Brain structural and functional recovery following initiation of combination antiretroviral therapy

NeuroAIDS persists in the era of combination antiretroviral therapies. We describe here the recovery of brain structure and function following 6 months of therapy in a treatment-naive patient presenting with HIV-associated dementia. The patient's neuropsychological test performance improved and his total brain volume increased by more than 5 %. Neuronal functional connectivity measured by magnetoencephalography changed from a pattern identical to that observed in other HIV-infected individuals to one that was indistinguishable from that of uninfected control subjects. These data suggest that at least some of the effects of HIV on the brain can be fully reversed with treatment.

MEG dual scanning: a procedure to study real-time auditory interaction between two persons

Social interactions fill our everyday life and put strong demands on our brain function. However, the possibilities for studying the brain basis of social interaction are still technically limited, and even modern brain imaging studies of social cognition typically monitor just one participant at a time. We present here a method to connect and synchronize two faraway neuromagnetometers. With this method, two participants at two separate sites can interact with each other through a stable real-time audio connection with minimal delay and jitter. The magnetoencephalographic (MEG) and audio recordings of both laboratories are accurately synchronized for joint offline analysis. The concept can be extended to connecting multiple MEG devices around the world. As a proof of concept of the MEG-to-MEG link, we report the results of time-sensitive recordings of cortical evoked responses to sounds delivered at laboratories separated by 5 km.

Potential utility of resting-state magnetoencephalography as a biomarker of CNS abnormality in HIV disease

There is a lack of a neuroimaging biomarker for HIV-Associated Neurocognitive Disorder. We report magnetoencephalography (MEG) data from patients with HIV disease and risk-group appropriate controls that were collected to determine the MEG frequency profile during the resting state, and the stability of the profile over 24 weeks. 17 individuals (10 HIV+, 7 HIV-) completed detailed neurobehavioral evaluations and 10min of resting-state MEG acquisition with a 306-channel whole-head system. The entire evaluation and MEG measurement were repeated 24 weeks later. Relative MEG power in the delta (0-4Hz), theta (4-7Hz), alpha (8-12Hz), beta (12-30Hz) and low gamma (30-50Hz) bands was computed for 8 predefined sensor groups. The median stability of resting-state relative power over 24 weeks of follow-up was .80 with eyes closed, and .72 with eyes open. The relative gamma power in the right occipital (t(15)=1.99, p<.06, r=-.46) and right frontal (t(15)=2.15, p<.05, r=-.48) regions was associated with serostatus. The effect of age on delta power was greater in the seropositive subjects (r(2)=.51) than in the seronegative subjects (r(2)=.11). Individuals with high theta-to-gamma ratios tended to have lower cognitive test performance, regardless of serostatus. The stability of the wide-band MEG frequency profiles over 24 weeks supports the utility of MEG as a biomarker. The links between the MEG profile, serostatus, and cognition suggest further research on its potential in HAND is needed.

Characterization of neuromagnetic brain rhythms over time scales of minutes using spatial independent component analysis

Independent component analysis (ICA) of electroencephalographic (EEG) and magnetoencephalographic (MEG) data is usually performed over the temporal dimension: each channel is one row of the data matrix, and a linear transformation maximizing the independence of component time courses is sought. In functional magnetic resonance imaging (fMRI), by contrast, most studies use spatial ICA: each time point constitutes a row of the data matrix, and independence of the spatial patterns is maximized. Here, we show the utility of spatial ICA in characterizing oscillatory neuromagnetic signals. We project the sensor data into cortical space using a standard minimum-norm estimate and apply a sparsifying transform to focus on oscillatory signals. The resulting method, spatial Fourier-ICA, provides a concise summary of the spatiotemporal and spectral content of spontaneous neuromagnetic oscillations in cortical source space over time scales of minutes. Spatial Fourier-ICA applied to resting-state and naturalistic stimulation MEG data from nine healthy subjects revealed consistent components covering the early visual, somatosensory and motor cortices with spectral peaks at ∼10 and ∼20 Hz. The proposed method seems valuable for inferring functional connectivity, stimulus-related modulation of rhythmic activity, and their commonalities across subjects from nonaveraged MEG data.

