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At least 631 records · Page 35Linked to original sources

Neuroimaging as a marker of the onset and progression of Alzheimer's disease.

Several neuroimaging techniques are promising tools as early markers of brain pathology in Alzheimer's disease (AD). On structural MRI, atrophy of the entorhinal cortex is present already in mild cognitive impairment (MCI). In the autosomal dominant forms of AD, the rate of atrophy of medial temporal structures separates affected from control persons even 3 years before the clinical onset of cognitive impairment. The elevated annual rate of brain atrophy offers a surrogate tool for the evaluation of newer therapies using smaller samples, thereby saving time and resources. On functional MRI, activation paradigms activate a larger area of parieto-temporal association cortex in persons at higher risk for AD, whereas the entorhinal cortex activation is lesser in MCI. Similar findings have been detected with activation procedures and water (H(2)(15)O) PET. Regional metabolism in the entorhinal cortex, studied with FDG PET, seems to predict normal elderly who will deteriorate to MCI or AD. SPECT shows decreased regional perfusion in limbic areas, both in MCI and AD, but with a lower likelihood ratio than PET. Newer PET compounds allow for the determination in AD of microglial activation, regional deposition of amyloid and the evaluation of enzymatic activity in the brain of AD patients.

Alzheimer Disease↗

Neuroimaging in cerebral palsy.

Parents and clinicians concerned about high-risk infants and children with motor delay or cerebral palsy seek information on cause, treatment, prognosis, and recurrence risk. Used in combination with history and examination, neuroimaging studies can improve diagnosis and management. In premature infants, cranial ultrasound is a reliable, noninvasive diagnostic modality. Nuclear magnetic resonance techniques including magnetic resonance imaging and diffusion weighted imaging can be used effectively in neonatal encephalopathies. In children with motor delay and cerebral palsy syndromes including spastic diplegia, quadriplegia, hemiplegia, and extrapyramidal movement disorders, conventional magnetic resonance imaging has become an important determinant of diagnosis and management. The aim of this article is to help clinicians select and interpret imaging studies of benefit in clinical care.

Age Factors↗

Neuroimaging and genetic associations of attentional and hypnotic processes.

In the aftermath of the human genome project, genotyping is fast becoming an affordable and technologically viable complement to phenotyping. Whereas attempts to characterize hypnotic responsiveness have been largely phenomenological, data emanating from exploratory genetic data may offer supplementary insights into the genetic bases of hypnotizability. We outline our genetic and neuroimaging findings and discuss potential implications to top-down control systems. These results may explain individual differences in hypnotizability and propose new ideas for studying the influence of suggestion on neural systems.

Attention↗

Planning and problem solving: from neuropsychology to functional neuroimaging.

This article provides an overview of recent research on human planning and problem solving. As an introduction, these two cognitive domains will be described and discussed from the perspective of experimental and cognitive psychology. The following sections will focus on the role of the prefrontal cortex in planning and problem solving and on disorders of these functions in patients with frontal-lobe lesions. Specific emphasis will be placed on the Tower of London task, a well established and widely used neuropsychological test of planning ability. We will present an overview of recent behavioural and neuroimaging studies that have employed the Tower of London task to draw specific conclusions about the likely neural and cognitive basis of planning function. Finally, we turn to a number of new directions and recent studies exploring different aspects of planning and problem solving and their association to related cognitive dimensions.

Cognition↗

A review of neuroimaging studies in PTSD: heterogeneity of response to symptom provocation.

Different experiential, psychophysiological, and neurobiological responses to traumatic symptom provocation in posttraumatic stress disorder (PTSD) have been reported in the literature. Two subtypes of trauma response have been hypothesized, one characterized predominantly by hyperarousal and the other primarily dissociative, each one representing unique pathways to chronic stress-related psychopathology. Recent PTSD neuroimaging findings in our own laboratory support this notion and are consistent with the view that grouping all PTSD subjects, regardless of their different symptom patterns, in the same diagnostic category may interfere with our understanding of posttrauma psychopathology. This review will integrate findings of different experiential, psychophysiological, and neurobiological responses to traumatic symptom provocation with the clinical symptomatology and the neurobiology of PTSD.

Brain↗

Neuroimaging in borderline personality disorder.

