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Cheng S, Qiu X, Mo L, Li S, Xu F, Zhang D. Asynchronous Involvement of VLPFC and DLPFC During Negative Emotion Processing: An Online Transcranial Magnetic Stimulation Study. Neuroscience 2024; 551:237-245. [PMID: 38838979 DOI: 10.1016/j.neuroscience.2024.05.041] [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: 06/19/2023] [Revised: 05/27/2024] [Accepted: 05/29/2024] [Indexed: 06/07/2024]
Abstract
The ventrolateral prefrontal cortex (VLPFC) and dorsolateral prefrontal cortex (DLPFC) have been found to play important roles in negative emotion processing. However, the specific time window of their involvement remains unknown. This study addressed this issue in three experiments using single-pulse transcranial magnetic stimulation (TMS). We found that TMS applied over the VLPFC at 400 ms after negative emotional exposure significantly enhanced negative feelings compared to the vertex condition. Furthermore, TMS applied over the DLPFC at both 0 ms and 600 ms after negative emotional exposure also resulted in deteriorated negative feelings. These findings provide potential evidence for the VLPFC-dependent semantic processing (∼400 ms) and the DLPFC-dependent attentional and cognitive control (∼0/600 ms) in negative emotion processing. The asynchronous involvement of these frontal cortices not only deepens our understanding of the neural mechanisms underlying negative emotion processing but also provides valuable temporal parameters for neurostimulation therapy targeting patients with mood disorders.
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Affiliation(s)
- Si Cheng
- Institute of Brain and Psychological Sciences, Sichuan Normal University, Chengdu 610066, China; School of Psychology, Shenzhen University, Shenzhen 518060, China
| | - Xiufu Qiu
- School of Psychology, Shenzhen University, Shenzhen 518060, China
| | - Licheng Mo
- School of Psychology, Shenzhen University, Shenzhen 518060, China
| | - Sijin Li
- School of Psychology, Shenzhen University, Shenzhen 518060, China
| | - Feng Xu
- Shenzhen Yingchi Technology Co. Ltd, Shenzhen 518057, China
| | - Dandan Zhang
- Institute of Brain and Psychological Sciences, Sichuan Normal University, Chengdu 610066, China; Shenzhen-Hong Kong Institute of Brain Science, Shenzhen 518060, China; Magnetic Resonance Imaging (MRI) Center, Shenzhen University, Shenzhen, China.
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2
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Franco J, Laganaro M. Are brain activity changes underlying rare word production after learning specific or do they extend to semantically related rare words? Cortex 2024; 178:174-189. [PMID: 39018954 DOI: 10.1016/j.cortex.2024.06.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2023] [Revised: 03/12/2024] [Accepted: 06/10/2024] [Indexed: 07/19/2024]
Abstract
Learning words in the mother tongue is a fundamental lifelong skill that involves complex cognitive and neural changes. In adults, newly learned words affect the organization of the lexical-semantic network and, compared to words that have been in the lexicon for longer, they activate the same cortical areas, but more extensively and/or intensively. It is however still unclear (1) which brain and cognitive processes underlying word production change when infrequent/unknown words are compared before and after learning and (2) whether integrating newly learned words impacts word specific processes or has a broader impact on unlearned words. The present study aims to investigate the electrophysiological changes underlying the production of rare words induced by learning and the effect of learning on an unlearned list of rare words belonging to the same semantic categories. To this end, 24 neurotypical adults learned one of two matched lists of 40 concrete rare words from 4 semantic categories. EEG (electroencephalographic) recordings were acquired during a referential word production task (picture naming) of the learned and unlearned words before and after the learning phase. The results show that the production of rare word is associated with event-related (ERP) differences between before and after learning in the period from 300 to 800 msec following the presentation of the imaged concept (picture). These differences consisted in a larger involvement of left temporal and parietal regions after learning between 300 and 400 msec i.e., the time window likely corresponding to lexical and phonological encoding processes. Crucially, the ERP changes are not restricted to the production of the learned rare words, but are also observed when participants try to retrieve words of a list of semantically and lexically matched rare words that they have not learned. The ERP changes on unlearned rare words are weaker and suggest that learning new words induces boarder effects also on unlearned words.
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Affiliation(s)
- Julie Franco
- Faculty of Psychology and Educational Science, University of Geneva, Geneva, Switzerland.
| | - Marina Laganaro
- Faculty of Psychology and Educational Science, University of Geneva, Geneva, Switzerland.
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3
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Gann EC, Xiong Y, Bui C, Newman SD. The association between discourse production and schizotypal personality traits. Schizophr Res 2024; 270:191-196. [PMID: 38924936 DOI: 10.1016/j.schres.2024.06.024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/09/2023] [Revised: 03/31/2024] [Accepted: 06/15/2024] [Indexed: 06/28/2024]
Abstract
Discourse abnormalities are a prominent feature in schizophrenia spectrum disorders, including poor lexical diversity, and have been found to differentiate patients from healthy subjects. However, discourse processing in individuals with high schizotypal personality traits is less understood and is often overshadowed by research on clinical psychotic symptoms. In the present study, we examined schizotypal traits at a non-clinical threshold and their association with lexical diversity and discourse coherence using two automated Natural Language Processing (NLP) tools - Type-Token-Ratio (TTR) measures from the Tool for the Automatic Analysis of Lexical Diversity (TAALED) and discourse coherence using sentence-level average cosign similarity with FastText to assess sentence similarity. 276 college students completed the full assessment including the Schizotypal Personality Questionnaire- Brief Revised (SPQ-BR) and recorded a speech sample describing a detailed painting. Results revealed that high schizotypal traits, specifically positive traits, were associated with lower lexical diversity and higher sentence similarity. Our findings suggest that even when clinically significant symptoms are not present, discourse abnormalities are present in healthy populations with high ST. The stronger association with positive traits suggests that theories of perseveration and top-down processing may warrant further investigation in schizophrenia-spectrum disorders.
