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Localizing The Functional Central Sulcus with 128 Channel Motor and Somatosensory Evoked Potentials in an MRI Derived Finite-Element Head Model.

 G.F. Potts, D.M. Weinstein, L.G. Gugino, A. Gonzalez, C. Wible, R.W. McCarley and D.M. Tucker
  
 

Abstract:
It is standard procedure in neurosurgery near motor cortex to localize the functional division between motor and sensory cortex. This division lies along the central sulcus, the anatomical boundary separating the frontal and parietal lobes. Localization is often done by intraoperatively recording somatosensory evoked potentials from cortical surface electrodes. Advances in high density ERP recording and inverse modeling may make it possible to localize this boundary presurgically. We collected 128 channel motor and somatosensory evoked potentials and whole-head MRI from a normal volunteer. The MRI was segmented into 5 tissue-types (skin, bone, cerebrospinal fluid, gray matter, white matter) with an electrical conductivity estimate assigned to each tissue. We created an anatomically accurate finite-element volume conductivity head model from the segmented MRI. We computed a "surface-to-surface" inverse in this model, calculating the cortical field distribution from the scalp electrical field. The lines of polarity inversion in the evoked potentials show the functional division between motor and sensory cortex. This division is presented on the cortical surface, showing the relation of the functional and anatomical central sulcus.

 
 


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