Lateralization of olfactory processes

Over the last ten years, methods of cerebral imaging have revolutionized our knowledge of cognitive processes in humans. An impressive number of papers dealing with cerebral imaging for olfaction have been published to date. Whereas the early works revealed those structures participating in the processing of odours presented passively to subjects, researchers later recorded brain activity when subjects performed specific olfactory tasks based on memory, emotion and identification. From these results, we suggest that there is a dissociation of olfactory processes, with involvement of the right hemisphere in memory processes and the left hemisphere in emotional processes. The review concludes with a summary of how these lateralized processes are consistent with the gestalt-nature of our olfactory perception.

Correlation between biomagnetic and Doppler findings of the uterine artery in normal and preeclamptic pregnancies

OBJECTIVES

To elucidate the hemodynamics of the uterine artery in normal and abnormal pregnancies by use of Doppler ultrasound and SQUID biomagnetometry.

METHOD

Two hundred and three women (gestational age 28-42 weeks) were included in the study. Forty-three of them had preeclampsia and/or intrauterine growth restriction and 160 were normal. Uterine artery waveform measurements were evaluated by use of pulsatility index (PI) (normal value PI<1.45). Biomagnetic signals of uterine arteries were recorded and analyzed with Fourier analysis. The biomagnetic signals were distributed according to spectral amplitudes as high (140-300 fT/ radicalHz), low (50-110 fT/ radicalHz) and borderline (111-139 fT/ radicalHz).

RESULTS

There was a statistically significant difference between normal and abnormal pregnancies concerning the waveform amplitudes (p < 0.001) and the PI index (p < 0.001). Specifically, we noticed high biomagnetic amplitudes in most normal pregnancies (92.5%) and low biomagnetic amplitudes in most preeclamptic cases (90.7%).

CONCLUSIONS

Our study results indicated that biomagnetic measurements of uterine artery might prove to be useful in the evaluation of the fetal well being, especially in cases of preeclampsia and intrauterine growth restriction.

[Effect of SWF-radiation on thrombocytes and erythrocyte functions of albino rats upon stress condition]

With the help of a specially designed generator, we have investigated the effect of electromagnetic SWF-oscillation, at nitric oxide molecular spectrum of radiation and absorption, on the function of thrombocytes and erythrocytes of albino rats in the state of immobilizing stress. 5, 15 and 30 min long SWF-radiation treatments were demonstrated to foster various degrees of restoration of thrombocyte and erythrocyte function, the efficiency depending on the period of radiation. It was after a 30 min radiation of rats that a most expressed restoration of thrombocyte and erythrocyte functional activity was observed.

EEG-tomographic studies with LORETA on vigilance differences between narcolepsy patients and controls and subsequent double-blind, placebo-controlled studies with modafinil

The aim of the present study was to identify brain regions associated with vigilance in untreated and modafinil-treated narcoleptic patients by means of low-resolution brain electromagnetic tomography (LORETA). 16 drug-free narcoleptics and 16 normal controls were included in the baseline investigation. Subsequently patients participated in a double-blind, placebo-controlled crossover study receiving a three-week fixed titration of modafinil (200, 300, 400 mg) and placebo. Measurements comprised LORETA, the Multiple Sleep Latency Test (MSLT) and the Epworth Sleepiness Scale (ESS) obtained before and after three weeks' therapy. Statistical overall analysis by means of the omnibus significance test demonstrated significant inter-group differences in the resting (R-EEG), but not in the vigilance-controlled recordings (V-EEG). Subsequent univariate analysis revealed a decrease in alpha-2 and beta 1-3 power in prefrontal, temporal and parietal cortices, with the right hemisphere slightly more involved in this vigilance decrement. Modafinil 400 mg/d as compared with placebo induced changes opposite to the aforementioned baseline differences (key-lock principle) with a preponderance in the left hemisphere. This increase in vigilance resulted in an improvement in the MSLT and the ESS. LORETA provided evidence of a functional deterioration of the fronto-temporo-parietal network of the right-hemispheric vigilance system in narcolepsy and a therapeutic effect of modafinil on the left hemisphere, which is less affected by the disease.

