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Tomasino B, Weis L, Maieron M, Pauletto G, Verriello L, Budai R, Ius T, D'Agostini S, Fadiga L, Skrap M. Motor or non-motor speech interference? A multimodal fMRI and direct cortical stimulation mapping study. Neuropsychologia 2024; 198:108876. [PMID: 38555064 DOI: 10.1016/j.neuropsychologia.2024.108876] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2024] [Revised: 03/21/2024] [Accepted: 03/22/2024] [Indexed: 04/02/2024]
Abstract
We retrospectively analyzed data from 15 patients, with a normal pre-operative cognitive performance, undergoing awake surgery for left fronto-temporal low-grade glioma. We combined a pre-surgical measure (fMRI maps of motor- and language-related centers) with intra-surgical measures (MNI-registered cortical sites data obtained during intra-operative direct electrical stimulation, DES, while they performed the two most common language tasks: number counting and picture naming). Selective DES effects along the precentral gyrus/inferior frontal gyrus (and/or the connected speech articulation network) were obtained. DES of the precentral gyrus evoked the motor speech arrest, i.e., anarthria (with apparent mentalis muscle movements). We calculated the number of shared voxels between the lip-tongue and overt counting related- and silent naming-related fMRI maps and the Volumes of Interest (VOIs) obtained by merging together the MNI sites at which a given speech disturbance was observed, normalized on their mean the values (i.e., Z score). Both tongue- and lips-related movements fMRI maps maximally overlapped (Z = 1.05 and Z = 0.94 for lips and tongue vs. 0.16 and -1.003 for counting and naming) with the motor speech arrest seed. DES of the inferior frontal gyrus, pars opercularis and the rolandic operculum induced speech arrest proper (without apparent mentalis muscle movements). This area maximally overlapped with overt counting-related fMRI map (Z = -0.11 and Z = 0.09 for lips and tongue vs. 0.9 and 0.0006 for counting and naming). Interestingly, our fMRI maps indicated reduced Broca's area activity during silent speech compared to overt speech. Lastly, DES of the inferior frontal gyrus, pars opercularis and triangularis evoked variations of the output, i.e., dysarthria, a motor speech disorder occurring when patients cannot control the muscles used to produce articulated sounds (phonemes). Silent object naming-related fMRI map maximally overlapped (Z = -0.93 and Z = -1.04 for lips and tongue vs. -1.07 and 0.99 for counting and naming) with this seed. Speech disturbances evoked by DES may be thought of as selective interferences with specific recruitment of left inferior frontal gyrus and precentral cortex which are differentiable in terms of the specific interference induced.
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Affiliation(s)
| | - Luca Weis
- Istituto Italiano di Tecnologia, Genova, Italy
| | - Marta Maieron
- Fisica Medica, Azienda Sanitaria Universitaria Friuli Centrale ASU FC, Italy
| | - Giada Pauletto
- Neurologia, Dipartimento "Testa, Collo e Neuroscienze", Azienda Sanitaria Universitaria Friuli Centrale ASU FC, Italy
| | - Lorenzo Verriello
- Neurologia, Dipartimento "Testa, Collo e Neuroscienze", Azienda Sanitaria Universitaria Friuli Centrale ASU FC, Italy
| | - Riccardo Budai
- Neurologia, Dipartimento "Testa, Collo e Neuroscienze", Azienda Sanitaria Universitaria Friuli Centrale ASU FC, Italy
| | - Tamara Ius
- Neurochirurgia, Dipartimento "Testa, Collo e Neuroscienze", Azienda Sanitaria Universitaria Friuli Centrale ASU FC, Italy
| | - Serena D'Agostini
- Neuroradiologia, Azienda Sanitaria Universitaria Friuli Centrale ASU FC, Italy
| | - Luciano Fadiga
- Istituto Italiano di Tecnologia, Genova, Italy; Dipartimento di Neuroscienze e Riabilitazione, Università di Ferrara, Italy
| | - Miran Skrap
- Neurochirurgia, Dipartimento "Testa, Collo e Neuroscienze", Azienda Sanitaria Universitaria Friuli Centrale ASU FC, Italy
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Zhang W, Jiang M, Teo KAC, Bhuvanakantham R, Fong L, Sim WKJ, Guo Z, Foo CHV, Chua RHJ, Padmanabhan P, Leong V, Lu J, Gulyás B, Guan C. Revealing the spatiotemporal brain dynamics of covert speech compared with overt speech: A simultaneous EEG-fMRI study. Neuroimage 2024; 293:120629. [PMID: 38697588 DOI: 10.1016/j.neuroimage.2024.120629] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2023] [Revised: 04/17/2024] [Accepted: 04/29/2024] [Indexed: 05/05/2024] Open
Abstract
Covert speech (CS) refers to speaking internally to oneself without producing any sound or movement. CS is involved in multiple cognitive functions and disorders. Reconstructing CS content by brain-computer interface (BCI) is also an emerging technique. However, it is still controversial whether CS is a truncated neural process of overt speech (OS) or involves independent patterns. Here, we performed a word-speaking experiment with simultaneous EEG-fMRI. It involved 32 participants, who generated words both overtly and covertly. By integrating spatial constraints from fMRI into EEG source localization, we precisely estimated the spatiotemporal dynamics of neural activity. During CS, EEG source activity was localized in three regions: the left precentral gyrus, the left supplementary motor area, and the left putamen. Although OS involved more brain regions with stronger activations, CS was characterized by an earlier event-locked activation in the left putamen (peak at 262 ms versus 1170 ms). The left putamen was also identified as the only hub node within the functional connectivity (FC) networks of both OS and CS, while showing weaker FC strength towards speech-related regions in the dominant hemisphere during CS. Path analysis revealed significant multivariate associations, indicating an indirect association between the earlier activation in the left putamen and CS, which was mediated by reduced FC towards speech-related regions. These findings revealed the specific spatiotemporal dynamics of CS, offering insights into CS mechanisms that are potentially relevant for future treatment of self-regulation deficits, speech disorders, and development of BCI speech applications.
