title: Identification of the medial lemniscus in the human brain: combined study of functional MRI and diffusion tensor tractography.
abstract: The medial lemniscus (ML) plays a critical role in sensory function and skillful movement. Using combined functional MRI (fMRI) and diffusion tensor tractography (DTT), we attempted to identify the ML pathway and quantify the characteristics of the ML compared to the corticospinal tract (CST). Eleven young healthy subjects without any history of neurological disorder were recruited for this study. For tracking of the ML, a seed region of interest (ROI) was determined using the fMRI activation in the primary sensorimotor cortex (SM1) following proprioceptive input, and a target ROI was given in the ML area of the pons. We were able to locate the ML in 9 out of 11 subjects. All ML started from the ML area just posterior to the transpontine fiber in the pons, and ascended to the SM1 posterolaterally to the cerebral peduncle of the midbrain, the posterior limb of the internal capsule (PLIC), and the corona radiata along with the CST. The fractional anisotropy (FA) value of the ML was similar to that of the CST. We could identify the ML pathway in the human brain using the combined fMRI/DTT method. These results and technique will be helpful for research about the ML in the human brain.
authors.affiliation: Department of Physical Medicine and Rehabilitation Medicine, Ulsan University Hospital College of Medicine, University of Ulsan, Ulsan, South Korea.
authors.forename: Dong Seok
authors.initials: DS
authors.lastname: Yang
authors.forename: Ji Heon
authors.initials: JH
authors.lastname: Hong
authors.forename: Woo Mok
authors.initials: WM
authors.lastname: Byun
authors.forename: So Young
authors.initials: SY
authors.lastname: Kwak
authors.forename: Sang Ho
authors.initials: SH
authors.lastname: Ahn
authors.forename: Hun
authors.initials: H
authors.lastname: Lee
authors.forename: Chang Ho
authors.initials: CH
authors.lastname: Hwang
authors.forename: Sung Ho
authors.initials: SH
authors.lastname: Jang
mesh_terms: D000328:Adult; D000344:Afferent Pathways / Q000033:anatomy & histology / Q000502:physiology; D016880:Anisotropy; D001921:Brain / Q000033:anatomy & histology / Q000502:physiology; D001931:Brain Mapping; D038524:Diffusion Magnetic Resonance Imaging; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009044:Motor Cortex / Q000033:anatomy & histology* / Q000502:physiology; D011149:Pons / Q000033:anatomy & histology* / Q000502:physiology; D011434:Proprioception / Q000502:physiology*; D013702:Temporal Lobe / Q000033:anatomy & histology* / Q000502:physiology; D055815:Young Adult