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Doganci N, Iannotti GR, Coll SY, Ptak R. How embodied is cognition? fMRI and behavioral evidence for common neural resources underlying motor planning and mental rotation of bodily stimuli. Cereb Cortex 2023; 33:11146-11156. [PMID: 37804243 PMCID: PMC10687356 DOI: 10.1093/cercor/bhad352] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2023] [Revised: 09/04/2023] [Accepted: 09/05/2023] [Indexed: 10/09/2023] Open
Abstract
Functional neuroimaging shows that dorsal frontoparietal regions exhibit conjoint activity during various motor and cognitive tasks. However, it is unclear whether these regions serve several, computationally independent functions, or underlie a motor "core process" that is reused to serve higher-order functions. We hypothesized that mental rotation capacity relies on a phylogenetically older motor process that is rooted within these areas. This hypothesis entails that neural and cognitive resources recruited during motor planning predict performance in seemingly unrelated mental rotation tasks. To test this hypothesis, we first identified brain regions associated with motor planning by measuring functional activations to internally-triggered vs externally-triggered finger presses in 30 healthy participants. Internally-triggered finger presses yielded significant activations in parietal, premotor, and occipitotemporal regions. We then asked participants to perform two mental rotation tasks outside the scanner, consisting of hands or letters as stimuli. Parietal and premotor activations were significant predictors of individual reaction times when mental rotation involved hands. We found no association between motor planning and performance in mental rotation of letters. Our results indicate that neural resources in parietal and premotor cortex recruited during motor planning also contribute to mental rotation of bodily stimuli, suggesting a common core component underlying both capacities.
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Affiliation(s)
- Naz Doganci
- Laboratory of Cognitive Neurorehabilitation, Department of Clinical Neurosciences, Faculty of Medicine, University of Geneva, 1206 Geneva, Switzerland
| | - Giannina Rita Iannotti
- Laboratory of Cognitive Neurorehabilitation, Department of Clinical Neurosciences, Faculty of Medicine, University of Geneva, 1206 Geneva, Switzerland
- Department of Radiology and Medical Informatics, University Hospitals of Geneva, 1206 Geneva, Switzerland
- Department of Neurosurgery, University Hospitals of Geneva, 1206 Geneva, Switzerland
| | - Sélim Yahia Coll
- Laboratory of Cognitive Neurorehabilitation, Department of Clinical Neurosciences, Faculty of Medicine, University of Geneva, 1206 Geneva, Switzerland
- Department of Neurosurgery, University Hospitals of Geneva, 1206 Geneva, Switzerland
- Division of Neurorehabilitation, University Hospitals of Geneva, 1206 Geneva, Switzerland
| | - Radek Ptak
- Laboratory of Cognitive Neurorehabilitation, Department of Clinical Neurosciences, Faculty of Medicine, University of Geneva, 1206 Geneva, Switzerland
- Division of Neurorehabilitation, University Hospitals of Geneva, 1206 Geneva, Switzerland
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2
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Orepic P, Iannotti GR, Haemmerli J, Goga C, Park HD, Betka S, Blanke O, Michel CM, Bondolfi G, Schaller K. Experimentally-evidenced personality alterations following meningioma resection: A case report. Cortex 2023; 168:157-166. [PMID: 37716111 DOI: 10.1016/j.cortex.2023.08.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2023] [Revised: 06/29/2023] [Accepted: 08/03/2023] [Indexed: 09/18/2023]
Abstract
Personality changes following neurosurgical procedures remain poorly understood and pose a major concern for patients, rendering a strong need for predictive biomarkers. Here we report a case of a female patient in her 40s who underwent resection of a large sagittal sinus meningioma with bilateral extension, including resection and ligation of the superior sagittal sinus, that resulted in borderline personality disorder. Importantly, we captured clinically-observed personality changes in a series of experiments assessing self-other voice discrimination, one of the experimental markers for self-consciousness. In all experiments, the patient consistently confused self- and other voices - i.e., she misattributed other-voice stimuli to herself and self-voice stimuli to others. Moreover, the electroencephalogram (EEG) microstate, that was in healthy participants observed when hearing their own voice, in this patient occurred for other-voice stimuli. We hypothesize that the patient's personality alterations resulted from a gradual development of a venous collateral hemodynamic network that impacted venous drainage of brain areas associated with self-consciousness. In addition, resection and ligation of the superior sagittal sinus significantly aggravated personality alterations through postoperative decompensation of a direct frontal lobe compression. Experimentally mirroring clinical observations, these findings are of high relevance for developing biomarkers of post-surgical personality alterations.
