Lateralization of functional magnetic resonance imaging (fMRI) activation in the auditory pathway of patients with lateralized tinnitus

Tinnitus is hypothesized to be an auditory phantom phenomenon resulting from spontaneous neuronal activity somewhere along the auditory pathway. We performed fMRI of the entire auditory pathway, including the inferior colliculus (IC), the medial geniculate body (MGB) and the auditory cortex (AC), in...

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Veröffentlicht in:Neuroradiology 2007-08, Vol.49 (8), p.669-679
Hauptverfasser: SMITS, Marion, KOVACS, Silvia, DE RIDDER, Dirk, PEETERS, Ronald R, VAN HECKE, Paul, SUNAERT, Stefan
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container_issue 8
container_start_page 669
container_title Neuroradiology
container_volume 49
creator SMITS, Marion
KOVACS, Silvia
DE RIDDER, Dirk
PEETERS, Ronald R
VAN HECKE, Paul
SUNAERT, Stefan
description Tinnitus is hypothesized to be an auditory phantom phenomenon resulting from spontaneous neuronal activity somewhere along the auditory pathway. We performed fMRI of the entire auditory pathway, including the inferior colliculus (IC), the medial geniculate body (MGB) and the auditory cortex (AC), in 42 patients with tinnitus and 10 healthy volunteers to assess lateralization of fMRI activation. Subjects were scanned on a 3T MRI scanner. A T2*-weighted EPI silent gap sequence was used during the stimulation paradigm, which consisted of a blocked design of 12 epochs in which music presented binaurally through headphones, which was switched on and off for periods of 50 s. Using SPM2 software, single subject and group statistical parametric maps were calculated. Lateralization of activation was assessed qualitatively and quantitatively. Tinnitus was lateralized in 35 patients (83%, 13 right-sided and 22 left-sided). Significant signal change (P(corrected) < 0.05) was found bilaterally in the primary and secondary AC, the IC and the MGB. Signal change was symmetrical in patients with bilateral tinnitus. In patients with lateralized tinnitus, fMRI activation was lateralized towards the side of perceived tinnitus in the primary AC and IC in patients with right-sided tinnitus, and in the MGB in patients with left-sided tinnitus. In healthy volunteers, activation in the primary AC was left-lateralized. Our paradigm adequately visualized the auditory pathways in tinnitus patients. In lateralized tinnitus fMRI activation was also lateralized, supporting the hypothesis that tinnitus is an auditory phantom phenomenon.
doi_str_mv 10.1007/s00234-007-0231-3
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subjects Activation analysis
Adult
Aged
Auditory pathways
Auditory Pathways - pathology
Auditory Pathways - physiopathology
Biological and medical sciences
Cortex (auditory)
Ear and associated structures. Auditory pathways and centers. Hearing. Vocal organ. Phonation. Sound production. Echolocation
Ears & hearing
Electrodiagnosis. Electric activity recording
Female
Functional Laterality
Functional magnetic resonance imaging
Fundamental and applied biological sciences. Psychology
Hearing
Humans
Hypothesis testing
Inferior colliculus
Investigative techniques, diagnostic techniques (general aspects)
Magnetic Resonance Imaging
Male
Medial geniculate body
Medical sciences
Middle Aged
Nervous system
Neuroimaging
Neurology
Neurons
NMR
Nuclear magnetic resonance
Radiodiagnosis. Nmr imagery. Nmr spectrometry
Signal transduction
Tinnitus
Tinnitus - pathology
Tinnitus - physiopathology
Vertebrates: nervous system and sense organs
title Lateralization of functional magnetic resonance imaging (fMRI) activation in the auditory pathway of patients with lateralized tinnitus
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