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Functional brain mapping: overview of techniques and their application to neurosurgery
Soumya Sagar1, Jonathan Rick1, Ankush Chandra1
1Department of Neurological Surgery, University of California, San Francisco (UCSF), 505 Parnassus Avenue Room M779, San Francisco, CA, 94143-0112, USA.
Functional brain mapping (FBM) aids neurosurgery by identifying critical brain areas. Non-invasive techniques like fMRI are increasingly vital for precise glioma resection and cognitive studies.
Area of Science:
- Neurosurgery
- Neuroscience
- Medical Imaging
Background:
- Functional brain mapping (FBM) is essential for safe brain lesion resection, particularly gliomas.
- Eloquent cortical regions (motor, somatosensory, Wernicke's, Broca's) require precise mapping.
- FBM has evolved significantly, with a trend towards non-invasive methods.
Purpose of the Study:
- To review the principles, applications, pros, cons, and advancements of nine FBM techniques.
- To highlight the role of FBM in neurosurgery and other neurological studies.
- To discuss the future trajectory of brain mapping technologies.
Main Methods:
- Review of nine functional brain mapping techniques.
- Comparison of invasive (direct electrical stimulation) and non-invasive methods (fMRI, magnetoencephalography).
- Discussion of combined modalities like fMRI and diffusion tensor imaging.
Main Results:
- Direct electrical stimulation remains a gold standard despite invasiveness.
- Non-invasive techniques (fMRI, MEG) offer patient comfort, speed, and thoroughness.
- Combined imaging modalities enhance delineation accuracy.
Conclusions:
- Non-invasive functional brain mapping techniques are becoming increasingly dominant.
- Advancements in physics, algorithms, and validation are improving sensitivity and accuracy.
- FBM techniques are valuable beyond neurosurgery, aiding stroke, Alzheimer's, and cognition research.
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