91
IRUS Total
Downloads

A decade of imaging surgeons' brain function (Part I): terminology, techniques and clinical translation

File Description SizeFormat 
MANUSCRIPT_Surgery_Part_I.docxAccepted version91.02 kBMicrosoft WordView/Open
FIGURE 1_Surgery_Part_I.tifAccepted version3.1 MBTIFFView/Open
FIGURE 2_Surgery_Part_I.tifAccepted version1.82 MBTIFFView/Open
FIGURE 3_Surgery_Part_I.tifAccepted version2.19 MBTIFFView/Open
FIGURE 4_Surgery_Part_I.tifAccepted version3.66 MBTIFFView/Open
FIGURE 5_Surgery_Part_I.tifAccepted version679.51 kBTIFFView/Open
Title: A decade of imaging surgeons' brain function (Part I): terminology, techniques and clinical translation
Authors: Modi, HN
Singh, H
Yang, G
Darzi, A
Leff, D
Item Type: Journal Article
Abstract: Functional neuroimaging has the potential to deepen our understanding of technical and non-technical skill acquisition in surgeons, particularly as established assessment tools leave unanswered questions about inter-operator differences in ability that seem independent of experience. In this first of a two-part article, we aim to utilise our experience in neuroimaging surgeons to orientate the non-specialist reader to the principles of brain imaging. Terminology commonly used in brain imaging research is explained, placing emphasis on the “activation response” to a surgical task and its effect on local cortical haemodynamic parameters (neurovascular coupling). Skills learning and subsequent consolidation and refinement through practice lead to reorganisation of the functional architecture of the brain (known as “neuroplasticity”), evidenced by changes in the strength of regional activation as well as alterations in connectivity between brain regions, culminating in more efficient use of neural resources during task performance. Currently available neuroimaging techniques that either directly (i.e. measure electrical activity) or indirectly (i.e. measure tissue haemodynamics) assess brain function are discussed. Finally, we highlight the important practical considerations when conducting brain imaging research in surgeons.
Issue Date: 12-Aug-2017
Date of Acceptance: 8-Jun-2017
URI: http://hdl.handle.net/10044/1/49058
DOI: 10.1016/j.surg.2017.05.021
ISSN: 1532-7361
Publisher: Elsevier
Start Page: 1121
End Page: 1130
Journal / Book Title: Surgery
Volume: 162
Issue: 5
Copyright Statement: © 2017, Elsevier. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/
Sponsor/Funder: Imperial College Healthcare NHS Trust- BRC Funding
Imperial College Healthcare NHS Trust- BRC Funding
Engineering & Physical Science Research Council (EPSRC)
National Institute of Health Research
Funder's Grant Number: RDB04 79560
RD207
EP/L014149/1
Keywords: Science & Technology
Life Sciences & Biomedicine
Surgery
BIMANUAL COORDINATION TASK
ROBOT-ASSISTED SURGERY
MOTOR
ACTIVATION
CORTEX
ACQUISITION
PERFORMANCE
SKILLS
TERM
REORGANIZATION
Brain
Cerebrovascular Circulation
Clinical Competence
Cognition
Hemodynamics
Humans
Learning
Mental Processes
Neuroimaging
Neuronal Plasticity
Neurons
Surgeons
Surgical Procedures, Operative
Task Performance and Analysis
Terminology as Topic
Brain
Neurons
Humans
Surgical Procedures, Operative
Mental Processes
Cognition
Learning
Task Performance and Analysis
Cerebrovascular Circulation
Neuronal Plasticity
Clinical Competence
Hemodynamics
Terminology as Topic
Neuroimaging
Surgeons
Surgery
1103 Clinical Sciences
Publication Status: Published
Appears in Collections:Department of Surgery and Cancer
Faculty of Medicine
Institute of Global Health Innovation
Faculty of Engineering