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Damera SR, Malone PS, Stevens BW, Klein R, Eberhardt SP, Auer ET, Bernstein LE, Riesenhuber M. Metamodal Coupling of Vibrotactile and Auditory Speech Processing Systems through Matched Stimulus Representations. J Neurosci 2023; 43:4984-4996. [PMID: 37197979 PMCID: PMC10324991 DOI: 10.1523/jneurosci.1710-22.2023] [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: 09/08/2022] [Revised: 03/10/2023] [Accepted: 04/29/2023] [Indexed: 05/19/2023] Open
Abstract
It has been postulated that the brain is organized by "metamodal," sensory-independent cortical modules capable of performing tasks (e.g., word recognition) in both "standard" and novel sensory modalities. Still, this theory has primarily been tested in sensory-deprived individuals, with mixed evidence in neurotypical subjects, thereby limiting its support as a general principle of brain organization. Critically, current theories of metamodal processing do not specify requirements for successful metamodal processing at the level of neural representations. Specification at this level may be particularly important in neurotypical individuals, where novel sensory modalities must interface with existing representations for the standard sense. Here we hypothesized that effective metamodal engagement of a cortical area requires congruence between stimulus representations in the standard and novel sensory modalities in that region. To test this, we first used fMRI to identify bilateral auditory speech representations. We then trained 20 human participants (12 female) to recognize vibrotactile versions of auditory words using one of two auditory-to-vibrotactile algorithms. The vocoded algorithm attempted to match the encoding scheme of auditory speech while the token-based algorithm did not. Crucially, using fMRI, we found that only in the vocoded group did trained-vibrotactile stimuli recruit speech representations in the superior temporal gyrus and lead to increased coupling between them and somatosensory areas. Our results advance our understanding of brain organization by providing new insight into unlocking the metamodal potential of the brain, thereby benefitting the design of novel sensory substitution devices that aim to tap into existing processing streams in the brain.SIGNIFICANCE STATEMENT It has been proposed that the brain is organized by "metamodal," sensory-independent modules specialized for performing certain tasks. This idea has inspired therapeutic applications, such as sensory substitution devices, for example, enabling blind individuals "to see" by transforming visual input into soundscapes. Yet, other studies have failed to demonstrate metamodal engagement. Here, we tested the hypothesis that metamodal engagement in neurotypical individuals requires matching the encoding schemes between stimuli from the novel and standard sensory modalities. We trained two groups of subjects to recognize words generated by one of two auditory-to-vibrotactile transformations. Critically, only vibrotactile stimuli that were matched to the neural encoding of auditory speech engaged auditory speech areas after training. This suggests that matching encoding schemes is critical to unlocking the brain's metamodal potential.
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Affiliation(s)
- Srikanth R Damera
- Department of Neuroscience, Georgetown University Medical Center, Washington, DC 20007
| | - Patrick S Malone
- Department of Neuroscience, Georgetown University Medical Center, Washington, DC 20007
| | - Benson W Stevens
- Department of Neuroscience, Georgetown University Medical Center, Washington, DC 20007
| | - Richard Klein
- Department of Neuroscience, Georgetown University Medical Center, Washington, DC 20007
| | - Silvio P Eberhardt
- Department of Speech Language & Hearing Sciences, George Washington University, Washington, DC 20052
| | - Edward T Auer
- Department of Speech Language & Hearing Sciences, George Washington University, Washington, DC 20052
| | - Lynne E Bernstein
- Department of Speech Language & Hearing Sciences, George Washington University, Washington, DC 20052
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Franco-O´Byrne D, Gonzalez-Gomez R, Morales Sepúlveda JP, Vergara M, Ibañez A, Huepe D. The impact of loneliness and social adaptation on depressive symptoms: Behavioral and brain measures evidence from a brain health perspective. Front Psychol 2023; 14:1096178. [PMID: 37077845 PMCID: PMC10108715 DOI: 10.3389/fpsyg.2023.1096178] [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: 11/11/2022] [Accepted: 02/21/2023] [Indexed: 03/16/2023] Open
Abstract
Introduction Early detection of depression is a cost-effective way to prevent adverse outcomes on brain physiology, cognition, and health. Here we propose that loneliness and social adaptation are key factors that can anticipate depressive symptoms. Methods We analyzed data from two separate samples to evaluate the associations between loneliness, social adaptation, depressive symptoms, and their neural correlates. Results For both samples, hierarchical regression models on self-reported data showed that loneliness and social adaptation have negative and positive effects on depressive symptoms. Moreover, social adaptation reduces the impact of loneliness on depressive symptoms. Structural connectivity analysis showed that depressive symptoms, loneliness, and social adaptation share a common neural substrate. Furthermore, functional connectivity analysis demonstrated that only social adaptation was associated with connectivity in parietal areas. Discussion Altogether, our results suggest that loneliness is a strong risk factor for depressive symptoms while social adaptation acts as a buffer against the ill effects of loneliness. At the neuroanatomical level, loneliness and depression may affect the integrity of white matter structures known to be associated to emotion dysregulation and cognitive impairment. On the other hand, socio-adaptive processes may protect against the harmful effects of loneliness and depression. Structural and functional correlates of social adaptation could indicate a protective role through long and short-term effects, respectively. These findings may aid approaches to preserve brain health via social participation and adaptive social behavior.
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Affiliation(s)
- Daniel Franco-O´Byrne
- Center for Social and Cognitive Neuroscience (CSCN), School of Psychology, Universidad Adolfo Ibáñez, Santiago de Chile, Chile
| | - Raul Gonzalez-Gomez
- Center for Social and Cognitive Neuroscience (CSCN), School of Psychology, Universidad Adolfo Ibáñez, Santiago de Chile, Chile
- Latin American Brain Health (BrainLat), Universidad Adolfo Ibáñez, Santiago, Chile
| | - Juan Pablo Morales Sepúlveda
- Pontificia Universidad Católica de Chile Programa de Doctorado en Neurociencias Centro Interdisciplinario de Neurocienciass, Santiago, Chile
- Facultad de Educación Psicología y Familia, Universidad Finis Terrae, Santiago, Chile
| | - Mayte Vergara
- Center for Social and Cognitive Neuroscience (CSCN), School of Psychology, Universidad Adolfo Ibáñez, Santiago de Chile, Chile
- Latin American Brain Health (BrainLat), Universidad Adolfo Ibáñez, Santiago, Chile
| | - Agustin Ibañez
- Latin American Brain Health (BrainLat), Universidad Adolfo Ibáñez, Santiago, Chile
- Global Brain Health Institute, University of California, San Francisco, San Francisco, CA, United States
- Global Brain Health Institute, Trinity College Dublin, Dublin, Ireland
- Cognitive Neuroscience Center (CNC), Universidad de San Andrés, Buenos Aires, Argentina
- National Scientific and Technical Research Council (CONICET), Buenos Aires, Argentina
| | - David Huepe
- Center for Social and Cognitive Neuroscience (CSCN), School of Psychology, Universidad Adolfo Ibáñez, Santiago de Chile, Chile
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Menicucci D, Lunghi C, Zaccaro A, Morrone MC, Gemignani A. Mutual interaction between visual homeostatic plasticity and sleep in adult humans. eLife 2022; 11:70633. [PMID: 35972073 PMCID: PMC9417418 DOI: 10.7554/elife.70633] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2021] [Accepted: 08/15/2022] [Indexed: 11/13/2022] Open
Abstract
Sleep and plasticity are highly interrelated, as sleep slow oscillations and sleep spindles are associated with consolidation of Hebbian-based processes. However, in adult humans, visual cortical plasticity is mainly sustained by homeostatic mechanisms, for which the role of sleep is still largely unknown. Here, we demonstrate that non-REM sleep stabilizes homeostatic plasticity of ocular dominance induced in adult humans by short-term monocular deprivation: the counterintuitive and otherwise transient boost of the deprived eye was preserved at the morning awakening (>6 hr after deprivation). Subjects exhibiting a stronger boost of the deprived eye after sleep had increased sleep spindle density in frontopolar electrodes, suggesting the involvement of distributed processes. Crucially, the individual susceptibility to visual homeostatic plasticity soon after deprivation correlated with the changes in sleep slow oscillations and spindle power in occipital sites, consistent with a modulation in early occipital visual cortex.
