MGH Martinos Center for Biomedical Imaging 2016 | Page 17

The Human Connectome MRI scanner offers the angular resolution needed to disentangle the complex crossing neuronal fibers in the brain , particularly within the brainstem
focus on clinical applications

Newly Uncovered Neuronal Pathways May Help In Treating Epilepsy

The study used the Human Connectome MRI scanner at the Martinos Center , the only one of its kind at the time of the research
The MGH Martinos Center ’ s Brian Edlow and colleagues have found evidence of previously unidentified connections between regions of the brain . The findings , reported in the journal Brain Connectivity in March 2016 , could help to advance care for patients at risk for a range of homeostatic disorders .
In the study , the researchers mapped the neuronal pathways between regions of the brain known to play a role in homeostasis — in addition to mediating adaptations to stress , these pathways are implicated in diseases such as epilepsy and sudden infant death syndrome ( SIDS ).
They achieved this , said Edlow , Director of the MGH Laboratory for NeuroImaging of Coma and Consciousness and an affiliated faculty member in the Martinos Center , by performing diffusion spectrum imaging tractography in six healthy subjects using the Human Connectome MRI scanner at the Center . The only one of its kind in the world at the time of the study , the scanner offers the angular resolution needed to disentangle the complex crossing neuronal fibers in the brain , particularly within the human brainstem .
The findings provided the initial evidence in the human brain for connectivity between homeostatic

The Human Connectome MRI scanner offers the angular resolution needed to disentangle the complex crossing neuronal fibers in the brain , particularly within the brainstem

sites in the caudal brainstem and the forebrain , and furthermore supported the idea that these interconnected nodes form what the researchers call an integrated central homeostatic network ( CHN ). Better understandings of CHN connectivity in healthy subjects ultimately could facilitate improved care for patients with abnormal connectivity .
Edlow emphasized that the findings still need to be validated using other tract-tracing techniques in postmortem human brain tissue . If they are , though , they could provide a number of opportunities to improve care for patients with homeostatic disorders . For example , by mapping the potentially abnormal connections between the hippocampus and the brainstem in patients with temporal lobe epilepsy , clinicians may be able to identify patients at risk of Sudden Unexplained Death in Epilepsy ( SUDEP ) and even come up with personalized treatments to help prevent sudden death .
Another potential application : preventing Sudden Infant Death Syndrome . The laboratory of Hannah C . Kinney , a Boston Children ’ s Hospital researcher and the senior author of the Brain Connectivity study , has shown that there may be structural abnormalities in the hippocampus associated with increased risk of sudden death . “ If we can identify these types of abnormalities in the nodes and / or connections of the CHN soon after birth ,” Edlow said , “ we can potentially develop new therapeutic strategies to prevent SIDS .”
The study also included co-first author Jennifer McNab and collaborating author Thomas Witzel , both of the Martinos Center , who performed acquisition , processing and analysis of the data .