Biomedical subjects

J I Breier

Publications and source records attributed to J I Breier.

At least 37 records · Page 2Linked to original sources

PubMed2000

Lateralization of activity associated with language function using magnetoencephalography: a reliability study.

This study was conducted to investigate the reliability of magnetoencephalography in lateralizing and localizing brain activity associated with receptive language function. Sixteen right-handed adults with no history of neurologic disorder engaged in a continuous recognition memory task for visually presented words in two separate sessions. The magnetic flux normal to the scalp surface was measured with a whole-head neuromagnetometer during task performance. Using the total number of acceptable activity sources as an index, overall activation was greater in the left compared with the right hemisphere for all 16 subjects in both sessions. Sources of activity were consistently found in the temporoparietal areas of the left hemisphere in all subjects. Moreover, clusters of activity sources in this region either overlapped spatially or were found in close proximity across sessions. Medial and basal temporal lobe activity was also observed in most subjects during at least one session, and tended to be lateralized to left hemisphere. These results suggest that magnetoencephalography is a promising tool for determination of cerebral dominance for language and localization of temporal lobe language areas.

Adult↗

PubMed1999

Language dominance determined by magnetic source imaging: a comparison with the Wada procedure.

OBJECTIVE: To evaluate the validity of data derived from magnetic source imaging (MSI) regarding cerebral dominance for language in patients with intractable seizure disorder. METHOD: The authors performed functional imaging of the receptive language cortex using a whole-head neuromagnetometer in 26 consecutive epilepsy patients who also underwent the intracarotid amobarbital (Wada) procedure. During MSI recordings, patients engaged in a word recognition task. This task was shown previously to activate language areas in normal adults as well as in patients who undergo intraoperative language mapping, allowing confirmation of MSI findings. Language laterality indices were formed for both the Wada and the MSI procedures. In addition, clinical judgments regarding cerebral dominance for language were made using the two methods by independent raters. RESULTS: Cluster analysis indicated excellent agreement between the quantitative MSI and Wada indices. Rater judgments showed almost complete agreement as well. CONCLUSION: MSI is a promising method for determining cerebral dominance for language.

Adolescent↗

PubMed1999

Cumulative effect of anatomical risk factors for schizophrenia: an MRI study.

BACKGROUND: Although schizophrenic and control subjects differ on a variety of neuroanatomical measures, the specificity and sensitivity of any one measure for differentiating between groups are low. This study investigated the cumulative effect of deviant brain structure on diagnosis. METHODS: Hemisphere and third ventricle volume and the normalized (Talairach) location of three association cortex sulcal landmarks were measured on high-resolution MRI scans in 37 male patients with schizophrenia and 33 male control subjects matched on age, handedness, and parental socioeconomic status. RESULTS: While there were few group differences on individual anatomical measures, the 10 variables reliably discriminated between the two groups when used in concert in a discriminant function analysis (F[10.59] = 3.6, p < .0009) with 77% of the subjects correctly classified. Five of the measures (left posterior cingulate, left inferior frontal sulcus, right sylvian fissure, and left and right halves of the third ventricle) correlated significantly with the discriminant function (p < .005). CONCLUSIONS: This is the first study to demonstrate that schizophrenics can be distinguished from matched controls on the basis of brain anatomy alone. The risk of schizophrenia may depend on the total amount of neural deviance, rather than on anomalies in a single structure or circuit.

Adolescent↗

PubMed1999

Atypical temporal lobe language representation: MEG and intraoperative stimulation mapping correlation.