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Affiliation(s)
- Wei Zhang
- Cognitive Neuroimaging Centre, Nanyang Technological University, Singapore; Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore
| | - Muyun Jiang
- School of Computer Science and Engineering, Nanyang Technological University, Singapore
| | - Kok Ann Colin Teo
- Cognitive Neuroimaging Centre, Nanyang Technological University, Singapore; Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore; IGP-Neuroscience, Interdisciplinary Graduate Programme, Nanyang Technological University, Singapore; Division of Neurosurgery, National University Health System, Singapore
| | - Raghavan Bhuvanakantham
- Cognitive Neuroimaging Centre, Nanyang Technological University, Singapore; Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore
| | - LaiGuan Fong
- Cognitive Neuroimaging Centre, Nanyang Technological University, Singapore
| | - Wei Khang Jeremy Sim
- Cognitive Neuroimaging Centre, Nanyang Technological University, Singapore; IGP-Neuroscience, Interdisciplinary Graduate Programme, Nanyang Technological University, Singapore
| | - Zhiwei Guo
- School of Computer Science and Engineering, Nanyang Technological University, Singapore
| | | | | | - Parasuraman Padmanabhan
- Cognitive Neuroimaging Centre, Nanyang Technological University, Singapore; Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore
| | - Victoria Leong
- Division of Psychology, Nanyang Technological University, Singapore; Department of Pediatrics, University of Cambridge, United Kingdom
| | - Jia Lu
- Cognitive Neuroimaging Centre, Nanyang Technological University, Singapore; DSO National Laboratories, Singapore; Yong Loo Lin School of Medicine, National University of Singapore, Singapore
| | - Balázs Gulyás
- Cognitive Neuroimaging Centre, Nanyang Technological University, Singapore; Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore; Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
| | - Cuntai Guan
- School of Computer Science and Engineering, Nanyang Technological University, Singapore.
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Thomas G, McMahon KL, Finch E, Copland DA. Interindividual variability and consistency of language mapping paradigms for presurgical use. BRAIN AND LANGUAGE 2023; 243:105299. [PMID: 37413742 DOI: 10.1016/j.bandl.2023.105299] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/19/2022] [Revised: 04/08/2023] [Accepted: 06/21/2023] [Indexed: 07/08/2023]
Abstract
Most functional MRI studies of language processing have focussed on group-level inference, but for clinical use, the aim is to predict outcomes at an individual patient level. This requires being able to identify atypical activation and understand how differences relate to language outcomes. A language mapping paradigm that selectively activates left hemisphere language regions in healthy individuals allows atypical activation in a patient to be more easily identified. We investigated the interindividual variability and consistency of language activation in 12 healthy participants using three tasks-verb generation, responsive naming, and sentence comprehension-for future presurgical use. Responsive naming produced the most consistent left-lateralised activation across participants in frontal and temporal regions that postsurgical voxel-based lesion-symptom mapping studies suggest are most critical for language outcomes. Studies with a long-term clinical aim of predicting language outcomes in neurosurgical patients and stroke patients should first establish paradigm validity at an individual level in healthy participants.
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Affiliation(s)
- Georgia Thomas
- School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia; Queensland Aphasia Research Centre, School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia.
| | - Katie L McMahon
- School of Clinical Sciences, Centre for Biomedical Technologies, Queensland University of Technology, Brisbane, Australia; Herston Imaging Research Facility, The University of Queensland, Brisbane, Australia
| | - Emma Finch
- School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia; Research and Innovation, West Moreton Health, Ipswich, Australia; Speech Pathology Department, Princess Alexandra Hospital, Brisbane, Australia
| | - David A Copland
- School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia; Queensland Aphasia Research Centre, School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia; Surgical Treatment and Rehabilitation Service (STARS) Education and Research Alliance, The University of Queensland and Metro North Health, Queensland, Australia
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Narayana S, Parsons MB, Zhang W, Franklin C, Schiller K, Choudhri AF, Fox PT, LeDoux MS, Cannito M. Mapping typical and hypokinetic dysarthric speech production network using a connected speech paradigm in functional MRI. NEUROIMAGE-CLINICAL 2020; 27:102285. [PMID: 32521476 PMCID: PMC7284131 DOI: 10.1016/j.nicl.2020.102285] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/25/2020] [Revised: 05/13/2020] [Accepted: 05/17/2020] [Indexed: 12/18/2022]
Abstract
We developed a task paradigm whereby subjects spoke aloud while minimizing head motion during functional MRI (fMRI) in order to better understand the neural circuitry involved in motor speech disorders due to dysfunction of the central nervous system. To validate our overt continuous speech paradigm, we mapped the speech production network (SPN) in typical speakers (n = 19, 10 females) and speakers with hypokinetic dysarthria as a manifestation of Parkinson disease (HKD; n = 21, 8 females) in fMRI. We then compared it with the SPN derived during overt speech production by 15O-water PET in the same group of typical speakers and another HKD cohort (n = 10, 2 females). The fMRI overt connected speech paradigm did not result in excessive motion artifacts and successfully identified the same brain areas demonstrated in the PET studies in the two cohorts. The SPN derived in fMRI demonstrated significant spatial overlap with the corresponding PET derived maps (typical speakers: r = 0.52; speakers with HKD: r = 0.43) and identified the components of the neural circuit of speech production belonging to the feedforward and feedback subsystems. The fMRI study in speakers with HKD identified significantly decreased activity in critical feedforward (bilateral dorsal premotor and motor cortices) and feedback (auditory and somatosensory areas) subsystems replicating previous PET study findings in this cohort. These results demonstrate that the overt connected speech paradigm is feasible during fMRI and can accurately localize the neural substrates of typical and disordered speech production. Our fMRI paradigm should prove useful for study of motor speech and voice disorders, including stuttering, apraxia of speech, dysarthria, and spasmodic dysphonia.
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Affiliation(s)
- Shalini Narayana
- Department of Pediatrics, Division of Pediatric Neurology, University of Tennessee Health Science Center, Memphis, TN 38103, USA; Neuroscience Institute, Le Bonheur Children's Hospital, Memphis, TN 38103, USA; Department of Anatomy and Neurobiology, University of Tennessee Health Science Center, Memphis, TN 38103, USA.
