Magnetoencephalography
   HOME

TheInfoList



OR:

Magnetoencephalography (MEG) is a functional neuroimaging technique for mapping brain activity by recording
magnetic field A magnetic field is a vector field that describes the magnetic influence on moving electric charges, electric currents, and magnetic materials. A moving charge in a magnetic field experiences a force perpendicular to its own velocity and to ...
s produced by electrical currents occurring naturally in the
brain A brain is an organ (biology), organ that serves as the center of the nervous system in all vertebrate and most invertebrate animals. It is located in the head, usually close to the sensory organs for senses such as Visual perception, vision. I ...
, using very sensitive
magnetometer A magnetometer is a device that measures magnetic field or magnetic dipole moment. Different types of magnetometers measure the direction, strength, or relative change of a magnetic field at a particular location. A compass is one such device, ...
s. Arrays of
SQUID True squid are molluscs with an elongated soft body, large eyes, eight arms, and two tentacles in the superorder Decapodiformes, though many other molluscs within the broader Neocoleoidea are also called squid despite not strictly fittin ...
s (superconducting quantum interference devices) are currently the most common magnetometer, while the
SERF Serfdom was the status of many peasants under feudalism, specifically relating to manorialism, and similar systems. It was a condition of debt bondage and indentured servitude with similarities to and differences from slavery, which developed ...
(spin exchange relaxation-free) magnetometer is being investigated for future machines. Applications of MEG include basic research into perceptual and cognitive brain processes, localizing regions affected by pathology before surgical removal, determining the function of various parts of the brain, and
neurofeedback Neurofeedback (NFB), also called neurotherapy, is a type of biofeedback that presents real-time feedback from brain activity in order to reinforce healthy brain function through operant conditioning. Typically, electrical activity from the brain i ...
. This can be applied in a clinical setting to find locations of abnormalities as well as in an experimental setting to simply measure brain activity.


History

MEG signals were first measured by University of Illinois physicist David Cohen in 1968, before the availability of the
SQUID True squid are molluscs with an elongated soft body, large eyes, eight arms, and two tentacles in the superorder Decapodiformes, though many other molluscs within the broader Neocoleoidea are also called squid despite not strictly fittin ...
, using a copper induction coil as the detector. To reduce the magnetic background noise, the measurements were made in a magnetically shielded room. The coil detector was barely sensitive enough, resulting in poor, noisy MEG measurements that were difficult to use. Later, Cohen built a much better shielded room at MIT, and used one of the first SQUID detectors, just developed by James E. Zimmerman, a researcher at Ford Motor Company, to again measure MEG signals. This time the signals were almost as clear as those of EEG. This stimulated the interest of physicists who had been looking for uses of SQUIDs. Subsequent to this, various types of spontaneous and evoked MEGs began to be measured. At first, a single SQUID detector was used to successively measure the magnetic field at a number of points around the subject's head. This was cumbersome, and, in the 1980s, MEG manufacturers began to arrange multiple sensors into arrays to cover a larger area of the head. Present-day MEG arrays are set in a helmet-shaped vacuum flask that typically contain 300 sensors, covering most of the head. In this way, MEGs of a subject or patient can now be accumulated rapidly and efficiently. Recent developments attempt to increase portability of MEG scanners by using spin exchange relaxation-free (SERF) magnetometers. SERF magnetometers are relatively small, as they do not require bulky cooling systems to operate. At the same time, they feature sensitivity equivalent to that of SQUIDs. In 2012, it was demonstrated that MEG could work with a chip-scale atomic magnetometer (CSAM, type of SERF). More recently, in 2017, researchers built a working prototype that uses SERF magnetometers installed into portable individually 3D-printed helmets, which they noted in interviews could be replaced with something easier to use in future, such as a bike helmet.


