RESUMO
BACKGROUND: Magnetic resonance imaging-guided laser interstitial thermal therapy (LITT) is an emerging minimally invasive procedure for the treatment of deep intracranial lesions. Insular lesions are challenging to treat because of the risk of damaging important surrounding structures. The precise knowledge of the neural structures that are at risk along the trajectory and during the ablation is essential to reduce associated complications. This study aims to describe the relevant anatomy of the anterior frontal LITT trajectory to the insular region by using sectional anatomy and fiber dissection technique. METHODS: Three silicone-injected cadaveric heads were used to implant laser catheters bilaterally to the insular region by using a frameless stereotactic technique from a frontal approach. Sections were cut in both the oblique axial plane parallel to the trajectory and in the coronal plane. White matter fiber dissections were used to establish the tracts related to the laser trajectory from lateral to medial and medial to lateral. RESULTS: Supraorbital regions were selected as entry points. After crossing the frontal bone, the track intersected the inferior frontal lobe. The catheter was illustrated reaching the insular region medial to the inferior fronto-occipital fasciculus and insular cortex, and superior to the uncinate fasciculus. The uncinate fasciculus, extreme capsule, claustrum, external capsule, and putamen were traversed, preserving the major vascular structures. CONCLUSIONS: Independent of the insular area treated, an understanding of the neuroanatomy related to the anterior frontal laser trajectory is essential to improve the ability to perform LITT of this challenging region.
Assuntos
Córtex Cerebral/anatomia & histologia , Claustrum/anatomia & histologia , Cápsula Externa/anatomia & histologia , Lobo Frontal/anatomia & histologia , Putamen/anatomia & histologia , Substância Branca/anatomia & histologia , Cadáver , Córtex Cerebral/cirurgia , Humanos , Terapia a Laser , Imageamento por Ressonância Magnética , Microcirurgia , Técnicas Estereotáxicas , Cirurgia Assistida por ComputadorRESUMO
A major challenge in neuroscience is to longitudinally monitor whole brain activity across multiple spatial scales in the same animal. Functional UltraSound (fUS) is an emerging technology that offers images of cerebral blood volume over large brain portions. Here we show for the first time its capability to resolve the functional organization of sensory systems at multiple scales in awake animals, both within small structures by precisely mapping and differentiating sensory responses, and between structures by elucidating the connectivity scheme of top-down projections. We demonstrate that fUS provides stable (over days), yet rapid, highly-resolved 3D tonotopic maps in the auditory pathway of awake ferrets, thus revealing its unprecedented functional resolution (100/300µm). This was performed in four different brain regions, including very small (1-2 mm3 size), deeply situated subcortical (8 mm deep) and previously undescribed structures in the ferret. Furthermore, we used fUS to map long-distance projections from frontal cortex, a key source of sensory response modulation, to auditory cortex.
Assuntos
Córtex Auditivo/diagnóstico por imagem , Vias Auditivas/diagnóstico por imagem , Mapeamento Encefálico/métodos , Lobo Frontal/diagnóstico por imagem , Ultrassonografia/métodos , Estimulação Acústica , Animais , Córtex Auditivo/anatomia & histologia , Córtex Auditivo/fisiologia , Vias Auditivas/anatomia & histologia , Vias Auditivas/fisiologia , Mapeamento Encefálico/instrumentação , Circulação Cerebrovascular/fisiologia , Eletrodos Implantados , Feminino , Furões , Lobo Frontal/anatomia & histologia , Lobo Frontal/fisiologia , Técnicas Estereotáxicas , Ultrassonografia/instrumentação , Vigília/fisiologiaRESUMO
The anterior limb of the internal capsule (ALIC) is an important locus of frontal-subcortical fiber tracts involved in cognitive and limbic feedback loops. However, the structural organization of its component fiber tracts remains unclear. Therefore, although the ALIC is a promising target for various neurosurgical procedures for psychiatric disorders, more precise understanding of its organization is required to optimize target localization. Using diffusion tensor imaging (DTI) collected on healthy subjects by the Human Connectome Project (HCP), we generated parcellations of the ALIC by dividing it according to structural connectivity to various frontal regions. We then compared individuals' parcellations to evaluate the ALIC's structural consistency. All 40 included subjects demonstrated a posterior-superior to anterior-inferior axis of tract organization in the ALIC. Nonetheless, subdivisions of the ALIC were found to vary substantially, as voxels in the average parcellation were accurately assigned for a mean of only 66.2% of subjects. There were, however, some loci of consistency, most notably in the region maximally connected to orbitofrontal cortex. These findings clarify the highly variable organization of the ALIC and may represent a tool for patient-specific targeting of neuromodulation. Hum Brain Mapp 38:6107-6117, 2017. © 2017 Wiley Periodicals, Inc.
