Blatow Maria, Nennig Ernst, Durst Anita, Sartor Klaus, Stippich Christoph
Division of Neuroradiology, Department of Neurology, University of Heidelberg Medical School, Im Neuenheimer Feld 400, 69120 Heidelberg, Germany.
Neuroimage. 2007 Sep 1;37(3):927-36. doi: 10.1016/j.neuroimage.2007.05.038. Epub 2007 Jun 2.
Unilateral sensory stimulation reliably elicits contralateral somatotopic activation of primary (SI) and secondary (SII) somatosensory cortex. There is an ongoing debate about the occurrence and nature of concomitant ipsilateral SI and SII activation. Here we used functional magnetic resonance imaging (fMRI) in healthy human subjects with unilateral tactile stimulation of fingers and lips, to compare somatosensory activation patterns from distal and proximal body parts. We hypothesized that fMRI in humans should reflect the functional connectivity of somatosensory cortex as predicted by animal studies. We show that both unilateral finger and lip stimulations activate contra- and ipsilateral SI and SII cortices with high detection frequency. Correlations of BOLD-signals to the applied hemodynamic reference function were significantly higher in contralateral as compared to ipsilateral SI and SII cortices for both finger and lip stimulation, reflecting strong contribution of contralateral thalamocortical input. Furthermore, BOLD-signal correlations were higher in SI than in SII activations on the contralateral but not on the ipsilateral side. While these asymmetries within and across hemispheres were consistent for finger and lip stimulations, indicating analogous underlying organizing principles, they were less prominent for lip stimulation. Somatotopic organization was detected in SI but not in SII representations of fingers and lips. These results qualitatively and quantitatively support the prevalent concepts of anatomical and functional connectivity in the somatosensory system and therefore may allow interpretation of sensory evoked fMRI signals in terms of normal human brain function. Thus, the assessment of human somatosensory function with fMRI may permit in the future investigations of pathological conditions.
单侧感觉刺激能可靠地引发初级体感皮层(SI)和次级体感皮层(SII)对侧躯体感觉区的激活。关于同侧SI和SII伴随激活的发生情况及性质,目前仍存在争议。在此,我们对健康人类受试者的手指和嘴唇进行单侧触觉刺激,并利用功能磁共振成像(fMRI)来比较来自远端和近端身体部位的体感激活模式。我们假设,人类的fMRI应能反映动物研究预测的体感皮层功能连接情况。我们发现,单侧手指和嘴唇刺激均能以较高的检测频率激活对侧和同侧的SI及SII皮层。对于手指和嘴唇刺激,与应用的血流动力学参考函数相比,对侧SI和SII皮层的血氧水平依赖(BOLD)信号相关性显著高于同侧,这反映了对侧丘脑皮质输入的重要贡献。此外,在对侧而非同侧,SI激活中的BOLD信号相关性高于SII激活。虽然这些半球内和半球间的不对称性在手指和嘴唇刺激中是一致的,表明存在类似的潜在组织原则,但在嘴唇刺激中不太明显。在手指和嘴唇的SI表征中检测到了躯体感觉定位组织,但在SII表征中未检测到。这些结果在定性和定量上支持了体感系统中解剖学和功能连接的普遍概念,因此可能有助于根据正常人类脑功能来解释感觉诱发的fMRI信号。因此,未来利用fMRI评估人类体感功能可能有助于对病理状况进行研究。