The basis of the MEG signal

Synchronized neuronal currents induce weak magnetic fields. The brain's magnetic field, measuring at 10 femto tesla (fT) for cortical activity and 103 fT for the human alpha rhythm, is considerably smaller than the ambient magnetic noise in an urban environment, which is on the order of 108 fT or 0.1 μT. The essential problem of biomagnetism is, thus, the weakness of the signal relative to the sensitivity of the detectors, and to the competing environmental noise. The MEG (and EEG) signals derive from the net effect of ionic currents flowing in the
dendrite Dendrites (from Greek δένδρον ''déndron'', "tree"), also dendrons, are branched protoplasmic extensions of a nerve cell that propagate the electrochemical stimulation received from other neural cells to the cell body, or soma, of the ...
s of neurons during synaptic transmission. In accordance with
Maxwell's equations Maxwell's equations, or Maxwell–Heaviside equations, are a set of coupled partial differential equations that, together with the Lorentz force law, form the foundation of classical electromagnetism, classical optics, and electric circuits ...
, any electrical current will produce a magnetic field, and it is this field that is measured. The net currents can be thought of as current dipoles, i.e. currents with a position, orientation, and magnitude, but no spatial extent. According to the
right-hand rule In mathematics and physics, the right-hand rule is a common mnemonic for understanding orientation of axes in three-dimensional space. It is also a convenient method for quickly finding the direction of a cross-product of 2 vectors. Most of ...
, a current dipole gives rise to a magnetic field that points around the axis of its vector component. To generate a signal that is detectable, approximately 50,000 active neurons are needed. Since current dipoles must have similar orientations to generate magnetic fields that reinforce each other, it is often the layer of
pyramidal cell Pyramidal cells, or pyramidal neurons, are a type of multipolar neuron found in areas of the brain including the cerebral cortex, the hippocampus, and the amygdala. Pyramidal neurons are the primary excitation units of the mammalian prefrontal co ...
s, which are situated perpendicular to the cortical surface, that gives rise to measurable magnetic fields. Bundles of these neurons that are orientated tangentially to the scalp surface project measurable portions of their magnetic fields outside of the head, and these bundles are typically located in the sulci. Researchers are experimenting with various
signal processing Signal processing is an electrical engineering subfield that focuses on analyzing, modifying and synthesizing '' signals'', such as sound, images, and scientific measurements. Signal processing techniques are used to optimize transmissions, ...
methods in the search for methods that detect deep brain (i.e., non-cortical) signal, but no clinically useful method is currently available. It is worth noting that
action potentials An action potential occurs when the membrane potential of a specific cell location rapidly rises and falls. This depolarization then causes adjacent locations to similarly depolarize. Action potentials occur in several types of animal cells ...
do not usually produce an observable field, mainly because the currents associated with action potentials flow in opposite directions and the magnetic fields cancel out. However, action fields have been measured from peripheral nerve system.


Magnetic shielding

Since the magnetic signals emitted by the brain are on the order of a few femtoteslas, shielding from external magnetic signals, including the
Earth's magnetic field Earth's magnetic field, also known as the geomagnetic field, is the magnetic field that extends from Earth's interior out into space, where it interacts with the solar wind, a stream of charged particles emanating from the Sun. The magneti ...
, is necessary. Appropriate
magnetic shielding In electrical engineering, electromagnetic shielding is the practice of reducing or blocking the electromagnetic field (EMF) in a space with barriers made of conductive or magnetic materials. It is typically applied to enclosures, for isolatin ...
can be obtained by constructing rooms made of
aluminium Aluminium (aluminum in American and Canadian English) is a chemical element with the symbol Al and atomic number 13. Aluminium has a density lower than those of other common metals, at approximately one third that of steel. It ha ...
and
mu-metal Mu-metal is a nickel–iron soft ferromagnetic alloy with very high permeability, which is used for shielding sensitive electronic equipment against static or low-frequency magnetic fields. It has several compositions. One such composition i ...
for reducing high-frequency and low-frequency
noise Noise is unwanted sound considered unpleasant, loud or disruptive to hearing. From a physics standpoint, there is no distinction between noise and desired sound, as both are vibrations through a medium, such as air or water. The difference aris ...
, respectively.


Magnetically shielded room (MSR)