Assuntos
Cápsula Interna/anatomia & histologia , Cápsula Interna/diagnóstico por imagem , Adulto , Imagem de Tensor de Difusão , Feminino , Lobo Frontal/anatomia & histologia , Lobo Frontal/diagnóstico por imagem , Humanos , Processamento de Imagem Assistida por Computador , Masculino , Vias Neurais/anatomia & histologia , Vias Neurais/diagnóstico por imagem , Tálamo/anatomia & histologia , Tálamo/diagnóstico por imagem , Substância Branca/anatomia & histologia , Substância Branca/diagnóstico por imagem , Adulto JovemRESUMO
Motor imagery (MI)-based brain-computer interfaces (BCIs) have been widely used for rehabilitation of motor abilities and prosthesis control for patients with motor impairments. However, MI-BCI performance exhibits a wide variability across subjects, and the underlying neural mechanism remains unclear. Several studies have demonstrated that both the fronto-parietal attention network (FPAN) and MI are involved in high-level cognitive processes that are crucial for the control of BCIs. Therefore, we hypothesized that the FPAN may play an important role in MI-BCI performance. In our study, we recorded multi-modal datasets consisting of MI electroencephalography (EEG) signals, T1-weighted structural and resting-state functional MRI data for each subject. MI-BCI performance was evaluated using the common spatial pattern to extract the MI features from EEG signals. One cortical structural feature (cortical thickness (CT)) and two measurements (degree centrality (DC) and eigenvector centrality (EC)) of node centrality were derived from the structural and functional MRI data, respectively. Based on the information extracted from the EEG and MRI, a correlation analysis was used to elucidate the relationships between the FPAN and MI-BCI performance. Our results show that the DC of the right ventral intraparietal sulcus, the EC and CT of the left inferior parietal lobe, and the CT of the right dorsolateral prefrontal cortex were significantly associated with MI-BCI performance. Moreover, the receiver operating characteristic analysis and machine learning classification revealed that the EC and CT of the left IPL could effectively predict the low-aptitude BCI users from the high-aptitude BCI users with 83.3% accuracy. Those findings consistently reveal that the individuals who have efficient FPAN would perform better on MI-BCI. Our findings may deepen the understanding of individual variability in MI-BCI performance, and also may provide a new biomarker to predict individual MI-BCI performance.
Assuntos
Atenção/fisiologia , Interfaces Cérebro-Computador , Lobo Frontal/anatomia & histologia , Lobo Frontal/fisiologia , Imaginação/fisiologia , Lobo Parietal/anatomia & histologia , Lobo Parietal/fisiologia , Desempenho Psicomotor , Adulto , Mapeamento Encefálico , Eletroencefalografia , Feminino , Humanos , Imageamento por Ressonância Magnética , Masculino , Vias Neurais/fisiologia , Adulto JovemRESUMO
BACKGROUND: Functional Magnetic Resonance Imaging (fMRI) is often used in preoperative assessment before epilepsy surgery, tumor or cavernous malformation resection, or cochlear implantation. As it requires complete immobility, sedation is needed for uncooperative patients. OBJECTIVE: The aim of this study was to compare the fMRI cortical activation pattern after auditory stimuli in propofol-sedated 5- to 8-year-old children with that of similarly aged nonsedated children. METHODS: When possible, children underwent MRI without sedation, otherwise it was induced with i.v. propofol 2 mg·kg(-1) and maintained with i.v. propofol 4-5 mg·kg(-1) ·h(-1) . Following diagnostic MRI, fMRi was carried out, randomly alternating two passive listening tasks (a fairy-tale and nonsense syllables). RESULTS: We studied 14 awake and 15 sedated children. During the fairy-tale task, the nonsedated children's blood-oxygen-level-dependent (BOLD) signal was bilaterally present in the posterior superior temporal gyrus (STG), Wernicke's area, and Broca's area. Sedated children showed similar activation, with lesser extension to Wernicke's area, and no activation in Broca's area. During the syllable task, the nonsedated children's BOLD signal was bilaterally observed in the STG and Wernicke's area, in Broca's area with leftward asymmetry, and in the premotor area. In sedated children, cortical activation was present in the STG, but not in the frontal lobes. BOLD signal change areas in sedated children were less extended than in nonsedated children during both the fairy-tale and syllable tasks. Modeling the temporal derivative during both the fairy-tale and syllable tasks, nonsedated children showed no response while sedated children did. CONCLUSIONS: After auditory stimuli, propofol-sedated 5- to 8-year-old children exhibit an fMRI cortical activation pattern which is different from that in similarly aged nonsedated children.
