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1.
Addict Biol ; 27(3): e13177, 2022 05.
Artículo en Inglés | MEDLINE | ID: mdl-35470550

RESUMEN

There are significant sex differences in the clinical characteristics of cocaine use disorder (CUD). As this is a brain disorder that involves changes in functional connectivity, we investigated the existence of sex differences among people with CUD and controls. We used a data-driven method comparing males (n = 20, CK-M) and females with CUD (n = 20, CK-F) and healthy controls (20 males, HC-M and 20 females, HC-F). The participants undertook a resting-state functional magnetic resonance imaging exam. Regional homogeneity (ReHo) was performed to identify group and sex differences. Persons with CUD of both sexes presented lower ReHo parameters than controls, especially within the parietal lobule. Males with CUD showed higher ReHo than females in three right-side brain areas: postcentral gyrus, putamen and fusiform gyrus. It was found that abstinence symptoms severity was associated with lower ReHo values in the right postcentral gyrus and the right fusiform gyrus. Participants with CUD exhibited altered ReHo parameters compared to controls, similar to what is found in ageing-related disorders. Our data also indicate that cocaine has sex-specific effects on brain functioning when analysing ReHo.


Asunto(s)
Cocaína , Caracteres Sexuales , Encéfalo , Mapeo Encefálico/métodos , Femenino , Humanos , Imagen por Resonancia Magnética/métodos , Masculino
2.
Appetite ; 169: 105799, 2022 02 01.
Artículo en Inglés | MEDLINE | ID: mdl-34767841

RESUMEN

While classically linked to memory, the hippocampus is also a feeding behavior modulator due to its multiple interconnected pathways with other brain regions and expression of receptors for metabolic hormones. Here we tested whether variations in insulin sensitivity would be correlated with differential brain activation following exposure to palatable food cues, as well as with variations in implicit food memory in a cohort of healthy adolescents, some of whom were born small for gestational age (SGA). Homeostatic Model Assessment of Insulin Resistance (HOMA-IR) was positively correlated with activation in the cuneus, and negatively correlated with activation in the middle frontal lobe, superior frontal gyrus and precuneus when presented with palatable food images versus non-food images in healthy adolescents. Additionally, HOMA-IR and insulinemia were higher in participants with impaired food memory. SGA individuals had higher snack caloric density and greater chance for impaired food memory. There was also an interaction between the HOMA-IR and birth weight ratio influencing external eating behavior. We suggest that diminished insulin sensitivity correlates with activation in visual attention areas and inactivation in inhibitory control areas in healthy adolescents. Insulin resistance also associated with less consistency in implicit memory for a consumed meal, which may suggest lower ability to establish a dietary pattern, and can contribute to obesity. Differences in feeding behavior in SGA individuals were associated with insulin sensitivity and hippocampal alterations, suggesting that cognition and hormonal regulation are important components involved in their food intake modifications throughout life.


Asunto(s)
Resistencia a la Insulina , Adolescente , Glucemia/metabolismo , Encéfalo/fisiología , Señales (Psicología) , Edad Gestacional , Humanos , Insulina , Comidas , Obesidad/complicaciones
3.
Pediatr Radiol ; 52(5): 941-950, 2022 05.
Artículo en Inglés | MEDLINE | ID: mdl-35229185

RESUMEN

BACKGROUND: Zika virus infection during pregnancy is linked to birth defects, most notably microcephaly, which is associated with neurodevelopmental delays. OBJECTIVE: The goals of the study were to propose a method for severity classification of congenital microcephaly based on neuroradiologic findings of MRI scans, and to investigate the association of severity with neuropsychomotor developmental scores. We also propose a semi-automated method for MRI-based severity classification of microcephaly. MATERIALS AND METHODS: We conducted a cross-sectional investigation of 42 infants born with congenital Zika infection. Bayley Scales of Infant and Toddler Development III (Bayley-III) developmental evaluations and MRI scans were carried out at ages 13-39 months (mean: 24.8 months; standard deviation [SD]: 5.8 months). The severity score was generated based on neuroradiologist evaluations of brain malformations. Next, we established a distribution of Zika virus-microcephaly severity score including mild, moderate and severe and investigated the association of severity with neuropsychomotor developmental scores. Finally, we propose a simplified semi-automated procedure for estimating the severity score based only on volumetric measures. RESULTS: The results showed a correlation of r=0.89 (P<0.001) between the Zika virus-microcephaly severity score and the semi-automated method. The trimester of infection did not correlate with the semi-automated method. Neuropsychomotor development correlated with the severity classification based on the radiologic readings and semi-automated method; the more severe the imaging scores, the lower the neuropsychomotor developmental scores. CONCLUSION: These severity classification methods can be used to evaluate severity of microcephaly and possible association with developmental consequences. The semi-automated methods thus provide an alternative for predicting severity of microcephaly based on only one MRI sequence.


