Spinal fMRI
Encyclopedia
Functional magnetic resonance imaging
Functional magnetic resonance imaging
Functional magnetic resonance imaging or functional MRI is a type of specialized MRI scan used to measure the hemodynamic response related to neural activity in the brain or spinal cord of humans or other animals. It is one of the most recently developed forms of neuroimaging...

 (fMRI) of the spinal cord (spinal fMRI) is an adaptation of the fMRI method that has been developed for use in the brain (1). Although the basic principles underlying the methods are the same, spinal fMRI requires a number of specific adaptations to accommodate the periodic motion of the spinal cord
Spinal cord
The spinal cord is a long, thin, tubular bundle of nervous tissue and support cells that extends from the brain . The brain and spinal cord together make up the central nervous system...

, the small cross-sectional dimensions (roughly 8 mm x 15 mm at the largest region), the length (~45 cm in adult humans), and the fact that the magnetic field that is used for MRI
Magnetic resonance imaging
Magnetic resonance imaging , nuclear magnetic resonance imaging , or magnetic resonance tomography is a medical imaging technique used in radiology to visualize detailed internal structures...

 varies with position in the spinal cord because of magnetic susceptibility
Magnetic susceptibility
In electromagnetism, the magnetic susceptibility \chi_m is a dimensionless proportionality constant that indicates the degree of magnetization of a material in response to an applied magnetic field...

 differences between bone and tissues. Spinal fMRI has been used to produce maps of neuronal activity at most levels of the spinal cord in response to various stimuli, such as touch, vibration, and thermal changes, and with motor tasks. Research applications of spinal fMRI to date include studies of normal sensory and motor function, and studies of the effects of trauma to the spinal cord (1-3) and multiple sclerosis
Multiple sclerosis
Multiple sclerosis is an inflammatory disease in which the fatty myelin sheaths around the axons of the brain and spinal cord are damaged, leading to demyelination and scarring as well as a broad spectrum of signs and symptoms...

 (4). Two different data acquisition methods have been applied, one based on the established BOLD (blood-oxygen-level dependent) fMRI methods used in the brain, and the other based on SEEP (signal enhancement by extravascular water protons
Signal enhancement by extravascular water protons
Signal enhancement by extravascular water protons, or SEEP, is a contrast mechanism for functional magnetic resonance imaging , which is an alternative to the more commonly employed BOLD contrast. This mechanism for image contrast changes corresponding to changes in neuronal activity was first...

) contrast with essentially proton-density weighted spin-echo imaging (see MRI
Magnetic resonance imaging
Magnetic resonance imaging , nuclear magnetic resonance imaging , or magnetic resonance tomography is a medical imaging technique used in radiology to visualize detailed internal structures...

). The majority of the studies published to date are based on the SEEP contrast method. Methods demonstrated to overcome the challenges listed above include using a recording of the heart-beat to account for the related time course of spinal cord motion, acquiring image data with relatively high (~ 1-2 mm) spatial resolution to detect fine structural details, and acquiring images in thin contiguous sagittal slices to span a large extent of the spinal cord. Methods based on BOLD contrast have employed parallel imaging techniques to accelerate data acquisition, and imaging slices transverse to the spinal cord, in order to reduce the effects of spatial magnetic field distortions (5). Methods based on SEEP contrast have been developed specifically because they have low sensitivity to magnetic field distortions while maintaining sensitivity to changes in neuronal activity.

References

1. Stroman PW. Magnetic resonance imaging of neuronal function in the spinal cord: spinal FMRI. Clin Med Res 2005;3(3):146-156.

2. Stroman PW, Kornelsen J, Bergman A, Krause V, Ethans K, Malisza KL, Tomanek B. Noninvasive assessment of the injured human spinal cord by means of functional magnetic resonance imaging. Spinal Cord 2004;42(2):59-66.

3. Kornelsen J, Stroman PW. fMRI of the lumbar spinal cord during a lower limb motor task. Magn Reson Med 2004;52(2):411-414.

4. Agosta F, Valsasina P, Caputo D, Stroman PW, Filippi M. Tactile-associated recruitment of the cervical cord is altered in patients with multiple sclerosis. Neuroimage 2008;39(4):1542-1548.

5. Maieron M, Iannetti GD, Bodurka J, Tracey I, Bandettini PA, Porro CA. Functional responses in the human spinal cord during willed motor actions: evidence for side- and rate-dependent activity. J Neurosci 2007;27(15):4182-4190.
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