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PHYSIOLOGICAL IMAGING

FUNCTIONAL IMAGING - fMRI

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Pitfalls:

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Does not monitor the neural response but a

“

surrogate

”

hemodynamic

response

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Cannot distinguish essential hubs -> need for intraoperative monitoring

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Low localisation accuracy

•

Neurovascular uncoupling

(tumor infiltration zone, neovascularity)

with reduced fMRI signal in perilesional cortex

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More accurate for motor mapping than for speech

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Not giving any functional information about subcortical white matter

pathways

Finger Tapping

Semantic speech