Asunto(s)
Microcefalia , Complicaciones Infecciosas del Embarazo , Infección por el Virus Zika , Virus Zika , Preescolar , Estudios Transversales , Femenino , Humanos , Lactante , Imagen por Resonancia Magnética , Microcefalia/complicaciones , Microcefalia/diagnóstico por imagen , Embarazo , Infección por el Virus Zika/diagnóstico por imagen
4.
Stress ; 23(5): 546-555, 2020 09.
Artículo en Inglés | MEDLINE | ID: mdl-31701783

RESUMEN

Youths who experience multiple forms of victimization are at a heightened risk for psychopathology across the lifespan. The hypothalamic-pituitary-adrenal (HPA) axis is a key target for the investigation of neurobiological changes induced by chronic stress and violence exposure. The measurement of hair cortisol concentration allows the investigation of long-term HPA activity and its association with victimization. The present study investigated the impact of exposure to polyvictimization in Latin-American children and adolescents on hair cortisol levels. We investigated association among cortisol, mental health problems and victimization. The study included 83 youths (mean age 10.84 years-old) from southern Brazil. We assessed self-reported victimization scores (Juvenile Victimization Questionnaire - JVQ-R2), mental health problems (Child Behavior Checklist - CBCL/6-18), and hair cortisol concentrations for the previous 30 days. The results showed an association between exposure to multiple forms of victimization and higher concentrations of hair cortisol; the results also showed that cortisol levels and mental health problems were associated with the severity of polyvictimization. These findings suggest that preadolescent victimization is associated with hyperactivation of HPA axis and with increased risk of mental health issues.


Asunto(s)
Víctimas de Crimen , Hidrocortisona , Adolescente , Niño , Humanos , Sistema Hipotálamo-Hipofisario , Salud Mental , Sistema Hipófiso-Suprarrenal , Estrés Psicológico
5.
Dev Sci ; 22(5): e12799, 2019 09.
Artículo en Inglés | MEDLINE | ID: mdl-30648778

RESUMEN

The present study investigated exposure to violence and its association with brain function and hair cortisol concentrations in Latin-American preadolescents. Self-reported victimization scores (JVQ-R2), brain imaging (fMRI) indices for a social cognition task (the 'eyes test'), and hair cortisol concentrations were investigated, for the first time, in this population. The eyes test is based on two conditions: attributing mental state or sex to pictures of pairs of eyes (Baron-Cohen, Wheelwright, Hill, Raste, & Plumb, 2001). The results showed an association among higher victimization scores and (a) less activation of posterior temporoparietal right-hemisphere areas, in the mental state condition only (including right temporal sulcus and fusiform gyrus); (b) higher functional connectivity indices for the Amygdala and Right Fusiform Gyrus (RFFG) pair of brain regions, also in the mental state condition only; (c) higher hair cortisol concentrations. The results suggest more exposure to violence is associated with significant differences in brain function and connectivity. A putative mechanism of less activation in posterior right-hemisphere regions and of synchronized Amygdala: RFFG time series was identified in the mental state condition only. The results also suggest measurable effects of exposure to violence in hair cortisol concentrations, which contribute to the reliability of self-reported scores by young adolescents. The findings are discussed in light of the effects of exposure to violence on brain function and on social-cognitive development in the adolescent brain. A video abstract of this article can be viewed at https://www.youtube.com/watch?v=qHcXq7Y9PBk.


Asunto(s)
Encéfalo/fisiopatología , Víctimas de Crimen/psicología , Hidrocortisona/análisis , Violencia/psicología , Adolescente , Adulto , Amígdala del Cerebelo/fisiopatología , Mapeo Encefálico/métodos , Cognición , Femenino , Humanos , América Latina , Imagen por Resonancia Magnética/métodos , Masculino , Lóbulo Temporal/fisiopatología
6.
Appetite ; 116: 21-28, 2017 09 01.
Artículo en Inglés | MEDLINE | ID: mdl-28400302

