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Updated: May 9, 2026

Functional Magnetic Resonance Imaging (fMRI) of the Visual Cortex with Wide-View Retinotopic Stimulation
Published on: December 8, 2023
Structural and functional changes across the visual cortex of a patient with visual form agnosia
Holly Bridge1, Owen M Thomas, Loredana Minini
1Functional MRI of the Brain Centre, Nuffield Department of Clinical Neurosciences, John Radcliffe Hospital, Oxford OX3 9DU, United Kingdom.
Visual-form agnosia impairs object recognition but not visually guided actions. This study uses MRI to reveal structural and functional brain changes in patient DF, highlighting preserved visual pathways for action.
Area of Science:
- Neuroscience
- Cognitive Neuroscience
- Neuroimaging
Background:
- Visual-form agnosia is characterized by a loss of shape recognition, yet visually guided actions remain intact.
- This dissociation supports the dual visual systems hypothesis: one for perception and one for action.
- Patient DF exhibits persistent visual-form agnosia following carbon monoxide exposure.
Purpose of the Study:
- To investigate the structural and functional brain changes in patient DF using high-resolution MRI.
- To quantify cortical thickness changes in the occipital cortex.
- To correlate structural damage with functional activity and preserved visual abilities.
Main Methods:
- High-resolution structural and functional Magnetic Resonance Imaging (MRI) of the brain.
- Quantification of cortical thickness, particularly in the occipital cortex.
- Topographic mapping of visual areas (V1, V2, V3, hV4) to assess retinotopic order.
- Assessment of white matter connections.
Main Results:
- Significant cortical thinning was observed in the lateral occipital cortex (LOC), a key area for object recognition.
- Reduced white matter connectivity between LOC and other brain regions was identified.
- Despite structural damage, functional imaging revealed surviving activity in some damaged areas.
- Ordered retinotopic maps were present in ventral visual areas (V1-V4) but not consistently in dorsal V2 and V3.
- Preserved visual pathways supporting visually guided actions were highlighted.
Conclusions:
- Understanding visual-form agnosia requires integrating both structural and functional neuroimaging data.
- DF's case demonstrates specific cortical alterations underlying the perception-action dissociation.
- The study identifies critical cortical routes enabling visually guided actions despite severe object recognition deficits.
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