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Updated: Feb 15, 2026

A Standardized Pipeline for Examining Human Cerebellar Grey Matter Morphometry using Structural Magnetic Resonance Imaging
Published on: February 4, 2022
Cerebellar grey matter modifications in lower limb amputees not using prosthesis
Antonella Di Vita1,2,3, Maddalena Boccia4,5, Liana Palermo4,6
1PhD program in Behavioural Neuroscience, "Sapienza" University of Rome, Rome, Italy. antonella.divita@uniroma1.it.
Prosthesis use in lower limb amputees may prevent grey matter loss in the cerebellum. This study found reduced grey matter in non-prosthesis users, suggesting functional limb replacement aids brain structure preservation.
Area of Science:
- Neuroscience
- Neuroplasticity
- Biomedical Engineering
Background:
- Peripheral deafferentation, especially after limb amputation, causes documented grey matter (GM) reduction in sensory-motor areas.
- The impact of prosthesis use on these structural brain changes remains under-investigated.
Purpose of the Study:
- To investigate if using a functional prosthesis mitigates grey matter reduction following lower limb amputation.
- To compare brain structural reorganization in lower limb amputees with and without prosthesis use.
Main Methods:
- Voxel Based Morphometry (VBM) analysis of structural MRI data.
- Comparison of three groups: lower limb amputees with prosthesis (LLAwp), lower limb amputees without prosthesis (LLAnp), and healthy controls (HC).
Main Results:
- No significant GM differences were found between LLAwp and HC.
- LLAnp showed decreased GM volume in the bilateral cerebellum compared to HC.
- Prosthesis use appeared to prevent GM decrease in the cerebellum post-amputation.
Conclusions:
- Prosthesis use may play a protective role in preserving cerebellar grey matter volume after lower limb amputation.
- Functional limb replacement via prosthetics could counteract detrimental brain structural changes.
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