Oscillatory response function: towards a parametric model of rhythmic brain activity

Rhythmic brain activity, measured by magnetoencephalography (MEG), is modulated during stimulation and task performance. Here, we introduce an oscillatory response function (ORF) to predict the dynamic suppression-rebound modulation of brain rhythms during a stimulus sequence. We derived a class of parametric models for the ORF in a generalized convolution framework. The model parameters were estimated from MEG data acquired from 10 subjects during bilateral tactile stimulation of fingers (stimulus rates of 4 Hz and 10 Hz in blocks of 0.5, 1, 2, and 4 s). The envelopes of the 17-23 Hz rhythmic activity, computed for sensors above the rolandic region, correlated 25%-43% better with the envelopes predicted by the models than by the stimulus time course (boxcar). A linear model with separate convolution kernels for onset and offset responses gave the best prediction. We studied the generalizability of this model with data from 5 different subjects during a separate bilateral tactile sequence by first identifying neural sources of the 17-23 Hz activity using cortically constrained minimum norm estimates. Both the model and the boxcar predicted strongest modulation in the primary motor cortex. For short-duration stimulus blocks, the model predicted the envelope of the cortical currents 20% better than the boxcar did. These results suggest that ORFs could concisely describe brain rhythms during different stimuli, tasks, and pathologies.

Facial expressions of pain modulate observer's long-latency responses in superior temporal sulcus

The strength of brain responses to others' pain has been shown to depend on the intensity of the observed pain. To investigate the temporal profile of such modulation, we recorded neuromagnetic brain responses of healthy subjects to facial expressions of pain. The subjects observed grayscale photos of the faces of genuine chronic pain patients when the patients were suffering from their ordinary pain (Chronic) and when the patients' pain was transiently intensified (Provoked). The cortical activation sequence during observation of the facial expressions of pain advanced from occipital to temporo-occipital areas, and it differed between Provoked and Chronic pain expressions in the right middle superior temporal sulcus (STS) at 300-500 ms: the responses were about a third stronger for Provoked than Chronic pain faces. Furthermore, the responses to Provoked pain faces were about 40% stronger in the right than the left STS, and they decreased from the first to the second measurement session by one-fourth, whereas no similar decrease in responses was found for Chronic pain faces. Thus, the STS responses to the pain expressions were modulated by the intensity of the observed pain and by stimulus repetition; the location and latency of the responses suggest close similarities between processing of pain and other affective facial expressions.

Comparing MEG and fMRI views to naming actions and objects

Most neuroimaging studies are performed using one imaging method only, either functional magnetic resonance imaging (fMRI), electroencephalography (EEG), or magnetoencephalography (MEG). Information on both location and timing has been sought by recording fMRI and EEG, simultaneously, or MEG and fMRI in separate sessions. Such approaches assume similar active areas whether detected via hemodynamic or electrophysiological signatures. Direct comparisons, after independent analysis of data from each imaging modality, have been conducted primarily on low-level sensory processing. Here, we report MEG (timing and location) and fMRI (location) results in 11 subjects when they named pictures that depicted an action or an object. The experimental design was exactly the same for the two imaging modalities. The MEG data were analyzed with two standard approaches: a set of equivalent current dipoles and a distributed minimum norm estimate. The fMRI blood-oxygen-level dependent (BOLD) data were subjected to the usual random-effect contrast analysis. At the group level, MEG and fMRI data showed fairly good convergence, with both overall activation patterns and task effects localizing to comparable cortical regions. There were some systematic discrepancies, however, and the correspondence was less compelling in the individual subjects. The present analysis should be helpful in reconciling results of fMRI and MEG studies on high-level cognitive functions.

Dynamical MEG source modeling with multi-target Bayesian filtering

We present a Bayesian filtering approach for automatic estimation of dynamical source models from magnetoencephalographic data. We apply multi-target Bayesian filtering and the theory of Random Finite Sets in an algorithm that recovers the life times, locations and strengths of a set of dipolar sources. The reconstructed dipoles are clustered in time and space to associate them with sources. We applied this new method to synthetic data sets and show here that it is able to automatically estimate the source structure in most cases more accurately than either traditional multi-dipole modeling or minimum current estimation performed by uninformed human operators. We also show that from real somatosensory evoked fields the method reconstructs a source constellation comparable to that obtained by multi-dipole modeling.

Sources of auditory brainstem responses revisited: contribution by magnetoencephalography

Auditory brainstem responses provide diagnostic value in pathologies involving the early parts of the auditory pathway. Despite that, the neural generators underlying the various components of these responses have remained unclear. Direct electrical recordings in humans are possible only in limited time periods during surgery and from small regions of the diseased brains. The evidence of the generator sites is therefore fragmented and indirect, based strongly on lesion studies and animal models. Source modeling of EEG has been limited to grand averages across multiple subjects. Here, we employed magnetoencephalography (MEG) to shed more light on the neural origins of the auditory brainstem responses (ABR) and to test whether such deep brain structures are accessible by MEG. We show that the magnetic counterparts of the electric ABRs can be measured in 30 min and that they allow localization of some of the underlying neural sources in individual subjects. Many of the electric ABR components were present in our MEG data; however, the morphologies of the magnetic and electric responses were different, indicating that the MEG signals carry information complementary to the EEG data. The locations of the neural sources corresponding to the magnetic ABR deflections ranged from the auditory nerve to the inferior colliculus. The earliest cortical responses were detectable at the latency of 13 ms.