Assuntos
Sedação Consciente , Audição/fisiologia , Hipnóticos e Sedativos , Imageamento por Ressonância Magnética/métodos , Propofol , Estimulação Acústica , Criança , Pré-Escolar , Feminino , Lobo Frontal/anatomia & histologia , Lobo Frontal/fisiologia , Humanos , Masculino , Oxigênio/sangue , Lobo Temporal/anatomia & histologia , Lobo Temporal/fisiologiaRESUMO
The default mode network (DMN) plays a central role in intrinsic thought processes. Altered DMN connectivity has been linked to diminished cerebral serotonin synthesis. Diminished brain serotonin synthesis is further associated with a lack of impulse control and various psychiatric disorders. Here, we investigated the serotonergic modulation of intrinsic functional connectivity (FC) within the DMN in healthy adult females, controlling for the menstrual cycle phase. Eighteen healthy women in the follicular phase (aged 20-31 years) participated in a double-blind controlled cross-over study of serotonin depletion. Acute tryptophan depletion (ATD) and a balanced amino acid load (BAL), used as the control condition, were applied on two separate days of assessment. Neural resting state data using functional magnetic resonance imaging (fMRI) and individual trait impulsivity scores were obtained. ATD compared with BAL significantly reduced FC with the DMN in the precuneus (associated with self-referential thinking) and enhanced FC with the DMN in the frontal cortex (associated with cognitive reasoning). Connectivity differences with the DMN between BAL and ATD in the precentral gyrus were significantly correlated with the magnitude of serotonin depletion. Right medial frontal gyrus and left superior frontal gyrus connectivity differences with the DMN were inversely correlated with trait impulsivity. These findings partially deviate from previous findings obtained in males and underline the importance of gender-specific studies and controlling for menstrual cycle to further elucidate the mechanism of ATD-induced changes within intrinsic thought processes.
Assuntos
Fase Folicular/fisiologia , Lobo Frontal/fisiologia , Rede Nervosa/fisiologia , Lobo Parietal/fisiologia , Descanso/fisiologia , Serotonina/biossíntese , Adulto , Afeto/efeitos dos fármacos , Afeto/fisiologia , Aminoácidos/administração & dosagem , Mapeamento Encefálico , Cognição/efeitos dos fármacos , Cognição/fisiologia , Estudos Cross-Over , Método Duplo-Cego , Feminino , Lobo Frontal/anatomia & histologia , Lobo Frontal/efeitos dos fármacos , Humanos , Comportamento Impulsivo/efeitos dos fármacos , Comportamento Impulsivo/fisiologia , Imageamento por Ressonância Magnética , Rede Nervosa/anatomia & histologia , Rede Nervosa/efeitos dos fármacos , Lobo Parietal/anatomia & histologia , Lobo Parietal/efeitos dos fármacos , Descanso/psicologia , Pensamento/efeitos dos fármacos , Pensamento/fisiologia , Triptofano/administração & dosagem , Triptofano/deficiênciaRESUMO
The neural correlates of stuttering are to date incompletely understood. Although the possible involvement of the basal ganglia, the cerebellum and certain parts of the cerebral cortex in this speech disorder has previously been reported, there are still not many studies investigating the role of white matter fibers in stuttering. Axonal stimulation during awake surgery provides a unique opportunity to study the functional role of structural connectivity. Here, our goal was to investigate the white matter tracts implicated in stuttering, by combining direct electrostimulation mapping and postoperative tractography imaging, with a special focus on the left frontal aslant tract. Eight patients with no preoperative stuttering underwent awake surgery for a left frontal low-grade glioma. Intraoperative cortical and axonal electrical mapping was used to interfere in speech processing and subsequently provoke stuttering. We further assessed the relationship between the subcortical sites leading to stuttering and the spatial course of the frontal aslant tract. All patients experienced intraoperative stuttering during axonal electrostimulation. On postsurgical tractographies, the subcortical distribution of stimulated sites matched the topographical position of the left frontal aslant tract. This white matter pathway was preserved during surgery, and no patients had postoperative stuttering. For the first time to our knowledge, by using direct axonal stimulation combined with postoperative tractography, we provide original data supporting a pivotal role of the left frontal aslant tract in stuttering. We propose that this speech disorder could be the result of a disconnection within a large-scale cortico-subcortical circuit subserving speech motor control.