RESUMEN

BACKGROUND: The A3669G single nucleotide polymorphism (SNP) of the glucocorticoid receptor (GR) gene NR3C1 is associated with altered tissue sensitivity to glucocorticoids (GCs). GCs modulate the food reward circuitry and are implicated in increased intake of palatable foods, which can lead to the metabolic syndrome and obesity. We hypothesized that presence of the G variant of the A3669G SNP would affect preferences for palatable foods and alter metabolic, behavioural, and neural outcomes. METHODS: One hundred thirty-one adolescents were genotyped for the A3669G polymorphism, underwent anthropometric assessment and nutritional evaluations, and completed behavioural measures. A subsample of 74 subjects was followed for 5 years and performed a brain functional magnetic resonance imaging (fMRI) paradigm to verify brain activity in response to food cues. RESULTS: Sugar and total energy consumption were lower in A3669G G allele variant carriers. On follow-up, this group also had reduced serum insulin concentrations, increased insulin sensitivity, and lower anxiety scores. Because of our unbalanced sample sizes (31/37 participants non-G allele carriers/total), our imaging data analysis failed to find whole brain-corrected significant results in between-group t-tests. CONCLUSION: These results highlight that a genetic variation in the GR gene is associated, at the cellular level, with significant reduction in GC sensitivity, which, at cognitive and behavioural levels, translates to altered food intake and emotional stress response. This genetic variant might play a major role in decreasing risk for metabolic and psychiatric diseases.


Asunto(s)
Alostasis , Regulación del Apetito , Ingestión de Energía , Preferencias Alimentarias , Polimorfismo de Nucleótido Simple , Adolescente , Fenómenos Fisiológicos Nutricionales de los Adolescentes , Alelos , Ansiedad/genética , Ansiedad/metabolismo , Ansiedad/psicología , Brasil , Niño , Fenómenos Fisiológicos Nutricionales Infantiles , Estudios de Cohortes , Femenino , Estudios de Asociación Genética , Humanos , Resistencia a la Insulina , Estudios Longitudinales , Masculino , Estudios Prospectivos , Estrés Psicológico/genética , Estrés Psicológico/metabolismo , Estrés Psicológico/psicología
7.
Stress ; 19(3): 287-94, 2016 05.
Artículo en Inglés | MEDLINE | ID: mdl-27295200

RESUMEN

Studies in rodents have shown that early life trauma leads to anxiety, increased stress responses to threatening situations, and modifies food intake in a new environment. However, these associations are still to be tested in humans. This study aimed to verify complex interactions among anxiety diagnosis, maternal care, and baseline cortisol on food intake in a new environment in humans. A community sample of 32 adolescents and young adults was evaluated for: psychiatric diagnosis using standardized interviews, maternal care using the Parental Bonding Inventory (PBI), caloric consumption in a new environment (meal choice at a snack bar), and salivary cortisol. They also performed a brain fMRI task including the visualization of palatable foods vs. neutral items. The study found a three-way interaction between anxiety diagnosis, maternal care, and baseline cortisol levels on the total calories consumed (snacks) in a new environment. This interaction means that for those with high maternal care, there were no significant associations between cortisol levels and food intake in a new environment. However, for those with low maternal care and who have an anxiety disorder (affected), cortisol was associated with higher food intake; whereas for those with low maternal care and who did not have an anxiety disorder (resilient), cortisol was negatively associated with lower food intake. In addition, higher anxiety symptoms were associated with decreased activation in the superior and middle frontal gyrus when visualizing palatable vs. neutral items in those reporting high maternal care. These results in humans mimic experimental research findings and demonstrate that a combination of anxiety diagnosis and maternal care moderate the relationship between the HPA axis functioning, anxiety, and feeding behavior in adolescents and young adults.


Asunto(s)
Ansiedad/fisiopatología , Conducta Alimentaria/fisiología , Hidrocortisona/análisis , Sistema Hipotálamo-Hipofisario/fisiopatología , Relaciones Madre-Hijo , Sistema Hipófiso-Suprarrenal/fisiopatología , Adolescente , Encéfalo/diagnóstico por imagen , Encéfalo/fisiología , Ingestión de Alimentos/fisiología , Ingestión de Alimentos/psicología , Conducta Alimentaria/psicología , Femenino , Humanos , Imagen por Resonancia Magnética , Masculino , Apego a Objetos , Padres , Saliva/química , Bocadillos , Adulto Joven
8.
Psicol Reflex Crit ; 36(1): 6, 2023 Feb 27.
Artículo en Inglés | MEDLINE | ID: mdl-36843084