Functional brain imaging techniques hold many promises as the methods of choice for identifying areas involved in the execution of language functions. The success of any of these techniques in fulfilling this goal depends upon their ability to produce maps of activated areas that overlap with those obtained through standard invasive procedures such as electrocortical stimulation. This need is particularly acute in cases where active areas are found outside of traditionally defined language areas. In the present report we present two patients who underwent mapping of receptive language areas preoperatively through magnetoencephalography (MEG) and intraoperatively through electrocortical stimulation. Language areas identified by both methods were located in temporoparietal regions as well as in less traditional regions (anterior portion of the superior temporal gyrus and basal temporal cortex). Importantly there was a perfect overlap between the two sets of maps. This clearly demonstrates the validity of MEG-derived maps for identifying cortical areas critically involved in receptive language functions.

Adult↗

PubMed1999

Lateralization of cerebral activation in auditory verbal and non-verbal memory tasks using magnetoencephalography.

The magnetic flux normal to the scalp surface was measured with a whole-head neuromagnetometer while right-handed subjects (N = 15) were engaged in either an auditory word- or a tone-recognition task. Sources of the recorded magnetic fields were modeled as equivalent current dipoles at 4 ms intervals and the number of sources in the later portion of the magnetic response was used as an index of the degree of brain activation. Significantly more sources were found in the left as compared to the right hemisphere in the word but not the tone task on a group basis. On an individual basis, 13/15 subjects had more sources in the left as compared to the right hemisphere during the word task, while in the tone task 3/10 subjects showed this pattern. Sources of activity were found in the left superior and middle temporal gyri in all subjects with available MRI scans. Sources were also found in the supramarginal gyrus and in medial temporal areas, including the hippocampus, in the majority of cases. MEG appears to be a promising tool for detecting activity in cerebral areas specialized for language and memory function.

Adult↗

PubMed1999

Temporal course of regional brain activation associated with phonological decoding.

Spatiotemporal maps of brain activity were obtained from nine normal volunteers engaged in a pseudoword rhyme-matching task using Magnetic Source Imaging. Following bilateral occipital activity there was a clear temporal progression of activity in the left hemisphere beginning with basal temporal areas followed closely by activity in the angular gyrus and inferior frontal lobe. Medial temporal and posterior superior temporal lobe became active last. There was a strong interhemispheric asymmetry in activity favoring the left hemisphere in all areas. A control, pattern-matching task, with no verbal demands, exhibited a different spatiotemporal pattern of activity. These results agree anatomically with previous studies in other imaging modalities. In addition, the relative timing of activity in basal temporal areas of the left hemisphere supports hypotheses regarding a role for this area in early processing of visually presented verbal material.

Adult↗

PubMed1999

A comparison of magnetoencephalography, MRI, and V-EEG in patients evaluated for epilepsy surgery.

PURPOSE: To determine the efficacy and relative contribution of several diagnostic methods [ictal and interictal scalp and intracranial EEG, magnetic resonance imaging (MRI), and magnetoencephalography (MEG)] in identifying the epileptogenic zone for resection. METHODS: This was a prospective study using a masked comparison-to-criterion standard. Fifty-eight consecutive patients with refractory partial epilepsy from two university comprehensive epilepsy programs were studied. Patients who were evaluated for and underwent epilepsy surgery were recruited. The main outcome measure was the efficacy of each diagnostic method to identify the resected epileptogenic zone, when referenced to surgical outcome. RESULTS: MEG (52%) was second only to ictal intracranial V-EEG in predicting the epileptogenic zone for the entire group of patients who had an excellent surgical outcome (seizure free or rare seizure). In a subanalysis, for patients who had temporal lobe surgery, this same relation was seen (MEG, 57%, ictal intracranial V-EEG, 62%). With extratemporal resection, ictal (81%) and interictal (75%) intracranial EEG were superior to MEG (44%) in predicting the surgery site in those patients with an excellent outcome. Finally, for all patients who had a good surgical outcome, MEG (52%) was better than ictal (33%) or interictal (45%) scalp VEEG in predicting the site of surgery. CONCLUSIONS: These results indicate that MEG is a very promising diagnostic method and raise the possibility that it may obviate the need for invasive EEG in some cases or reduce the length of scalp EEG evaluation in others.

