Biomagnetic Imaging Laboratory

The Biomagnetic Imaging Laboratory (BIL) is dedicated to advancing our understanding of brain function, particularly speech and language, through non-invasive imaging. We utilize Magnetoencephalographic (MEG) imaging, alongside Functional Connectivity (fMRI), Electrocorticography (ECoG), and Transcranial Magnetic Stimulation (TMS). Beyond groundbreaking research into brain network dynamics, we provide vital clinical services, including pre-operative brain mapping for neurosurgeons to protect eloquent function in patients with tumors and the localization of epileptic zones in patients with epilepsy. We’re one of only two clinical MEG sites in California, and among just 25 sites in the United States. 

For Referrals – How to Refer a Pateint

Clinical Services – For Medical Professionals

To refer a patient for a magnetoencephalogram (MEG):

  1. Complete the MEG Referral Cover Sheet (pdf)
  2. Obtain medical information to send:
    • Patient’s Demographic and Insurance Information

    • Patient Insurance Card

    • Authorization for Magnetoencephalogram if required

    • Recent MRI Brain Reports

    • Recent Video EEG Monitoring Reports (if available)

    • Recent PET and/or CT Scan Reports (if available)

  3. Email MEG Referral Cover Sheet (pdf) and all pertinent medical information (step 2) to: [email protected]
  4. If patient requires pre-authorization, identify the procedure by CPT codes to initiate pre-authorization:
    • MEG/MSI Standard Presurgical Epilepsy Study
      CPT 95965, 95812, 95966, 95967
  5. Tax Number and/or NPI for billing purposes:
    • UCSF Biomagnetic Imaging Lab Tax ID #: 94-3281657
    • UCSF Biomagnetic Imaging Lab NPI#: 1639278369
  6. MRI brain images (DICOM files) are required (if MRI from outside UCSF):
    • High-resolution 3D MPRAGE or SPGR T1-weighted scan, or 3D FSE T2-weighted scan.
    • NOT a multi-angle or oblique scan.
    • Images should have black space around the whole head with coverage of fiducial landmarks (inion, bilateral pre-auricular points & tragi, etc.)
    • Scan must be within the prior two years for patients 22 and older, within the prior year for patients ages 12-21, and within the prior six months for patients under 12. If a patient has had brain surgery since their most recent scan, they will also need an updated scan prior to MEG.

 

Send high-resolution 3D images through FedEx or UPS express, or electronically if possible.

For FedEx please send a CD copy to:

UCSF Biomagnetic Imaging Lab
513 Parnassus Ave, Room S-362
San Francisco, CA 94143-0628

If electronic transfer is possible, please transfer the patient’s MRI Brain Images to: 

UCSF Radiology Referral Box

To schedule an MRI at UCSF during the same visit, please refer to scheduling instructions here and fax the Radiology Order Form to 415.353.7299, indicating "3T Epilepsy protocol" and "urgent order." MEG date should be finalized first.

After we have received all required materials, we will contact the patient directly for MEG scheduling.

If you have any questions, please feel free to contact us at [email protected] or call us at 415.476.6888. You can also fax us at 415.502.4302.

For Patients

Clinical Services – For Patients

The Biomagnetic Imaging Lab offers two types of noninvasive brain imaging exams – MEG and MSI.

A MEG exam uses magnetoencephalography (MEG) to records magnetic fields emitted by brain cells (neurons) through a silent MEG scanner that fits on your head like a helmet.

An MSI (magnetic source imaging) exam combines MEG and MRI test results to create a functional map of brain activity that can identify areas of normal and abnormal brain activity and areas of function, including language, hearing, touch, and movement.  MEG + MRI = MSI. Clinically, MSI provides increased localization of spike activity in patients with seizures and a deeper look at brain activity than EEG alone. MSI is typically used by physicians to enhance clinical diagnosis, surgical planning, and intra–operative navigation.

Before Your MEG Exam

  • Let us know about any implants in your body. This test is very sensitive to metal and the radiology technologist will review prior to scheduling. Do any of the following conditions apply to you?
    • Implanted electrical device such as a pacemaker, vagus nerve stimulator (VNS), or deep brain stimulator (DBS).
    • Implanted metal device or prosthesis, such as a metal plate, aneurysm clip, rod, pin, screw, etc.
    • Non-removable dental work, such as braces, permanent retainer, bridge, etc.
  • Wear clothes free of metal zippers or snaps above the waist (pants with zippers are ok).
  • Avoid makeup, especially eye make-up, which can contain metallic ingredients that can affect the scan.
  • Wear your hair down and free of hair products.
  • Let us know if we can arrange interpreting services for you.
  • Bring a list of your current medications.

