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B F van der Kallen

Publications and source records attributed to B F van der Kallen.

3 recordsLinked to original sources

Hemispheric language dominance studied with functional MR: preliminary study in healthy volunteers and patients with epilepsy.

PURPOSE: We used functional MR imaging to compare hemispheric language dominance in healthy volunteers and in patients with epilepsy. METHODS: We retrospectively reviewed the functional MR images of 23 healthy volunteers and 16 patients with epilepsy obtained by using an echo-planar technique designed for whole-brain imaging. The activation paradigm used was a silent word generation task. Hemispheric language dominance was assessed as the percentage of activated pixels in the left hemisphere minus the percentage of activated pixels in the right hemisphere x 100. RESULTS: We found no significant difference in language lateralization between right-handed male and right-handed female volunteers. However, a statistically significant difference in language distribution was found between left- and right-handed female volunteers. The left-handed female volunteers showed a more bilateral hemispheric language lateralization. Language lateralization in right-handed male epilepsy patients with early age at seizure onset and seizure locus in the left temporal lobe was not significantly different from that of healthy right-handed male volunteers. Similarly, we found no difference in language lateralization between right-handed female volunteers and right-handed female epilepsy patients with late age at seizure onset and seizures in the left temporal lobe. CONCLUSION: Handedness has a significant influence on hemispheric language dominance in healthy volunteers. Sex has no influence on hemispheric language dominance, regardless of the task used to assess such dominance, nor does age at seizure onset influence language lateralization in patients with left temporal lobe epilepsy. Therefore, hemispheric language dominance can be assessed and compared effectively with functional MR imaging.

Adolescent↗

[Functional MRI: imaging of motor cortex function].

OBJECTIVE: To image the motor cortex with functional MRI (fMRI), and locate the activated area with the proportional grid of Talairach. DESIGN: Descriptive. SETTING: St. Radboud Academic Hospital Nijmegen. METHODS: In ten volunteers functional images of the motor cortex were made during execution of a motor task (finger movements). From the functional images the positions of activated areas were calculated using the 3D Talairach grid system. RESULTS: fMRI of the motor cortex was possible using a 1.5 T MRI scanner. Task activation of the motor cortex gave a signal increase in Brodmann's area 4, the precentral gyrus. CONCLUSION: Imaging of the active motor cortex with fMRI is feasible. The use of the 3D Talairach proportional grid system for the calculation of the position of an activated area in the motor cortex is possible with adequate accuracy.

Adult↗

Activation of the sensorimotor cortex at 1.0 T: comparison of echo-planar and gradient-echo imaging.

PURPOSE: The increasing demand for the clinical application of functional MR imaging raises the question of whether this technique can be routinely performed on 1.0-T MR scanners. To this end, we assessed the feasibility of functional MR imaging at 1.0 T. METHODS: Healthy volunteers were scanned during the performance of a motor task. Functional data were acquired with echo-planar imaging (EPI) and with gradient-echo (GRE) and dual-echo GRE sequences. The signal intensity variations of the EPI and GRE sequences were compared, and the influence of inflow and blood oxygen level-dependent (BOLD) effects on the signal variations was assessed with the dual-echo GRE sequences. RESULTS: In 11 of the 12 subjects we found activation in the primary motor cortex with both the GRE and EPI sequences. Active voxels had a significantly higher mean percentage of signal changes with the EPI sequence than with the GRE sequence (EPI: 1% to 6.1%, mean 2.4%; GRE: 1% to 4.5%, mean 1.9%). The EPI sequence was less sensitive to motion artifacts and enabled imaging of a larger brain volume in a shorter time. With a dual-echo sequence we found an increasing contribution of inflow effect with an increasing percentage of signal changes. CONCLUSION: Functional MR imaging of the sensorimotor cortex can be routinely performed at 1.0 T.

Adult↗