PMID- 25964753 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20150512 LR - 20220317 IS - 1662-5161 (Print) IS - 1662-5161 (Electronic) IS - 1662-5161 (Linking) VI - 9 DP - 2015 TI - DTI measures track and predict motor function outcomes in stroke rehabilitation utilizing BCI technology. PG - 195 LID - 10.3389/fnhum.2015.00195 [doi] LID - 195 AB - Tracking and predicting motor outcomes is important in determining effective stroke rehabilitation strategies. Diffusion tensor imaging (DTI) allows for evaluation of the underlying structural integrity of brain white matter tracts and may serve as a potential biomarker for tracking and predicting motor recovery. In this study, we examined the longitudinal relationship between DTI measures of the posterior limb of the internal capsule (PLIC) and upper-limb motor outcomes in 13 stroke patients (median 20-month post-stroke) who completed up to 15 sessions of intervention using brain-computer interface (BCI) technology. Patients' upper-limb motor outcomes and PLIC DTI measures including fractional anisotropy (FA), axial diffusivity (AD), radial diffusivity (RD), and mean diffusivity (MD) were assessed longitudinally at four time points: pre-, mid-, immediately post- and 1-month-post intervention. DTI measures and ratios of each DTI measure comparing the ipsilesional and contralesional PLIC were correlated with patients' motor outcomes to examine the relationship between structural integrity of the PLIC and patients' motor recovery. We found that lower diffusivity and higher FA values of the ipsilesional PLIC were significantly correlated with better upper-limb motor function. Baseline DTI ratios were significantly correlated with motor outcomes measured immediately post and 1-month-post BCI interventions. A few patients achieved improvements in motor recovery meeting the minimum clinically important difference (MCID). These findings suggest that upper-limb motor recovery in stroke patients receiving BCI interventions relates to the microstructural status of the PLIC. Lower diffusivity and higher FA measures of the ipsilesional PLIC contribute toward better motor recovery in the stroke-affected upper-limb. DTI-derived measures may be a clinically useful biomarker in tracking and predicting motor recovery in stroke patients receiving BCI interventions. FAU - Song, Jie AU - Song J AD - Department of Biomedical Engineering, University of Wisconsin-Madison, Madison, WI USA ; Department of Radiology, University of Wisconsin-Madison, Madison, WI USA. FAU - Nair, Veena A AU - Nair VA AD - Department of Radiology, University of Wisconsin-Madison, Madison, WI USA. FAU - Young, Brittany M AU - Young BM AD - Department of Radiology, University of Wisconsin-Madison, Madison, WI USA ; Neuroscience Training Program, University of Wisconsin-Madison, Madison, WI USA ; Medical Scientist Training Program, University of Wisconsin-Madison, Madison, WI USA. FAU - Walton, Leo M AU - Walton LM AD - Department of Biomedical Engineering, University of Wisconsin-Madison, Madison, WI USA ; Neuroscience Training Program, University of Wisconsin-Madison, Madison, WI USA. FAU - Nigogosyan, Zack AU - Nigogosyan Z AD - Department of Radiology, University of Wisconsin-Madison, Madison, WI USA. FAU - Remsik, Alexander AU - Remsik A AD - Department of Radiology, University of Wisconsin-Madison, Madison, WI USA. FAU - Tyler, Mitchell E AU - Tyler ME AD - Department of Biomedical Engineering, University of Wisconsin-Madison, Madison, WI USA ; Department of Orthopedics and Rehabilitation, University of Wisconsin-Madison, Madison, WI USA. FAU - Farrar-Edwards, Dorothy AU - Farrar-Edwards D AD - Departments of Kinesiology, University of Wisconsin-Madison, Madison, WI USA ; Departments of Medicine, University of Wisconsin-Madison, Madison, WI USA ; Department of Neurology, University of Wisconsin-Madison, Madison, WI USA. FAU - Caldera, Kristin E AU - Caldera KE AD - Department of Orthopedics and Rehabilitation, University of Wisconsin-Madison, Madison, WI USA. FAU - Sattin, Justin A AU - Sattin JA AD - Department of Neurology, University of Wisconsin-Madison, Madison, WI USA. FAU - Williams, Justin C AU - Williams JC AD - Department of Biomedical Engineering, University of Wisconsin-Madison, Madison, WI USA ; Neuroscience Training Program, University of Wisconsin-Madison, Madison, WI USA ; Department of Neurosurgery, University of Wisconsin-Madison, Madison, WI USA. FAU - Prabhakaran, Vivek AU - Prabhakaran V AD - Department of Biomedical Engineering, University of Wisconsin-Madison, Madison, WI USA ; Department of Radiology, University of Wisconsin-Madison, Madison, WI USA ; Neuroscience Training Program, University of Wisconsin-Madison, Madison, WI USA ; Medical Scientist Training Program, University of Wisconsin-Madison, Madison, WI USA ; Department of Neurology, University of Wisconsin-Madison, Madison, WI USA ; Department of Psychiatry, University of Wisconsin-Madison, Madison, WI USA ; Department of Psychology, University of Wisconsin-Madison, Madison, WI USA. LA - eng GR - RC1 MH090912/MH/NIMH NIH HHS/United States GR - UL1 TR000427/TR/NCATS NIH HHS/United States GR - T32 GM008692/GM/NIGMS NIH HHS/United States GR - TL1 TR000429/TR/NCATS NIH HHS/United States GR - K23 NS086852/NS/NINDS NIH HHS/United States GR - T32 EB011434/EB/NIBIB NIH HHS/United States GR - P50 AG033514/AG/NIA NIH HHS/United States PT - Journal Article DEP - 20150427 PL - Switzerland TA - Front Hum Neurosci JT - Frontiers in human neuroscience JID - 101477954 PMC - PMC4410488 OTO - NOTNLM OT - DTI OT - axial diffusivity OT - brain-computer interface OT - fractional anisotropy OT - mean diffusivity OT - motor recovery OT - radial diffusivity OT - stroke rehabilitation EDAT- 2015/05/13 06:00 MHDA- 2015/05/13 06:01 PMCR- 2015/01/01 CRDT- 2015/05/13 06:00 PHST- 2015/01/06 00:00 [received] PHST- 2015/03/24 00:00 [accepted] PHST- 2015/05/13 06:00 [entrez] PHST- 2015/05/13 06:00 [pubmed] PHST- 2015/05/13 06:01 [medline] PHST- 2015/01/01 00:00 [pmc-release] AID - 10.3389/fnhum.2015.00195 [doi] PST - epublish SO - Front Hum Neurosci. 2015 Apr 27;9:195. doi: 10.3389/fnhum.2015.00195. eCollection 2015.