Before Your MSI Exam

  • ​Before your MSI exam, eat normally and take daily medications as usual, unless instructed otherwise by your physician.
  • Remove all metallic items from your body, such as belts, eyeglasses, cell phones, credit cards, keys, etc.
  • If you have metal on your clothing, you will be asked to change into a hospital gown.
  • A radiology technologist will verify your identification and record a brief interim history including your current symptoms.
  • If you are having an EEG exam done at the same time, we will place electrodes on your scalp with a little electrode paste prior to your exam.

During Your MSI Exam

  • You will be asked to lie on a bed and the technologist will place you in the scanner. The scanner fits on your head like a helmet and is open.
  • You will be asked to remain still while the scan is running. Usually, each scan lasts about 4 to 10 minutes, and in between the scans you will be able stretch and readjust your position. Most appointments involve multiple scans and last between 1-2 hours but can be longer or shorter depending on what your doctor has ordered.
  • At times you will be asked to relax with your eyes closed and other times you may be asked to actively participate in the scan by listening to tones or responding to pictures.
  • There is a two-way intercom and video monitoring system in the room so the technologist can monitor and communicate with you.

After Your MSI Exam

  • The technologist will remove the electrodes if you had an EEG performed and escort you out of the room.
  • The clinical team will analyze and review your scan results and send the results to your health care professionals.

For Pediatric Patients

Children can bring their favorite stuffie along for the exam, as long as it does not contain any metal.

Frequently Asked Questions About MEG and MSI Exams

Will any part of the testing hurt?

The scan is completely noninvasive and should not hurt at all.

 

Is anesthesia used during MEG?

No, no anesthesia is used because the procedure is noninvasive and should not hurt at all.

 

Does the scanner use radiation?

No, the scanner does not emit radiation or magnetic fields. It is like a giant microphone that detects brain activity.

 

Will you inject anything into me?

No, we do not use any intravenous (IV) equipment, contrast material, or anesthesia for sedation.

 

What do you recommend for pediatric epilepsy patients?

For pediatric epilepsy patients, we recommend sedation…

 

Is the test noisy like an MRI?

No, the MEG scanner is very quiet.

 

Who can I ask any additional questions I may have about my appointment?

Please call the Biomagnetic Imaging Lab at 415.476.6888

Research Areas

  • Developing machine learning algorithms and tools for functional brain imaging and imaging brain connectivity
  • Developing and evaluating algorithms for brain computer interfaces
  • Developing novel clinical applications for electromagnetic source imaging
  • Imaging speech production and auditory feedback
  • Imaging cortical plasticity associated with learning
  • Integrating multi-modal and multi-scale functional
    imaging

Development and Validation of Algorithms and Tools for Electromagnetic Source Imaging

MEGIMagnetoencephalographic Imaging (MEGI)

The principal goal here is to improve the use of electromagnetic source imaging (ESI is the combined use of MEG, EEG and MRI) in clinical and research practice through the development of better algorithms for image reconstruction and analysis. Another goal is the development of tools for integration of ESI with other imaging modalities such as DTI and fMRI. Ongoing projects include the development of various algorithms for selective signal cancellation, separation and localization of brain sources from EEG and MEG data. We draw upon advances in statistical signal processing, machine learning, and probabilistic Bayesian inference and apply such techniques to analyze MEG and EEG data. Another ongoing effort is to develop algorithms for automated detection and localization of epileptogenic zones. All Algorithms are validated by comparing ESI reconstructions with electrocorticography (ECoG) recordings in patients with brain tumors and in patients with epilepsy. Algorithm validation is also performed in animal models by comparing imaging data such as ESI reconstructions and DTI connectivity with electrophysiological and neuroanatomical measurements. Clinical applications of this work will be tested in patients with brain tumors and in patients with epilepsy.