Assuntos
Lobo Frontal/anatomia & histologia , Lobo Frontal/fisiopatologia , Gagueira/fisiopatologia , Substância Branca/anatomia & histologia , Substância Branca/fisiopatologia , Adulto , Imagem de Tensor de Difusão , Estimulação Elétrica , Feminino , Seguimentos , Lobo Frontal/cirurgia , Humanos , Monitorização Neurofisiológica Intraoperatória , Período Intraoperatório , Masculino , Pessoa de Meia-Idade , Vias Neurais/anatomia & histologia , Vias Neurais/fisiopatologia , Adulto JovemRESUMO
Impulsive actions and decisions often lead to undesirable outcomes. Lesion and neuroimaging studies have revealed that the orbital frontal cortex (OFC) and dorsal striatum (dSTR) play key roles in inhibitory control. It has been proposed that greater OFC input into the dSTR reflects enhanced top-down cognitive control and less impulsive responding. We previously reported a sex difference in inhibitory control, such that female rats make fewer impulsive errors than do male rats. The goal of the present study was to investigate differences in the OFC and dSTR of young adult male and female rats. In Experiment 1, we measured levels of two myelin-associated proteins, myelin basic protein (MBP) and myelin proteolipid protein (PLP), in the OFC and dSTR. Western blot data revealed that females had significantly higher levels of both MBP and PLP in the OFC but similar levels in the dSTR as compared to males. In Experiment 2, we infused the anterograde tracer, biotinylated dextran amine (BDA), into the OFC and measured the density of BDA in the dSTR. BDA was visualized using histochemistry followed by light microscopy imaging and densitometry analysis. Density of BDA in the dSTR was significantly greater in females as compared to males indicating that the projections from the OFC to dSTR may be greater in females as compared to males. Our results suggest a potential neuroanatomical sex difference that may contribute to the reported differences in inhibitory control levels of male and female rats.
Assuntos
Corpo Estriado/anatomia & histologia , Corpo Estriado/fisiologia , Lobo Frontal/anatomia & histologia , Lobo Frontal/fisiologia , Proteína Básica da Mielina/metabolismo , Caracteres Sexuais , Animais , Biotina/análogos & derivados , Western Blotting , Dextranos , Função Executiva/fisiologia , Feminino , Inibição Psicológica , Masculino , Microscopia , Proteína Proteolipídica de Mielina/metabolismo , Técnicas de Rastreamento Neuroanatômico , Marcadores do Trato Nervoso , Ratos Long-EvansRESUMO
OBJECTIVE: To date, no study has examined the effect of hyperbaric oxygen (HBO) on the cognitive performance and spontaneous brain activity in healthy adults using resting-state functional magnetic resonance imaging (rsfMRI). Our aim was to reveal the neural mechanism underlying the change in cognitive performance caused by increased oxygen. METHODS: In this study, we acquired fMRI data from 20 healthy young adults and used placebo-controlled (PBO) rsfMRI to identify the effect of HBO on the cognitive measures and the regional homogeneity (ReHo) in healthy adults. RESULTS: Compared to the PBO group, the HBO group showed the following: (1) the scores of the spatial working memory and memory quotient were significantly increased after HBO administration; (2) the ReHo value was significantly increased in three clusters, the left hippocampus, right inferior frontal, and lingual gyri, and for these three clusters, their functional connectivity with the subcortical brain system was significantly increased after HBO administration; and (3) the changes of ReHo values in these clusters generated by HBO administration were correlated with several aspects of cognitive performance, clarifying the cognitive locus of the effect. CONCLUSION: Our results suggested that the increased availability of oxygen can, to some extent, improve memory performance. SIGNIFICANT: Our findings may improve our understanding of the role of HBO in clinical and practical applications.
