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### Neuroimaging studies
The challenges
of using neuroimaging techniques to study pediatric and clinical subjects are described in detail along with
suggestions concerning various strategies that can be used to collect higher quality data \citep{26754461}.
One The profound effects on structural MRI findings of
these challenges was an important (though frustrating) recent finding that even very small head movements
can cause artifactual findings were identified in
structural MRI a well designed study \citep{25498430}. Neuroimaging scans were performed on 12 healthy adults while they were still or
while engaged in specific types of
movements movement including nodding, head shaking or a movement each subject invented and then repeated during the scan run. Even during scans when subjects attempted to remain still, there was an average of 3
mm/s mm/min of accumulated motion measured using RMSpm (root mean square displacement per
minute), but it minute). Not surprisingly, displacement was significantly higher during the motion
conditions. In general there conditions and substantial impact was
a 1-3% local found on gray matter volume and thickness estimates. An average apparent volume loss
for each 1 mm/s RMSpm increase. of approximately 0.7% mm/min of subject motion was calculated. The greatest
thickness reductions
in gray matter were found in the pre- and post-central cortex, in the temporal lobes and pole, and entorhinal and parahippocampal regions.
Some motion-associated Motion-associated increases
in thickness were seen
when measured by thickness, but less so for gray matter volume measurements. Recommendations were made in some frontal regions and deep sulci such as the medial orbital frontal region. Significant effects due to
reduce motion were still present even after excluding scans that failed a rigorous quality control procedure. Recommendations included reducing head motion during scans as much as
possible and then control possible, controlling for motion in
the statistical
analysis, along with analyses, and using correlational analyses to determine the associations between head motion and the predictors of interest.
A more recent article provides an approach \citep{26654788} described a method to
addressing this concern with limit the effects of movement artifacts by using a
system for motion tracking
and system to provide prospective motion correction
\citep{26654788}. during scanning trials.
Researchers have used a variety of experimental paradigms to study motor response inhibition since tic expression seems related to motor inhibition. In healthy adults, performance on a stop-signal task and a continuous performance task was examined using positron emission tomography to measure striatal D1- and D2-type receptor availability \citep{25878272}. Stop-signal reaction time was negatively correlated with both D1- and D2-type receptor activation in both the associative striatum and the sensory motor striatum. Neither D1- nor D2-type receptor activation was associated with Go reaction time or Stop signal reaction time on the continuous performance task, suggesting that these two tasks are associated with different neurochemical mechanisms related to motor response inhibition.