Neuroimaging has become one of the most important methods in the investigation of the neurobiological underpinnings of borderline personality disorder. Structural and functional imaging studies have revealed dysfunction in different brain regions which seem to contribute to borderline symptomatology. This review presents relevant studies using different methodologies: volumetry of limbic and prefrontal regions, investigations of brain metabolism under resting conditions, studies of serotonergic neurotransmission, and challenge studies using emotional, stressful, and sensory stimuli. Dysfunction in a frontolimbic network is suggested to mediate much, if not all of the borderline symptomatology.

Borderline Personality Disorder↗

Extraction of the midsagittal plane from morphological neuroimages using the Kullback-Leibler's measure.

A theoretically simple and computationally efficient method to extract the midsagittal plane (MSP) from volumetric neuroimages is presented. The method works in two stages (coarse and fine) and is based on calculation of the Kullback and Leibler's (KL) measure, which characterizes the difference between two distributions. Slices along the sagittal direction are analyzed with respect to a reference slice to determine the coarse MSP. To calculate the final MSP, a local search algorithm is applied. The proposed method does not need any preprocessing, like reformatting, skull stripping, etc. The algorithm was validated quantitatively on 75 MRI datasets of different pulse sequences (T1WI, T2WI, FLAIR and SPGR) and MRA. The angular and distance errors between the calculated MSP and the ground truth lines marked by the expert were calculated. The average distance and angular deviation were 1.25 pixels and 0.63 degrees , respectively. In addition, the algorithm was tested qualitatively on PD, FLAIR, MRA, and CT datasets. To analyze the robustness of the method against rotation, inhomogeneity and noise, the phantom data were used.

Arachnoid Cysts↗

A rapid algorithm for robust and automatic extraction of the midsagittal plane of the human cerebrum from neuroimages based on local symmetry and outlier removal.

A rapid algorithm for robust, accurate, and automatic extraction of the midsagittal plane (MSP) of the human cerebrum from normal and pathological neuroimages is proposed. The MSP is defined as a plane formed from the interhemispheric fissure line segments having the dominant orientation. The algorithm extracts the MSP in four steps: (1) determine suitable axial slices for processing, (2) localize the fissure line segments on them, (3) select inliers from the extracted fissure line segments through histogram-based outlier removal, and (4) calculate the equation of the MSP from the selected inliers. The fissure line segments are localized by minimizing the local symmetry index characterizing anatomical properties of images in the vicinity of the interhemispheric fissure. A two-stage angular and distance outlier removal is introduced to handle abnormalities. The algorithm has been validated quantitatively with 125 structural MRI and CT cases from 10 centers on three continents by studying its accuracy; tolerance to rotation, noise, asymmetry, and bias field; sensitivity to parameters; and performance. A statistical relationship between algorithm accuracy and the data's adherence to planarity is also determined. The algorithm extracts the MSP below 6 s on Pentium 4 (2.4 GHz) with the average angular and distance errors of (0.40 degrees; 0.63 mm) for normal and (0.59 degrees; 0.73 mm) for pathological cases. The robustness to noise, asymmetry, rotation, and bias field is achieved by extracting the MSP based on the dominant orientation and local symmetry index. A low computational cost results from applying simple operations capturing intrinsic anatomic features, constraining the searching space to the local vicinity of the interhemispheric fissure, and formulating a noniterative algorithm with a coarse and fine fixed-step searching. In comparison to the existing methods, our algorithm is much faster, performs accurately and robustly for a wide range of diversified data, and is fully automatic and thoroughly validated, which make it suitable for clinical applications.

Acoustic Stimulation↗

A knowledge-driven algorithm for a rapid and automatic extraction of the human cerebral ventricular system from MR neuroimages.