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Affiliation(s)
- Emily C Gann
- Alabama Life Research Institute, The University of Alabama, Tuscaloosa, AL, United States of America
| | - Yanyu Xiong
- Alabama Life Research Institute, The University of Alabama, Tuscaloosa, AL, United States of America
| | - Chuong Bui
- Alabama Life Research Institute, The University of Alabama, Tuscaloosa, AL, United States of America
| | - Sharlene D Newman
- Alabama Life Research Institute, The University of Alabama, Tuscaloosa, AL, United States of America
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Teghipco A, Newman-Norlund R, Fridriksson J, Rorden C, Bonilha L. Distinct brain morphometry patterns revealed by deep learning improve prediction of post-stroke aphasia severity. COMMUNICATIONS MEDICINE 2024; 4:115. [PMID: 38866977 PMCID: PMC11169346 DOI: 10.1038/s43856-024-00541-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2023] [Accepted: 06/03/2024] [Indexed: 06/14/2024] Open
Abstract
BACKGROUND Emerging evidence suggests that post-stroke aphasia severity depends on the integrity of the brain beyond the lesion. While measures of lesion anatomy and brain integrity combine synergistically to explain aphasic symptoms, substantial interindividual variability remains unaccounted. One explanatory factor may be the spatial distribution of morphometry beyond the lesion (e.g., atrophy), including not just specific brain areas, but distinct three-dimensional patterns. METHODS Here, we test whether deep learning with Convolutional Neural Networks (CNNs) on whole brain morphometry (i.e., segmented tissue volumes) and lesion anatomy better predicts chronic stroke individuals with severe aphasia (N = 231) than classical machine learning (Support Vector Machines; SVMs), evaluating whether encoding spatial dependencies identifies uniquely predictive patterns. RESULTS CNNs achieve higher balanced accuracy and F1 scores, even when SVMs are nonlinear or integrate linear or nonlinear dimensionality reduction. Parity only occurs when SVMs access features learned by CNNs. Saliency maps demonstrate that CNNs leverage distributed morphometry patterns, whereas SVMs focus on the area around the lesion. Ensemble clustering of CNN saliencies reveals distinct morphometry patterns unrelated to lesion size, consistent across individuals, and which implicate unique networks associated with different cognitive processes as measured by the wider neuroimaging literature. Individualized predictions depend on both ipsilateral and contralateral features outside the lesion. CONCLUSIONS Three-dimensional network distributions of morphometry are directly associated with aphasia severity, underscoring the potential for CNNs to improve outcome prognostication from neuroimaging data, and highlighting the prospective benefits of interrogating spatial dependence at different scales in multivariate feature space.
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Affiliation(s)
- Alex Teghipco
- Department of Communication Sciences and Disorders, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA.
| | - Roger Newman-Norlund
- Department of Psychology, College of Arts and Sciences, University of South Carolina, Columbia, SC, USA
| | - Julius Fridriksson
- Department of Communication Sciences and Disorders, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA
| | - Christopher Rorden
- Department of Psychology, College of Arts and Sciences, University of South Carolina, Columbia, SC, USA
| | - Leonardo Bonilha
- Department of Neurology, School of Medicine, University of South Carolina, Columbia, SC, USA
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Vitória MA, Fernandes FG, van den Boom M, Ramsey N, Raemaekers M. Decoding Single and Paired Phonemes Using 7T Functional MRI. Brain Topogr 2024:10.1007/s10548-024-01034-6. [PMID: 38261272 DOI: 10.1007/s10548-024-01034-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2023] [Accepted: 01/12/2024] [Indexed: 01/24/2024]
Abstract
Several studies have shown that mouth movements related to the pronunciation of individual phonemes are represented in the sensorimotor cortex. This would theoretically allow for brain computer interfaces that are capable of decoding continuous speech by training classifiers based on the activity in the sensorimotor cortex related to the production of individual phonemes. To address this, we investigated the decodability of trials with individual and paired phonemes (pronounced consecutively with one second interval) using activity in the sensorimotor cortex. Fifteen participants pronounced 3 different phonemes and 3 combinations of two of the same phonemes in a 7T functional MRI experiment. We confirmed that support vector machine (SVM) classification of single and paired phonemes was possible. Importantly, by combining classifiers trained on single phonemes, we were able to classify paired phonemes with an accuracy of 53% (33% chance level), demonstrating that activity of isolated phonemes is present and distinguishable in combined phonemes. A SVM searchlight analysis showed that the phoneme representations are widely distributed in the ventral sensorimotor cortex. These findings provide insights about the neural representations of single and paired phonemes. Furthermore, it supports the notion that speech BCI may be feasible based on machine learning algorithms trained on individual phonemes using intracranial electrode grids.
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Affiliation(s)
- Maria Araújo Vitória
- Brain Center Rudolf Magnus, Department of Neurology and Neurosurgery, University Medical Center Utrecht, Utrecht, The Netherlands
| | - Francisco Guerreiro Fernandes
- Brain Center Rudolf Magnus, Department of Neurology and Neurosurgery, University Medical Center Utrecht, Utrecht, The Netherlands
| | - Max van den Boom
- Brain Center Rudolf Magnus, Department of Neurology and Neurosurgery, University Medical Center Utrecht, Utrecht, The Netherlands
- Department of Physiology and Biomedical Engineering, Mayo Clinic, Rochester, MN, USA
| | - Nick Ramsey
- Brain Center Rudolf Magnus, Department of Neurology and Neurosurgery, University Medical Center Utrecht, Utrecht, The Netherlands
| | - Mathijs Raemaekers
- Brain Center Rudolf Magnus, Department of Neurology and Neurosurgery, University Medical Center Utrecht, Utrecht, The Netherlands.
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Matsuhashi K, Itahashi T, Aoki R, Hashimoto RI. Meta-analysis of structural integrity of white matter and functional connectivity in developmental stuttering. Brain Res Bull 2023; 205:110827. [PMID: 38013029 DOI: 10.1016/j.brainresbull.2023.110827] [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: 06/11/2023] [Revised: 11/21/2023] [Accepted: 11/23/2023] [Indexed: 11/29/2023]
Abstract
Developmental stuttering is a speech disfluency disorder characterized by repetitions, prolongations, and blocks of speech. While a number of neuroimaging studies have identified alterations in localized brain activation during speaking in persons with stuttering (PWS), it is unclear whether neuroimaging evidence converges on alterations in structural integrity of white matter and functional connectivity (FC) among multiple regions involved in supporting fluent speech. In the present study, we conducted coordinate-based meta-analyses according to the PRISMA guidelines for available publications that studied fractional anisotropy (FA) using tract-based spatial statistics (TBSS) for structural integrity and the seed-based voxel-wise FC analyses. The search retrieved 11 publications for the TBSS FA studies, 29 seed-based FC datasets from 6 publications for the resting-state, and 29 datasets from 6 publications for the task-based studies. The meta-analysis of TBSS FA revealed that PWS exhibited FA reductions in the middle and posterior segments of the left superior longitudinal fasciculus. Furthermore, the analysis of resting-state FC demonstrated that PWS had reduced FC in the right supplementary motor area and inferior parietal cortex, whereas an increase in FC was observed in the left cerebellum crus I. Conversely, we observed increased FC for task-based FC in regions implicated in speech production or sequential movements, including the anterior cingulate cortex, posterior insula, and bilateral cerebellum crus I in PWS. Functional network characterization of the altered FCs revealed that the sets of reduced resting-state and increased task-based FCs were largely distinct, but the somatomotor and striatum/thalamus networks were foci of alterations in both conditions. These observations indicate that developmental stuttering is characterized by structural and functional alterations in multiple brain networks that support speech fluency or sequential motor processes, including cortico-cortical and subcortical connections.