RESUMEN

We carried out an exploratory study of the association between exposure to violence, intelligence, and executive functions in Brazilian preadolescents. The study included 56 participants (31 males) aged 8 to 14 years old (mean = 11.3, SD = 1.0). We administered neuropsychological tests to evaluate executive functions and the Juvenile Victimization Questionnaire (JVQ) to evaluate exposure to violence. We used the following neuropsychological instruments: Wechsler Abbreviated Scale of Intelligence (WASI), Stroop Color-Word Interference task, digits subtest of the Wechsler Intelligence Scale for Children, and an N-back task. We generated a composite score from neuropsychological test scores and investigated the association of that score, and individual test scores, with exposure to violence and socioeconomic status (SES). Results suggest, first, that exposure to violence is associated with a 0.5-point lower intelligence quotient score for every reported victimization event in the Juvenile Victimization Questionnaire. Results also show that the digits backward subtest scores showed a significant negative correlation with exposure to violence (JVQ; rho = -0.29, p < 0.05); both analyses were adjusted for the level of schooling of parents or guardians, which was also found to be significantly associated with lower intelligence quotient scores. We discuss results in the light of the existing literature on the effects of exposure to violence on adolescent development, and the amounting evidence that suggests an association of exposure to violence, and of victimization, with tests that evaluate constructs of executive functions. The study struggled with low compliance from participants, and we underscore the challenges of carrying out empirical studies aimed at better understanding the development of underrepresented youths, such as those from Central and Latin America.

9.
Hum Brain Mapp ; 33(8): 1868-82, 2012 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-21618666

RESUMEN

The study used fMRI to investigate brain activation in participants who were able to listen to and successfully comprehend two people speaking at the same time (dual-tasking). The study identified brain mechanisms associated with high-level, concurrent dual-tasking, as compared with comprehending a single message. Results showed an increase in the functional connectivity among areas of the language network in the dual task. The increase in synchronization of brain activation for dual-tasking was brought about primarily by a change in the timing of left inferior frontal gyrus (LIFG) activation relative to posterior temporal activation, bringing the LIFG activation into closer correspondence with temporal activation. The results show that the change in LIFG timing was greater in participants with lower working memory capacity, and that recruitment of additional activation in the dual-task occurred only in the areas adjacent to the language network that was activated in the single task. The shift in LIFG activation may be a brain marker of how the brain adapts to high-level dual-tasking.


Asunto(s)
Mapeo Encefálico , Encéfalo/fisiología , Comprensión/fisiología , Vías Nerviosas/fisiología , Percepción del Habla/fisiología , Adolescente , Adulto , Atención/fisiología , Femenino , Humanos , Interpretación de Imagen Asistida por Computador , Lenguaje , Imagen por Resonancia Magnética , Masculino , Adulto Joven
10.
Brain Sci ; 12(11)2022 Nov 03.
Artículo en Inglés | MEDLINE | ID: mdl-36358421

RESUMEN

Early literacy skills such as alphabet knowledge and phonemic awareness are made up the foundation for learning to read. These skills are more effectively taught with explicit instruction starting inpreschool and then continuing during early elementary school years. The COVID19 pandemic school closures severely impacted early literacy development worldwide. Brazil had one of the longest school closure periods, which resulted in several children having no access to any educational activities. Education Technology (EdTech) tools can leverage access to pedagogical materials and remediate the consequences of school closure. We investigated the impact of using an early literacy EdTech, GraphoGame Brazil, to foster learning of early literacy skills during the height of COVID19 school closures, in Brazil. We carried out a quasi-experimental, pretest and posttest study with elementary school students who were taking online classes. Participants were pseudo randomly assigned to (1) an experimental group, who played GraphoGame Brazil, and to (2) an active control group, who played an EdTech that focuses on early numeracy skills. The results show a significant positive training effect on word reading accuracy associated with the use of GraphoGame for the children in the experimental group, relative to the control group. We also found statistically significant negative effect in lowercase naming for the control group. We address the consequences of COVID19 school closures, the promise of EdTech and its limitations, and discuss the issue of fostering successful early literacy instruction in countries that have struggled with teaching children to read even before the pandemic.

11.
Sci Rep ; 12(1): 9558, 2022 06 10.
Artículo en Inglés | MEDLINE | ID: mdl-35688847

RESUMEN

We carried out an exploratory study aimed at identifying differences in resting-state functional connectivity for the amygdala and its subregions, right and left basolateral, centromedial and superficial nuclei, in patients with Posttraumatic Stress Disorder (PTSD), relative to controls. The study included 10 participants with PTSD following trauma in adulthood (9 females), and 10 controls (9 females). The results suggest PTSD was associated with a decreased (negative) functional connectivity between the superficial amygdala and posterior brain regions relative to controls. The differences were observed between right superficial amygdala and right fusiform gyrus, and between left superficial amygdala and left lingual and left middle occipital gyri. The results suggest that among PTSD patients, the worse the PTSD symptoms, the lower the connectivity. The results corroborate the fMRI literature that shows PTSD is associated with weaker amygdala functional connectivity with areas of the brain involved in sensory and perceptual processes. The results also suggest that though the patients traumatic experience occured in adulthood, the presence of early traumatic experiences were associated with negative connectivity between the centromedial amygdala and sensory and perceptual regions. We argue that the understanding of the mechanisms of PTSD symptoms, its behaviors and the effects on quality of life of patients may benefit from the investigation of brain function that underpins sensory and perceptual symptoms associated with the disorder.


