PMID- 18504738 OWN - NLM STAT- MEDLINE DCOM- 20080919 LR - 20080602 IS - 1053-1807 (Print) IS - 1053-1807 (Linking) VI - 27 IP - 6 DP - 2008 Jun TI - Differential interictal activity of the precuneus/posterior cingulate cortex revealed by resting state functional MRI at 3T in generalized vs. partial seizure. PG - 1214-20 LID - 10.1002/jmri.21370 [doi] AB - PURPOSE: To characterize, using functional MRI (fMRI), the pattern of active brain regions in the resting state in patients with epilepsy. MATERIALS AND METHODS: We studied 28 patients with epilepsy, divided into a partial seizure (PS; N = 9) and a generalized seizure group (GS; N = 19), and 34 control subjects. Resting state fMRI was performed using a GE 3T scanner by collecting 200 volumes of echo-planar imaging (EPI) images with subjects relaxed, eyes closed. Data were processed using a modification of the method of Fransson (Hum Brain Mapp 2005;26:15-29), which reveals information on regional low-frequency Blood Oxygenation Level Dependent (BOLD) signal oscillations in the resting state without any a priori hypothesis. The significant active areas in brain were identified with both individual and group analysis. RESULTS: Controls showed active regions in the precuneus/posterior cingulate cortex (PCC) and medial prefrontal cortex (MPFC)/ventral anterior cingulate cortex (vACC), theregions associated with the brain "default mode." Similar active regions were observed in PS, whereas GS showed no significant activation of precuneus/PCC. CONCLUSION: In GS, the lack of activation in precuneus/PCC may partly account for their more severe interictal deficits, compared to PS, in cognitive functions such as concentration and memory. CI - 2008 Wiley-Liss, Inc FAU - Lui, Su AU - Lui S AD - Huaxi MR Research Center, Department of Radiology, West China Hospital of Sichuan University, West China School of Medicine, Chengdu, China. FAU - Ouyang, Luo AU - Ouyang L FAU - Chen, Qin AU - Chen Q FAU - Huang, Xiaoqi AU - Huang X FAU - Tang, Hehan AU - Tang H FAU - Chen, Huafu AU - Chen H FAU - Zhou, Dong AU - Zhou D FAU - Kemp, Graham J AU - Kemp GJ FAU - Gong, Qiyong AU - Gong Q LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - J Magn Reson Imaging JT - Journal of magnetic resonance imaging : JMRI JID - 9105850 SB - IM MH - Adolescent MH - Adult MH - Brain/*physiopathology MH - Brain Mapping/methods MH - Diagnosis, Differential MH - Echo-Planar Imaging/instrumentation/*methods MH - Electroencephalography/methods MH - Epilepsies, Partial/*diagnosis/*physiopathology MH - Epilepsy, Generalized/*diagnosis/*physiopathology MH - Female MH - Humans MH - Imaging, Three-Dimensional/methods MH - Magnetics MH - Male MH - Middle Aged MH - *Rest EDAT- 2008/05/28 09:00 MHDA- 2008/09/20 09:00 CRDT- 2008/05/28 09:00 PHST- 2008/05/28 09:00 [pubmed] PHST- 2008/09/20 09:00 [medline] PHST- 2008/05/28 09:00 [entrez] AID - 10.1002/jmri.21370 [doi] PST - ppublish SO - J Magn Reson Imaging. 2008 Jun;27(6):1214-20. doi: 10.1002/jmri.21370.