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Affiliation(s)
- Danilo Menicucci
- Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, Pisa, Italy
| | - Claudia Lunghi
- Département d'études Cognitives, École Normale Supérieure, UMR 8248 CNRS, Paris, France
| | - Andrea Zaccaro
- Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, Pisa, Italy
| | - Maria Concetta Morrone
- Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy
| | - Angelo Gemignani
- Department of Surgical, Medical and Molecular and Critical Area Pathology, University of Pisa, Pisa, Italy
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Machner B, Braun L, Imholz J, Koch PJ, Münte TF, Helmchen C, Sprenger A. Resting-State Functional Connectivity in the Dorsal Attention Network Relates to Behavioral Performance in Spatial Attention Tasks and May Show Task-Related Adaptation. Front Hum Neurosci 2022; 15:757128. [PMID: 35082607 PMCID: PMC8784839 DOI: 10.3389/fnhum.2021.757128] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2021] [Accepted: 12/10/2021] [Indexed: 11/13/2022] Open
Abstract
Between-subject variability in cognitive performance has been related to inter-individual differences in functional brain networks. Targeting the dorsal attention network (DAN) we questioned (i) whether resting-state functional connectivity (FC) within the DAN can predict individual performance in spatial attention tasks and (ii) whether there is short-term adaptation of DAN-FC in response to task engagement. Twenty-seven participants first underwent resting-state fMRI (PRE run), they subsequently performed different tasks of spatial attention [including visual search (VS)] and immediately afterwards received another rs-fMRI (POST run). Intra- and inter-hemispheric FC between core hubs of the DAN, bilateral intraparietal sulcus (IPS) and frontal eye field (FEF), was analyzed and compared between PRE and POST. Furthermore, we investigated rs-fMRI-behavior correlations between the DAN-FC in PRE/POST and task performance parameters. The absolute DAN-FC did not change from PRE to POST. However, different significant rs-fMRI-behavior correlations were revealed for intra-/inter-hemispheric connections in the PRE and POST run. The stronger the FC between left FEF and IPS before task engagement, the better was the learning effect (improvement of reaction times) in VS (r = 0.521, p = 0.024). And the faster the VS (mean RT), the stronger was the FC between right FEF and IPS after task engagement (r = −0.502, p = 0.032). To conclude, DAN-FC relates to the individual performance in spatial attention tasks supporting the view of functional brain networks as priors for cognitive ability. Despite a high inter- and intra-individual stability of DAN-FC, the change of FC-behavior correlations after task performance possibly indicates task-related adaptation of the DAN, underlining that behavioral experiences may shape intrinsic brain activity. However, spontaneous state fluctuations of the DAN-FC over time cannot be fully ruled out as an alternative explanation.
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Affiliation(s)
- Björn Machner
- Department of Neurology, University Hospital Schleswig-Holstein, Campus Lübeck, Lübeck, Germany
- Center of Brain, Behavior and Metabolism, University of Lübeck, Lübeck, Germany
- *Correspondence: Björn Machner, ; orcid.org/0000-0001-7981-2906
| | - Lara Braun
- Department of Neurology, University Hospital Schleswig-Holstein, Campus Lübeck, Lübeck, Germany
| | - Jonathan Imholz
- Department of Neurology, University Hospital Schleswig-Holstein, Campus Lübeck, Lübeck, Germany
| | - Philipp J. Koch
- Department of Neurology, University Hospital Schleswig-Holstein, Campus Lübeck, Lübeck, Germany
- Center of Brain, Behavior and Metabolism, University of Lübeck, Lübeck, Germany
| | - Thomas F. Münte
- Department of Neurology, University Hospital Schleswig-Holstein, Campus Lübeck, Lübeck, Germany
- Center of Brain, Behavior and Metabolism, University of Lübeck, Lübeck, Germany
| | - Christoph Helmchen
- Department of Neurology, University Hospital Schleswig-Holstein, Campus Lübeck, Lübeck, Germany
- Center of Brain, Behavior and Metabolism, University of Lübeck, Lübeck, Germany
| | - Andreas Sprenger
- Department of Neurology, University Hospital Schleswig-Holstein, Campus Lübeck, Lübeck, Germany
- Center of Brain, Behavior and Metabolism, University of Lübeck, Lübeck, Germany
- Department of Psychology II, University of Lübeck, Lübeck, Germany
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Obst MA, Al-Zubaidi A, Heldmann M, Nolde JM, Blümel N, Kannenberg S, Münte TF. Five weeks of intermittent transcutaneous vagus nerve stimulation shape neural networks: a machine learning approach. Brain Imaging Behav 2021; 16:1217-1233. [PMID: 34966977 PMCID: PMC9107416 DOI: 10.1007/s11682-021-00572-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2020] [Accepted: 09/26/2021] [Indexed: 11/03/2022]
Abstract
Invasive and transcutaneous vagus nerve stimulation [(t)-VNS] have been used to treat epilepsy, depression and migraine and has also shown effects on metabolism and body weight. To what extent this treatment shapes neural networks and how such network changes might be related to treatment effects is currently unclear. Using a pre-post mixed study design, we applied either a tVNS or sham stimulation (5 h/week) in 34 overweight male participants in the context of a study designed to assess effects of tVNS on body weight and metabolic and cognitive parameters resting state (rs) fMRI was measured about 12 h after the last stimulation period. Support vector machine (SVM) classification was applied to fractional amplitude low-frequency fluctuations (fALFF) on established rs-networks. All classification results were controlled for random effects and overfitting. Finally, we calculated multiple regressions between the classification results and reported food craving. We found a classification accuracy (CA) of 79 % in a subset of four brainstem regions suggesting that tVNS leads to lasting changes in brain networks. Five of eight salience network regions yielded 76,5 % CA. Our study shows tVNS’ post-stimulation effects on fALFF in the salience rs-network. More detailed investigations of this effect and their relationship with food intake seem reasonable for future studies.
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Affiliation(s)
- Martina A Obst
- Department of Neurology, University of Lübeck, Lübeck, Germany
| | - Arkan Al-Zubaidi
- Applied Neurocognitive Psychology Lab, University of Oldenburg, Oldenburg, Germany
| | - Marcus Heldmann
- Department of Neurology, University of Lübeck, Lübeck, Germany
| | | | - Nick Blümel
- Department of Internal Medicine 1, University of Lübeck, Lübeck, Germany
| | - Swantje Kannenberg
- Department of Internal Medicine 1, University of Lübeck, Lübeck, Germany
| | - Thomas F Münte
- Department of Neurology, University of Lübeck, Lübeck, Germany. .,Centre of Brain, Behavior and Metabolism (CBBM), Universität of Lübeck, Building 66 Ratzeburger Allee 160, 23562, Lübeck, Germany.
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6
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Wang Y, Jin C, Yin Z, Wang H, Ji M, Dong M, Liang J. Visual experience modulates whole-brain connectivity dynamics: A resting-state fMRI study using the model of radiologists. Hum Brain Mapp 2021; 42:4538-4554. [PMID: 34156138 PMCID: PMC8410580 DOI: 10.1002/hbm.25563] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2020] [Revised: 04/18/2021] [Accepted: 06/02/2021] [Indexed: 01/01/2023] Open
Abstract
Visual expertise refers to proficiency in visual recognition. It is attributed to accumulated visual experience in a specific domain and manifests in widespread neural activities that extend well beyond the visual cortex to multiple high‐level brain areas. An extensive body of studies has centered on the neural mechanisms underlying a distinctive domain of visual expertise, while few studies elucidated how visual experience modulates resting‐state whole‐brain connectivity dynamics. The current study bridged this gap by modeling the subtle alterations in interregional spontaneous connectivity patterns with a group of superior radiological interns. Functional connectivity analysis was based on functional brain segmentation, which was derived from a data‐driven clustering approach to discriminate subtle changes in connectivity dynamics. Our results showed there was radiographic visual experience accompanied with integration within brain circuits supporting visual processing and decision making, integration across brain circuits supporting high‐order functions, and segregation between high‐order and low‐order brain functions. Also, most of these alterations were significantly correlated with individual nodule identification performance. Our results implied that visual expertise is a controlled, interactive process that develops from reciprocal interactions between the visual system and multiple top‐down factors, including semantic knowledge, top‐down attentional control, and task relevance, which may enhance participants' local brain functional integration to promote their acquisition of specific visual information and modulate the activity of some regions for lower‐order visual feature processing to filter out nonrelevant visual details. The current findings may provide new ideas for understanding the central mechanism underlying the formation of visual expertise.
