Lukas A. Grajauskas1,2,3, Tory Frizzell2,4, Sujoy Hajra2,4, Caressa Liu2,4, Xiaowei Song2,3, and Ryan C.N. D'Arcy4,5
1Cumming School of Medicine, University of Calgary, Calgary, AB, Canada, 2Surrey Memorial Hospital ImageTech Laboratory, Fraser Health, Surrey, BC, Canada, 3Biomedical Physiology and Kinesiology, Simon Fraser University, Burnaby, BC, Canada, 4Faculty of Applied Sciences, Simon Fraser University, Burnaby, BC, Canada, 5Djavad Mowafaghian Centre for Brain Health, University of British Columbia, Vancouver, BC, Canada
Synopsis
Though
white matter has a noted role in motor learning, there have been no MRI studies
of functional neuroplasticity in this tissue. Therefore, in this work, twelve
healthy participants underwent a motor training program designed to drive behavioral
changes in the non-dominant hand. Using BOLD fMRI, we noted an associated
change in the temporal dispersion of the white matter hemodynamic response over
the training period. This is in line with previous DTI studies that show increases
in white matter myelination with training, and BOLD investigations that show
hemodynamic responses differ between grey and white matter, and between white
matter tracts.
INTRODUCTION
White
matter has a noted role in motor learning, with histological studies showing
that when the formation of new myelin is blocked, mice cannot learn new skills
(1). These
investigations have been extended to human models as well, with numerous
longitudinal diffusion tensor imaging studies showing that white matter tracts
are modified by motor training (2,3,4). Despite this, there have been no
studies investigating functional neuroplasticity in white matter. This is
partially due to a lack of established MRI methods for investigating white
matter function, however, the application of BOLD fMRI to white matter is
becoming increasingly accepted. Though activation in this tissue is lower
amplitude, high-field scanners are increasingly able to detect it, and
modifications of analysis techniques are helping reduce the bias towards the
detection of only gray matter activation (5). Crucially, it has been noted that
the hemodynamic responses of white matter differ from gray matter (6), and even
differ between white matter tracts (7). Noting this, our investigation set out
to drive motor learning in our participants, and utilized BOLD fMRI to
investigate the patterns of activation in white matter, as well as their
amplitude and temporal changes associated with motor learning. METHODS
Twelve
(12) healthy, right handed participants (male:female=5:7) completed a fine
motor and a gross motor task with both hands during a series of three MRI
scans, each separated by a week of training. Participants were randomized into
either a fine motor or a gross motor training for the first week, which they completed
on their personal computer before returning for their midpoint scan, and then
switched into training for the other task.
The
training consisted of a fine motor “tracing” task, in which participants used a
computer mouse to guide a cursor through a trace presented on a screen in front
of them, attempting to maximize speed while minimizing errors. The gross motor task
consisted of the same visual cues, but instead participants “coloured” in the
background, reducing the need for fine motor control. The fine motor task was designed
to be more difficult for the non-dominant hand, allowing for a comparison
between the training effect with the dominant hand. This work focused
on the dominant/non-dominant hand contrast.
Functional
scans were completed using a Philips FFE single-shot
GRE-EPI sequence
on a 3T Ingenia CX scanner, and data were pre-processed using FSL. Analysis used a linear optimal basis set for the hemodynamic
response function (HRF) convolution generated in FLOBS, to better reflect WM
hemodynamics. Three bases were generated; an “HRF-like” curve, a “latency
derivative” that modelled the temporal lag of the HRF, and a “dispersion
derivative” that modelled differences in width of the HRF. The bases were
convolved with the stimulus time series to determine group differences of both
HRF amplitude and associated temporal characteristics (7). RESULTS
A
two-way repeated measures ANOVA and post-hoc t-tests confirmed that the
training effect between baseline and endpoint was confined to the left-hand
fine motor task (p<0.005). [XS1] In order to pursue this non-dominant/dominant hand comparison, a
baseline vs endpoint comparison revealed significant local maxima of activation
within the internal capsule (z>2.5 P = 0.05) in a lateralized manner,
depending on the hand used in the task (Figure 1). Further investigation of
activation changes between baseline and endpoint revealed no differences in the
amplitude or extent of the BOLD signal, but a significant change in HRF
dispersion was noted (z >2.5, P = 0.05, FWE corrected), only in the left-hand
fine motor condition, consistent with our behavioural findings (Figure 2).
DISCUSSION
In
line with previous findings, BOLD activation was detectable in the internal
capsule in a lateralized manner. Though activation could be expected to be
present throughout the corticospinal tract, this and previous reports only were
able to detect activation in the internal capsule. This may be the result of anisotropic
orientation of vasculature in the corticospinal tract selectively dampening
BOLD signal due to parallel orientation to the main magnetic field of the scanner
(8). Significant changes in the dispersion derivative of this activation were also
noted when comparing endpoint relative to baseline, representing a decrease in
the width of the HRF over the course of the training period. This was
consistent with the noted variance of white matter hemodynamic responses
between different areas, showing that changes over time are also possible. Overall,
the functional MRI results were consistent with prior diffusion tensor imaging
studies of neuroplasticity in white matter, which show structural changes in
white matter myelination. CONCLUSION
Though
there have been a number of studies investigation changes in white matter
structure with motor training, this is to our knowledge the first report of MRI
detectable functional neuroplasticity in white matter. It represents an
important step forward into a new field, as it shows functional changes in
white matter are present and helps guide future work by highlighting the
importance of including measures of temporal characteristics when investigating
hemodynamic responses within white matter.Acknowledgements
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