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Challenges in clinical applications of brain computer interfaces in individuals with spinal cord injury. 脑机接口在脊髓损伤患者临床应用中的挑战。
Pub Date : 2014-09-24 eCollection Date: 2014-01-01 DOI: 10.3389/fneng.2014.00038
Rüdiger Rupp

Brain computer interfaces (BCIs) are devices that measure brain activities and translate them into control signals used for a variety of applications. Among them are systems for communication, environmental control, neuroprostheses, exoskeletons, or restorative therapies. Over the last years the technology of BCIs has reached a level of matureness allowing them to be used not only in research experiments supervised by scientists, but also in clinical routine with patients with neurological impairments supervised by clinical personnel or caregivers. However, clinicians and patients face many challenges in the application of BCIs. This particularly applies to high spinal cord injured patients, in whom artificial ventilation, autonomic dysfunctions, neuropathic pain, or the inability to achieve a sufficient level of control during a short-term training may limit the successful use of a BCI. Additionally, spasmolytic medication and the acute stress reaction with associated episodes of depression may have a negative influence on the modulation of brain waves and therefore the ability to concentrate over an extended period of time. Although BCIs seem to be a promising assistive technology for individuals with high spinal cord injury systematic investigations are highly needed to obtain realistic estimates of the percentage of users that for any reason may not be able to operate a BCI in a clinical setting.

脑机接口(bci)是测量大脑活动并将其转换为用于各种应用的控制信号的设备。其中包括通信系统、环境控制系统、神经修复系统、外骨骼系统或恢复性治疗系统。在过去的几年里,脑机接口的技术已经达到了一个成熟的水平,使它们不仅可以在科学家的监督下用于研究实验,而且可以在临床人员或护理人员的监督下用于神经损伤患者的临床常规。然而,临床医生和患者在脑机接口的应用中面临着许多挑战。这尤其适用于高位脊髓损伤患者,在这些患者中,人工通气、自主神经功能障碍、神经性疼痛或在短期训练中无法达到足够的控制水平可能会限制BCI的成功使用。此外,解痉药物和伴有抑郁发作的急性应激反应可能对脑电波的调节产生负面影响,从而影响长时间集中注意力的能力。尽管脑机接口似乎是一种很有前途的辅助技术,对于患有高度脊髓损伤的个体来说,系统的调查是非常必要的,以获得现实的估计用户的百分比,因为任何原因都可能无法在临床环境中操作脑机接口。
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引用次数: 73
Corrigendum: Nanocrystalline diamond surfaces for adhesion and growth of primary neurons, conflicting results and rational explanation 勘误:纳米晶金刚石表面粘附和生长的初级神经元,矛盾的结果和合理的解释
Pub Date : 2014-09-18 DOI: 10.3389/fneng.2014.00037
M. McDonald
The article “Nanocrystalline diamond surfaces for adhesion and growth of primary neurons, conflicting results and rational explanation,” published 11 June 2014, with myself as the second author has a mispelling of my name. It came to my attention through a friend that my name is spelled incorrectly, which I did not notice during the review process. On the paper, currently my name is spelled as: Mathew McDonald. The correct spelling is: Matthew McDonald.
2014年6月11日发表的文章“纳米晶体金刚石表面对初级神经元的粘附和生长,矛盾的结果和合理的解释”,我是第二作者,我的名字拼写错误。我通过一个朋友注意到我的名字拼写错误,这是我在审查过程中没有注意到的。在纸上,目前我的名字拼写为:Mathew McDonald。正确的拼写是:Matthew McDonald。
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引用次数: 0
Short-term dynamics of causal information transfer in thalamocortical networks during natural inputs and microstimulation for somatosensory neuroprosthesis. 体感神经假体在自然输入和微刺激下丘脑皮质网络因果信息传递的短期动态。
Pub Date : 2014-09-09 eCollection Date: 2014-01-01 DOI: 10.3389/fneng.2014.00036
Mulugeta Semework, Marcello DiStasio

