we compare two 3 T fMRI-based somatosensory digit mapping techniques adapted for clinical usage in seven neurotypical volunteers and two sessions, to assess their validity and retest-reliability. Both, the traveling wave and the blocked design approach resulted in complete digit maps in both sessions of all participants, showing the expected layout. Similarly, no evidence for differences in the volume of activation, nor the activation overlap between neighboring activations could be detected, indicating the general feasibility of the clinical adaptation and their validity. Retest-reliability, indicated by the Dice coefficient, exhibited reasonable values for the spatial correspondence of single digit activations across sessions, but low values for the spatial correspondence of the area of overlap between neighboring digits across sessions. Parameters describing the location of the single digit activations exhibited very high correlations across sessions, while activation volume and overlap only exhibited medium to low correlations. The feasibility and high retest-reliabilities for the parameters describing the location of the single digit activations are promising concerning the implementation into a clinical context to supplement diagnosis and treatment stratification in upper limb stroke patients.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11443901PMC
http://dx.doi.org/10.1186/s12868-024-00892-xDOI Listing

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