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Affiliation(s)
- Kengo Matsuhashi
- Department of Language Sciences, Tokyo Metropolitan University, Tokyo, Japan
| | - Takashi Itahashi
- Medical Institute of Developmental Disabilities Research, Showa University, Tokyo, Japan
| | - Ryuta Aoki
- Department of Language Sciences, Tokyo Metropolitan University, Tokyo, Japan; Medical Institute of Developmental Disabilities Research, Showa University, Tokyo, Japan
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Alonso-Sánchez MF, Limongi R, Gati J, Palaniyappan L. Language network self-inhibition and semantic similarity in first-episode schizophrenia: A computational-linguistic and effective connectivity approach. Schizophr Res 2023; 259:97-103. [PMID: 35568676 DOI: 10.1016/j.schres.2022.04.007] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/24/2022] [Revised: 04/28/2022] [Accepted: 04/29/2022] [Indexed: 12/23/2022]
Abstract
INTRODUCTION A central feature of schizophrenia is the disorganization and impoverishment of language. Recently, we observed higher semantic similarity in first-episode-schizophrenia (FES) patients. In this study, we investigate if this aberrant similarity relates to the 'causal' connectivity between two key nodes of the word production system: inferior frontal gyrus (IFG) and the semantic-hub at the ventral anterior temporal lobe (vATL). METHODS Resting-state fMRI scans were collected from 60 participants (30 untreated FES and 30 healthy controls). The semantic distance was measured with the CoVec semantic tool based on GloVe. A spectral dynamic causal model with Parametrical Empirical Bayes was constructed modelling the intrinsic self-inhibitory and extrinsic-excitatory connections within the brain regions. We estimated the parameters of a fully connected model with the semantic distance as a covariate. RESULTS FES patients chose words with higher semantic similarity when describing the pictures compared to the HC group. Among patients, an increased semantic similarity was related with an increase in intrinsic connections within both the vATL and IFG, suggesting that reduced 'synaptic gain' in these regions likely contribute to aberrant sampling of the semantic space during discourse in schizophrenia. CONCLUSIONS Lexical impoverishment relates to increased self-inhibition in both the IFG and vATL. The associated reduction in synaptic gain may relate to reduced precision of locally generated neural activity, forcing the choice of words that are already 'activated' in a lexical network. One approach to improve word sampling may be via promoting synaptic gain via supra-physiological stimulation within the Broca's-vATL network; this proposal needs verification.
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Affiliation(s)
- María Francisca Alonso-Sánchez
- CIDCL, Fonoaudiología, Facultad de Medicina, Universidad de Valparaíso, Chile; Robarts Research Institute, Western University, London, Ontario, Canada.
| | - Roberto Limongi
- Robarts Research Institute, Western University, London, Ontario, Canada
| | - Joseph Gati
- Robarts Research Institute, Western University, London, Ontario, Canada; Centre for Youth Mental Health Service Innovation, Research and Training, Douglas Mental Health University Institute, Montreal, Quebec, Canada; Department of Psychiatry, McGill University, Montreal, Quebec, Canada; Department of Medical Biophysics, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada
| | - Lena Palaniyappan
- Robarts Research Institute, Western University, London, Ontario, Canada; Centre for Youth Mental Health Service Innovation, Research and Training, Douglas Mental Health University Institute, Montreal, Quebec, Canada; Department of Psychiatry, McGill University, Montreal, Quebec, Canada; Department of Medical Biophysics, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada
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8
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Silcox JW, Mickey B, Payne BR. Disruption to left inferior frontal cortex modulates semantic prediction effects in reading and subsequent memory: Evidence from simultaneous TMS-EEG. Psychophysiology 2023; 60:e14312. [PMID: 37203307 DOI: 10.1111/psyp.14312] [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: 09/01/2022] [Revised: 01/25/2023] [Accepted: 03/21/2023] [Indexed: 05/20/2023]
Abstract
Readers use prior context to predict features of upcoming words. When predictions are accurate, this increases the efficiency of comprehension. However, little is known about the fate of predictable and unpredictable words in memory or the neural systems governing these processes. Several theories suggest that the speech production system, including the left inferior frontal cortex (LIFC), is recruited for prediction but evidence that LIFC plays a causal role is lacking. We first examined the effects of predictability on memory and then tested the role of posterior LIFC using transcranial magnetic stimulation (TMS). In Experiment 1, participants read category cues, followed by a predictable, unpredictable, or incongruent target word for later recall. We observed a predictability benefit to memory, with predictable words remembered better than unpredictable words. In Experiment 2, participants performed the same task with electroencephalography (EEG) while undergoing event-related TMS over posterior LIFC using a protocol known to disrupt speech production, or over the right hemisphere homologue as an active control site. Under control stimulation, predictable words were better recalled than unpredictable words, replicating Experiment 1. This predictability benefit to memory was eliminated under LIFC stimulation. Moreover, while an a priori ROI-based analysis did not yield evidence for a reduction in the N400 predictability effect, mass-univariate analyses did suggest that the N400 predictability effect was reduced in spatial and temporal extent under LIFC stimulation. Collectively, these results provide causal evidence that the LIFC is recruited for prediction during silent reading, consistent with prediction-through-production accounts.
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Affiliation(s)
- Jack W Silcox
- Department of Psychology, University of Utah, Salt Lake City, Utah, USA
| | - Brian Mickey
- Department of Psychiatry, Huntsman Mental Health Institute, University of Utah, Salt Lake City, Utah, USA
- Neuroscience Program, University of Utah, Salt Lake City, Utah, USA
| | - Brennan R Payne
- Department of Psychology, University of Utah, Salt Lake City, Utah, USA
- Neuroscience Program, University of Utah, Salt Lake City, Utah, USA
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9
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Teghipco A, Newman-Norlund R, Fridriksson J, Rorden C, Bonilha L. Distinct brain morphometry patterns revealed by deep learning improve prediction of aphasia severity. RESEARCH SQUARE 2023:rs.3.rs-3126126. [PMID: 37461696 PMCID: PMC10350198 DOI: 10.21203/rs.3.rs-3126126/v1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 07/28/2023]
Abstract
Emerging evidence suggests that post-stroke aphasia severity depends on the integrity of the brain beyond the stroke lesion. While measures of lesion anatomy and brain integrity combine synergistically to explain aphasic symptoms, significant interindividual variability remains unaccounted for. A possible explanatory factor may be the spatial distribution of brain atrophy beyond the lesion. This includes not just the specific brain areas showing atrophy, but also distinct three-dimensional patterns of atrophy. Here, we tested whether deep learning with Convolutional Neural Networks (CNN) on whole brain morphometry (i.e., segmented tissue volumes) and lesion anatomy can better predict which individuals with chronic stroke (N=231) have severe aphasia, and whether encoding spatial dependencies in the data might be capable of improving predictions by identifying unique individualized spatial patterns. We observed that CNN achieves significantly higher accuracy and F1 scores than Support Vector Machine (SVM), even when the SVM is nonlinear or integrates linear and nonlinear dimensionality reduction techniques. Performance parity was only achieved when the SVM was directly trained on the latent features learned by the CNN. Saliency maps demonstrated that the CNN leveraged widely distributed patterns of brain atrophy predictive of aphasia severity, whereas the SVM focused almost exclusively on the area around the lesion. Ensemble clustering of CNN saliency maps revealed distinct morphometry patterns that were unrelated to lesion size, highly consistent across individuals, and implicated unique brain networks associated with different cognitive processes as measured by the wider neuroimaging literature. Individualized predictions of severity depended on both ipsilateral and contralateral features outside of the location of stroke. Our findings illustrate that three-dimensional network distributions of atrophy in individuals with aphasia are directly associated with aphasia severity, underscoring the potential for deep learning to improve prognostication of behavioral outcomes from neuroimaging data, and highlighting the prospective benefits of interrogating spatial dependence at different scales in multivariate feature space.