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Affiliation(s)
- Yue Wang
- School of Electronic Engineering, Xidian University, Shaanxi, China
| | - Chenwang Jin
- Department of Medical Imaging, First Affiliated Hospital of Medical College, Xi'an Jiaotong University, Shaanxi, China
| | - Zhongliang Yin
- Engineering Research Center of Molecular and Neuro Imaging of Ministry of Education, School of Life Science and Technology, Xidian University, Shaanxi, China
| | - Hongmei Wang
- Department of Medical Imaging, First Affiliated Hospital of Medical College, Xi'an Jiaotong University, Shaanxi, China
| | - Ming Ji
- School of Psychology, Shaanxi Normal University, Shaanxi, China
| | - Minghao Dong
- Engineering Research Center of Molecular and Neuro Imaging of Ministry of Education, School of Life Science and Technology, Xidian University, Shaanxi, China
| | - Jimin Liang
- School of Electronic Engineering, Xidian University, Shaanxi, China
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7
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Hemispheric Asymmetries in Electroencephalogram Oscillations for Long-Term Memory Retrieval in Healthy Individuals. Brain Sci 2020; 10:brainsci10120937. [PMID: 33291651 PMCID: PMC7761937 DOI: 10.3390/brainsci10120937] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2020] [Revised: 10/31/2020] [Accepted: 11/09/2020] [Indexed: 12/03/2022] Open
Abstract
The hemispherical encoding retrieval asymmetry (HERA) model, established in 1991, suggests that the involvement of the right prefrontal cortex (PFC) in the encoding process is less than that of the left PFC. The HERA model was previously validated for episodic memory in subjects with brain traumas or injuries. In this study, a revised HERA model is used to investigate long-term memory retrieval from newly learned video-based content for healthy individuals using electroencephalography. The model was tested for long-term memory retrieval in two retrieval sessions: (1) recent long-term memory (recorded 30 min after learning) and (2) remote long-term memory (recorded two months after learning). The results show that long-term memory retrieval in healthy individuals for the frontal region (theta and delta band) satisfies the revised HERA asymmetry model.
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8
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Functional connectivity between memory and reward centers across task and rest track memory sensitivity to reward. COGNITIVE AFFECTIVE & BEHAVIORAL NEUROSCIENCE 2020; 19:503-522. [PMID: 30805850 DOI: 10.3758/s13415-019-00700-8] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
External motivation, such as a promise of future monetary reward for remembering an event, can affect which events are remembered. Reward-based memory modulation is thought to result from encoding and post-encoding interactions between dopaminergic midbrain, signaling reward, and hippocampus and parahippocampal cortex, supporting episodic memory. We asked whether hippocampal and parahippocampal interactions with other reward-related regions are related to reward modulation of memory and whether such relationships are stable over time. Individuals' memory sensitivity to reward was measured using a monetary incentive encoding task in which a cue indicated potential monetary reward (penny, dime, or dollar) for remembering an upcoming object pair. Functional connectivity between memory and reward regions was measured before, during, and following the task. Reward-related regions of interest were generated using a meta-analysis of existing studies on reward and included ventral striatum, medial and orbital prefrontal cortices and anterior cingulate cortex, in addition to midbrain. The results showed that connectivity between memory and reward regions tracked individual differences in reward modulation of memory, irrespective of when connectivity was measured. Connectivity patterns of anterior cingulate, orbitofrontal cortex, and ventral striatum covaried together and tracked behavior most strongly. These findings implicate a broader set of reward regions in reward modulation of memory than considered previously and provide new evidence that stable connectivity patterns between memory and reward centers relate to individual differences in how reward impacts memory.
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9
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Ahmed-Popova F, Sivkov S, Topolov M, Beshkov A. An fMRI Study of Adult Brain Cortical Activation Following Intensive Learning. Front Psychiatry 2020; 11:115. [PMID: 32194456 PMCID: PMC7063975 DOI: 10.3389/fpsyt.2020.00115] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/29/2019] [Accepted: 02/10/2020] [Indexed: 11/13/2022] Open
Abstract
Functional imaging techniques, fMRI in particular, has given the possibility to investigate non-invasively the cognitive processes in healthy populations and different disorders concerning neuro-psychiatry, thus unfolding the concepts guiding diagnosis and patient management. Different brain structures seem to support different types of cognitive functions in particular learning and memory thus the neurobiological explanation of the retrieval of information is associated with knowledge of brain plasticity, memory circuits, synaptic neurotransmission and the modulation of glial cells. Consistent with fMRI investigations of memory systems we tested the dependability of a memory paradigm using heterogeneous memory stimuli in order to find the neurobiological basis that correlates with memory task performance. Our study resulted with statistical significant differences in brain activations across the block design contrasts in both occipital and temporal regions in 29 mentally healthy students during a memory paradigm performance after intensive learning. As functional magnetic resonance imaging has become an important and reliable tool for investigation of brain anatomy and its function in health and disease, it becomes clear that further research of neurobiological basis of cognitive and memory domains can clarify different diagnostic prototypes and thus explain the human brain impairments in neuropsychological patients, since these are characterized by various cognitive dysfunctions.
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Affiliation(s)
- Ferihan Ahmed-Popova
- Department of Anatomy, Histology and Embryology, Faculty of Medicine, Medical University - Plovdiv, Plovdiv, Bulgaria.,Research Institute, Medical University - Plovdiv, Plovdiv, Bulgaria
| | - Stefan Sivkov
- Department of Anatomy, Histology and Embryology, Faculty of Medicine, Medical University - Plovdiv, Plovdiv, Bulgaria.,Research Institute, Medical University - Plovdiv, Plovdiv, Bulgaria
| | - Mariyan Topolov
- Department of Pharmacology and Drug Toxicology, Faculty of Pharmacy, Medical University - Plovdiv, Plovdiv, Bulgaria
| | - Asen Beshkov
- Department of Psychiatry and Medical Psychology, Faculty of Medicine, Medical University - Plovdiv, Plovdiv, Bulgaria
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10
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Data-driven tensor independent component analysis for model-based connectivity neurofeedback. Neuroimage 2019; 184:214-226. [DOI: 10.1016/j.neuroimage.2018.08.067] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2018] [Revised: 07/21/2018] [Accepted: 08/28/2018] [Indexed: 12/26/2022] Open
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Steel A, Thomas C, Trefler A, Chen G, Baker CI. Finding the baby in the bath water - evidence for task-specific changes in resting state functional connectivity evoked by training. Neuroimage 2018; 188:524-538. [PMID: 30578926 DOI: 10.1016/j.neuroimage.2018.12.038] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2018] [Revised: 12/04/2018] [Accepted: 12/17/2018] [Indexed: 11/24/2022] Open
Abstract
Resting-state functional connectivity (rsFC) between brain regions has been used for studying training-related changes in brain function during the offline period of skill learning. However, it is difficult to infer whether the observed training-related changes in rsFC measured between two scans occur as a consequence of task performance, whether they are specific to a given task, or whether they reflect confounding factors such as diurnal fluctuations in brain physiology that impact the MRI signal. Here, we sought to elucidate whether task-specific changes in rsFC are dissociable from time-of-day related changes by evaluating rsFC changes after participants were provided training in either a visuospatial task or a motor sequence task compared to a non-training condition. Given the nature of the tasks, we focused on changes in rsFC of the hippocampal and sensorimotor cortices after short-term training, while controlling for the effect of time-of-day. We also related the change in rsFC of task-relevant brain regions to performance improvement in each task. Our results demonstrate that, even in the absence of any experimental manipulation, significant changes in rsFC can be detected between two resting state functional MRI scans performed just a few hours apart, suggesting time-of-day has a significant impact on rsFC. However, by estimating the magnitude of the time-of-day effect, our findings also suggest that task-specific changes in rsFC can be dissociated from the changes attributed to time-of-day. Taken together, our results show that rsFC can provide insights about training-related changes in brain function during the offline period of skill learning. However, demonstrating the specificity of the changes in rsFC to a given task requires a rigorous experimental design that includes multiple active and passive control conditions, and robust behavioral measures.