| | - Megan B Parsons
- School of Communication Sciences and Disorders, University of Memphis, Memphis, TN 38152, USA
| | - Wei Zhang
- Research Imaging Institute, University of Texas Health San Antonio, San Antonio, TX 78229, USA
| | - Crystal Franklin
- Research Imaging Institute, University of Texas Health San Antonio, San Antonio, TX 78229, USA
| | - Katherine Schiller
- Department of Pediatrics, Division of Pediatric Neurology, University of Tennessee Health Science Center, Memphis, TN 38103, USA
| | - Asim F Choudhri
- Neuroscience Institute, Le Bonheur Children's Hospital, Memphis, TN 38103, USA; Department of Radiology, Division of Neuroradiology, University of Tennessee Health Science Center, Memphis, TN 38103, USA
| | - Peter T Fox
- Research Imaging Institute, University of Texas Health San Antonio, San Antonio, TX 78229, USA
| | - Mark S LeDoux
- Veracity Neuroscience LLC, Memphis, TN 38157, USA; Department of Psychology and School of Health Studies, University of Memphis, Memphis, TN 38152, USA
| | - Michael Cannito
- Department of Communicative Disorders, University of Louisiana at Lafayette, USA
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Rodríguez-Aranda C, Castro-Chavira SA, Espenes R, Barrios FA, Waterloo K, Vangberg TR. The Role of Moderating Variables on BOLD fMRI Response During Semantic Verbal Fluency and Finger Tapping in Active and Educated Healthy Seniors. Front Hum Neurosci 2020; 14:203. [PMID: 32581748 PMCID: PMC7290010 DOI: 10.3389/fnhum.2020.00203] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2019] [Accepted: 05/06/2020] [Indexed: 11/28/2022] Open
Abstract
Semantic verbal fluency is among the most employed tasks in cognitive aging research and substantial work is devoted to understanding the underlying mechanisms behind age-related differences at the neural and behavioral levels. The present investigation aimed to evaluate the role of moderating variables, such as age, sex, MMSE, and proxies of cognitive reserve (CR) on the hemodynamic response evoked by semantic verbal fluency in healthy young and healthy older adults. So far, no study has been conducted to this end. To elucidate the exclusive effect of the mentioned variables on brain activation during semantic fluency, finger tapping was included as a control task. Results showed that disregarding adjustments for age, older adults displayed important parietal activations during semantic fluency as well as during finger-tapping. Specifically, the anterior intra-parietal sulcus (IPS) and left inferior parietal lobule (IPL) were areas activated in both tasks in the older group. Younger adults, only displayed parietal activations related to age and sex when these demographics were employed as predictors. Concerning proxies of CR in semantic fluency, the only vocabulary was an important moderator in both age groups. Higher vocabulary scores were associated with lesser activation in occipital areas. Education did not show significant correlations with brain activity during semantic fluency in any of the groups. However, both CR proxies were significantly correlated to brain activations of older adults during finger tapping. Specifically, vocabulary was associated with frontal regions, while education correlated with parietal lobe and cingulate gyrus. Finally, the effects of MMSE were mostly observed on brain activation of older adults in both tasks. These findings demonstrate that the effects of moderating variables on shaping brain activation are intricate and not exclusive of complex verbal tasks. Thus, before adjusting for “nuisance variables,” their importance needs to be established. This is especially true for samples including older adults for whom a motor task may be a demanding operation due to normal age-related processes of dedifferentiation.
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Affiliation(s)
- Claudia Rodríguez-Aranda
- Department of Psychology, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway
| | - Susana A Castro-Chavira
- Department of Psychology, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway
| | - Ragna Espenes
- Department of Psychology, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway
| | - Fernando A Barrios
- Instituto de Neurobiología, Universidad Nacional Autónoma de México, Querétaro, Mexico
| | - Knut Waterloo
- Department of Psychology, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway.,Department of Neurology, University Hospital of North Norway, Tromsø, Norway
| | - Torgil R Vangberg
- Department of Radiology and Nuclear Medicine, University Hospital of North Norway, Tromsø, Norway.,Department of Clinical Medicine, UiT The Arctic University of Norway, Tromsø, Norway
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Grandchamp R, Rapin L, Perrone-Bertolotti M, Pichat C, Haldin C, Cousin E, Lachaux JP, Dohen M, Perrier P, Garnier M, Baciu M, Lœvenbruck H. The ConDialInt Model: Condensation, Dialogality, and Intentionality Dimensions of Inner Speech Within a Hierarchical Predictive Control Framework. Front Psychol 2019; 10:2019. [PMID: 31620039 PMCID: PMC6759632 DOI: 10.3389/fpsyg.2019.02019] [Citation(s) in RCA: 26] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2019] [Accepted: 08/19/2019] [Indexed: 11/19/2022] Open
Abstract
Inner speech has been shown to vary in form along several dimensions. Along condensation, condensed inner speech forms have been described, that are supposed to be deprived of acoustic, phonological and even syntactic qualities. Expanded forms, on the other extreme, display articulatory and auditory properties. Along dialogality, inner speech can be monologal, when we engage in internal soliloquy, or dialogal, when we recall past conversations or imagine future dialogs involving our own voice as well as that of others addressing us. Along intentionality, it can be intentional (when we deliberately rehearse material in short-term memory) or it can arise unintentionally (during mind wandering). We introduce the ConDialInt model, a neurocognitive predictive control model of inner speech that accounts for its varieties along these three dimensions. ConDialInt spells out the condensation dimension by including inhibitory control at the conceptualization, formulation or articulatory planning stage. It accounts for dialogality, by assuming internal model adaptations and by speculating on neural processes underlying perspective switching. It explains the differences between intentional and spontaneous varieties in terms of monitoring. We present an fMRI study in which we probed varieties of inner speech along dialogality and intentionality, to examine the validity of the neuroanatomical correlates posited in ConDialInt. Condensation was also informally tackled. Our data support the hypothesis that expanded inner speech recruits speech production processes down to articulatory planning, resulting in a predicted signal, the inner voice, with auditory qualities. Along dialogality, covertly using an avatar's voice resulted in the activation of right hemisphere homologs of the regions involved in internal own-voice soliloquy and in reduced cerebellar activation, consistent with internal model adaptation. Switching from first-person to third-person perspective resulted in activations in precuneus and parietal lobules. Along intentionality, compared with intentional inner speech, mind wandering with inner speech episodes was associated with greater bilateral inferior frontal activation and decreased activation in left temporal regions. This is consistent with the reported subjective evanescence and presumably reflects condensation processes. Our results provide neuroanatomical evidence compatible with predictive control and in favor of the assumptions made in the ConDialInt model.
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Affiliation(s)
- Romain Grandchamp
- Univ. Grenoble Alpes, Univ. Savoie Mont Blanc, CNRS, LPNC, Grenoble, France
| | - Lucile Rapin
- Univ. Grenoble Alpes, Univ. Savoie Mont Blanc, CNRS, LPNC, Grenoble, France
| | | | - Cédric Pichat
- Univ. Grenoble Alpes, Univ. Savoie Mont Blanc, CNRS, LPNC, Grenoble, France
| | - Célise Haldin
- Univ. Grenoble Alpes, Univ. Savoie Mont Blanc, CNRS, LPNC, Grenoble, France
| | - Emilie Cousin
- Univ. Grenoble Alpes, Univ. Savoie Mont Blanc, CNRS, LPNC, Grenoble, France
| | - Jean-Philippe Lachaux
- INSERM U1028, CNRS UMR5292, Brain Dynamics and Cognition Team, Lyon Neurosciences Research Center, Bron, France
| | - Marion Dohen
- Univ. Grenoble Alpes, CNRS, Grenoble INP, GIPSA-lab, Grenoble, France
| | - Pascal Perrier
- Univ. Grenoble Alpes, CNRS, Grenoble INP, GIPSA-lab, Grenoble, France
| | - Maëva Garnier
- Univ. Grenoble Alpes, CNRS, Grenoble INP, GIPSA-lab, Grenoble, France
| | - Monica Baciu
- Univ. Grenoble Alpes, Univ. Savoie Mont Blanc, CNRS, LPNC, Grenoble, France
| | - Hélène Lœvenbruck
- Univ. Grenoble Alpes, Univ. Savoie Mont Blanc, CNRS, LPNC, Grenoble, France
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Agarwal S, Sair HI, Gujar S, Pillai JJ. Language Mapping With fMRI: Current Standards and Reproducibility. Top Magn Reson Imaging 2019; 28:225-233. [PMID: 31385902 DOI: 10.1097/rmr.0000000000000216] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Clinical use of blood oxygen level dependent (BOLD) functional magnetic resonance imaging (fMRI) is a relatively new phenomenon, with only about 3 decades of collective experience. Nevertheless, task-based BOLD fMRI has been widely accepted for presurgical planning, over traditional methods, which are invasive and at times perilous. Many studies have demonstrated the ability of BOLD fMRI to make substantial clinical impact with respect to surgical planning and preoperative risk assessment, especially to localize the eloquent motor and visual areas. Reproducibility and repeatability of language fMRI are important in the assessment of its clinical usefulness. There are national efforts currently underway to standardize language fMRI. The American Society of Functional Neuroradiology (ASFNR) has recently provided guidelines on fMRI paradigm algorithms for presurgical language assessment for language lateralization and localization. In this review article, we provide a comprehensive overview of current standards of language fMRI mapping and its reproducibility.