Asunto(s)
Trastornos por Estrés Postraumático , Adulto , Amígdala del Cerebelo/diagnóstico por imagen , Femenino , Humanos , Imagen por Resonancia Magnética/métodos , Vías Nerviosas , Calidad de Vida , Trastornos por Estrés Postraumático/diagnóstico por imagen
12.
Front Endocrinol (Lausanne) ; 13: 882532, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35677721

RESUMEN

Introduction: Prenatal growth impairment leads to higher preference for palatable foods in comparison to normal prenatal growth subjects, which can contribute to increased body fat mass and a higher risk for developing chronic diseases in small-for-gestational-age (SGA) individuals throughout life. This study aimed to investigate the effect of SGA on feeding behavior in children and adolescents, as well as resting-state connectivity between areas related to reward, self-control, and value determination, such as orbitofrontal cortex (OFC), dorsolateral prefrontal cortex (DL-PFC), amygdala and dorsal striatum (DS). Methods: Caregivers and their offspring were recruited from two independent cohorts in Brazil (PROTAIA) and Canada (MAVAN). Both cohorts included anthropometric measurements, food choice tasks, and resting-state functional magnetic resonance imaging (fMRI) data. Results: In the Brazilian sample (17 ± 0.28 years, n=70), 21.4% of adolescents were classified as SGA. They exhibited lower monetary-related expenditure to buy a snack compared to controls in the food choice test. Decreased functional connectivity (n=40) between left OFC and left DL-PFC; and between right OFC and: left amygdala, right DS, and left DS were observed in the Brazilian SGA participants. Canadian SGA participants (14.9%) had non-significant differences in comparison with controls in a food choice task at 4 years old ( ± 0.01, n=315). At a follow-up brain scan visit (10.21 ± 0.140 years, n=49), SGA participants (28.6%) exhibited higher connectivity between the left OFC and left DL-PFC, also higher connectivity between the left OFC and right DL-PFC. We did not observe significant anthropometric neither nutrients' intake differences between groups in both samples. Conclusions: Resting-state fMRI results showed that SGA individuals had altered connectivity between areas involved in encoding the subjective value for available goods and decision-making in both samples, which can pose them in disadvantage when facing food options daily. Over the years, the cumulative exposure to particular food cues together with the altered behavior towards food, such as food purchasing, as seen in the adolescent cohort, can play a role in the long-term risk for developing chronic non-communicable diseases.


Asunto(s)
Conducta Alimentaria , Preferencias Alimentarias , Adolescente , Canadá , Humanos , Fenotipo , Recompensa
13.
Codas ; 33(2): e20200042, 2021.
Artículo en Portugués, Inglés | MEDLINE | ID: mdl-33978107

RESUMEN

PURPOSE: To investigate the empirical validity and reliability of a screener for risk of developmental dyslexia (DD) by elementary school teachers. METHODS: The scale was tested with 12 teachers who answered questions about their students (95 students total, all in the third year of elementary school); the students, in turn, performed reading and writing tasks which were used to investigate the association between screening scores and performance. The following analyses were carried out: (1) factor analysis; (2) internal consistency; (3) relationship between each scale item and the construct of interest, as measured by item response theory (IRT); (4) correlation of each scale item with external variables (reading and writing tests); and (5) the temporal stability of teachers' evaluations. RESULTS: The analyses showed: (1) one factor was extracted; (2) strong internal consistency - the items in the scale are good indicators for screening of this construct; (3) items were monotonic (IRT), i.e., item variability is associated with one construct; (4) moderate Spearman correlation (11/17 items); (5) temporal stability - the result of screening did not vary over time. CONCLUSION: This study shows evidence of validity and reliability of the proposed scale in its intended use of screening for developmental dyslexia. The percentage of children at risk for developmental dyslexia, according to the scale, was approximately 9%, which is in agreement with the international literature on the prevalence of dyslexia.


