Sollmann Nico, Tanigawa Noriko, Tussis Lorena, Hauck Theresa, Ille Sebastian, Maurer Stefanie, Negwer Chiara, Zimmer Claus, Ringel Florian, Meyer Bernhard, Krieg Sandro M
Department of Neurosurgery, Germany; TUM-Neuroimaging Center, Germany; Section of Neuroradiology, Department of Radiology; Klinikum rechts der Isar, TU München, Germany.
Faculty of Linguistics, Philology, & Phonetics, University of Oxford, UK.
Neuropsychologia. 2015 Apr;70:185-95. doi: 10.1016/j.neuropsychologia.2015.02.035. Epub 2015 Feb 28.
BACKGROUND: Knowledge about the cortical representation of semantic processing is mainly derived from functional magnetic resonance imaging (fMRI) or direct cortical stimulation (DCS) studies. Because DCS is regarded as the gold standard in terms of language mapping but can only be used during awake surgery due to its invasive character, repetitive navigated transcranial magnetic stimulation (rTMS)—a non-invasive modality that uses a similar technique as DCS—seems highly feasible for use in the investigation of semantic processing in the healthy human brain. METHODS: A total number of 100 (50 left-hemispheric and 50 right-hemispheric) rTMS-based language mappings were performed in 50 purely right-handed, healthy volunteers during an object-naming task. All rTMS-induced semantic naming errors were then counted and evaluated systematically. Furthermore, since the distribution of stimulations within both hemispheres varied between individuals and cortical regions stimulated, all elicited errors were standardized and subsequently related to their cortical sites by projecting the mapping results into the cortical parcellation system (CPS). RESULTS: Overall, the most left-hemispheric semantic errors were observed after targeting the rTMS to the posterior middle frontal gyrus (pMFG; standardized error rate: 7.3‰), anterior supramarginal gyrus (aSMG; 5.6‰), and ventral postcentral gyrus (vPoG; 5.0‰). In contrast to that, the highest right-hemispheric error rates occurred after stimulation of the posterior superior temporal gyrus (pSTG; 12.4‰), middle superior temporal gyrus (mSTG; 6.2‰), and anterior supramarginal gyrus (aSMG; 6.2‰). CONCLUSIONS: Although error rates were low, the rTMS-based approach of investigating semantic processing during object naming shows convincing results compared to the current literature. Therefore, rTMS seems a valuable, safe, and reliable tool for the investigation of semantic processing within the healthy human brain.
背景:关于语义加工的皮质表征的知识主要来自功能磁共振成像(fMRI)或直接皮质刺激(DCS)研究。由于DCS在语言映射方面被视为金标准,但因其侵入性只能在清醒手术期间使用,重复导航经颅磁刺激(rTMS)——一种使用与DCS类似技术的非侵入性方法——似乎在健康人脑语义加工研究中具有很高的可行性。 方法:在50名纯右利手、健康志愿者进行物体命名任务期间,基于rTMS进行了总共100次(50次左半球和50次右半球)语言映射。然后对所有rTMS诱发的语义命名错误进行计数并系统评估。此外,由于两个半球内刺激的分布在个体和受刺激的皮质区域之间有所不同,通过将映射结果投影到皮质分区系统(CPS)中,对所有引发的错误进行标准化,随后将其与皮质位点相关联。 结果:总体而言,将rTMS靶向于额中回后部(pMFG;标准化错误率:7.3‰)、缘上回前部(aSMG;5.6‰)和中央后回腹侧(vPoG;5.0‰)后,观察到的左半球语义错误最多。与此相反,刺激颞上回后部(pSTG;12.4‰)、颞上回中部(mSTG;6.2‰)和缘上回前部(aSMG;6.2‰)后,右半球错误率最高。 结论:尽管错误率较低,但与当前文献相比,基于rTMS的物体命名过程中语义加工研究方法显示出令人信服的结果。因此,rTMS似乎是研究健康人脑语义加工的一种有价值、安全且可靠的工具。
Brain Struct Funct. 2016-11