From local to global: Cortical dynamics of contour integration

Processing of global contours requires integration of local visual information. To study the involvement of different cortical areas and the temporal characteristics of their activity in such integration, we recorded neuromagnetic responses to arrays of Gabor patches in which a proportion of the patches was oriented either tangentially or radially with respect to a global circular contour; arrays with random patch orientations served as control stimuli. The first responses at 60-80 ms around the calcarine sulcus were similar to all stimuli. Starting from 130 ms, responses to the tangential contours differed significantly from responses to control stimuli, and the difference reached its maximum at 275 ms. The most pronounced differences emerged around the parieto-occipital sulcus, precuneus, cuneus, and superior and middle occipital gyri. This pattern of cortical activity was similar irrespective of whether the local elements were radial or tangential to the circle; however, the differences were smaller for the radial contours and tended to start 20-30 ms later. Correspondingly, discrimination reaction times were shortest for the contours consisting of tangential elements. These results demonstrate two spatially and temporally distinct stages of visual cortical processing, the first one limited to local features and the second one integrating information at a more global level.

Immaturity of somatosensory cortical processing in human newborns

The development of the early component of somatosensory evoked potentials (SEPs) from the neonatal N1 to adult N20 response has previously been described. The main emphasis has been on the change in the response latency during maturation. We used magnetoencephalography (MEG) to characterize the cortical generators of the N1 and the subsequent response in healthy human newborns. Furthermore, we studied the maturation of tactile processing according to responses evoked by tactile stimulation of the index finger in newborns, 6-month-old babies and adults. This study provides evidence of specific differences in the somatosensory processing in neonates compared to that in adults. Although the initial cortical response to electrical median nerve stimulation in the newborns was similar in field distribution to the corresponding N20m in adults, the subsequent major deflection in the response waveform had the opposite polarity. Similar immaturity in cortical processing was seen in the tactile evoked fields in both the newborns and the 6-month-old infants compared with the adults. Our results indicate that although the somatosensory pathway in full-term newborns is sufficiently developed to supply the brain with tactile information, the cortical neuronal networks for processing the input may not function in the same way as in adults.

Modulation of brain and behavioural responses to cognitive visual stimuli with varying signal-to-noise ratios

OBJECTIVE

To study behavioral and brain responses to variations in signal-to-noise ratio (SNR) of cognitive visual stimuli.

METHODS

We presented meaningful words visually, embedded in varying amounts of dynamic noise, and utilized magnetoencephalography (MEG) to measure responses to the words. A multidipole model of the evoked fields was constructed to quantify the strengths and latencies of the neuronal sources at each noise level. The recognition rates of the words were measured in separate behavioral sessions.

RESULTS

MEG revealed sequential activation of occipital and occipito-temporal areas (latencies 130-250 and 170-350 ms, respectively) followed by activity in superior temporal cortex (230-640 ms). The strengths and latencies of all identified sources followed functions similar to the SNR of the stimulus. The peak amplitudes and shortest latencies of all sources coincided with the maximum SNR of the stimulus. The occipito-temporal and temporal sources as well as the word recognition rate accurately followed the SNR of the stimulus whereas the early occipital source exhibited a more peaked dependence on the SNR.

CONCLUSIONS

Evoked responses expectedly peaked at the maximum SNR of the stimulus. Interestingly, early visual responses showed sharper peaks than longer-latency sources as a function of the noise level. This can be understood as the higher-level processes analyzing the stimuli more holistically and thus being less sensitive to the salience of simple visual features. The similar noise-dependence of the longer-latency sources and the recognition rate provides new evidence for the relevance of these activations in the recognition of written words.

SIGNIFICANCE

This study contributes to the understanding of brain activity evoked by degraded stimuli with cognitive content.

Short-term memory functions of the human fetus recorded with magnetoencephalography

Studies in fetuses and in prematurely born infants show that auditory discriminative skills are present prior to birth. The magnetic fields generated by the fetal brain activity pass the maternal tissues and, despite their weakness, can be detected externally using MEG. Recent studies on the auditory evoked magnetic responses show that the fetal brain responds to sound onset. In contrast, higher-level auditory skills, such as those involving discriminative and memory functions, were not so far studied in fetuses with MEG. Here we show that fetal responses related to discriminating sounds can be recorded, implicating that the auditory change-detection system is functional. These results open new views to developmental neuroscience by enabling one to determine the sensory capabilities as well as the extent and accuracy of the short-term memory system of the fetus, and, further, to follow the development of these crucial processes.

