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Intrinsically organized resting state networks in the human spinal cord

Significance The human brain displays an enormous amount of intrinsic activity in the absence of any task or external stimulation. Here we demonstrate that the human spinal cord, the brain’s principal interface with the body, also shows such resting-state activity. We observed biologically plausible and spatially distinct networks that reflect the functional organisation of the spinal cord: networks in the anterior part likely relating to motor function and distinct networks in the posterior part likely reflecting sensory function. These networks were grouped along the spinal cord, consistent with motor output to, and sensory input from, the body. Together with previous brain imaging studies, our data suggest that resting-state activity constitutes a major functional signature of the entire central nervous system. Spontaneous fluctuations in functional magnetic resonance imaging (fMRI) signals of the brain have repeatedly been observed when no task or external stimulation is present. These fluctuations likely reflect baseline neuronal activity of the brain and correspond to functionally relevant resting-state networks (RSN). It is not known however, whether intrinsically organized and spatially circumscribed RSNs also exist in the spinal cord, the brain’s principal sensorimotor interface with the body. Here, we use recent advances in spinal fMRI methodology and independent component analysis to answer this question in healthy human volunteers. We identified spatially distinct RSNs in the human spinal cord that were clearly separated into dorsal and ventral components, mirroring the functional neuroanatomy of the spinal cord and likely reflecting sensory and motor processing. Interestingly, dorsal (sensory) RSNs were separated into right and left components, presumably related to ongoing hemibody processing of somatosensory information, whereas ventral (motor) RSNs were bilateral, possibly related to commissural interneuronal networks involved in central pattern generation. Importantly, all of these RSNs showed a restricted spatial extent along the spinal cord and likely conform to the spinal cord’s functionally relevant segmental organization. Although the spatial and temporal properties of the dorsal and ventral RSNs were found to be significantly different, these networks showed significant interactions with each other at the segmental level. Together, our data demonstrate that intrinsically highly organized resting-state fluctuations exist in the human spinal cord and are thus a hallmark of the entire central nervous system.