White matter dissection and structural connectivity of the human vertical occipital fasciculus to link vision-associated brain cortex

The vertical occipital fasciculus (VOF) is an association fiber tract coursing vertically at the posterolateral corner of the brain. It is re-evaluated as a major fiber tract to link the dorsal and ventral visual stream. Although previous tractography studies showed the VOF’s cortical projections fall in the dorsal and ventral visual areas, the post-mortem dissection study for the validation remains limited. First, to validate the previous tractography data, we here performed the white matter dissection in post-mortem brains and demonstrated the VOF’s fiber bundles coursing between the V3A/B areas and the posterior fusiform gyrus. Secondly, we analyzed the VOF’s structural connectivity with diffusion tractography to link vision-associated cortical areas of the HCP MMP1.0 atlas, an updated map of the human cerebral cortex. Based on the criteria the VOF courses laterally to the inferior longitudinal fasciculus (ILF) and craniocaudally at the posterolateral corner of the brain, we reconstructed the VOF’s fiber tracts and found the widespread projections to the visual cortex. These findings could suggest a crucial role of VOF in integrating visual information to link the broad visual cortex as well as in connecting the dual visual stream.


Results
White matter dissection of Vof in the lateral surface of the hemisphere. VOF is the most lateral fiber tract at the postero-lateral corner of the brain, running in a vertical direction (craniocaudally) posterior to the arcuate fasciculus (AF) and lateral to the inferior longitudinal fasciculus (ILF) and the inferior frontal occipital fasciculus (IFOF). The dorsal VOF's cortical terminations consistently fall in the transverse occipital sulcus (TOS) and posterior intraparietal sulcus (IPS) in tractography 4 .
First, the representative anatomical landmarks were identified, including the parieto-occipital sulcus (POS), pre-occipital notch (PON), and TOS in the right hemisphere of brain sample #1 (Fig. 1A,B). Next, to expose the fiber bundles of the AF, we removed the fronto-parietal and temporal opercula around the insula (Fig. 1B). After the fiber bundles of the AF appeared at the posterior end of the insula, we continued to dissect toward the postero-lateral corner of the brain at this level and then found the lateral portion of VOF's fiber bundles (Fig. 1B). The trajectory of the VOF courses in an oblique direction between the dorsal and ventral cortex at the postero-lateral corner of the brain (Fig. 1D), which is consistent with that of the VOF tractography (Fig. 1C).
We first investigated the cortical projections of the VOF in the dorsal visual areas, especially those in V3A/B visual areas. V3A, originally reported to cross the transverse occipital sulcus (TOS) 30,31 , locates along the medial aspect of the TOS, while V3B abuts V3A laterally at the TOS 32 . These reports indicate the TOS is the landmark of V3A/B border. Since the intraparietal sulcus (IPS) often intersects the TOS in a T configuration, the TOS was identified at the bottom of the IPS as in Fig. 2A. We then tracked the VOF's fiber bundles toward the TOS and observed they run into the TOS (the landmark of V3A/B border) (Fig. 2B,C). We also obtained similar results in the additional three samples (Supplementary Figs. S1D,G, S2D,G, S3D,G).
Next, we examined the cortical projections of the VOF in the ventral visual areas, especially those in the fusiform gyrus and hV4/VO-1 boundary. The previous tractography study showed the ventral VOF's endpoints concentrate in the inferior occipital gyrus (IOG), inferior occipital sulcus (IOS), and posterior transverse collateral sulcus (ptCoS) 4 , which are shown in Fig. 2D,E. The occipito-temporal sulcus (OTS) runs antero-posteriorly separating IOG laterally from the fusiform gyrus (FG) 33 (Fig. 2D). The collateral sulcus (CoS) consists of three separate sulcal segments (i) an anterior segment (rhinal sulcus), (ii) a middle segment (CoS proper), and (iii) a caudal segment (Fig. 2D,E). The CoS proper forms the lateral border of the posterior parahippocampal cortex 34 as in Fig. 2D,E. The ventral VOF's endpoints extend to the posterior mid-fusiform sulcus (MFS) anteriorly, the lateral portions of the posterior FG, and the posterior portion of the OTS, and they never cross CoS proper in tractography (Fig. 2E) 4 . The hV4/VO-1 boundary, one of the VOF's major projection areas 7,8 , locates consistently in the posterior transverse collateral sulcus (ptCoS) in neuroimaging study 35 , indicating the ptCoS is a useful landmark for hV4/VO-1. Then, the ptCoS was identified at the branching point of the caudal segment of CoS as in Fig. 2D,E, which is consistent with previous report 31 . Using the ptCoS as the landmark for hV4/VO-1 boundary, we tracked VOF's fiber bundles inferiorly into the ventral occipito-temporal lobe. After crossing the OTS, VOF's fiber bundles appeared to split mainly to the posterior fusiform gyrus and partially to the ptCoS (Fig. 2F,G). The medial and anterior border of VOF's fiber bundles in the ventral cortex seemed never to pass the CoS and MFS, respectively (Fig. 2F,G). We also obtained similar results in the additional three samples (Supplementary Figs. S1F,G, S2F,G, S3F,G).