A knowledge-driven algorithm for a rapid, robust, accurate, and automatic extraction of the human cerebral ventricular system from MR neuroimages is proposed. Its novelty is in combination of neuroanatomy, radiological properties, and variability of the ventricular system with image processing techniques. The ventricular system is divided into six 3D regions: bodies and inferior horns of the lateral ventricles, third ventricle, and fourth ventricle. Within each ventricular region, a 2D region of interest (ROI) is defined based on anatomy and variability. Each ventricular region is further subdivided into subregions, and conditions detecting and preventing leakage into the extra-ventricular space are specified for each subregion. The algorithm extracts the ventricular system by (1) processing each ROI (to calculate its local statistics, determine local intensity ranges of cerebrospinal fluid and gray and white matters, set a seed point within the ROI, grow region directionally in 3D, check anti-leakage conditions, and correct growing if leakage occurred) and (2) connecting all unconnected regions grown by relaxing growing conditions. The algorithm was validated qualitatively on 68 and quantitatively on 38 MRI normal and pathological cases (30 clinical, 20 MGH Brain Repository, and 18 MNI BrainWeb data sets). It runs successfully for normal and pathological cases provided that the slice thickness is less than 3.0 mm in axial and less than 2.0 mm in coronal directions, and the data do not have a high inter-slice intensity variability. The algorithm also works satisfactorily in the presence of up to 9% noise and up to 40% RF inhomogeneity for the BrainWeb data. The running time is less than 5 s on a Pentium 4, 2.0 GHz PC. The best overlap metric between the results of a radiology expert and the algorithm is 0.9879 and the worst 0.9527; the mean and standard deviation of the overlap metric are 0.9723 and 0.01087, respectively.

Adolescent↗

Rapid discrimination of visual and multisensory memories revealed by electrical neuroimaging.

Though commonly held that multisensory experiences enrich our memories and that memories influence ongoing sensory processes, their neural mechanisms remain unresolved. Here, electrical neuroimaging shows that auditory-visual multisensory experiences alter subsequent processing of unisensory visual stimuli during the same block of trials at early stages poststimulus onset and within visual object recognition areas. We show this with a stepwise analysis of scalp-recorded event-related potentials (ERPs) that statistically tested (1) ERP morphology and amplitude, (2) global electric field power, (3) topographic stability of and changes in the electric field configuration, and (4) intracranial distributed linear source estimations. Subjects performed a continuous recognition task, discriminating repeated vs. initial image presentations. Corresponding, but task-irrelevant, sounds accompanied half of the initial presentations during a given block of trials. On repeated presentations within a block of trials, only images appeared, yielding two situations-the image's prior presentation was only visual or with a sound. Image repetitions that had been accompanied by sounds yielded improved memory performance accuracy (old or new discrimination) and were differentiated as early as approximately 60-136 ms from images that had not been accompanied by sounds through generator changes in areas of the right lateral-occipital complex (LOC). It thus appears that unisensory percepts trigger multisensory representations associated with them. The collective data support the hypothesis that perceptual or memory traces for multisensory auditory-visual events involve a distinct cortical network that is rapidly activated by subsequent repetition of just the unisensory visual component.

Adolescent↗

Electrical neuroimaging reveals early generator modulation to emotional words.

Functional electrical neuroimaging investigated incidental emotional word processing. Previous research suggests that the brain may differentially respond to the emotional content of linguistic stimuli pre-lexically (i.e., before distinguishing that these stimuli are words). We investigated the spatiotemporal brain mechanisms of this apparent paradox and in particular whether the initial differentiation of emotional stimuli is marked by different brain generator configurations using high-density, event-related potentials. Such would support the existence of specific cerebral resources dedicated to emotional word processing. A related issue concerns the possibility of right-hemispheric specialization in the processing of emotional stimuli. Thirteen healthy men performed a go/no-go lexical decision task with bilateral word/non-word or non-word/non-word stimulus pairs. Words included equal numbers of neutral and emotional stimuli, but subjects made no explicit discrimination along this dimension. Emotional words appearing in the right visual field (ERVF) yielded the best overall performance, although the difference between emotional and neutral words was larger for left than for right visual field presentations. Electrophysiologically, ERVF presentations were distinguished from all other conditions over the 100-140 ms period by a distinct scalp topography, indicative of different intracranial generator configurations. A distributed linear source estimation (LAURA) of this distinct scalp potential field revealed bilateral lateral-occipital sources with a right hemisphere current density maximum. These data support the existence of a specialized brain network triggered by the emotional connotation of words at a very early processing stage.

Adult↗

Functional neuroimaging of odor imagery.