Adolescent↗

PubMed1999

Magnetoencephalographic mapping of the language-specific cortex.

OBJECT: In this paper the authors introduce a novel use of magnetoencephalography (MEG) for noninvasive mapping of language-specific cortex in individual patients and in healthy volunteers. METHODS: The authors describe a series of six experiments in which normative MEG data were collected and the reliability, validity, and topographical accuracy of the data were assessed in patients who had also undergone the Wada procedure or language mapping through intraoperative cortical stimulation. CONCLUSIONS: Findings include: 1) receptive language-specific areas can be reliably activated by simple language tasks and this activation can be readily recorded in short MEG sessions; 2) MEG-derived maps of each individual are reliable because they remain stable over time and are independent of whether auditory or visual stimuli are used to activate the brain; and 3) these maps are also valid because they concur with results of the Wada procedure in assessing hemispheric dominance for language and with the results of cortical stimulation in identifying the precise topography of receptive language regions within the dominant hemisphere. Although the MEG mapping technique should be further refined, it has been shown to be efficacious by correctly identifying the language-dominant hemisphere and specific language-related regions within this hemisphere. Further development of the technique may render it a valuable adjunct for routine presurgical planning in many patients who harbor tumors or have epilepsy.

Acoustic Stimulation↗

PubMed1999

Localization of language-specific cortex by using magnetic source imaging and electrical stimulation mapping.

OBJECT: In this paper the authors demonstrate the concordance between magnetic source (MS) imaging and direct cortical stimulation for mapping receptive language cortex. METHODS: In 13 consecutive surgical patients, cortex specialized for receptive language functions was identified noninvasively by obtaining activation maps aided by MS imaging in the context of visual and auditory word-recognition tasks. Surgery was then performed for treatment of medically intractable seizure disorder (eight patients), and for resection of tumor (four), or angioma (one). Mapping of language areas with cortical stimulation was performed intraoperatively in 10 patients and extraoperatively in three. Cortical stimulation mapping verified the accuracy of the MS imaging-based localization in all cases. CONCLUSIONS: Information provided by MS imaging can be especially helpful in cases of atypical language representation, including bihemispheric representation, and location of language in areas other than those expected within the dominant hemisphere, such as the anterior portion of the superior temporal gyrus, the posteroinferior portion of the middle temporal gyrus, the basal temporal cortex, and the lateral temporooccipital cortex.

Acoustic Stimulation↗

PubMed1998

MEG correlates of categorical-like temporal cue perception in humans.

The purpose of this study was to extend previous findings of changes in magnetic flux amplitude associated with neuronal currents in the human auditory cortex in response to two-tone stimuli selected from a tone-onset time (TOT) continuum. The results replicated previous findings by indicating a close correspondence between N1m field strength functions and individual perceptual identification curves. In a second experiment event-related fields were recorded in response to two-tone stimuli in which the two sinusoid components always started simultaneously, yet they showed the same energy envelope as the TOT stimuli (amplitude modulated (AM) tokens). The results showed that N1m modulation as a function of TOT could not be accounted for by an effect of AM. The findings suggest that discontinuities in N1m field amplitude functions were the result of interactions between two populations of active neurons each displaying distinct average sound frequency preferences.

Acoustic Stimulation↗

PubMed1998

Quality of life perception in patients with intractable epilepsy or pseudoseizures.