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10
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Laganaro M. Time-course of phonetic (motor speech) encoding in utterance production. Cogn Neuropsychol 2023; 40:287-297. [PMID: 37944062 DOI: 10.1080/02643294.2023.2279739] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2023] [Accepted: 10/31/2023] [Indexed: 11/12/2023]
Abstract
Speaking involves the preparation of the linguistic content of an utterance and of the motor programs leading to articulation. The temporal dynamics of linguistic versus motor-speech (phonetic) encoding is highly debated: phonetic encoding has been associated either to the last quarter of an utterance preparation time (∼150ms before articulation), or to virtually the entire planning time, simultaneously with linguistic encoding. We (i) review the evidence on the time-course of motor-speech encoding based on EEG/MEG event-related (ERP) studies and (ii) strive to replicate the early effects of phonological-phonetic factors in referential word production by reanalysing a large EEG/ERP dataset. The review indicates that motor-speech encoding is engaged during at least the last 300ms preceding articulation (about half of a word planning lag). By contrast, the very early involvement of phonological-phonetic factors could be replicated only partially and is not as robust as in the second half of the utterance planning time-window.
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Affiliation(s)
- Marina Laganaro
- Faculty of Psychology and Educational Science, University of Geneva, Geneva, Switzerland
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11
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Akkad H, Hope TMH, Howland C, Ondobaka S, Pappa K, Nardo D, Duncan J, Leff AP, Crinion J. Mapping spoken language and cognitive deficits in post-stroke aphasia. Neuroimage Clin 2023; 39:103452. [PMID: 37321143 PMCID: PMC10275719 DOI: 10.1016/j.nicl.2023.103452] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2023] [Revised: 05/24/2023] [Accepted: 06/06/2023] [Indexed: 06/17/2023]
Abstract
Aphasia is an acquired disorder caused by damage, most commonly due to stroke, to brain regions involved in speech and language. While language impairment is the defining symptom of aphasia, the co-occurrence of non-language cognitive deficits and their importance in predicting rehabilitation and recovery outcomes is well documented. However, people with aphasia (PWA) are rarely tested on higher-order cognitive functions, making it difficult for studies to associate these functions with a consistent lesion correlate. Broca's area is a particular brain region of interest that has long been implicated in speech and language production. Contrary to classic models of speech and language, cumulative evidence shows that Broca's area and surrounding regions in the left inferior frontal cortex (LIFC) are involved in, but not specific to, speech production. In this study we aimed to explore the brain-behaviour relationships between tests of cognitive skill and language abilities in thirty-six adults with long-term speech production deficits caused by post-stroke aphasia. Our findings suggest that non-linguistic cognitive functions, namely executive functions and verbal working memory, explain more of the behavioural variance in PWA than classical language models imply. Additionally, lesions to the LIFC, including Broca's area, were associated with non-linguistic executive (dys)function, suggesting that lesions to this area are associated with non-language-specific higher-order cognitive deficits in aphasia. Whether executive (dys)function - and its neural correlate in Broca's area - contributes directly to PWA's language production deficits or simply co-occurs with it, adding to communication difficulties, remains unclear. These findings support contemporary models of speech production that place language processing within the context of domain-general perception, action and conceptual knowledge. An understanding of the covariance between language and non-language deficits and their underlying neural correlates will inform better targeted aphasia treatment and outcomes.
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Affiliation(s)
- Haya Akkad
- Institute of Cognitive Neuroscience, University College London, UK.
| | - Thomas M H Hope
- Institute of Cognitive Neuroscience, University College London, UK; Wellcome Centre for Human Neuroimaging, University College London, UK
| | | | - Sasha Ondobaka
- Institute of Cognitive Neuroscience, University College London, UK
| | | | - Davide Nardo
- MRC Cognition and Brain Sciences Unit, University of Cambridge, UK; Department of Education, University of Roma Tre, Italy
| | - John Duncan
- MRC Cognition and Brain Sciences Unit, University of Cambridge, UK; Department of Experimental Psychology, University of Oxford, UK
| | - Alexander P Leff
- Institute of Cognitive Neuroscience, University College London, UK; Wellcome Centre for Human Neuroimaging, University College London, UK; Institute of Neurology, University College London, UK
| | - Jenny Crinion
- Institute of Cognitive Neuroscience, University College London, UK; Wellcome Centre for Human Neuroimaging, University College London, UK
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12
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Hickok G, Venezia J, Teghipco A. Beyond Broca: neural architecture and evolution of a dual motor speech coordination system. Brain 2023; 146:1775-1790. [PMID: 36746488 PMCID: PMC10411947 DOI: 10.1093/brain/awac454] [Citation(s) in RCA: 17] [Impact Index Per Article: 17.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2022] [Revised: 11/04/2022] [Accepted: 11/19/2022] [Indexed: 02/08/2023] Open
Abstract
Classical neural architecture models of speech production propose a single system centred on Broca's area coordinating all the vocal articulators from lips to larynx. Modern evidence has challenged both the idea that Broca's area is involved in motor speech coordination and that there is only one coordination network. Drawing on a wide range of evidence, here we propose a dual speech coordination model in which laryngeal control of pitch-related aspects of prosody and song are coordinated by a hierarchically organized dorsolateral system while supralaryngeal articulation at the phonetic/syllabic level is coordinated by a more ventral system posterior to Broca's area. We argue further that these two speech production subsystems have distinguishable evolutionary histories and discuss the implications for models of language evolution.
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Affiliation(s)
- Gregory Hickok
- Department of Cognitive Sciences, University of California, Irvine, CA 92697, USA
- Department of Language Science, University of California, Irvine, CA 92697, USA
| | - Jonathan Venezia
- Auditory Research Laboratory, VA Loma Linda Healthcare System, Loma Linda, CA 92357, USA
- Department of Otolaryngology—Head and Neck Surgery, Loma Linda University School of Medicine, Loma Linda, CA 92350, USA
| | - Alex Teghipco
- Department of Psychology, University of South Carolina, Columbia, SC 29208, USA
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13
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Avcu E, Newman O, Ahlfors SP, Gow DW. Neural evidence suggests phonological acceptability judgments reflect similarity, not constraint evaluation. Cognition 2023; 230:105322. [PMID: 36370613 PMCID: PMC9712273 DOI: 10.1016/j.cognition.2022.105322] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2021] [Revised: 10/24/2022] [Accepted: 11/01/2022] [Indexed: 11/11/2022]
Abstract
Acceptability judgments are a primary source of evidence in formal linguistic research. Within the generative linguistic tradition, these judgments are attributed to evaluation of novel forms based on implicit knowledge of rules or constraints governing well-formedness. In the domain of phonological acceptability judgments, other factors including ease of articulation and similarity to known forms have been hypothesized to influence evaluation. We used data-driven neural techniques to identify the relative contributions of these factors. Granger causality analysis of magnetic resonance imaging (MRI)-constrained magnetoencephalography (MEG) and electroencephalography (EEG) data revealed patterns of interaction between brain regions that support explicit judgments of the phonological acceptability of spoken nonwords. Comparisons of data obtained with nonwords that varied in terms of onset consonant cluster attestation and acceptability revealed different cortical regions and effective connectivity patterns associated with phonological acceptability judgments. Attested forms produced stronger influences of brain regions implicated in lexical representation and sensorimotor simulation on acoustic-phonetic regions, whereas unattested forms produced stronger influence of phonological control mechanisms on acoustic-phonetic processing. Unacceptable forms produced widespread patterns of interaction consistent with attempted search or repair. Together, these results suggest that speakers' phonological acceptability judgments reflect lexical and sensorimotor factors.