Structural connectivity of VOF in the HCP-1021 template. To reconstruct VOF's fiber tracts, we first used HCP-1021 template averaged from a total of 1021 subject diffusion MRI datasets from the Human Connectome Project 36 . This template is explained in the "Experimental procedure" below. A previous white matter dissection study showed the inferior longitudinal fasciculus (ILF) is medial to the VOF within the sagittal stratum of Sachs (SSS) 37 , which is consistent with our dissection result. From our anatomical observations, the VOF is the bundle of fiber tracts to course craniocaudally between the dorsal parieto-occipital and the occipito-temporal cortex, laterally to ILF. Based on this criteria, we obtained the candidate tracts of the VOF in tractography using two ROIs from vision-associated cortical areas of HCP MMP1.0 atlas (Fig. 4C). Then only the tracts lateral to ILF were extracted to generate VOF tractography. The generated VOF trajectory courses posteriorly to the AF and laterally to the ILF at the postero-lateral corner of brain ( Fig. 5A-D). www.nature.com/scientificreports www.nature.com/scientificreports/ Structural connectivity of the Vof in individual brains. Next, we reconstructed VOF' fiber tracts by a subject-based approach using ten healthy unrelated samples from the HCP dataset. Figure 6A-D show the VOF tractography in a representative subject (ID#102614), which appear similar to those in the HCP-1021 template.
To investigate in which cortical area the VOF's endpoints project, we then performed the endpoint analysis in individual brains on the HCP MMP1.0 atlas. Graphs in Fig. 7A shows the prominent endpoint projections to V3CD (35.2%), V6A (24.8%), V3A (14.8%), IP0 (9.5%), and V7 (8.5%) on the left dorsal visual stream, and those to V3A (29.4%), V7 (26.5%), V3CD (16.7%), IP0 (7.8%), and V6A (7.4%) on the right dorsal visual stream. Graphs in Fig. 7B show the remarkable endpoint projections to V4 (62.0%) and PIT (16.2%) on the left ventral www.nature.com/scientificreports www.nature.com/scientificreports/ visual stream, and those to V4 (26.5%), VMV1 (11.4%), PHA1 (10.2%), and PIT (5.1%) on the right ventral visual stream. Graphs in Fig. 7C show the endpoint projections to LO1 (35.7% and 23.4%), LO2 (27.4% and 25.7%), and LO3 (21.5% and 23.6%) in lateral occipital visual cortex, respectively. Connectogram 38,39 is a way to visualize the brain's connections at a glance, which can assess white matter fiber pathways between brain regions by measuring fiber bundle properties (e.g., the number of fiber tracts). We used the connectogram to map and interpret the overview of complex VOF's connections (Fig. 7D,E). Then, to focus on the role of VOF to interconnect the dual visual stream, we drew schematic diagrams of the VOF's connection patterns between the dorsal and ventral visual steam (Fig. 7F,G). The connectograms (Fig. 7D,E) represent the structural connectivity of VOF derived from average data of 10 individual samples in the left and right hemisphere, respectively. An interesting feature of the connectograms is the asymmetry in the connectivity www.nature.com/scientificreports www.nature.com/scientificreports/ patterns between the left and right hemisphere. The connectivity patterns in the right hemisphere appeared relatively variable compared with the left hemisphere. Schematic diagrams (Fig. 7F,G) show the VOF's structural connectivity, emphasizing on the dual visual stream in the left and right hemisphere, respectively. The line size reflects the connectivity strength (i.e., number of tracts) of each fiber tract. The combination of these results showed the streamlines connecting V3CD with V4 appeared to be major in the left hemisphere, while those from V3A, V3CD, V6, and V7 were projected broadly to the ventral stream in the right hemisphere. In addition, lateral occipital visual areas (LO1, LO2, LO3) receive projections from V3CD, V6A in the left hemisphere and V7, V3CD, V3A in the right hemisphere, respectively. We observed a similar