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Affiliation(s)
- Adam Steel
- Section on Learning and Plasticity, National Institute of Mental Health, United States
| | - Cibu Thomas
- Section on Learning and Plasticity, National Institute of Mental Health, United States.
| | - Aaron Trefler
- Section on Learning and Plasticity, National Institute of Mental Health, United States
| | - Gang Chen
- Scientific and Statistical Computing Core, National Institute of Mental Health, United States
| | - Chris I Baker
- Section on Learning and Plasticity, National Institute of Mental Health, United States
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12
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Wollman I, Penhune V, Segado M, Carpentier T, Zatorre RJ. Neural network retuning and neural predictors of learning success associated with cello training. Proc Natl Acad Sci U S A 2018; 115:E6056-E6064. [PMID: 29891670 PMCID: PMC6042146 DOI: 10.1073/pnas.1721414115] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
The auditory and motor neural systems are closely intertwined, enabling people to carry out tasks such as playing a musical instrument whose mapping between action and sound is extremely sophisticated. While the dorsal auditory stream has been shown to mediate these audio-motor transformations, little is known about how such mapping emerges with training. Here, we use longitudinal training on a cello as a model for brain plasticity during the acquisition of specific complex skills, including continuous and many-to-one audio-motor mapping, and we investigate individual differences in learning. We trained participants with no musical background to play on a specially designed MRI-compatible cello and scanned them before and after 1 and 4 wk of training. Activation of the auditory-to-motor dorsal cortical stream emerged rapidly during the training and was similarly activated during passive listening and cello performance of trained melodies. This network activation was independent of performance accuracy and therefore appears to be a prerequisite of music playing. In contrast, greater recruitment of regions involved in auditory encoding and motor control over the training was related to better musical proficiency. Additionally, pre-supplementary motor area activity and its connectivity with the auditory cortex during passive listening before training was predictive of final training success, revealing the integrative function of this network in auditory-motor information processing. Together, these results clarify the critical role of the dorsal stream and its interaction with auditory areas in complex audio-motor learning.
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Affiliation(s)
- Indiana Wollman
- Montreal Neurological Institute, McGill University, Montreal, QC H3A 2B4, Canada;
- Center for Interdisciplinary Research in Music Media and Technology, Schulich School of Music, McGill University, Montreal, QC H3A 1E3, Canada
- International Laboratory for Brain, Music and Sound Research, Montreal, QC H2V 2J2, Canada
| | - Virginia Penhune
- Center for Interdisciplinary Research in Music Media and Technology, Schulich School of Music, McGill University, Montreal, QC H3A 1E3, Canada
- International Laboratory for Brain, Music and Sound Research, Montreal, QC H2V 2J2, Canada
- Laboratory for Motor Learning and Neural Plasticity, Department of Psychology, Concordia University, Montreal, QC H4B 1R6, Canada
| | - Melanie Segado
- Montreal Neurological Institute, McGill University, Montreal, QC H3A 2B4, Canada
- Center for Interdisciplinary Research in Music Media and Technology, Schulich School of Music, McGill University, Montreal, QC H3A 1E3, Canada
- International Laboratory for Brain, Music and Sound Research, Montreal, QC H2V 2J2, Canada
| | - Thibaut Carpentier
- CNRS, Institut de Recherche et Coordination Acoustique/Musique, Sorbonne Université, UMR 9912 Sciences et Technologies de la Musique et du Son, 75004 Paris, France
| | - Robert J Zatorre
- Montreal Neurological Institute, McGill University, Montreal, QC H3A 2B4, Canada
- Center for Interdisciplinary Research in Music Media and Technology, Schulich School of Music, McGill University, Montreal, QC H3A 1E3, Canada
- International Laboratory for Brain, Music and Sound Research, Montreal, QC H2V 2J2, Canada
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Sarabi MT, Aoki R, Tsumura K, Keerativittayayut R, Jimura K, Nakahara K. Visual perceptual training reconfigures post-task resting-state functional connectivity with a feature-representation region. PLoS One 2018; 13:e0196866. [PMID: 29742133 PMCID: PMC5942817 DOI: 10.1371/journal.pone.0196866] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2017] [Accepted: 04/20/2018] [Indexed: 12/17/2022] Open
Abstract
The neural mechanisms underlying visual perceptual learning (VPL) have typically been studied by examining changes in task-related brain activation after training. However, the relationship between post-task "offline" processes and VPL remains unclear. The present study examined this question by obtaining resting-state functional magnetic resonance imaging (fMRI) scans of human brains before and after a task-fMRI session involving visual perceptual training. During the task-fMRI session, participants performed a motion coherence discrimination task in which they judged the direction of moving dots with a coherence level that varied between trials (20, 40, and 80%). We found that stimulus-induced activation increased with motion coherence in the middle temporal cortex (MT+), a feature-specific region representing visual motion. On the other hand, stimulus-induced activation decreased with motion coherence in the dorsal anterior cingulate cortex (dACC) and bilateral insula, regions involved in decision making under perceptual ambiguity. Moreover, by comparing pre-task and post-task rest periods, we revealed that resting-state functional connectivity (rs-FC) with the MT+ was significantly increased after training in widespread cortical regions including the bilateral sensorimotor and temporal cortices. In contrast, rs-FC with the MT+ was significantly decreased in subcortical regions including the thalamus and putamen. Importantly, the training-induced change in rs-FC was observed only with the MT+, but not with the dACC or insula. Thus, our findings suggest that perceptual training induces plastic changes in offline functional connectivity specifically in brain regions representing the trained visual feature, emphasising the distinct roles of feature-representation regions and decision-related regions in VPL.
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Affiliation(s)
| | - Ryuta Aoki
- Research Center for Brain Communication, Kochi University of Technology, Kami-city, Kochi, Japan
| | - Kaho Tsumura
- Department of Biosciences and Informatics, Keio University, Yokohama-city, Kanagawa, Japan
| | | | - Koji Jimura
- Research Center for Brain Communication, Kochi University of Technology, Kami-city, Kochi, Japan
- Department of Biosciences and Informatics, Keio University, Yokohama-city, Kanagawa, Japan
| | - Kiyoshi Nakahara
- School of Information, Kochi University of Technology, Kami-city, Kochi, Japan
- Research Center for Brain Communication, Kochi University of Technology, Kami-city, Kochi, Japan
- * E-mail:
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14
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Watanabe T, Rees G. Comparing the temporal relationship of structural and functional connectivity changes in different adult human brain networks: a single-case study. Wellcome Open Res 2018. [DOI: 10.12688/wellcomeopenres.14572.1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Background: Despite accumulated evidence for adult brain plasticity, the temporal relationships between large-scale functional and structural connectivity changes in human brain networks remain unclear. Methods: By analysing a unique richly detailed 19-week longitudinal neuroimaging dataset, we tested whether macroscopic functional connectivity changes lead to the corresponding structural alterations in the adult human brain, and examined whether such time lags between functional and structural connectivity changes are affected by functional differences between different large-scale brain networks. Results: In this single-case study, we report that, compared to attention-related networks, functional connectivity changes in default-mode, fronto-parietal, and sensory-related networks occurred in advance of modulations of the corresponding structural connectivity with significantly longer time lags. In particular, the longest time lags were observed in sensory-related networks. In contrast, such significant temporal differences in connectivity change were not seen in comparisons between anatomically categorised different brain areas, such as frontal and occipital lobes. These observations survived even after multiple validation analyses using different connectivity definitions or using parts of the datasets. Conclusions: Although the current findings should be examined in independent datasets with different demographic background and by experimental manipulation, this single-case study indicates the possibility that plasticity of macroscopic brain networks could be affected by cognitive and perceptual functions implemented in the networks, and implies a hierarchy in the plasticity of functionally different brain systems.
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15
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Abstract
Rewiring is a plasticity mechanism that alters connectivity between neurons. Evidence for rewiring has been difficult to obtain. New evidence indicates that local circuitry is rewired during learning. Harnessing rewiring offers new ways to treat psychiatric and neurological diseases.
Neuronal connections form the physical basis for communication in the brain. Recently, there has been much interest in mapping the “connectome” to understand how brain structure gives rise to brain function, and ultimately, to behaviour. These attempts to map the connectome have largely assumed that connections are stable once formed. Recent studies, however, indicate that connections in mammalian brains may undergo rewiring during learning and experience-dependent plasticity. This suggests that the connectome is more dynamic than previously thought. To what extent can neural circuitry be rewired in the healthy adult brain? The connectome has been subdivided into multiple levels of scale, from synapses and microcircuits through to long-range tracts. Here, we examine the evidence for rewiring at each level. We then consider the role played by rewiring during learning. We conclude that harnessing rewiring offers new avenues to treat brain diseases.
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Affiliation(s)
- Sophie H Bennett
- Department of Basic and Clinical Neuroscience, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London SE5 8AF, UK
| | - Alastair J Kirby
- Department of Basic and Clinical Neuroscience, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London SE5 8AF, UK
| | - Gerald T Finnerty
- Department of Basic and Clinical Neuroscience, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London SE5 8AF, UK.
