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Biomedical subjects

R Kakigi

Publications and source records attributed to R Kakigi.

At least 73 records · Page 4Linked to original sources

Effects of visual and auditory stimulation on somatosensory evoked magnetic fields.

DESIGN AND METHODS: We investigated the effects of continuous visual (cartoon and random dot motion) and auditory (music) stimulation on somatosensory evoked magnetic fields (SEFs) following electrical stimulation of the median nerve on 12 normal subjects using paired t test and two way ANOVA for the statistics. RESULTS: In the hemisphere contralateral to the stimulated nerve, the middle-latency components (35-60 ms in latency) were significantly enhanced by visual, but not by auditory stimulation. The dipoles of all components within 60-70 ms following stimulation were estimated to be very close each other, around the hand area of the primary sensory cortex (SI). In the ipsilateral hemisphere, the middle-latency components (70-100 ms in latency), the dipoles of which were estimated to be in the second sensory cortex (SII), were markedly decreased in amplitude by both the visual and auditory stimulation. CONCLUSIONS: These changes in waveform by visual and auditory stimulation are thought to be due to the effects of the activation of polymodal neurons, which receive not only somatosensory but also visual and/or auditory inputs, in areas 5 and/or 7 as well as in the medial superior temporal region (MST) and superior temporal sulcus (STS), although a change of attention might also be a factor causing such findings.

Acoustic Stimulation↗

Structure of the auditory evoked magnetic fields during sleep.

We studied the effects of sleep on auditory evoked magnetic fields following pure tone stimulation applied to the right ear of 10 healthy normal volunteers to investigate the changes in the processing of auditory perception in the primary auditory cortex. Dual 37-channel biomagnetometers were used to record auditory evoked magnetic fields over the bilateral temporal lobes in response to presented tones. Auditory evoked magnetic fields were compared for three stimulus frequencies (250, 1000 and 4000 Hz) and three sleep stages (awake state, sleep stages 1 and 2). Four main components, M50, M100, M150 and M200, were identified with latencies of approximately 50, 100, 150 and 200 ms, respectively. The latency of each component had a tendency to be prolonged with the depth of sleep stage in all frequencies. The amplitude ratios of the early-latency components (M50 and M100) showed a tendency of reduction compared with the same components in the awake state. By contrast, the amplitude ratios of the long-latency components (M150 and M200) were significantly enhanced with an increase in the sleep stage compared with the same components in the awake state. The equivalent current dipoles of all components in all conditions were detected at the superior temporal cortex (the primary auditory cortex). As for the changes in the equivalent current dipole location of each component, the equivalent current dipole was detected in the more posterior and medial region in responses to the high-frequency tone (1000 and 4000 Hz) compared with those to 250 Hz tone stimulation. Although the equivalent current dipoles of the early-latency components (M50 and M100) were in regions more anterior and superior compared to those in the awake state, there was no consistent tendency of changes in equivalent current dipole locations between each sleep stage in the late-latency components (M150 and M200). These findings are probably due to the difference in generating mechanisms between the early- and late-latency components.

Acoustic Stimulation↗

Effects of distraction on pain perception: magneto- and electro-encephalographic studies.

After a painful CO2 laser stimulation to the skin, the magnetoencephalography (MEG) response (164 ms in average peak latency) was not affected by distraction, but the sequential electroencephalography (EEG) responses (240-340 ms), probably generated by a summation of activities in multiple areas, were markedly affected. We suspect that the MEG response, whose dipole is estimated in the bilateral second somatosensory cortex (SII) and insula, reflects the primary activities of pain in humans.

Adult↗

Shortening of the cortical silent period following transcranial magnetic brain stimulation during an experimental paradigm for generating contingent negative variation (CNV).

OBJECTIVES: We investigated changes in the cortical silent period (CSP) following transcranial magnetic cortical stimulation (TCMS) during a standard paradigm which was designed to evoke contingent negative variation (CNV) in ten normal subjects. METHODS: We recorded the motor evoked potentials (MEP) and CSP during the inter-stimulus interval (ISI) of a CNV paradigm in ten normal subjects. The CNV paradigm consisted of a visual warning stimulus (S1) followed by a visual response stimulus (S2). The CSP following TCMS on the hand motor area was recorded from mildly contracted first dorsal interosseous muscles. RESULTS: The CSP was significantly shortened during the ISI (P < 0.01, t test) with a highly significant correlation with the TCMS timing during the ISI (P < 0.02, Spearman's correlation coefficient), while the MEP amplitude and latency were unchanged. CONCLUSIONS: The results suggested that shortening of the CSP was associated with neural processes related to preparation for voluntary movement during the paradigm.

Adult↗

Random dots blinking: a new approach to elucidate the activities of the extrastriate cortex in humans.

