1 SUPPLEMENTARY MATERIALS 2 3 The Movement Time Analyser task investigated with functional Near InfraRed Spectroscopy: 4 an ecologic approach for measuring hemodynamic response in the motor system 5 6 Roberta Vasta1*, Antonio Cerasa1§*, Vera Gramigna1, Antonio Augimeri1, Giuseppe Olivadese1, 7 Giovanni Pellegrino3, Iolanda Martino1, Alexis Machado3, Zhengchen Cai3; Manuela Caracciolo1, 8 Christophe Grova3,4,5, Aldo Quattrone1,2. 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 1 1 Probabilistic Model of Photon Migration through the Head and Sensitivity Analysis 2 In performing an fNIRS analysis, the projection of the probes geometry on the cortical surface 3 should be evaluated to determine if it is successfully targeting the desired brain regions. Moreover it is 4 necessary to model the photon migration through the head using a probabilistic approach. Indeed, this 5 allows evaluating whether the area of interest is sufficiently reached by photons and which of the 6 channels are more sensitive to the target region. Based on a realistic model of light propagation in 7 biological tissues (Monte Carlos simulations) [1s], we computed brain sensitivity profile for each 8 possible 9 [http://mcx.sourceforge.net/cgi-bin/index.cgi], Monte Carlo simulation software for time-resolved 10 source/detector pair. We used Monte Carlo eXtreme, or MCX photon transport, to define a probabilistic path of photons through the head. 11 The investigation of photons spatial distribution in the head tissues, the so-called banana shape, 12 is very important in brain function measurement, since it allows measuring the effective optical path 13 length of the detected signal or the effect of optical fiber configuration on the target regions or its 14 sensitivity [2s]. A specific quantity of emitted photons can travel through the head within the tissues 15 following a diffusive process, reaches the subcortical regions to a depth of 2-3 cm, and then is 16 backscattered to the scalp and eventually to the detectors [3s]. Since in human tissue photon scattering 17 is higher than photon absorption, and assuming that any light intensity variation occurs on a time-scale 18 much greater than the mean transit time of light, photon propagation can be modeled using a time- 19 independent diffusion equation, solved through a Monte Carlo approach [1s]. This method simulates 20 photon transport and migration in tissues, taking into account the specific anatomy of each patient. 21 Indeed it requires a realistic multilayered head model (scalp, skull, CSF, gray matter (GM) and white 22 matter (WM)), built from the anatomical magnetic resonance imaging (MRI) of the subject. Details 23 about the Monte Carlo code can be found in Boas et al [1s]. 24 Absorption and scattering coefficient values at 695 nm and 830 nm, associated with each tissue 25 type constituting the segmented anatomical head model, were available from literature [4s] and showed 26 in Table 1. Tissue anisotropy coefficient equal to 0.9 and refractive indices of air and tissue, set to 1.0 2 1 and 1.37 respectively, were used in Monte Carlo simulation. To decrease the computational burden, we 2 used the MC method, implemented in the Monte Carlo eXtreme software by Fang and Boas [5s]. 3 4 Tissues 690 nm 830 nm Scalp 0.0159/10 0.0191/8.25 Skull 0.0101/12.5 0.0136/10.75 CF (Cerebrospinal Fluid) 0.0004/0.125 0.0026/0.125 GM (Gray Matter) 0.0178/15.625 0.0186/13.875 WM (White Matter) 0.0178/15.625 0.0186/13.875 5 6 Table S1 Monte Carlo simulations parameters: absorption/scattering coefficients (mm-1). 7 8 9 The sensitivity profiles for each possible pair and for both wavelengths were evaluated. A slice 10 of sensitivity profile at 830 nm for two specific source/detector measurements ( (A) Channel 7 on the 11 primary motor cortex and (B) Channel 16 on the supplementary motor area) was depicted in Figure S1. 12 The superimposition of sensitivity matrix on one subject-specific anatomical MRI, indicating probe 13 location for the corresponding channels was showed (Figure S1 C-D). Moreover, Monte Carlo 14 simulation on MNI152 standard-space T1-weighted template (1mm) was performed in order to 15 evaluate sensitivity profile on a head atlas for channels covering (E) the primary motor cortex and (F) 16 the supplementary motor area (Figure S1). The visual comparison between sensitivity analysis 17 performed on the Atlas and that performed on a single subject showed similar good performance. 18 The results confirmed that our probe spatial configuration was suitable to the target region 19 and the experimental protocol. In particular, primary motor area and supplementary motor cortex are 20 highly sensitive to light propagation, allowing the subcortical regions at a depth of around 2 cm to be 3 1 achieved by a significant quantity of photons. 2 3 4 5 6 7 8 9 10 11 Fig. S1 Sensitivity matrix coefficients visualization of two source/detector pairs, corresponding to Channel 7 (A) on the primary motor cortex and Channel 16 (B) on the supplementary motor area, determined by the propagation of light emanated from a source [P1] and recorded by a detector [P2]. (C) and (D) represent the corresponding probe position on the anatomical MRI, overlaid on sensitivity profile. (E) and (F) represent sensitivity profiles performed on the MNI152 standard-space T1weighted template (1mm) for channels covering the primary motor cortex and the supplementary motor area, respectively. 