Speech-sound discrimination in neonates as measured with MEG

Magnetic brain responses to speech sounds were measured in 10 healthy neonates. The stimulation consisted of a frequent vowel sound [a:] with a steady pitch contour, which was occasionally replaced by the vowel [i:] with a steady pitch, or the vowel [a:] with a rising pitch, manifesting a change of intonation. The magnetic mismatch-negativity response (MMNm) was obtained and successfully modelled to the speech sound quality change in all infants and to the intonation change in 6 infants. The present results indicate that auditory-cortex speech-sound discrimination may well be studied with magnetic recordings as early as in newborn infants.

Auditory magnetic responses of healthy newborns

We recorded magnetic brain activity from healthy human newborns when they heard frequency changes in an otherwise repetitive sound stream. We were able to record the magnetic counterpart of the mismatch negativity (MMN) previously described only with electric recordings in infants. The results show that these recordings are possible, although still challenging due to the small head size and head movements. The modelling of the neural sources underlying the recorded responses suggests cortical sources in the temporal lobes.

Phase locking between human primary and secondary somatosensory cortices

Unilateral stimulation of human peripheral nerves activates the primary somatosensory cortex (SI) contralaterally and the secondary somatosensory cortex (SII) bilaterally. We aimed at characterizing phase locking between SI and SII in response to electric stimuli applied once every 3 s to the right median nerve at the wrist; phase locking between brain regions has been proposed to either reflect joined processing or information exchange. Ongoing neuromagnetic activity of healthy volunteers was recorded with 204 planar gradiometers covering the whole scalp. After selecting a sensor maximally sensitive to activity in the left (contralateral) SI, phase locking between this sensor and the other 203 sensors was examined from single trial data. Statistically significant phase locking was found at approximately 20 Hz, 80-90 ms after the stimuli between the left SI and the right SII in 9 of 10 subjects. Sensors with high phase-locking values over the left SI and right SII were separated by sensors with no phase-locked activity over the scalp midline, indicating that the phase locking was not caused by the sensors seeing activity from the same sources. The observed SI-SII phase locking would not be reflected in the evoked responses because a considerable part of it was not time-locked to the stimuli. Thus, our finding reveals a unique interaction in the sensorimotor system.

Native language, gender, and functional organization of the auditory cortex

Whole-head magnetoencephalography was employed in 40 normal subjects to investigate whether the basic functional organization of the auditory cortex varies with linguistic environment. Robust activations of the bilateral supratemporal auditory cortices to 1-kHz pure tones, maximum at about 100 ms after stimulus onset, were studied in Finnish and German female and male subject groups with monolingual background. Activations elicited by the tones were mutually indistinguishable in German and Finnish women. In contrast, German men showed significantly stronger auditory responses to pure tones in the left, language-dominant hemisphere than Finnish men. We discuss the possibility that the prominent left-hemisphere activation in German males reflects higher frequency resolution required for distinguishing between German than Finnish vowels and that the clear effect of native language in male but not in female auditory cortex derives from more pronounced functional lateralization in men. The present data suggest that the influence of native language can extend to auditory cortical processing of pure-tone stimuli with no linguistic content and that this effect is conspicuous in the male brain.

Biopotential amplifier for simultaneous operation with biomagnetic instruments

A multichannel biopotential amplifier for simultaneous use with biomagnetic measurements in a magnetically shielded room is designed and evaluated. Particular care is taken to make the amplifier electromagnetically compatible with the biomagnetic instruments over the whole frequency spectrum, from DC to RF. The electromagnetically quiet environment allows the use of high electrode impedances; the preamplifier has been designed accordingly. Special care is taken to analyse the coupling mechanisms of mains interference to the amplifier. Over 170 simultaneous electric and magnetic recordings have been performed using the system in a hospital environment.

Auditory cortical responses in humans with congenital unilateral conductive hearing loss

We recorded auditory evoked magnetic fields from 6 patients with congenital unilateral conductive hearing disorder with a 122-channel whole-head neuromagnetometer. The stimuli were 50-ms 1-kHz tones delivered to the better ear at interstimulus intervals (ISIs) of 2 and 8 s at two different intensities (50 and 70 dB HL). As in normal-hearing subjects, the amplitudes of N100m, the 100-ms response, were larger in 5 patients and the latencies were shorter in 3 patients over the hemisphere contralateral to stimulation. However, in one patient N100m peaked already at 61 ms over the contralateral hemisphere and amplitudes were larger over the ipsilateral hemisphere, possibly reflecting reorganization of the auditory pathways. In 3 patients the latencies were shorter over the ipsilateral hemisphere. The effects of ISI and intensity were similar over both hemispheres and did not differ from those in controls. It seems that congenital unilateral conductive hearing loss does not necessarily lead to any gross disturbances in the human auditory cortex.