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Affiliation(s)
- Shruti Agarwal
- Division of Neuroradiology, Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, MD
| | - Haris I Sair
- Division of Neuroradiology, Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, MD
| | - Sachin Gujar
- Division of Neuroradiology, Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, MD
| | - Jay J Pillai
- Division of Neuroradiology, Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, MD
- Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD
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Unadkat P, Fumagalli L, Rigolo L, Vangel MG, Young GS, Huang R, Mukundan S, Golby A, Tie Y. Functional MRI Task Comparison for Language Mapping in Neurosurgical Patients. J Neuroimaging 2019; 29:348-356. [PMID: 30648771 PMCID: PMC6506353 DOI: 10.1111/jon.12597] [Citation(s) in RCA: 21] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2018] [Revised: 12/07/2018] [Accepted: 12/10/2018] [Indexed: 11/27/2022] Open
Abstract
BACKGROUND AND PURPOSE Language task-based functional MRI (fMRI) is increasingly used for presurgical planning in patients with brain lesions. Different paradigms elicit activations of different components of the language network. The aim of this study is to optimize fMRI clinical usage by comparing the effectiveness of three language tasks for language lateralization and localization in a large group of patients with brain lesions. METHODS We analyzed fMRI data from a sequential retrospective cohort of 51 patients with brain lesions who underwent presurgical fMRI language mapping. We compared the effectiveness of three language tasks (Antonym Generation, Sentence Completion (SC), and Auditory Naming) for lateralizing language function and for activating cortex within patient-specific regions-of-interest representing eloquent language areas, and assessed the degree of spatial overlap of the areas of activation elicited by each task. RESULTS The tasks were similarly effective for lateralizing language within the anterior language areas. The SC task produced higher laterality indices within the posterior language areas and had a significantly higher agreement with the clinical report. Dice coefficients between the task pairs were in the range of .351-.458, confirming substantial variation in the components of the language network activated by each task. CONCLUSIONS SC task consistently produced large activations within the dominant hemisphere and was more effective for lateralizing language within the posterior language areas. The low degree of spatial overlap among the tasks strongly supports the practice of using a battery of tasks to help the surgeon to avoid eloquent language areas.
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Affiliation(s)
| | | | - Laura Rigolo
- From the Department of Neurosurgery, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA (PU, LF, LR, AG, YT); Department of Radiology, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA (PU, MGV, GSY, RH, SM, AG); School of Medicine and Surgery, Universitá degli Studi di Milano-Bicocca, Milan, Italy (LF); and Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA (MGV)
| | - Mark G. Vangel
- From the Department of Neurosurgery, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA (PU, LF, LR, AG, YT); Department of Radiology, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA (PU, MGV, GSY, RH, SM, AG); School of Medicine and Surgery, Universitá degli Studi di Milano-Bicocca, Milan, Italy (LF); and Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA (MGV)
| | - Geoffrey S. Young
- From the Department of Neurosurgery, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA (PU, LF, LR, AG, YT); Department of Radiology, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA (PU, MGV, GSY, RH, SM, AG); School of Medicine and Surgery, Universitá degli Studi di Milano-Bicocca, Milan, Italy (LF); and Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA (MGV)
| | - Raymond Huang
- From the Department of Neurosurgery, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA (PU, LF, LR, AG, YT); Department of Radiology, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA (PU, MGV, GSY, RH, SM, AG); School of Medicine and Surgery, Universitá degli Studi di Milano-Bicocca, Milan, Italy (LF); and Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA (MGV)
| | - Srinivasan Mukundan
- From the Department of Neurosurgery, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA (PU, LF, LR, AG, YT); Department of Radiology, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA (PU, MGV, GSY, RH, SM, AG); School of Medicine and Surgery, Universitá degli Studi di Milano-Bicocca, Milan, Italy (LF); and Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA (MGV)
| | - Alexandra Golby
- From the Department of Neurosurgery, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA (PU, LF, LR, AG, YT); Department of Radiology, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA (PU, MGV, GSY, RH, SM, AG); School of Medicine and Surgery, Universitá degli Studi di Milano-Bicocca, Milan, Italy (LF); and Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA (MGV)
| | - Yanmei Tie
- From the Department of Neurosurgery, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA (PU, LF, LR, AG, YT); Department of Radiology, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA (PU, MGV, GSY, RH, SM, AG); School of Medicine and Surgery, Universitá degli Studi di Milano-Bicocca, Milan, Italy (LF); and Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA (MGV)
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9
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Alemi R, Batouli SAH, Behzad E, Ebrahimpoor M, Oghabian MA. Not single brain areas but a network is involved in language: Applications in presurgical planning. Clin Neurol Neurosurg 2018; 165:116-128. [PMID: 29334640 DOI: 10.1016/j.clineuro.2018.01.009] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2017] [Revised: 01/03/2018] [Accepted: 01/08/2018] [Indexed: 01/22/2023]
Abstract
OBJECTIVES Language is an important human function, and is a determinant of the quality of life. In conditions such as brain lesions, disruption of the language function may occur, and lesion resection is a solution for that. Presurgical planning to determine the language-related brain areas would enhance the chances of language preservation after the operation; however, availability of a normative language template is essential. PATIENTS AND METHODS In this study, using data from 60 young individuals who were meticulously checked for mental and physical health, and using fMRI and robust imaging and data analysis methods, functional brain maps for the language production, perception and semantic were produced. RESULTS The obtained templates showed that the language function should be considered as the product of the collaboration of a network of brain regions, instead of considering only few brain areas to be involved in that. CONCLUSION This study has important clinical applications, and extends our knowledge on the neuroanatomy of the language function.
