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Pinto D, Martins R, Macedo A, Castelo Branco M, Valente Duarte J, Madeira N. Brain Hemispheric Asymmetry in Schizophrenia and Bipolar Disorder. J Clin Med 2023; 12:jcm12103421. [PMID: 37240527 DOI: 10.3390/jcm12103421] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2023] [Revised: 05/01/2023] [Accepted: 05/10/2023] [Indexed: 05/28/2023] Open
Abstract
BACKGROUND This study aimed to compare brain asymmetry in patients with schizophrenia (SCZ), bipolar disorder (BPD), and healthy controls to test whether asymmetry patterns could discriminate and set boundaries between two partially overlapping severe mental disorders. METHODS We applied a fully automated voxel-based morphometry (VBM) approach to assess structural brain hemispheric asymmetry in magnetic resonance imaging (MRI) anatomical scans in 60 participants (SCZ = 20; BP = 20; healthy controls = 20), all right-handed and matched for gender, age, and education. RESULTS Significant differences in gray matter asymmetry were found between patients with SCZ and BPD, between SCZ patients and healthy controls (HC), and between BPD patients and HC. We found a higher asymmetry index (AI) in BPD patients when compared to SCZ in Brodmann areas 6, 11, and 37 and anterior cingulate cortex and an AI higher in SCZ patients when compared to BPD in the cerebellum. CONCLUSION Our study found significant differences in brain asymmetry between patients with SCZ and BPD. These promising results could be translated to clinical practice, given that structural brain changes detected by MRI are good candidates for exploration as biological markers for differential diagnosis, besides helping to understand disease-specific abnormalities.
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Affiliation(s)
- Diogo Pinto
- Faculty of Medicine, University of Coimbra (UC), 3004-504 Coimbra, Portugal
| | - Ricardo Martins
- Faculty of Medicine, University of Coimbra (UC), 3004-504 Coimbra, Portugal
- Coimbra Institute for Biomedical Imaging and Translational Research (CIBIT), Institute of Nuclear Sciences Applied to Health (ICNAS), University of Coimbra, 3000-548 Coimbra, Portugal
| | - António Macedo
- Faculty of Medicine, University of Coimbra (UC), 3004-504 Coimbra, Portugal
- Coimbra Institute for Biomedical Imaging and Translational Research (CIBIT), Institute of Nuclear Sciences Applied to Health (ICNAS), University of Coimbra, 3000-548 Coimbra, Portugal
- Department of Psychiatry, Centro Hospitalar e Universitário de Coimbra (CHUC), 3000-075 Coimbra, Portugal
| | - Miguel Castelo Branco
- Faculty of Medicine, University of Coimbra (UC), 3004-504 Coimbra, Portugal
- Coimbra Institute for Biomedical Imaging and Translational Research (CIBIT), Institute of Nuclear Sciences Applied to Health (ICNAS), University of Coimbra, 3000-548 Coimbra, Portugal
| | - João Valente Duarte
- Faculty of Medicine, University of Coimbra (UC), 3004-504 Coimbra, Portugal
- Coimbra Institute for Biomedical Imaging and Translational Research (CIBIT), Institute of Nuclear Sciences Applied to Health (ICNAS), University of Coimbra, 3000-548 Coimbra, Portugal
| | - Nuno Madeira
- Faculty of Medicine, University of Coimbra (UC), 3004-504 Coimbra, Portugal
- Coimbra Institute for Biomedical Imaging and Translational Research (CIBIT), Institute of Nuclear Sciences Applied to Health (ICNAS), University of Coimbra, 3000-548 Coimbra, Portugal
- Department of Psychiatry, Centro Hospitalar e Universitário de Coimbra (CHUC), 3000-075 Coimbra, Portugal
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Duarte JV, Guerra C, Moreno C, Gomes L, Castelo-Branco M. Changes in hemodynamic response function components reveal specific changes in neurovascular coupling in type 2 diabetes. Front Physiol 2023; 13:1101470. [PMID: 36703928 PMCID: PMC9872943 DOI: 10.3389/fphys.2022.1101470] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2022] [Accepted: 12/12/2022] [Indexed: 01/11/2023] Open
Abstract
Type 2 Diabetes Mellitus (T2DM) is a metabolic disease that leads to multiple vascular complications with concomitant changes in human neurophysiology, which may lead to long-term cognitive impairment, and dementia. Early impairments of neurovascular coupling can be studied using event-related functional magnetic resonance imaging (fMRI) designs. Here, we aimed to characterize the changes in the hemodynamic response function (HRF) in T2DM to probe components from the initial dip to late undershoot. We investigated whether the HRF morphology is altered throughout the brain in T2DM, by extracting several parameters of the fMRI response profiles in 141 participants (64 patients with T2DM and 77 healthy controls) performing a visual motion discrimination task. Overall, the patients revealed significantly different HRFs, which extended to all brain regions, suggesting that this is a general phenomenon. The HRF in T2DM was found to be more sluggish, with a higher peak latency and lower peak amplitude, relative slope to peak, and area under the curve. It also showed a pronounced initial dip, suggesting that the initial avidity for oxygen is not compensated for, and an absent or less prominent but longer undershoot. Most HRF parameters showed a higher dispersion and variability in T2DM. In sum, we provide a definite demonstration of an impaired hemodynamic response function in the early stages of T2DM, following a previous suggestion of impaired neurovascular coupling. The quantitative demonstration of a significantly altered HRF morphology in separate response phases suggests an alteration of distinct physiological mechanisms related to neurovascular coupling, which should be considered in the future to potentially halt the deterioration of the brain function in T2DM.