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16
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Stiers P, Goulas A. Functional connectivity of task context representations in prefrontal nodes of the multiple demand network. Brain Struct Funct 2018; 223:2455-2473. [PMID: 29502145 PMCID: PMC5968070 DOI: 10.1007/s00429-018-1638-9] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2017] [Accepted: 02/21/2018] [Indexed: 11/29/2022]
Abstract
A subset of regions in the lateral and medial prefrontal cortex and the anterior insula increase their activity level whenever a cognitive task becomes more demanding, regardless of the specific nature of this demand. During execution of a task, these areas and the surrounding cortex temporally encode aspects of the task context in spatially distributed patterns of activity. It is not clear whether these patterns reflect underlying anatomical subnetworks that still exist when task execution has finished. We use fMRI in 12 participants performing alternating blocks of three cognitive tasks to address this question. A first data set is used to define multiple demand regions in each participant. A second dataset from the same participants is used to determine multiple demand voxel assemblies with a preference for one task over the others. We then show that these voxels remain functionally coupled during execution of non-preferred tasks and that they exhibit stronger functional connectivity during rest. This indicates that the assemblies of task preference sharing voxels reflect patterns of underlying anatomical connections. Moreover, we show that voxels preferring the same task have more similar whole brain functional connectivity profiles that are consistent across participants. This suggests that voxel assemblies differ in patterns of input-output connections, most likely reflecting task demand-specific information exchange.
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Affiliation(s)
- Peter Stiers
- Department of Neuropsychology and Psychopharmacology, Maastricht University, Universiteitssingel 40 (East), 6229 ER, Maastricht, The Netherlands.
| | - Alexandros Goulas
- Department of Computational Neuroscience, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Germany
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17
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Liu ZX, Grady C, Moscovitch M. The effect of prior knowledge on post-encoding brain connectivity and its relation to subsequent memory. Neuroimage 2017; 167:211-223. [PMID: 29158201 DOI: 10.1016/j.neuroimage.2017.11.032] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2017] [Revised: 11/08/2017] [Accepted: 11/16/2017] [Indexed: 02/02/2023] Open
Abstract
It is known that prior knowledge can facilitate memory acquisition. It is unclear, however, whether prior knowledge can affect post-encoding brain activity to facilitate memory consolidation. In this fMRI study, we asked participants to associate novel houses with famous/nonfamous faces and investigated how associative-encoding tasks with/without prior knowledge differentially affected post-encoding brain connectivity during rest. Besides memory advantages in the famous condition, we found that post-encoding hippocampal connectivity with the fusiform face area (FFA) and ventral-medial-prefrontal cortex (vmPFC) was stronger following encoding of associations with famous than non-famous faces. Importantly, post-encoding functional connectivity between the hippocampus (HPC) and FFA, and between the anterior temporal pole region (aTPL) and posterior perceptual regions (i.e., FFA and the parahippocampal place area), together predicted a large proportion of the variance in subsequent memory performance. This prediction was specific for face-house associative memory, not face/house item memory, and only in the famous condition where prior knowledge was involved. These results support the idea that when prior knowledge is involved, the HPC, vmPFC, and aTPL, which support prior episodic, social-evaluative/schematic, and semantic memories, respectively, continue to interact with each other and posterior perceptual brain regions during the post-encoding rest to facilitate off-line processing of the newly formed memory, and enhance memory consolidation.
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Affiliation(s)
- Zhong-Xu Liu
- Rotman Research Institute, Baycrest Health Sciences, University of Toronto, Canada.
| | - Cheryl Grady
- Rotman Research Institute, Baycrest Health Sciences, University of Toronto, Canada; Department of Psychology, University of Toronto, Canada; Department of Psychiatry, University of Toronto, Canada
| | - Morris Moscovitch
- Rotman Research Institute, Baycrest Health Sciences, University of Toronto, Canada; Department of Psychology, University of Toronto, Canada
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18
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Leung MP, Thompson B, Black J, Dai S, Alsweiler JM. The effects of preterm birth on visual development. Clin Exp Optom 2017; 101:4-12. [PMID: 28868651 DOI: 10.1111/cxo.12578] [Citation(s) in RCA: 57] [Impact Index Per Article: 8.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2017] [Revised: 04/30/2017] [Accepted: 05/07/2017] [Indexed: 12/18/2022] Open
Abstract
Children born very preterm are at a greater risk of abnormal visual and neurological development when compared to children born at full term. Preterm birth is associated with retinopathy of prematurity (a proliferative retinal vascular disease) and can also affect the development of brain structures associated with post-retinal processing of visual information. Visual deficits common in children born preterm, such as reduced visual acuity, strabismus, abnormal stereopsis and refractive error, are likely to be detected through childhood vision screening programs, ophthalmological follow-up or optometric care. However, routine screening may not detect other vision problems, such as reduced visual fields, impaired contrast sensitivity and deficits in cortical visual processing, that may occur in children born preterm. For example, visual functions associated with the dorsal visual processing stream, such as global motion perception and visuomotor integration, may be impaired by preterm birth. These impairments can continue into adolescence and adulthood and may contribute to the difficulties in learning (particularly reading and mathematics), attention, behaviour and cognition that some children born preterm experience. Improvements in understanding the mechanisms by which preterm birth affects vision will inform future screening and interventions for children born preterm.
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Affiliation(s)
- Myra Ps Leung
- School of Optometry and Vision Science, The University of Auckland, Auckland, New Zealand
| | - Benjamin Thompson
- School of Optometry and Vision Science, The University of Auckland, Auckland, New Zealand.,School of Optometry and Vision Science, University of Waterloo, Waterloo, Ontario, Canada
| | - Joanna Black
- School of Optometry and Vision Science, The University of Auckland, Auckland, New Zealand
| | - Shuan Dai
- Department of Ophthalmology, The University of Auckland, Auckland, New Zealand
| | - Jane M Alsweiler
- Department of Paediatrics, The University of Auckland, Auckland, New Zealand
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19
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Paldino MJ, Chu ZD, Chapieski ML, Golriz F, Zhang W. Repeatability of graph theoretical metrics derived from resting-state functional networks in paediatric epilepsy patients. Br J Radiol 2017; 90:20160656. [PMID: 28406312 PMCID: PMC5602170 DOI: 10.1259/bjr.20160656] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2016] [Revised: 03/29/2017] [Accepted: 04/12/2017] [Indexed: 01/26/2023] Open
Abstract
OBJECTIVE To measure the repeatability of metrics that quantify brain network architecture derived from resting-state functional MRI in a cohort of paediatric patients with epilepsy. METHODS We identified patients with: (1) epilepsy; (2) brain MRI at 3 T; (3) two identical resting-state functional MRI acquisitions performed on the same day. Undirected, weighted networks were constructed based on the resting-state time series using a range of processing parameters including parcellation size and graph threshold. The following topological properties were calculated: degree, strength, characteristic path length, global efficiency, clustering coefficient, modularity and small worldness. Based on repeated measures, we then calculated: (1) Pearson correlation coefficient; (2) intraclass correlation coefficient; (3) root-mean-square coefficient of variation; (4) repeatability coefficient; and (5) 95% confidence limits for change. RESULTS 26 patients were included (age range: 4-21 years). Correlation coefficients demonstrated a highly consistent relationship between repeated observations for all metrics, and the intraclass correlation coefficients were generally in the excellent range. Repeatability in the data set was not significantly influenced by parcellation size. However, trends towards decreased repeatability were observed at higher graph thresholds. CONCLUSION These findings demonstrate the reliability of network metrics in a cohort of paediatric patients with epilepsy. Advances in knowledge: Our results point to the potential for graph theoretical analyses of resting-state data to provide reliable markers of network architecture in children with epilepsy. At the level of an individual patient, change over time greater than the repeatability coefficient or 95% confidence limits for change is unlikely to be related to intrinsic variability of the method.