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Affiliation(s)
- Razieh Alemi
- Department of Neuroscience and Addiction Studies, School of Advanced Technologies in Medicine, Tehran University of Medical Sciences, Tehran, Iran; Department of Otorhinolaryngology, Faculty of Medicine, McGill University, Canada
| | - Seyed Amir Hossein Batouli
- Department of Neuroscience and Addiction Studies, School of Advanced Technologies in Medicine, Tehran University of Medical Sciences, Tehran, Iran; Neuroimaging and Analysis Group, Tehran University of Medical Sciences, Tehran, Iran
| | - Ebrahim Behzad
- Department of Neuroscience and Addiction Studies, School of Advanced Technologies in Medicine, Tehran University of Medical Sciences, Tehran, Iran
| | - Mitra Ebrahimpoor
- Neuroimaging and Analysis Group, Tehran University of Medical Sciences, Tehran, Iran
| | - Mohammad Ali Oghabian
- Neuroimaging and Analysis Group, Tehran University of Medical Sciences, Tehran, Iran; Medical Physics and Biomedical Engineering Department, Tehran University of Medical Sciences, Tehran, Iran.
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Bradshaw AR, Thompson PA, Wilson AC, Bishop DV, Woodhead ZV. Measuring language lateralisation with different language tasks: a systematic review. PeerJ 2017; 5:e3929. [PMID: 29085748 PMCID: PMC5659218 DOI: 10.7717/peerj.3929] [Citation(s) in RCA: 39] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2017] [Accepted: 09/26/2017] [Indexed: 11/25/2022] Open
Abstract
Language lateralisation refers to the phenomenon in which one hemisphere (typically the left) shows greater involvement in language functions than the other. Measurement of laterality is of interest both to researchers investigating the neural organisation of the language system and to clinicians needing to establish an individual's hemispheric dominance for language prior to surgery, as in patients with intractable epilepsy. Recently, there has been increasing awareness of the possibility that different language processes may develop hemispheric lateralisation independently, and to varying degrees. However, it is not always clear whether differences in laterality across language tasks with fMRI are reflective of meaningful variation in hemispheric lateralisation, or simply of trivial methodological differences between paradigms. This systematic review aims to assess different language tasks in terms of the strength, reliability and robustness of the laterality measurements they yield with fMRI, to look at variability that is both dependent and independent of aspects of study design, such as the baseline task, region of interest, and modality of the stimuli. Recommendations are made that can be used to guide task design; however, this review predominantly highlights that the current high level of methodological variability in language paradigms prevents conclusions as to how different language functions may lateralise independently. We conclude with suggestions for future research using tasks that engage distinct aspects of language functioning, whilst being closely matched on non-linguistic aspects of task design (e.g., stimuli, task timings etc); such research could produce more reliable and conclusive insights into language lateralisation. This systematic review was registered as a protocol on Open Science Framework: https://osf.io/5vmpt/.
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Affiliation(s)
- Abigail R. Bradshaw
- Department of Experimental Psychology, University of Oxford, Oxford, United Kingdom
| | - Paul A. Thompson
- Department of Experimental Psychology, University of Oxford, Oxford, United Kingdom
| | - Alexander C. Wilson
- Department of Experimental Psychology, University of Oxford, Oxford, United Kingdom
| | - Dorothy V.M. Bishop
- Department of Experimental Psychology, University of Oxford, Oxford, United Kingdom
| | - Zoe V.J. Woodhead
- Department of Experimental Psychology, University of Oxford, Oxford, United Kingdom
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11
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Bradshaw AR, Bishop DVM, Woodhead ZVJ. Methodological considerations in assessment of language lateralisation with fMRI: a systematic review. PeerJ 2017; 5:e3557. [PMID: 28713656 PMCID: PMC5508809 DOI: 10.7717/peerj.3557] [Citation(s) in RCA: 40] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2017] [Accepted: 06/18/2017] [Indexed: 11/20/2022] Open
Abstract
The involvement of the right and left hemispheres in mediating language functions has been measured in a variety of ways over the centuries since the relative dominance of the left hemisphere was first known. Functional magnetic resonance imaging (fMRI) presents a useful non-invasive method of assessing lateralisation that is being increasingly used in clinical practice and research. However, the methods used in the fMRI laterality literature currently are highly variable, making systematic comparisons across studies difficult. Here we consider the different methods of quantifying and classifying laterality that have been used in fMRI studies since 2000, with the aim of determining which give the most robust and reliable measurement. Recommendations are made with a view to informing future research to increase standardisation in fMRI laterality protocols. In particular, the findings reinforce the importance of threshold-independent methods for calculating laterality indices, and the benefits of assessing heterogeneity of language laterality across multiple regions of interest and tasks. This systematic review was registered as a protocol on Open Science Framework: https://osf.io/hyvc4/.
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Affiliation(s)
- Abigail R Bradshaw
- Department of Experimental Psychology, University of Oxford, Oxford, United Kingdom
| | - Dorothy V M Bishop
- Department of Experimental Psychology, University of Oxford, Oxford, United Kingdom
| | - Zoe V J Woodhead
- Department of Experimental Psychology, University of Oxford, Oxford, United Kingdom
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Połczyńska M, Japardi K, Curtiss S, Moody T, Benjamin C, Cho A, Vigil C, Kuhn T, Jones M, Bookheimer S. Improving language mapping in clinical fMRI through assessment of grammar. NEUROIMAGE-CLINICAL 2017; 15:415-427. [PMID: 28616382 PMCID: PMC5458087 DOI: 10.1016/j.nicl.2017.05.021] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/08/2016] [Revised: 05/03/2017] [Accepted: 05/25/2017] [Indexed: 11/27/2022]
Abstract
Introduction Brain surgery in the language dominant hemisphere remains challenging due to unintended post-surgical language deficits, despite using pre-surgical functional magnetic resonance (fMRI) and intraoperative cortical stimulation. Moreover, patients are often recommended not to undergo surgery if the accompanying risk to language appears to be too high. While standard fMRI language mapping protocols may have relatively good predictive value at the group level, they remain sub-optimal on an individual level. The standard tests used typically assess lexico-semantic aspects of language, and they do not accurately reflect the complexity of language either in comprehension or production at the sentence level. Among patients who had left hemisphere language dominance we assessed which tests are best at activating language areas in the brain. Method We compared grammar tests (items testing word order in actives and passives, wh-subject and object questions, relativized subject and object clauses and past tense marking) with standard tests (object naming, auditory and visual responsive naming), using pre-operative fMRI. Twenty-five surgical candidates (13 females) participated in this study. Sixteen patients presented with a brain tumor, and nine with epilepsy. All participants underwent two pre-operative fMRI protocols: one including CYCLE-N grammar tests (items testing word order in actives and passives, wh-subject and object questions, relativized subject and object clauses and past tense marking); and a second one with standard fMRI tests (object naming, auditory and visual responsive naming). fMRI activations during performance in both protocols were compared at the group level, as well as in individual candidates. Results The grammar tests generated more volume of activation in the left hemisphere (left/right angular gyrus, right anterior/posterior superior temporal gyrus) and identified additional language regions not shown by the standard tests (e.g., left anterior/posterior supramarginal gyrus). The standard tests produced more activation in left BA 47. Ten participants had more robust activations in the left hemisphere in the grammar tests and two in the standard tests. The grammar tests also elicited substantial activations in the right hemisphere and thus turned out to be superior at identifying both right and left hemisphere contribution to language processing. Conclusion The grammar tests may be an important addition to the standard pre-operative fMRI testing. We added comprehensive grammar tests to standard presurgical fMRI of language. The grammar tests generated more volume of activation bilaterally. The tests identified additional language regions not shown by the standard tests. The grammar tests may be an important addition to standard pre-operative fMRI.