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Affiliation(s)
- João Valente Duarte
- Coimbra Institute for Biomedical Imaging and Translational Research (CIBIT), Institute for Nuclear Sciences Applied to Health (ICNAS), University of Coimbra, Coimbra, Portugal,Faculty of Medicine, University of Coimbra, Coimbra, Portugal,Intelligent Systems Associate Laboratory (LASI), Coimbra, Portugal
| | - Catarina Guerra
- Coimbra Institute for Biomedical Imaging and Translational Research (CIBIT), Institute for Nuclear Sciences Applied to Health (ICNAS), University of Coimbra, Coimbra, Portugal
| | - Carolina Moreno
- Service of Endocrinology, Diabetes and Metabolism, Coimbra University Hospital, Coimbra, Portugal
| | - Leonor Gomes
- Service of Endocrinology, Diabetes and Metabolism, Coimbra University Hospital, Coimbra, Portugal
| | - Miguel Castelo-Branco
- Coimbra Institute for Biomedical Imaging and Translational Research (CIBIT), Institute for Nuclear Sciences Applied to Health (ICNAS), University of Coimbra, Coimbra, Portugal,Faculty of Medicine, University of Coimbra, Coimbra, Portugal,Intelligent Systems Associate Laboratory (LASI), Coimbra, Portugal,*Correspondence: Miguel Castelo-Branco,
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Sisakhti M, Sachdev PS, Batouli SAH. The Effect of Cognitive Load on the Retrieval of Long-Term Memory: An fMRI Study. Front Hum Neurosci 2021; 15:700146. [PMID: 34720904 PMCID: PMC8548369 DOI: 10.3389/fnhum.2021.700146] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2021] [Accepted: 09/22/2021] [Indexed: 12/02/2022] Open
Abstract
One of the less well-understood aspects of memory function is the mechanism by which the brain responds to an increasing load of memory, either during encoding or retrieval. Identifying the brain structures which manage this increasing cognitive demand would enhance our knowledge of human memory. Despite numerous studies about the effect of cognitive loads on working memory processes, whether these can be applied to long-term memory processes is unclear. We asked 32 healthy young volunteers to memorize all possible details of 24 images over a 12-day period ending 2 days before the fMRI scan. The images were of 12 categories relevant to daily events, with each category including a high and a low load image. Behavioral assessments on a separate group of participants (#22) provided the average loads of the images. The participants had to retrieve these previously memorized images during the fMRI scan in 15 s, with their eyes closed. We observed seven brain structures showing the highest activation with increasing load of the retrieved images, viz. parahippocampus, cerebellum, superior lateral occipital, fusiform and lingual gyri, precuneus, and posterior cingulate gyrus. Some structures showed reduced activation when retrieving higher load images, such as the anterior cingulate, insula, and supramarginal and postcentral gyri. The findings of this study revealed that the mechanism by which a difficult-to-retrieve memory is handled is mainly by elevating the activation of the responsible brain areas and not by getting other brain regions involved, which is a help to better understand the LTM retrieval process in the human brain.