To investigate cortical activities related to the visual recognition of characters, we recorded the magnetoencephalography (MEG) in six normal subjects who were encouraged to discriminate capital English letters displayed for a brief period. To reduce the primary responses evoked by the luminance change in the striate cortex (V1), we used a novel stimulus method, random dots blinking (RDB), by means of the temporal changes of patterns using a large number of small random dots. Along with the MEG recording, we also measured the discrimination accuracy rate (%) to know how well the subjects recognized the letters. One clear component, about 300 ms in peak latency, was identified in all six subjects. Its peak amplitude and the discrimination accuracy rate increased similarly as the character display duration became longer. Its signal source was estimated in the extrastriate cortex, around the fusiform gyrus, in the right hemisphere. We suspect that the activity in these cortical areas has strong relation to the conscious perception of characters.

Adult↗

Timing of motion representation in the human visual system.

Visual stimulus in apparent motion evokes a magnetic field from the extrastriate cortex in humans. To investigate what this magnetic field represents, we measured the latencies of the responses in three subjects to the stimuli in apparent motion at various spatial separations. These different latencies were inversely related to the spatial separations of the stimuli (range of 74 to 182 ms) and correlated with each subject's reaction time. The direction of motion affected neither the latency of the magnetic response nor the reaction times. Estimations of the origins of the evoked magnetic fields showed they were always in the same area. In two subjects, the sites were around the meeting point of the ascending limb of the inferior temporal sulcus and the lateral occipital sulcus. In the third subject, the site was in the vicinity of the angular gyrus. The difference between the magnetic response and reaction time was fairly constant (about 64 ms) among the subjects. We consider the magnetic response to be related to the generation of a motion image: First, the response clearly corresponded to human reaction times to the same stimuli: Second, the fact that the magnetic response was related to the spatial separations but independent of the direction of motion is not explained if the response is evoked simply by both the onset and offset of the object in the stimulus. Furthermore, individual reaction times were mainly delayed by the speed of the process that generated the motion image.

Humans↗

Somatosensory homunculus as drawn by MEG.

We studied a detailed somatosensory representation map of the human primary somatosensory cortex using magnetoencephalography. Somatosensory-evoked magnetic fields following tactile stimulation of multiple points in the right hemibody (including the tongue, lips, fingers, arm, trunk, leg, and foot) were analyzed in five normal subjects. We were able to estimate equivalent current dipoles (ECDs) following stimulation of the tongue, lips, fingers, palm, forearm, elbow, upper arm, and toes in most subjects and those following the stimulation of the chest, ankle, and thigh in one subject. The ECDs were located in the postcentral gyrus and generally arranged in order along the central sulcus, which is compatible with the somatosensory "homunculus." Linear distances, averaged in five subjects, from the receptive area of the thumb to that of the tongue, little finger, forearm, upper arm, and toes were estimated to be 2.42 +/- 0.28, 1.25 +/- 0.28, 2.21 +/- 0.72, 2.75 +/- 0.63, and 5.29 +/- 0.48 cm, respectively. The moment of each ECD, which suggested the size of the cortical areas responsive to the stimulation, was also compatible with the bizarre proportion of the homunculus with a large tongue, lips, and fingers. According to these results, we were able to reproduce a large part of the somatosensory homunculus quantitatively on an individual brain MRI.

Brain Mapping↗

Reading of Japanese Kanji (morphograms) and Kana (syllabograms): a magnetoencephalographic study.

Magnetoencephalograms were recorded from six healthy Japanese subjects in order to investigate the areas in the cortices which are involved in the recognition of Japanese characters (Kanji and Kana). Forty-four Kanji (morphograms), 44 Kana (syllabograms) and 20 alphabet letters were used as stimuli. They were presented randomly and the subjects were required to read each stimulus and count the number of letters. The magnetic responses were recorded with dual 37-channel SQUID (Superconducting Quantum Interference Device) gradiometers from the temporal, parietal and occipital areas of the brain. The magnetic responses to Kanji and Kana were similar and consequently the locations of equivalent current dipoles (ECDs) to Kanji and those to Kana did not differ at any recording site. In all the subjects, ECDs were found in the posterior inferior temporal (PIT) areas approximately corresponding to Brodmann area 37 in the latency range of 150-300 msec. These activities were found in both hemispheres without consistent laterality. The location of the ECD moved forward from posterior to anterior in the PIT area as the latency increased in all but one subject. Only one subject showed activities in the left angular gyrus. Since activities in PIT areas were also found in alphabet letters, the bilateral PIT areas are considered to play an essential role in reading.

Adult↗

Effects of tactile interference stimulation on somatosensory evoked magnetic fields following tibial nerve stimulation.

We studied the effects of interfering tactile stimulation applied to the foot ipsilateral and contralateral to the stimulation on somatosensory evoked magnetic fields (SEFs) following tibial nerve stimulation at the ankle. Equivalent current dipoles (ECDs) of all 4 components, 1M-4M, in all sessions were estimated to be very close each other, around the foot area of the primary sensory cortex (SI). The 1M, 2M and 4M components were significantly reduced in amplitude by the ipsilateral-foot interference, and we consider that this phenomenon is due mainly to 'saturation' of the neurons in area 3b of the SI. In contrast, the 3M component was significantly enhanced in amplitude by the contralateral-foot interference. We suspect that this result was due to the effects of neuronal activities in areas 2, 5 and/or 7, which receive inputs from both sides of the body, i.e. to 'bilateral function'. Considering the various types of interference effects on SEFs and somatosensory evoked potentials (SEPs) observed in not only the present, but also in the previous studies, we conclude that both SEFs and SEPs following tibial nerve stimulation are generated mainly by ascending signals mediated by cutaneous fibers of the peripheral nerves rather than the muscle afferents.