tendency in the analyses of HCP1021 template ( Supplementary Fig. S4). The tables in Fig. 8A,B indicate the average ratio for the number of tracts comprising each VOF's connection in left and right hemisphere in individual brains, respectively. The prominent fiber tracts in the left are those connecting V3CD-V4, V3CD-LO1, V3A-V4, and V6A-LO2, while those in the right are connecting V3A-V4, V3CD-V4, V7-LO2, and V7-PHA1. These results quantified the findings in the connectograms and schematic diagrams in Fig. 7D-G. The table in Fig. 8C shows the laterality for the number of tracts in individual brains comprising each VOF's fiber tract derived from Supplementary Table 1, suggesting the relative rightward lateralization in the number of fiber tracts. The laterality index of the volume and FA (fractional anisotropy, i.e., the integrity of white matter) for each VOF's fiber tract were shown in Supplementary Tables 2-4. Graphs in Fig. 8D-F indicate the laterality index for the total number, volume, and FA of tracts for each subject (#1-#10), suggesting the slightly rightward lateralization for not only quantitative (i.e., the number and volume of tracts) but also qualitative (i.e., the integrity of white matter) connectivity.

Discussion
White matter dissection and structural connectivity of the Vof. The aims in the present study were: 1) to validate the previous tractography data of the VOF by white matter dissection focusing on the cortical projections in the two visual streams, and 2) to analyze the structural connectivity of the VOF using the tractography based on the HCP MMP 1.0 atlas.
First, we performed the white matter dissection to validate the tracking data of the VOF previously reported 4,7 . Based on a strong relationship between the cortical folding and brain function 32,40 , we used the gyri and sulci as www.nature.com/scientificreports www.nature.com/scientificreports/ anatomical landmarks for dissection. In the dissection, the major dorsal VOF's fiber bundles appeared to run into TOS (transverse occipital sulcus) where the V3A/B border is located, indicating VOF's cortical projections could fall in V3A/B visual areas ( Fig. 2A and Supplementary Figs. S1D, S2D, S3D). The ventral VOF's fiber bundles appeared to run mainly in the posterior fusiform gyrus and partially to ptCoS (the boundary of VO-1/hV4) (Fig. 2F,G and Supplementary Figs. S1G, S2G, S3G). The anterior and medial border of the VOF in the ventral cortex appeared never to pass MFS and CoS, respectively ( Fig. 2E-G). These results are almost consistent with the previous tractography data, suggesting the VOF could connect the dorsal and ventral visual cortex 4,7 .
There has been some controversy over the definition of VOF. Wernicke 1 originally described the VOF as "the senkrechte Occipitalbündel (vertical occipital bundle)" on sagittal slices of the monkey 4 . Our dissection showed the major dorsal cortical projections appear to run into TOS, which suggests the major part of dorsal VOF's fiber bundles could terminate in the occipital lobe. Others have used less precise definitions of the VOF and described tracts terminating in the parietal cortex and anterior temporal cortex as VOF. Recently Bullock et al. 41 clearly present a full anatomical delineation of these major dorso-ventral connective white matter tracts, including the VOF, pArc, TP-SPL, and MdLF. They exclusively restricted the VOF to the occipital white matter. They showed the VOF connects the dorsal and ventral streams within the occipital lobe, although all three tracts share some endpoints in the occipitoparietal arc.
Secondly, we analyzed the structural connectivity of the VOF to link the vision-associated cortical areas on the HCP MMP1.0 atlas. Based on the criteria the VOF courses in a vertical direction (craniocaudally) between the dorsal parieto-occipital and ventrolateral occipito-temporal cortex laterally to the ILF, we reconstructed the VOF's fiber tracts and examined the structural connectivity (Figs. 5 and 8).