Patterns of abnormal motor cortex excitability in atypical parkinsonian syndromes

OBJECTIVE

Multiple system atrophy (MSA), progressive supranuclear palsy (PSP), and corticobasal-ganglionic degeneration (CBGD) are all clinically characterized by an akinetic-rigid syndrome together with a variety of additional signs. We hypothesised that these atypical parkinsonian syndromes (APS) will show distinctive patterns in their motor output upon transcranial magnetic stimulation (TMS) due to their different underlying anatomico-functional deficits.

METHODS

We performed single and paired-pulse TMS and assessed inhibitory and excitatory response parameters from the first dorsal interosseus muscles in 13 patients with MSA, 18 with PSP, 13 with CBGD, 15 patients with Parkinson's disease and 17 healthy subjects.

RESULTS

PSP and MSA patients had significantly enlarged response amplitudes at rest, reduced intracortical inhibition (ICI) and prolonged ipsi- and contralateral silent periods, whereas CBGD patients showed significantly increased motor thresholds, smaller response amplitudes at rest, shortened contralateral silent period, reduced transcallosal inhibition and a reduced ICI. In 22% of APS patients ipsilateral motor responses occurred in upper limb muscles irrespective of the underlying disease.

CONCLUSIONS

Our results indicate that motor cortex disinhibition is predominant in patients with PSP and MSA. In CBGD more severe neuronal cell loss in the motor cortex itself may lead to hypoexcitability of corticospinal and transcallosal pathways.

Measurement of cardiac output before and after cardiopulmonary bypass: Comparison among aortic transit-time ultrasound, thermodilution, and noninvasive partial CO2 rebreathing

OBJECTIVES

A noninvasive continuous cardiac output system (NICO) has been developed recently. NICO uses a ratio of the change in the end-tidal carbon dioxide partial pressure and carbon dioxide elimination in response to a brief period of partial rebreathing to measure CO. The aim of this study was to compare the agreement among NICO, bolus (TDCO), and continuous thermodilution (CCO), with transit-time flowmetry of the ascending aorta using an ultrasonic flow probe (UFP) before and after cardiopulmonary bypass (CPB).

DESIGN

Prospective, observational human study.

SETTING

Veterans Affairs Medical Center Hospital.

PARTICIPANTS

Sixty-eight patients.

METHODS

Matched sets of CO measurements between NICO, TDCO, CCO, and UFP were collected in 68 patients undergoing elective CABG at specific time periods before and after separation from CPB. After anesthetic induction, all patients had an NICO sensor attached between the endotracheal tube and the breathing circuit, a PAC floated into the pulmonary artery for TDCO and CCO monitoring, and a UFP positioned on the ascending aorta and used for the reference CO. Bland-Altman analysis was used to compare the agreement among the different methods.

MEASUREMENTS AND MAIN RESULTS

Bland-Altman analysis of CO measurements before CPB yielded a bias, precision, and percent error of 0.04 L/min +/- 1.07 L/min (44.8%) for NICO, 0.18 L/min +/- 1.01 L/min (41.7%) for TDCO, and 0.29 L/min +/- 1.40 L/min (57.5%) for CCO compared with simultaneous UFP CO measurements, respectively. After separation from CPB (average 29 mins), bias, precision, and percent error were -0.46 L/min +/- 1.06 L/min (37.3%) for NICO, 0.35 L/min +/- 1.39 L/min (46.1%) for TDCO, and 0.36 L/min +/- 1.96 L/min (64.7%) for CCO compared with UFP CO measurements, respectively.

