Department of Radiology and Radiological Science, Vanderbilt University, Nashville, TN, USA Institute of Imaging Science, Vanderbilt University, Nashville, TN, USA.
Pain. 2012 Jan;153(1):158-169. doi: 10.1016/j.pain.2011.10.006. Epub 2011 Nov 23.
Emerging evidence supports an important role of posterior parasylvian areas in both pain and touch processing. Whether there are separate or shared networks for these sensations remains controversial. The present study compared spatial patterns of brain activation in response to unilateral nociceptive heat (47.5°C) or innocuous tactile stimulation (8-Hz vibration) to digits through high-resolution functional magnetic resonance imaging (fMRI) in squirrel monkeys. In addition, the temporal profile of heat-stimulus-evoked fMRI Blood Oxygenation Level Dependent (BOLD) signal changes was characterized. By examining high-resolution fMRI and histological measures at both the individual and the group levels, we found that both nociceptive heat and tactile stimuli elicited activation in bilateral secondary somatosensory and ventral parietal areas (S2/PV) and in ipsilateral ventral somatosensory areas (VS) and retroinsula (Ri). Bilateral posterior insular cortex (pIns) and area 7b responded preferentially to nociceptive heat stimulation. Single voxels within each activation cluster showed robust BOLD signal changes during each block of nociceptive stimulation. Across animals (n=11), nociceptive response magnitudes of contralateral VS and pIns and ipsilateral Ri were significantly greater than corresponding areas in the opposite hemisphere. In sum, both distinct and shared areas in regions surrounding the posterior sylvian fissure were activated in response to nociceptive and tactile inputs in nonhuman primates.
新出现的证据支持后旁矢状区在疼痛和触觉处理中都有重要作用。这些感觉是否有单独或共享的网络仍然存在争议。本研究通过高分辨率功能磁共振成像(fMRI)比较了单侧伤害性热(47.5°C)或无害触觉刺激(8Hz 振动)刺激手指时,松鼠猴大脑对这些感觉的激活的空间模式。此外,还描述了热刺激诱发 fMRI 血氧水平依赖(BOLD)信号变化的时间特征。通过检查个体和群体水平的高分辨率 fMRI 和组织学测量,我们发现伤害性热和触觉刺激都在双侧次级体感和腹侧顶区(S2/PV)以及同侧腹侧体感区(VS)和后岛(Ri)中引起激活。双侧后岛皮质(pIns)和 7b 区对伤害性热刺激有优先反应。每个激活簇内的单个体素在每个伤害性刺激块期间都显示出强烈的 BOLD 信号变化。在动物(n=11)中,对侧 VS 和 pIns 的伤害性反应幅度以及同侧 Ri 明显大于对侧半球的相应区域。总之,在非人类灵长类动物中,后矢状裂周围的不同和共享区域都对伤害性和触觉输入有激活。