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Affiliation(s)
- Monika Połczyńska
- UCLA Department of Psychiatry and Biobehavioral Sciences, Los Angeles, CA 90095, USA; Faculty of English, Adam Mickiewicz University, Poznań, Poland.
| | - Kevin Japardi
- UCLA Department of Psychiatry and Biobehavioral Sciences, Los Angeles, CA 90095, USA
| | | | - Teena Moody
- UCLA Department of Psychiatry and Biobehavioral Sciences, Los Angeles, CA 90095, USA.
| | | | - Andrew Cho
- UCLA Department of Psychiatry and Biobehavioral Sciences, Los Angeles, CA 90095, USA
| | - Celia Vigil
- UCLA Department of Psychiatry and Biobehavioral Sciences, Los Angeles, CA 90095, USA
| | - Taylor Kuhn
- UCLA Department of Psychiatry and Biobehavioral Sciences, Los Angeles, CA 90095, USA.
| | - Michael Jones
- UCLA Department of Psychiatry and Biobehavioral Sciences, Los Angeles, CA 90095, USA
| | - Susan Bookheimer
- UCLA Department of Psychiatry and Biobehavioral Sciences, Los Angeles, CA 90095, USA.
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Presurgical motor, somatosensory and language fMRI: Technical feasibility and limitations in 491 patients over 13 years. Eur Radiol 2016; 27:267-278. [PMID: 27193934 DOI: 10.1007/s00330-016-4369-4] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2015] [Revised: 04/05/2016] [Accepted: 04/11/2016] [Indexed: 10/21/2022]
Abstract
OBJECTIVES To analyse the long-term feasibility and limitations of presurgical fMRI in a cohort of tumour and epilepsy patients with different MR-scanners at 1.5 and 3.0 T. METHODS Four hundred and ninety-one consecutive patients undergoing presurgical fMRI between 2000 and 2012 on five different MR-scanners using established paradigms and semi-automated data processing were included. Success rates of task performance and BOLD-activation were determined for motor and somatosensory somatotopic mapping and language localisation. Procedural success, failures and imaging artifacts were analysed. MR-field strengths were compared. RESULTS Two thousand three hundred fifteen of 2348 (98.6 %) attempted paradigms (1033 motor, 1220 speech, 95 somatosensory) were successfully performed. 100 paradigms (4.3 %) were repetition runs. 23 speech, 6 motor and 2 sensory paradigms failed for non-compliance and technical issues. Most language paradigm failures were noted in overt sentence generation. Average significant BOLD-activation was higher for motor than language paradigms (95.8 vs. 81.6 %). Most language paradigms showed significantly higher activation rates at 3 T compared to 1.5 T, whereas no significant difference was found for motor paradigms. CONCLUSIONS fMRI proved very robust for the presurgical localisation of the different motor and somatosensory body representations, as well as Broca's and Wernicke's language areas across different MR-scanners at 1.5 and 3.0 T over 13 years. KEY POINTS • Standardised presurgical motor and language fMRI is robust across various MRI platforms. • Motor fMRI is less dependent on field strength than language fMRI. • fMRI task failures are relatively low and are reduced by paradigm repetition.
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14
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Validity and reliability of four language mapping paradigms. NEUROIMAGE-CLINICAL 2016; 16:399-408. [PMID: 28879081 PMCID: PMC5574842 DOI: 10.1016/j.nicl.2016.03.015] [Citation(s) in RCA: 44] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/09/2016] [Revised: 03/01/2016] [Accepted: 03/20/2016] [Indexed: 11/22/2022]
Abstract
Language areas of the brain can be mapped in individual participants with functional MRI. We investigated the validity and reliability of four language mapping paradigms that may be appropriate for individuals with acquired aphasia: sentence completion, picture naming, naturalistic comprehension, and narrative comprehension. Five neurologically normal older adults were scanned on each of the four paradigms on four separate occasions. Validity was assessed in terms of whether activation patterns reflected the known typical organization of language regions, that is, lateralization to the left hemisphere, and involvement of the left inferior frontal gyrus and the left middle and/or superior temporal gyri. Reliability (test-retest reproducibility) was quantified in terms of the Dice coefficient of similarity, which measures overlap of activations across time points. We explored the impact of different absolute and relative voxelwise thresholds, a range of cluster size cutoffs, and limitation of analyses to a priori potential language regions. We found that the narrative comprehension and sentence completion paradigms offered the best balance of validity and reliability. However, even with optimal combinations of analysis parameters, there were many scans on which known features of typical language organization were not demonstrated, and test-retest reproducibility was only moderate for realistic parameter choices. These limitations in terms of validity and reliability may constitute significant limitations for many clinical or research applications that depend on identifying language regions in individual participants. Validity and reliability were investigated for four language mapping paradigms. Narrative comprehension and sentence completion paradigms performed best. Lateralization to the left hemisphere was not always apparent. Test-retest reproducibility was only moderate.
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15
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Abstract
Multiple nonmorphologic magnetic resonance sequences are available in musculoskeletal imaging that can provide additional information to better characterize and diagnose musculoskeletal disorders and diseases. These sequences include blood-oxygen-level-dependent (BOLD), arterial spin labeling (ASL), diffusion-weighted imaging (DWI), and diffusion-tensor imaging (DTI). BOLD and ASL provide different methods to evaluate skeletal muscle microperfusion. The BOLD signal reflects the ratio between oxyhemoglobin and deoxyhemoglobin. ASL uses selective tagging of inflowing blood spins in a specific region for calculating local perfusion. DWI and DTI provide information about the structural integrity of soft tissue including muscles and fibers as well as pathologies.