Assuntos
Encéfalo/anatomia & histologia , Encéfalo/fisiologia , Cognição/fisiologia , Oxigenoterapia Hiperbárica , Imageamento por Ressonância Magnética/métodos , Descanso/fisiologia , Adolescente , Mapeamento Encefálico/métodos , Estudos de Casos e Controles , Feminino , Lobo Frontal/anatomia & histologia , Lobo Frontal/fisiologia , Hipocampo/anatomia & histologia , Hipocampo/fisiologia , Humanos , Masculino , Memória/fisiologia , Lobo Occipital/anatomia & histologia , Lobo Occipital/fisiologia , Percepção Espacial/fisiologia , Adulto JovemRESUMO
Television (TV) viewing is known to affect children's verbal abilities and other physical, cognitive, and emotional development in psychological studies. However, the brain structural development associated with TV viewing has never been investigated. Here we examined cross-sectional correlations between the duration of TV viewing and regional gray/white matter volume (rGMV/rWMV) among 133 boys and 143 girls as well as correlations between the duration of TV viewing and longitudinal changes that occurred a few years later among 111 boys and 105 girls. After correcting for confounding factors, we found positive effects of TV viewing on rGMV of the frontopolar and medial prefrontal areas in cross-sectional and longitudinal analyses, positive effects of TV viewing on rGMV/rWMV of areas of the visual cortex in cross-sectional analyses, and positive effects of TV viewing on rGMV of the hypothalamus/septum and sensorimotor areas in longitudinal analyses. We also confirmed negative effects of TV viewing on verbal intelligence quotient (IQ) in cross-sectional and longitudinal analyses. These anatomical correlates may be linked to previously known effects of TV viewing on verbal competence, aggression, and physical activity. In particular, the present results showed effects of TV viewing on the frontopolar area of the brain, which has been associated with intellectual abilities.
Assuntos
Encéfalo/anatomia & histologia , Encéfalo/crescimento & desenvolvimento , Televisão , Aprendizagem Verbal , Adolescente , Criança , Estudos Transversais , Feminino , Lobo Frontal/anatomia & histologia , Lobo Frontal/crescimento & desenvolvimento , Substância Cinzenta/anatomia & histologia , Substância Cinzenta/crescimento & desenvolvimento , Humanos , Hipotálamo/anatomia & histologia , Hipotálamo/crescimento & desenvolvimento , Testes de Inteligência , Estudos Longitudinais , Masculino , Córtex Pré-Frontal/anatomia & histologia , Córtex Pré-Frontal/crescimento & desenvolvimento , Septo do Cérebro/anatomia & histologia , Septo do Cérebro/crescimento & desenvolvimento , Substância Branca/anatomia & histologia , Substância Branca/crescimento & desenvolvimentoRESUMO
Despite a better understanding of their anatomy, the functional role of frontal pathways, i.e., the fronto-striatal tract (FST) and frontal aslant tract (FAT), remains obscure. We studied 19 patients who underwent awake surgery for a frontal glioma (14 left, 5 right) by performing intraoperative electrical mapping of both fascicles during motor and language tasks. Furthermore, we evaluated the relationship between these tracts and the eventual onset of transient postoperative disorders. We also performed post-surgical tract-specific measurements on probabilistic tractography. All patients but one experienced intraoperative inhibition of movement and/or speech during subcortical electrostimulation. On postoperative tractography, the subcortical distribution of stimulated sites corresponded to the spatial course of the FST and/or FAT. Furthermore, we found a significant correlation between postoperative worsening and distances between these tracts and resection cavity. A resection close to the (right or left) FST was correlated with transitory motor initiation disorders (p = 0.026), while a resection close to the left FAT was associated with transient speech initiation disorders (p = 0.003). Moreover, the measurements of average distances between resection cavity and left FAT showed a positive correlation with verbal fluency in both semantic (p = 0.019) and phonemic scores (p = 0.017), while average distances between surgical cavity and left FST showed a positive correlation with verbal fluency scores in both semantic (p = 0.0003) and phonemic modalities (p = 0.037). We suggest that FST and FAT would cooperatively play a role in self-initiated movement and speech, as a part of "negative motor network" involving the pre-supplementary motor area, left inferior frontal gyrus and caudate nucleus.
Assuntos
Corpo Estriado/fisiologia , Movimento/fisiologia , Fala/fisiologia , Adulto , Mapeamento Encefálico/métodos , Neoplasias Encefálicas/fisiopatologia , Neoplasias Encefálicas/cirurgia , Corpo Estriado/cirurgia , Imagem de Tensor de Difusão , Estimulação Elétrica , Feminino , Lobo Frontal/anatomia & histologia , Lobo Frontal/cirurgia , Glioma/fisiopatologia , Glioma/cirurgia , Humanos , Idioma , Masculino , Pessoa de Meia-Idade , Neostriado/fisiologia , Vias Neurais/fisiologia , Resultado do Tratamento , VigíliaRESUMO
We investigated the coupling of EEG oscillators with cognitive (experience and valence) and physiological (cardiovascular reactivity) components of emotion. Emotions of anger and joy were evoked in healthy males (n = 49) using a guided imagery method, multichannel EEG and cardiovascular reactivity (Finometer) were simultaneously recorded. Correlational analysis revealed that specially distributed EEG oscillators seem to be selectively involved into cognitive (experience and valence) and physiological (cardiovascular reactivity) components of emotional responding. We showed that low theta (4-6 Hz) activity from medial and lateral frontal cortex of the right hemisphere predominantly correlated with the anger experience, high alpha (10-12 and 12-14 Hz) and gamma (30-45 Hz) activity from central-parieto-occipital regions of the left hemisphere--with cardiovascular reactivity to anger and joy, gamma-activity (30-45 Hz) from the left hemisphere in parietal areas--with cardiovascular reactivity to joy. The findings suggest that specially distributed neuronal networks oscillating at different frequencies may be regarded as a putative neurobiological mechanism coordination dynamical balance between cognitive and physiological components of emotion as well as psycho-neuro-somatic relationships within the mind-brain-body system.