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Affiliation(s)
- Enes Avcu
- Department of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States of America.
| | - Olivia Newman
- Department of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States of America
| | - Seppo P Ahlfors
- Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Charlestown, MA, United States of America; Department of Radiology, Harvard Medical School, Boston, MA, United States of America
| | - David W Gow
- Department of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States of America; Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Charlestown, MA, United States of America; Department of Psychology, Salem State University, Salem, MA, United States of America; Harvard-MIT Division of Health Sciences and Technology, Cambridge, MA 02139, United States of America
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14
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Silva AB, Liu JR, Zhao L, Levy DF, Scott TL, Chang EF. A Neurosurgical Functional Dissection of the Middle Precentral Gyrus during Speech Production. J Neurosci 2022; 42:8416-8426. [PMID: 36351829 PMCID: PMC9665919 DOI: 10.1523/jneurosci.1614-22.2022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2022] [Accepted: 08/30/2022] [Indexed: 11/17/2022] Open
Abstract
Classical models have traditionally focused on the left posterior inferior frontal gyrus (Broca's area) as a key region for motor planning of speech production. However, converging evidence suggests that it is not critical for either speech motor planning or execution. Alternative cortical areas supporting high-level speech motor planning have yet to be defined. In this review, we focus on the precentral gyrus, whose role in speech production is often thought to be limited to lower-level articulatory muscle control. In particular, we highlight neurosurgical investigations that have shed light on a cortical region anatomically located near the midpoint of the precentral gyrus, hence called the middle precentral gyrus (midPrCG). The midPrCG is functionally located between dorsal hand and ventral orofacial cortical representations and exhibits unique sensorimotor and multisensory functions relevant for speech processing. This includes motor control of the larynx, auditory processing, as well as a role in reading and writing. Furthermore, direct electrical stimulation of midPrCG can evoke complex movements, such as vocalization, and selective injury can cause deficits in verbal fluency, such as pure apraxia of speech. Based on these findings, we propose that midPrCG is essential to phonological-motoric aspects of speech production, especially syllabic-level speech sequencing, a role traditionally ascribed to Broca's area. The midPrCG is a cortical brain area that should be included in contemporary models of speech production with a unique role in speech motor planning and execution.
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Affiliation(s)
- Alexander B Silva
- Department of Neurological Surgery, University of California, San Francisco, California, 94158
- Weill Institute for Neurosciences, University of California, San Francisco, California, 94158
- Medical Scientist Training Program, University of California, San Francisco, California, 94158
- Graduate Program in Bioengineering, University of California, Berkeley, California 94720, & University of California, San Francisco, California, 94158
| | - Jessie R Liu
- Department of Neurological Surgery, University of California, San Francisco, California, 94158
- Weill Institute for Neurosciences, University of California, San Francisco, California, 94158
- Graduate Program in Bioengineering, University of California, Berkeley, California 94720, & University of California, San Francisco, California, 94158
| | - Lingyun Zhao
- Department of Neurological Surgery, University of California, San Francisco, California, 94158
- Weill Institute for Neurosciences, University of California, San Francisco, California, 94158
| | - Deborah F Levy
- Department of Neurological Surgery, University of California, San Francisco, California, 94158
- Weill Institute for Neurosciences, University of California, San Francisco, California, 94158
| | - Terri L Scott
- Department of Neurological Surgery, University of California, San Francisco, California, 94158
- Weill Institute for Neurosciences, University of California, San Francisco, California, 94158
| | - Edward F Chang
- Department of Neurological Surgery, University of California, San Francisco, California, 94158
- Weill Institute for Neurosciences, University of California, San Francisco, California, 94158
- Graduate Program in Bioengineering, University of California, Berkeley, California 94720, & University of California, San Francisco, California, 94158
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15
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Cheng S, Qiu X, Li S, Mo L, Xu F, Zhang D. Different Roles of the Left and Right Ventrolateral Prefrontal Cortex in Cognitive Reappraisal: An Online Transcranial Magnetic Stimulation Study. Front Hum Neurosci 2022; 16:928077. [PMID: 35754771 PMCID: PMC9226322 DOI: 10.3389/fnhum.2022.928077] [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: 04/25/2022] [Accepted: 05/17/2022] [Indexed: 11/13/2022] Open
Abstract
The ventrolateral prefrontal cortex (VLPFC) plays a pivotal role in cognitive reappraisal. Previous studies suggested a functional asymmetry of the bilateral VLPFC, but the evidence is still insufficient during cognitive reappraisal. In this study, we conducted an online single-pulse transcranial magnetic stimulation (spTMS) to investigate the causal and distinct roles of the left and right VLPFC in reappraisal. Participants were instructed to reappraise (down-regulate) or attend to pictures depicting social exclusion scenarios while the spTMS was applied over the left or right VLPFC of the participants’ brains. The results showed that spTMS of either the left or the right VLPFC would increase reappraisal difficulty. Meanwhile, the outcome of reappraisal (measured by self-reported negative feelings) significantly deteriorated when the right (but not the left) VLPFC was temporally interrupted by spTMS, while the verbal fluency during oral reporting of the reappraisal strategy was significantly reduced when the left VLPFC was interrupted by spTMS. Taken together, these findings provide causal evidence for the involvement of left and right VLPFC with distinct roles: while the left VLPFC is responsible for the linguistic especially semantic process of generating and selecting appraisals according to the goal of emotion regulation, the right VLPFC plays a critical role in inhibiting inappropriate negative emotions and thoughts generated by the effective scenarios. These findings deepen our understanding of the neurocognitive mechanism of emotion regulation.
