Department of Neurosurgery, St. Elisabeth Hospital, 5000 LCTilburg, The Netherlands.
Neurosurg Focus. 2010 Feb;28(2):E4. doi: 10.3171/2009.12.FOCUS09251.
New functional neuroimaging techniques are changing our understanding of the human brain, and there is now convincing evidence to move away from the classic and clinical static concepts of functional topography. In a modern neurocognitive view, functions are thought to be represented in dynamic large-scale networks. The authors review the current (limited) role of functional MR imaging in brain surgery and the possibilities of new functional MR imaging techniques for research and neurosurgical practice. A critique of current clinical gold standard techniques (electrocortical stimulation and the Wada test) is given.
新的功能神经影像学技术正在改变我们对人脑的理解，现在有令人信服的证据表明，我们需要摒弃经典的、基于临床的功能定位的静态概念。在现代神经认知观点中，功能被认为是由动态的大规模网络来表示的。作者回顾了功能磁共振成像在脑外科中的当前（有限）作用，以及新的功能磁共振成像技术在研究和神经外科实践中的可能性。对当前的临床金标准技术（皮质电刺激和 Wada 测试）进行了批评。
