特別講演
Combined MEG and MRI Studies: Methodological and Clinical Implications
Hannu J. Aronen
Department of Radiology and BioMag Laboratory, Helsinki
University Central Hospital, P.O. Box 381, FIN-00029 HYKS,Finland,
hannu.aronen@huch.fi
Multichannel MEG measurements have been traditionally combined with
conventional MRI in order to localize the neuronal events during a given task. However, the MEG inverse problem without any a priori constraints has no unique solution. When combining the high spatial resolution of fMRI with the high temporal resolution of MEG it is possible to study the living brain with high accuracy. In an effort to combine fMRI to help solve the MEG inverse problem, we have compared MEG and fMRI localization when studying the function of the somatosensory system (Korvenoja et al., Hum Brain Mapp 1999;8:13-27) and the visual system (Ahlfors et al., J Neurophysiol 1999;82:2545-2555). In these studies, we have first compared independently MEG and fMRI findings when using similar kind of stimuli at both modalities. We also have successfully used fMRI data to constrain the possible MEG source areas in the brain.By combining MEG with conventional MRI, we have studied recovery-induced
changes in the responsiveness of the primary somatosensory cortex (SI) in stroke patients with sensory and/or motor symptoms. When comparing the measurements at the acute phase with those three months after the onset of the symptoms, clinical improvement was significantly correlated with the increase of P1m response recorded by MEG. We conclude that the recovery of somatosensory stroke can be monitored by this kind of MEG techniques (Wikstrom et al., Ann Neurol. In press.).