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Affiliation(s)
- Si Cheng
- Institute of Brain and Psychological Sciences, Sichuan Normal University, Chengdu, China.,School of Psychology, Shenzhen University, Shenzhen, China
| | - Xiufu Qiu
- School of Psychology, Shenzhen University, Shenzhen, China
| | - Sijin Li
- School of Psychology, Shenzhen University, Shenzhen, China
| | - Licheng Mo
- School of Psychology, Shenzhen University, Shenzhen, China
| | - Feng Xu
- Shenzhen Yingchi Technology Co., Ltd., Shenzhen, China
| | - Dandan Zhang
- Institute of Brain and Psychological Sciences, Sichuan Normal University, Chengdu, China.,Shenzhen-Hong Kong Institute of Brain Science, Shenzhen, China
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16
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Neural correlates of impaired vocal feedback control in post-stroke aphasia. Neuroimage 2022; 250:118938. [PMID: 35092839 PMCID: PMC8920755 DOI: 10.1016/j.neuroimage.2022.118938] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2021] [Revised: 12/31/2021] [Accepted: 01/25/2022] [Indexed: 01/16/2023] Open
Abstract
We used left-hemisphere stroke as a model to examine how damage to sensorimotor brain networks impairs vocal auditory feedback processing and control. Individuals with post-stroke aphasia and matched neurotypical control subjects vocalized speech vowel sounds and listened to the playback of their self-produced vocalizations under normal (NAF) and pitch-shifted altered auditory feedback (AAF) while their brain activity was recorded using electroencephalography (EEG) signals. Event-related potentials (ERPs) were utilized as a neural index to probe the effect of vocal production on auditory feedback processing with high temporal resolution, while lesion data in the stroke group was used to determine how brain abnormality accounted for the impairment of such mechanisms. Results revealed that ERP activity was aberrantly modulated during vocalization vs. listening in aphasia, and this effect was accompanied by the reduced magnitude of compensatory vocal responses to pitch-shift alterations in the auditory feedback compared with control subjects. Lesion-mapping revealed that the aberrant pattern of ERP modulation in response to NAF was accounted for by damage to sensorimotor networks within the left-hemisphere inferior frontal, precentral, inferior parietal, and superior temporal cortices. For responses to AAF, neural deficits were predicted by damage to a distinguishable network within the inferior frontal and parietal cortices. These findings define the left-hemisphere sensorimotor networks implicated in auditory feedback processing, error detection, and vocal motor control. Our results provide translational synergy to inform the theoretical models of sensorimotor integration while having clinical applications for diagnosis and treatment of communication disabilities in individuals with stroke and other neurological conditions.
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17
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Murphy E, Woolnough O, Rollo PS, Roccaforte ZJ, Segaert K, Hagoort P, Tandon N. Minimal Phrase Composition Revealed by Intracranial Recordings. J Neurosci 2022; 42:3216-3227. [PMID: 35232761 PMCID: PMC8994536 DOI: 10.1523/jneurosci.1575-21.2022] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2021] [Revised: 01/11/2022] [Accepted: 01/18/2022] [Indexed: 11/21/2022] Open
Abstract
The ability to comprehend phrases is an essential integrative property of the brain. Here, we evaluate the neural processes that enable the transition from single-word processing to a minimal compositional scheme. Previous research has reported conflicting timing effects of composition, and disagreement persists with respect to inferior frontal and posterior temporal contributions. To address these issues, 19 patients (10 male, 9 female) implanted with penetrating depth or surface subdural intracranial electrodes, heard auditory recordings of adjective-noun, pseudoword-noun, and adjective-pseudoword phrases and judged whether the phrase matched a picture. Stimulus-dependent alterations in broadband gamma activity, low-frequency power, and phase-locking values across the language-dominant left hemisphere were derived. This revealed a mosaic located on the lower bank of the posterior superior temporal sulcus (pSTS), in which closely neighboring cortical sites displayed exclusive sensitivity to either lexicality or phrase structure, but not both. Distinct timings were found for effects of phrase composition (210-300 ms) and pseudoword processing (∼300-700 ms), and these were localized to neighboring electrodes in pSTS. The pars triangularis and temporal pole encoded anticipation of composition in broadband low frequencies, and both regions exhibited greater functional connectivity with pSTS during phrase composition. Our results suggest that the pSTS is a highly specialized region composed of sparsely interwoven heterogeneous constituents that encodes both lower and higher level linguistic features. This hub in pSTS for minimal phrase processing may form the neural basis for the human-specific computational capacity for forming hierarchically organized linguistic structures.SIGNIFICANCE STATEMENT Linguists have claimed that the integration of multiple words into a phrase demands a computational procedure distinct from single-word processing. Here, we provide intracranial recordings from a large patient cohort, with high spatiotemporal resolution, to track the cortical dynamics of phrase composition. Epileptic patients volunteered to participate in a task in which they listened to phrases (red boat), word-pseudoword or pseudoword-word pairs (e.g., red fulg). At the onset of the second word in phrases, greater broadband high gamma activity was found in posterior superior temporal sulcus in electrodes that exclusively indexed phrasal meaning and not lexical meaning. These results provide direct, high-resolution signatures of minimal phrase composition in humans, a potentially species-specific computational capacity.
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Affiliation(s)
- Elliot Murphy
- Vivian L. Smith Department of Neurosurgery, McGovern Medical School, University of Texas Health Science Center at Houston, Houston, Texas 77030
- Texas Institute for Restorative Neurotechnologies, University of Texas Health Science Center at Houston, Houston, Texas 77030
| | - Oscar Woolnough
- Vivian L. Smith Department of Neurosurgery, McGovern Medical School, University of Texas Health Science Center at Houston, Houston, Texas 77030
- Texas Institute for Restorative Neurotechnologies, University of Texas Health Science Center at Houston, Houston, Texas 77030
| | - Patrick S Rollo
- Vivian L. Smith Department of Neurosurgery, McGovern Medical School, University of Texas Health Science Center at Houston, Houston, Texas 77030
- Texas Institute for Restorative Neurotechnologies, University of Texas Health Science Center at Houston, Houston, Texas 77030
| | - Zachary J Roccaforte
- Vivian L. Smith Department of Neurosurgery, McGovern Medical School, University of Texas Health Science Center at Houston, Houston, Texas 77030
| | - Katrien Segaert
- School of Psychology and Centre for Human Brain Health, University of Birmingham, Birmingham B15 2TT, United Kingdom
- Max Planck Institute for Psycholinguistics, Nijmegen, 6525 XD Nijmegen, The Netherlands
| | - Peter Hagoort
- Max Planck Institute for Psycholinguistics, Nijmegen, 6525 XD Nijmegen, The Netherlands
- Donders Institute for Brain, Cognition and Behaviour, Nijmegen, 6525 HR Nijmegen, The Netherlands
| | - Nitin Tandon
- Vivian L. Smith Department of Neurosurgery, McGovern Medical School, University of Texas Health Science Center at Houston, Houston, Texas 77030
- Texas Institute for Restorative Neurotechnologies, University of Texas Health Science Center at Houston, Houston, Texas 77030
- Memorial Hermann Hospital, Texas Medical Center, Houston, Texas 77030
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18
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McCarty MJ, Woolnough O, Mosher JC, Seymour J, Tandon N. The Listening Zone of Human Electrocorticographic Field Potential Recordings. eNeuro 2022; 9:ENEURO.0492-21.2022. [PMID: 35410871 PMCID: PMC9034754 DOI: 10.1523/eneuro.0492-21.2022] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2021] [Revised: 02/09/2022] [Accepted: 03/04/2022] [Indexed: 01/05/2023] Open
Abstract
Intracranial electroencephalographic (icEEG) recordings provide invaluable insights into neural dynamics in humans because of their unmatched spatiotemporal resolution. Yet, such recordings reflect the combined activity of multiple underlying generators, confounding the ability to resolve spatially distinct neural sources. To empirically quantify the listening zone of icEEG recordings, we computed correlations between signals as a function of distance (full width at half maximum; FWHM) between 8752 recording sites in 71 patients (33 female) implanted with either subdural electrodes (SDEs), stereo-encephalography electrodes (sEEG), or high-density sEEG electrodes. As expected, for both SDEs and sEEGs, higher frequency signals exhibited a sharper fall off relative to lower frequency signals. For broadband high γ (BHG) activity, the mean FWHM of SDEs (6.6 ± 2.5 mm) and sEEGs in gray matter (7.14 ± 1.7 mm) was not significantly different; however, FWHM for low frequencies recorded by sEEGs was 2.45 mm smaller than SDEs. White matter sEEGs showed much lower power for frequencies 17-200 Hz (q < 0.01) and a much broader decay (11.3 ± 3.2 mm) than gray matter electrodes (7.14 ± 1.7 mm). The use of a bipolar referencing scheme significantly lowered FWHM for sEEGs, relative to a white matter reference or a common average reference (CAR). These results outline the influence of array design, spectral bands, and referencing schema on local field potential recordings and source localization in icEEG recordings in humans. The metrics we derive have immediate relevance to the analysis and interpretation of both cognitive and epileptic data.