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Affiliation(s)
- Pavo Orepic
- Laboratory of Cognitive Neuroscience, NeuroX Institute and Brain Mind Institute, Faculty of Life Sciences, École Polytechnique Fédérale de Lausanne (EPFL), Geneva, Switzerland
| | - Giannina Rita Iannotti
- Functional Brain Mapping Lab, Department of Fundamental Neurosciences, University of Geneva, Geneva, Switzerland; Department of Neurosurgery, Geneva University Medical Center & Faculty of Medicine, University of Geneva, Geneva, Switzerland
| | - Julien Haemmerli
- Department of Neurosurgery, Geneva University Medical Center & Faculty of Medicine, University of Geneva, Geneva, Switzerland
| | - Cristina Goga
- Department of Neurosurgery, Geneva University Medical Center & Faculty of Medicine, University of Geneva, Geneva, Switzerland
| | - Hyeong-Dong Park
- Graduate Institute of Mind, Brain and Consciousness, Taipei Medical University, Taipei, Taiwan; Brain and Consciousness Research Centre, Shuang-Ho Hospital, New Taipei City, Taiwan
| | - Sophie Betka
- Laboratory of Cognitive Neuroscience, NeuroX Institute and Brain Mind Institute, Faculty of Life Sciences, École Polytechnique Fédérale de Lausanne (EPFL), Geneva, Switzerland
| | - Olaf Blanke
- Laboratory of Cognitive Neuroscience, NeuroX Institute and Brain Mind Institute, Faculty of Life Sciences, École Polytechnique Fédérale de Lausanne (EPFL), Geneva, Switzerland; Faculty of Medicine, University of Geneva, Geneva, Switzerland
| | - Christoph M Michel
- Functional Brain Mapping Lab, Department of Fundamental Neurosciences, University of Geneva, Geneva, Switzerland; Center for Biomedical Imaging (CIBM), Lausanne and Geneva, Switzerland
| | - Guido Bondolfi
- Department of Psychiatry, Geneva University Medical Center & Faculty of Medicine, University of Geneva, Geneva, Switzerland
| | - Karl Schaller
- Department of Neurosurgery, Geneva University Medical Center & Faculty of Medicine, University of Geneva, Geneva, Switzerland.
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Doganci N, Iannotti GR, Ptak R. Task-based functional connectivity identifies two segregated networks underlying intentional action. Neuroimage 2023; 268:119866. [PMID: 36610680 DOI: 10.1016/j.neuroimage.2023.119866] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2022] [Revised: 12/26/2022] [Accepted: 01/04/2023] [Indexed: 01/06/2023] Open
Abstract
While much of motor behavior is automatic, intentional action is necessary for the selection and initiation of controlled motor acts and is thus an essential part of goal-directed behavior. Neuroimaging studies have shown that self-generated action implicates several dorsal and ventral frontoparietal areas. However, knowledge of the functional coupling between these brain regions during intentional action remains limited. We here studied brain activations and functional connectivity (FC) of thirty right-handed healthy participants performing a finger pressing task instructed to use a specific finger (externally-triggered action) or to select one of four fingers randomly (internally-generated action). Participants performed the task in alternating order either with their dominant right hand or the left hand. Consistent with previous studies, we observed stronger involvement of posterior parietal cortex and premotor regions when contrasting internally-generated with externally-triggered action. Interestingly, this contrast also revealed significant engagement of medial occipitotemporal regions including the left lingual and right fusiform gyrus. Task-based FC analysis identified increased functional coupling among frontoparietal regions as well as increased and decreased coupling between occipitotemporal regions, thus differentiating between two segregated networks. When comparing results of the dominant and nondominant hand we found less activation, but stronger connectivity for the former, suggesting increased neural efficiency when participants use their dominant hand. Taken together, our results reveal that two segregated networks that encompass the frontoparietal and occipitotemporal cortex contribute independently to intentional action.
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Affiliation(s)
- Naz Doganci
- Department of Clinical Neurosciences, Laboratory of Cognitive Neurorehabilitation, Faculty of Medicine, University of Geneva, Geneva 1206, Switzerland
| | - Giannina Rita Iannotti
- Department of Clinical Neurosciences, Laboratory of Cognitive Neurorehabilitation, Faculty of Medicine, University of Geneva, Geneva 1206, Switzerland; Department of Radiology and Medical Informatics, University Hospitals of Geneva, Switzerland; Department of Neurosurgery, University Hospitals of Geneva, Switzerland
| | - Radek Ptak
- Department of Clinical Neurosciences, Laboratory of Cognitive Neurorehabilitation, Faculty of Medicine, University of Geneva, Geneva 1206, Switzerland; Division of Neurorehabilitation, University Hospitals of Geneva, Switzerland.
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Menéndez Granda M, Iannotti GR, Darqué A, Ptak R. Does mental rotation emulate motor processes? An electrophysiological study of objects and body parts. Front Hum Neurosci 2022; 16:983137. [PMID: 36304589 PMCID: PMC9592819 DOI: 10.3389/fnhum.2022.983137] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2022] [Accepted: 09/21/2022] [Indexed: 12/01/2022] Open
Abstract
Several arguments suggest that motor planning may share embodied neural mechanisms with mental rotation (MR). However, it is not well established whether this overlap occurs regardless of the type of stimulus that is manipulated, in particular manipulable or non-manipulable objects and body parts. We here used high-density electroencephalography (EEG) to examine the cognitive similarity between MR of objects that do not afford specific hand actions (chairs) and bodily stimuli (hands). Participants had identical response options for both types of stimuli, and they gave responses orally in order to prevent possible interference with motor imagery. MR of hands and chairs generated very similar behavioral responses, time-courses and neural sources of evoked-response potentials (ERPs). ERP segmentation analysis revealed distinct time windows during which differential effects of stimulus type and angular disparity were observed. An early period (90-160 ms) differentiated only between stimulus types, and was associated with occipito-temporal activity. A later period (290-330 ms) revealed strong effects of angular disparity, associated with electrical sources in the right angular gyrus and primary motor/somatosensory cortex. These data suggest that spatial transformation processes and motor planning are recruited simultaneously, supporting the involvement of motor emulation processes in MR.