Assuntos
Ira/fisiologia , Ondas Encefálicas/fisiologia , Cognição/fisiologia , Felicidade , Adulto , Velocidade do Fluxo Sanguíneo , Pressão Sanguínea , Mapeamento Encefálico , Lobo Frontal/anatomia & histologia , Lobo Frontal/fisiologia , Humanos , Masculino , Lobo Occipital/anatomia & histologia , Lobo Occipital/fisiologia , Lobo Parietal/anatomia & histologia , Lobo Parietal/fisiologiaRESUMO
BACKGROUND: Recent studies have been shown that functional connectivity of cerebral areas is not a static phenomenon, but exhibits spontaneous fluctuations over time. There is evidence that fluctuating connectivity is an intrinsic phenomenon of brain dynamics that persists during anesthesia. Lately, point process analysis applied on functional data has revealed that much of the information regarding brain connectivity is contained in a fraction of critical time points of a resting state dataset. In the present study we want to extend this methodology for the investigation of resting state fMRI spatial pattern changes during propofol-induced modulation of consciousness, with the aim of extracting new insights on brain networks consciousness-dependent fluctuations. METHODS: Resting-state fMRI volumes on 18 healthy subjects were acquired in four clinical states during propofol injection: wakefulness, sedation, unconsciousness, and recovery. The dataset was reduced to a spatio-temporal point process by selecting time points in the Posterior Cingulate Cortex (PCC) at which the signal is higher than a given threshold (i.e., BOLD intensity above 1 standard deviation). Spatial clustering on the PCC time frames extracted was then performed (number of clustersâ=â8), to obtain 8 different PCC co-activation patterns (CAPs) for each level of consciousness. RESULTS: The current analysis shows that the core of the PCC-CAPs throughout consciousness modulation seems to be preserved. Nonetheless, this methodology enables to differentiate region-specific propofol-induced reductions in PCC-CAPs, some of them already present in the functional connectivity literature (e.g., disconnections of the prefrontal cortex, thalamus, auditory cortex), some others new (e.g., reduced co-activation in motor cortex and visual area). CONCLUSION: In conclusion, our results indicate that the employed methodology can help in improving and refining the characterization of local functional changes in the brain associated to propofol-induced modulation of consciousness.
Assuntos
Anestésicos Intravenosos , Giro do Cíngulo/fisiologia , Vias Neurais/fisiologia , Propofol , Inconsciência/induzido quimicamente , Vigília/fisiologia , Adulto , Anestesia Geral , Córtex Auditivo/anatomia & histologia , Córtex Auditivo/fisiologia , Mapeamento Encefálico , Estado de Consciência/fisiologia , Feminino , Lobo Frontal/anatomia & histologia , Lobo Frontal/fisiologia , Giro do Cíngulo/anatomia & histologia , Humanos , Imageamento por Ressonância Magnética , Masculino , Vias Neurais/anatomia & histologia , Tálamo/anatomia & histologia , Tálamo/fisiologia , Córtex Visual/anatomia & histologia , Córtex Visual/fisiologiaRESUMO
The organization of basic functions of the human brain, particularly in the right hemisphere, remains poorly understood. Recent advances in functional neuroimaging have improved our understanding of cortical organization but do not allow for direct interrogation or determination of essential (versus participatory) cortical regions. Direct cortical stimulation represents a unique opportunity to provide novel insights into the functional distribution of critical epicentres. Direct cortical stimulation (bipolar, 60 Hz, 1-ms pulse) was performed in 165 consecutive patients undergoing awake mapping for resection of low-grade gliomas. Tasks included motor, sensory, counting, and picture naming. Stimulation sites eliciting positive (sensory/motor) or negative (speech arrest, dysarthria, anomia, phonological and semantic paraphasias) findings were recorded and mapped onto a standard Montreal Neurological Institute brain atlas. Montreal Neurological Institute-space functional data were subjected to cluster analysis algorithms (K-means, partition around medioids, hierarchical Ward) to elucidate crucial network epicentres. Sensorimotor function was observed in the pre/post-central gyri as expected. Articulation epicentres were also found within the pre/post-central gyri. However, speech arrest localized to ventral premotor cortex, not the classical Broca's area. Anomia/paraphasia data demonstrated foci not only within classical Wernicke's area but also within the middle and inferior frontal gyri. We report the first bilateral probabilistic map for crucial cortical epicentres of human brain functions in the right and left hemispheres, including sensory, motor, and language (speech, articulation, phonology and semantics). These data challenge classical theories of brain organization (e.g. Broca's area as speech output region) and provide a distributed framework for future studies of neural networks.
