Abnormal inhibition of return: A review and new data on patients with parietal lobe damage

Characterization of attentional event-related potential from REM sleep behavior disorder patients based on explainable machine learning

BACKGROUND AND OBJECTIVE

Idiopathic rapid eye movement sleep behavior disorder (iRBD) is a prodromal stage of neurodegeneration and is associated with cortical dysfunction. The purpose of this study was to investigate the spatiotemporal characteristics of cortical activities underlying impaired visuospatial attention in iRBD patients using an explainable machine-learning approach.

METHODS

An algorithm based on a convolutional neural network (CNN) was devised to discriminate cortical current source activities of iRBD patients due to single-trial event-related potentials (ERPs), from those of normal controls. The ERPs from 16 iRBD patients and 19 age- and sex-matched normal controls were recorded while the subjects were performing visuospatial attentional task, and converted to two-dimensional images representing current source densities on flattened cortical surface. The CNN classifier was trained based on overall data, and then, a transfer learning approach was applied for the fine-tuning to each patient.

RESULTS

The trained classifier yielded high classification accuracy. The critical features for the classification were determined by layer-wise relevance propagation, so that the spatiotemporal characteristics of cortical activities that were most relevant to cognitive impairment in iRBD were revealed.

CONCLUSIONS

These results suggest that the recognized dysfunction in visuospatial attention of iRBD patients originates from neural activity impairment in relevant cortical regions and may contribute to the development of useful iRBD biomarkers based on neural activity.

The role of the parietal cortex in inhibitory processing in the vertical meridian: Evidence from elderly brain damaged patients

We explored the effects of parietal damage on inhibitory effects of visuospatial attention, inhibition of return (IOR) and inhibitory tagging (IT), in the vertical meridian. We combined a vertical spatial cue paradigm with a Stroop task employing three different temporal intervals between the spatial cue and the target (700, 1200 and 2000 ms) in two groups of patients, one with damage to the parietal cortex and underlying white matter (the parietal patients group) and the other with damage in other brain areas not including the parietal lobe (the control patient group), and a healthy control group. Healthy controls showed the expected inhibitory effects, IOR at the 700 and 1200 intervals and IT at the 1200 interval (as evidenced in a reduction in the magnitude of Stroop interference at the cued location). On the other hand, only the group of parietal patients showed delayed onset of inhibitory effects, IOR and IT appeared at the 1200 ms and 2000 ms intervals, respectively. These findings provide evidence for a role of the parietal cortex, and the underlying fibre tracts, in inhibitory processing in the vertical meridian, with damage to the parietal cortex altering the time course of attention-dependent inhibition.

Functional Specialization in the Attention Network

Spatial attention is comprised of neural mechanisms that boost sensory processing at a behaviorally relevant location while filtering out competing information. The present review examines functional specialization in the network of brain regions that directs such preferential processing. This attention network includes both cortical (e.g., frontal and parietal cortices) and subcortical (e.g., the superior colliculus and the pulvinar nucleus of the thalamus) structures. Here, we piece together existing evidence that these various nodes of the attention network have dissociable functional roles by synthesizing results from electrophysiology and neuroimaging studies. We describe functional specialization across several dimensions (e.g., at different processing stages and within different behavioral contexts), while focusing on spatial attention as a dynamic process that unfolds over time. Functional contributions from each node of the attention network can change on a moment-to-moment timescale, providing the necessary cognitive flexibility for sampling from highly dynamic environments.

Time course of the inhibitory tagging effect in ongoing emotional processing. A HD-tDCS study

When a cueing procedure that usually triggers inhibition of return (IOR) effects is combined with tasks that tap semantic processing, or involve response-based conflict, an inhibitory tagging (IT) emerges that disrupts responses to stimuli at inhibited locations. IT seems to involve the executive prefrontal cortex, mainly the left dorsolateral prefrontal cortex (DLPFC), in cognitive conflict tasks. Contrary to other inhibitory effects, IT has been observed with rather short intervals, concretely when the stimulus onset asynchrony (SOA) between the prime presented at the cued location, and the subsequent target is 250 ms. Here we asked whether IT is also applied to ongoing emotional processing, and whether the left DLPFC plays a causal role in IT using HD-tDCS. In two experiments with an emotional conflict task, we observed reduced conflict effects, the signature of IT, when the prime word was presented at the cued location, and once again when the prime-target SOA was just 250 ms. Also, the IT effect was eliminated when cathodal stimulation was applied to the left DLPFC. These findings suggest that the IT effect involves areas of the executive attention network and cooperates with IOR to favor attentional allocation to novel unexplored objects/locations, irrespective of their emotional content.

