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Biomedical subjects

R Kakigi

Publications and source records attributed to R Kakigi.

At least 91 records · Page 5Linked to original sources

Human cortical area responding to stimuli in apparent motion.

Apparent motion is the perception of the realistic smooth motion of an object which flashes first at one place then at another. To investigate human cortical responses to stimuli in apparent motion, we used a multichannel biomagnetometer to record the magnetic fields evoked by these stimuli in four normal subjects. The results showed the presence of a localized cortical area exclusively sensitive to apparent motion stimuli that is identical to that for smooth motion. In three subjects this area corresponded to the human homologue of MT/V5. Moreover, the same region in the extrastriate cortex was involved in the short range (0.1 degree) apparent motion process as well as the long range (1.0 degree) process.

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Identification of motor and sensory brain activities during unilateral finger movement: spatiotemporal source analysis of movement-associated magnetic fields.

We investigated the movement-related cortical fields (MRCFs) recorded by magnetoencephalography (MEG) to identify the motor and sensory brain activities at the instant of the unilateral finger movement using six normal subjects. We focused our investigation on the source analysis of the events tightly linked to movement onset, and we used brain electric source analysis (BESA) to model the sources generating MRCFs during the interval from 200 ms before to 150 ms after the movement onset. Four sources provided satisfactory solutions for MRCF activities in this interval. Sources 1 and 2, which were located in the pre-central regions in the hemisphere contralateral and ipsilateral to the moved finger, respectively, generated the readiness fields (RF), but source 1 was predominant just before movement onset. The motor field (MF), the peak of which was just after movement onset, was mainly generated by source 1. Sources 3 and 4 were located in the post-central regions in the hemisphere contralateral and ipsilateral to the moved finger, respectively. The first motor evoked field (MEF-I), the peak of which was about 80 ms after the movement, was mainly generated by source 3, but with the participation of sources 1, 2 and 4. The results indicated that the activities of both pre -and post-central regions in bilateral hemispheres were related to voluntary movements, although the predominant areas varied over time. This is the first noninvasive study to clarify the complex spatiotemporal activities relating movements in humans using a multi-channel MEG system.

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Odorant evoked magnetic fields in humans.

We investigated the olfactory evoked magnetic fields (OEFs) in 14 normal subjects. Pulses of odorant air containing amyl acetate or phenethyl alcohol, and odorless air were administered to the subject through a nasal tube. A clear and consistent OEF component, 1M, was identified in all subjects, and a second component, 2M, was detected in seven subjects, but no consistent component was identified in response to the odorless air. The peak latencies of the 1M and 2M components were approximately 320 and 630 ms, respectively. The waveforms produced by the odorless air were subtracted from the waveforms produced by the odorant air to obtain the 'subtraction' waveform, which indicated the 1M and 2M component more clearly. Their equivalent current dipoles (ECDs) were estimated in the regions around the Sylvian fissure symmetrically in both hemispheres. Therefore, these areas are proposed to be involved in olfactory perception in humans.

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Magnetoencephalographic study of intracerebral interactions caused by bilateral posterior tibial nerve stimulation in man.

We studied somatosensory evoked magnetic fields (SEFs) following stimulation of bilateral posterior tibial nerves ('bilateral' waveform) in normal subjects to determine the inter- and intra-hemispheric interference effects caused by activation of sensory areas in bilateral hemispheres. Activated areas in the primary and second sensory cortices (SI and SII) in each hemisphere following bilateral stimulation were clearly identified by estimation of the double best-fitted equivalent current dipoles (ECD) using the spherical head model, and the large inter-individual differences were identified. SEFs following the right posterior tibial nerve stimulation and those following the left stimulation were summated ('summated' waveform). The 'difference' waveform was induced by a subtraction of 'bilateral' waveforms from the 'summated' waveform. Short-latency deflections showed no consistent changes between the 'summated' and 'bilateral' waveforms, but the long-latency deflection, the N100m-P100m, in the 'bilateral' waveform was significantly (P < 0.02) reduced in amplitude as compared with the 'summated' waveform. The differences were clearly identified in the 'difference' waveform, in which the main deflections, U100m-D100m, were found. The ECDs of the short-latency deflections were located in SI contralateral to the stimulated nerve, but the ECDs of the N100m-P100m were located in bilateral SII which are considered to receive ascending signals from the body bilaterally. Therefore, some inhibitory interactions might take place in SII by receiving inputs from the body bilaterally.

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Somatosensory evoked magnetic fields and potentials following passive toe movement in humans.