Assuntos
Mapeamento Encefálico , Córtex Cerebral/fisiologia , Lobo Frontal/fisiologia , Adulto , Algoritmos , Anomia/fisiopatologia , Encéfalo/cirurgia , Neoplasias Encefálicas/cirurgia , Córtex Cerebral/anatomia & histologia , Análise por Conglomerados , Craniotomia , Estimulação Elétrica , Feminino , Lobo Frontal/anatomia & histologia , Lateralidade Funcional/fisiologia , Glioma/cirurgia , Humanos , Masculino , Pessoa de Meia-Idade , Modelos Estatísticos , Rede Nervosa/fisiologia , Desempenho Psicomotor/fisiologia , Semântica , Fala/fisiologia , Inteligibilidade da Fala/fisiologiaRESUMO
In Ridley Scott's film "Blade Runner", empathy-detection devices are employed to measure affiliative emotions. Despite recent neurocomputational advances, it is unknown whether brain signatures of affiliative emotions, such as tenderness/affection, can be decoded and voluntarily modulated. Here, we employed multivariate voxel pattern analysis and real-time fMRI to address this question. We found that participants were able to use visual feedback based on decoded fMRI patterns as a neurofeedback signal to increase brain activation characteristic of tenderness/affection relative to pride, an equally complex control emotion. Such improvement was not observed in a control group performing the same fMRI task without neurofeedback. Furthermore, the neurofeedback-driven enhancement of tenderness/affection-related distributed patterns was associated with local fMRI responses in the septohypothalamic area and frontopolar cortex, regions previously implicated in affiliative emotion. This demonstrates that humans can voluntarily enhance brain signatures of tenderness/affection, unlocking new possibilities for promoting prosocial emotions and countering antisocial behavior.
Assuntos
Empatia/fisiologia , Lobo Frontal/fisiologia , Região Hipotalâmica Lateral/fisiologia , Neurorretroalimentação/métodos , Adulto , Mapeamento Encefálico , Feminino , Lobo Frontal/anatomia & histologia , Humanos , Região Hipotalâmica Lateral/anatomia & histologia , Processamento de Imagem Assistida por Computador , Imageamento por Ressonância Magnética , Masculino , Análise Multivariada , Neurorretroalimentação/instrumentação , Máquina de Vetores de SuporteRESUMO
Little is known about the neural bases of hypnotic suggestibility, a cognitive trait referring to the tendency to respond to hypnotic suggestions. In the present magnetic resonance imaging study, we performed regression analyses to assess hypnotic suggestibility-related differences in local gray matter volume, using voxel-based morphometry, and in waking resting state functional connectivity of 10 resting state networks, in 37 healthy women. Hypnotic suggestibility was positively correlated with gray matter volume in portions of the left superior and medial frontal gyri, roughly overlapping with the supplementary and pre-supplementary motor area, and negatively correlated with gray matter volume in the left superior temporal gyrus and insula. In the functional connectivity analysis, hypnotic suggestibility was positively correlated with functional connectivity between medial posterior areas, including bilateral posterior cingulate cortex and precuneus, and both the lateral visual network and the left fronto-parietal network; a positive correlation was also found with functional connectivity between the executive-control network and a right postcentral/parietal area. In contrast, hypnotic suggestibility was negatively correlated with functional connectivity between the right fronto-parietal network and the right lateral thalamus. These findings demonstrate for the first time a correlation between hypnotic suggestibility, the structural features of specific cortical regions, and the functional connectivity during the normal resting state of brain structures involved in imagery and self-monitoring activity.