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Affiliation(s)
- Minoo Sisakhti
- Institute for Cognitive Sciences Studies, Tehran, Iran.,Neuroimaging and Analysis Group, Research Center for Molecular and Cellular Imaging, Tehran University of Medical Sciences, Tehran, Iran
| | - Perminder S Sachdev
- Centre for Healthy Brain Aging (CHeBA), School of Psychiatry, University of New South Wales, Sydney, NSW, Australia
| | - Seyed Amir Hossein Batouli
- Neuroimaging and Analysis Group, Research Center for Molecular and Cellular Imaging, Tehran University of Medical Sciences, Tehran, Iran.,Department of Neuroscience and Addiction Studies, School of Advanced Technologies in Medicine, Tehran University of Medical Sciences, Tehran, Iran
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A systematic review with subset meta-analysis of studies exploring memory recall biases for pain-related information in adults with chronic pain. Pain Rep 2020; 5:e816. [PMID: 32440609 PMCID: PMC7209823 DOI: 10.1097/pr9.0000000000000816] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2019] [Revised: 01/23/2020] [Accepted: 01/23/2020] [Indexed: 01/08/2023] Open
Abstract
Supplemental Digital Content is Available in the Text. Pain-related memory biases have been frequently explored in individuals with chronic pain, and along with attentional and interpretation biases are hypothesised to contribute to the onset and/or maintenance of chronic pain. The aim of this review is to provide a systematic review and synthesis of studies exploring memory recall biases for pain-related information in individuals with chronic pain relative to healthy controls and the recall of neutral information. Studies were identified through a search of Medline, PsychINFO, Web of Science, CINAHL, Cochrane Library, and Open Grey databases. Search terms were memory, recall, recognition, and bias*, intersected with pain. Eighteen studies meeting the inclusion criteria were included. Subset meta-analyses are also reported from 12 studies with relevant between-groups data (comparing recall in chronic pain vs healthy control groups) and 12 studies with relevant within-groups data (eg, comparing recall of pain-related/emotional vs neutral words). Between-groups analysis revealed significantly weaker recall bias for affective-pain words in individuals with chronic pain relative to healthy controls, but only when nondepressed chronic pain individuals were included. No significant differences were found between groups in the recall of sensory-pain, illness-related, or depression-related words. Within-groups analysis revealed individuals with chronic pain show a significant recall bias favouring sensory-pain words relative to neutral and affective-pain words, and a bias for illness-related words relative to depression-related words. A recall bias favouring neutral words was found in healthy individuals. Evidence for the presence of pain-related memory biases in patients with chronic pain is inconclusive. Further methodologically rigorous research is required.
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Mao Y, Kanai R, Ding C, Bi T, Qiu J. Temporal variability of brain networks predicts individual differences in bistable perception. Neuropsychologia 2020; 142:107426. [PMID: 32147392 DOI: 10.1016/j.neuropsychologia.2020.107426] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2019] [Revised: 01/23/2020] [Accepted: 03/02/2020] [Indexed: 11/30/2022]
Abstract
When ambiguous visual stimuli are presented to the eyes, conscious perception can spontaneously alternate across the competing interpretations - which was known as bistable perception. The spontaneous alternation of perception might indicate a connection between bistable perception and the dynamic interaction of brain networks. Here, we hypothesized that individual differences in perceptual dynamics may be reflected in dynamics of spontaneous neural activities. To test this idea, we investigated the relationship between the percept duration and the reconfiguration patterns of dynamic brain networks as measured by the functional connectivity (FC) during the resting state. Firstly, we found that individual difference of percept duration is associated with the temporal variability of the brain regions which were previously reported in studies of bistable perception, including anterior cingulate cortex (ACC), dorsal medial prefrontal cortex (DMPFC), dorsal lateral prefrontal cortex (DLPFC), superior parietal lobule (SPL), inferior parietal lobule (IPL), precuneus, insula, and V5. Secondly, there is a positive relationship between the temporal variability within the frontal-parietal network (FPN) and the percept duration. Thirdly, our results indicated that individual difference of bistable perception was related to the dynamic interaction between large-scale functional networks including default mode network (DMN), FPN, cingulo-opercular network (CON), dorsal attention network (DAN), salience network (SN), memory retrieval network (MRN). Altogether, our results demonstrated that inter-individual variability in bistable perception was associated with dynamic coupling of brain regions and networks involved in primary visual processing, spatial attention, and cognitive control.
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Affiliation(s)
- Yu Mao
- Key Laboratory of Cognition and Personality (SWU), Ministry of Education, Chongqing, 400715, China; Department of Psychology, Southwest University, Chongqing, 400715, China
| | - Ryota Kanai
- Araya, Inc., Tokyo, Japan; Sackler Centre for Consciousness Science, University of Sussex, Brighton, UK
| | - Cody Ding
- Department of Psychology, Southwest University, Chongqing, 400715, China; Education Science & Professional Programs, University of Missouri-St. Louis, United States
| | - Taiyong Bi
- School of Management, Zunyi Medical University, Zunyi, 563000, China
| | - Jiang Qiu
- Key Laboratory of Cognition and Personality (SWU), Ministry of Education, Chongqing, 400715, China; Department of Psychology, Southwest University, Chongqing, 400715, China.
