**1. Introduction**

332 Neuroimaging – Cognitive and Clinical Neuroscience

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259.

Functional brain imaging of the somatosensory system has evolved over the past two decades and it has become an important tool in the preoperative planning in neurosurgery, in the monitoring in neurorehabilitation and for the understanding of motor recovery after brain damage for the planning and optimization of neurorehabilitation strategies.

Mapping of movement related cortical areas and areas that are related to body sensation was initially performed during neurosurgical procedures using direct cortical stimulation (Penfield, 1937). Several functional brain mapping techniques have subsequently evolved (Toga and Mazziotta, 2002). The era of functional brain imaging began in the 1980s with the implementation of the Positron Emission Tomography (PET) which provided a measure of the regional cerebral blood flow. Since the 1990s functional brain imaging is dominated by the rise of functional magnetic resonance imaging (fMRI) based on the blood oxygenation level dependant (BOLD) effect that was discovered 1990 by Ogawa et al. (Ogawa et al., 1990;Ogawa et al., 1992). Subsequently continuous evolution and progress of fMRI as well as its increasing popularity and spreading clinical use as a highly sensitive diagnostic neuroimaging instrument suitable for the assessment of a large variety of neurological and neurosurgical indications made fMRI to the leading functional neuroimaging modality. In this chapter we review somatosensory stimulation in PET and fMRI during the past decades, their advantages and disadvantages, optimal stimulation protocols as well as corresponding brain maps of different approaches of somatosensory stimulation in functional brain imaging and their clinical and neurophysilogical applications.