CONCLUSIONS

Before initiation of CPB, the accuracy for all 3 techniques was similar. After separation from CPB, the tendency was for NICO to underestimate CO and for TDCO and CCO to overestimate it. NICO offers an alternative to invasive CO measurement.

Cognitive tuning of corticospinal excitability during human gait: adaptation to the phase

The aim of this study was to investigate how the cognitive tuning of corticospinal (CS) excitability adapts to the type of evoked-movement (Flexion vs. Extension) during human gait. Transcranial magnetic stimulation (TMS) was used both as a central perturbation evoking a movement and as a tool for quantifying the CS excitability of the muscles under study (RF/BF). In the first condition (Dst), the TMS occurred at mid-stance, inducing hip extension, whereas in the second condition (Dsw), the TMS occurred at the beginning of the swing phase, inducing hip flexion. In both conditions, the subjects were asked to cognitively prepare to either not intervene (NINT) or to compensate (COMP) for the evoked-movements. The results showed that, regardless of the type of evoked-movement, preparing to compensate resulted in a selective increase in the CS excitability to those muscles that would be involved in counteracting the possible central perturbation, i.e. the hip extensor muscle (BF) to compensate for an evoked flexion during the swing phase or the hip flexor muscle (RF) to compensate for an evoked extension during the stance phase. This latter result offers the first evidence of a modulation in CS excitability to the proximal muscles during the stance phase. In conclusion, the cognitive tuning of CS excitability was found to adapt to the gait phases. Moreover, the same selective preparation strategy was observed whether the central perturbation occurred during the stance or the swing phase of the step cycle.

Intra-subject reliability of parameters contributing to maps generated by transcranial magnetic stimulation in able-bodied adults

OBJECTIVE

This study evaluated the reliability of several parameters contributing to topographic motor cortical maps of the extensor digitorum communis (EDC) within able-bodied participants, across 3 sessions and from both hemispheres with greater precision than previously reported.

METHODS

Nine healthy right-handed males aged 44-75 years were studied at 3 separate sessions, spaced 7-14 days apart. Transcranial magnetic stimulation (TMS) was used to elicit motor evoked potentials (MEP) in the contralateral EDC. Closely spaced surface electrodes were used to record the MEPs.

RESULTS

TMS-related parameters did not demonstrate a significant difference within participants across sessions and between hemispheres, with the exception of the hotspot distance, center of gravity distance, and normalized map volume. Hotspot and COG distances were determined from the Euclidean equation to calculate the distance in x,y coordinates traveled over sessions: one to two (distance A) and two to three (distance B). The hotspot distance, center of gravity distance and normalized map volume demonstrated a significant difference between right and left hemispheres, within participants. Adjusting for time and examining mean changes for hemispheres across sessions revealed that there was a 9-fold greater movement over sessions in the left hemisphere among these variables.

CONCLUSIONS

TMS-related parameters are reliable within participants across 3 sessions. These data should be useful for planning and interpreting TMS studies using a healthy or patient population before and after an intervention.

Should transcranial magnetic stimulation research in children be considered minimal risk?

OBJECTIVE

Transcranial magnetic stimulation (TMS) is a neurophysiologic technique with research applications. Institutional Review Boards (IRBs) must carefully consider potential risks and possible benefits in research involving children. The purpose of this study is to provide concise information for investigators and IRBs about the safety of single and paired pulse TMS research in children.

METHODS

This paper has 4 sections: (I) Regulations governing research in children are reviewed and applied to the use of TMS. (II) Energy imparted by TMS is assessed in terms of theoretical biological risks to human subjects. (III) Through MEDLINE review, the empirical evidence of risk from TMS is assessed. Reported adverse events, including issues related to risk of seizures and of hearing loss, are summarized. (IV) Safety data are presented from a study of TMS in children with Tourette Syndrome.

RESULTS

No published or empirical evidence was found to suggest that single or paired pulse TMS is associated with more than minimal risk in children.