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Affiliation(s)
- Michael J Paldino
- Department of Radiology, Texas Children's Hospital, Houston, TX, USA
| | - Zili D Chu
- Department of Radiology, Texas Children's Hospital, Houston, TX, USA
| | - Mary L Chapieski
- Department of Pediatric Medicine, Texas Children's Hospital, Houston, TX, USA
| | - Farahnaz Golriz
- Department of Radiology, Texas Children's Hospital, Houston, TX, USA
| | - Wei Zhang
- Department of Radiology, Texas Children's Hospital, Houston, TX, USA
- Outcomes and Impact Service, Texas Children's Hospital, Houston, TX, USA
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20
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van de Ven V, Rotarska Jagiela A, Oertel-Knöchel V, Linden DEJ. Reduced intrinsic visual cortical connectivity is associated with impaired perceptual closure in schizophrenia. NEUROIMAGE-CLINICAL 2017; 15:45-52. [PMID: 28480163 PMCID: PMC5407639 DOI: 10.1016/j.nicl.2017.04.012] [Citation(s) in RCA: 37] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/21/2016] [Revised: 04/14/2017] [Accepted: 04/15/2017] [Indexed: 11/24/2022]
Abstract
Sensory perceptual processing deficits, such as impaired visual object identification and perceptual closure, have been reported in schizophrenia. These perceptual impairments may be associated with neural deficits in visual association areas, including lateral occipital cortex and inferior temporal areas. However, it remains unknown if such deficits can be found in the intrinsic architecture of the visual system. In the current study, we measured perceptual closure performance and resting-state functional connectivity using functional magnetic resonance imaging (FMRI) in 16 schizophrenia patients and 16 matched healthy controls. We estimated intrinsic functional connectivity using self-organized grouping spatial ICA, which clusters component maps in the subject space according to spatial similarity. Patients performed worse than controls in the perceptual closure task. This impaired closure performance of patients was correlated with increased severity of psychotic symptoms. We also found that intrinsic connectivity of the visual processing system was diminished in patients compared to controls. Lower perceptual closure performance was correlated to lower visual cortical intrinsic connectivity overall. We suggest that schizophrenia is associated with impaired intrinsic connectivity of the visual system, and that it is a potential mechanism leading to impaired visual object perception. These findings contribute to increasing evidence for impairments of higher visual functions in schizophrenia. We found reduced visual resting-state network connectivity in schizophrenia. Reduced connectivity correlated with impaired perceptual closure performance Schizophrenia is associated with impaired intrinsic connectivity of the visual system.
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Affiliation(s)
- Vincent van de Ven
- Department of Cognitive Neuroscience, Faculty of Psychology and Neuroscience, Maastricht University, The Netherlands.
| | - Anna Rotarska Jagiela
- Laboratory of Neuroimaging, Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, Goethe University, Frankfurt/Main 60528, Germany
| | - Viola Oertel-Knöchel
- Laboratory of Neuroimaging, Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, Goethe University, Frankfurt/Main 60528, Germany
| | - David E J Linden
- MRC Centre for Neuropsychiatric Genetics & Genomics, Division of Psychological Medicine and Clinical Neurosciences, School of Medicine, Cardiff University, United Kingdom
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21
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Meshulam M, Malach R. Trained to silence: Progressive signal inhibition during short visuo-motor training. Neuroimage 2016; 143:106-115. [DOI: 10.1016/j.neuroimage.2016.08.059] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2016] [Revised: 08/16/2016] [Accepted: 08/29/2016] [Indexed: 10/21/2022] Open
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22
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Gilaie-Dotan S. Visual motion serves but is not under the purview of the dorsal pathway. Neuropsychologia 2016; 89:378-392. [PMID: 27444880 DOI: 10.1016/j.neuropsychologia.2016.07.018] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2016] [Revised: 06/14/2016] [Accepted: 07/17/2016] [Indexed: 10/21/2022]
Abstract
Visual motion processing is often attributed to the dorsal visual pathway despite visual motion's involvement in almost all visual functions. Furthermore, some visual motion tasks critically depend on the structural integrity of regions outside the dorsal pathway. Here, based on numerous studies, I propose that visual motion signals are swiftly transmitted via multiple non-hierarchical routes to primary motion-dedicated processing regions (MT/V5 and MST) that are not part of the dorsal pathway, and then propagated to a multiplicity of brain areas according to task demands, reaching these regions earlier than the dorsal/ventral hierarchical flow. This not only places MT/V5 at the same or even earlier visual processing stage as that of V1, but can also elucidate many findings with implications to visual awareness. While the integrity of the non-hierarchical motion pathway is necessary for all visual motion perception, it is insufficient on its own, and the transfer of visual motion signals to additional brain areas is crucial to allow the different motion perception tasks (e.g. optic flow, visuo-vestibular balance, movement observation, dynamic form detection and perception, and even reading). I argue that this lateral visual motion pathway can be distinguished from the dorsal pathway not only based on faster response latencies and distinct anatomical connections, but also based on its full field representation. I also distinguish between this primary lateral visual motion pathway sensitive to all motion in the visual field, and a much less investigated optic flow sensitive medial processing pathway (from V1 to V6 and V6A) that appears to be part of the dorsal pathway. Multiple additional predictions are provided that allow testing this proposal and distinguishing between the visual pathways.
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Affiliation(s)
- Sharon Gilaie-Dotan
- UCL Institute of Cognitive Neuroscience, London WC1N 3AR, UK; Visual Science and Optometry, Bar Ilan University, Ramat Gan, Israel.
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23
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Leveque Y, Fauvel B, Groussard M, Caclin A, Albouy P, Platel H, Tillmann B. Altered intrinsic connectivity of the auditory cortex in congenital amusia. J Neurophysiol 2016; 116:88-97. [PMID: 27009161 DOI: 10.1152/jn.00663.2015] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2015] [Accepted: 03/21/2016] [Indexed: 11/22/2022] Open
Abstract
Congenital amusia, a neurodevelopmental disorder of music perception and production, has been associated with abnormal anatomical and functional connectivity in a right frontotemporal pathway. To investigate whether spontaneous connectivity in brain networks involving the auditory cortex is altered in the amusic brain, we ran a seed-based connectivity analysis, contrasting at-rest functional MRI data of amusic and matched control participants. Our results reveal reduced frontotemporal connectivity in amusia during resting state, as well as an overconnectivity between the auditory cortex and the default mode network (DMN). The findings suggest that the auditory cortex is intrinsically more engaged toward internal processes and less available to external stimuli in amusics compared with controls. Beyond amusia, our findings provide new evidence for the link between cognitive deficits in pathology and abnormalities in the connectivity between sensory areas and the DMN at rest.
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Affiliation(s)
- Yohana Leveque
- Lyon Neuroscience Research Center, INSERM U1028, CNRS UMR 5292, Lyon, France; University Lyon 1, Lyon, France;
| | - Baptiste Fauvel
- INSERM U1077, Caen, France; and Université de Caen Basse-Normandie, UMR-S1077, Caen, France
| | - Mathilde Groussard
- INSERM U1077, Caen, France; and Université de Caen Basse-Normandie, UMR-S1077, Caen, France
| | - Anne Caclin
- Lyon Neuroscience Research Center, INSERM U1028, CNRS UMR 5292, Lyon, France; University Lyon 1, Lyon, France
| | - Philippe Albouy
- Lyon Neuroscience Research Center, INSERM U1028, CNRS UMR 5292, Lyon, France; University Lyon 1, Lyon, France
| | - Hervé Platel
- INSERM U1077, Caen, France; and Université de Caen Basse-Normandie, UMR-S1077, Caen, France
| | - Barbara Tillmann
- Lyon Neuroscience Research Center, INSERM U1028, CNRS UMR 5292, Lyon, France; University Lyon 1, Lyon, France
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24
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Geiger MJ, O'Gorman Tuura R, Klaver P. Inter-hemispheric connectivity in the fusiform gyrus supports memory consolidation for faces. Eur J Neurosci 2016; 43:1137-45. [DOI: 10.1111/ejn.13197] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2015] [Revised: 12/23/2015] [Accepted: 01/22/2016] [Indexed: 12/13/2022]
Affiliation(s)
| | - Ruth O'Gorman Tuura
- Center for MR Research and Children's Research Center; University Children's Hospital; Zurich Switzerland
- Zurich Center for Integrative Human Physiology (ZIHP); University of Zurich; Zurich Switzerland
| | - Peter Klaver
- Center for MR Research and Children's Research Center; University Children's Hospital; Zurich Switzerland
- School of Psychology; University of Surrey; Guildford Surrey UK
