{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T05:31:08Z","timestamp":1768455068319,"version":"3.49.0"},"reference-count":22,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,12,29]],"date-time":"2024-12-29T00:00:00Z","timestamp":1735430400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Detrusor contractions can be classified as either volitional or involuntary. The latter are a hallmark of urge urinary incontinence. Understanding differences in neuroactivation associated with both types of contractions can help elucidate pathophysiology and therapeutic targets. In this study we aim to compare brain activity associated with voluntary and involuntary detrusor contractions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Twenty seven stroke survivors with secondary storage lower urinary tract symptoms underwent four filling cycles of simultaneous urodynamics and BOLD\u2010signal fMRI. After each fill, participants were instructed to void. Voids inside the designated 10\u2010s period were considered voluntary contractions. All others were considered involuntary. Each contraction was then segmented into phases: Early (10\u2009s before start of contraction), Rise (start of contraction to peak vesical pressure), Plateau, and Fall (from peak pressure to resolution of the contraction). BOLD\u2010effect was compared between the two contraction types, employing a minimum cluster size of 25 voxels and significance threshold at <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.005.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Compared to volitional contractions, involuntary contractions were associated with diminished brain activity in each contraction phase. During the Early phase, this difference was most prominent in areas implicated with sensory and autonomic function, shifting to regions tasked with motor control as the contraction continued and eventually attenuating as the contraction resolved.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This study uniquely contrasts brain activation associated with volitional and involuntary contractions. Relative to involuntary contractions, volitional contractions revealed increased activity in motor, sensory, and executive functioning regions. These findings reflect both the physiological mechanism of volitional contractions and suggest the displacement of this mechanism by a subcortical reflex in involuntary contractions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical Trial Registration<\/jats:title><jats:p>NCT05301335.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.25655","type":"journal-article","created":{"date-parts":[[2024,12,30]],"date-time":"2024-12-30T07:04:47Z","timestamp":1735542287000},"page":"374-381","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Using Functional Magnetic Resonance Imaging to Detect Differences in Micturition\u2010Related Brain Activity Between Volitional and Involuntary Detrusor Contractions"],"prefix":"10.1002","volume":"44","author":[{"given":"Nhi T.","family":"Ha","sequence":"first","affiliation":[{"name":"Department of Urology, Keck School of Medicine University of Southern California Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8243-3878","authenticated-orcid":false,"given":"Aidin","family":"Abedi","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, USC Neurorestoration Center, Keck School of Medicine University of Southern California Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luis Alejandro Morales","family":"Ojeda","sequence":"additional","affiliation":[{"name":"Department of Urology, Keck School of Medicine University of Southern California Los Angeles California USA"},{"name":"Rancho Research Institute Rancho Los Amigos National Rehabilitation Center Downey California USA"},{"name":"Department of Surgery, Anschutz Medical Center University of Colorado Aurora Colorado USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefania","family":"Montero","sequence":"additional","affiliation":[{"name":"Department of Urology, Keck School of Medicine University of Southern California Los Angeles California USA"},{"name":"Rancho Research Institute Rancho Los Amigos National Rehabilitation Center Downey California USA"},{"name":"Division of Vascular and Endovascular Surgery Anschutz Medical Center Aurora Colorado USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Priya","family":"Kohli","sequence":"additional","affiliation":[{"name":"Department of Urology, Keck School of Medicine University of Southern California Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Chapman","sequence":"additional","affiliation":[{"name":"Department of Urology, Keck School of Medicine University of Southern California Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Armita","family":"Abedi","sequence":"additional","affiliation":[{"name":"School of Medicine Zanjan University of Medical Sciences Zanjan Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Petr","family":"Gaburak","sequence":"additional","affiliation":[{"name":"Elson S. Floyd College of Medicine Spokane Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0402-8970","authenticated-orcid":false,"given":"David","family":"Ginsberg","sequence":"additional","affiliation":[{"name":"Department of Urology, Keck School of Medicine University of Southern California Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard L.","family":"Harvey","sequence":"additional","affiliation":[{"name":"Rancho Research Institute Shirley Ryan AbilityLab Chicago Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charles Y.","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, USC Neurorestoration Center, Keck School of Medicine University of Southern California Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kay","family":"Jann","sequence":"additional","affiliation":[{"name":"USC Stevens Neuroimaging and Informatics Institute University of Southern California Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Evgeniy","family":"Kreydin","sequence":"additional","affiliation":[{"name":"Department of Urology, Keck School of Medicine University of Southern California Los Angeles California USA"},{"name":"Department of Neurological Surgery, USC Neurorestoration Center, Keck School of Medicine University of Southern California Los Angeles California USA"},{"name":"Rancho Research Institute Rancho Los Amigos National Rehabilitation Center Downey California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,12,29]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)00324-1"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.20549"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.3389\/fphys.2022.914963"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ju.0000177450.34451.97"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/apha.12019"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/121.11.2033"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/120.1.111"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2012.04.004"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.24445"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.22767"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2016.09.077"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/123.4.781"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.3389\/fnins.2021.628880"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-021-87789-5"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/JU.0000000000002445"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-019-02838-z"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2016.04.056"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-444-63247-0.00007-9"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrn2401"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/iju.14072"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.22471"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pharmthera.2006.11.006"}],"container-title":["Neurourology and Urodynamics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/nau.25655","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,3]],"date-time":"2025-02-03T10:19:21Z","timestamp":1738577961000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/nau.25655"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12,29]]},"references-count":22,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,2]]}},"alternative-id":["10.1002\/nau.25655"],"URL":"https:\/\/doi.org\/10.1002\/nau.25655","archive":["Portico"],"relation":{},"ISSN":["0733-2467","1520-6777"],"issn-type":[{"value":"0733-2467","type":"print"},{"value":"1520-6777","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,12,29]]},"assertion":[{"value":"2024-10-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-12-15","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-12-29","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}