Aplicação clínica da RM funcional. Avaliação de funções motoras e fluência verbal.

In this article we reviewed some examples of our experience in clinical applications of functional MRI (fMRI) in the motor and verbal fluency tasks evaluation. Seventeen patients with supratentorial cerebral pathology (5 arteriovenous malformations--AVMs, 2 meningiomas, 1 tuberculoma, 1 cortical tub...

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Main Authors: Ana M Reis, Susana Pereira, Lino Mascarenhas, Artur R Vaz, Jorge Resende Pereira
Format: Article
Language:English
Published: Ordem dos Médicos 2003-05-01
Series:Acta Médica Portuguesa
Online Access:https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1175
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author Ana M Reis
Susana Pereira
Lino Mascarenhas
Artur R Vaz
Jorge Resende Pereira
author_facet Ana M Reis
Susana Pereira
Lino Mascarenhas
Artur R Vaz
Jorge Resende Pereira
author_sort Ana M Reis
collection DOAJ
description In this article we reviewed some examples of our experience in clinical applications of functional MRI (fMRI) in the motor and verbal fluency tasks evaluation. Seventeen patients with supratentorial cerebral pathology (5 arteriovenous malformations--AVMs, 2 meningiomas, 1 tuberculoma, 1 cortical tuberoma, 1 DNET, 2 cerebral metastases, 3 gliomas and 2 patients with mesial temporal sclerosis and medically intractable epilepsy--lateralization of language) and three healthy subjects were studied on a 1.5 T system (Signa GE) using a blood oxygen level-dependent (BOLD)--sensitive multi-slice EPI technique. Different paradigms for localization of the motor (hand/foot) and verbal fluency sensorimotor cortex were tested and selected for each pathology. In healthy subjects motor activation elicited BOLD signal changes in the sensorimotor cortex, permitting identification of primary motor and sensory cortical areas and focal activation of different cortical areas by a verbal fluency task. Twelve motor studies were performed and in 6 RMF results demonstrated the localization of motor hand areas near the lesion, and in nine studies of verbal fluency 6 activation were adjacent to the lesion. The studies were performed prior to neurosurgical procedures, contributed to therapeutical decisions and proved to be a valuable non invasive method of cortical mapping for preoperative planning.
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spelling doaj.art-8a2079ff41994b90adcfbb1db517540a2022-12-22T04:12:55ZengOrdem dos MédicosActa Médica Portuguesa0870-399X1646-07582003-05-0116310.20344/amp.1175Aplicação clínica da RM funcional. Avaliação de funções motoras e fluência verbal.Ana M Reis0Susana PereiraLino MascarenhasArtur R VazJorge Resende PereiraServiço de Neurorradiologia, Hospital Pedro Hispano, Matosinhos.In this article we reviewed some examples of our experience in clinical applications of functional MRI (fMRI) in the motor and verbal fluency tasks evaluation. Seventeen patients with supratentorial cerebral pathology (5 arteriovenous malformations--AVMs, 2 meningiomas, 1 tuberculoma, 1 cortical tuberoma, 1 DNET, 2 cerebral metastases, 3 gliomas and 2 patients with mesial temporal sclerosis and medically intractable epilepsy--lateralization of language) and three healthy subjects were studied on a 1.5 T system (Signa GE) using a blood oxygen level-dependent (BOLD)--sensitive multi-slice EPI technique. Different paradigms for localization of the motor (hand/foot) and verbal fluency sensorimotor cortex were tested and selected for each pathology. In healthy subjects motor activation elicited BOLD signal changes in the sensorimotor cortex, permitting identification of primary motor and sensory cortical areas and focal activation of different cortical areas by a verbal fluency task. Twelve motor studies were performed and in 6 RMF results demonstrated the localization of motor hand areas near the lesion, and in nine studies of verbal fluency 6 activation were adjacent to the lesion. The studies were performed prior to neurosurgical procedures, contributed to therapeutical decisions and proved to be a valuable non invasive method of cortical mapping for preoperative planning.https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1175
spellingShingle Ana M Reis
Susana Pereira
Lino Mascarenhas
Artur R Vaz
Jorge Resende Pereira
Aplicação clínica da RM funcional. Avaliação de funções motoras e fluência verbal.
Acta Médica Portuguesa
title Aplicação clínica da RM funcional. Avaliação de funções motoras e fluência verbal.
title_full Aplicação clínica da RM funcional. Avaliação de funções motoras e fluência verbal.
title_fullStr Aplicação clínica da RM funcional. Avaliação de funções motoras e fluência verbal.
title_full_unstemmed Aplicação clínica da RM funcional. Avaliação de funções motoras e fluência verbal.
title_short Aplicação clínica da RM funcional. Avaliação de funções motoras e fluência verbal.
title_sort aplicacao clinica da rm funcional avaliacao de funcoes motoras e fluencia verbal
url https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1175
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AT linomascarenhas aplicacaoclinicadarmfuncionalavaliacaodefuncoesmotorasefluenciaverbal
AT arturrvaz aplicacaoclinicadarmfuncionalavaliacaodefuncoesmotorasefluenciaverbal
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