MRI-based visualization of rTMS-induced cortical plasticity in the primary motor cortex

Autoři: Kaori Tamura aff001;  Takahiro Osada aff001;  Akitoshi Ogawa aff001;  Masaki Tanaka aff001;  Akimitsu Suda aff001;  Yasushi Shimo aff002;  Nobutaka Hattori aff002;  Koji Kamagata aff003;  Masaaki Hori aff003;  Shigeki Aoki aff003;  Takahiro Shimizu aff004;  Hiroyuki Enomoto aff005;  Ritsuko Hanajima aff004;  Yoshikazu Ugawa aff005;  Seiki Konishi aff001
Působiště autorů: Department of Neurophysiology, Juntendo University School of Medicine, Tokyo, Japan aff001;  Department of Neurology, Juntendo University School of Medicine, Tokyo, Japan aff002;  Department of Radiology, Juntendo University School of Medicine, Tokyo, Japan aff003;  Department of Neurology, Tottori University School of Medicine, Tottori, Japan aff004;  Department of Neuro-Regeneration, Fukushima Medical University, Fukushima, Japan aff005;  Research Institute for Diseases of Old Age, Juntendo University School of Medicine, Tokyo, Japan aff006;  Sportology Center, Juntendo University School of Medicine, Tokyo, Japan aff007;  Advanced Research Institute for Health Science, Juntendo University School of Medicine, Tokyo, Japan aff008
Vyšlo v časopise: PLoS ONE 14(10)
Kategorie: Research Article
doi: 10.1371/journal.pone.0224175


Repetitive transcranial magnetic stimulation (rTMS) induces changes in cortical excitability for minutes to hours after the end of intervention. However, it has not been precisely determined to what extent cortical plasticity prevails spatially in the cortex. Recent studies have shown that rTMS induces changes in “interhemispheric” functional connectivity, the resting-state functional connectivity between the stimulated region and the symmetrically corresponding region in the contralateral hemisphere. In the present study, quadripulse stimulation (QPS) was applied to the index finger representation in the left primary motor cortex (M1), while the position of the stimulation coil was constantly monitored by an online navigator. After QPS application, resting-state functional magnetic resonance imaging was performed, and the interhemispheric functional connectivity was compared with that before QPS. A cluster of connectivity changes was observed in the stimulated region in the central sulcus. The cluster was spatially extended approximately 10 mm from the center [half width at half maximum (HWHM): approximately 3 mm] and was extended approximately 20 mm long in depth (HWHM: approximately 7 mm). A localizer scan of the index finger motion confirmed that the cluster of interhemispheric connectivity changes overlapped spatially with the activation related to the index finger motion. These results indicate that cortical plasticity in M1 induced by rTMS was relatively restricted in space and suggest that rTMS can reveal functional dissociation associated with adjacent small areas by inducing neural plasticity in restricted cortical regions.

Klíčová slova:

Central nervous system – Electric field – Functional electrical stimulation – Functional magnetic resonance imaging – Image analysis – Left hemisphere – Magnetic resonance imaging – Transcranial magnetic stimulation


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2019 Číslo 10