OBJETIVO: Investigar validade e fidedignidade de uma escala de rastreio para dislexia do desenvolvimento (DD) no ensino fundamental preenchida por professores. MÉTODO: Avaliação empírica - 12 professores responderam a Escala de Leitura e Escrita (ELE) sobre 95 alunos de 3º ano do ensino fundamental, em dois momentos; os escolares realizaram testes de leitura e escrita (variáveis externas) para investigar a correlação entre a escala e o desempenho dos mesmos. Realizaram-se (1) análise fatorial, (2) avaliação da consistência interna, (3) investigação da relação entre um item da escala e o construto medido por teoria da resposta ao item (TRI) (4) correlação da escala com variáveis externas (Validade Convergente-VC); e (5) investigação da estabilidade temporal da avaliação. RESULTADOS: (1) a escala avalia um único fator; (2) o coeficiente alpha apontou que os itens são bons indicadores do construto; (3) a análise por TRI mostra que todos os itens foram monotônicos, indicando que um único construto determina a variabilidade (4) a correlação de Spearman foi moderada (11/17 itens), apontando a existência de VC; (5) o valor da correlação do coeficiente de estabilidade temporal indica que o resultado da ELE não varia de maneira significativa no tempo; (6) nove crianças obtiveram pontuações que sugerem encaminhamento para uma avaliação diagnóstica devido ao grau de dificuldade apresentado. CONCLUSÃO: O estudo mostra evidências empíricas de validade e fidedignidade da ELE para rastreio de risco de DD. A porcentagem de crianças com suspeita de DD (aproximadamente 9%) corrobora a literatura internacional sobre prevalência de dislexia.


Asunto(s)
Dislexia , Niño , Dislexia/diagnóstico , Análisis Factorial , Humanos , Lectura , Reproducibilidad de los Resultados , Encuestas y Cuestionarios , Escritura
14.
Front Comput Neurosci ; 15: 594659, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34566613

RESUMEN

Problem: Brain imaging studies of mental health and neurodevelopmental disorders have recently included machine learning approaches to identify patients based solely on their brain activation. The goal is to identify brain-related features that generalize from smaller samples of data to larger ones; in the case of neurodevelopmental disorders, finding these patterns can help understand differences in brain function and development that underpin early signs of risk for developmental dyslexia. The success of machine learning classification algorithms on neurofunctional data has been limited to typically homogeneous data sets of few dozens of participants. More recently, larger brain imaging data sets have allowed for deep learning techniques to classify brain states and clinical groups solely from neurofunctional features. Indeed, deep learning techniques can provide helpful tools for classification in healthcare applications, including classification of structural 3D brain images. The adoption of deep learning approaches allows for incremental improvements in classification performance of larger functional brain imaging data sets, but still lacks diagnostic insights about the underlying brain mechanisms associated with disorders; moreover, a related challenge involves providing more clinically-relevant explanations from the neural features that inform classification. Methods: We target this challenge by leveraging two network visualization techniques in convolutional neural network layers responsible for learning high-level features. Using such techniques, we are able to provide meaningful images for expert-backed insights into the condition being classified. We address this challenge using a dataset that includes children diagnosed with developmental dyslexia, and typical reader children. Results: Our results show accurate classification of developmental dyslexia (94.8%) from the brain imaging alone, while providing automatic visualizations of the features involved that match contemporary neuroscientific knowledge (brain regions involved in the reading process for the dyslexic reader group and brain regions associated with strategic control and attention processes for the typical reader group). Conclusions: Our visual explanations of deep learning models turn the accurate yet opaque conclusions from the models into evidence to the condition being studied.

15.
Front Psychiatry ; 12: 598518, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33716814

RESUMEN

Problem: Chronological aging in later life is associated with brain degeneration processes and increased risk for disease such as stroke and dementia. With a worldwide tendency of aging populations and increased longevity, mental health, and psychiatric research have paid increasing attention to understanding brain-related changes of aging. Recent findings suggest there is a brain age gap (a difference between chronological age and brain age predicted by brain imaging indices); the magnitude of the gap may indicate early onset of brain aging processes and disease. Artificial intelligence has allowed for a narrowing of the gap in chronological and predicted brain age. However, the factors that drive model predictions of brain age are still unknown, and there is not much about these factors that can be gleaned from the black-box nature of machine learning models. The goal of the present study was to test a brain age regression approach that is more amenable to interpretation by researchers and clinicians. Methods: Using convolutional neural networks we trained multiple regressor models to predict brain age based on single slices of magnetic resonance imaging, which included gray matter- or white matter-segmented inputs. We evaluated the trained models in all brain image slices to generate a final prediction of brain age. Unlike whole-brain approaches to classification, the slice-level predictions allows for the identification of which brain slices and associated regions have the largest difference between chronological and neuroimaging-derived brain age. We also evaluated how model predictions were influenced by slice index and plane, participant age and sex, and MRI data collection site. Results: The results show, first, that the specific slice used for prediction affects prediction error (i.e., difference between chronological age and neuroimaging-derived brain age); second, the MRI site-stratified separation of training and test sets removed site effects and also minimized sex effects; third, the choice of MRI slice plane influences the overall error of the model. Conclusion: Compared to whole brain-based predictive models of neuroimaging-derived brain age, slice-based approach improves the interpretability and therefore the reliability of the prediction of brain age using MRI data.

