Combined functional MRI and diffusion tensor imaging analysis of visual motion pathways.

BACKGROUND: Motion perception may be preserved after damage to striate cortex (primary visual cortex, area V1). Awareness and normal discrimination of fast-moving stimuli have been observed even in the complete absence of V1. These facts suggest that motion-sensitive cortex (the V5/MT complex or V5/MT+) may be activated by direct thalamic or collicular inputs that bypass V1. Such projections have been identified previously in monkeys but have not been shown in humans using neuroimaging techniques. METHODS: We used diffusion tensor imaging (DTI) tractography to visualize white matter fiber tracts connecting with V5/MT+ in 10 healthy volunteers. V5/MT+ was localized for each subject using functional MRI (fMRI). Functional activity maps were overlaid on high-resolution anatomical images and registered with the diffusion-weighted images to define V5/MT+ as the region of interest (ROI) for DTI tractography analysis. Fibers connecting to V1 were excluded from the analysis. RESULTS: Using conservative tractography parameters, we found connections between the V5/MT+ region and the posterior thalamus and/or superior colliculus in 4 of 10 subjects. CONCLUSIONS: Connections between the V5/MT+ region and the posterior thalamus and/or superior colliculus may explain visual motion awareness in the absence of a functioning V1.

The role of cortical area V5/MT+ in speed-tuned directional anisotropies in global motion perception.

Several different directional anisotropies have been found in global motion perception. The purpose of this study was to examine the role of the motion sensitive cortical area V5/MT+ in directional anisotropies for translational flow fields. Experiments 1 and 2 tested direction discrimination and detection of moving random dot patterns. When the speed of motion was 8 deg/s, lower coherence thresholds were found for centripetal relative to centrifugal hemifield motion. When the speed of motion was 1 deg/s, coherence thresholds were similar in all directions. Experiment 3 used fMRI to measure the BOLD response to different directions of motion at speeds of 1 and 8 deg/s. Greater activity was found in V5/MT+ for centripetal motion than for centrifugal motion at both speeds. These results suggest that V5/MT+ does play a role in directional motion anisotropies. This role is discussed with respect to visually-guided reaching and locomotion.

Conscious visual abilities in a patient with early bilateral occipital damage.

A 21-year-old male presented with occipital lobes that were extensively damaged by bilateral infarcts present at birth. The absence of the striate cortex was confirmed with anatomic and functional MRI and high-resolution EEG. His cortical visual impairment was severe, but he retained a remarkable ability to see fast-moving stimuli. Horizontal optokinetic nystagmus could be elicited from either eye. Resolution acuity was close to normal providing the patient was allowed to move his head and eyes. The direction of motion in random-dot patterns could be discriminated with perfect accuracy at speeds above 2 deg/s, and the patient reported that he could 'see' the motion at fast but not at slow speeds. This conscious residual vision for motion is known as Riddoch's phenomenon, but it has never been reported in the complete absence of the striate cortex. Functional neuroimaging revealed activation that was outside the motion-responsive regions of the extrastriate cortex. This case demonstrates remarkable plasticity in the human visual system and may have implications for understanding the functional organization of the motion pathways.