Recording the activity of large populations of neurons requires new methods to analyze and use the large volumes of time series data thus created. Fast and clear methods for finding functional connectivity are an important step toward the goal of understanding neural processing. This problem presents itself readily in somatosensory neuroprosthesis (SSNP) research, which uses microstimulation (MiSt) to activate neural tissue to mimic natural stimuli, and has the capacity to potentiate, depotentiate, or even destroy functional connections. As the aim of SSNP engineering is artificially creating neural responses that resemble those observed during natural inputs, a central goal is describing the influence of MiSt on activity structure among groups of neurons, and how this structure may be altered to affect perception or behavior. In this paper, we demonstrate the concept of Granger causality, combined with maximum likelihood methods, applied to neural signals recorded before, during, and after natural and electrical stimulation. We show how these analyses can be used to evaluate the changing interactions in the thalamocortical somatosensory system in response to repeated perturbation. Using LFPs recorded from the ventral posterolateral thalamus (VPL) and somatosensory cortex (S1) in anesthetized rats, we estimated pair-wise functional interactions between functional microdomains. The preliminary results demonstrate input-dependent modulations in the direction and strength of information flow during and after application of MiSt. Cortico-cortical interactions during cortical MiSt and baseline conditions showed the largest causal influence differences, while there was no statistically significant difference between pre- and post-stimulation baseline causal activities. These functional connectivity changes agree with physiologically accepted communication patterns through the network, and their particular parameters have implications for both rehabilitation and brain-machine interface SSNP applications.

记录大量神经元的活动需要新的方法来分析和使用由此产生的大量时间序列数据。寻找功能连接的快速和清晰的方法是迈向理解神经处理目标的重要一步。这个问题在体感神经假体(sssnp)研究中很容易出现,该研究使用微刺激(MiSt)来激活神经组织来模拟自然刺激,并且具有增强、减弱甚至破坏功能连接的能力。由于SSNP工程的目的是人为地创造类似于在自然输入中观察到的神经反应,一个中心目标是描述MiSt对神经元群活动结构的影响,以及这种结构如何改变以影响感知或行为。在本文中,我们展示了格兰杰因果关系的概念,结合最大似然方法,应用于自然和电刺激之前,期间和之后记录的神经信号。我们展示了如何使用这些分析来评估丘脑皮质体感觉系统对反复扰动的反应中变化的相互作用。利用麻醉大鼠腹侧后外侧丘脑(VPL)和体感觉皮层(S1)记录的LFPs,我们估计了功能微域之间成对的功能相互作用。初步结果表明,在应用微信号期间和之后,信息流的方向和强度存在输入依赖性调制。在皮层雾和基线条件下,皮质-皮质相互作用显示出最大的因果影响差异,而刺激前和刺激后基线因果活动之间没有统计学上的显著差异。这些功能连接变化与生理上可接受的网络通信模式一致,其特定参数对康复和脑机接口sssnp应用具有重要意义。
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引用次数: 1
Movement-related cortical potentials in paraplegic patients: abnormal patterns and considerations for BCI-rehabilitation. 截瘫患者的运动相关皮质电位:异常模式和脑机接口康复的考虑。
Pub Date : 2014-08-27 eCollection Date: 2014-01-01 DOI: 10.3389/fneng.2014.00035
Ren Xu, Ning Jiang, Aleksandra Vuckovic, Muhammad Hasan, Natalie Mrachacz-Kersting, David Allan, Matthew Fraser, Bahman Nasseroleslami, Bernie Conway, Kim Dremstrup, Dario Farina

Non-invasive EEG-based Brain-Computer Interfaces (BCI) can be promising for the motor neuro-rehabilitation of paraplegic patients. However, this shall require detailed knowledge of the abnormalities in the EEG signatures of paraplegic patients. The association of abnormalities in different subgroups of patients and their relation to the sensorimotor integration are relevant for the design, implementation and use of BCI systems in patient populations. This study explores the patterns of abnormalities of movement related cortical potentials (MRCP) during motor imagery tasks of feet and right hand in patients with paraplegia (including the subgroups with/without central neuropathic pain (CNP) and complete/incomplete injury patients) and the level of distinctiveness of abnormalities in these groups using pattern classification. The most notable observed abnormalities were the amplified execution negativity and its slower rebound in the patient group. The potential underlying mechanisms behind these changes and other minor dissimilarities in patients' subgroups, as well as the relevance to BCI applications, are discussed. The findings are of interest from a neurological perspective as well as for BCI-assisted neuro-rehabilitation and therapy.