We used positron emission tomography (PET) to investigate brain regions associated with odor imagery. Changes in regional cerebral blood flow (CBF) during odor imagery were compared with changes during nonspecific expectation of olfactory stimuli and with those during odor perception. Sixty-seven healthy volunteers were screened for their odor imagery (with a paradigm developed in a previous study), and 12 of them, assessed to be "good odor imagers," participated in the neuroimaging part of the study. Imagination of odors was associated with increased activation in several olfactory regions in the brain: the left primary olfactory cortical (POC) region including piriform cortex, the left secondary olfactory cortex or posterior orbitofrontal cortex (OFC), and the rostral insula bilaterally. Furthermore, blood flow in two regions within the right orbitofrontal cortex correlated significantly with the behavioral measure of odor imagery during scanning. Overall, the findings indicated that neural networks engaged during odor perception and imagery overlap partially.

Adolescent↗

Neuroimaging-guided rTMS of the left inferior frontal gyrus interferes with repetition priming.

Neuroimaging studies of right-handed normal volunteers under semantic word generation tasks have consistently reported left lateralized activation of the anterior inferior frontal gyrus (ifg) which decreased during task repetition. This repetition-related activation decrease has been interpreted as the neurophysiological correlate of repetition priming, a mechanism of implicit memory for initial semantic processing. We interfered with left lateralized ifg activation, as identified by O-15-water PET activation, using repetitive transcranial magnetic stimulation (rTMS) in five right-handed male normal subjects, once using new (unprimed) nouns and once using known (primed) nouns for the procedure. All five subjects exhibited clear left lateralized activations of the triangular part of the left ifg in the PET studies. In all subjects, reaction time latencies were significantly longer during rTMS over the activation sites in the left ifg as compared to latencies off stimulation. Latencies were not affected during stimulation of the right ifg or over the vertex. These effects were observed within the group and in each individual, only if lists of primed nouns were used in the verb-generation task. In conclusion, these results demonstrate that the anterior part of the left ifg is not only involved in semantic processing, but is also essential for repetition priming on semantic tasks since successful interference with rTMS was only observed if lists of primed words were used for the generation task.

Adult↗

Dissociation between emotion and personality judgments: convergent evidence from functional neuroimaging.

Cognitive neuroscientists widely agree on the importance of providing convergent evidence from neuroimaging and lesion studies to establish structure-function relationships. However, such convergent evidence is, in practice, rarely provided. A previous lesion study found a striking double dissociation between two superficially similar social judgment processes, emotion recognition and personality attribution, based on the same body movement stimuli (point-light walkers). Damage to left frontal opercular (LFO) cortices was associated with impairments in personality trait attribution, whereas damage to right postcentral/supramarginal cortices was associated with impairments in emotional state attribution. Here, we present convergent evidence from fMRI in support of this double dissociation, with regions of interest (ROIs) defined by the regions of maximal lesion overlap from the previous study. Subjects learned four emotion words and four trait words, then watched a series of short point-light walker body movement stimuli. After each stimulus, subjects saw either an emotion word or a trait word and rated how well the word described the stimulus. The LFO ROI exhibited greater activity during personality judgments than during emotion judgments. In contrast, the right postcentral/supramarginal ROI exhibited greater activity during emotion judgments than during personality judgments. Follow-up experiments ruled out the possibility that the LFO activation difference was due to word frequency differences. Additionally, we found greater activity in a region of the medial prefrontal cortex previously associated with "theory of mind" tasks when subjects made personality, as compared to emotion judgments.

Adult↗

Autobiographical and episodic memory--one and the same? Evidence from prefrontal activation in neuroimaging studies.

Laboratory investigations of episodic memory often require participants to encode and later retrieve lists of items (words, pictures, or faces). The underlying assumption is that recollection of items from the list is analogous to recollection of events from one's past, i.e. autobiographical re-experiencing. Functional neuroimaging studies of episodic memory have provided extensive evidence suggesting that regions of the prefrontal cortex (PFC) play a role in episodic memory retrieval. A review of PFC activations reported in imaging studies of autobiographical memory and matched sub-sets of list-learning episodic memory studies reveals patterns of similarity but also substantial differences. Episodic memory studies often report activations in the right mid-dorsolateral PFC, but such activations are absent in autobiographical memory studies. Additionally, activations in the ventromedial PFC, primarily on the left, are almost invariably found in autobiographical memory studies, but rarely occur in studies of episodic memory. It is suggested that these two regions mediate different modes of post-retrieval monitoring and verification. Autobiographical memory relies on quick intuitive 'feeling of rightness' to monitor the veracity and cohesiveness of retrieved memories in relation to an activated self-schema. Episodic memory for lists requires more conscious elaborate monitoring to avoid omissions, commissions and repetitions. The present analysis suggests that care and caution should be exercised in extrapolating from the way we recollect 'events' from a list learned in the laboratory to the way we recollect events from our lives.

