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Dr Owen said: 'We were astonished when we saw the results of the patient's scan.'Not only did these scans tell us that the patient was not in a vegetative state, but, more importantly, for the first time in years it provided the patient with a way of communicating his thoughts to the outside world.' He said f MRI scanning was an expensive tool but in future, computer devices might help patients to communicate whether they needed pain relief or would like to try new drugs.

Out of the dimness opposite equals advance, always substance and increase, always sex, Always a knit of identity, always distinction, always a breed of life.With the ability to communicate, patients could request pain relief, or even indicate if they wanted to end their life.Dr Adrian Owen, who led the Medical Research Council team in Cambridge, said: 'They can now have some involvement in their destiny.'To the outside world, the 29-year-old patient - who suffered a severe head injury in a road accident in 2003 - appeared unconscious and incapable of communicating.To activate the 'spatial' region, they had to imagine walking from room to room in their home.In four patients, the scans detected activity in the appropriate brain region as they carried out the scientists' verbal instructions.

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