基于脑电图的无创脑机接口(BCI)在截瘫患者的运动神经康复中具有广阔的应用前景。然而,这需要详细了解截瘫患者脑电图特征的异常情况。不同亚组患者异常的关联及其与感觉运动整合的关系与BCI系统在患者群体中的设计、实施和使用相关。本研究探讨了截瘫患者(包括有/无中枢神经性疼痛(CNP)和完全性/不完全性损伤患者亚组)在足部和右手运动想象任务中运动相关皮质电位(MRCP)的异常模式,以及这些组中异常的独特性水平。观察到的最显著的异常是在患者组中放大的执行负性和较慢的反弹。本文讨论了这些变化和患者亚组中其他微小差异背后的潜在机制,以及与脑机接口应用的相关性。从神经学的角度以及bci辅助神经康复和治疗的角度来看,这些发现很有趣。
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引用次数: 33
In vivo monitoring of glial scar proliferation on chronically implanted neural electrodes by fiber optical coherence tomography. 利用光纤相干断层成像技术监测长期植入神经电极上胶质瘢痕增殖。
Pub Date : 2014-08-21 eCollection Date: 2014-01-01 DOI: 10.3389/fneng.2014.00034
Yijing Xie, Nadja Martini, Christina Hassler, Robert D Kirch, Thomas Stieglitz, Andreas Seifert, Ulrich G Hofmann

In neural prosthetics and stereotactic neurosurgery, intracortical electrodes are often utilized for delivering therapeutic electrical pulses, and recording neural electrophysiological signals. Unfortunately, neuroinflammation impairs the neuron-electrode-interface by developing a compact glial encapsulation around the implants in long term. At present, analyzing this immune reaction is only feasible with post-mortem histology; currently no means for specific in vivo monitoring exist and most applicable imaging modalities can not provide information in deep brain regions. Optical coherence tomography (OCT) is a well established imaging modality for in vivo studies, providing cellular resolution and up to 1.2 mm imaging depth in brain tissue. A fiber based spectral domain OCT was shown to be capable of minimally invasive brain imaging. In the present study, we propose to use a fiber based spectral domain OCT to monitor the progression of the tissue's immune response through scar encapsulation progress in a rat animal model. A fine fiber catheter was implanted in rat brain together with a flexible polyimide microelectrode in sight both of which acts as a foreign body and induces the brain tissue immune reaction. OCT signals were collected from animals up to 12 weeks after implantation and thus gliotic scarring in vivo monitored for that time. Preliminary data showed a significant enhancement of the OCT backscattering signal during the first 3 weeks after implantation, and increased attenuation factor of the sampled tissue due to the glial scar formation.