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Affiliation(s)
- Marta Menéndez Granda
- Laboratory of Cognitive Neurorehabilitation, Department of Clinical Neurosciences, Faculty of Medicine, University of Geneva, Geneva, Switzerland
| | - Giannina Rita Iannotti
- Laboratory of Cognitive Neurorehabilitation, Department of Clinical Neurosciences, Faculty of Medicine, University of Geneva, Geneva, Switzerland
- Swiss Foundation for Innovation and Training in Surgery, University Hospitals of Geneva, Geneva, Switzerland
| | - Alexandra Darqué
- Laboratory of Cognitive Neurorehabilitation, Department of Clinical Neurosciences, Faculty of Medicine, University of Geneva, Geneva, Switzerland
| | - Radek Ptak
- Laboratory of Cognitive Neurorehabilitation, Department of Clinical Neurosciences, Faculty of Medicine, University of Geneva, Geneva, Switzerland
- Division of Neurorehabilitation, University Hospitals of Geneva, Geneva, Switzerland
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Iannotti GR, Orepic P, Brunet D, Koenig T, Alcoba-Banqueri S, Garin DFA, Schaller K, Blanke O, Michel CM. EEG Spatiotemporal Patterns Underlying Self-other Voice Discrimination. Cereb Cortex 2021; 32:1978-1992. [PMID: 34649280 PMCID: PMC9070353 DOI: 10.1093/cercor/bhab329] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2021] [Revised: 08/02/2021] [Accepted: 08/03/2021] [Indexed: 11/24/2022] Open
Abstract
There is growing evidence showing that the representation of the human “self” recruits special systems across different functions and modalities. Compared to self-face and self-body representations, few studies have investigated neural underpinnings specific to self-voice. Moreover, self-voice stimuli in those studies were consistently presented through air and lacking bone conduction, rendering the sound of self-voice stimuli different to the self-voice heard during natural speech. Here, we combined psychophysics, voice-morphing technology, and high-density EEG in order to identify the spatiotemporal patterns underlying self-other voice discrimination (SOVD) in a population of 26 healthy participants, both with air- and bone-conducted stimuli. We identified a self-voice-specific EEG topographic map occurring around 345 ms post-stimulus and activating a network involving insula, cingulate cortex, and medial temporal lobe structures. Occurrence of this map was modulated both with SOVD task performance and bone conduction. Specifically, the better participants performed at SOVD task, the less frequently they activated this network. In addition, the same network was recruited less frequently with bone conduction, which, accordingly, increased the SOVD task performance. This work could have an important clinical impact. Indeed, it reveals neural correlates of SOVD impairments, believed to account for auditory-verbal hallucinations, a common and highly distressing psychiatric symptom.
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Affiliation(s)
- Giannina Rita Iannotti
- Functional Brain Mapping Lab, Department of Fundamental Neurosciences, University of Geneva, 1202, Switzerland.,Department of Neurosurgery, University Hospitals of Geneva and Faculty of Medicine, University of Geneva, 1205, Switzerland
| | - Pavo Orepic
- Laboratory of Cognitive Neuroscience, Center for Neuroprosthetics and Brain Mind Institute, Faculty of Life Sciences, Swiss Federal Institute of Technology (EPFL), 1202, Switzerland
| | - Denis Brunet
- Functional Brain Mapping Lab, Department of Fundamental Neurosciences, University of Geneva, 1202, Switzerland.,CIBM Center for Biomedical Imaging, Lausanne and Geneva, 1015, Switzerland
| | - Thomas Koenig
- Translational Research Center, University Hospital of Psychiatry and Psychotherapy, University of Bern, Bern 3000, Switzerland
| | - Sixto Alcoba-Banqueri
- Laboratory of Cognitive Neuroscience, Center for Neuroprosthetics and Brain Mind Institute, Faculty of Life Sciences, Swiss Federal Institute of Technology (EPFL), 1202, Switzerland
| | - Dorian F A Garin
- Department of Neurosurgery, University Hospitals of Geneva and Faculty of Medicine, University of Geneva, 1205, Switzerland
| | - Karl Schaller
- Department of Neurosurgery, University Hospitals of Geneva and Faculty of Medicine, University of Geneva, 1205, Switzerland
| | - Olaf Blanke
- Laboratory of Cognitive Neuroscience, Center for Neuroprosthetics and Brain Mind Institute, Faculty of Life Sciences, Swiss Federal Institute of Technology (EPFL), 1202, Switzerland
| | - Christoph M Michel
- Functional Brain Mapping Lab, Department of Fundamental Neurosciences, University of Geneva, 1202, Switzerland.,CIBM Center for Biomedical Imaging, Lausanne and Geneva, 1015, Switzerland
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Schaller K, Iannotti GR, Orepic P, Betka S, Haemmerli J, Boex C, Alcoba-Banqueri S, Garin DFA, Herbelin B, Park HD, Michel CM, Blanke O. The perspectives of mapping and monitoring of the sense of self in neurosurgical patients. Acta Neurochir (Wien) 2021; 163:1213-1226. [PMID: 33686522 PMCID: PMC8053654 DOI: 10.1007/s00701-021-04778-3] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2020] [Accepted: 02/17/2021] [Indexed: 12/25/2022]
Abstract
Surgical treatment of tumors, epileptic foci or of vascular origin, requires a detailed individual pre-surgical workup and intra-operative surveillance of brain functions to minimize the risk of post-surgical neurological deficits and decline of quality of life. Most attention is attributed to language, motor functions, and perception. However, higher cognitive functions such as social cognition, personality, and the sense of self may be affected by brain surgery. To date, the precise localization and the network patterns of brain regions involved in such functions are not yet fully understood, making the assessment of risks of related post-surgical deficits difficult. It is in the interest of neurosurgeons to understand with which neural systems related to selfhood and personality they are interfering during surgery. Recent neuroscience research using virtual reality and clinical observations suggest that the insular cortex, medial prefrontal cortex, and temporo-parietal junction are important components of a neural system dedicated to self-consciousness based on multisensory bodily processing, including exteroceptive and interoceptive cues (bodily self-consciousness (BSC)). Here, we argue that combined extra- and intra-operative approaches using targeted cognitive testing, functional imaging and EEG, virtual reality, combined with multisensory stimulations, may contribute to the assessment of the BSC and related cognitive aspects. Although the usefulness of particular biomarkers, such as cardiac and respiratory signals linked to virtual reality, and of heartbeat evoked potentials as a surrogate marker for intactness of multisensory integration for intra-operative monitoring has to be proved, systemic and automatized testing of BSC in neurosurgical patients will improve future surgical outcome.
