About this trial
The goal of this study is to explore the anatomical-functional characteristics of the AON circuit (with particular interest for subcortical areas and the cerebellum), and the cortico-subcortical connectivity of the nodes of the AON circuit, using an ultra-high field (7T), high spatial resolution Magnetic Resonance Imaging protocol.
The main questions it aims to answer are:
* Can we demonstrate the involvement of subcortical areas and cerebellum in the AON circuit in each single-subject? * Can we obtain similar results in a small group of patients with Cerebral Palsy (CP), in order to demonstrate the feasibility of this approach for the study of the mechanisms of AON reorganization, after early brain damage? * Are different patterns of functional activation correlated to different clinical characteristics of CP patients?
Participants will perform a 7 Tesla MRI scan, with a functional and anatomical dedicated protocol and will have a comprehensive clinical assessment before the MRI exam.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Patients with pre-, peri- or post-natal brain injury, documented by a previous MRI examination of the brain;
Intellectual development within the norm or within the mild deficit area, to guarantee understanding and cooperation in the 7T fMRI study;
Understanding of the Italian language;
Disqualifiers
Contraindications to performing the 7T fMRI exam;
Neuropsychiatric comorbidity that precludes collaboration in the 7T fMRI study;
Lack of capacity to understand and to will;
Pregnancy;
Trial population
primary care clinic for CP; community sample for HC.
Trial design
Case-control
Cross-sectional
Treatments tested in this trial
7T MR exam
Other interventiona 7 Tesla MRI scan, with a functional and anatomical dedicated protocol
clinical assessment
Other interventionA comprehensive clinical assessment before the MRI exam.
Treatment groups
Trial outcomes
Primary outcomes
7T activation maps of the AON
volume (in cubic millimeters), coordinates (in millimeters), and percentage of signal change of the cortical, subcortical and cerebellar areas elicited by the observation of goal-directed actions
7T connectivity maps of the AON
correlation between each pair of the cortical, subcortical and cerebellar areas elicited by the observation of goal-directed actions
Secondary outcomes
reproducibility
percentage of healthy subjects in which it is possible to identify the AON circuit
clinical correlation
correlation between characteristics of activations (described as primary outcomes) and clinical assessment
Sponsors and contacts
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IRCCS Fondazione Stella Maris
Lead sponsor
University of Parma
Collaborator
Fondazione IMAGO7
Collaborator