在神经修复术和立体定向神经外科中,皮质内电极常用于传递治疗性电脉冲和记录神经电生理信号。不幸的是,神经炎症通过在植入物周围形成致密的胶质包封而长期损害神经元-电极界面。目前,分析这种免疫反应只能通过死后组织学来实现;目前还没有具体的体内监测手段,大多数适用的成像方式不能提供脑深部区域的信息。光学相干断层扫描(OCT)是一种成熟的体内研究成像方式,提供细胞分辨率和脑组织高达1.2毫米的成像深度。基于光纤的谱域OCT被证明能够进行微创脑成像。在本研究中,我们建议在大鼠动物模型中使用基于纤维的光谱域OCT来监测组织免疫反应的进展,通过瘢痕包封过程。将细纤维导管植入大鼠脑内,并在视线内植入柔性聚酰亚胺微电极,两者均作为异物诱导脑组织免疫反应。从植入后12周的动物身上收集OCT信号,从而在此期间监测体内胶质细胞瘢痕形成。初步数据显示,在植入后的前3周,OCT后向散射信号明显增强,并且由于胶质瘢痕的形成,采样组织的衰减因子增加。
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引用次数: 44
Neurorehabilitation of social dysfunctions: a model-based neurofeedback approach for low and high-functioning autism. 社交功能障碍的神经康复:低功能和高功能自闭症的基于模型的神经反馈方法。
Pub Date : 2014-08-07 eCollection Date: 2014-01-01 DOI: 10.3389/fneng.2014.00029
Jaime A Pineda, Elisabeth V C Friedrich, Kristen LaMarca

Autism Spectrum Disorder (ASD) is an increasingly prevalent condition with core deficits in the social domain. Understanding its neuroetiology is critical to providing insights into the relationship between neuroanatomy, physiology and social behaviors, including imitation learning, language, empathy, theory of mind, and even self-awareness. Equally important is the need to find ways to arrest its increasing prevalence and to ameliorate its symptoms. In this review, we highlight neurofeedback studies as viable treatment options for high-functioning as well as low-functioning children with ASD. Lower-functioning groups have the greatest need for diagnosis and treatment, the greatest barrier to communication, and may experience the greatest benefit if a treatment can improve function or prevent progression of the disorder at an early stage. Therefore, we focus on neurofeedback interventions combined with other kinds of behavioral conditioning to induce neuroplastic changes that can address the full spectrum of the autism phenotype.

自闭症谱系障碍(ASD)是一种日益普遍的疾病,在社会领域具有核心缺陷。了解其神经病因学对于深入了解神经解剖学、生理学和社会行为(包括模仿学习、语言、移情、心理理论,甚至自我意识)之间的关系至关重要。同样重要的是,需要找到办法遏制其日益流行的趋势并减轻其症状。在这篇综述中,我们强调神经反馈研究作为高功能和低功能ASD儿童的可行治疗选择。功能较低的群体对诊断和治疗的需求最大,沟通障碍最大,如果治疗能够在早期阶段改善功能或防止疾病进展,可能会获得最大的益处。因此,我们专注于神经反馈干预与其他类型的行为条件反射相结合,以诱导神经可塑性变化,从而解决自闭症表型的全部问题。
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引用次数: 20
Changes in scalp potentials and spatial smoothing effects of inclusion of dura layer in human head models for EEG simulations. 脑电图模拟人脑模型中硬脑膜层包涵对头皮电位变化及空间平滑效应的影响。
Pub Date : 2014-08-05 eCollection Date: 2014-01-01 DOI: 10.3389/fneng.2014.00032
Ceon Ramon, Paolo Garguilo, Egill A Fridgeirsson, Jens Haueisen

The dura layer which covers the brain is less conductive than the CSF (cerebrospinal fluid) and also more conductive than the skull bone. This could significantly influence the flow of volume currents from cortex to the scalp surface which will also change the magnitude and spatial profiles of scalp potentials. This was examined with a 3-D finite element method (FEM) model of an adult subject constructed from 192 segmented axial magnetic resonance (MR) slices with 256×256 pixel resolution. The voxel resolution was 1×1×1 mm. The model included the dura layer. In addition, other major tissues were also identified. The electrical conductivities of various tissues were obtained from the literature. The conductivities of dura and CSF were 0.001 S/m and 0.06 S/m, respectively. The electrical activity of the cortex was represented by 144,000 distributed dipolar sources with orientations normal to the local cortical surface. The dipolar intensity was in the range of 0.0-0.4 mA meter with a uniform random distribution. Scalp potentials were simulated for two head models with an adaptive finite element solver. One model had the dura layer and in the other model, dura layer was replaced with the CSF. Spatial contour plots of potentials on the cortical surface, dural surface and the scalp surface were made. With the inclusion of the dura layer, scalp potentials decrease by about 20%. The contours of gyri and sulci structures were visible in the spatial profiles of the cortical potentials which were smoothed out on the dural surface and were not visible on the scalp surface. These results suggest that dura layer should be included for an accurate modeling of scalp and cortical potentials.