CONCLUSIONS

IRBs may consider well-designed studies using single and paired pulse TMS protocols similar to those described in this study as bearing minimal risk to children.

SIGNIFICANCE

This manuscript may be useful as a reference to IRBs and TMS investigators.

TMS and drugs

The application of a single dose of a CNS active drug with a well-defined mode of action on a neurotransmitter or neuromodulator system may be used for testing pharmaco-physiological properties of transcranial magnetic stimulation (TMS) measures of cortical excitability. Conversely, a physiologically well-defined single TMS measure of cortical excitability may be used as a biological marker of acute drug effects at the systems level of the cerebral cortex. An array of defined TMS measures may be used to study the pattern of effects of a drug with unknown or multiple modes of action. Acute drug effects may be rather different from chronic drug effects. These differences can also be studied by TMS measures. Finally, TMS or repetitive TMS by themselves may induce changes in endogenous neurotransmitters or neuromodulators. All these possible interactions are the focus of this in-depth review on TMS and drugs.

Commonalities and differences among vectorized beamformers in electromagnetic source imaging

A number of beamformers have been introduced to localize neuronal activity using magnetoencephalography (MEG) and electroencephalography (EEG). However, currently available information about the major aspects of existing beamformers is incomplete. In the present study, detailed analyses are performed to study the commonalities and differences among vectorized versions of existing beamformers in both theory and practice. In addition, a novel beamformer based on higher-order covariance analysis is introduced. Theoretical formulas are provided on all major aspects of each beamformer; to examine their performance, computer simulations with different levels of correlation and signal-to-noise ratio are studied. Then, an empirical data set of human MEG median-nerve responses with a large number of neuronal generators is analyzed using the different beamformers. The results show substantial differences among existing MEG/EEG beamformers in their ways of describing the spatial map of neuronal activity. Differences in performance are observed among existing beamformers in terms of their spatial resolution, false-positive background activity, and robustness to highly correlated signals. Superior performance is obtained using our novel beamformer with higher-order covariance analysis in simulated data. Excellent agreement is also found between the results of our beamformer and the known neurophysiology of the median-nerve MEG response.

Multispectral classification techniques for terahertz pulsed imaging: an example in histopathology

Terahertz pulsed imaging is a spectroscopic imaging modality using pulses of electromagnetic radiation (100 GHz-10 THz), and there has been recent interest in studying biomedical specimens. It is usual to display parametric images derived from the measured pulses. In this work, classification was achieved by applying multispectral clustering techniques to sets of parametric images. It was hypothesised that adequate information for clustering was carried in a small number of parametric images, providing these were weighted by complementary physical properties. Materials prepared for histopathological examination were chosen because their condition remained stable during long imaging periods and because their dehydrated state led to greater penetration of the radiation. Two specimens were examined in this pilot study, one of basal cell carcinoma and one of melanoma. Unsupervised ISODATA classification using three selected parametric terahertz pulsed images was compared qualitatively with k-means classification using the shape of the whole time series, and with conventional stained microscope slides. There was good qualitative agreement between the classifications. Classifications were consistent with the morphological appearances expected, but further work is required to determine if tumour discrimination is possible. The results have implications for the future development of the technique as the need for only a small number of features could lead to considerably reduced acquisition times.

Basic characteristics of the radio imaging method for biomedical applications

The radio imaging method (RIM), a technology used practically for geophysical surveys, was applied to biomedical measurements. The characteristics of a subject between a pair of simple loop antennas were measured by using a feeble electromagnetic wave of low frequency. Water distribution inside the human body was expected to be measured, as well as the original method imaged mineral distributions. In geophysical surveys, finer resolution is provided than a wavelength of the electromagnetic wave. This was also expected for biomedical measurements. An acrylic water tank was used as a phantom of the abdominal portion of the human body, and basic measurements were performed with the phantom. The inner tank of the phantom, whose cross section was 6 x 8 cm, was detected by the method when the frequency was 54 MHz or the wavelength was nearly 6 m in free space. The resolution provided by the experiment suggested that the proposed method was effective even if the wavelength was longer than the dimensions of the targeted area. The advantage of the method is simplicity, economy and safety. The authors are looking for specific applications for example, a urination sensor or a vital monitor for in-home care, where the strong points of the method are suitable.

