Review Article

The Role of fMRI in the Assessment of Neuroplasticity in MS: A Systematic Review

Table 2

Longitudinal t-fMRI papers.

Authors (year)Sample sizeAge at baselineMS duration at baseline (years)EDSS at baselineStudy designFollow-up (months)Functional main result(s)Clinical correlation(s)Structural correlation(s)

Pantano al. (2005) [46]18 MS
9 HS
31.0 (8.0)
31.0 (8.0)

1.0 [0.0–2.5]
Finger opposition task15–26Decreased activity in the ipsilateral SMC and contralateral cerebellumNegative correlation with age and occurrence of new relapsesCorrelation with lesion load changes at follow-up
Mezzapesa et al. (2008) [47]5 RR35.1 [18.0–63.0]
38.6 [21.0–54.0]
2.5 (3.2)
1.5 [1.0–4.0]
Four-finger flexion extension6Task execution with unimpaired hand reduced activation of the ipsilateral SMC, SMA, and contralateral SIIReduced activation of the motor cortex only in patients with good recovery
Audoin et al. (2008) [48]13 CIS
19 HS
29.5 (6.0)
25.8 (6.0)
0.5 (0.2)
1.0 [0.0–2.0]
PASAT12MS with decreased/unchanged PASAT: decrement of frontal activation
MS with increment in PASAT score: increment of frontal activation
Positive correlation between change in PASAT performance and change in activation of the lateral prefrontal cortex
Pantano et al. (2011) [100]19 RR relapse
13 RR stable
36.8 (6.7)
37.4 (9.2)
7.8 (6.7)
7.3 (5.6)
1.5 [0.0–3.5]
1.5 [1.0–3.0]
4-finger flexion extension1-2Greater deactivation in IPG activity in relapsing vs stable MSGreater activity changes in fast vs slow recovery
Loitfelder al. (2014) [101]13 RR
15 HS
31.3 (10.0)
26.3 (4.7)
2.55 [0.3–10.1]
1.5 [0.0–3.5]
Go/No Go task20Increased activation in L IPLNegative correlation with SDMT and EDSSNegative correlation with lesion load

SMC: sensorimotor cortex; SMA: supplementary motor area; SII: secondary sensory/sensorimotor cortex; IPG: inferior parietal gyrus; IPL: inferior parietal lobule. L: left; R: right; italic font: mean; round parenthesis: standard deviation; squared parenthesis: range.