覆盖大脑的硬脑膜层的导电性不如脑脊液(CSF),但也比颅骨导电性好。这可能会显著影响从皮层到头皮表面的体积电流的流动,这也会改变头皮电位的大小和空间分布。这是通过成人受试者的三维有限元方法(FEM)模型来验证的,该模型由192个轴向磁共振(MR)切片以256×256像素分辨率构建而成。体素分辨率为1×1×1 mm。该模型包括硬脑膜层。此外,还鉴定了其他主要组织。从文献中得到了各种组织的电导率。硬脑膜和脑脊液电导率分别为0.001 S/m和0.06 S/m。皮层的电活动由144,000个分布的偶极源表示,这些偶极源的方向与局部皮层表面垂直。偶极子强度在0.0 ~ 0.4 mA m范围内,呈均匀随机分布。用自适应有限元求解器模拟了两种头部模型的头皮电位。一个模型有硬脑膜层,另一个模型用脑脊液代替硬脑膜层。绘制皮层表面、硬脑膜表面和头皮表面电位的空间等高线图。随着硬脑膜层的加入,头皮电位降低约20%。脑回和脑沟结构的轮廓在硬脑膜表面平滑的皮质电位空间剖面中可见,而在头皮表面不可见。这些结果表明,硬脑膜层应该包括在准确的头皮和皮质电位模型中。
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引用次数: 26
Resistive and reactive changes to the impedance of intracortical microelectrodes can be mitigated with polyethylene glycol under acute in vitro and in vivo settings. 在体外和体内急性环境下,聚乙二醇可以减轻皮质内微电极阻抗的电阻性和反应性变化。
Pub Date : 2014-08-04 eCollection Date: 2014-01-01 DOI: 10.3389/fneng.2014.00033
Salah Sommakia, Janak Gaire, Jenna L Rickus, Kevin J Otto

The reactive response of brain tissue to implantable intracortical microelectrodes is thought to negatively affect their recordable signal quality and impedance, resulting in unreliable longitudinal performance. The relationship between the progression of the reactive tissue into a glial scar and the decline in device performance is unclear. We show that exposure to a model protein solution in vitro and acute implantation result in both resistive and capacitive changes to electrode impedance, rather than purely resistive changes. We also show that applying 4000 MW polyethylene glycol (PEG) prevents impedance increases in vitro, and reduces the percent change in impedance in vivo following implantation. Our results highlight the importance of considering the contributions of non-cellular components to the decline in neural microelectrode performance, and present a proof of concept for using a simple dip-coated PEG film to modulate changes in microelectrode impedance.

大脑组织对植入的皮质内微电极的反应性反应被认为会对其可记录的信号质量和阻抗产生负面影响,导致不可靠的纵向性能。反应性组织进展为胶质瘢痕与器械性能下降之间的关系尚不清楚。我们表明,暴露于体外模型蛋白溶液和急性植入导致电极阻抗的电阻性和容性变化,而不是纯粹的电阻性变化。我们还表明,应用4000 MW聚乙二醇(PEG)可以防止体外阻抗增加,并减少植入后体内阻抗变化的百分比。我们的研究结果强调了考虑非细胞成分对神经微电极性能下降的贡献的重要性,并提出了使用简单的浸涂PEG膜来调制微电极阻抗变化的概念证明。
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引用次数: 33
Brain-computer interface-based robotic end effector system for wrist and hand rehabilitation: results of a three-armed randomized controlled trial for chronic stroke. 基于脑机接口的手腕和手部康复机器人末端执行器系统:慢性中风三臂随机对照试验的结果。
Pub Date : 2014-07-29 eCollection Date: 2014-01-01 DOI: 10.3389/fneng.2014.00030
Kai Keng Ang, Cuntai Guan, Kok Soon Phua, Chuanchu Wang, Longjiang Zhou, Ka Yin Tang, Gopal J Ephraim Joseph, Christopher Wee Keong Kuah, Karen Sui Geok Chua