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Affiliation(s)
- Meredith J McCarty
- Vivian L. Smith Department of Neurosurgery, McGovern Medical School, University of Texas Health Houston, Houston, TX 77030
- Texas Institute for Restorative Neurotechnologies, University of Texas Health Science Center at Houston, Houston, TX 77030
| | - Oscar Woolnough
- Vivian L. Smith Department of Neurosurgery, McGovern Medical School, University of Texas Health Houston, Houston, TX 77030
- Texas Institute for Restorative Neurotechnologies, University of Texas Health Science Center at Houston, Houston, TX 77030
| | - John C Mosher
- Texas Institute for Restorative Neurotechnologies, University of Texas Health Science Center at Houston, Houston, TX 77030
| | - John Seymour
- Vivian L. Smith Department of Neurosurgery, McGovern Medical School, University of Texas Health Houston, Houston, TX 77030
- Texas Institute for Restorative Neurotechnologies, University of Texas Health Science Center at Houston, Houston, TX 77030
| | - Nitin Tandon
- Vivian L. Smith Department of Neurosurgery, McGovern Medical School, University of Texas Health Houston, Houston, TX 77030
- Texas Institute for Restorative Neurotechnologies, University of Texas Health Science Center at Houston, Houston, TX 77030
- Memorial Hermann Hospital, Texas Medical Center, Houston, TX 77030
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19
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Matias-Guiu JA, Suárez-Coalla P, Yus M, Pytel V, Hernández-Lorenzo L, Delgado-Alonso C, Delgado-Álvarez A, Gómez-Ruiz N, Polidura C, Cabrera-Martín MN, Matías-Guiu J, Cuetos F. Identification of the main components of spontaneous speech in primary progressive aphasia and their neural underpinnings using multimodal MRI and FDG-PET imaging. Cortex 2021; 146:141-160. [PMID: 34864342 DOI: 10.1016/j.cortex.2021.10.010] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2021] [Revised: 09/26/2021] [Accepted: 10/26/2021] [Indexed: 12/11/2022]
Abstract
BACKGROUND Primary progressive aphasia (PPA) is a clinical syndrome characterized by gradual loss of language skills. This study aimed to evaluate the diagnostic capacity of a connected speech task for the diagnosis of PPA and its variants, to determine the main components of spontaneous speech, and to examine their neural correlates. METHODS A total of 118 participants (31 patients with nfvPPA, 11 with svPPA, 45 with lvPPA, and 31 healthy controls) were evaluated with the Cookie Theft picture description task and a comprehensive language assessment protocol. Patients also underwent 18F-fluorodeoxyglucose positron emission tomography and magnetic resonance imaging studies. Principal component analysis and machine learning were used to evaluate the main components of connected speech and the accuracy of connected speech parameters for diagnosing PPA. Voxel-based analyses were conducted to evaluate the correlation between spontaneous speech components and brain metabolism, brain volumes, and white matter microstructure. RESULTS Discrimination between patients with PPA and controls was 91.67%, with 77.78% discrimination between PPA variants. Parameters related to speech rate and lexical variables were the most discriminative for classification. Three main components were identified: lexical features, fluency, and syntax. The lexical component was associated with ventrolateral frontal regions, while the fluency component was associated with the medial superior prefrontal cortex. Number of pauses was more related with the left parietotemporal region, while pauses duration with the bilateral frontal lobe. The lexical component was correlated with several tracts in the language network (left frontal aslant tract, left superior longitudinal fasciculus I, II, and III, left arcuate fasciculus, and left uncinate fasciculus), and fluency was linked to the frontal aslant tract. CONCLUSION Spontaneous speech assessment is a useful, brief approach for the diagnosis of PPA and its variants. Neuroimaging correlates suggested a subspecialization within the left frontal lobe, with ventrolateral regions being more associated with lexical production and the medial superior prefrontal cortex with speech rate.
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Affiliation(s)
- Jordi A Matias-Guiu
- Department of Neurology, Hospital Clínico San Carlos, Health Research Institute "San Carlos" (IdISCC), Universidad Complutense de Madrid, Madrid, Spain.