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Affiliation(s)
- Karl Schaller
- Department of Neurosurgery, Geneva University Medical Center & Faculty of Medicine, University of Geneva, Rue Gabrielle-Perret-Gentil 4, 1205, Geneva, Switzerland
| | - Giannina Rita Iannotti
- Department of Neurosurgery, Geneva University Medical Center & Faculty of Medicine, University of Geneva, Rue Gabrielle-Perret-Gentil 4, 1205, Geneva, Switzerland
- Functional Brain Mapping Laboratory, Department of Fundamental Neurosciences, University Geneva, Geneva, Switzerland
| | - Pavo Orepic
- Laboratory of Neurocognitive Science, Center for Neuroprosthetics and Brain Mind Institute, Swiss Federal Institute of Technology (EPFL), Geneva, Switzerland
| | - Sophie Betka
- Department of Neurosurgery, Geneva University Medical Center & Faculty of Medicine, University of Geneva, Rue Gabrielle-Perret-Gentil 4, 1205, Geneva, Switzerland
- Laboratory of Neurocognitive Science, Center for Neuroprosthetics and Brain Mind Institute, Swiss Federal Institute of Technology (EPFL), Geneva, Switzerland
| | - Julien Haemmerli
- Department of Neurosurgery, Geneva University Medical Center & Faculty of Medicine, University of Geneva, Rue Gabrielle-Perret-Gentil 4, 1205, Geneva, Switzerland.
| | - Colette Boex
- Department of Neurosurgery, Geneva University Medical Center & Faculty of Medicine, University of Geneva, Rue Gabrielle-Perret-Gentil 4, 1205, Geneva, Switzerland
- Department of Clinical Neurosciences, Geneva University Medical Center & Faculty of Medicine, University of Geneva, Geneva, Switzerland
| | - Sixto Alcoba-Banqueri
- Laboratory of Neurocognitive Science, Center for Neuroprosthetics and Brain Mind Institute, Swiss Federal Institute of Technology (EPFL), Geneva, Switzerland
| | - Dorian F A Garin
- Department of Neurosurgery, Geneva University Medical Center & Faculty of Medicine, University of Geneva, Rue Gabrielle-Perret-Gentil 4, 1205, Geneva, Switzerland
| | - Bruno Herbelin
- Laboratory of Neurocognitive Science, Center for Neuroprosthetics and Brain Mind Institute, Swiss Federal Institute of Technology (EPFL), Geneva, Switzerland
| | - Hyeong-Dong Park
- Laboratory of Neurocognitive Science, Center for Neuroprosthetics and Brain Mind Institute, Swiss Federal Institute of Technology (EPFL), Geneva, Switzerland
| | - Christoph M Michel
- Functional Brain Mapping Laboratory, Department of Fundamental Neurosciences, University Geneva, Geneva, Switzerland
| | - Olaf Blanke
- Laboratory of Neurocognitive Science, Center for Neuroprosthetics and Brain Mind Institute, Swiss Federal Institute of Technology (EPFL), Geneva, Switzerland
- Department of Clinical Neurosciences, Geneva University Medical Center & Faculty of Medicine, University of Geneva, Geneva, Switzerland
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Wirsich J, Jorge J, Iannotti GR, Shamshiri EA, Grouiller F, Abreu R, Lazeyras F, Giraud AL, Gruetter R, Sadaghiani S, Vulliémoz S. The relationship between EEG and fMRI connectomes is reproducible across simultaneous EEG-fMRI studies from 1.5T to 7T. Neuroimage 2021; 231:117864. [PMID: 33592241 DOI: 10.1016/j.neuroimage.2021.117864] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2020] [Revised: 01/21/2021] [Accepted: 02/09/2021] [Indexed: 01/01/2023] Open
Abstract
Both electroencephalography (EEG) and functional Magnetic Resonance Imaging (fMRI) are non-invasive methods that show complementary aspects of human brain activity. Despite measuring different proxies of brain activity, both the measured blood-oxygenation (fMRI) and neurophysiological recordings (EEG) are indirectly coupled. The electrophysiological and BOLD signal can map the underlying functional connectivity structure at the whole brain scale at different timescales. Previous work demonstrated a moderate but significant correlation between resting-state functional connectivity of both modalities, however there is a wide range of technical setups to measure simultaneous EEG-fMRI and the reliability of those measures between different setups remains unknown. This is true notably with respect to different magnetic field strengths (low and high field) and different spatial sampling of EEG (medium to high-density electrode coverage). Here, we investigated the reproducibility of the bimodal EEG-fMRI functional connectome in the most comprehensive resting-state simultaneous EEG-fMRI dataset compiled to date including a total of 72 subjects from four different imaging centers. Data was acquired from 1.5T, 3T and 7T scanners with simultaneously recorded EEG using 64 or 256 electrodes. We demonstrate that the whole-brain monomodal connectivity reproducibly correlates across different datasets and that a moderate crossmodal correlation between EEG and fMRI connectivity of r ≈ 0.3 can be reproducibly extracted in low- and high-field scanners. The crossmodal correlation was strongest in the EEG-β frequency band but exists across all frequency bands. Both homotopic and within intrinsic connectivity network (ICN) connections contributed the most to the crossmodal relationship. This study confirms, using a considerably diverse range of recording setups, that simultaneous EEG-fMRI offers a consistent estimate of multimodal functional connectomes in healthy subjects that are dominantly linked through a functional core of ICNs across spanning across the different timescales measured by EEG and fMRI. This opens new avenues for estimating the dynamics of brain function and provides a better understanding of interactions between EEG and fMRI measures. This observed level of reproducibility also defines a baseline for the study of alterations of this coupling in pathological conditions and their role as potential clinical markers.
