Daniela Balslev1, Graeme A. Keith2, Ross Hardaker3, Frances Crabbe3, and Alessio Fracasso3
1School of Psychology and Neuroscience, University of St. Andrews, St. Andrews, Scotland, 2Imaging Centre of Excellence, University of Glasgow, Glasgow, Scotland, 3School of Psychology and Neuroscience, University of Glasgow, Glasgow, Scotland
Synopsis
Keywords: fMRI Acquisition, High-Field MRI, Neuroscience
Motivation: The role of proprioception in controlling the movement of the eyes is currently unknown.
Goal(s): To investigate cortical and subcortical activity in response to a proprioceptive stimulation task.
Approach: 7T fMRI was used to measure BOLD signal in the whole cortex and the brainstem while volunteers performed a previously published proprioceptive task.
Results: BOLD response was measured in the spinal trigeminal nucleus and the central sulcus/postcentral gyrus, as well as the abducens nuclei, frontal eye fields, supplementary eye fields and the cerebellum.
Impact: A better
understanding of the role of proprioception in eye movement control, can open
up new avenues for research into the neural mechanisms underlying disorders of
eye position and movement like childhood strabismus.
Background
Stretch receptors within the
extraocular muscles convey information to the central nervous system about the
rotation of the eyes. While precise control of limb position critically relies
on proprioceptive feedback, a role for proprioception in controlling eye
movements remains uncertain.
To investigate whether the oculomotor network
in the human brain respond to proprioceptive feedback, we acquired blood oxygen
level dependent (BOLD) signal using ultra-high-field functional magnetic
resonance imaging (7T fMRI), with a sequence optimized to focus on subcortical
activation(1). Previous studies conducted at lower magnetic
field strength (3T) identified bilateral activity in the central sulcus (area
3A) and premotor cortex(2). An
unexpected finding was that the brainstem’s extraocular motor nuclei that move the
left eye responded to proprioceptive stimulation of the right eye’s extraocular
muscles(3). We aimed
to replicate those findings. Methods
Healthy adult volunteers (N=6) were asked to close their eyes and
place their right index finger on the outer corner of their right eyelid.
Following an auditory cue, they gently and briefly pushed the eyeball towards
the nose, passively stretching the right lateral rectus muscle. Control
conditions were designed to isolate motor and tactile task components. There
were four conditions. Active: active eye movement; Passive: brief press (< 1 second) at the right
corner of the right eye with their right index finger so that to gently move the eyeball. Touch: touch on the eyelid
with their index finger, without moving the eyeball and Rest. Trials of each
type were grouped in 25s blocks. Neural activity in response to
eye proprioception was identified using the conjunction (Active –
Rest) AND (Passive – Rest) masked exclusively
with (Touch – Rest). The threshold for the conjunction was p<0.05 FDR-corrected for multiple comparisons, whereas for the exclusive mask it was more liberal (p<0.05, uncorrected). This contrast ruled out the
confounding effects of finger movement or tactile stimulation on the eyelid. The task and the contrast were as described
previously for 3T(3).
All
imaging was acquired using a 7T MAGNETOM Terra MRI scanner (Siemens, Erlangen,
Germany) and single transmit, 32-channel receive radiofrequency head coil (Nova
Medical Inc., Wilmington, MA, USA) with local ethical approval. Dielectric pads were used to improve the B1+
homogeneity(4) with additional foam padding used to limit head movement. Functional
data were acquired using a multi-band 2D echo-planar interleaved imaging (EPI)
sequence(5) with left to right phase-encoding and the following imaging
parameters: 144 dynamics, resolution = 2 mm isotropic, 62 slices, field of view (FOV) = 192 x 192 x 124 mm,
repetition time (TR) = 2500 ms, echo time (TE) = 17 ms(1), flip angle = 72°, multiband acceleration = 2. A short 2D-EPI
scan (5 volumes) was acquired with the opposite phase encoding direction to correct
for nonlinear geometric distortions.
After standard preprocessing (slice timing, realignment,
distortion correction, normalisation to MNI space and smoothing with FWHM= 2mm),
data were analysed using a classic general linear model (3dDeconvolve in AFNI(6, 7)). Results and Discussion
The stretch of the right lateral
rectus muscle was associated with suprathreshold activity not only in the
somatosensory but also in the oculomotor network. In the brainstem we found a response
to proprioceptive stimulation in the left abducens nucleus and left trigeminal
nucleus which send motor commands and receive proprioception, respectively, to/from
the extraocular muscles of the left eye. This suggests a proprioceptive
interaction between the two eyes. We replicated the cortical activation
identified previously(2) and found additional foci in the
cerebellum and supplementary eye fields (Figure 1-2). Conclusion
This study replicates and extends
previous findings at 3T. It also demonstrates the feasibility of simultaneous
whole brain and brainstem 7T fMRI. By seeking to identify the neural
connections that support the proprioceptive coupling between the movement of the two eyes,
the causes of childhood strabismus, which are often unknown, can be
investigated. Acknowledgements
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