Neurophysiological Activations of Predictive and Non-predictive Exogenous Cues: A Cue-Elicited EEG Study on the Generation of Inhibition of Return

In cueing tasks, predictive and non-predictive exogenous spatial cues produce distinct patterns of behavioral effects. Although both cues initially attract attention, only non-predictive cues lead to inhibitory effects (worse performance at the cued location as compared to the uncued location) if the time elapsed between the cue and the target is long enough. However, the process/processes leading to the later inhibitory effect, named inhibition of return (IOR), are still under debate. In the present study, we used cue-elicited EEG activations from predictive and non-predictive exogenous spatial cues to further investigate the neural processes involved in IOR. Unlike previous similar studies, we intermixed both types of cues in a block of trials, in an attempt to identify the unique neurophysiological activations associated with the generation of IOR. We found that predictive and non-predictive cues significantly differed in activation just at 400-470 ms post-cue window. Activation was greater for non-predictive cues in the intraparietal sulcus (IPS), and this activation correlated significantly with IOR effects. These findings support the hypothesis that the posterior parietal cortex plays a crucial role in the generation of IOR.

Memory instruction interacts with both visual and motoric inhibition of return

In the item-method directed forgetting paradigm, the magnitude of inhibition of return (IOR) is larger after an instruction to forget (F) than after an instruction to remember (R). In the present experiments, we further investigated this increased magnitude of IOR after F than after R memory instructions, to determine whether this F > R IOR pattern occurs only for the motoric form of IOR, as predicted, or also for the visual form. In three experiments, words were presented in one of two peripheral locations, followed by either an F or an R memory instruction. Then, a target appeared either at the same location as the previous word or at the other location. In Experiment 1, participants maintained fixation throughout the trial until the target appeared, at which point they made a saccade to the target. In Experiment 2, they maintained fixation throughout the entire trial and made a manual localization response to the target. The F > R IOR difference in reaction times occurred for both the saccadic and manual responses, suggesting that memory instructions modify both motoric and visual forms of IOR. In Experiment 3, participants made a perceptual discrimination response to report the identity of a target while the eyes remained fixed. The F > R IOR difference also occurred for these manual discrimination responses, increasing our confidence that memory instructions modify the visual form of IOR. We relate our findings to postulated differences in attentional withdrawal following F and R instructions and consider the implications of the findings for successful forgetting.

Temporal grouping modulates ipsilateral capture in right visual neglect

The current study assessed the performance of a patient with right neglect (M.A.H.) across various manipulations of the flanker paradigm. When required to identify a central target in the presence of a unilateral flanker, M.A.H. responded to the flanking distractor on the left (ipsilesional) side as if it were the target, even when the flanker appeared at left peripheral locations. A right (contralesional) flanker did not affect central identification performance (Experiment 1). The "ipsilesional capture" effect persisted when pretrial location markers were introduced to make the flanker and target locations more clearly defined (Experiment 2). However, when the ipsilesional flanker appeared simultaneously with a contralesional flanker, central target detection improved to ceiling (Experiment 3). Interestingly, with these three-stimulus displays, congruency effects in reaction time only occurred in relation to the flanker on the contralesional side (Experiment 3), suggesting impaired response selectivity to ipsilesional stimuli. Congruency effects were produced on both sides only when the two flanking distractors grouped together (by both onset and offset, Experiment 4) and when the ipsilesional flanking distractor grouped with the target by onset (lone contra offset, Experiment 4). The results are attributed to ipsilesional capture in central target detection, which is offset by temporal grouping processes when another stimulus appears on the contralateral side.

Relating dopaminergic and cholinergic polymorphisms to spatial attention in infancy

Early selective attention skills are a crucial building block for cognitive development, as attention orienting serves as a primary means by which infants interact with and learn from the environment. Although several studies have examined infants' attention orienting using the spatial cueing task, relatively few studies have examined neurodevelopmental factors associated with attention orienting during infancy. The present study examined the relationship between normative genetic polymorphisms affecting dopamine and acetylcholine signaling and attention orienting in 7-month-old infants during a spatial cueing task. We focused on 3 genes, including the CHRNA4 C¹⁵⁴⁵T SNP (rs10344946), DAT1 3'UTR VNTR, and COMT Val¹⁵⁸Met SNP (rs4680), as previous adult research has linked spatial attention skills to these polymorphisms. Behavioral measures included both facilitation of orienting at the cued location as well as inhibition of return (IOR), in which attention orienting is suppressed at the cued location. Results indicated that COMT Val carriers showed robust IOR relative to infants with the Met/Met genotype. However, COMT was unrelated to infants' facilitation responses, and there were no effects of CHRNA4 or DAT1 on either facilitation or IOR. Overall, this study suggests that variations in dopamine signaling, likely in prefrontal cortex, contribute to individual differences in orienting during early development.