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Affiliation(s)
- Jonathan Wirsich
- EEG and Epilepsy Unit, University Hospitals and Faculty of Medicine of Geneva, University of Geneva, Geneva, Switzerland.
| | - João Jorge
- Laboratory for Functional and Metabolic Imaging, École Polytechnique Fédérale de Lausanne, Lausanne, Switzerland; Systems Division, Swiss Center for Electronics and Microtechnology (CSEM), Neuchâtel, Switzerland
| | - Giannina Rita Iannotti
- EEG and Epilepsy Unit, University Hospitals and Faculty of Medicine of Geneva, University of Geneva, Geneva, Switzerland
| | - Elhum A Shamshiri
- EEG and Epilepsy Unit, University Hospitals and Faculty of Medicine of Geneva, University of Geneva, Geneva, Switzerland
| | - Frédéric Grouiller
- Swiss Center for Affective Sciences, University of Geneva, Geneva, Switzerland
| | - Rodolfo Abreu
- ISR-Lisboa/LARSyS and Department of Bioengineering, Instituto Superior Técnico - Universidade de Lisboa, Lisbon, Portugal; Coimbra Institute for Biomedical Imaging and Translational Research (CIBIT), Institute for Nuclear Sciences Applied to Health (ICNAS), University of Coimbra, Coimbra, Portugal
| | - François Lazeyras
- Department of Radiology and Medical Informatics, University of Geneva, Geneva, Switzerland
| | - Anne-Lise Giraud
- Department of Neuroscience, University of Geneva, Geneva, Switzerland
| | - Rolf Gruetter
- Laboratory for Functional and Metabolic Imaging, École Polytechnique Fédérale de Lausanne, Lausanne, Switzerland; Department of Radiology and Medical Informatics, University of Geneva, Geneva, Switzerland; Department of Radiology, University of Lausanne, Lausanne, Switzerland
| | - Sepideh Sadaghiani
- Beckman Institute, University of Illinois at Urbana-Champaign, Urbana, IL, United States; Psychology Department, University of Illinois at Urbana-Champaign, Urbana, IL, United States
| | - Serge Vulliémoz
- EEG and Epilepsy Unit, University Hospitals and Faculty of Medicine of Geneva, University of Geneva, Geneva, Switzerland
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Iannotti GR, Preti MG, Grouiller F, Carboni M, De Stefano P, Pittau F, Momjian S, Carmichael D, Centeno M, Seeck M, Korff CM, Schaller K, De Ville DV, Vulliemoz S. Modulation of epileptic networks by transient interictal epileptic activity: A dynamic approach to simultaneous EEG-fMRI. Neuroimage Clin 2020; 28:102467. [PMID: 33395963 PMCID: PMC7645285 DOI: 10.1016/j.nicl.2020.102467] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/19/2020] [Revised: 09/15/2020] [Accepted: 10/09/2020] [Indexed: 12/27/2022]
Abstract
EEG-fMRI has been instrumental in characterizing brain networks in epilepsy. Its value is documented in the pre-surgical assessment of drug-resistant epilepsy. The delineation of brain areas to resect is fundamental for the post-surgical outcome. Standard EEG-fMRI in epilepsy assesses static functional connectivity of the network. EEG-fMRI dynamic connectivity identifies transitory features of specific connections. We integrate dynamic fMRI connectivity and dynamic patterns of simultaneous scalp EEG. This allows to better characterize the spatiotemporal aspects of epileptic networks. This may help in more efficiently target the surgical intervention.
