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Pakenham, D.

Publications and source records attributed to Pakenham, D..

3 recordsLinked to original sources

Assessing the digit organisation of focal hand dystonia using 7T functional MRI

IntroductionFocal hand dystonia (FHD) is typically treated with Botulinum Toxin (BTX/BoNT-A/Botox/ Onabotulinum Toxin Type A) injected into digit and wrist muscles to provide temporary symptomatic relief from muscle spasm. We use 7T functional MRI (fMRI) to study 1) differences in somatosensory and motor cortical digit maps between FHD patients and age and sex-matched healthy volunteers (HV), 2) changes in cortical digit maps of FHD patients after BTX treatment. MethodsFour FHD patients underwent behavioural measures and 7T fMRI at two timepoints: [~]30 days after BTX treatment at peak efficacy (Post-BTX), immediately prior to their next injection [~]100 days after treatment when therapeutic effects had declined (Pre-BTX). HVs were scanned at a single time point. Behavioural measures included temporal discrimination (TDT), amplitude thresholding (AMP) and spatial acuity grating orientation tasks. A somatosensory travelling wave (TW) digit-mapping fMRI task was performed on dominant/affected and non-dominant/un-affected hands, and a motor TW digit-mapping task on the dominant/affected hand. Fourier analysis derived digit maps which were compared to a probabilistic digit atlas, and population receptive field (pRF) mapping performed. Structural and resting state fMRI data were acquired. ResultsSpatial acuity was lowered in the dominant/affected hand in FHD compared to HVs, while TDT and AMP measures showed no significant differences. Somatosensory and motor TW cortical digit maps in FHD and HV showed clear digit ordering. Somatosensory and motor cortical digit maps were more disordered in the dominant/affected hand than the non-dominant hand for FHD Post and Pre-BTX compared to HVs (DICE coefficient/Figure of Merit). Compared to the atlas, HV maps were in-line for both hands, while in FHD central tendency (CT) was lower in the dominant/affected hand than non-dominant hand. pRF sizes were larger in the FHD Pre-BTX group compared to HV and Post-BTX for the dominant hand. ConclusionBehaviourally, FHD patients had lower spatial acuity than HVs. FHD digit maps had typical D1-D5 ordering, but DICE coefficients identified a disordered dominant hand in FHD patients compared to HVs at both timepoints. The FHD Pre-BTX group had larger pRF sizes than Post-BTX and HVs, suggesting BTX treatment coincides with more localised touch perception.

neuroscience↗

The neurodevelopmental trajectory of beta band oscillations: an OPM-MEG study

Neural oscillations mediate the coordination of activity within and between brain networks, supporting cognition and behaviour. How these processes develop throughout childhood is not only an important neuroscientific question but could also shed light on the mechanisms underlying neurological and psychiatric disorders. However, measuring the neurodevelopmental trajectory of oscillations has been hampered by confounds from instrumentation. In this paper, we investigate the suitability of a disruptive new imaging platform - Optically Pumped Magnetometer-based magnetoencephalography (OPM-MEG) - to study oscillations during brain development. We show how a unique 192-channel OPM-MEG device, which is adaptable to head size and robust to participant movement, can be used to collect high-fidelity electrophysiological data in individuals aged between 2 and 34 years. Data were collected during a somatosensory task, and we measured both stimulus-induced modulation of beta oscillations in sensory cortex, and whole-brain connectivity, showing that both modulate significantly with age. Moreover, we show that pan-spectral bursts of electrophysiological activity drive task-induced beta modulation, and that their probability of occurrence and spectral content change with age. Our results offer new insights into the developmental trajectory of beta oscillations and provide clear evidence that OPM-MEG is an ideal platform for studying electrophysiology in neurodevelopment.

neuroscience↗

Addressing challenges of high spatial resolution, UHF field fMRI for group analysis of higher-order cognitive tasks; an inter-sensory task directing attention between visual and somatosensory domains.

Functional MRI at ultra-high field (UHF, [≥]7T) provides significant increases in BOLD contrast-to-noise ratio (CNR) compared with conventional field strength (3T), and has been exploited for reduced field-of-view, high spatial resolution mapping of primary sensory areas. Applying these high spatial resolution methods to investigate whole brain functional responses to higher-order cognitive tasks leads to a number of challenges, in particular how to perform robust group-level statistical analyses.\n\nThis study addresses these challenges using an inter-sensory cognitive task which modulates top-down attention at graded levels between the visual and somatosensory domains. At the individual level, highly focal functional activation to the task and task difficulty (modulated by attention levels) were detectable due to the high CNR at UHF. However, to assess group level effects, both anatomical and functional variability must be considered during analysis. We demonstrate the importance of surface over volume normalization and the requirement of no spatial smoothing when assessing highly focal activity. Using novel group analysis on anatomically parcellated brain regions, we show that in higher cognitive areas (parietal and dorsal-lateral-prefrontal cortex) fMRI responses to graded attention levels were modulated quadratically, whilst in visual cortex and VIP, responses were modulated linearly. These group fMRI responses were not seen clearly using conventional second-level GLM analyses, illustrating the limitations of a conventional approach when investigating such focal responses in higher cognitive regions which are more anatomically variable. The approaches demonstrated here complement other advanced analysis methods such as multi-variate pattern analysis, allowing UHF to be fully exploited in cognitive neuroscience.

neuroscience↗