Determining the Biophysical Basis for Novel Anatomical and Functional Brain Imaging Methods

ECoGElectrocorticography (ECoG)

The goal here is to determine the biophysical basis of auditory and somatosensory cortical activation and connectivity as assayed by modern functional brain imaging methods such as ESI and DTI. In ongoing experiments in patients, with brain tumors or intractable epilepsy, and in animals, we record magnetoencephalography (MEG), electroencephalography (EEG), electrocorticography (ECoG), functional magnetic resonance imaging (fMRI), diffusion-tensor imaging (DTI) data. In animals, we can also record local field potentials and action-potentials from microelectrode arrays and measure neuroanatomical tracer uptakes. Linking such data obtained in the same subjects in response to the same stimuli across these recording methods enables comparisons of imaging across multiple scales and modalities. Current projects include studies of representations of somatosensory and auditory stimuli (in monkeys and cats) and of speech, language and memory responses in humans.

Imaging Cortical Spatiotemporal Plasticity Associated with Learning

ischemic strokeResting-state network connectivity predicts recovery in ischemic Stroke.

The goal here is to examine cortical plasticity due to learning and experience in normal adult humans using ESI. We are specifically interested in cortical plasticity in response to dynamic stimuli in the time-scale of tens to hundreds of milliseconds. We have been examining plasticity, associated with perceptual learning, in representations of simple and complex acoustic stimuli as well as speech and language stimuli. We are also examining plasticity of somatosensory and motor representation changes due to training and perceptual learning.

Neuroimaging of Speech, Language and Memory

schizophreniaResting MEGI Functional Connectivity in Schizophrenia predicts symptoms.

The goal here is to examine the spatiotemporal dynamics of brain networks involved in speech, language and memory processes. We specifically focus on overt speech production, its interaction with auditory feedback processing, and with language and memory processes. Several recent studies have shown that speaking causes "speaking-induced suppression" or SIS - a suppressed response to self-produced speech when compared to identical speech from an external source - in auditory cortex and associative regions. In our own recent work, we have shown that SIS is present in auditory cortex, and does not result from overall inhibition of auditory cortex during speaking. Rather, SIS results from a comparison between actual auditory input and an internal "speaking-induced prediction" (SIP) of that auditory input. What is the functional significance of SIS and SIP? Based on several lines of evidence, we have developed a conceptual working model for SIS and SIP. The principal goal of this research is to test predictions from this model. Our overall approach capitalizes on unique real-time speech feedback alteration methods developed by our research team, the excellent spatial resolution of functional magnetic resonance imaging (fMRI), the excellent temporal resolution of electromagnetic source imaging (ESI) and advanced analyses methods that we have developed for reconstructing spatiotemporal dynamics and connectivity of distributed cortical networks.

Developing Novel Clinical Applications for ESI

How MSI worksIn addition to existing clinical research projects in brain tumor and epilepsy patients, we are also in the process of developing several protocols and procedures for examining novel clinical populations. Ongoing projects including conducting ESI studies on patients with Schizophrenia, Mild Cognitive Impairments, Parkinson's disease, Autism, Traumatic Brain Injury, Stroke, Focal-Hand Dystonia and Agenesis of the Corpus-Collosum.

Center versus peripheral vowel productions in a sample subject.
A, Acoustic variation
across repeated productions, shown in 2D formant frequency space. Green represents center productions; red represents peripheral productions; black represents remaining productions.
B, A source localization algorithm (Owen et al., 2012) determined the coordinates and field strength of the M100 peak (MNI56,24, 8 in this subject).
C, MEG traces aligned to
vowel onset, separated into center and peripheral trials as determined by A. Shaded regions represent SE (n100); vertical bars on the y-axis represent SIS magnitude.

Publications

A complete list of BIL publications can be found at the bottom of Srikantan Nagarajan's bio page, or Srikantan Nagarajan's Google Scholar's page.

The Biomagnetic Imaging Laboratory (BIL) provides the following:

Measure magnetic and electric brain activity

Measure magnetic and electric brain activity• Clinical patients for presurgical work up (brain tumor, epilepsy)
• Research patients with various neurologic conditions (traumatic brain injury, dementia, autism, schizophrenia, stroke, tinnitus, spasmodic dysphonia, focal hand dystonia, primary progressive aphasia, agenesis of the corpus callosum, dyslexia, etc.)

 

MEG/MSI Support and Service for Clinical & Research Purposes

MEG/MSI• MEG - Magnetoencephalography
• MSI – Magnetic Source Imaging  (MEG + MRI = MSI)

MEG Referrals Instructions

 

 

 

Perform Source Analysis

source analysis• Standard analysis software/protocols
• Specialized source analysis algorithms developed in house

 

 

Administrative Support

BIL groupCoordination of patient schedules, scheduling, screening, consenting, recharging, CHR management, reimbursements, etc.