The objective of this study was to investigate the efficacy of an Electroencephalography (EEG)-based Motor Imagery (MI) Brain-Computer Interface (BCI) coupled with a Haptic Knob (HK) robot for arm rehabilitation in stroke patients. In this three-arm, single-blind, randomized controlled trial; 21 chronic hemiplegic stroke patients (Fugl-Meyer Motor Assessment (FMMA) score 10-50), recruited after pre-screening for MI BCI ability, were randomly allocated to BCI-HK, HK or Standard Arm Therapy (SAT) groups. All groups received 18 sessions of intervention over 6 weeks, 3 sessions per week, 90 min per session. The BCI-HK group received 1 h of BCI coupled with HK intervention, and the HK group received 1 h of HK intervention per session. Both BCI-HK and HK groups received 120 trials of robot-assisted hand grasping and knob manipulation followed by 30 min of therapist-assisted arm mobilization. The SAT group received 1.5 h of therapist-assisted arm mobilization and forearm pronation-supination movements incorporating wrist control and grasp-release functions. In all, 14 males, 7 females, mean age 54.2 years, mean stroke duration 385.1 days, with baseline FMMA score 27.0 were recruited. The primary outcome measure was upper extremity FMMA scores measured mid-intervention at week 3, end-intervention at week 6, and follow-up at weeks 12 and 24. Seven, 8 and 7 subjects underwent BCI-HK, HK and SAT interventions respectively. FMMA score improved in all groups, but no intergroup differences were found at any time points. Significantly larger motor gains were observed in the BCI-HK group compared to the SAT group at weeks 3, 12, and 24, but motor gains in the HK group did not differ from the SAT group at any time point. In conclusion, BCI-HK is effective, safe, and may have the potential for enhancing motor recovery in chronic stroke when combined with therapist-assisted arm mobilization.

本研究的目的是探讨基于脑电图(EEG)的运动图像(MI)脑机接口(BCI)结合触觉旋钮(HK)机器人对脑卒中患者手臂康复的疗效。在这个三组、单盲、随机对照试验中;21例慢性偏瘫脑卒中患者(Fugl-Meyer运动评估(FMMA)评分10-50分)在MI脑机接口能力预筛选后被招募,随机分为BCI-HK组、HK组或标准臂治疗组(SAT)。所有组在6周内接受18次干预,每周3次,每次90分钟。BCI-HK组接受1小时BCI联合HK干预,HK组每疗程接受1小时HK干预。BCI-HK组和HK组均接受120次机器人辅助手抓握和旋钮操作试验,然后进行30分钟治疗师辅助的手臂活动。SAT组接受1.5小时治疗师辅助的手臂活动和前臂旋前运动,包括手腕控制和握力释放功能。总共招募了14名男性,7名女性,平均年龄54.2岁,平均卒中持续时间385.1天,基线FMMA评分27.0。主要结局指标为上肢FMMA评分,分别在第3周干预中期,第6周干预结束,第12周和第24周随访。分别有7名、8名和7名受试者接受了BCI-HK、HK和SAT干预。各组FMMA评分均有改善,但各组间各时间点均无差异。在第3周、第12周和第24周,BCI-HK组的运动增益明显大于SAT组,但在任何时间点,HK组的运动增益与SAT组没有差异。总之,BCI-HK是有效、安全的,并且当与治疗师辅助的手臂活动相结合时,可能具有增强慢性卒中患者运动恢复的潜力。
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引用次数: 268
Characterizing relationships of DTI, fMRI, and motor recovery in stroke rehabilitation utilizing brain-computer interface technology. 脑机接口技术表征脑卒中康复中DTI、fMRI和运动恢复的关系。
Pub Date : 2014-07-29 eCollection Date: 2014-01-01 DOI: 10.3389/fneng.2014.00031
Jie Song, Brittany M Young, Zack Nigogosyan, Leo M Walton, Veena A Nair, Scott W Grogan, Mitchell E Tyler, Dorothy Farrar-Edwards, Kristin E Caldera, Justin A Sattin, Justin C Williams, Vivek Prabhakaran