Structural connectivity of Vof in tractography. One noticeable point in our VOF tractography study is the striking connection linking the dorsal stream (V3A, V3CD, V6) with ventral stream (V4, FFC, VVC, VMV2, PIT), consistent with a previous report 42 . V3A is implicated in motion-selective visual perception with high motion and contrast sensitivity in the central visual field 23,29,30,43 , while V3CD integrates object detail information to create the whole image for object recognition. On the other hand, V4 reportedly plays a role in encoding texture, patterns, form, and color perception, integrating object and pattern recognition 23,29,30,43,44 . Ventral temporal www.nature.com/scientificreports www.nature.com/scientificreports/ occipital cortex (FFC, PIT, VMV1-3, VVC) shows a considerable functional heterogeneity from early visual processing to higher-level domain-specific processing. It harbors a strong relation to the visual language processing system including VWFA (visual word form area) in the left and face-selective regions in the right hemisphere 45 . Recently Kay et al. 46 reported the VOF specifically connects VWFA and FFA with the IPS (intraparietal sulcus) by the combination of tractography and fMRI. These findings raise the possibility that VOF could integrate the various information related to object recognition (including word and face), location, and motion through the dual visual stream.
We also found the cortical projections of VOF to the lateral occipital visual area (e.g., LO1, LO2, LO3, V4t) from the dorsal visual stream (e.g., V3CD, V3A, IP0, V7). LO1 preferentially activates in response to orientation-selective and boundary information, while LO2 shows preferential retinotopic activation to encode information about the shapes of stimuli 29,47,48 . LO3 is an important hub between the dorsal and ventral streams to integrate, encode, and process detail, motion, and shape information 29,49 . Taken together, these results support the VOF could link the broad vision-associated cortex, integrating a variety of information about the face, body, word, shape, texture, color, orientation, location, and motion of objects.
Takemura et al. 7 reported the visual field maps located on the lateral side (hV4, VO-1, and LO-map) receive larger VOF projections. Our results showed LO-map receive relatively small portion of VOF projections mainly from V3CD and V3A (Fig. 7C-E). One reason for this discrepancy is due to the difference in the definition of the visual field areas between Takemura et al. 7 and Glasser et al. 27 .
Laterality in the structural connectivity of Vof. We observed the slightly rightward lateralization in the number, volume, and FA (fractional anisotropy) of VOF's fiber tracts. In addition, the variation in the connectivity patterns appeared relatively rich in the right compared with the left hemisphere. Since non-dominant hemisphere (usually right) is determinant for visuospatial cognition 50 , the rightward lateralization of VOF's connectivity could relate to visuospatial cognition, including awareness, perception, and representation of space thorough a variety of connectivity. However the number of subjects is small, the conclusion on the laterality is limited. www.nature.com/scientificreports www.nature.com/scientificreports/ www.nature.com/scientificreports www.nature.com/scientificreports/

ROIs to reconstruct VOF's fiber tracts in tractography.
There is a variation in the description of VOF's trajectory in previous tractography studies. We here focus on the ROIs used to reconstruct VOF's fiber tracts in those studies. The major neuroanatomists agree on VOF's ventral terminations in the fusiform gyrus and the inferior occipital and temporal gyrus 4 . Yeatman et al. 4 then used a ROI of ventral occipito-temporal cortex including the fusiform gyrus, inferior temporal gyrus, and lateral occipital regions. From the ventral occipito-temporal fiber group terminating within 2 mm of the ventral surface, the vertical fibers that are spatially separated and posterior to the arcuate fasciculus were extracted as VOF. Takemura et al. 7 focused on the posterior portion of VOF and identified VOF as the set of fascicles passing through two axial waypoint ROIs, located 3 and 14 mm above the dorsal edge of hV4. They showed the major cortical endpoints of VOF fall in V3A/B of the dorsal visual stream and in hV4/VO-1 of the ventral visual stream. Wu et al. 6 reconstructed VOF by three seed regions (the fusiform gyrus, inferior occipital and temporal gyrus). With a ROI mask placed on the upper portion and a ROA drawn anteriorly to avoid other fiber contamination, they showed VOF connects the inferior parietal with the lower temporal and occipital lobe. We used this method in Fig. 1C. Keser et al. 5 used multiple ROI tracking method to reconstruct VOF manually with the neuroanatomy guidance. They demonstrated VOF connects lateral occipital, posterolateral parietal, and posterosuperior temporal cortex using ROIs in the occipital lobe and parieto-occipital lobe junction and a ROA to avoid contamination of IFOF and ILF. Panesar et al. 51 used the Automated Anatomical Labeling atlas (AAL) to select cortical seeding regions and generated VOF fibers