 

 

 

Internships

Internships can provide opportunities for people at all levels of training (i.e. undergraduate, graduate, and resident).

Rotations

Rotations provide an opportunity to explore research opportunities in the lab that can lead to a commitment of several years to develop and complete dissertation research in conjunction with enrollment in a Graduate Program or Professional School, such as the following:

Team Members

 

Clinical Operations Team

  • Srikantan Nagarajan, PhD – Director
  • Heidi Kirsch, MD, MS – Clinical Director
  • Robert Knowlton, MD – Clinical Director
  • Corby Dale, PhD, MPH – Staff Scientist
  • Leighton Hinkley, PhD – Staff Scientist
  • Velmurugan Jayabal, PhD – Staff Scientist
  • Anne Findlay – Lab Manager
  • Gavin Belok – MEG Tech
  • Joshua Chon – MEG Tech
  • Srivatsan Tennathur – MEG Tech
  • Natalie Brunwin – Clinical Research Coordinator
  • Dylan Davis – Clinical Research Coordinator
  • Saloni Gupta – Clinical Research Coordinator
  • Rachel Lentner – Principal EEG Tech

Research Team

  • Srikantan Nagarajan, PhD – Director
  • Corby Dale, PhD, MPH – Staff Scientist
  • Leighton Hinkley, PhD – Staff Scientist
  • Velmurugan Jayabal, PhD – Staff Scientist
  • Anne Findlay – Lab Manager
  • Kurtis Brent – Graduate Student
  • Alvincé Pongos – Graduate Student
  • Zooey Zhang – Graduate Student
  • Jessica Gaines, PhD – Postdoc
  • Pooja Prabhu – Postdoc
  • Rabab Rangwala – Postdoc
  • Saloni Gupta – Clinical Research Coordinator

Advisory Committee 

  • John Houde, PhD – Faculty Collaborator
  • Kamalini Ranasinghe, MD, PhD – Faculty Collaborator
  • Karuna Subramaniam, PhD – Faculty Collaborator
  • Carly Demopoulos, PhD – Faculty Collaborator
  • Ashish Raj, PhD – Faculty Collaborator
  • Shawn Hervey-Jumper, MD – Faculty Collaborator
  • Marilu Gorno-Tempini, MD, PhD – Faculty Collaborator
  • Steven Cheung, MD – Faculty Collaborator
  • Phiroz Tarapore, MD – Faculty Collaborator
  • Heidi Kirsch, MD, MS – Clinical Director
  • Corby Dale, PhD, MPH – Staff Scientist
  • Leighton Hinkley, PhD – Staff Scientist
  • Velmurugan Jayabal, PhD – Staff Scientist
  • Anne Findlay – Lab Manager

Alumni

  • Joshua Bear, MD – University of Colorado, Denver
  • Ethan Brown, MD – UCSF
  • Edward Chang, MD – UCSF
  • Elizabeth Disbrow, PhD – Louisiana State University, Shreveport
  • Dario Englot, MD, PhD – Vanderbilt University
  • Adrian Guggisberg, PhD – University of Geneva
  • Ilana Hairston, PhD – Tel Hai Academic College
  • Kenneth Hild, PhD – Amazon.com
  • Kitti Kaiboriboon, MD – Case Western Reserve University
  • Tal Kenet, PhD – Harvard Medical School – Massachusetts General Hospital
  • Juan Martino, MD, PhD – Hospital Universitario Marques de Valdecilla
  • David McGonigle – Cardiff University
  • Caroline Niziolek, PhD – Boston University
  • Maneesh Sahani, PhD – Gatsby Computational Neuroscience Unit, University College London
  • Carsten Stahlhut, PhD – Technical University of Denmark
  • Noriko Tanigawa – University of Oxford
  • Virginie Van Wassenhove – Neurospin, France
  • Maria Ventura, PhD – UCSF
  • Kelly Westlake, PhD – University of Maryland, Baltimore
  • David Wipf, PhD – Amazon AI Lab in Shanghai
  • Zhao Zhu, PhD – South San Francisco

Past Graduate Students

  • Sarang Dalal, PhD – Aarhus University
  • Alexander Herman, MD, PhD – UCSF
  • Naomi Kort, PhD – UCSF
  • Julia Owen, PhD – UCSF
  • Johanna Zumer, PhD – University of Birmingham

Director

Professor
Director, Neuroimaging RIG
Director, Biomagnetic Imaging Lab
Professor