OBJECTIVES: To contrast and compare self-reported quality of life in patients with intractable epilepsy and pseudoseizures and to examine the relationship between self-reports and objective measures of cognitive functioning in both of these groups. DESIGN: Case series using profile analysis and analysis of covariance. SETTING: University epilepsy surgery program. PARTICIPANTS: Forty-three patients with intractable complex partial seizures of unilateral temporal lobe origin and 25 patients with pseudoseizures. MEASURES: Quality of Life in Epilepsy Inventory-89; neuropsychological tests assessing verbal memory, nonverbal memory, naming, and attention; and the Depression Scale (2) of the MMPI-2 (Minnesota Multiphasic Personality Inventory). RESULTS: Patients with pseudoseizures described themselves as more limited in the physical health domain than patients with complex partial seizures. Self-perceptions of cognitive functioning were similar between groups, despite the superior performance of patients with pseudoseizures on objective measures. Self-perception of cognitive dysfunction was related to mood disorder in the pseudoseizure group only, and there were no relationships between subjective and objective measurements of cognitive status within this group independent of mood disorder. For the complex partial seizures group, relationships between subjective and objective measures of cognitive function were dependent on the side of seizure onset. CONCLUSIONS: Results are consistent with hypotheses that suggest that patients with pseudoseizures focus on physical rather than psychological explanations for stress, and that this focus is related, at least in a subgroup of patients, to mood disorder. Results also provide support for the validity of the Quality of Life in Epilepsy Inventory-89 in populations with intractable seizure disorder, although there is evidence for a possible floor effect on some of the subscales.

Adolescent↗

PubMed1998

Ear advantage in dichotic listening after correction for early congenital hearing loss.

Twelve patients who had undergone surgical correction for either unilateral or bilateral congenital hearing loss were given a postoperative dichotic listening test for consonant vowel-consonant (CVC) words. Four normal hearing control subjects were also tested. Patients were first given a test of subjective loudness, and the level of presentation of stimuli in the atretic ear was adjusted accordingly. In the dichotic condition all controls exhibited a right ear advantage, and all unilateral atresia patients showed an ear advantage favouring the non-atretic ear. Patients with bilateral atresia essentially exhibited no ear advantage. Patients had the same error rate as controls in the dichotic condition, which suggests that ear advantage was not due to increased errors in the atretic ear. For patients there was a significant relationship between ear advantage and both preoperative interaural asymmetry in hearing loss and age at operation. Results suggest that a sensitive and critical period for development of the ear is complete by 5 years of age. Results also suggest some limited ability to adjust to permanent change in stimulation levels until, but not after, puberty.

Adolescent↗

PubMed1998

Magnetic fields elicited by a tone onset time continuum in humans.

Event-related Fields (ERFs) were recorded in eleven normal volunteers in response to four two-tone stimuli selected from a tone onset time (TOT) continuum. The latter has been used extensively in the past as an analog of voice onset-time, an important cue for making voicing distinctions (e.g., ¿pa¿ versus ¿ba¿). TOT values ranged from 0 to 60 ms in 20-ms steps. Three components of the ERF (P50m, N1m, and P2m) in the hemisphere contralateral to the stimulated ear were analyzed. The most significant finding was an abrupt reduction in the peak field amplitude of N1m (bilaterally) as TOT values increased from +20 to +40 ms. No systematic differences were noted between the 0 and +20 ms stimuli or between the +40 and +60 ms tokens. On the other hand, peak component latencies rose steadily with increasing TOT values. The discontinuity in the change of peak RMS as a function of TOT is in close agreement with behavioral evidence of categorical perception of similar non-speech as well as speech stimuli.

Acoustic Stimulation↗

PubMed1998

MEG correlates of categorical perception of a voice onset time continuum in humans.

Event-related magnetic fields (ERFs) were recorded from the left hemisphere in nine normal volunteers in response to four consonant-vowel (CV) syllables varying in voice-onset time (VOT). CVs with VOT values of 0 and +20 ms were perceived as /ga/ and those with VOT values of +40 and +60 ms as /ka/. Results showed: (1) a displacement of the N1m peak equivalent current dipole toward more medial locations; and (2) an abrupt reduction in peak magnetic flux strength, as VOT values increased from +20 to +40 ms. No systematic differences were noted between the 0 and +20 ms stimuli or between the +40 and +60 ms CVs. The findings are in agreement with the results of multiunit invasive recordings in non-human primates regarding the spatial and temporal pattern of neuronal population responses in the human auditory cortex which could serve as neural cues for the perception of voicing contrasts.

