A first-in-human application of OPM-MEG for localizing motor activity area: Compared to functional MRI.

Neuroimage

Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing 100070, PR China. Electronic address:

Published: December 2024

AI Article Synopsis

  • Accurate localization of brain motor areas is crucial for safeguarding motor function during neurosurgery, and this study evaluates the use of OPM-MEG technology for this purpose in patients with brain tumors and healthy individuals.
  • The study involved comparing OPM-MEG and 3T-fMRI in localizing primary motor areas, validating results through intraoperative electrical stimulation.
  • Results showed that both techniques successfully mapped motor areas, with OPM-MEG providing more centralized activation signals, suggesting its potential as a reliable tool in neurosurgical procedures and research.

Article Abstract

Background: Accurately localizing brain motor areas is vital for protecting motor function during neurosurgical procedures. Magnetoencephalography (MEG) based on optically pumped magnetometer (OPM) improves the availability of MEG in clinical applications. The aim of this study is to evaluate the availability, accuracy and precision of "OPM-MEG" for localizing motor areas in brain tumor patients and healthy individuals.

Methods: Participants were enrolled and subjected to primary motor area localization by both 3T-fMRI and 128-channel OPM-MEG examinations. The localization accuracy (ability of mapping on the anatomical location) and precision (activation signal centralization) were compared between the two methods, and accuracy was further validated by intraoperative direct cortical electrical stimulation (DCS) on the localized area with assistance of neuro-navigation system.

Result: A total of 12 participants (7 brain tumor patients and 5 healthy individuals) were enrolled and all had successful localization for motor areas by both methods. The average time of OPM-MEG examination for each limb function was approximately 9 min. The localizations by both methods mainly covered the anatomical location of primary motor cortex and were partially overlapped. The motor activation signal identified by OPM-MEG was more centralized than fMRI did. The centroid of motor area localized by the OPM-MEG deviated from it by fMRI, with a mean distance of 19.7 mm and 27.48 mm for hand or foot localization, respectively. Furthermore, the OPM-MEG centroid for hand movement successfully triggered corresponding hand response by DCS.

Conclusions: In this first-in-human study exploring the potential of OPM-MEG in functional localization of motor areas, we revealed its availability and reliability in mapping motor areas, demonstrating it as a promising tool in assisting neurosurgical practice and neuroscience research.

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Source
http://dx.doi.org/10.1016/j.neuroimage.2024.120953DOI Listing

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