16.
Brain Imaging Behav ; 14(5): 1933-1944, 2020 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-31218531

RESUMEN

The neurofunctional effects of Cognitive training (CT) are poorly understood. Our main objective was to assess fMRI brain activation patterns in children with ADHD who received CT as an add-on treatment to stimulant medication. We included twenty children with ADHD from a clinical trial of stimulant medication and CT (10 in medication + CT and 10 in medication + non-active training). Between-group differences were assessed in performance and in brain activation during 3 fMRI paradigms of working memory (N-back: 0-back, 1-back, 2-back, 3-back), sustained attention (Sustained Attention Task - SAT: 2 s, 5 s and 8 s delays) and inhibitory control (Go/No-Go). We found significant group x time x condition interactions in working memory (WM) and sustained attention on brain activation. In N-back, decreases were observed in the BOLD signal change from baseline to endpoint with increasing WM load in the right insula, right putamen, left thalamus and left pallidum in the CT compared to the non-active group; in SAT - increases in the BOLD signal change from baseline to endpoint with increasing delays were observed in bilateral precuneus, right insula, bilateral associative visual cortex and angular gyrus, right middle temporal, precentral, postcentral, superior frontal and middle frontal gyri in the CT compared to the non-active group. CT in ADHD was associated with changes in activation in task-relevant parietal and striato-limbic regions of sustained attention and working memory. Changes in brain activity may precede behavioral performance modifications in working memory and sustained attention, but not in inhibitory control.


Asunto(s)
Trastorno por Déficit de Atención con Hiperactividad/diagnóstico por imagen , Trastorno por Déficit de Atención con Hiperactividad/tratamiento farmacológico , Encéfalo/diagnóstico por imagen , Estimulantes del Sistema Nervioso Central/uso terapéutico , Cognición , Remediación Cognitiva , Imagen por Resonancia Magnética , Terapia Asistida por Computador , Atención/efectos de los fármacos , Atención/fisiología , Trastorno por Déficit de Atención con Hiperactividad/fisiopatología , Encéfalo/efectos de los fármacos , Encéfalo/fisiología , Niño , Cognición/efectos de los fármacos , Cognición/fisiología , Femenino , Humanos , Masculino , Memoria a Corto Plazo/efectos de los fármacos , Memoria a Corto Plazo/fisiología , Proyectos Piloto
17.
Soc Cogn Affect Neurosci ; 14(10): 1097-1107, 2019 10 01.
Artículo en Inglés | MEDLINE | ID: mdl-31820809

RESUMEN

We used functional magnetic resonance to investigate the effects of exposure to violence on early adolescent brain function in an inhibitory control task. We investigated the association among scores on self-reported exposure to violence, performance and brain activation. Thirty-seven early adolescents (ages 10-14) from a Latin-American urban region participated in the study. Results showed that recent and chronic exposure to violence was associated with less activation of a network of frontal regions, including the anterior cingulate gyrus and the superior frontal cortex; recent exposure to violence was also associated with less activation of the superior parietal lobe. Results also showed that less activation correlated with more prominent deterioration in the performance in the inhibitory control task (increased latency with time). The findings suggest that early adolescence exposure to violence is associated with differences in activation of a neural network commonly associated with executive function and control. The results underscore the urgency of addressing exposure to violence in adolescence, a period of high susceptibility to the environment, and are discussed in the light of the evidence of the effects of violence on adolescent brain function. Executive function training may be a candidate for targeted cognitive interventions aimed at mitigating these effects.


