NeuroImage
-
Case Reports Comparative Study
Subcortical pathways serving cortical language sites: initial experience with diffusion tensor imaging fiber tracking combined with intraoperative language mapping.
The combination of mapping functional cortical neurons by intraoperative cortical stimulation and axonal architecture by diffusion tensor MRI fiber tracking can be used to delineate the pathways between functional regions. In this study the authors investigated the feasibility of combining these techniques to yield connectivity associated with motor speech and naming. Diffusion tensor MRI fiber tracking provides maps of axonal bundles and was combined with intraoperative mapping of eloquent cortex for a patient undergoing brain tumor surgery. ⋯ The speech arrest and a mouth motor site were also seen to connect to the putamen via the external capsule. This is the first demonstration of delineation of subcortical pathways using diffusion tensor MRI fiber tracking with intraoperative cortical stimulation. The combined techniques may provide improved preservation of eloquent regions during neurological surgery, and may provide access to direct connectivity information between functional regions of the brain.
-
Comparative Study
The neural basis of executive function in working memory: an fMRI study based on individual differences.
Using fMRI, neural substrates of the executive system were investigated with respect to differences in working memory capacity. To explore the executive control processes, reading span test (RST) and read conditions were performed. Two subject groups were selected: those with large working memory capacities, labeled high-span subjects (HSS) according to the reading span test, and those with small working memory capacities, labeled low-span subjects (LSS). ⋯ Moreover, the cross correlation of signal change between ACC and IFG was higher in HSS than in LSS, indicating that the network system between ACC and IFG was more activated in HSS compared to that of LSS. These results suggest that executive function, that is, working attention controlling system is more active in HSS than in LSS. Moreover, the results confirmed our hypothesis that there is a general neural basis for the central executive function in both RST and previous LST (listening span test) tasks despite differences in modality-specific buffers.