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Duarte JV, Costa GN, Martins R, Castelo-Branco M. Pivotal role of hMT+ in long-range disambiguation of interhemispheric bistable surface motion. Hum Brain Mapp 2017; 38:4882-4897. [PMID: 28660667 DOI: 10.1002/hbm.23701] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2017] [Revised: 06/12/2017] [Accepted: 06/14/2017] [Indexed: 11/07/2022] Open
Abstract
It remains an open question whether long-range disambiguation of ambiguous surface motion can be achieved in early visual cortex or instead in higher level regions, which concerns object/surface segmentation/integration mechanisms. We used a bistable moving stimulus that can be perceived as a pattern comprehending both visual hemi-fields moving coherently downward or as two widely segregated nonoverlapping component objects (in each visual hemi-field) moving separately inward. This paradigm requires long-range integration across the vertical meridian leading to interhemispheric binding. Our fMRI study (n = 30) revealed a close relation between activity in hMT+ and perceptual switches involving interhemispheric segregation/integration of motion signals, crucially under nonlocal conditions where components do not overlap and belong to distinct hemispheres. Higher signal changes were found in hMT+ in response to spatially segregated component (incoherent) percepts than to pattern (coherent) percepts. This did not occur in early visual cortex, unlike apparent motion, which does not entail surface segmentation. We also identified a role for top-down mechanisms in state transitions. Deconvolution analysis of switch-related changes revealed prefrontal, insula, and cingulate areas, with the right superior parietal lobule (SPL) being particularly involved. We observed that directed influences could emerge either from left or right hMT+ during bistable motion integration/segregation. SPL also exhibited significant directed functional connectivity with hMT+, during perceptual state maintenance (Granger causality analysis). Our results suggest that long-range interhemispheric binding of ambiguous motion representations mainly reflect bottom-up processes from hMT+ during perceptual state maintenance. In contrast, state transitions maybe influenced by high-level regions such as the SPL. Hum Brain Mapp 38:4882-4897, 2017. © 2017 Wiley Periodicals, Inc.
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Affiliation(s)
- João Valente Duarte
- CiBIT, ICNAS, Institute for Biomedical Imaging in Life Sciences (IBILI) - Faculty of Medicine, University of Coimbra, Portugal
| | - Gabriel Nascimento Costa
- CiBIT, ICNAS, Institute for Biomedical Imaging in Life Sciences (IBILI) - Faculty of Medicine, University of Coimbra, Portugal
| | - Ricardo Martins
- CiBIT, ICNAS, Institute for Biomedical Imaging in Life Sciences (IBILI) - Faculty of Medicine, University of Coimbra, Portugal
| | - Miguel Castelo-Branco
- CiBIT, ICNAS, Institute for Biomedical Imaging in Life Sciences (IBILI) - Faculty of Medicine, University of Coimbra, Portugal
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Reese R, Reich MM, Falk D, Deuschl G, Mehdorn HM, Volkmann J. Intraoperative Thresholds for Capsular Stimulation Are Reliable for Chronic Pallidal Deep Brain Stimulation in Dystonia. Stereotact Funct Neurosurg 2017; 95:79-85. [PMID: 28199993 DOI: 10.1159/000452674] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2015] [Accepted: 10/18/2016] [Indexed: 12/12/2022]
Abstract
BACKGROUND The threshold current for inducing muscle contractions by stimulation of pyramidal tract fibres adjacent to the globus pallidus internus (GPi) is, besides microelectrode recordings for the determination of nuclear boundaries, currently the only neurophysiological marker for intraoperative refinement of the anatomically planned target point for pallidal deep brain stimulation (GPi-DBS) in dystonia. OBJECTIVES To determine the relationship between intraoperative thresholds for muscle contractions under general anaesthesia and postoperative thresholds in GPi-DBS. METHODS Intraoperatively, current amplitude thresholds (120 µs, 130 Hz) were determined in 6 dystonic patients under general anaesthesia (through the uninsulated tip of the microelectrode guide tube). Postoperative localization of chronic stimulation electrodes by MRI and image fusion with the stereotactic planning determined the stimulation contact for comparing thresholds with intraoperative values. RESULTS Current thresholds were 3.3 ± 0.8 mA intraoperatively (follow-up 0, FU0; n = 12), 2.9 ± 1.2 mA within 1 week after surgery (FU1; n = 12), and 3.5 ± 1.6 mA after 6-17 months (FU2; n = 8). FU0 and FU1 differed by trend, and FU1 and FU2 were significantly different (Friedman test, p = 0.0048; post hoc Dunn multiple comparison test, p < 0.05). FU0 and FU2 were not different. DISCUSSION The threshold amplitude to induce tonic muscular contractions may constitute a valid approach of functionally refining the anatomically guided electrode placement in GPi-DBS for dystonia, because intraoperative values are predictive for postoperative thresholds with the chronically implanted neurostimulation system.
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Affiliation(s)
- René Reese
- Department of Neurology, University Hospital Schleswig-Holstein, Kiel, Germany
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