using ROIs of three occipital gyri, including superior occipital gyrus (SO), middle occipital gyrus (MO), and cuneus (Cu), with a rectangular axial ROI to select only dorsal-ventrally passing fibers. They called this method an atlas based approach along with manually placed ROIs and a ROA. Briggs et al. 42 delineated the boundaries of the VOF utilizing the cortex areas of the HCP MMP1.0 atlas, which we employed in Figs. 5 and 6. Taken together, the previous studies reconstructed the VOF's fiber tracts with a variety of ROIs, including 1) manual plane ROIs (axially or coronally), 2) cortical ROIs built-in atlas (e.g., gyrus in AAL), 3) two waypoint axial ROIs, by anatomical guidance with or without a ROA. Then the only fiber tracts passing the selected ROIs craniocaudally, posterior to AF and laterally to ILF, were selected as VOF. Since Takemura et al. 7 focused on the posterior portion of VOF, the description of anterior portion would be limited. As mentioned, the trajectories of VOF with manual ROIs and a ROA are sensitive to the positioning of them. The cortical endpoints in the previous studies appear to be variable, including those to the dorsal visual (V3A, V6, V6A) and ventral visual cortex (VVC, FFC). This is due to the positioning of the upper ROIs and an anterior ROA, which affect the dorsal and ventral cortical endpoints respectively 5,6,51 . Since we selected ROIs from vision-associated cortex on HCP MMP1.0, the cortical projections in the present study can cover over the dorsal and ventral visual cortex as well as the lateral occipital cortex. While we were preparing for this paper, Schurr et al.(2019) 52 reported an automatic procedure for VOF identification by integrating diffusion MRI tractography with quantitative T1 mapping, to clarify the anterior extent of VOF's projection. They showed the anterior extent of VOF could be close to the posterior end of the MFS, which is compatible with our dissection result. They also pointed out the trajectory of VOF by waypoint ROIs method is restricted to the occipital white matter and tends to cover more lateral regions (V3B, LO1, and LO2), which we can agree with. The advantages of the method using HCP MMP1.0 in tractography are: 1) high affinity with functional analyses, 2) feasible to conduct the endpoint analysis, and 3) applicable for automatic analyses based on the common neuroscience framework. However, the anatomical information of the target tract is required for this method, including approximate projection areas in the cortex and the interaction with proximal tracts and structures. Therefore, we can apply this method only to the anatomically well-described fiber tracts.

conclusion
In summary, our results in the brain dissection support the previous tractography studies that VOF interconnects the dorsal and visual stream 4,7 . Furthermore, the analyses of the structural connectivity with diffusion tractography suggest VOF could integrate visual information connecting the broad visual cortex as well as the dual visual stream.
Limitation. Port-mortem dissection allows us to visualize the white matter fibers particularly in depth, orientation, and relationships to gray matter structures. This suffers from drawbacks such as the highly observer-dependent definition of areal borders and identification of fiber bundles. The demonstration of one fiber system often results in the destruction of other fiber systems 53,54 . On the other hand, diffusion tractography has strongly contributed to our knowledge about fiber pathways by clarifying cortical connectivity patterns of white matter tracts. It suffers from several drawbacks. It is prone to multiple artifacts due to "crossing, branching, merging, and termination" pitfalls 9,10 . It is unable to demonstrate cortical connectivity accurately due to partial volume effects in voxels prone to tissues boundaries 55,56 . experimental procedure White matter dissection. Five normal cerebral hemispheres (three right sides and two left sides) from human cadavers (age range 67-81 years) donated to the Chiba University were studied. White matter dissection was performed according to a modified Klingler's technique 12,57 as previously described 58 . After fixed in 10% formalin solution for at least 40 days, brains were washed under running water for several hours to remove the of structural connectivity for VOF's fiber tracts in the left (F) and the right (G) hemisphere. The arrow size represents the computed degrees of connectivity (i.e., the number of tracts) between segmented brain regions. www.nature.com/scientificreports www.nature.com/scientificreports/ formalin. The pia mater, arachnoid membrane, and vessels of the specimens were carefully removed, and the hemispheres were frozen at −15 °C for 7 days. The specimens were allowed to thaw and then stored in the refrigerator once more for 5 days, as this protocol facilitates dissection. Major anatomical landmarks were identified www.nature.com/scientificreports www.nature.com/scientificreports/ with needle pins before dissecting the brain. The specimens after thawing were dissected in a stepwise manner from the lateral surface to the medial surface under the magnification loupe (x3.0) with wooden spatulas.
