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Biomedical subjects

Niels Birbaumer

Publications and source records attributed to Niels Birbaumer.

At least 37 records · Page 2Linked to original sources

Brain processes associated with target finding.

The response execution stage of cognitive skill consists of several substages, including finding the proper response location among available alternatives and moving the effector to the target location. In order to unravel the brain dynamics associated with the finding process, the present experiments used two experimental conditions. In the number condition, which requires both finding and moving, subjects are presented on each trial with a digit, 0-9, are required to find that digit on a circular clock face, and then to move a cursor to that target's location. In the arrow condition, an arrow pointing to the location of the target on the clock face circumference appears simultaneously with the target digit; no target finding is required because subjects need only to move the cursor along the path marked by the arrow. A pilot and the main experiment revealed that response initiation times but not movement times were affected by these experimental manipulations. Analysis of magnetoencephalographic (MEG) activity revealed an early occipital activity which was not affected by experimental manipulations. Later activity with central-parietal and parieto-temporal loci presumably reflected changes in the dorsal and ventral pathways, respectively, and these were affected by experimental conditions. Finally, finding processes seem to be associated with a second late activation of the ventral pathway presumably reflecting ongoing recognition processes.

Adolescent↗

Self-regulation of local brain activity using real-time functional magnetic resonance imaging (fMRI).

Functional magnetic resonance imaging (fMRI) measures the blood oxygen level-dependent (BOLD) signal related to neuronal activity. So far, this technique has been limited by time-consuming data analysis impeding on-line analysis. In particular, no brain-computer interface (BCI) was available which provided on-line feedback to learn physiological self-regulation of the BOLD signal. Recently, studies have shown that fMRI feedback is feasible and facilitates voluntary control of brain activity. Here we review these studies to make the fMRI feedback methodology accessible to a broader scientific community such as researchers concerned with functional brain imaging and the neurobiology of learning. Methodological and conceptual limitations were substantially reduced by artefact control, sensitivity improvements, real-time algorithms, and adapted experimental designs. Physiological self-regulation of the local BOLD response is a new paradigm for cognitive neuroscience to study brain plasticity and the functional relevance of regulated brain areas by modification of behaviour. Voluntary control of abnormal activity in circumscribed brain areas may even be applied as psychophysiological treatment.

Algorithms↗

Biological motion processing in adolescents with early periventricular brain damage.

The developing brain is traditionally viewed to possess a great compensatory potential. Here we ask whether visual processing of point-light displays depicting human walking is compromised in adolescents who were born premature (between 27 and 33 gestation weeks) and suffer early bilateral damage to periventricular brain regions. Combining psychophysics with volumetric analysis of structural magnetic resonance imaging (MRI), we found that even relatively small periventricular parieto-occipital lesions may result in long-lasting breakdown of visual processing of point-light displays. Analysis of receiver operating characteristic (ROC) curves revealed higher susceptibility of the patients' perceptual system to camouflage of a point-light figure. The lack of difference in sensitivity between former preterms with normal MRI scan and term-born controls indicates that perceptual deficiencies in patients with periventricular leukomalacia (PVL) are not simply due to premature birth. Most importantly, sensitivity in patients even with mild PVL was lower than in both control groups. Display 180 degrees inversion in the image plane, which is known to impair processing of point-light displays, resulted in a substantial reduction of sensitivity so that it no longer differed between the groups. Despite the social and ecological significance of human locomotion, the capacity of the brain to detect biological motion is substantially modulated by periventricular lesions even if they occur very early in life. The findings point to specific restrictions on the brain's spontaneous compensatory plasticity in perceptual development.

Adolescent↗

Emotional responding in amyotrophic lateral sclerosis.

