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H Hinrichs

Publications and source records attributed to H Hinrichs.

At least 37 records · Page 2Linked to original sources

Successful verbal encoding into episodic memory engages the posterior hippocampus: a parametrically analyzed functional magnetic resonance imaging study.

The medial temporal lobe (MTL) is essential for episodic memory encoding, as evidenced by memory deficits in patients with MTL damage. However, previous functional neuroimaging studies have either failed to show MTL activation during encoding or they did not differentiate between two MTL related processes: novelty assessment and episodic memory encoding. Furthermore, there is evidence that the MTL can be subdivided into subcomponents serving different memory processes, but the extent of this functional subdivision remains unknown. The aim of the present functional magnetic resonance imaging (fMRI) study was to investigate the role of the MTL in episodic encoding and to determine whether this function might be restricted to anatomical subdivisions of the MTL. Thirteen healthy volunteers performed a word list learning paradigm with free recall after distraction. Functional images acquired during encoding were analyzed separately for each participant by a voxel-wise correlation (Kendall's tau) between the time series of the T2*-signal intensity and the number of subsequently recalled words encoded during each particular scan. Of the 13 participants, 11 showed voxel clusters with statistically significant, positive correlations in the posterior part of the hippocampus. Across participants, an ANOVA on the number of voxels with significant, positive correlations within individually defined volumes of interest confirmed a statistically significant difference in activation for anterior versus posterior regions of the hippocampus. However, no differences between left and right hippocampal activation were revealed. Thus, these findings demonstrate that successful encoding into episodic memory engages neural circuits in the posterior part of the hippocampus.

Adolescent↗

Neural mechanisms of global and local processing. A combined PET and ERP study.

The neural mechanisms of hierarchical stimulus processing were investigated using a combined event-related potentials (ERPs) and positron emission tomography (PET) approach. Healthy subjects were tested under two conditions that involved selective or divided attention between local and global levels of hierarchical letter stimuli in order to determine whether and where hemispheric differences might exist in the processing of local versus global information. When attention was divided between global and local levels, the N2 component of the ERPs (260- to 360-msec latency) elicited by the target stimuli showed asymmetries in amplitude over the two hemispheres. The N2 to local targets was larger over the left hemisphere, but the N2 to global targets tended to be slightly larger over the right hemisphere. However, the shorter-latency, sensory-evoked P1 component (90- to 150-msec latency) was not different for global versus local targets under conditions of divided attention. In contrast, during selective attention to either global or local targets, asymmetries in the N2 component were not observed. But under selective attention conditions, the sensory-evoked P1 components in the extrastriate cortex were enlarged for global versus local attention. Increased regional cerebral blood flow in the posterior fusiform gyrus bilaterally was observed in the PET data during selective attention to either global or local targets, but neither these nor the P1 component showed any tendency toward hemispheric difference for global versus local attention. Neither were there any activations observed in the parietal lobe during selective attention to global versus local targets. Together these data indicate that early sensory inputs are not modulated to gate global versus local information differentially into the two hemispheres. Rather, later stages of processing that may be asymmetrically organized in the left and right hemispheres operate in parallel to process global and local aspects of complex stimuli (i.e., the N2 effect of the ERPs). This pattern of results supports models proposing that spatial frequency analysis is only asymmetric at higher stages of perceptual processing and not at the earliest stages of visual cortical analysis.

Adult↗

Time course of human 40 Hz EEG activity accompanying P3 responses in an auditory oddball paradigm.

In order to quantify the time course of auditory P3-related gamma activity, root mean square (RMS) values were calculated from band-filtered (30-45 Hz) target and non-target responses in an auditory oddball experiment. Evoked (phase locked) gamma activity was evaluated from the time domain averages, whereas induced (not necessarily phase locked) activity was analyzed on the basis of single trials. Gamma RMS values were integrated across different time windows, namely the prestimulus, N50/P50, N100, pre P3, P3 and post P3 window. The single trial P3 window hereby was defined by a maximum amplitude criterion. In accordance with other studies, we found a pronounced increase of evoked gamma activity in the time window up to 80 ms after stimulus onset. In contrast, induced gamma activity as revealed by single trial analysis decreased markedly after stimulus presentation. Starting with the P3 window, induced activity recovered to baseline level for the non-target trials, whereas it remained significantly suppressed for the target responses.