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Könönen M, Tamsi N, Säisänen L, Kemppainen S, Määttä S, Julkunen P, Jutila L, Äikiä M, Kälviäinen R, Niskanen E, Vanninen R, Karjalainen P, Mervaala E. Non-invasive mapping of bilateral motor speech areas using navigated transcranial magnetic stimulation and functional magnetic resonance imaging. J Neurosci Methods 2015; 248:32-40. [DOI: 10.1016/j.jneumeth.2015.03.030] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2014] [Revised: 03/26/2015] [Accepted: 03/27/2015] [Indexed: 10/23/2022]
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Stippich C, Blatow M, Garcia M. Task-Based Presurgical Functional MRI in Patients with Brain Tumors. CLINICAL FUNCTIONAL MRI 2015. [DOI: 10.1007/978-3-662-45123-6_4] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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18
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Martin S, Brunner P, Holdgraf C, Heinze HJ, Crone NE, Rieger J, Schalk G, Knight RT, Pasley BN. Decoding spectrotemporal features of overt and covert speech from the human cortex. FRONTIERS IN NEUROENGINEERING 2014; 7:14. [PMID: 24904404 PMCID: PMC4034498 DOI: 10.3389/fneng.2014.00014] [Citation(s) in RCA: 90] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/06/2014] [Accepted: 04/29/2014] [Indexed: 01/05/2023]
Abstract
Auditory perception and auditory imagery have been shown to activate overlapping brain regions. We hypothesized that these phenomena also share a common underlying neural representation. To assess this, we used electrocorticography intracranial recordings from epileptic patients performing an out loud or a silent reading task. In these tasks, short stories scrolled across a video screen in two conditions: subjects read the same stories both aloud (overt) and silently (covert). In a control condition the subject remained in a resting state. We first built a high gamma (70–150 Hz) neural decoding model to reconstruct spectrotemporal auditory features of self-generated overt speech. We then evaluated whether this same model could reconstruct auditory speech features in the covert speech condition. Two speech models were tested: a spectrogram and a modulation-based feature space. For the overt condition, reconstruction accuracy was evaluated as the correlation between original and predicted speech features, and was significant in each subject (p < 10−5; paired two-sample t-test). For the covert speech condition, dynamic time warping was first used to realign the covert speech reconstruction with the corresponding original speech from the overt condition. Reconstruction accuracy was then evaluated as the correlation between original and reconstructed speech features. Covert reconstruction accuracy was compared to the accuracy obtained from reconstructions in the baseline control condition. Reconstruction accuracy for the covert condition was significantly better than for the control condition (p < 0.005; paired two-sample t-test). The superior temporal gyrus, pre- and post-central gyrus provided the highest reconstruction information. The relationship between overt and covert speech reconstruction depended on anatomy. These results provide evidence that auditory representations of covert speech can be reconstructed from models that are built from an overt speech data set, supporting a partially shared neural substrate.
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Affiliation(s)
- Stéphanie Martin
- Helen Wills Neuroscience Institute, University of California Berkeley, CA, USA ; Department of Bioengineering, École Polytechnique Fédérale de Lausanne Lausanne, Switzerland
| | - Peter Brunner
- New York State Department of Health, Wadsworth Center Albany, NY, USA ; Department of Neurology, Albany Medical College Albany, NY, USA
| | - Chris Holdgraf
- Helen Wills Neuroscience Institute, University of California Berkeley, CA, USA
| | - Hans-Jochen Heinze
- Department of Neurology, Otto-von-Guericke-Universitat Magdeburg, Germany
| | - Nathan E Crone
- Department of Neurology, Johns Hopkins University School of Medicine Baltimore, MD, USA
| | - Jochem Rieger
- Helen Wills Neuroscience Institute, University of California Berkeley, CA, USA ; Applied Neurocognitive Psychology, Carl-von-Ossietzky University Oldenburg, Germany
| | - Gerwin Schalk
- New York State Department of Health, Wadsworth Center Albany, NY, USA ; Department of Neurology, Albany Medical College Albany, NY, USA
| | - Robert T Knight
- Helen Wills Neuroscience Institute, University of California Berkeley, CA, USA ; Department of Psychology, University of California Berkeley, CA, USA
| | - Brian N Pasley
- Helen Wills Neuroscience Institute, University of California Berkeley, CA, USA
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Perrone-Bertolotti M, Rapin L, Lachaux JP, Baciu M, Lœvenbruck H. What is that little voice inside my head? Inner speech phenomenology, its role in cognitive performance, and its relation to self-monitoring. Behav Brain Res 2014; 261:220-39. [PMID: 24412278 DOI: 10.1016/j.bbr.2013.12.034] [Citation(s) in RCA: 115] [Impact Index Per Article: 11.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2013] [Revised: 12/23/2013] [Accepted: 12/26/2013] [Indexed: 11/19/2022]
Abstract
The little voice inside our head, or inner speech, is a common everyday experience. It plays a central role in human consciousness at the interplay of language and thought. An impressive host of research works has been carried out on inner speech these last fifty years. Here we first describe the phenomenology of inner speech by examining five issues: common behavioural and cerebral correlates with overt speech, different types of inner speech (wilful verbal thought generation and verbal mind wandering), presence of inner speech in reading and in writing, inner signing and voice-hallucinations in deaf people. Secondly, we review the role of inner speech in cognitive performance (i.e., enhancement vs. perturbation). Finally, we consider agency in inner speech and how our inner voice is known to be self-generated and not produced by someone else.
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Affiliation(s)
- M Perrone-Bertolotti
- University Grenoble Alpes, LPNC, F-38040 Grenoble, France; CNRS, LPNC, UMR 5105, F-38040 Grenoble, France; INSERM U1028-CNRS UMR5292, Brain Dynamics and Cognition Team, Lyon Neuroscience Research Center, F-69500 Lyon-Bron, France; University Claude Bernard, Lyon 1, F-69000 Lyon, France; INSERM, U836, Grenoble Institut des Neurosciences, 38700 La Tronche, France.
| | - L Rapin
- Laboratoire de phonétique, Département de Linguistique, Université du Québec à Montréal, Canada
| | - J P Lachaux
- INSERM U1028-CNRS UMR5292, Brain Dynamics and Cognition Team, Lyon Neuroscience Research Center, F-69500 Lyon-Bron, France; University Claude Bernard, Lyon 1, F-69000 Lyon, France
| | - M Baciu
- University Grenoble Alpes, LPNC, F-38040 Grenoble, France; CNRS, LPNC, UMR 5105, F-38040 Grenoble, France
| | - H Lœvenbruck
- University Grenoble Alpes, LPNC, F-38040 Grenoble, France; CNRS, LPNC, UMR 5105, F-38040 Grenoble, France; GIPSA-lab, Département Parole et Cognition, UMR CNRS 5216, Université de Grenoble, Grenoble, France
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Zacà D, Jarso S, Pillai JJ. Role of semantic paradigms for optimization of language mapping in clinical FMRI studies. AJNR Am J Neuroradiol 2013; 34:1966-71. [PMID: 23788599 DOI: 10.3174/ajnr.a3628] [Citation(s) in RCA: 45] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
BACKGROUND AND PURPOSE The optimal paradigm choice for language mapping in clinical fMRI studies is challenging due to the variability in activation among different paradigms, the contribution to activation of cognitive processes other than language, and the difficulties in monitoring patient performance. In this study, we compared language localization and lateralization between 2 commonly used clinical language paradigms and 3 newly designed dual-choice semantic paradigms to define a streamlined and adequate language-mapping protocol. MATERIALS AND METHODS Twelve healthy volunteers performed 5 language paradigms: Silent Word Generation, Sentence Completion, Visual Antonym Pair, Auditory Antonym Pair, and Noun-Verb Association. Group analysis was performed to assess statistically significant differences in fMRI percentage signal change and lateralization index among these paradigms in 5 ROIs: inferior frontal gyrus, superior frontal gyrus, middle frontal gyrus for expressive language activation, middle temporal gyrus, and superior temporal gyrus for receptive language activation. RESULTS In the expressive ROIs, Silent Word Generation was the most robust and best lateralizing paradigm (greater percentage signal change and lateralization index than semantic paradigms at P < .01 and P < .05 levels, respectively). In the receptive region of interest, Sentence Completion and Noun-Verb Association were the most robust activators (greater percentage signal change than other paradigms, P < .01). All except Auditory Antonym Pair were good lateralizing tasks (the lateralization index was significantly lower than other paradigms, P < .05). CONCLUSIONS The combination of Silent Word Generation and ≥1 visual semantic paradigm, such as Sentence Completion and Noun-Verb Association, is adequate to determine language localization and lateralization; Noun-Verb Association has the additional advantage of objective monitoring of patient performance.