| | | | - Miguel Yus
- Department of Radiology, Hospital Clinico San Carlos, Health Research Institute "San Carlos" (IdISCC), Universidad Complutense de Madrid, Madrid, Spain
| | - Vanesa Pytel
- Department of Neurology, Hospital Clínico San Carlos, Health Research Institute "San Carlos" (IdISCC), Universidad Complutense de Madrid, Madrid, Spain
| | - Laura Hernández-Lorenzo
- Department of Neurology, Hospital Clínico San Carlos, Health Research Institute "San Carlos" (IdISCC), Universidad Complutense de Madrid, Madrid, Spain; Department of Computer Architecture and Automation, Faculty of Informatics, Universidad Complutense de Madrid, Madrid, Spain
| | - Cristina Delgado-Alonso
- Department of Neurology, Hospital Clínico San Carlos, Health Research Institute "San Carlos" (IdISCC), Universidad Complutense de Madrid, Madrid, Spain
| | - Alfonso Delgado-Álvarez
- Department of Neurology, Hospital Clínico San Carlos, Health Research Institute "San Carlos" (IdISCC), Universidad Complutense de Madrid, Madrid, Spain
| | - Natividad Gómez-Ruiz
- Department of Radiology, Hospital Clinico San Carlos, Health Research Institute "San Carlos" (IdISCC), Universidad Complutense de Madrid, Madrid, Spain
| | - Carmen Polidura
- Department of Radiology, Hospital Clinico San Carlos, Health Research Institute "San Carlos" (IdISCC), Universidad Complutense de Madrid, Madrid, Spain
| | - María Nieves Cabrera-Martín
- Department of Nuclear Medicine, Hospital Clinico San Carlos, Health Research Institute "San Carlos" (IdISCC), Universidad Complutense de Madrid, Madrid, Spain
| | - Jorge Matías-Guiu
- Department of Neurology, Hospital Clínico San Carlos, Health Research Institute "San Carlos" (IdISCC), Universidad Complutense de Madrid, Madrid, Spain
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20
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Valeriani D, Simonyan K. The dynamic connectome of speech control. Philos Trans R Soc Lond B Biol Sci 2021; 376:20200256. [PMID: 34482717 DOI: 10.1098/rstb.2020.0256] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Abstract
Speech production relies on the orchestrated control of multiple brain regions. The specific, directional influences within these networks remain poorly understood. We used regression dynamic causal modelling to infer the whole-brain directed (effective) connectivity from functional magnetic resonance imaging data of 36 healthy individuals during the production of meaningful English sentences and meaningless syllables. We identified that the two dynamic connectomes have distinct architectures that are dependent on the complexity of task production. The speech was regulated by a dynamic neural network, the most influential nodes of which were centred around superior and inferior parietal areas and influenced the whole-brain network activity via long-ranging coupling with primary sensorimotor, prefrontal, temporal and insular regions. By contrast, syllable production was controlled by a more compressed, cost-efficient network structure, involving sensorimotor cortico-subcortical integration via superior parietal and cerebellar network hubs. These data demonstrate the mechanisms by which the neural network reorganizes the connectivity of its influential regions, from supporting the fundamental aspects of simple syllabic vocal motor output to multimodal information processing of speech motor output. This article is part of the theme issue 'Vocal learning in animals and humans'.
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Affiliation(s)
- Davide Valeriani
- Department of Otolaryngology - Head and Neck Surgery, Massachusetts Eye and Ear, 243 Charles Street, Boston, MA 02114, USA.,Department of Otolaryngology-Head and Neck Surgery, Harvard Medical School, 243 Charles Street, Boston, MA 02114, USA
| | - Kristina Simonyan
- Department of Otolaryngology - Head and Neck Surgery, Massachusetts Eye and Ear, 243 Charles Street, Boston, MA 02114, USA.,Department of Otolaryngology-Head and Neck Surgery, Harvard Medical School, 243 Charles Street, Boston, MA 02114, USA.,Department of Neurology, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA
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21
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Dash D, Wisler A, Ferrari P, Davenport EM, Maldjian J, Wang J. MEG Sensor Selection for Neural Speech Decoding. IEEE ACCESS : PRACTICAL INNOVATIONS, OPEN SOLUTIONS 2020; 8:182320-182337. [PMID: 33204579 PMCID: PMC7668411 DOI: 10.1109/access.2020.3028831] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/04/2023]
Abstract
Direct decoding of speech from the brain is a faster alternative to current electroencephalography (EEG) speller-based brain-computer interfaces (BCI) in providing communication assistance to locked-in patients. Magnetoencephalography (MEG) has recently shown great potential as a non-invasive neuroimaging modality for neural speech decoding, owing in part to its spatial selectivity over other high-temporal resolution devices. Standard MEG systems have a large number of cryogenically cooled channels/sensors (200 - 300) encapsulated within a fixed liquid helium dewar, precluding their use as wearable BCI devices. Fortunately, recently developed optically pumped magnetometers (OPM) do not require cryogens, and have the potential to be wearable and movable making them more suitable for BCI applications. This design is also modular allowing for customized montages to include only the sensors necessary for a particular task. As the number of sensors bears a heavy influence on the cost, size, and weight of MEG systems, minimizing the number of sensors is critical for designing practical MEG-based BCIs in the future. In this study, we sought to identify an optimal set of MEG channels to decode imagined and spoken phrases from the MEG signals. Using a forward selection algorithm with a support vector machine classifier we found that nine optimally located MEG gradiometers provided higher decoding accuracy compared to using all channels. Additionally, the forward selection algorithm achieved similar performance to dimensionality reduction using a stacked-sparse-autoencoder. Analysis of spatial dynamics of speech decoding suggested that both left and right hemisphere sensors contribute to speech decoding. Sensors approximately located near Broca's area were found to be commonly contributing among the higher-ranked sensors across all subjects.
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Affiliation(s)
- Debadatta Dash
- Department of Electrical and Computer Engineering, The University of Texas at Austin, Austin, TX 78712, USA
- Department of Neurology, Dell Medical School, The University of Texas at Austin, Austin, TX 78712, USA
| | - Alan Wisler
- Department of Speech, Language, and Hearing Sciences, University of Texas at Austin, Austin, TX 78712, USA
| | - Paul Ferrari
- MEG Laboratory, Dell Children's Medical Center, Austin, TX 78723, USA
- Department of Psychology, The University of Texas at Austin, Austin, TX 78712, USA
| | | | - Joseph Maldjian
- Department of Radiology, University of Texas at Southwestern, Dallas, TX 75390, USA
| | - Jun Wang
- Department of Neurology, Dell Medical School, The University of Texas at Austin, Austin, TX 78712, USA
- Department of Speech, Language, and Hearing Sciences, University of Texas at Austin, Austin, TX 78712, USA
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22
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Fromm O, Klostermann F, Ehlen F. A Vector Space Model for Neural Network Functions: Inspirations From Similarities Between the Theory of Connectivity and the Logarithmic Time Course of Word Production. Front Syst Neurosci 2020; 14:58. [PMID: 32982704 PMCID: PMC7485382 DOI: 10.3389/fnsys.2020.00058] [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: 04/27/2020] [Accepted: 07/21/2020] [Indexed: 11/13/2022] Open
Abstract
The present report examines the coinciding results of two study groups each presenting a power-of-two function to describe network structures underlying perceptual processes in one case and word production during verbal fluency tasks in the other. The former is theorized as neural cliques organized according to the function N = 2 i - 1, whereas the latter assumes word conglomerations thinkable as tuples following the function N = 2 i . Both theories assume the innate optimization of energy efficiency to cause the specific connectivity structure. The vast resemblance between both formulae motivated the development of a common formulation. This was obtained by using a vector space model, in which the configuration of neural cliques or connected words is represented by a N-dimensional state vector. A further analysis of the model showed that the entire time course of word production could be derived using basically one single minimal transformation-matrix. This again seems in line with the principle of maximum energy efficiency.
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Affiliation(s)
- Ortwin Fromm
- Motor and Cognition Group, Department of Neurology, Charité - Universitätsmedizin Berlin, Berlin, Germany
| | - Fabian Klostermann
- Motor and Cognition Group, Department of Neurology, Charité - Universitätsmedizin Berlin, Berlin, Germany.,Berlin School of Mind and Brain, Humboldt-Universität zu Berlin, Berlin, Germany
| | - Felicitas Ehlen
- Motor and Cognition Group, Department of Neurology, Charité - Universitätsmedizin Berlin, Berlin, Germany.,Department of Psychiatry, Jüdisches Krankenhaus Berlin, Berlin, Germany
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