Strategy-dependent dissociation of the neural correlates involved in pain modulation.

BACKGROUND: Cognitive strategies are a set of psychologic behaviors used to modulate one's perception or interpretation of a sensation or situation. Although the effectiveness of each cognitive strategy seems to differ between individuals, they are commonly used clinically to help patients with chronic pain cope with their condition. The neural basis of commonly used cognitive strategies is not well understood. Understanding the neural correlates that underlie these strategies will enhance understanding of the analgesic network of the brain and the cognitive modulation of pain. METHODS: The current study examines patterns of brain activation during two common cognitive strategies, external focus of attention and reappraisal, in patients with chronic pain using functional magnetic resonance imaging. RESULTS: Behavioral results revealed interindividual variability in the effectiveness of one strategy versus another in the patients. Functional magnetic resonance imaging revealed distinct patterns of activity when the two strategies were used. During external focus of attention, activity was observed mainly in cortical areas including the postcentral gyrus, inferior parietal lobule, middle occipital gyrus, and precentral gyrus. The use of reappraisal evoked activity in the thalamus and amygdala in addition to cortical regions. Only one area, the postcentral gyrus, was observed to be active during both strategies. CONCLUSIONS: The results of this study suggest that different cognitive behavioral strategies recruit different brain regions to perform the same task: pain modulation.

Novel claustrum activation observed during a visuomotor adaptation task using a viewing window paradigm.

Previous literature has reported a wide range of anatomical correlates when participants are required to perform a visuomotor adaptation task. However, traditional adaptation tasks suffer a number of inherent limitations that may, in part, give rise to this variability. For instance, the sparse visual environment does not map well onto conditions in which a visuomotor transformation would normally be required in everyday life. To further clarify these neural underpinnings, functional magnetic resonance imaging (fMRI) was performed on 17 (6M, age range 20-45 years old; mean age=26) naive participants performing a viewing window task in which a visuomotor transformation was created by varying the relationship between the participant's movement and the resultant movement of the viewing window. The viewing window task more naturally replicates scenarios in which haptic and visual information would be combined to achieve a higher-level goal. Even though activity related to visuomotor adaptation was found within previously reported regions of the parietal lobes, frontal lobes, and occipital lobes, novel activation patterns were observed within the claustrum - a region well-established as multi-modal convergence zone. These results confirm the diversity in the number and location of neurological systems recruited to perform a required visuomotor adaptation, and provide the first evidence of participation of the claustrum to overcome a visuomotor transformation.

Noninvasive observation of cervical spinal cord activity in children by functional MRI during cold thermal stimulation.

Functional magnetic resonance imaging (fMRI) is a non-invasive neuroimaging tool that indirectly identifies areas of neural activity in the brain and more recently has been applied to the adult spinal cord (spinal fMRI). Spinal fMRI could clearly benefit pediatric populations as well. The purpose of this work was to characterize the response observed with spinal fMRI in the brainstem and cervical (C) spinal cord of awake, healthy children during thermal stimulation (17°C and 27°C) applied to the right hand. Functional MRI detected neuronal activity in the expected region of the spinal cord (C6 and C7) as well as in the brainstem and thalamus. The observed magnitudes of signal change of the responses to 17°C and 27°C were similar; however, the spatial distribution of active pixels was greater during 17°C stimulation. The results of this study indicate that fMRI can be used to assess activity in the spinal cords of children, with good sensitivity and reliability.

A novel integrative method for analyzing eye and hand behaviour during reaching and grasping in an MRI environment.

The development of noninvasive neuroimaging techniques, such as fMRI, has rapidly advanced our understanding of the neural systems underlying the integration of visual and motor information. However, the fMRI experimental design is restricted by several environmental elements, such as the presence of the magnetic field and the restricted view of the participant, making it difficult to monitor and measure behaviour. The present article describes a novel, specialized software package developed in our laboratory called Biometric Integration Recording and Analysis (BIRA). BIRA integrates video with kinematic data derived from the hand and eye, acquired using MRI-compatible equipment. The present article demonstrates the acquisition and analysis of eye and hand data using BIRA in a mock (0 Tesla) scanner. A method for collecting and integrating gaze and kinematic data in fMRI studies on visuomotor behaviour has several advantages: Specifically, it will allow for more sophisticated, behaviourally driven analyses and eliminate potential confounds of gaze or kinematic data.

Functional magnetic resonance imaging of the human spinal cord during vibration stimulation of different dermatomes.

INTRODUCTION: We investigated noninvasively areas of the healthy human spinal cord that become active in response to vibration stimulation of different dermatomes using functional magnetic resonance imaging (fMRI). The objectives of this study were to: (1) examine the patterns of consistent activity in the spinal cord during vibration stimulation of the skin, and (2) investigate the rostrocaudal distribution of active pixels when stimulation was applied to different dermatomes. METHODS: FMRI of the cervical and lumbar spinal cord of seven healthy human subjects was carried out during vibration stimulation of six different dermatomes. In separate experiments, vibratory stimulation (about 50 Hz) was applied to the right biceps, wrist, palm, patella, Achilles tendon and left palm. RESULTS: The segmental distribution of activity observed by fMRI corresponded well with known spinal cord neuroanatomy. The peak number of active pixels was observed at the expected level of the spinal cord with some activity in the adjacent segments. The rostrocaudal distribution of activity was observed to correspond to the dermatome being stimulated. Cross-sectional localization of activity was primarily in dorsal areas but also spread into ventral and intermediate areas of the gray matter and a distinct laterality ipsilateral to the stimulated limb was not observed. CONCLUSION: We demonstrated that fMRI can detect a dermatome-dependent pattern of spinal cord activity during vibratory stimulation and can be used as a passive stimulus for the noninvasive assessment of the functional integrity of the human spinal cord. Demonstration of cross-sectional selectivity of the activation awaits further methodological and experimental refinements.