Epileptic networks, defined as brain regions involved in epileptic brain activity, have been mapped by functional connectivity in simultaneous electroencephalography and functional magnetic resonance imaging (EEG-fMRI) recordings. This technique allows to define brain hemodynamic changes, measured by the Blood Oxygen Level Dependent (BOLD) signal, associated to the interictal epileptic discharges (IED), which together with ictal events constitute a signature of epileptic disease. Given the highly time-varying nature of epileptic activity, a dynamic functional connectivity (dFC) analysis of EEG-fMRI data appears particularly suitable, having the potential to identify transitory features of specific connections in epileptic networks. In the present study, we propose a novel method, defined dFC-EEG, that integrates dFC assessed by fMRI with the information recorded by simultaneous scalp EEG, in order to identify the connections characterised by a dynamic profile correlated with the occurrence of IED, forming the dynamic epileptic subnetwork. Ten patients with drug-resistant focal epilepsy were included, with different aetiology and showing a widespread (or multilobar) BOLD activation, defined as involving at least two distinct clusters, located in two different lobes and/or extended to the hemisphere contralateral to the epileptic focus. The epileptic focus was defined from the IED-related BOLD map. Regions involved in the occurrence of interictal epileptic activity; i.e., forming the epileptic network, were identified by a general linear model considering the timecourse of the fMRI-defined focus as main regressor. dFC between these regions was assessed with a sliding-window approach. dFC timecourses were then correlated with the sliding-window variance of the IED signal (VarIED), to identify connections whose dynamics related to the epileptic activity; i.e., the dynamic epileptic subnetwork. As expected, given the very different clinical picture of each individual, the extent of this subnetwork was highly variable across patients, but was but was reduced of at least 30% with respect to the initially identified epileptic network in 9/10 patients. The connections of the dynamic subnetwork were most commonly close to the epileptic focus, as reflected by the laterality index of the subnetwork connections, reported higher than the one within the original epileptic network. Moreover, the correlation between dFC timecourses and VarIED was predominantly positive, suggesting a strengthening of the dynamic subnetwork associated to the occurrence of IED. The integration of dFC and scalp IED offers a more specific description of the epileptic network, identifying connections strongly influenced by IED. These findings could be relevant in the pre-surgical evaluation for the resection or disconnection of the epileptogenic zone and help in reaching a better post-surgical outcome. This would be particularly important for patients characterised by a widespread pathological brain activity which challenges the surgical intervention.
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Affiliation(s)
- G R Iannotti
- EEG and Epilepsy, Clinical Neuroscience Department, University Hospital and Faculty of Medicine of Geneva, Switzerland; Functional Brain Mapping Lab, Department of Fundamental Neurosciences, University of Geneva, Switzerland; Neurosurgery, Clinical Neuroscience Department, University Hospital and Faculty of Medicine of Geneva, Switzerland.
| | - M G Preti
- Institute of Bioengineering, Center for Neuroprosthetics, Ecole Polytechnique Federale de Lausanne (EPFL), Switzerland; Department of Radiology and Medical Informatics, University of Geneva, Geneva, Switzerland
| | - F Grouiller
- Swiss Center for Affective Sciences, University of Geneva, Switzerland; Laboratory of Behavioral Neurology and Imaging of Cognition, Department of Fundamental Neurosciences, University of Geneva, Switzerland
| | - M Carboni
- EEG and Epilepsy, Clinical Neuroscience Department, University Hospital and Faculty of Medicine of Geneva, Switzerland; Functional Brain Mapping Lab, Department of Fundamental Neurosciences, University of Geneva, Switzerland
| | - P De Stefano
- EEG and Epilepsy, Clinical Neuroscience Department, University Hospital and Faculty of Medicine of Geneva, Switzerland
| | - F Pittau
- EEG and Epilepsy, Clinical Neuroscience Department, University Hospital and Faculty of Medicine of Geneva, Switzerland; Epilepsy Unit, Institution de Lavigny, Switzerland
| | - S Momjian
- Neurosurgery, Clinical Neuroscience Department, University Hospital and Faculty of Medicine of Geneva, Switzerland
| | - D Carmichael
- Biomedical Engineering Department, Kings College London, United Kingdom; Department of Clinical and Experimental Epilepsy, UCL Institute of Neurology, Queen Square, London, United Kingdom
| | - M Centeno
- Department of Clinical and Experimental Epilepsy, UCL Institute of Neurology, Queen Square, London, United Kingdom; Epilepsy Unit, Neurology Department, Clinica Universidad de Pamplona, Navarra, Spain
| | - M Seeck
- EEG and Epilepsy, Clinical Neuroscience Department, University Hospital and Faculty of Medicine of Geneva, Switzerland
| | - C M Korff
- Pediatric Neurology Unit, University Hospitals of Geneva, Geneva, Switzerland
| | - K Schaller
- Neurosurgery, Clinical Neuroscience Department, University Hospital and Faculty of Medicine of Geneva, Switzerland
| | - D Van De Ville
- Institute of Bioengineering, Center for Neuroprosthetics, Ecole Polytechnique Federale de Lausanne (EPFL), Switzerland; Department of Radiology and Medical Informatics, University of Geneva, Geneva, Switzerland
| | - S Vulliemoz
- EEG and Epilepsy, Clinical Neuroscience Department, University Hospital and Faculty of Medicine of Geneva, Switzerland
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Ptak R, Bourgeois A, Cavelti S, Doganci N, Schnider A, Iannotti GR. Discrete Patterns of Cross-Hemispheric Functional Connectivity Underlie Impairments of Spatial Cognition after Stroke. J Neurosci 2020; 40:6638-6648. [PMID: 32709694 PMCID: PMC7486659 DOI: 10.1523/jneurosci.0625-20.2020] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2020] [Revised: 06/06/2020] [Accepted: 07/04/2020] [Indexed: 12/17/2022] Open
Abstract
Despite intense research, the neural correlates of stroke-induced deficits of spatial cognition remain controversial. For example, several cortical regions and white-matter tracts have been designated as possible anatomic predictors of spatial neglect. However, many studies focused on local anatomy, an approach that does not harmonize with the notion that brain-behavior relationships are flexible and may involve interactions among distant regions. We studied in humans of either sex resting-state fMRI connectivity associated with performance in line bisection, reading and visual search, tasks commonly used for he clinical diagnosis of neglect. We defined left and right frontal, parietal, and temporal areas as seeds (or regions of interest, ROIs), and measured whole-brain seed-based functional connectivity (FC) and ROI-to-ROI connectivity in subacute right-hemisphere stroke patients. Performance on the line bisection task was associated with decreased FC between the right fusiform gyrus and left superior occipital cortex. Complementary increases and decreases of connectivity between both temporal and occipital lobes predicted reading errors. In addition, visual search deficits were associated with modifications of FC between left and right inferior parietal lobes and right insular cortex. These distinct connectivity patterns were substantiated by analyses of FC between left- and right-hemispheric ROIs, which revealed that decreased interhemispheric and right intrahemispheric FC was associated with higher levels of impairment. Together, these findings indicate that intrahemispheric and interhemispheric cooperation between brain regions lying outside the damaged area contributes to spatial deficits in a way that depends on the different cognitive components recruited during reading, spatial judgments, and visual exploration.SIGNIFICANCE STATEMENT Focal damage to the right cerebral hemisphere may result in a variety of deficits, often affecting the domain of spatial cognition. The neural correlates of these disorders have traditionally been studied with lesion-symptom mapping, but this method fails to capture the network dynamics that underlie cognitive performance. We studied functional connectivity in patients with right-hemisphere stroke and found a pattern of correlations between the left and right temporo-occipital, inferior parietal, and right insular cortex that were distinctively predictive of deficits in reading, spatial judgment, and visual exploration. This finding reveals the importance of interhemispheric interactions and network adaptations for the manifestation of spatial deficits after damage to the right hemisphere.