12 13 Further studies need to be performed in order to assess the effect of cerebral cortex folding 14 geometry and on source-detector separation (LSD) on light propagation. Recently, simulation studies 15 based on head models containing a cerebrospinal fluid (CSF) layer have demonstrated that light 16 propagation is highly affected by the presence of CSF. Because the cerebral surface is folded as gyri and 17 sulci filling with CSF, it is probable that the cerebral cortex folding geometry is also important for light 18 propagation in the head. Possibly, the gyri and sulci might change the shape of spatial sensitivity 4 1 profiles. 2 In Li et al. [6s], spatial sensitivity profile turned out to seem like a fat tropical fish with strong 3 distortion along the folding cerebral surface. For this reason, spatial sensitivity distribution on the brain 4 region sampled by fNIRS at varied LSD was analyzed. These results indicate that the cerebral cortex 5 folding geometry actually has substantial effects on light propagation, which should be necessarily 6 considered for applications of functional near-infrared spectroscopy. Other two investigations have 7 been concerned with the effect of cerebral cortex folding geometry on light propagation. Okada et al. 8 [7s] used a layered slab, with slots to imitate the sulci, and found little effect of the sulci on the spatial 9 sensitivity profile for 3- or 4-cm LSD. In the other study, using a two-dimensional (2-D) head model 10 based on a single magnetic resonance imaging (MRI) scan, Fukui et al. [8s] showed that the spatial 11 sensitivity profile formed like a banana, but distorted around the structure of cerebral surface, with 12 LSD of 2–5 cm. 13 14 15 16 17 18 19 20 21 22 23 24 25 26 5 1 MTA task-related reproducibility 2 For evaluating the reproducibility of our data we performed two different MTA tasks in the 3 same subject in two different sessions. Comparing the grand average of fNIRS patterns similar and 4 consistent behaviors were detected (Figure S2). Both figures showed the concentration of oxy-Hb (red), 5 deoxy-Hb (blue) and total-Hb (green) for channel 4 covering the primary motor cortex during the two 6 right-hand MTA task sessions. 7 8 9 10 11 12 13 14 15 16 17 Fig. S2: Grand average of changes in oxy-Hb (red), deoxy-Hb (blue) and total-Hb (green) concentration during (right-hand) MTA task, performed by the same subject in two different sessions. For channel 4, corresponding to primary motor area, the x-axis denotes task duration (0s ÷ 60s) and the y-axis represents activation range ((-6÷6)*10-5 [mol/L]). 18 19 20 21 22 6 1 MTA task-related hemodynamic response 2 For display purpose, a typical MTA task-related hemodynamic response (Channel 4) for three 3 different subjects was reported (Figure S3). We generally found a rapid increase of oxy-Hb 4 concentration after starting (around 15 s), which decreases after 30 s (15s ÷ 45s) to the baseline value 5 until the end of task. 6 7 8 7 1 2 3 Fig. S3 Grand average of changes in oxy-Hb concentration during right-hand MTA task for three different subjects, in the channel corresponding to the primary motor cortex (channel 4). The x-axis denotes task duration (0s ÷ 60s) and the y-axis represents activation range ([mol/L]). 8 Whole-brain fMRI analysis results: In order to investigate the involvement of subcortical regions engaged in the primary motor network, which are not identifiable by fNRIS technology, we performed a whole-brain fMRI analysis during MTA. As it can be seen in Figure S4, whole-brain group analysis confirmed the involvement of the contralateral motor and premotor regions together with cerebello-striatal activation for both the execution sides. Fig. S4 Results of whole-brain fMRI t-test of A) right and B) left MTA task (p<0.05, FWE correction for multiple comparisons), showed the involvement of contralateral motor and premotor regions together. The color bar represents T-statistics 9 Additional References [1s] Boas D, Culver J, Stott J, Dunn A. Three dimensional Monte Carlo code for photon migration through complex heterogeneous media including the adult human head. Opt Express. 2002;10:159– 170. [2s] Mansouri C, L’Huillier JP, Kashou NH, Humeau A (2010) Depth sensitivity analysis of functional near-infrared spectroscopy measurement using three-dimensional Monte Carlo modelling-based magnetic resonance imaging, Lasers in Medical Science, Volume 25, Number 3, Page 431. [3s] McCormick PW, Stewart M, Lewis G, Dujovny M, Ausman JI (1992) Intracerebral penetration of infrared light. Technical note. J Neurosurg 76(2):315-8. [4s] Strangman G, Franceschini MA, Boas DA (2003) Factors affecting the accuracy of near-infrared spectroscopy concentration calculations for focal changes in oxygenation parameters. NeuroImage Volume 18, Issue 4, , Pages 865-879. [5s] Fang Q and Boas DA (2009) Monte Carlo Simulation of Photon Migration in 3D Turbid Media Accelerated by Graphics Processing Units. 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