Neural correlates of mental state decoding in human adults: an event-related potential study

Successful negotiation of human social interactions rests on having a theory of mind - an understanding of how others' behaviors can be understood in terms of internal mental states, such as beliefs, desires, intentions, and emotions. A core theory-of-mind skill is the ability to decode others' mental states on the basis of observable information, such as facial expressions. Although several recent studies have focused on the neural correlates of reasoning about mental states, no research has addressed the question of what neural systems underlie mental state decoding. We used dense-array event-related potentials (ERP) to show that decoding mental states from pictures of eyes is associated with an N270-400 component over inferior frontal and anterior temporal regions of the right hemisphere. Source estimation procedures suggest that orbitofrontal and medial temporal regions may underlie this ERP effect. These findings suggest that different components of everyday theory-of-mind skills may rely on dissociable neural mechanisms.

Development of an apparatus to control load by electromagnet for a motility system in vitro

We developed an electromagnet to perform quick changes in load in the motility system consisting of myosin molecules attached to a magnetizable bead and actin filaments The electromagnet was combined with an inverted microscope and load could be quickly changed under optical observation. The magnetic field was generated by high electric current (6V, 0-125A) and the maximum field was 8,000 Oe. The maximum force exerted on a bead was 80pN at 2.5mm distance from a magnet. The change in force was 0.48% at the distance of 5.0mm from the magnet when a bead moved longitudinally for 30microm. The time to change load was about 20ms. The movements of a bead in water were recorded by video when step changes in magnetic field were applied and it was shown that a bead exactly followed the change in force. This apparatus is very much useful to analyze the transient changes in the movement of a bead, if the movement is relatively slow as in the interaction between actin and myosin from molluscan smooth muscle.

Calculation of the virtual current in an electromagnetic flow meter with one bubble using 3D model

Based on the theory of electromagnetic induction flow measurement, the Laplace equation in a complicated three-dimensional (3D) domain is solved by an alternating method. Virtual current potentials are obtained for an electromagnetic flow meter with one spherical bubble inside. The solutions are used to investigate the effects of bubble size and bubble position on the virtual current. Comparisons are done among the cases of 2D and 3D models, and of point electrode and large electrode. The results show that the 2D model overestimates the effect, while large electrodes are least sensitive to the bubble. This paper offers fundamentals for the study of the behavior of an electromagnetic flow meter in multiphase flow. For application, the results provide a possible way to estimate errors of the flow meter caused by multiphase flow.

Use of electromagnetic midsagittal articulography in the study of swallowing

The tongue functions as the primary articulator during the oropharyngeal stages of swallowing. However, detailed descriptions of the kinematics and spatiotemporal variability of tongue behaviors during swallowing are limited to a handful of analyses of data from the X-ray microbeam database. In this article, a new technique, electromagnetic midsagittal articulography (EMMA), is introduced for the high-resolution description of oral articulatory movements during swallowing. Data from 8 healthy, nondysphagic participants are used to illustrate the methods used for data collection and analysis. Movement data were collected for 3 fleshpoint positions on the tongue (blade, body, dorsum) during sequences of repeated discrete water swallows, and were characterized for variables of spatiotemporal variability and 4 discrete kinematic parameters (movement amplitude, peak velocity, duration, and kinematic stiffness). These data show that the movement trajectories measured using EMMA are consistent with descriptions from previous X-ray microbeam studies, indicating that EMMA is a feasible method for the detailed study of tongue movements during swallowing.