Adult↗

PubMed1998

Functional hemispheric asymmetry assessment in a visual language task using MEG.

We used magnetoencephalography (MEG) to assess the degree of hemispheric activation in eleven normal, right-handed subjects with no history of neurological disorder or learning disability during performance of a word- and a face-recognition tasks. Neuromagnetic activity was recorded using a whole-head system, and the sources of the recorded magnetic fields were modeled as single equivalent current dipoles. Early (<200 msec) cerebral activation, defined by the number of dipoles identified by the data-fitting algorithm, was localized in the occipital cortex during both tasks, as expected. During the language task, the extent of the later (>200 msec) cerebral activation was approximately double in the left hemisphere in almost all subjects, involving temporal and temporoparietal areas. In contrast, during the face-recognition task, the corresponding activation was mostly symmetrical across the two occipital lobes, also involving the posterior-inferior aspect of the right temporal lobe. Our results suggest that the MEG is a suitable method of assessing noninvasively hemispheric specialization for language.

Adult↗

PubMed1998

Identification of language-specific brain activity using magnetoencephalography.

The purpose of the present investigation was to explore the ability of magnetoencephalography (MEG) to identify brain areas involved in language comprehension. Event-related magnetic fields (ERFs) were recorded from 7 right-handed adults with no history of neurological disorder or learning disability as they engaged in an auditory and a visual word-recognition task. A face-recognition task served as control. During the later portion of the ERFs, activity sources from both language tasks tended to overlap in temporal and temporo-parietal cortices. There was a clear preponderance of such sources in the left compared to the right hemisphere in all participants. These findings demonstrate that MEG is a promising tool for identifying brain regions involved in the analysis of linguistic stimuli, in addition to the initial encoding of stimulus features.

Adult↗

PubMed1998

Relative timing of neuronal activity in distinct temporal lobe areas during a recognition memory task for words.

Nine neurologically normal volunteers engaged in a recognition memory task for visually presented words while the magnetic flux normal to the scalp surface was measured with a whole-head neuromagnetometer. The relative timing of activity occurring during the task in different brain areas was determined. Occipital lobe areas became active first, followed by basal temporal areas. Temporoparietal and medial temporal areas became active next, during later portions of the recorded epoch, and appeared to activate in concert. Except for the occipital lobe, activity was predominantly in the left hemisphere. This pattern was consistent across participants. Results suggest that MEG, in capturing temporal as well as spatial aspects of brain activity, has a promising role as an adjunct to other functional imaging modalities.

Adult↗

PubMed1998

Assessment of functional cerebral laterality for language using magnetoencephalography.

The purpose of the study was to examine the feasibility of using magnetoencephalography (MEG), a noninvasive functional brain imaging technique, to assess cerebral laterality for language. The magnetic flux normal to the scalp surface was measured with a whole-head neuromagnetometer while subjects (n = 16) were engaged in a word-matching and a tone-matching task. The effect of hemisphere and task on the number of satisfactory equivalent current dipole (ECD) solutions obtained during the late portion of the responses to the word and tone stimuli was examined. An interhemispheric ECD laterality index was also computed. Satisfactory ECD solutions were localized in perisylvian cortices during both tasks. A greater number of ECDs was found in the left hemisphere in 14 (87%) of 16 of the subjects in the word-matching task, a proportion that approaches the reported incidence of left-hemisphere dominance among right-handers. A similar proportion of subjects also showed a clear asymmetry in the number of ECDs favoring the left hemisphere in the language task as compared to the nonlanguage task. These findings suggest that MEG is a promising tool for laterality assessment. Magnetoencephalography-based functional asymmetry data are currently being compared against invasive presurgical procedures (i.e., intracarotid amobarbital procedure).

Adult↗