The somatosensory evoked magnetic fields (SEFs) and evoked potentials (SEPs) following passive toe movement were studied in 10 normal subjects. Five main components were identified in SEFs recorded around the vertex around the foot area of the primary sensory cortex (SI). The first and second components, 1M and 2M, were identified at approximately 35 and 46 ms. Equivalent current dipoles (ECDs) of both 1M and 2M were estimated around SI in the hemisphere contralateral to the movement toe, and were probably generated in area 3a or area 2, which mainly receive inputs ascending through muscle and joint afferents. The large inter-individual difference of 1M and 2M in terms of ECD orientation was probably due to a large anatomical variance of the foot area of SI. The third and fourth components, 3M and 4M, were identified at approximately 62 ms and 87 ms, respectively. They appeared to be a single large long-duration component with two peaks. Since the 3M and 4M components were significantly larger than the 1M and 2M components in amplitude and their ECD location was significantly superior to that of 1M and 2M, we suspected that they were generated in different sites from those of 1M and 2M, probably area 3b or area 4. Four components, 1E, 2E, 3E and 4E, were identified in SEPs, which appeared to correspond to 1M, 2M, 3M and 4M, respectively. The variation observed in the scalp distribution of the primary component, 1E, could be accounted for by the variation of the orientation of ECD of the 1M component. There was a large difference in the waveform of the long-latency component (longer than 100 ms) between SEFs and SEPs. The 5E of SEPs was a large amplitude component, but the 5M of SEFs was small or absent. We speculate that this long-latency component was generated by multiple generators.

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Temporal changes of pyramidal tract activities after decision of movement: a study using transcranial magnetic stimulation of the motor cortex in humans.

To elucidate the effects of the decision to move on the pyramidal tract in humans, we examined the changes in the motor evoked potentials (MEP) of the forearm muscles following transcranial magnetic cortical stimulation (TMS) of the hand area during a go/no-go hand-movement task in 10 normal subjects. The subjects performed an extension of the right wrist according to the go, no-go and control signals, one of which was randomly presented on a TV. A single TMS was applied to the primary hand motor area in the left hemisphere 0-300 ms after each signal. The MEPs recorded from the wrist extensor and flexor muscles changed in amplitude after both go and no-go signals. In comparison with the control, the MEPs were significantly facilitated in the agonistic muscles (wrist extensor muscles) and attenuated in the antagonistic muscles (wrist flexor muscles), at the latencies of 100-200 ms after the go signal (P < 0.02). In contrast, the MEPs of both the extensor and flexor muscles were significantly attenuated during the period of 100-200 ms after the no-go signal (P < 0.001). We speculate that there is strong inhibition on the pyramidal tract after the no-go signal and that the inhibitory effect is non-specific to the target muscles. This inhibition differs from the reciprocal inhibition of the MEP observed in antagonistic muscles after the go signal, and it is probably related to the movement decision originating in the prefrontal cortex.

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Effects of movement and movement imagery on somatosensory evoked magnetic fields following posterior tibial nerve stimulation.

We examined the "gating" effects caused by active and passive movements of toes and by "movement imagery" (mental moving of the toe without actual movements) on somatosensory evoked magnetic fields (SEFs) following stimulation of the posterior tibial nerve in normal subjects. Active and passive movements significantly attenuated the short- and middle-latency cortical components (P < 0.001) with no latency change, and the effects of the active movements were larger than those of the passive movements. In contrast, the subsequent long-latency component with a latency of about 100 ms was enhanced only by the active movements. Therefore, both centrifugal and centripetal mechanisms should be considered. The gating effects by movements on all components may occur in the primary sensory cortex (SI) in the hemisphere contralateral to the stimulated nerve, because all of the equivalent current dipoles (ECDs) of the components in the "control" and each "interference" waveform were located there. Active movements of the toes contralateral to the stimulated nerve caused no significant gating effect. The short-latency components were not consistently changed by "movement imagery", but the middle- and long-latency components were enhanced. Their ECDs were located in the SI contralateral to the stimulated nerve and in the SII in bilateral hemispheres. Therefore, we speculated that brain responses to somatosensory stimulation, particularly components generated in SII, were affected by volitional changes.

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Visual evoked cortical magnetic fields to pattern reversal stimulation.