Inhibition of return: Twenty years after

When responding to a suddenly appearing stimulus, we are slower and/or less accurate when the stimulus occurs at the same location of a previous event than when it appears in a new location. This phenomenon, often referred to as inhibition of return (IOR), has fostered a huge amount of research in the last 20 years. In this selective review, which introduces a Special Issue of Cognitive Neuropsychology dedicated to IOR, we discuss some of the methods used for eliciting IOR and its boundary conditions. We also address its debated relationships with orienting of attention, succinctly review findings of altered IOR in normal elderly and neuropsychiatric patients, and present results concerning its possible neural bases. We conclude with an outline of the papers collected in this issue, which offer a more in-depth treatment of behavioural, neural, and theoretical issues related to IOR.

The involvement of bottom-up saliency processing in endogenous inhibition of return

Participants are faster at detecting a visual target when it appears at a cued, as compared with an uncued, location. In general, a reversal of this cost-benefit pattern is observed after exogenous cuing when the cue-target interval exceeds approximately 250 ms (inhibition of return [IOR]), and not after endogenous cuing. We suggest that, usually, no IOR is found with endogenous cues because no bottom-up saliency-based orienting processes are claimed. Therefore, we developed an endogenous feature-based split-cue task to allow for endogenous saliency-based orienting. IOR was observed in the saliency-driven endogenous cuing condition, and not in the control condition that prevented saliency-based orienting. These results suggest that usage of saliency-based orienting processes in either endogenous or exogenous orienting warrants the appearance of IOR.

Brain networks of visuospatial attention and their disruption in visual neglect

Visual neglect is a multi-component syndrome including prominent attentional disorders. Research on the functional mechanisms of neglect is now moving from the description of dissociations in patients' performance to the identification of the possible component deficits and of their interaction with compensatory strategies. In recent years, the dissection of attentional deficits in neglect has progressed in parallel with increasing comprehension of the anatomy and function of large-scale brain networks implicated in attentional processes. This review focuses on the anatomy and putative functions of attentional circuits in the brain, mainly subserved by fronto-parietal networks, with a peculiar although not yet completely elucidated role for the right hemisphere. Recent results are discussed concerning the influence of a non-spatial attentional function, phasic alertness, on conscious perception in normal participants and on conflict resolution in neglect patients. The rapid rate of expansion of our knowledge of these systems raises hopes for the development of effective strategies to improve the functioning of the attentional networks in brain-damaged patients.

Cortical control of inhibition of return: evidence from patients with inferior parietal damage and visual neglect

Inhibition of return (IOR) refers to slower reaction times to targets presented at previously stimulated or inspected locations. This phenomenon biases orienting towards novel locations and is functional to an effective exploration of the environment. Patients with right brain damage and left visual neglect explore their environment asymmetrically, with strong difficulties to orient attention to left-sided objects. We show for the first time a dissociation between manual and saccadic IOR in neglect. Our patients demonstrated facilitation, instead of inhibition, for repeated right-sided targets with manual responses, but normal IOR to right-sided targets with saccadic responses. All neglect patients had damage to the supramarginal gyrus in the right parietal lobe, or to its connections with the ipsilateral prefrontal cortex. We concluded that IOR with manual responses relies on fronto-parietal attentional networks in the right hemisphere, whose functioning is typically impaired in neglect patients. Saccadic IOR may instead depend on circuits less likely to be damaged in neglect, such as the retinotectal visual pathway.

Shifting attention in viewer- and object-based reference frames after unilateral brain injury

The aims of the present study were to investigate the respective roles that object- and viewer-based reference frames play in reorienting visual attention, and to assess their influence after unilateral brain injury. To do so, we studied 16 right hemisphere injured (RHI) and 13 left hemisphere injured (LHI) patients. We used a cueing design that manipulates the location of cues and targets relative to a display comprised of two rectangles (i.e., objects). Unlike previous studies with patients, we presented all cues at midline rather than in the left or right visual fields. Thus, in the critical conditions in which targets were presented laterally, reorienting of attention was always from a midline cue. Performance was measured for lateralized target detection as a function of viewer-based (contra- and ipsilesional sides) and object-based (requiring reorienting within or between objects) reference frames. As expected, contralesional detection was slower than ipsilesional detection for the patients. More importantly, objects influenced target detection differently in the contralesional and ipsilesional fields. Contralesionally, reorienting to a target within the cued object took longer than reorienting to a target in the same location but in the uncued object. This finding is consistent with object-based neglect. Ipsilesionally, the means were in the opposite direction. Furthermore, no significant difference was found in object-based influences between the patient groups (RHI vs. LHI). These findings are discussed in the context of reference frames used in reorienting attention for target detection.