Acoustic Stimulation↗

S-HAM induction chemotherapy with or without GM-CSF in patients with high-risk myelodysplastic syndromes.

Thirty-one adult patients with high-risk myelodysplastic syndromes (MDS) were enrolled in a prospective randomized double-blind placebo-controlled trial evaluating the efficacy of sequential high-dose Ara C/mitoxantrone chemotherapy with or without GM-CSF. GM-CSF or placebo was given subcutaneously once daily at a dose of 250 micrograms/m2 starting 48 h prior to chemotherapy and continued until neutrophil recovery. This design allowed us to investigate the role of GM-CSF as a priming factor for the leukemic clone, as well as its effect on the recovery of normal hematopoiesis. Twenty-eight patients are currently evaluable for response. The patients reached a complete remission (36%), eight patients had persistent MDS (29%), and ten patients died within 6 weeks after the onset of treatment (early death). Infectious complications during cytopenia were the major cause of death (8/10). Median time to complete hematologic recovery (neutrophils > 500/microliter and platelets 20,000/microliter) and time to neutrophil recovery above 1500/microliter was 29 and 35 days, respectively. Median remission duration was 190 days (6.4 months). Analysis of prognostic subgroups showed a low CR rate (25%) and a high early-death rate (44%) in patients > 55 years of age, suggesting that the intensified treatment approach should be limited to younger patients. No data concerning the influence of GM-CSF on response to chemotherapy or duration of neutropenia are presently available.

Adult↗

[Use of automatic, computer-assisted EEG analysis in clinical practice].

Digital EEG-recorders are being increasingly accepted for clinical routine application, thereby offering the possibility for an automated computerised EEG evaluation. This paper presents the results of a corresponding computer programme developed in our group. Based on 313 clinical routine-EEG we compared the computer reports to the visual EEG-interpretations and obtained the following result: Background activity is reliably detected with a rate comparable to a human interpreter. Similar results were observed with focussed pathological activity. Intermittent activity (Parenrhythmia, dysrhythmia) however lacks a sufficiently high score of correct evaluation and requires further development. Epileptiform potentials, especially spikes, are detected with high sensitivity, however, at the cost of low specificity, and are therefore still in need of further improvement.

Cerebral Cortex↗

Computer-assisted evaluation of the smooth-muscle electromyogram of the corpora cavernosa by fast Fourier transformation.

OBJECTIVE: The aim of our study was to investigate analogous and digital recording of corpus cavernosum EMGs (CC-EMGs) in normal men according to criteria that were recently agreed upon in an international consensus workshop. METHODS: CC-EMGs were analogously and digitally registered from 37 normal subjects. Power spectra in the frequency domain were determined via fast Fourier transformation (FFT). RESULTS: Thirty-one of men showed identical or at least very similar electrical activity patterns in the analogous and digital registration. Needle penetration artifacts (investigated in 18 subjects) were found in 17/18 CC-EMGs during the first 20 min. Power spectra show a maximum of power at a frequency of 0.3 Hz with more than 90% of the power located between 0 and 5 Hz. CONCLUSIONS: Registration of CC-EMGs in normal men resulted in interindividually reproducible recordings. Age hardly affected CC-EMGs. Computer-assisted evaluation by FFT after elimination of artifacts was feasible. Thus, interpretation of the CC-EMG signals by a computer-aided expert system seems to be promising for clinical routine, in particular with respect to an increase in objectivity and a decrease in time needed for interpretation.

Adolescent↗

Application of factor analysis for the determination of specific frequency bands in corpus cavernosum EMG power density spectra.

Corpus cavernosum electromyogram (CC-EMG) recording provides diagnostic information on cavernous autonomic innervation and the intact state of cavernous smooth muscle cells. Evaluation of these signals is time consuming and complex. Therefore, we attempted to facilitate their interpretation and to increase their objectivity by using computer-based digital signal processing. Spectral parameters were used as a starting point for this analysis, which were calculated from the Fourier-transformed time domain CC-EMGs. Factor analysis was applied to determine specific frequency bands in the CC-EMG power density. Two hundred power spectra, taken from normal subjects (n = 66) and from patients suffering from erectile dysfunction (n = 134), constituted the basic data. As a result of applying factor analysis, four specific frequency bands were depicted: 0.0-0.3, 0.3-3.5, 3.5-6.0 and 6.0-10.0 Hz. The results of this study form the basis for further mathematical evaluation and calculation of the CC-EMG for clinical and diagnostic purposes.