Photographs were taken at each step of the dissection to demonstrate the anatomical architecture. The digital photographs in this study were edited using Powerpoint (Microsoft Corporation) for white balance, contrast, sharpness with the images closely resembling the actual fiber tract architecture during the dissections. ethics. Informed consent for cadaver use for research and education purposes was acquired from the members of the Whole-Body Donation Registry at Chiba University and their families. The protocol was approved by the Research Ethics Committee of Chiba University School of Medicine. This study was carried out in accordance with the "Guidelines for Cadaver Dissection in Education and Research of Clinical Medicine" by Japan Surgical Society and Japanese Association of Anatomists. HCP 1021 template. The HCP-1021 template 36 was averaged from a total of 1021 subjects' HCP data from the WU-Minn HCP Consortium (Q1-Q3, 2014) and distributed under the WU-Minn HCP open access data use term. A multi-shell diffusion scheme was used, and the b-values were 1000, 2000, 3000 s/mm 2 . The number of diffusion sampling directions were 90, 90, and 90, respectively. The in-plane resolution was 1.25 mm. The slice thickness was 1.25 mm. The diffusion data were reconstructed in the MNI space using q-space diffeomorphic reconstruction to obtain the spin distribution function 59 . A diffusion sampling length ratio of 2.5 was used, and the output resolution was 1 mm. The analysis was conducted using the DSI Studio (http://dsi-studio.labsolver.org) and the Connectome Workbench (https://www.humanconnectome.org/software/get-connectome-workbench).
The HCP MMP1.0 26 was originally created in the CIFTI format, which is a surface-based coordinate system ("greyordinates"). Therefore, it is difficult to perform tractography analysis using ROIs created in the CIFTI format 29 . To convert all 180 areas from a surface-based coordinate system to volumetric coordinates, we used the HCP MMP1.0 atlas built in DSI studio software. Segmentation results were visually assessed for accuracy by trained operators. We especially assessed the atlas-based segmentation of DSI studio by confirming the V3A/ V3B border is localized at TOS. We also confirmed the fusiform gyrus (VVC and FFC) is segmented between CoS and OTS.
VOF tractography in Fig. 1C was reconstructed as previously described 6 . The fusiform gyrus and the inferior occipital and temporal gyrus were served as the ventral ROI masks. The IPS (intraparietal sulcus) within the occipital lobe and the TOS (transverse occipital sulcus) were served as the dorsal ROI masks. To avoid other fiber contamination, we drew a ROA (region of avoidance) mask on the coronal plane along the splenium of the corpus callosum. For other fasciculi, including AF (arcuate fasciculus) and OR (optic radiation), default parameters in the DSI Studio were used.
To reconstruct fiber tracts of VOF in Figs. 5 and 6, we employed a two-ROI approach. We selected two ROIs as endpoints from three cortical groups consisting of dorsal (e.g., V3A, V3B, V3CD, V6, V6A, V7, IP0), lateral occipital (e.g., LO1, LO2, LO3, V4t, MT, MST), and ventral group (e.g., V4, V8, VMV1, VMV2, VMV3, VVC, FFC, PIT) as previously described 29 . Only superior-inferior projections, which appear as blue projections on RGB map, were selected as candidate fiber tracts of VOF. Then fiber tracts lateral to ILF in the sagittal stratum of Sachs (SSS) were extracted as VOF's fiber tracts from the candidates. endpoint analysis and connectogram. Endpoint analysis was performed to quantify the cortical terminations of VOF in tractography using the 'connectivity matrix' function in DSI studio, which generates matrices representing the number of fibers terminating within each cortical area. Connectograms that indicate a circular representation of human cortical networks were constructed by on-line CIRCOS software (http://mkweb.bcgsc. ca/tableviewer/) 38,39 . In brief, Circos is a cross-platform Perl application that employs a circular layout to facilitate the display of relationships between pairs of positions by the use of various graphical elements, including ribbons and heat maps. Each cortical area and ribbon were assigned a unique RGB color.
Laterality index. Lateralization index (LI) was calculated in each case by using the formula: LI = (L−R) / (L + R). L; left, R; right. The LI ranged from −1 (completely right-lateralized) to +1 (completely left-lateralized) as previously reported 60 . Statistics. Quantitative data were analyzed by the student t-test, with p values less than 0.05 considered as statistically significant. Data were expressed as mean ± SEM (standard error of the mean) as indicated.