Amyotrophic lateral sclerosis (ALS) is a fatal disease, leaving the patient in a partially or completely deafferented state. In an explorative study, we investigated responses to visual socio-emotional stimuli in ALS patients. Pictures from the International Affective Picture System (IAPS) were verbally judged by 12 moderately affected ALS patients with a spinal onset and a slow progression and 18 age-matched controls, and data were compared with psychophysiological responses. Verbal emotional judgments of patients were more positive than ratings of controls. Regarding arousal, patients neutralized extreme pictures, in that they rated calm pictures as more exciting than controls and exciting pictures as more calm. These changes of emotional processing were unrelated to depression or frontal lobe dysfunction. There were no major differences between patients and controls concerning physiological responses to emotional stimuli. We conclude that emotional responses of ALS patients tend to be altered towards positive valence and towards a more balanced arousal state in early stages of the disease. These findings contradict assumptions of a generally negative impact of the disease on the emotional disposition and may indicate compensatory cognitive or neuroplastic changes.

Aged↗

Attentional modulation of cortical neuromagnetic gamma response to biological movement.

Processing of biological motion represented solely by a set of lights on the joints of a human body is traditionally viewed as largely independent of attention. Here, by manipulating attention-related task demands, we assess changes in the neuromagnetic cortical response to a point-light walker. Irrespective of task demands, biological motion evokes an increase in oscillatory gamma activity over the left parieto-occipital region at 80 ms post-stimulus. Only an attended walker, however, yielded further peaks over the right parietal (120 ms) and temporal (155 ms) cortices. By contrast, the magnetoencephalographic (MEG) response to an ignored walker is restricted to the left parieto-occipital region. In addition, peaks in oscillatory activity occur in response to both attended (canonical and scrambled) configurations at 180-200 ms from stimulus onset over the right fronto-temporal regions, most likely reflecting maintenance of the target configuration in working memory. For the first time, we demonstrate that the time course and topographic dynamics of oscillatory gamma activity in response to biological movement undergoes top-down influences and can be profoundly modulated by the withdrawal of attention.

Adaptation, Physiological↗

Deficient fear conditioning in psychopathy: a functional magnetic resonance imaging study.

CONTEXT: Psychopaths belong to a larger group of persons with antisocial personality disorder and are characterized by an inability to have emotional involvement and by the repeated violation of the rights of others. It was hypothesized that this behavior might be the consequence of deficient fear conditioning. OBJECTIVE: To study the cerebral, peripheral, and subjective correlates of fear conditioning in criminal psychopaths and healthy control subjects. DESIGN: An aversive differential pavlovian delay conditioning paradigm with slides of neutral faces serving as conditioned and painful pressure as unconditioned stimuli. SETTING: The Department of Medical Psychology at the University of Tübingen, Tübingen, Germany. PARTICIPANTS: Ten male psychopaths as defined by the Hare Psychopathy Checklist-Revised and 10 age- and education-matched healthy male controls. The psychopaths were criminal offenders on bail and waiting for their trial or were on parole. The healthy controls were recruited from the community. MAIN OUTCOME MEASURES: Brain activation based on functional magnetic resonance imaging, electrodermal responses, emotional valence, arousal, and contingency ratings. RESULTS: The healthy controls showed enhanced differential activation in the limbic-prefrontal circuit (amygdala, orbitofrontal cortex, insula, and anterior cingulate) during the acquisition of fear and successful verbal and autonomic conditioning. The psychopaths displayed no significant activity in this circuit and failed to show conditioned skin conductance and emotional valence ratings, although contingency and arousal ratings were normal. CONCLUSION: This dissociation of emotional and cognitive processing may be the neural basis of the lack of anticipation of aversive events in criminal psychopaths.

Adult↗

Predictors of seizure reduction after self-regulation of slow cortical potentials as a treatment of drug-resistant epilepsy.

Variables were identified that predict seizure reduction following self-regulation of slow cortical potentials (SCPs) as part of a behavioral self-management program. A sequence analysis across 52 weeks determined 14 patients to have greater than 50% seizure reduction, 8 patients with less than 50% reduction, and 12 patients without improvement. Three variables accounted for 70% of treatment success: (1) cortical excitability at the beginning of training, (2) epileptic focus, and (3) personality variables. Reduction of complex partial and secondary generalized seizures covaried with SCP control attained in the last training session. EEG spectral parameters and cognitive function appeared unrelated to treatment outcome. Successful patients may be those without large negative SCP amplitudes at the beginning of training, without a left temporal epileptic focus, and who score low on life satisfaction and are highly reactive to stress. Patients with complex partial and secondarily generalized seizures may be more likely to experience seizure reduction if they demonstrate good SCP control at the end of their training.