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Affiliation(s)
- Radek Ptak
- Laboratory of Cognitive Neurorehabilitation, Department of Clinical Neurosciences, Faculty of Medicine, University of Geneva, Geneva, 1206, Switzerland
- Division of Neurorehabilitation, University Hospitals of Geneva, Geneva, 1206, Switzerland
- Faculty of Psychology and Educational Sciences, University of Geneva, Geneva, 1205, Switzerland
| | - Alexia Bourgeois
- Laboratory of Cognitive Neurorehabilitation, Department of Clinical Neurosciences, Faculty of Medicine, University of Geneva, Geneva, 1206, Switzerland
| | - Silvia Cavelti
- Laboratory of Cognitive Neurorehabilitation, Department of Clinical Neurosciences, Faculty of Medicine, University of Geneva, Geneva, 1206, Switzerland
| | - Naz Doganci
- Laboratory of Cognitive Neurorehabilitation, Department of Clinical Neurosciences, Faculty of Medicine, University of Geneva, Geneva, 1206, Switzerland
| | - Armin Schnider
- Laboratory of Cognitive Neurorehabilitation, Department of Clinical Neurosciences, Faculty of Medicine, University of Geneva, Geneva, 1206, Switzerland
- Division of Neurorehabilitation, University Hospitals of Geneva, Geneva, 1206, Switzerland
| | - Giannina Rita Iannotti
- Laboratory of Cognitive Neurorehabilitation, Department of Clinical Neurosciences, Faculty of Medicine, University of Geneva, Geneva, 1206, Switzerland
- Swiss Foundation for Innovation and Training in Surgery, University Hospitals of Geneva, Geneva, 1206, Switzerland
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Carboni M, Rubega M, Iannotti GR, De Stefano P, Toscano G, Tourbier S, Pittau F, Hagmann P, Momjian S, Schaller K, Seeck M, Michel CM, van Mierlo P, Vulliemoz S. The network integration of epileptic activity in relation to surgical outcome. Clin Neurophysiol 2019; 130:2193-2202. [PMID: 31669753 DOI: 10.1016/j.clinph.2019.09.006] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2019] [Revised: 08/21/2019] [Accepted: 09/12/2019] [Indexed: 11/24/2022]
Abstract
OBJECTIVE Epilepsy is a network disease with epileptic activity and cognitive impairment involving large-scale brain networks. A complex network is involved in the seizure and in the interictal epileptiform discharges (IEDs). Directed connectivity analysis, describing the information transfer between brain regions, and graph analysis are applied to high-density EEG to characterise networks. METHODS We analysed 19 patients with focal epilepsy who had high-density EEG containing IED and underwent surgery. We estimated cortical activity during IED using electric source analysis in 72 atlas-based cortical regions of the individual brain MRI. We applied directed connectivity analysis (information Partial Directed Coherence) and graph analysis on these sources and compared patients with good vs poor post-operative outcome at global, hemispheric and lobar level. RESULTS We found lower network integration reflected by global, hemispheric, lobar efficiency during the IED (p < 0.05) in patients with good post-surgical outcome, compared to patients with poor outcome. Prediction was better than using the IED field or the localisation obtained by electric source imaging. CONCLUSIONS Abnormal network patterns in epilepsy are related to seizure outcome after surgery. SIGNIFICANCE Our finding may help understand networks related to a more "isolated" epileptic activity, limiting the extent of the epileptic network in patients with subsequent good post-operative outcome.
