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.

Figures

Fig. 1
Fig. 1
Latency distribution of the transcallosal fibers tested with interhemispheric interaction. (A) Experimental setup. IHF and IHI from the right primary motor cortex to the left primary motor cortex tested with a paired-pulse transcranial magnetic stimulation paradigm were used to verify the latency distribution of transcallosal fibers with different diameters (color lines). The first CS was given to the right primary motor cortex. The second TS was given to the left primary motor cortex. The small arrows close to the coil show the induced current direction in the brain. (B) Hypothesis. CS activates multiple pyramidal neurons (triangles with different sizes) in the right primary motor cortex. These pyramidal neurons are connected to the transcallosal fibers with different diameters (color lines with different thickness). Pyramidal neurons (black triangle) in the left primary motor cortex are directly influenced by transcallosal inputs, leading to IHF. Local inhibitory interneurons (black rhombus) in the left cortex are also activated by transcallosal inputs, leading to IHI with longer latency. Dashed line indicates the mid-sagittal line. Facilitatory and inhibitory interactions are marked with small open and filled circles, respectively. (C) Example recordings. Average of 10 trials. All trials included a TS (vertical line). TS alone generated a MEP of about 0.5 mV in amplitude (first row). A preceding CS produced IHF at short ISIs (2–6 ms, second to sixth rows). IHI was induced at longer ISIs (8–14 ms, bottom rows). (D) IHF and IHI (N = 12) tested at ISIs of 1–15 ms with 1 ms resolution. Abscissa indicates the ISI. Ordinate indicates MEP amplitude induced by the paired-pulse stimulation. It is expressed as a percentage value of the mean MEP amplitude evoked by CS-TS to that evoked by TS alone (dashed line). Values above 100% indicate IHF (open circle) and values below 100% indicate IHI (filled circle). ∗P < 0.05, ∗∗P < 0.01, post hoc paired t-test with Bonferroni’s correction comparing MEP with paired-pulse stimulation to that with TS alone. CS = conditioning stimulus; IHF = interhemispheric facilitation; IHI = interhemispheric inhibition; IN = local inhibitory interneuron in the left primary motor cortex; ISI = interstimulus interval; MEP = motor evoked potential; TS = test stimulus. . (For interpretation of the references to color in this figure legend, the reader is referred to the Web version of this article.)
Fig. 2
Fig. 2
Precise time courses of interhemispheric facilitation and inhibition. (A) IHF and (B) IHI (N = 12) tested at ISIs 1.5 ms before and 0.5 ms after the time points for maximal facilitation and inhibition with 0.1 ms resolution. Abscissa indicates the ISI. Time 0 was defined as the ISI with maximal IHF or IHI in each subject. Ordinate indicates the magnitude of IHF (open circle) or IHI (filled circle). It is expressed as a percentage difference between motor evoked potential amplitude induced by CS-TS paired-pulse stimulation and that induced by TS alone (defined as 100%). The value for IHF is positive and that for IHI is negative. ∗P < 0.05, ∗∗P < 0.01, post hoc paired t-test with Bonferroni’s correction comparing motor evoked potential with paired-pulse stimulation to that with TS alone. CS = conditioning stimulus; IHF = interhemispheric facilitation; IHI = interhemispheric inhibition; ISI = interstimulus interval; TS = test stimulus.
Fig. 3
Fig. 3
Latency distribution measurement. Latency distribution of transcallosal fibers measured with (A) IHF and (B) IHI in one subject. The ISI range from no IHF (or IHI) to the maximal IHF (or IHI) was shown. Abscissa indicates the ISI. Left ordinate (blue) in each panel indicates the magnitude of IHF (blue open circle) or IHI (blue filled circle). It is expressed as a percentage difference between motor evoked potential amplitude induced by CS-TS paired-pulse stimulation and that induced by TS alone (defined as 100%). The value for IHF is positive and that for IHI is negative. Right ordinate (red) in each panel indicates the proportion of the nerve fibers with certain conduction velocity in the whole bundle. The proportion for a group of nerve fibers (red curve) was represented by the percentage of the difference in IHF (or IHI) with the minimal increase in ISI (0.1 ms) divided by the maximal IHF (or IHI). The curve was smoothed with a two-point moving average. Note that the peak proportion of transcallosal fibers measured with IHF and that with IHI were similar. CS = conditioning stimulus, IHF = interhemispheric facilitation, IHI = interhemispheric inhibition, ISI = interstimulus interval, TS = test stimulus. . (For interpretation of the references to color in this figure legend, the reader is referred to the Web version of this article.)
Fig. 4
Fig. 4
Correlation analysis for measurements with interhemispheric interaction. (A) Correlation between IHF and IHI at the peak interstimulus intervals. Abscissa indicates the magnitude of maximal IHF and ordinate indicates the magnitude of maximal IHI. They are expressed as a percentage difference between motor evoked potential amplitude induced by CS-TS paired-pulse stimulation and that induced by TS alone. The value for IHF is positive and that for IHI is negative. (B) Correlation between the proportion of the largest group of transcallosal fibers measured with IHF and that measured with IHI. Abscissa indicates the proportion of transcallosal fibers measured with IHF and ordinate indicate that measured with IHI. They are expressed as a percentage value of the largest change in IHF (or IHI) with the minimal increase in interstimulus interval (0.1 ms) divided by the maximal IHF (or IHI). The solid lines indicate significant correlation between two different variables with P < 0.05. CS = conditioning stimulus, IHF = interhemispheric facilitation, IHI = interhemispheric inhibition, TS = test stimulus.

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