Adolescent↗

Psychobiology of altered states of consciousness.

The article reviews the current knowledge regarding altered states of consciousness (ASC) (a) occurring spontaneously, (b) evoked by physical and physiological stimulation, (c) induced by psychological means, and (d) caused by diseases. The emphasis is laid on psychological and neurobiological approaches. The phenomenological analysis of the multiple ASC resulted in 4 dimensions by which they can be characterized: activation, awareness span, self-awareness, and sensory dynamics. The neurophysiological approach revealed that the different states of consciousness are mainly brought about by a compromised brain structure, transient changes in brain dynamics (disconnectivity), and neurochemical and metabolic processes. Besides these severe alterations, environmental stimuli, mental practices, and techniques of self-control can also temporarily alter brain functioning and conscious experience.

Arousal↗

On the building of binary spelling interfaces for augmentative communication.

A criterion for design of optimal binary spelling interfaces (SI)--the average expectation of number of writing steps (trials) required to write one letter--is presented and discussed. This criterion is relevant for practical usage of any menu-oriented alternative communication system, mechanical device or brain-computer-interface, when a user (typically, a patient with devastating neuromuscular handicap) can not create an intended single binary response with an absolute reliability. An algorithm for building of a corresponding binary tree is developed and evaluated. This algorithm is efficient, when selection probabilities have essentially different values (the worst case).

Algorithms↗

A device for the detection of cognitive brain functions in completely paralyzed or unresponsive patients.

Unresponsive patients with remaining cognitive abilities may be able to communicate with a brain-computer interface (BCI) such as the Thought Translation Device (TTD). Before initiating TTD learning, which may imply considerable effort, it is important to classify the patients' state of awareness and their remaining cognitive abilities. A tool for detection of cognitive activity (DCA) in the completely paralyzed was developed and integrated into the TTD which is a psychophysiological system for direct brain communication. In the present version, DCA entails five event-related brain-potential (ERP) experiments and investigates the capability of a patient to discriminate, e.g., between semantically related and unrelated concepts and categories. ERPs serve as an indicator of the patients' cortical information processing. Data from five severely brain-injured patients in persistent vegetative state diagnosed as unresponsive and five healthy controls are presented to illustrate the methodology. Two patients showing the highest responsiveness were selected for TTD training. The DCA integrated in the TTD allows screening of cognitive abilities and direct brain communication in the patients' home.

Adult↗

Neuronal mechanisms underlying control of a brain-computer interface.

Brain-computer interfaces (BCIs) enable humans or animals to communicate or control external devices without muscle activity using electric brain signals. The BCI used here is based on self-regulation of slow cortical potentials (SCPs), a skill that most people and paralyzed patients can acquire with training periods of several hours up to months. The neurophysiological mechanisms and anatomical sources of SCPs and other event-related brain potentials have been described but the neural mechanisms underlying the self-regulation skill for the use of a BCI are unknown. To uncover the relevant areas of brain activation during regulation of SCPs, the BCI was combined with functional magnetic resonance imaging. The electroencephalogram was recorded inside the magnetic resonance imaging scanner in 12 healthy participants who learned to regulate their SCP with feedback and reinforcement. The results demonstrate activation of specific brain areas during execution of the brain regulation skill allowing a person to activate an external device; a successful positive SCP shift compared with a negative shift was closely related to an increase of the blood oxygen level-dependent response in the basal ganglia. Successful negativity was related to an increased blood oxygen level-dependent response in the thalamus compared with successful positivity. These results may indicate learned regulation of a cortico-striatal-thalamic loop modulating local excitation thresholds of cortical assemblies. The data support the assumption that human subjects learn the regulation of cortical excitation thresholds of large neuronal assemblies as a prerequisite for direct brain communication using an SCP-driven BCI. This skill depends critically on an intact and flexible interaction between the cortico-basal ganglia-thalamic circuits.