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Affiliation(s)
- M Carboni
- EEG and Epilepsy, Neuroscience Department, University Hospital and Faculty of Medicine of Geneva, Geneva, Switzerland; Functional Brain Mapping Lab, Department of Fundamental Neurosciences, University of Geneva, Geneva, Switzerland.
| | - M Rubega
- Functional Brain Mapping Lab, Department of Fundamental Neurosciences, University of Geneva, Geneva, Switzerland
| | - G R Iannotti
- EEG and Epilepsy, Neuroscience Department, University Hospital and Faculty of Medicine of Geneva, Geneva, Switzerland; Functional Brain Mapping Lab, Department of Fundamental Neurosciences, University of Geneva, Geneva, Switzerland; Department of Neurosurgery, University Hospital and Faculty of Medicine of Geneva, Geneva, Switzerland
| | - P De Stefano
- EEG and Epilepsy, Neuroscience Department, University Hospital and Faculty of Medicine of Geneva, Geneva, Switzerland
| | - G Toscano
- EEG and Epilepsy, Neuroscience Department, University Hospital and Faculty of Medicine of Geneva, Geneva, Switzerland; Unit of Sleep Medicine and Epilepsy, C. Mondino National Neurological Institute, Pavia, Italy
| | - S Tourbier
- Connectomics Lab, Department of Radiology, University Hospital of Lausanne, Lausanne, Switzerland
| | - F Pittau
- EEG and Epilepsy, Neuroscience Department, University Hospital and Faculty of Medicine of Geneva, Geneva, Switzerland
| | - P Hagmann
- Connectomics Lab, Department of Radiology, University Hospital of Lausanne, Lausanne, Switzerland
| | - S Momjian
- Department of Neurosurgery, University Hospital and Faculty of Medicine of Geneva, Geneva, Switzerland
| | - K Schaller
- Department of Neurosurgery, University Hospital and Faculty of Medicine of Geneva, Geneva, Switzerland
| | - M Seeck
- EEG and Epilepsy, Neuroscience Department, University Hospital and Faculty of Medicine of Geneva, Geneva, Switzerland
| | - C M Michel
- Functional Brain Mapping Lab, Department of Fundamental Neurosciences, University of Geneva, Geneva, Switzerland
| | - P van Mierlo
- EEG and Epilepsy, Neuroscience Department, University Hospital and Faculty of Medicine of Geneva, Geneva, Switzerland; Medical Image and Signal Processing Group, Department of Electronics and Information Systems, Ghent University, Ghent, Belgium
| | - S Vulliemoz
- EEG and Epilepsy, Neuroscience Department, University Hospital and Faculty of Medicine of Geneva, Geneva, Switzerland.
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Grouiller F, Jorge J, Pittau F, van der Zwaag W, Iannotti GR, Michel CM, Vulliémoz S, Vargas MI, Lazeyras F. Presurgical brain mapping in epilepsy using simultaneous EEG and functional MRI at ultra-high field: feasibility and first results. MAGMA 2016; 29:605-16. [PMID: 26946508 DOI: 10.1007/s10334-016-0536-5] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/02/2015] [Revised: 02/11/2016] [Accepted: 02/12/2016] [Indexed: 11/29/2022]
Abstract
OBJECTIVES The aim of this study was to demonstrate that eloquent cortex and epileptic-related hemodynamic changes can be safely and reliably detected using simultaneous electroencephalography (EEG)-functional magnetic resonance imaging (fMRI) recordings at ultra-high field (UHF) for clinical evaluation of patients with epilepsy. MATERIALS AND METHODS Simultaneous EEG-fMRI was acquired at 7 T using an optimized setup in nine patients with lesional epilepsy. According to the localization of the lesion, mapping of eloquent cortex (language and motor) was also performed in two patients. RESULTS Despite strong artifacts, efficient correction of intra-MRI EEG could be achieved with optimized artifact removal algorithms, allowing robust identification of interictal epileptiform discharges. Noise-sensitive topography-related analyses and electrical source localization were also performed successfully. Localization of epilepsy-related hemodynamic changes compatible with the lesion were detected in three patients and concordant with findings obtained at 3 T. Local loss of signal in specific regions, essentially due to B 1 inhomogeneities were found to depend on the geometric arrangement of EEG leads over the cap. CONCLUSION These results demonstrate that presurgical mapping of epileptic networks and eloquent cortex is both safe and feasible at UHF, with the benefits of greater spatial resolution and higher blood-oxygenation-level-dependent sensitivity compared with the more traditional field strength of 3 T.
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Affiliation(s)
- Frédéric Grouiller
- Department of Radiology and Medical Informatics, University of Geneva, Rue Gabrielle-Perret-Gentil 4, 1211, Geneva 14, Switzerland.
| | - João Jorge
- Laboratory for Functional and Metabolic Imaging, École Polytechnique Fédérale de Lausanne, Lausanne, Switzerland.,ISR-Lisboa/LARSyS and Department of Bioengineering, Instituto Superior Técnico, Universidade de Lisboa, Lisbon, Portugal
| | - Francesca Pittau
- EEG and Epilepsy Unit, Department of Neurology, Geneva University Hospitals, Geneva, Switzerland
| | - Wietske van der Zwaag
- Biomedical Imaging Research Center, Ecole Polytechnique Fédérale de Lausanne, Lausanne, Switzerland.,Spinoza Centre for Neuroimaging, Amsterdam, The Netherlands
| | - Giannina Rita Iannotti
- Functional Brain Mapping Laboratory, Department of Fundamental Neurosciences, University of Geneva, Geneva, Switzerland
| | - Christoph Martin Michel
- Functional Brain Mapping Laboratory, Department of Fundamental Neurosciences, University of Geneva, Geneva, Switzerland
| | - Serge Vulliémoz
- EEG and Epilepsy Unit, Department of Neurology, Geneva University Hospitals, Geneva, Switzerland
| | - Maria Isabel Vargas
- Division of Neuroradiology, Geneva University Hospitals, Geneva, Switzerland
| | - François Lazeyras
- Department of Radiology and Medical Informatics, University of Geneva, Rue Gabrielle-Perret-Gentil 4, 1211, Geneva 14, Switzerland
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