A magnetically shielded room (MSR) model consists of three nested main layers. Each of these layers is made of a pure aluminium layer plus a high-permeability
ferromagnetic Ferromagnetism is a property of certain materials (such as iron) which results in a large observed magnetic permeability, and in many cases a large magnetic coercivity allowing the material to form a permanent magnet. Ferromagnetic materials ...
layer, similar in composition to molybdenum
permalloy Permalloy is a nickel–iron magnetic alloy, with about 80% nickel and 20% iron content. Invented in 1914 by physicist Gustav Elmen at Bell Telephone Laboratories, it is notable for its very high magnetic permeability, which makes it useful as ...
. The ferromagnetic layer is supplied as 1 mm sheets, while the innermost layer is composed of four sheets in close contact, and the outer two layers are composed of three sheets each. Magnetic continuity is maintained by overlay strips. Insulating washers are used in the screw assemblies to ensure that each main layer is electrically isolated. This helps eliminate
radio frequency Radio frequency (RF) is the oscillation rate of an alternating electric current or voltage or of a magnetic, electric or electromagnetic field or mechanical system in the frequency range from around to around . This is roughly between the up ...
radiation, which would degrade SQUID performance. Electrical continuity of the aluminium is also maintained by aluminium overlay strips to ensure AC
eddy current Eddy currents (also called Foucault's currents) are loops of electrical current induced within conductors by a changing magnetic field in the conductor according to Faraday's law of induction or by the relative motion of a conductor in a magnet ...
shielding, which is important at frequencies greater than 1 Hz. The junctions of the inner layer are often electroplated with silver or gold to improve conductivity of the aluminium layers.


Active shielding system

Active systems are designed for three-dimensional noise cancellation. To implement an active system, low-noise fluxgate
magnetometer A magnetometer is a device that measures magnetic field or magnetic dipole moment. Different types of magnetometers measure the direction, strength, or relative change of a magnetic field at a particular location. A compass is one such device, ...
s are mounted at the center of each surface and oriented orthogonally to it. This negatively feeds a DC amplifier through a low-pass network with a slow falloff to minimize positive feedback and oscillation. Built into the system are shaking and degaussing wires. Shaking wires increase the magnetic permeability, while the permanent degaussing wires are applied to all surfaces of the inner main layer to degauss the surfaces. Moreover, noise cancellation algorithms can reduce both low-frequency and high-frequency noise. Modern systems have a noise floor of around 2–3 fT/Hz0.5 above 1 Hz.


Source localization


The inverse problem

The challenge posed by MEG is to determine the location of electric activity within the brain from the induced magnetic fields outside the head. Problems such as this, where model parameters (the location of the activity) have to be estimated from measured data (the SQUID signals) are referred to as ''inverse problems'' (in contrast to ''forward problems'' where the model parameters (e.g. source location) are known and the data (e.g. the field at a given distance) is to be estimated.) The primary difficulty is that the inverse problem does not have a unique solution (i.e., there are infinite possible "correct" answers), and the problem of defining the "best" solution is itself the subject of intensive research. Possible solutions can be derived using models involving prior knowledge of brain activity. The source models can be either over-determined or under-determined. An over-determined model may consist of a few point-like sources ("equivalent dipoles"), whose locations are then estimated from the data. Under-determined models may be used in cases where many different distributed areas are activated ("distributed source solutions"): there are infinitely many possible current distributions explaining the measurement results, but the most likely is selected. Localization algorithms make use of given source and head models to find a likely location for an underlying focal field generator. One type of localization algorithm for overdetermined models operates by expectation-maximization: the system is initialized with a first guess. A loop is started, in which a forward model is used to simulate the magnetic field that would result from the current guess. The guess is adjusted to reduce the discrepancy between the simulated field and the measured field. This process is iterated until convergence. Another common technique is
beamforming Beamforming or spatial filtering is a signal processing technique used in sensor arrays for directional signal transmission or reception. This is achieved by combining elements in an antenna array in such a way that signals at particular angles e ...
, wherein a theoretical model of the magnetic field produced by a given current dipole is used as a prior, along with second-order statistics of the data in the form of a
covariance matrix In probability theory and statistics, a covariance matrix (also known as auto-covariance matrix, dispersion matrix, variance matrix, or variance–covariance matrix) is a square matrix giving the covariance between each pair of elements of ...
, to calculate a linear weighting of the sensor array (the beamformer) via the Backus-Gilbert inverse. This is also known as a linearly constrained minimum variance (LCMV) beamformer. When the beamformer is applied to the data, it produces an estimate of the power in a "virtual channel" at the source location. The extent to which the constraint-free MEG inverse problem is ill-posed cannot be overemphasized. If one's goal is to estimate the current density within the human brain with say a 5mm resolution then it is well established that the vast majority of the information needed to perform a unique inversion must come not from the magnetic field measurement but rather from the constraints applied to the problem. Furthermore, even when a unique inversion is possible in the presence of such constraints said inversion can be unstable. These conclusions are easily deduced from published works.