Adult↗

Benign partial epilepsy in childhood: selective cognitive deficits are related to the location of focal spikes determined by combined EEG/MEG.

PURPOSE: Benign partial epilepsy (BPE) in childhood is characterized by the occurrence of interictal stereotyped focal spikes with variable localization in the EEG. Children with BPE often exhibit neuropsychological deficits. It is unclear whether a correlation exists between these deficits and the localization of spikes, several EEG studies giving inconsistent results. Magnetoencephalography (MEG) improves the accuracy of spike localization. Therefore by using combined MEG/EEG, we investigated the topographic relation between focal spikes and neuropsychological findings in children with BPE. METHODS: Twenty-seven children diagnosed consecutively with BPE were enrolled in the study. All were examined by combined MEG/EEG and magnetic resonance imaging (MRI). Location of spikes was determined by dipole source estimation. A standardized neuropsychological assessment was conducted, including Kaufman ABC battery, language tests, and motor performance series. All children with sufficient MEG data were included in the correlation analysis (N = 20). RESULTS: Focal spikes were located in the perisylvian region in 13 children, in the occipital region in seven, and in the frontal region in one. Five children had bilateral or multiple foci. Children with left perisylvian spikes did not differ from the others in global IQ, but performed significantly lower in language tests (p = 0.01). Children with occipital spikes performed significantly lower in simultaneous information processing (p = 0.01), especially in visual transformation tasks. CONCLUSIONS: Combined MEG/EEG investigation is a useful tool to examine interictal focal spikes. Our results show a correlation between the location of spikes and selective cognitive deficits in children with BPE. These findings indicate that focal interictal spikes may interfere with complex cognitive functions.

Brain Mapping↗

Severity of depressive symptoms and quality of life in patients with amyotrophic lateral sclerosis.

OBJECTIVES: The authors aimed at investigating the occurrence of depression and the level of quality of life in patients with amyotrophic lateral sclerosis (ALS), an incurable neurodegenerative disease leading to progressive motor paralysis. They further wished to elucidate correlates of depression and quality of life, such as physical impairment, time since diagnosis, age, sex, and education. Additionally, the authors attempted to confirm previous studies that had shown quality of life to be underestimated by partners or caregivers. METHODS: To assess severity of depressive symptoms, the authors used Beck's Depression Inventory (BDI) and the ALS-Depression Inventory. To assess the patients' quality of life, they used the Scales to Assess Quality of Life. The same questionnaire was presented to partners or caregivers to estimate the patients' quality of life. RESULTS: Severity of depressive symptoms was everything from not depressed to clinically relevant depressed. On average, quality of life was rated as satisfactory. Severity of depressive symptoms and quality of life showed a moderate positive relation to physical impairment and a weak negative relation to time since diagnosis. Partners or caregivers rated patients' quality of life significantly lower than did the patients. CONCLUSIONS: Although depression occurs among ALS patients, it is not inevitable. Patients can remain free of depression and maintain a good quality of life. Depression should be treated, and patients have to be provided with unbiased information, including their medical and palliative care options.

Adult↗

An auditory brain-computer interface based on the self-regulation of slow cortical potentials.