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Affiliation(s)
- D Zacà
- Division of Neuroradiology, Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, Maryland
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Wurnig MC, Rath J, Klinger N, Höllinger I, Geissler A, Fischmeister FP, Aichhorn M, Foki T, Kronbichler M, Nickel J, Siedentopf C, Staffen W, Verius M, Golaszewski S, Koppelstätter F, Knosp E, Auff E, Felber S, Seitz RJ, Beisteiner R. Variability of clinical functional MR imaging results: a multicenter study. Radiology 2013; 268:521-31. [PMID: 23525207 DOI: 10.1148/radiol.13121357] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
PURPOSE To investigate intersite variability of clinical functional magnetic resonance (MR) imaging, including influence of task standardization on variability and use of various parameters to inform the clinician whether the reliability of a given functional localization is high or low. MATERIALS AND METHODS Local ethics committees approved the study; all participants gave written informed consent. Eight women and seven men (mean age, 40 years) were prospectively investigated at three experienced functional MR sites with 1.5- (two sites) or 3-T (one site) MR. Nonstandardized motor and highly standardized somatosensory versions of a frequently requested clinical task (localization of the primary sensorimotor cortex) were used. Perirolandic functional MR variability was assessed (peak activation variability, center of mass [COM] variability, intraclass correlation values, overlap ratio [OR], activation size ratio). Data quality measures for functional MR images included percentage signal change (PSC), contrast-to-noise ratio (CNR), and head motion parameters. Data were analyzed with analysis of variance and a correlation analysis. RESULTS Localization of perirolandic functional MR activity differed by 8 mm (peak activity) and 6 mm (COM activity) among sites. Peak activation varied up to 16.5 mm (COM range, 0.4-16.5 mm) and 45.5 mm (peak activity range, 1.8-45.5 mm). Signal strength (PSC, CNR) was significantly lower for the somatosensory task (mean PSC, 1.0% ± 0.5 [standard deviation]; mean CNR, 1.2 ± 0.4) than for the motor task (mean PSC, 2.4% ± 0.8; mean CNR, 2.9 ± 0.9) (P < .001, both). Intersite variability was larger with low signal strength (negative correlations between signal strength and peak activation variability) even if the task was highly standardized (mean OR, 22.0% ± 18.9 [somatosensory task] and 50.1% ± 18.8 [motor task]). CONCLUSION Clinical practice and clinical functional MR biomarker studies should consider that the center of task-specific brain activation may vary up to 16.5 mm, with the investigating site, and should maximize functional MR signal strength and evaluate reliability of local results with PSC and CNR.
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Affiliation(s)
- Moritz C Wurnig
- Department of Neurology, MR Center of Excellence, Medical University of Vienna, Währinger Gürtel 18-20, 1090 Vienna, Austria
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Belyaev AS, Peck KK, Brennan NMP, Holodny AI. Clinical applications of functional MR imaging. Magn Reson Imaging Clin N Am 2013; 21:269-78. [PMID: 23642553 DOI: 10.1016/j.mric.2012.12.001] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
Functional magnetic resonance (fMR) imaging for neurosurgical planning has become the standard of care in centers where it is available. Although paradigms to measure eloquent cortices are not yet standardized, simple tasks elicit reliable maps for planning neurosurgical procedures. A patient-specific paradigm design will refine the usability of fMR imaging for prognostication and recovery of function. Certain pathologic conditions and technical issues limit the interpretation of fMR imaging maps in clinical use and should be considered carefully. However, fMR imaging for neurosurgical planning continues to provide insights into how the brain works and how it responds to pathologic insults.
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Affiliation(s)
- Artem S Belyaev
- Functional MRI Laboratory, Department of Radiology, Memorial Sloan-Kettering Cancer Center, New York, NY 10065, USA
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Partovi S, Jacobi B, Rapps N, Zipp L, Karimi S, Rengier F, Lyo JK, Stippich C. Clinical standardized fMRI reveals altered language lateralization in patients with brain tumor. AJNR Am J Neuroradiol 2012; 33:2151-7. [PMID: 22595902 DOI: 10.3174/ajnr.a3137] [Citation(s) in RCA: 53] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
BACKGROUND AND PURPOSE Brain tumors affecting language-relevant areas may influence language lateralization. The purpose of this study was to systematically investigate language lateralization in brain tumor patients using clinical language fMRI, comparing the results with a group of healthy volunteers. MATERIALS AND METHODS Fifty-seven strictly right-handed patients with left-hemispheric-space intracranial masses (mainly neoplastic) affecting either the Broca area (n = 19) or Wernicke area (n = 38) were prospectively enrolled in this study. Fourteen healthy volunteers served as a control group. Standardized clinical language fMRI, using visually triggered sentence- and word-generation paradigms, was performed on a 1.5T MR scanner. Semiautomated analyses of all functional data were conducted on an individual basis using BrainVoyager. A regional lateralization index was calculated for Broca and Wernicke areas separately versus their corresponding right-hemisphere homologs. RESULTS In masses affecting the Broca area, a significant decrease in the lateralization index was found when performing word generation (P = .0017), whereas when applying sentence generation, the decrease did not reach statistical significance (P = .851). Masses affecting the Wernicke area induced a significant decrease of the lateralization index when performing sentence generation (P = .0007), whereas when applying word generation, the decrease was not statistically significant (P = .310). CONCLUSIONS Clinical language fMRI was feasible for patients with brain tumors and provided relevant presurgical information by localizing essential language areas and determining language dominance. A significant effect of the brain masses on language lateralization was observed, with a shift toward the contralesional, nondominant hemisphere. This may reflect compensatory mechanisms of the brain to maintain communicative abilities.
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Affiliation(s)
- S Partovi
- Department of Neuroradiology, University Hospital of Basel, Basel, Switzerland.
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