Adult↗

A trend-detection algorithm for intraoperative EEG monitoring.

Intraoperative EEG-monitoring needs to discriminate random fluctuations from real systematic variations (trends). This task is made more difficult by several types of artifacts. With the goal of supporting visual EEG evaluation, a new trend-detection algorithm is presented which is based on spectral analysis and a post-processing dynamic linear model, the latter introduced by Harrison and Stevens. A gradient value provided by this model is exploited to determine the onset and relative extent of an existing trend. Artifacts are detected by several threshold measures for the original signal and its first derivative. The system was validated using a set of intraoperative EEGs recorded during carotid endarterectomy.

Algorithms↗

Combined spatial and temporal imaging of brain activity during visual selective attention in humans.

Visual-spatial attention is an essential brain function that enables us to select and preferentially process high priority information in the visual fields. Several brain areas have been shown to participate in the control of spatial attention in humans, but little is known about the underlying selection mechanisms. Non-invasive scalp recordings of event-related potentials (e.r.ps) in humans have shown that attended visual stimuli are preferentially selected as early as 80-90 ms after stimulus onset, but current e.r.p. methods do not permit a precise localization of the participating cortical areas. In this study we combined neuroimaging (positron emission tomography) with e.r.p. recording in order to describe both the cortical anatomy and time course of attentional selection processes. Together these methods showed that visual inputs from attended locations receive enhanced processing in the extrastriate cortex (fusiform gyrus) at 80-130 ms after stimulus onset. These findings reinforce early selection models of attention.

Attention↗

Single potential analysis of cavernous electrical activity. Four years' experience in more than 500 patients with erectile dysfunction.

Since the recent introduction of cavernous electromyography by Gerstenberg and Wagner, a new too for the study of erectile dysfunction in man is available. The refinement of this method, single potential analysis of cavernous electrical activity (SPACE), offers a straightforward approach to the diagnosis of cavernous autonomic neuropathy and smooth muscle myopathy by minimal invasive means. SPACE was done in more than 500 consecutive patients with erectile dysfunction and in 85 normal control subjects. With increasing experience the methodology was refined with respect to the used hardware as well as cut-off frequencies. In normal control subjects, SPACE showed a reproducible regular activity with potentials of low frequency and electrical silence inbetween. The potentials were synchronous throughout the cavernous bodies. In patients with peripheral autonomic denervation, asynchronous potentials with higher frequencies and irregular shape were found. Normal and abnormal potentials were found in patients with upper spinal cord lesions. Recordings obtained with surface electrodes showed similar characteristics when compared with recordings obtained with needle electrodes. Recent studies show that SPACE provides independent information about the autonomic and myogenic intactness of the cavernous tissue. Currently, a computerized expert system and a graded classification for easier interpretation is being developed with first results. We conclude that cavernous electrical activity can be recorded. SPACE is a reproducible diagnostic tool for erectile dysfunction.

Action Potentials↗

Hemodynamic and electrophysiological evaluation following extracranial/intracranial bypass surgery.

We examined 50 patients with an extracranial/intracranial bypass using transcranial Doppler blood flow mapping, somatosensory evoked potentials, and computer-assisted EEG analysis. The investigation was supplemented by temporary compression of the extracranial supplying vessel. Transcranial Doppler sonography revealed in addition to 4 patients with nonpatent anastomoses, a bypass-mediated retrograde flow in the ipsilateral middle cerebral artery beyond a depth of 40 mm in the majority of patients. In 9 patients, retrograde flow could be demonstrated in the whole proximal (M1) MCA segment. The precommunicating segment of the anterior cerebral artery (A1) could be reliably insonated in all but 5 patients. Bypass-compression dependent alterations in the SSEP and in EEG analysis were only observed in a small number of patients. Transcranial Doppler sonography, with the aid of the flow mapping system, appears therefore, to be a reliable and repeatedly performable noninvasive technique for the assessment of intracranial hemodynamics following bypass surgery.

Adult↗

Basic emotions reflected in EEG-coherences.

The differentiation of basic emotions by means of EEG power spectra has been discussed extensively by Machleidt et al. (1989). The present contribution concentrates on the interhemispheric coupling of different EEG-signals as depending on the modulation of these emotions. In the first part the estimation and interpretation of squared coherence spectra is outlined. Results from this technique are presented in the following section. Intention, Aggression and Joy are mainly characterized by an increase of alpha-coherence, whereas a decrease is seen for Anxiety and Sorrow. These effects showed a widespread distribution.

