A new tablet for writing and drawing during functional MRI.

Writing and drawing are understudied with fMRI, partly for lack of a device that approximates these behaviors well while supporting task feedback and quantitative behavioral logging in the confines of the magnet. Consequently, we developed a tablet based on touchscreen technology that is accurate, reliable, relatively inexpensive, and fMRI compatible. After confirming fMRI compatibility, we conducted preliminary fMRI experiments examining the neural correlates of a widely used pen-and-paper neuropsychological assessment, the trail making test. In two subjects, we found left hemisphere frontal lobe activations similar to the major results of a previous group study, and we also noted individual differences mostly in the right hemisphere. These results demonstrate the utility of the new tablet for adaptations of pen-and-paper tests and suggest possible uses of the tablet for longitudinal, within-subjects studies of disease or therapy. We also discuss using the tablet for several other types of tests requiring many, continuous, or two-dimensional responses that were previously very difficult to perform during fMRI.