A TMS study of the ventral projections from V1 with implications for the finding of neural correlates of consciousness

The study of subliminal perception in normal and brain lesioned subjects has long been of interest to scholars studying the neural mechanisms behind conscious vision. Using brief durations and a developed methodology of introspective reporting, we present an experiment with visual stimuli that gives rise to little or no subliminal perception under normal viewing conditions. Coupled with transcranial magnetic stimulation, however, we find a dissociation between correctness and conscious awareness. Furthermore, we find support for the hypothesis that the ventral projection streams from V1 are necessary for visual consciousness.

Clinical effects of repetitive transcranial magnetic stimulation versus acute levodopa challenge in Parkinson’s disease

We studied the short-term clinical effects of 10-Hz repetitive transcranial magnetic stimulation (rTMS) of the motor hand area contralateral to the more affected limb in 12 non-fluctuating, for at least 12 hours drug free patients with Parkinson's disease (PD). We investigated the efficacy of rTMS in combination with a levodopa challenge test design under double-blind, placebo controlled conditions. Significant reductions of UPDRS III motor scores showed the treatment conditions: placebo/rTMS, levodopa/sham stimulation and levodopa/rTMS. A more detailed evaluation of arm symptoms contralateral to the stimulated brain region showed even more pronounced effects for the three conditions. There were significant differences between the mean response of the UPDRS III arm scores to the four test conditions. In conclusion our study demonstrates short-term beneficial effects of 10-Hz rTMS on motor symptoms in PD patients. A release of endogenous dopamine in subcortical structures, i.e. putamen, in response to rTMS is the most likely mechanism of action.

Review of electromagnetic source investigations of the fetal heart

There is at present no reliable clinical technique for the assessment of cardiac electrophysiological activity in the fetus. There are two primary requirements of this type of monitoring: (i) sequential assessment of morphological and temporal parameters of cardiac electrical activity during advancing gestation, and (ii) description of the cardiac electrical activity in terms of an electrophysiologically realistic model. Fetal electrocardiography may be performed using maternal abdominal electrodes but this is only reliable prior to the 27th week of gestation. This is primarily because of the electrically insulating effects of the vernix caseosa and the existence of preferred conduction pathways between the fetal heart and maternal abdomen after this time. Fetal magnetocardiography is largely unaffected by these factors and so enables a reliable assessment of fetal electrocardiological activity throughout the second and third trimesters of pregnancy. This method can also be used to model fetal electrophysiological activity in terms of a current dipole or magnetic dipole. The vectorcardiogram is a plot of the dynamic change in dipole parameters during the cardiac cycle, allowing the study of growth-related or pathology-related electromagnetic changes in the heart. Fetal magnetocardiography and the fetal vectorcardiogram may thus provide important additions to current methods of antenatal monitoring.

[Comparative analysis of parameters of corrected and uncorrected QT-interval dispersion of magneto-, electrocardiography and isomagnetic maps in patients with ischemic heart disease]

AIM

To compare possibilities of magnetocardiography (MCG) and electrocardiography for assessment of regional dispersion of ventricular recovery time using parameters of corrected and uncorrected QT-interval dispersion (DQTs and DQT).

MATERIAL

Twenty three patients with class II angina pectoris including 11 patients with history of myocardial infarction (MI) and 13 practically healthy subjects.

RESULTS

Mean DQT and DQTc were significantly higher (p<0.005) in patients than in healthy subjects according to both techniques. Values of DQT and DQTc obtained by MCG were higher in patients with history of MI compared with those without MI (p=0.006 and 0.02, respectively). There was a significant positive correlation between age and DQT and DQTc determined by electrocardiography. Mean number of T-wave dipoles was significantly higher in patients than in healthy subjects. Substantial positive correlation was found between number of T-wave dipoles on isomagnetic maps and age in both patients and healthy people.

CONCLUSION

The method of MCG gave supplementary information on the state of ventricular depolarization in patients with ischemic heart disease.