{"title":"Mapping brain function with magnetic resonance imaging.","authors":"K Ugurbil","doi":"10.1111/j.1399-6576.1997.tb05523.x","DOIUrl":"https://doi.org/10.1111/j.1399-6576.1997.tb05523.x","url":null,"abstract":"Historically, the most compelling argument for the existence of regional specialization of human brain function was presented by Pierre Paul Broca in the middle 19th century. Broca examined a patient who, as a result of a stroke, presented with the problem of inability to speak or aphasia but was otherwise normal. Based on an autopsy performed subsequent to the patient's death, Broca concluded that the seat of the damage was an egg size lesion located in the inferior frontal gyrus of the frontal lobe in the left hemisphere; this general area is now commonly referred to as Broca's area although its precise topographical extent remains somewhat ambiguous. Such lesion studies and, later intraoperative mapping efforts with electrodes have been until now the primary source of our current understanding of functional compartmentation in the human brain. Recent techniques permit the acquisition of such information much more rapidly and with greater spatial accuracy, fueling explosive developments in our investigation of human brain function. For example, the language area first identified by Broca can now be visualized with unprecedented spatial resolution using functional magnetic resonance imaging (NRI) , in data collection times that last only a few minutes. The most significant and revolutionary advance in magnetic resonance imaging in the last several years has been the use of this methodology to non-invasively map areas of increased neuronal activity in the human brain without the use of exogenous contrast agents. Since its initial demonstration (e.g. [1-31), functional magnetic resonance imaging (NRI) has been applied to study a variety of neuronal processes, ranging from activities in the primary sensory and motor cortices to cognitive functions including attention, language, learning, and memory. The majority of NRI experiments are based on the blood oxygenation level dependent (BOLD) contrast [4] which is derived from the fact that deoxyhemoglobin is paramagnetic, and changes in the local concentration of deoxyhemoglobin within the brain lead to alterations in the magnetic resonance signal. In BOLD based NRI, there exists two related but different mechanism underlying the origin of the MRI signal changes coupled to the presence of deoxyhemoglobin; both of these arise because deoxyhemoglobin is compartmentalized within red blood cells in the blood and within blood vessels in the tissue. In the presence of the paramagnetic deoxyhemoglobin, the bulk susceptibility and consequently the magnetic field, of the compartment containing deoxyhemoglobin is different compared to the surrounding environment. Outside the boundaries of this compartment, the magnetic field gradually changes over distances comparable to dimensions of the compartment itself to assume the characteristic value associated with the surrounding environment. This leads to magnetic field gradients immediately outside the deoxyhemoglobin compartment. When these distances are small compa","PeriodicalId":75373,"journal":{"name":"Acta anaesthesiologica Scandinavica. Supplementum","volume":"110 ","pages":"113-5"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1399-6576.1997.tb05523.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20192821","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Memory for pain.","authors":"E Kalso","doi":"10.1111/j.1399-6576.1997.tb05530.x","DOIUrl":"https://doi.org/10.1111/j.1399-6576.1997.tb05530.x","url":null,"abstract":"How does memory handle previous experiences of pain? We asked this exciting question when we were analyzing the results of a study which was designed to examine the risk factors for the development of chronic pain in women treated surgically for breast cancer (1). The multifactorial Bayesian model indicated the intensity of the previous acute postoperative pain as remembered by the patient on top of the model. A prospective study was then designed to explore the relationship between acute and chronic pain and also to find out how the patient’s memory for the previous pain changes with time (2). The study revealed that patients will remember their past pains in a very different manner: the memory for the intensity of previous postoperative pain may diminish or it may increase. Which factors will determine which direction is taken by the memory?","PeriodicalId":75373,"journal":{"name":"Acta anaesthesiologica Scandinavica. Supplementum","volume":"110 ","pages":"129-30"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1399-6576.1997.tb05530.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20192828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Persistent pulmonary hypertension of the newborn.","authors":"R H Steinhorn","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75373,"journal":{"name":"Acta anaesthesiologica Scandinavica. Supplementum","volume":"111 ","pages":"135-40"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20348224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Malignant hyperthermia: state of the art.","authors":"W Mauritz, W Hackl, M Winkler","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75373,"journal":{"name":"Acta anaesthesiologica Scandinavica. Supplementum","volume":"111 ","pages":"310-2"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20348611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}