Adult↗

Pain processing traced by magnetoencephalography in the human brain.

The temporal and spatial processing of pain perception in human was traced by magnetoencephalography (MEG). We applied a painful CO2 laser beam to the forearm of 11 normal subjects, and estimated the activated areas using a single equivalent current dipole (ECD) at each time point, and a brain electric source analysis (BESA) as a spatio-temporal multiple source analysis method. The four-source model was found to be the most appropriate; sources 1 and 2 at the secondary sensory cortex (SII) contralateral and ipsilateral to the stimulation, and sources 3 and 4 at the anterior medial temporal area (probably the amygdalar nuclei or hippocampal formation) contralateral and ipsilateral to the stimulation, respectively. Activities in all 4 areas were temporally overlapped. Activity in the primary sensory cortex (SI) contralateral to the stimulated site was not identified. Activity in the cingulate cortex was also not clearly identified. These results are probably due to one or more of the following factors; (1) the cingulate cortex is too deep, (2) the ECDs generated in the cingulate cortex are mainly oriented radially, and (3) the ECDs generated in bilateral hemispheres interfere with each other. No significant or consistent magnetic fields were recorded after 500 msec following the stimulation, probably due to the complicated spatial and temporal overlapping of activities in multiple areas.

Adult↗

Simple and novel method for measuring conduction velocity of A delta fibers in humans.

We report a simple new method for measuring the conduction velocity (CV) of A delta fibers in normal subjects. A large positive component of somatosensory evoked potential (SEP) whose peak latency was approximately 250 ms was clearly recorded only when strong electrical stimulation causing a definite painful feeling was applied to the skin. The CV of the peripheral nerve was calculated by measuring the latency difference of this component between the distal-stimulated SEP and proximal-stimulated SEP and the distance between two stimulus sites. The CV was approximately 11.4 m/s, (range 8.8-15.9 m/s), in the range of A delta fibers. The sleep effect on pain-related SEP was also observed in 3 subjects. The amplitude of pain-related SEP decreased with the progress of sleep stage. This simple and novel method is available in most clinics and should be very useful in investigating the physiologic functions of peripheral nerves in patients as well as normal subjects.

Adult↗

Visual evoked magnetic responses to central and peripheral stimulation: simultaneous VEP recordings.

Visual evoked magnetic field (VEF) and visual evoked potentials (VEP) in response to pattern reversal left half-field central (0-2 degrees, 0-5 degrees) and to left half-field peripheral stimulation (2-15 degrees, 5-15 degrees) were simultaneously recorded in 10 normal subjects. The aim was to localize the origin of the largest wave around 100 ms. By comparing the magnetic evoked 100m wave and electric evoked P100 wave, we found that the response to the small central field (0-2 degrees) stimulation was clearly evident in the VEP and not in the VEF, while the response to the peripheral field (2-15 degrees, 5-15 degrees) stimulation was clearly present in both the VEP and VEF. Our findings show that in contrast to the already recognized predominantly macular origin of VEP activity, VEF activity has a peripheral rather than macular prevalence. Our VEF findings are related to the retinotopic organization of the visual cortex; the 100m dipole to the central field (0-5 degrees) was localized more (1.04 +/- 0.84 cm) posterior than was the 100m dipole to peripheral stimulation (5-15 degrees). The localization of 100m dipoles superimposed on magnetic resonance images (MRI) to central stimuli showed interindividual variations that were in agreement with the known variability of the central field representation in the striate cortex: on the convexity of the occipital pole, in the outer surface of the occipital lobe, and around the calcarine fissure of the right hemisphere. In contrast, following peripheral stimulation, the 100m dipole was located along the medial surface of the hemisphere or in the calcarine fissure. Our results suggest that the main origin of the largest wave around l00ms in response to pattern reversal stimuli is in the striate cortex.

Adult↗

Pain-related somatosensory evoked magnetic fields following lower limb stimulation.

Somatosensory evoked magnetic fields (SEFs) following painful electrical stimulation of the sural nerve were examined in 6 normal subjects. Equivalent current dipoles (ECDs) of the deflections shorter than 100 ms in latency were located in the foot area of the primary sensory cortex (SI) in the contralateral hemisphere following both weak and painful stimulations. Two main deflections, N150m-P150m and N250m-P250m, were independently identified only following painful stimulation. ECDs of the N150m-P150m were considered to be located in bilateral second sensory cortices (SII). ECDs of the N250m-P250m were identified in multiple areas including bilateral cingulate cortices and SII. These findings were consistent with the pain-related SEFs following upper limb stimulation. Therefore, we considered that bilateral SII and the cingulate cortices were activated by the painful stimulation and that pain-specific brain activities in those areas did not depend on the stimulation site.

Adult↗