Asunto(s)
Función Ejecutiva/fisiología , Exposición a la Violencia/psicología , Lóbulo Frontal/fisiopatología , Lóbulo Parietal/fisiopatología , Adolescente , Encéfalo/fisiopatología , Niño , Femenino , Giro del Cíngulo/fisiopatología , Humanos , Imagen por Resonancia Magnética , Masculino , Violencia/psicología
18.
Dev Neuropsychol ; 44(1): 146-157, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-29412010

RESUMEN

The goal of the present study was to investigate intrinsic and reading-related brain function associated with dyslexia and typical readers in monolingual Brazilian children. Two fMRI studies were carried out: a resting-state and a word-reading study. The results show (a) underconnectivity between the occipitotemporal region (visual word form area) and the brain's default-mode network in dyslexic readers and (b) more activation of the anterior cingulate cortex for typical readers relative to dyslexic readers. The findings provide evidence for brain connectivity and function differences in an underrepresented population in fMRI studies of dyslexia; the results suggest atypical intrinsic function, and differences in directed attention processes in dyslexia.


Asunto(s)
Mapeo Encefálico/métodos , Encéfalo/diagnóstico por imagen , Corteza Cerebral/fisiopatología , Dislexia/fisiopatología , Giro del Cíngulo/fisiopatología , Imagen por Resonancia Magnética/métodos , Neuroimagen/métodos , Lectura , Adolescente , Niño , Femenino , Humanos , Masculino
19.
Neuroimage Clin ; 17: 16-23, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-29034163

RESUMEN

The goal of the present study was to apply deep learning algorithms to identify autism spectrum disorder (ASD) patients from large brain imaging dataset, based solely on the patients brain activation patterns. We investigated ASD patients brain imaging data from a world-wide multi-site database known as ABIDE (Autism Brain Imaging Data Exchange). ASD is a brain-based disorder characterized by social deficits and repetitive behaviors. According to recent Centers for Disease Control data, ASD affects one in 68 children in the United States. We investigated patterns of functional connectivity that objectively identify ASD participants from functional brain imaging data, and attempted to unveil the neural patterns that emerged from the classification. The results improved the state-of-the-art by achieving 70% accuracy in identification of ASD versus control patients in the dataset. The patterns that emerged from the classification show an anticorrelation of brain function between anterior and posterior areas of the brain; the anticorrelation corroborates current empirical evidence of anterior-posterior disruption in brain connectivity in ASD. We present the results and identify the areas of the brain that contributed most to differentiating ASD from typically developing controls as per our deep learning model.


Asunto(s)
Trastorno del Espectro Autista/diagnóstico por imagen , Encéfalo/diagnóstico por imagen , Aprendizaje Automático , Redes Neurales de la Computación , Vías Nerviosas/diagnóstico por imagen , Adolescente , Adulto , Mapeo Encefálico , Estudios de Casos y Controles , Niño , Conjuntos de Datos como Asunto , Femenino , Neuroimagen Funcional , Humanos , Procesamiento de Imagen Asistido por Computador , Aprendizaje Automático/clasificación , Masculino , Descanso , Adulto Joven
20.
Psicol. reflex. crit ; 36: 6, 2023. tab, graf
Artículo en Inglés | LILACS, Index Psi Revistas Técnico-Científicas | ID: biblio-1431155

RESUMEN

Abstract We carried out an exploratory study of the association between exposure to violence, intelligence, and executive functions in Brazilian preadolescents. The study included 56 participants (31 males) aged 8 to 14 years old (mean = 11.3, SD = 1.0). We administered neuropsychological tests to evaluate executive functions and the Juvenile Victimization Questionnaire (JVQ) to evaluate exposure to violence. We used the following neuropsychological instruments: Wechsler Abbreviated Scale of Intelligence (WASI), Stroop Color-Word Interference task, digits subtest of the Wechsler Intelligence Scale for Children, and an N-back task. We generated a composite score from neuropsychological test scores and investigated the association of that score, and individual test scores, with exposure to violence and socioeconomic status (SES). Results suggest, first, that exposure to violence is associated with a 0.5-point lower intelligence quotient score for every reported victimization event in the Juvenile Victimization Questionnaire. Results also show that the digits backward subtest scores showed a significant negative correlation with exposure to violence (JVQ; rho = -0.29, p < 0.05); both analyses were adjusted for the level of schooling of parents or guardians, which was also found to be significantly associated with lower intelligence quotient scores. We discuss results in the light of the existing literature on the effects of exposure to violence on adolescent development, and the amounting evidence that suggests an association of exposure to violence, and of victimization, with tests that evaluate constructs of executive functions. The study struggled with low compliance from participants, and we underscore the challenges of carrying out empirical studies aimed at better understanding the development of underrepresented youths, such as those from Central and Latin America.


Asunto(s)
Humanos , Masculino , Femenino , Niño , Adolescente , Función Ejecutiva , Exposición a la Violencia/psicología , Inteligencia , Clase Social , Brasil , Estudios Transversales , Escolaridad , Neuropsicología
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