- Department of Psychology; Division of Psychopathology and Clinical Intervention; University of Zurich; Zurich Switzerland
- Neuroscience Center Zurich; University of Zurich and ETH Zurich; Zurich Switzerland
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25
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Siuda-Krzywicka K, Bola Ł, Paplińska M, Sumera E, Jednoróg K, Marchewka A, Śliwińska MW, Amedi A, Szwed M. Massive cortical reorganization in sighted Braille readers. eLife 2016; 5:e10762. [PMID: 26976813 PMCID: PMC4805536 DOI: 10.7554/elife.10762] [Citation(s) in RCA: 70] [Impact Index Per Article: 8.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2015] [Accepted: 01/19/2016] [Indexed: 12/05/2022] Open
Abstract
The brain is capable of large-scale reorganization in blindness or after massive injury. Such reorganization crosses the division into separate sensory cortices (visual, somatosensory...). As its result, the visual cortex of the blind becomes active during tactile Braille reading. Although the possibility of such reorganization in the normal, adult brain has been raised, definitive evidence has been lacking. Here, we demonstrate such extensive reorganization in normal, sighted adults who learned Braille while their brain activity was investigated with fMRI and transcranial magnetic stimulation (TMS). Subjects showed enhanced activity for tactile reading in the visual cortex, including the visual word form area (VWFA) that was modulated by their Braille reading speed and strengthened resting-state connectivity between visual and somatosensory cortices. Moreover, TMS disruption of VWFA activity decreased their tactile reading accuracy. Our results indicate that large-scale reorganization is a viable mechanism recruited when learning complex skills. DOI:http://dx.doi.org/10.7554/eLife.10762.001 According to most textbooks, our brain is divided into separate areas that are dedicated to specific senses. We have a visual cortex for vision, a tactile cortex for touch, and so on. However, researchers suspect that this division might not be as fixed as the textbooks say. For example, blind people can switch their 'leftover' visual cortex to non-visual purposes, such as reading Braille – a tactile alphabet. Can this switch in functional organization also happen in healthy people with normal vision? To investigate this, Siuda-Krzywicka, Bola et al. taught a group of healthy, sighted people to read Braille by touch, and monitored the changes in brain activity that this caused using a technique called functional magnetic resonance imaging. According to textbooks, tactile reading should engage the tactile cortex. Yet, the experiment revealed that the brain activity critical for reading Braille by touch did not occur in the volunteers’ tactile cortex, but in their visual cortex. Further experiments used a technique called transcranial magnetic stimulation to suppress the activity of the visual cortex of the volunteers. This impaired their ability to read Braille by touch. This is a clear-cut proof that sighted adults can re-program their visual cortex for non-visual, tactile purposes. These results show that intensive training in a complex task can overcome the sensory division-of-labor of our brain. This indicates that our brain is much more flexible than previously thought, and that such flexibility might occur when we learn everyday, complex skills such as driving a car or playing a musical instrument. The next question that follows from this work is: what enables the brain’s activity to change after learning to read Braille? To understand this, Siuda-Krzywicka, Bola et al. are currently exploring how the physical structure of the brain changes as a result of a person acquiring the ability to read Braille by touch. DOI:http://dx.doi.org/10.7554/eLife.10762.002
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Affiliation(s)
- Katarzyna Siuda-Krzywicka
- Department of Psychology, Jagiellonian University, Kraków, Poland.,INSERM U 1127, CNRS UMR 7225, Sorbonne Universités, and Université Pierre et Marie Curie-Paris 6, UMR S 1127, Institut du Cerveau et de la Moelle épinière (ICM), Paris, France
| | - Łukasz Bola
- Department of Psychology, Jagiellonian University, Kraków, Poland.,Laboratory of Brain Imaging, Neurobiology Center, Nencki Institute of Experimental Biology, Warsaw, Poland
| | | | - Ewa Sumera
- Institute for the Blind and Partially Sighted Children in Krakow, Kraków, Poland
| | - Katarzyna Jednoróg
- Laboratory of Psychophysiology, Department of Neurophysiology, Nencki Institute of Experimental Biology, Warsaw, Poland
| | - Artur Marchewka
- Laboratory of Brain Imaging, Neurobiology Center, Nencki Institute of Experimental Biology, Warsaw, Poland
| | - Magdalena W Śliwińska
- Department of Experimental Psychology, University College London, London, United Kingdom
| | - Amir Amedi
- The Cognitive Science Program, The Hebrew University of Jerusalem, Jerusalem, Israel.,Department of Medical Neurobiology, The Institute for Medical Research Israel-Canada, Faculty of Medicine, The Hebrew University of Jerusalem, Jerusalem, Israel.,The Edmond and Lily Safra Center for Brain Sciences, The Hebrew University of Jerusalem, Jerusalem, Israel.,Sorbonne Universite´s, UPMC Univ Paris 06, Institut de la Vision, Paris, France
| | - Marcin Szwed
- Department of Psychology, Jagiellonian University, Kraków, Poland
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26
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Klein C, Liem F, Hänggi J, Elmer S, Jäncke L. The "silent" imprint of musical training. Hum Brain Mapp 2016; 37:536-46. [PMID: 26538421 PMCID: PMC6867483 DOI: 10.1002/hbm.23045] [Citation(s) in RCA: 56] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2015] [Revised: 10/13/2015] [Accepted: 10/22/2015] [Indexed: 01/21/2023] Open
Abstract
Playing a musical instrument at a professional level is a complex multimodal task requiring information integration between different brain regions supporting auditory, somatosensory, motor, and cognitive functions. These kinds of task-specific activations are known to have a profound influence on both the functional and structural architecture of the human brain. However, until now, it is widely unknown whether this specific imprint of musical practice can still be detected during rest when no musical instrument is used. Therefore, we applied high-density electroencephalography and evaluated whole-brain functional connectivity as well as small-world topologies (i.e., node degree) during resting state in a sample of 15 professional musicians and 15 nonmusicians. As expected, musicians demonstrate increased intra- and interhemispheric functional connectivity between those brain regions that are typically involved in music perception and production, such as the auditory, the sensorimotor, and prefrontal cortex as well as Broca's area. In addition, mean connectivity within this specific network was positively related to musical skill and the total number of training hours. Thus, we conclude that musical training distinctively shapes intrinsic functional network characteristics in such a manner that its signature can still be detected during a task-free condition. Hum Brain Mapp 37:536-546, 2016. © 2015 Wiley Periodicals, Inc.
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Affiliation(s)
- Carina Klein
- Division NeuropsychologyInstitute of Psychology, University of ZurichSwitzerland
| | - Franziskus Liem
- Division NeuropsychologyInstitute of Psychology, University of ZurichSwitzerland
| | - Jürgen Hänggi
- Division NeuropsychologyInstitute of Psychology, University of ZurichSwitzerland
| | - Stefan Elmer
- Division NeuropsychologyInstitute of Psychology, University of ZurichSwitzerland
| | - Lutz Jäncke
- Division NeuropsychologyInstitute of Psychology, University of ZurichSwitzerland
- International Normal Aging and Plasticity Imaging Center (INAPIC), University of ZurichSwitzerland
- Center for Integrative Human Physiology (ZIHP), University of ZurichSwitzerland
- University Research Priority Program (URPP), Dynamic of Healthy Aging, University of ZurichSwitzerland
- Department of Special EducationKing Abdulaziz UniversityJeddahSaudi Arabia
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Nasrallah FA, To XV, Chen DY, Routtenberg A, Chuang KH. Functional connectivity MRI tracks memory networks after maze learning in rodents. Neuroimage 2015; 127:196-202. [PMID: 26299794 DOI: 10.1016/j.neuroimage.2015.08.013] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2014] [Revised: 07/11/2015] [Accepted: 08/03/2015] [Indexed: 12/31/2022] Open
Abstract
Learning and memory employs a series of cognitive processes which require the coordination of multiple areas across the brain. However in vivo imaging of cognitive function has been challenging in rodents. Since these processes involve synchronous firing among different brain loci we explored functional connectivity imaging with resting-state fMRI. After 5-day training on a hidden platform watermaze task, notable signal correlations were seen between the hippocampal CA3 and other structures, including thalamus, septum and cingulate cortex, compared to swim control or naïve animals. The connectivity sustained 7 days after training and was reorganized toward the cortex, consistent with views of memory trace distribution leading to memory consolidation. These data demonstrates that, after a cognitive task, altered functional connectivity can be detected in the subsequently sedated rodent using in vivo imaging. This approach paves the way to understand dynamics of area-dependent distribution processes in animal models of cognition.