We studied visual evoked magnetic fields to pattern reversal stimulation in six healthy subjects. Similar to the N75-P100-N145 components in visual evoked potentials, triphasic deflections, N75m-P100m-N145m, were clearly observed around the midoccipital position. A very small component, P50m, was occasionally observed preceding the N75m. Equivalent current dipoles (ECDs) of the main deflection, P100m, to quadrant-field stimulation were estimated near or around the calcarine fissure contralateral to the stimulation. The vertical ECD location of the P100m to the upper quadrant-field stimulation was estimated significantly lower (0.81 +/- 0.45 cm) than those to lower stimulation. These results were compatible with the retinotopic organization of the visual cortex (cruciform model) and suggested that the P100m originated in the striate cortex. The small P50m, although only a small number of ECDs could be estimated reliably, was located in the contralateral visual cortex. ECDs of the N75m were estimated mainly near or around the contralateral calcarine fissure. ECDs of the N145m were estimated also retinotopically, but with a greater vertical distance (2.90 +/- 1.09 cm) between upper and lower quadrant-field stimulation. MR-overlaid ECDs of the N145m suggested that these originated in the extrastriate cortex. No ECD was estimated when a probe was placed at the midfrontal position.

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Somatosensory evoked magnetic fields following passive finger movement.

The somatosensory evoked magnetic field (SEF) following passive finger movement and electrical stimulation of finger was studied in 10 normal subjects. Four main components were identified in SEFs recorded at the hemisphere contralateral to the moved finger: 1M(P), 2M(P), 3M(P) and 4M(P). The 1M(P) was clearly identified only in three subjects and was smaller than other components. The equivalent current dipoles (ECDs) of 1M(P) were located around the finger area of the primary sensorimotor cortex and oriented either posteriorly or anteriorly. We speculate that it was generated in areas 3a or 2 of the primary sensory cortex. The 2M(P) and 3M(P) were usually combined as one large deflection with two peaks. Because the ECDs of 2M(P) and 3M(P) were located around the finger area of the sensorimotor cortex and both oriented posteriorly, they were considered to be generated in area 4 and/or 3b, and their activities have temporal overlapping. The 4M(P) has large inter-individual difference in terms of amplitude and latency. The ECD of 4M(P) was also located around the finger area of the primary sensorimotor cortex, and oriented anteriorly. The 4M(PI), the main component recorded from the hemisphere ipsilateral to the moved finger, was located in the upper bank of the sylvian fissure, probably the second sensory cortex (SII). Five components, 1M(E), 2M(E), 3M(E), 4M(E) and 4M(EI), corresponding to 1M(P), 2M(P), 3M(P), 4M(P) and 4M(PI), were identified following electrical stimulation of the same finger. However, SEFs following passive movement were clearly different from SEFs following electrical stimulation, in terms of waveforms and source locations, probably due to differences of ascending fibers and receptive fields.

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Activity in posterior parietal cortex following somatosensory stimulation in man: magnetoencephalographic study using spatio-temporal source analysis.

We investigated the activation of posterior parietal cortex (PPC) to somatosensory stimulation in humans to determine its fundamental role as a somatosensory associated area using magnetoencephalography (MEG). We studied somatosensory evoked magnetic fields (SEF) after stimulation of median nerve, posterior tibial nerve and lip, and analyzed them by the single dipole model and also by the multidipole model using brain electric source analysis (BESA) system. In single source model analysis, the dipole at the peak latency of short-latency components following each site stimulation were located in the corresponding receptive fields in the primary somatosensory cortex (SI) contralateral to the stimulation. The dipole at the peak latency of the middle latency components were located in bilateral upper bank of Sylvian fissure (SII), By contrast, in the five-dipole model of BESA, the equivalent current dipoles (ECDs) of the middle-latency SEF after stimulation of median nerve and posterior tibial nerve were identified in the contralateral SI and in the bilateral SII and PPC, while all activities of middle-latency SEF after lip stimulation appeared to be restricted in the contralateral SI and bilateral SII. Around 80 msec in latency, the ECD location in PPC after median nerve stimulation was, on the average, 2.4 cm posterior, 2.9 cm medial and 2.6 cm superior to the hand area in SI. The ECD in PPC after posterior tibial nerve stimulation was also located posterior to the foot area in SI, but it was close to the SI area of foot, their distance being approximately 1.3 cm. ECD in PPC was almost equally demonstrated in each hemisphere. These findings suggested that the somatosensory associated cortex in PPC represented somatotopic organization in parallel with 'homunculus' in SI, but the hand area was much wider than the foot area. It was not clear whether the lip area in PPC was absent or was too close to be separated from the SI.

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Effects of tactile interference stimulation on somatosensory evoked magnetic fields.

Tactile stimulation of the hand interferes with somatosensory evoked brain responses following electrical median nerve stimulation. This effect was studied in eight normal subjects by magnetonecephalography (MEG). When stimulation was applied to the hand ipsilateral to the stimulated nerve, only the third response (3M) was enhanced in five subjects, but other responses were attenuated in all subjects. These interference effects were probably due to interactions in areas 3b and 1. After stimulation of the contralateral hand, only the second response (2M) was enhanced in six subjects. This effect was probably due to the intracerebral interactions mediated through the corpus callosum.