Magnetic source imaging

The source locations can be combined with
magnetic resonance imaging Magnetic resonance imaging (MRI) is a medical imaging technique used in radiology to form pictures of the anatomy and the physiological processes of the body. MRI scanners use strong magnetic fields, magnetic field gradients, and radio wave ...
(MRI) images to create magnetic source images (MSI). The two sets of data are combined by measuring the location of a common set of fiducial points marked during MRI with lipid markers and marked during MEG with electrified coils of wire that give off magnetic fields. The locations of the fiducial points in each data set are then used to define a common coordinate system so that superimposing the functional MEG data onto the structural MRI data (" coregistration") is possible. A criticism of the use of this technique in clinical practice is that it produces colored areas with definite boundaries superimposed upon an MRI scan: the untrained viewer may not realize that the colors do not represent a physiological certainty, not because of the relatively low spatial resolution of MEG, but rather some inherent uncertainty in the probability cloud derived from statistical processes. However, when the magnetic source image corroborates other data, it can be of clinical utility.


Dipole model source localization

A widely accepted source-modeling technique for MEG involves calculating a set of equivalent current dipoles (ECDs), which assumes the underlying neuronal sources to be focal. This dipole fitting procedure is non-linear and over-determined, since the number of unknown dipole parameters is smaller than the number of MEG measurements. Automated multiple dipole model algorithms such as multiple signal classification (MUSIC) and multi-start spatial and temporal modeling (MSST) are applied to the analysis of MEG responses. The limitations of dipole models for characterizing neuronal responses are (1) difficulties in localizing extended sources with ECDs, (2) problems with accurately estimating the total number of dipoles in advance, and (3) dependency on dipole location, especially depth in the brain.


Distributed source models

Unlike multiple-dipole modeling, distributed source models divide the source space into a grid containing a large number of dipoles. The inverse problem is to obtain the dipole moments for the grid nodes. As the number of unknown dipole moments is much greater than the number of MEG sensors, the inverse solution is highly underdetermined, so additional constraints are needed to reduce ambiguity of the solution. The primary advantage of this approach is that no prior specification of the source model is necessary. However, the resulting distributions may be difficult to interpret, because they only reflect a "blurred" (or even distorted) image of the true neuronal source distribution. The matter is complicated by the fact that spatial resolution depends strongly on various parameters such as brain area, depth, orientation, number of sensors etc.


Independent component analysis (ICA)

Independent component analysis In signal processing, independent component analysis (ICA) is a computational method for separating a multivariate signal into additive subcomponents. This is done by assuming that at most one subcomponent is Gaussian and that the subcomponents ar ...
(ICA) is another signal processing solution that separates different signals that are statistically independent in time. It is primarily used to remove artifacts such as blinking, eye muscle movement, facial muscle artifacts, cardiac artifacts, etc. from MEG and EEG signals that may be contaminated with outside noise. However, ICA has poor resolution of highly correlated brain sources.