The relationship of the structural integrity of white matter tracts and cortical activity to motor functional outcomes in stroke patients is of particular interest in understanding mechanisms of brain structural and functional changes while recovering from stroke. This study aims to probe these underlying mechanisms using diffusion tensor imaging (DTI) and fMRI measures. We examined the structural integrity of the posterior limb of the internal capsule (PLIC) using DTI and corticomotor activity using motor-task fMRI in stroke patients who completed up to 15 sessions of rehabilitation therapy using Brain-Computer Interface (BCI) technology. We hypothesized that (1) the structural integrity of PLIC and corticomotor activity are affected by stroke; (2) changes in structural integrity and corticomotor activity following BCI intervention are related to motor recovery; (3) there is a potential relationship between structural integrity and corticomotor activity. We found that (1) the ipsilesional PLIC showed significantly decreased fractional anisotropy (FA) values when compared to the contralesional PLIC; (2) lower ipsilesional PLIC-FA values were significantly associated with worse motor outcomes (i.e., ipsilesional PLIC-FA and motor outcomes were positively correlated.); (3) lower ipsilesional PLIC-FA values were significantly associated with greater ipsilesional corticomotor activity during impaired-finger-tapping-task fMRI (i.e., ipsilesional PLIC-FA and ipsilesional corticomotor activity were negatively correlated), with an overall bilateral pattern of corticomotor activity observed; and (4) baseline FA values predicted motor recovery assessed after BCI intervention. These findings suggest that (1) greater vs. lesser microstructural integrity of the ipsilesional PLIC may contribute toward better vs. poor motor recovery respectively in the stroke-affected limb and demand lesser vs. greater cortical activity respectively from the ipsilesional motor cortex; and that (2) PLIC-FA is a promising biomarker in tracking and predicting motor functional recovery in stroke patients receiving BCI intervention.

脑卒中患者脑白质束结构完整性和脑皮层活动与运动功能结果的关系,对于理解脑卒中恢复期脑结构和功能变化的机制具有重要意义。本研究旨在利用扩散张量成像(DTI)和功能磁共振成像(fMRI)测量来探讨这些潜在的机制。我们使用DTI检测脑卒中患者后肢内囊(PLIC)的结构完整性,使用运动任务fMRI检测皮质运动活性,这些患者使用脑机接口(BCI)技术完成了多达15次的康复治疗。我们假设(1)卒中会影响PLIC的结构完整性和皮质运动活性;(2)脑机接口干预后结构完整性和皮质运动活动的变化与运动恢复有关;(3)结构完整性和皮质运动活性之间存在潜在的关系。我们发现(1)与对照PLIC相比,同侧PLIC的分数各向异性(FA)值显著降低;(2)较低的同侧PLIC-FA值与较差的运动预后显著相关(即同侧PLIC-FA与运动预后呈正相关);(3)在受损手指轻敲任务fMRI中,较低的同侧PLIC-FA值与较高的同侧皮质运动活性显著相关(即,同侧PLIC-FA与同侧皮质运动活性呈负相关),观察到整体双侧皮质运动模式;(4)基线FA值预测脑机接口干预后的运动恢复。这些研究结果表明:(1)同侧PLIC的显微结构完整性的提高和降低可能分别有助于卒中影响肢体运动恢复的改善和降低,并要求同侧运动皮层的活动减少和增加;(2) PLIC-FA是跟踪和预测脑卒中患者脑机接口干预后运动功能恢复的有希望的生物标志物。
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引用次数: 59
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Frontiers in neuroengineering
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