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Affiliation(s)
| | - Xuan Vinh To
- MRI Group, Singapore Bioimaging Consortium, A*STAR, Singapore
| | - Der-Yow Chen
- Psychology, National Cheng-Kung University, Tainan, Taiwan
| | - Aryeh Routtenberg
- Psychology, Neurobiology and Physiology, Northwestern University, Evanston, IL, USA; Physiology, Feinberg School of Medicine Northwestern University, Chicago, IL, USA
| | - Kai-Hsiang Chuang
- MRI Group, Singapore Bioimaging Consortium, A*STAR, Singapore; Clinical Imaging Research Centre, National University of Singapore, Singapore; Department of Physiology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
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28
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Semantic access occurs outside of awareness for the ground side of a figure. Atten Percept Psychophys 2015; 76:2531-47. [PMID: 25091977 DOI: 10.3758/s13414-014-0743-y] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Traditional theories of vision assume that figures and grounds are assigned early in processing, with semantics being accessed later and only by figures, not by grounds. We tested this assumption by showing observers novel silhouettes with borders that suggested familiar objects on their ground side. The ground appeared shapeless near the figure's borders; the familiar objects suggested there were not consciously perceived. Participants' task was to categorize words shown immediately after the silhouettes as naming natural versus artificial objects. The words named objects from the same or from a different superordinate category as the familiar objects suggested in the silhouette ground. In Experiment 1, participants categorized words faster when they followed silhouettes suggesting upright familiar objects from the same rather than a different category on their ground sides, whereas no category differences were observed for inverted silhouettes. This is the first study to show unequivocally that, contrary to traditional assumptions, semantics are accessed for objects that might be perceived on the side of a border that will ultimately be perceived as a shapeless ground. Moreover, although the competition for figural status results in suppression of the shape of the losing contender, its semantics are not suppressed. In Experiment 2, we used longer silhouette-to-word stimulus onset asynchronies to test whether semantics would be suppressed later in time, as might occur if semantics were accessed later than shape memories. No evidence of semantic suppression was observed; indeed, semantic activation of the objects suggested on the ground side of a border appeared to be short-lived. Implications for feedforward versus dynamical interactive theories of object perception are discussed.
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Roy D, Sigala R, Breakspear M, McIntosh AR, Jirsa VK, Deco G, Ritter P. Using the Virtual Brain to Reveal the Role of Oscillations and Plasticity in Shaping Brain's Dynamical Landscape. Brain Connect 2014; 4:791-811. [DOI: 10.1089/brain.2014.0252] [Citation(s) in RCA: 37] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023] Open
Affiliation(s)
- Dipanjan Roy
- Department of Neurology, Charité—University Medicine, Berlin, Germany
- Bernstein Focus State Dependencies of Learning & Bernstein Center for Computational Neuroscience, Berlin, Germany
| | - Rodrigo Sigala
- Department of Neurology, Charité—University Medicine, Berlin, Germany
- Bernstein Focus State Dependencies of Learning & Bernstein Center for Computational Neuroscience, Berlin, Germany
| | - Michael Breakspear
- Division of Mental Health Research, Queensland Institute of Medical Research, Brisbane, QLD, Australia
- School of Psychiatry, University of New South Wales and The Black Dog Institute, Sydney, NSW, Australia
- The Royal Brisbane and Woman's Hospital, Brisbane, QLD, Australia
| | | | - Viktor K. Jirsa
- Institut de Neurosciences des Systèmes UMR INSERM 1106, Aix-Marseille Université Faculté de Médecine, Marseille, France
| | - Gustavo Deco
- Center for Brain and Cognition, Universitat Pompeu Fabra, ICREA (Institut Catala Recerca i Estudis Avancats), Barcelona, Spain
| | - Petra Ritter
- Department of Neurology, Charité—University Medicine, Berlin, Germany
- Bernstein Focus State Dependencies of Learning & Bernstein Center for Computational Neuroscience, Berlin, Germany
- Minerva Research Group BrainModes, Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany
- Berlin School of Mind and Brain & Mind and Brain Institute, Humboldt University, Berlin, Germany
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30
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Fauvel B, Groussard M, Chételat G, Fouquet M, Landeau B, Eustache F, Desgranges B, Platel H. Morphological brain plasticity induced by musical expertise is accompanied by modulation of functional connectivity at rest. Neuroimage 2014; 90:179-88. [DOI: 10.1016/j.neuroimage.2013.12.065] [Citation(s) in RCA: 75] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2013] [Revised: 12/26/2013] [Accepted: 12/30/2013] [Indexed: 12/25/2022] Open
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31
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Abstract
Although brain plasticity is greatest in the first few years of life, the brain continues to be shaped by experience throughout adulthood. Advances in fMRI have enabled us to examine the plasticity of large-scale networks using blood oxygen level–dependent (BOLD) correlations measured at rest. Resting-state functional connectivity analysis makes it possible to measure task-independent changes in brain function and therefore could provide unique insights into experience-dependent brain plasticity in humans. Here, we evaluate the hypothesis that resting-state functional connectivity reflects the repeated history of co-activation between brain regions. To this end, we review resting-state fMRI studies in the sensory, motor, and cognitive learning literature. This body of research provides evidence that the brain’s resting-state functional architecture displays dynamic properties in young adulthood.
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Affiliation(s)
| | - Allyson P. Mackey
- Department of Brain and Cognitive Sciences, Massachusetts Institute of Technology, Cambridge, MA, USA
| | - Silvia A. Bunge
- Department of Psychology, University of California, Berkeley, Berkeley, CA, USA
- Helen Wills Neuroscience Institute, University of California, Berkeley, Berkeley, CA, USA
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32
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Brain mechanisms for prepulse inhibition in adults with Tourette syndrome: initial findings. Psychiatry Res 2013; 214:33-41. [PMID: 23916249 PMCID: PMC3932431 DOI: 10.1016/j.pscychresns.2013.05.009] [Citation(s) in RCA: 46] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/29/2012] [Revised: 04/21/2013] [Accepted: 05/17/2013] [Indexed: 11/23/2022]
Abstract
Prepulse inhibition (PPI) of the startle reflex is disrupted in a number of developmental neuropsychiatric disorders, including Tourette syndrome (TS). This disruption is hypothesized to reflect abnormalities in sensorimotor gating. We applied whole-brain functional magnetic resonance imaging (fMRI) to elucidate the neural correlates of PPI in adult TS subjects using airpuff stimuli to the throat to elicit a tactile startle response. We used a cross-sectional, case-control study design and a blocked-design fMRI paradigm. There were 33 participants: 17 with TS and 16 healthy individuals. As a measure of PPI-related brain activity, we looked for differential cerebral activation to prepulse-plus-pulse stimuli versus activation to pulse-alone stimuli. In healthy subjects, PPI was associated with increased activity in multiple brain regions, of which activation in the left middle frontal gyrus in the healthy controls showed a significant linear correlation with the degree of PPI measured outside of the magnet. Group comparisons identified nine regions where brain activity during PPI differed significantly between TS and healthy subjects. Among the TS subjects, activation in the left caudate was significantly correlated with current tic severity as measured by the total score on the Yale Global Tic Severity Scale. Differential activation of the caudate nucleus associated with current tic severity is consistent with neuropathological data and suggests that portions of cortical-striatal circuits may modulate the severity of tic symptoms in adulthood.
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33
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The day-after effect: long term, Hebbian-like restructuring of resting-state fMRI patterns induced by a single epoch of cortical activation. J Neurosci 2013; 33:9488-97. [PMID: 23719815 DOI: 10.1523/jneurosci.5911-12.2013] [Citation(s) in RCA: 80] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
During rest, the cerebral cortex displays rich, coordinated patterns of spontaneous activity. The mechanism that shapes these patterns is largely unknown. Here we demonstrate that a Hebbian-like, sustained process plays a role in focusing these coherent patterns. Human subjects used an fMRI-based neurofeedback (NF) paradigm to intensely activate the dorsal anterior cingulate cortex for a single epoch (30 min). Resting-state correlations between all of the cortical voxels' BOLD time courses (functional connectivity) were mapped before, immediately after, and one day after the NF session. We found that the single epoch of cortical activation induced a lasting restructuring of the functional connections according to a Hebbian-like rule. Therefore, the change (increase and decrease) in functional connectivity strength of cortical voxels during rest reflected the level of their prior coactivation during the NF epoch. Interestingly, the effect was significantly enhanced 1 d after the NF activation epoch. The effect was evident in each subject individually, indicating its potential as a diagnostic window into the personal history of prior brain activations of both healthy and abnormal individuals.
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34
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Understanding DCM: ten simple rules for the clinician. Neuroimage 2013; 83:542-9. [PMID: 23850463 DOI: 10.1016/j.neuroimage.2013.07.008] [Citation(s) in RCA: 54] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2013] [Revised: 06/18/2013] [Accepted: 07/02/2013] [Indexed: 01/07/2023] Open
Abstract
Despite almost a decade since the introduction of Dynamic Causal Modelling (DCM), there remains some confusion within the wider neuroimaging, neuroscience and clinical communities as to what DCM studies are probing, and what all the jargon means. We provide ten simple rules, and a theoretical example to gently introduce the reader to the rationale behind DCM analyses, and how one should consider neuroimaging data and experiments that use DCM. It is deliberately written as a primer or orientation for non-technical imaging neuroscientists or clinicians who have had to contend with the technical intricacies of understanding DCM.
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