Use in the field

In research, MEG's primary use is the measurement of time courses of activity. MEG can resolve events with a precision of 10 milliseconds or faster, while
functional magnetic resonance imaging Functional magnetic resonance imaging or functional MRI (fMRI) measures brain activity by detecting changes associated with blood flow. This technique relies on the fact that cerebral blood flow and neuronal activation are coupled. When an area o ...
(fMRI), which depends on changes in blood flow, can at best resolve events with a precision of several hundred milliseconds. MEG also accurately pinpoints sources in primary auditory, somatosensory, and motor areas. For creating functional maps of human cortex during more complex cognitive tasks, MEG is most often combined with fMRI, as the methods complement each other. Neuronal (MEG) and
hemodynamic Hemodynamics or haemodynamics are the dynamics of blood flow. The circulatory system is controlled by homeostatic mechanisms of autoregulation, just as hydraulic circuits are controlled by control systems. The hemodynamic response continuously mo ...
fMRI data do not necessarily agree, in spite of the tight relationship between local field potentials (LFP) and blood oxygenation level-dependent (BOLD) signals. MEG and BOLD signals may originate from the same source (though the BOLD signals are filtered through the hemodynamic response). MEG is also being used to better localize responses in the brain. The openness of the MEG setup allows external auditory and visual stimuli to be easily introduced. Some movement by the subject is also possible as long as it does not jar the subject's head. The responses in the brain before, during, and after the introduction of such stimuli/movement can then be mapped with greater spatial resolution than was previously possible with EEG. Psychologists are also taking advantage of MEG neuroimaging to better understand relationships between brain function and behavior. For example, a number of studies have been done comparing the MEG responses of patients with psychological troubles to control patients. There has been great success isolating unique responses in patients with schizophrenia, such as auditory gating deficits to human voices. MEG is also being used to correlate standard psychological responses, such as the emotional dependence of language comprehension. Recent studies have reported successful classification of patients with
multiple sclerosis Multiple (cerebral) sclerosis (MS), also known as encephalomyelitis disseminata or disseminated sclerosis, is the most common demyelinating disease, in which the insulating covers of nerve cells in the brain and spinal cord are damaged. This ...
,
Alzheimer's disease Alzheimer's disease (AD) is a neurodegenerative disease that usually starts slowly and progressively worsens. It is the cause of 60–70% of cases of dementia. The most common early symptom is difficulty in remembering recent events. As ...
,
schizophrenia Schizophrenia is a mental disorder characterized by continuous or relapsing episodes of psychosis. Major symptoms include hallucinations (typically hearing voices), delusions, and disorganized thinking. Other symptoms include social w ...
, Sjögren's syndrome, chronic alcoholism, facial pain and thalamocortical dysrhythmias. MEG can be used to distinguish these patients from healthy control subjects, suggesting a future role of MEG in diagnostics. A large part of the difficulty and cost of using MEG is the need for manual analysis of the data. Progress has been made in analysis by computer, comparing a patient's scans with those drawn from a large database of normal scans, with the potential to reduce cost greatly.


Brain connectivity and neural oscillations

Based on its perfect temporal resolution, magnetoencephalography (MEG) is now heavily used to study oscillatory activity in the brain, both in terms of local neural synchrony and cross-area synchronisation. As an example for local neural synchrony, MEG has been used to investigate alpha rhythms in various targeted brain regions, such as in visual or auditory cortex. Other studies have used MEG to study the neural interactions between different brain regions (e.g., between frontal cortex and visual cortex). Magnetoencephalography can also be used to study changes in neural oscillations across different stages of consciousness, such as in sleep.


Focal epilepsy

The clinical uses of MEG are in detecting and localizing pathological activity in patients with
epilepsy Epilepsy is a group of non-communicable neurological disorders characterized by recurrent epileptic seizures. Epileptic seizures can vary from brief and nearly undetectable periods to long periods of vigorous shaking due to abnormal electrica ...
, and in localizing eloquent cortex for surgical planning in patients with
brain tumor A brain tumor occurs when abnormal cells form within the brain. There are two main types of tumors: malignant tumors and benign (non-cancerous) tumors. These can be further classified as primary tumors, which start within the brain, and seco ...
s or intractable epilepsy. The goal of epilepsy surgery is to remove the epileptogenic tissue while sparing healthy brain areas. Knowing the exact position of essential brain regions (such as the
primary motor cortex The primary motor cortex (Brodmann area 4) is a Human brain, brain region that in humans is located in the dorsal portion of the frontal lobe. It is the primary cortex, primary region of the motor system and works in association with other motor ...
and
primary sensory cortex In neuroanatomy, the postcentral gyrus is a prominent gyrus in the lateral parietal lobe of the human brain. It is the location of the primary somatosensory cortex, the main sensory receptive area for the sense of touch. Like other sensory areas, ...
,
visual cortex The visual cortex of the brain is the area of the cerebral cortex that processes visual information. It is located in the occipital lobe. Sensory input originating from the eyes travels through the lateral geniculate nucleus in the thalamus ...
, and areas involved in speech production and comprehension) helps to avoid surgically induced neurological deficits. Direct cortical stimulation and somatosensory evoked potentials recorded on
electrocorticography Electrocorticography (ECoG), or intracranial electroencephalography (iEEG), is a type of electrophysiological monitoring that uses electrodes placed directly on the exposed surface of the brain to record electrical activity from the cerebral co ...
(ECoG) are considered the gold standard for localizing essential brain regions. These procedures can be performed either intraoperatively or from chronically indwelling subdural grid electrodes. Both are invasive. Noninvasive MEG localizations of the central sulcus obtained from somatosensory evoked magnetic fields show strong agreement with these invasive recordings. MEG studies assist in clarification of the functional organization of primary somatosensory cortex and to delineate the spatial extent of hand somatosensory cortex by stimulation of the individual digits. This agreement between invasive localization of cortical tissue and MEG recordings shows the effectiveness of MEG analysis and indicates that MEG may substitute invasive procedures in the future.