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Reciprocal change of motor evoked potentials preceding voluntary movement in humans.

Reciprocal change of motor evoked potentials (MEPs) recorded from the agonist and antagonist muscles of the forearm was studied in 10 normal subjects in whom transcranial magnetic stimulation (TMS) was applied to the hand motor area before voluntary wrist movements. MEP recorded from the agonist muscles, that is, radial extensor muscles for wrist extension and ulnar flexor muscle for wrist flexion, were gradually facilitated with shortening of the interval between the magnetic stimulation and the voluntary muscle contraction. In contrast, MEP recorded from the antagonist muscles, that is, ulnar flexor muscle for wrist extension and radial extensor muscles for wrist flexion, were gradually suppressed as the interval shortened. The reciprocal change of MEP was recognized when TMS was applied within 60 ms prior to the voluntary movements. The present data confirmed that reciprocal change of MEP was recognized before voluntary movements; they further suggest that cortically originated reciprocal control of the corticospinal pathway may exist and that it may be generated just before the voluntary movement.

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Clinical application of automatic integrative interpretation of awake background EEG: quantitative interpretation, report making, and detection of artifacts and reduced vigilance level.

Methods for the automatic detection of artifacts and vigilance level of the EEG record were developed for a preprocessing procedure for the automatic integrative interpretation of awake background EEG. All equations for the detection were derived such that they would conform to the procedure that an EEGer adopts for visual EEG inspection. The automatic EEG interpretation system was improved by adding the proposed preprocessing procedure and gave satisfactory interpretation results for the EEG data even contaminated with artifacts or in the drowsy state. The automatic EEG interpretation method proposed here is suggested for clinical use as an assistant tool for EEGers and physicians.

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Somatosensory evoked magnetic fields following stimulation of the lip in humans.

The topography of somatosensory evoked magnetic fields (SEFs) following stimulation of the upper and lower lips was investigated in 6 normal subjects. When the lateral side of the upper lip was stimulated, P20m and its counterpart, N20m, were identified in the hemisphere contralateral to the stimulated side. The equivalent current dipoles (ECDs) of N20m-P20m were considered to be located in lip area of the primary sensory cortex (SI). Middle latency deflections (N40m-P40m, N60m-P60m, and N80m-P80m) were identified in bilateral hemispheres. Their ECDs were located in the SI in both hemispheres. Long latency deflections (P110m-N110m) were recognized in both hemispheres, and their ECDs were located inferior to the SI, in an area considered to be the secondary sensory cortex (SII). When the midline of the lip was stimulated, similar short and middle latency deflections was also identified, but SII deflections (P110m-N110m) were decreased in amplitude. When the lower lip was stimulated, the ECDs of short and middle latency deflections were located at a site in the SI inferior to or near those elicited by upper lip stimulation. The ECDs of P110m-N110m were located in an area of the SII similar to that upon stimulation of the upper lip, but their orientations were different.

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Effects of noxious cooling of the skin on pain perception in man.

By means of somatosensory evoked brain potentials following painful CO2 laser stimulation (pain SEPs) and a pain visual analogue scale (VAS), we investigated changes in pain perception caused by noxious cooling of the skin in normal subjects. Pain SEPs were recorded from scalp electrodes following laser stimulation applied to the leg under various conditions as follows: (1) control (without any interference); (2) 46 degrees C foot (dipping the foot ipsilateral to the stimulated leg in hot water at 46 degrees C); (3) 0 degrees C foot (dipping the foot ipsilateral to the stimulated leg in ice water at 0 degrees C); and (4) 0 degrees C hand (dipping the hand contralateral to the stimulated leg in ice water at 0 degrees C). Marked decreases in amplitude of pain SEPs and VAS were observed under all conditions as compared with the control (P < 0.001); the degree of pain relief was significantly correlated with changes in pain SEPs. These changes were greatest in the '0 degrees C hand' condition, followed in decreasing order by '0 degrees C foot' and '46 degrees C foot', and there was a significant difference between '0 degrees C hand' and the '46 degrees C foot' condition. We considered that the decrease in pain is due to the diffuse noxious inhibitory control (DNIC). The reason why the degree of pain relief in '0 degrees C foot' condition was less than that in '0 degrees C hand' condition is unclear, but some particular spatial summation of two kinds of nociceptive impulses mediated by the same pathway might take place.

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