Brain Mapping↗

Distributed and interactive brain mechanisms during emotion face perception: evidence from functional neuroimaging.

Brain imaging studies in humans have shown that face processing in several areas is modulated by the affective significance of faces, particularly with fearful expressions, but also with other social signals such gaze direction. Here we review haemodynamic and electrical neuroimaging results indicating that activity in the face-selective fusiform cortex may be enhanced by emotional (fearful) expressions, without explicit voluntary control, and presumably through direct feedback connections from the amygdala. fMRI studies show that these increased responses in fusiform cortex to fearful faces are abolished by amygdala damage in the ipsilateral hemisphere, despite preserved effects of voluntary attention on fusiform; whereas emotional increases can still arise despite deficits in attention or awareness following parietal damage, and appear relatively unaffected by pharmacological increases in cholinergic stimulation. Fear-related modulations of face processing driven by amygdala signals may implicate not only fusiform cortex, but also earlier visual areas in occipital cortex (e.g., V1) and other distant regions involved in social, cognitive, or somatic responses (e.g., superior temporal sulcus, cingulate, or parietal areas). In the temporal domain, evoked-potentials show a widespread time-course of emotional face perception, with some increases in the amplitude of responses recorded over both occipital and frontal regions for fearful relative to neutral faces (as well as in the amygdala and orbitofrontal cortex, when using intracranial recordings), but with different latencies post-stimulus onset. Early emotional responses may arise around 120ms, prior to a full visual categorization stage indexed by the face-selective N170 component, possibly reflecting rapid emotion processing based on crude visual cues in faces. Other electrical components arise at later latencies and involve more sustained activities, probably generated in associative or supramodal brain areas, and resulting in part from the modulatory signals received from amygdala. Altogether, these fMRI and ERP results demonstrate that emotion face perception is a complex process that cannot be related to a single neural event taking place in a single brain regions, but rather implicates an interactive network with distributed activity in time and space. Moreover, although traditional models in cognitive neuropsychology have often considered that facial expression and facial identity are processed along two separate pathways, evidence from fMRI and ERPs suggests instead that emotional processing can strongly affect brain systems responsible for face recognition and memory. The functional implications of these interactions remain to be fully explored, but might play an important role in the normal development of face processing skills and in some neuropsychiatric disorders.

Animals↗

Exploration of the neural substrates of executive functioning by functional neuroimaging.

This review presents neuroimaging studies that have explored the cerebral substrates of executive functioning. These studies have demonstrated that different executive functions not only recruit various frontal areas but also depend upon posterior (mainly parietal) regions. These results are in accordance with the hypothesis that executive functioning relies on a distributed cerebral network that is not restricted to anterior cerebral areas. However, there exists an important heterogeneity in the cerebral areas associated with these different processes, and also between different tasks assessing the same process. Since these discrepant results could be due to the paradigms used (subtraction designs), recent results obtained with conjunction and interaction analyses are presented, which confirm the role of parietal areas in executive functioning and also demonstrate the existence of some specificity in the neural substrates of the executive processes of updating, shifting and inhibition. Finally, functional magnetic resonance imaging studies show that the activity in cerebral areas involved in executive tasks can be transient or sustained. Consequently, to better characterize the functional role of areas associated with executive functioning, it is important to take into account not only the localization of cerebral activity but also the temporal pattern of this activity.

Cerebral Cortex↗

Neuroimaging findings in neurofibromatosis type 1 and 2.

Neuroimaging, particularly MR imaging, plays an important role in the diagnosis and management of the patient with neurofibromatosis type 1 and 2. These phakomatoses are complex disorders affecting multiple cell types and multiple systems of the body with a wide range of expression. This article summarizes the neuroradiologic central nervous system findings in these neurocutaneous disorders.

Bone Diseases↗