OBJECTIVES: Communication support for severely paralyzed patients with visual impairment is needed. Therefore, the feasibility of a brain-computer interface (BCI) using auditory stimuli alone, based on the self-regulation of slow cortical potentials (SCPs), was investigated. METHODS: Auditory stimuli were used for task and feedback presentation in an SCP self-regulation paradigm. Voluntarily produced SCP responses and measures of communication performance were compared between 3 groups (total of N = 59) of visual, auditory, and cross-modal visual-auditory modality. Electroencephalogram recordings and training from Cz-mastoids were carried out on 3 consecutive sessions. Data of 1500 trials per subject were collected. RESULTS: Best performance was achieved for the visual, followed by the auditory condition. The performance deficit of the auditory condition was partly due to decreased self-produced positivity. Larger SCP response variability also accounted for lower performance of the auditory condition. Cross-modally presented stimuli did not lead to significant learning and control of SCP. CONCLUSIONS: Brain-computer communication using auditory stimuli only is possible. Smaller cortical positivity achieved in the auditory condition, as compared to the visual condition, may be a consequence of increased selective attention to simultaneously presented auditory stimuli. To optimize performance, auditory stimuli characteristics may have to be adapted. Other suggestions for enhancement of communication performance with auditory stimuli are discussed.

Adult↗

The influence of stimulus array on training of a speeded response.

We conducted two experiments to study the training of speeded responses to stimuli in a clock face array. Participants were trained on one clock face and later tested on either the same or a different clock face. The clock faces varied along 3 dimensions of change (left-right flip, up-down flip, and 180 degrees rotation). Skill acquisition was reflected in decreases in overall, initiation, and movement response times in the training and test phases except that movement time reached an asymptote during training and did not decrease further during test. Test performance was best when training and test used the same clock face and worst when the training to test change involved an up-down flip. The transition to different clock faces was consistent with an interpretation based on the violation of expectations about target positions acquired during training. Consistent trial-by-trial feedback led to better initiation time but not movement time during training than periodic feedback, but this effect did not persist into the test phase.

Feedback↗

Single-shot compensation of image distortions and BOLD contrast optimization using multi-echo EPI for real-time fMRI.

Functional magnetic resonance imaging (fMRI) is most commonly based on echo-planar imaging (EPI). With higher field strengths, gradient performance, and computational power, real-time fMRI has become feasible; that is, brain activation can be monitored during the ongoing scan. However, EPI suffers from geometric distortions due to inhomogeneities of the magnetic field, especially close to air-tissue interfaces. Thus, functional activations might be mislocalized and assigned to the wrong anatomical structures. Several techniques have been reported which reduce geometric distortions, for example, mapping of the static magnetic field B(0) or the point spread function for all voxels. Yet these techniques require additional reference scans and in some cases extensive computational time. Moreover, only static field inhomogeneities can be corrected, because the correction is based on a static reference scan. We present an approach which allows for simultaneous acquisition and distortion correction of a functional image without a reference scan. The technique is based on a modified multi-echo EPI data acquisition scheme using a phase-encoding (PE) gradient with alternating polarity. The images exhibit opposite distortions due to the inverted PE gradient. After adjusting the contrast of the images acquired at different echo times, this information is used for the distortion correction. We present the theory, implementation, and applications of this single-shot distortion correction. Significant reduction in geometric distortion is shown both for phantom images and human fMRI data. Moreover, sensitivity to the blood oxygen level-dependent (BOLD) effect is increased by weighted summation of the undistorted images.

Adult↗

Processing of a simple aversive conditioned stimulus in a divided visual field paradigm: an fMRI study.

A left visual hemifield advantage for the processing of negative facial expressions has been demonstrated in a variety of studies. We tested whether the same effect is found for a neutral facial expression that had acquired a negative meaning through pairing with an aversive event. Startle reflex amplitudes, skin-conductance responses (SCR), and two verbal measures of affect (negative valence and arousal) were significantly increased after pairing, but no stimulation side by pairing interaction was observed. Functional magnetic resonance imaging (fMRI) revealed a significant increase of BOLD (blood oxygen level dependent) activity in the medial prefrontal cortex (MPFC), and the right frontal opercular region (RFOP). MPFC activity was correlated with psychophysiological and verbal emotional responses across subjects and, like these responses, was independent of the stimulation side. In contrast, RFOP activity was significantly stronger during left than during right hemifield stimulation but did not correlate with psychophysiological or verbal measures of negative affect. These results suggest that emotional responses to an aversive conditioned expressively neutral face are similar in both visual hemifields. MPFC activity seems to be closely linked to the strength of these responses.

Adult↗