Adult↗

[Computer-assisted analysis of the electromyogram for routine clinical use].

A computerized EMG analysis system implemented on an MS-DOS computer was developed explicitly for clinical routine usage. It incorporates analysis of interference pattern as well as of motor unit action potentials (MUAPs). Key features of MUAP analysis are the automatic segmentation and parameterization of the EMG signal and the automatic assignment of MUAPs to motor units. Determination of muscle activity is based on threshold detection of the signal's first derivative, leading to the definition of a MUAPs central component. Its parameters (length, amplitude, maximal steepness, area between curve and base-line, area between first derivative and base-line, number of turns etc.) are used when comparing MUAPs. The automatic assignment of MUAPs to motor units was implemented as an iterative procedure. MUAPs are compared to a reference MUAP and eventually assigned to it if their parameters are sufficiently similar. For such a group of MUAPs the most representative MUAP is determined which is then used as new reference MUAP in the next iteration step. Most important for clinical routine usage are simple handling, speed and the clearly arranged presentation of results. The system allows for interactive modification of MUAP assignment as well as start and end points of every MUAP. Analysis results may be displayed on the screen and printed, giving the user a quick impression of the muscle under study. Thus this method meets basic requirements for computer assisted decision making in differential diagnosis.

Action Potentials↗

[Automatic (computer-assisted) EEG analysis in comparison with visual EEG analysis in patients following minor cranio-cerebral trauma (a follow-up study)].

The study was designed to examine the clinical applicability and use of computer-assisted EEG-analysis in comparison to visual EEG-analysis in patients with minor head injuries. For this in 31 patients the following examinations were performed within the first 24 hours, one, three and eight weeks after traumatization: EEG, neurological examination and standardized evaluation of subjective complaints. The EEG was analysed visually as well as computer-assisted. The results were compared to the neurological findings and subjective complaints. Reversible posttraumatic EEG-changes were observed in 50% of all patients. The results of computer-analysis and visual analysis were equivalent in respect to baseline-activity (as one of the main characteristic EEG-features). Furthermore, based on computer-assisted analysis a discriminant function is provided, which is of diagnostic and prognostic value in the single patient. We conclude that the computer-assisted EEG-analysis can be a useful alternative in EEG-routine diagnosis after minor head injuries.

Adolescent↗

[Neurophysiologic monitoring in neurosurgical vascular operations: specific technical requirements and their conversion].

Several authors have presented evidence for a strict relation between regional cerebral blood flow and EEG. Therefore the EEG can serve as an adequate physiological parameter when monitoring cerebral function in the operating room. However, to exploit the inherent information as far as possible, both multichannel EEG and somatosensory evoked potentials should be recorded simultaneously. In the present article we describe a monitoring system which is capable to handle this task under the conditions of an operating room. In the first step some numerically simple algorithms are applied to detect gross artifacts. In the subsequent processing stage an analysis procedure is performed which is robust with respect to the remaining more subtile artifacts. In addition the raw signals are continually displayed on a monitor to allow for a visual evaluation of the EEG. The results of a trend analysis procedure are presented on the same graphical display by means of a compact topographical scheme. The system has been running under routine conditions for approximately two years now.

Artifacts↗

EEG data compression with source coding techniques.

A data compression algorithm for the EEG, derived from the adaptive pulse code modulation scheme, is described where the consecutively computed differences are coded by passing them through a quantizer possessing only a few levels; the range of these levels is adapted to local signal statistics. Three different versions of the algorithm with data reduction up to 75% are presented. The system was validated using several multichannel-routine EEG recordings with both visual evaluation and computation of signal-to-noise ratios.

Algorithms↗

Neurophysiological assessment of early hepatic encephalopathy.

The spontaneous EEG, pattern reversal VEPs, and the P300 wave were studied in patients with liver cirrhosis and early stages of hepatic encephalopathy (HE). The sensitivities of the different neurophysiological methods in the early stages of hepatic encephalopathy were compared with each other and with several neuropsychological tests. P300 latency was shown to be the most appropriate neurophysiological method for detection of early HE. The diagnostic sensitivity of the P300 latency resembled that of the number connection test (NCT). These results are discussed with regard to methodological considerations and the clinical use of both methods.

Adult↗