Measuring latency distribution of transcallosal fibers using transcranial magnetic stimulation
Zhen Ni, Giorgio Leodori, Felipe Vial, Yong Zhang, Alexandru V Avram, Sinisa Pajevic, Peter J Basser, Mark Hallett, Zhen Ni, Giorgio Leodori, Felipe Vial, Yong Zhang, Alexandru V Avram, Sinisa Pajevic, Peter J Basser, Mark Hallett
Abstract
Background: Neuroimaging technology is being developed to enable non-invasive mapping of the latency distribution of cortical projection pathways in white matter, and correlative clinical neurophysiological techniques would be valuable for mutual verification. Interhemispheric interaction through the corpus callosum can be measured with interhemispheric facilitation and inhibition using transcranial magnetic stimulation.
Objective: To develop a method for determining the latency distribution of the transcallosal fibers with transcranial magnetic stimulation.
Methods: We measured the precise time courses of interhemispheric facilitation and inhibition with a conditioning-test paired-pulse magnetic stimulation paradigm. The conditioning stimulus was applied to the right primary motor cortex and the test stimulus was applied to the left primary motor cortex. The interstimulus interval was set at 0.1 ms resolution. The proportions of transcallosal fibers with different conduction velocities were calculated by measuring the changes in magnitudes of interhemispheric facilitation and inhibition with interstimulus interval.
Results: Both interhemispheric facilitation and inhibition increased with increment in interstimulus interval. The magnitude of interhemispheric facilitation was correlated with that of interhemispheric inhibition. The latency distribution of transcallosal fibers measured with interhemispheric facilitation was also correlated with that measured with interhemispheric inhibition.
Conclusions: The data can be interpreted as latency distribution of transcallosal fibers. Interhemispheric interaction measured with transcranial magnetic stimulation is a promising technique to determine the latency distribution of the transcallosal fibers. Similar techniques could be developed for other cortical pathways.
Trial registration: ClinicalTrials.gov NCT03223636.
Keywords: Corpus callosum; Interhemispheric facilitation and interhemispheric inhibition; Latency distribution; Motor evoked potential; Primary motor cortex; Transcranial magnetic stimulation.
Conflict of interest statement
Declaration of competing interest All authors declare no conflict of interest. We further confirm that all subjects provided written informed consent and any aspect of the work covered in this study (clinical protocol, Clinicaltrials.gov Identifier NCT03223636) that has involved human subjects has been conducted with the ethical approval of the Combined NeuroScience Institutional Review Board at the National Institutes of Health.
Published by Elsevier Inc.
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