Deficient inhibition of return in chronic but not first-episode patients with schizophrenia

BACKGROUND

Inhibition of return (IOR) has been tested in patients with schizophrenia with contradictory results. Some studies indicated that patients with schizophrenia have normal levels of IOR; however, other studies reported delayed or blunted IOR. Inconsistency in findings might be due to differences across studies in relevant aspects associated with disease, such as heterogeneity of the disorder, different medications, onset and severity of the illness. The present study was to explore different patterns of IOR in antipsychotic medication free first-episode schizophrenia and chronic schizophrenia.

METHODS

Forty two patients with first-episode schizophrenia, 44 patients with chronic schizophrenia, and 38 healthy controls were included in the study. All subjects went through a covert orienting of attention task with seven stimulus onset asynchrony (SOA) intervals (400 ms, 500 ms, 600 ms, 700 ms, 800 ms, 1200 ms and 1500 ms).

RESULTS

Compared with healthy controls, the magnitude and onset of IOR in first-episode patients with schizophrenia were intact. However, in patients with chronic schizophrenia, there was an attenuated cuing effect especially at SOA 700 ms; in addition, there was a robust IOR until at SOAs 800 ms or above. Moreover, the illness duration and the number of psychotic episodes were significantly correlated with the validity effect at SOAs 400 ms and 600 ms.

CONCLUSION

Our study suggests that deficient IOR presents in chronic but not in first-episode patients with schizophrenia. IOR deficit in schizophrenia may begin during the course of illness and deteriorate over the course of illness. Our findings are consistent with the neurodegenerative model of schizophrenia.

Pleasant music overcomes the loss of awareness in patients with visual neglect

During the past 20 years there has been much research into the factors that modulate awareness of contralesional information in neurological patients with visual neglect or extinction. However, the potential role of the individual's emotional state in modulating awareness has been largely overlooked. In the current study, we induced a pleasant and positive affective response in patients with chronic visual neglect by allowing them to listen to their pleasant preferred music. We report that the patients showed enhanced visual awareness when tasks were performed under preferred music conditions relative to when tasks were performed either with unpreferred music or in silence. These results were also replicated when positive affect was induced before neglect was tested. Functional MRI data showed enhanced activity in the orbitofrontal cortex and the cingulate gyrus associated with emotional responses when tasks were performed with preferred music relative to unpreferred music. Improved awareness of contralesional (left) targets with preferred music was also associated with a strong functional coupling between emotional areas and attentional brain regions in spared areas of the parietal cortex and early visual areas of the right hemisphere. These findings suggest that positive affect, generated by preferred music, can decrease visual neglect by increasing attentional resources. We discuss the possible roles of arousal and mood in generating these effects.

Left visual neglect: is the disengage deficit space- or object-based?

Attention can be directed to spatial locations or to objects in space. Patients with left unilateral spatial neglect are slow to respond to a left-sided target when it is preceded by a right-sided "invalid" cue, particularly at short cue-target intervals, suggesting an impairment in disengaging attention from the right side in order to orient it leftward. We wondered whether this deficit is purely spatial, or it is influenced by the presence of a right-sided visual object. To answer this question, we tested 10 right brain-damaged patients with chronic left-neglect and 41 control participants on a cued response time (RT) detection task in which targets could appear in either of two lateral boxes. In different conditions, non-informative peripheral cues either consisted in the brightening of the contour of one lateral box (onset cue condition), or in the complete disappearance of one lateral box (offset cue condition). The target followed the cue at different stimulus-onset asynchronies (SOAs). If the disengagement deficit (DD) is purely space-based, then it should not vary across the two cueing conditions. With onset cues, patients showed a typical DD at short SOAs. With offset cues, however, the DD disappeared. Thus, patients did not show any DD when there was no object from which attention must be disengaged. These findings indicate that the attentional bias in left-neglect does not concern spatial locations per se, but visual objects in space.