Fetal

MEG has been used to study cognitive processes such as vision,
audition An audition is a sample performance by an actor, singer, musician, dancer or other performer. It typically involves the performer displaying their talent through a previously memorized and rehearsed solo piece or by performing a work or piece giv ...
, and language processing in fetuses and newborns.


Traumatic brain injury

MEG can be used to identify traumatic brain injury, which is particularly common among soldiers exposed to explosions. Such injuries are not easily diagnosed by other methods, and are often misdiagnosed as
post-traumatic stress disorder Post-traumatic stress disorder (PTSD) is a mental and behavioral disorder that can develop because of exposure to a traumatic event, such as sexual assault, warfare, traffic collisions, child abuse, domestic violence, or other threats o ...
(PTSD).


Comparison with related techniques

MEG has been in development since the 1960s but has been greatly aided by recent advances in computing algorithms and hardware, and promises improved
spatial resolution In physics and geosciences, the term spatial resolution refers to distance between independent measurements, or the physical dimension that represents a pixel of the image. While in some instruments, like cameras and telescopes, spatial resolut ...
coupled with extremely high
temporal resolution Temporal resolution (TR) refers to the discrete resolution of a measurement with respect to time. Physics Often there is a trade-off between the temporal resolution of a measurement and its spatial resolution, due to Heisenberg's uncertainty p ...
(better than 1 ms). Since the MEG signal is a direct measure of neuronal activity, its temporal resolution is comparable with that of intracranial electrodes. MEG complements other brain activity measurement techniques such as
electroencephalography Electroencephalography (EEG) is a method to record an electrogram of the spontaneous electrical activity of the brain. The biosignals detected by EEG have been shown to represent the postsynaptic potentials of pyramidal neurons in the neocorte ...
(EEG),
positron emission tomography Positron emission tomography (PET) is a functional imaging technique that uses radioactive substances known as radiotracers to visualize and measure changes in metabolic processes, and in other physiological activities including blood flow, ...
(PET), and
fMRI Functional magnetic resonance imaging or functional MRI (fMRI) measures brain activity by detecting changes associated with blood flow. This technique relies on the fact that cerebral blood flow and neuronal activation are coupled. When an area ...
. Its strengths consist in independence of head geometry compared to EEG (unless
ferromagnetic Ferromagnetism is a property of certain materials (such as iron) which results in a large observed magnetic permeability, and in many cases a large magnetic coercivity allowing the material to form a permanent magnet. Ferromagnetic materials ...
implants are present), non-invasiveness, use of no ionizing radiation, as opposed to PET and high temporal resolution as opposed to fMRI.


MEG in comparison to EEG

Although EEG and MEG signals originate from the same neurophysiological processes, there are important differences. Magnetic fields are less distorted than electric fields by the skull and scalp, which results in a better spatial resolution of the MEG. Whereas scalp EEG is sensitive to both tangential and radial components of a current source in a spherical volume conductor, MEG detects only its tangential components. Scalp EEG can, therefore, detect activity both in the sulci and at the top of the cortical gyri, whereas MEG is most sensitive to activity originating in sulci. EEG is, therefore, sensitive to activity in more brain areas, but activity that is visible in MEG can also be localized with more accuracy. Scalp EEG is sensitive to extracellular volume currents produced by postsynaptic potentials. MEG detects intracellular currents associated primarily with these synaptic potentials because the field components generated by volume currents tend to cancel out in a spherical volume conductor. The decay of magnetic fields as a function of distance is more pronounced than for electric fields. Therefore, MEG is more sensitive to superficial cortical activity, which makes it useful for the study of neocortical epilepsy. Finally, MEG is reference-free, while scalp EEG relies on a reference that, when active, makes interpretation of the data difficult.


See also


References


Further reading

* * * * * * * * * {{EEG Diagnostic neurology Electrodiagnosis Medical tests Neurotechnology Neuroimaging