Assuntos
Substância Cinzenta/anatomia & histologia , Hipnose , Adulto , Conectoma , Feminino , Lobo Frontal/anatomia & histologia , Lobo Frontal/fisiologia , Humanos , Pessoa de Meia-Idade , Tamanho do Órgão , Lobo Temporal/anatomia & histologia , Lobo Temporal/fisiologia , Córtex Visual/anatomia & histologia , Córtex Visual/fisiologiaRESUMO
BACKGROUND AND PURPOSE: There is an increased need for new digital education tools in neurosurgical training. Illustrated textbooks offer anatomic and technical reference but do not substitute hands-on experience provided by surgery or cadaver dissection. Due to limited availability of cadaver dissections the need for development of simulation tools has been augmented. We explored simulation technology for producing virtual reality-like reconstructions of simulated surgical approaches on cadaver. Practical application of the simulation tool has been presented through frontotemporal transsylvian exposure. METHODS: The dissections were performed on two cadaveric heads. Arteries and veins were prepared and injected with colorful silicon rubber. The heads were rigidly fixed in Mayfield headholder. A robotic microscope with two digital cameras in inverted cone method of image acquisition was used to capture images around a pivot point in several phases of dissections. Multilayered, high-resolution images have been built into interactive 4D environment by custom developed software. RESULTS: We have developed the simulation module of the frontotemporal transsylvian approach. The virtual specimens can be rotated or tilted to any selected angles and examined from different surgical perspectives at any stage of dissections. Important surgical issues such as appropriate head positioning or surgical maneuvers to expose deep situated neuroanatomic structures can be simulated and studied by using the module. CONCLUSION: The simulation module of the frontotemporal transsylvian exposure helps to examine effect of head positioning on the visibility of deep situated neuroanatomic structures and study surgical maneuvers required to achieve optimal exposure of deep situated anatomic structures. The simulation program is a powerful tool to study issues of preoperative planning and well suited for neurosurgical training.
Assuntos
Aqueduto do Mesencéfalo , Simulação por Computador , Lobo Frontal/cirurgia , Procedimentos Neurocirúrgicos/métodos , Lobo Temporal/cirurgia , Cadáver , Lobo Frontal/anatomia & histologia , Humanos , Imageamento Tridimensional , Lobo Temporal/anatomia & histologia , Interface Usuário-ComputadorAssuntos
Evolução Biológica , Biomarcadores Tumorais/genética , Cognição/fisiologia , DNA Mitocondrial/genética , Complexo I de Transporte de Elétrons/genética , Lobo Frontal/anatomia & histologia , Mutação/genética , Rede Nervosa , Filogenia , Neoplasias da Glândula Tireoide/genética , Neoplasias da Glândula Tireoide/patologia , Animais , HumanosRESUMO
The sense of agency is the attribution of oneself as the cause of one's own actions and their effects. Accurate agency judgments are essential for adaptive behaviors in dynamic environments, especially in conditions of uncertainty. However, it is unclear how agency judgments are made in ambiguous situations where self-agency and non-self-agency are both possible. Agency attribution is thus thought to require higher-order neurocognitive processes that integrate several possibilities. Furthermore, neural activity specific to self-attribution, as compared with non-self-attribution, may reflect higher-order critical operations that contribute to constructions of self-consciousness. Based on these assumptions, the present study focused on agency judgments under ambiguous conditions and examined the neural correlates of this operation with functional magnetic resonance imaging. Participants performed a simple but demanding agency-judgment task, which required them to report on whether they attributed their own action as the cause of a visual stimulus change. The temporal discrepancy between the participant's action and the visual events was adaptively set to be maximally ambiguous for each individual on a trial-by-trial basis. Comparison with results for a control condition revealed that the judgment of agency was associated with activity in lateral temporo-parietal areas, medial frontal areas, the dorsolateral prefrontal area, and frontal operculum/insula regions. However, most of these areas did not differentiate between self- and non-self-attribution. Instead, self-attribution was associated with activity in posterior midline areas, including the precuneus and posterior cingulate cortex. These results suggest that deliberate self-attribution of an external event is principally associated with activity in posterior midline structures, which is imperative for self-consciousness.
Assuntos
Lobo Frontal/fisiologia , Julgamento/fisiologia , Lobo Parietal/fisiologia , Autoimagem , Lobo Temporal/fisiologia , Estimulação Acústica , Mapeamento Encefálico , Cognição/fisiologia , Feminino , Lobo Frontal/anatomia & histologia , Humanos , Imageamento por Ressonância Magnética , Masculino , Lobo Parietal/anatomia & histologia , Estimulação Luminosa , Análise e Desempenho de Tarefas , Lobo Temporal/anatomia & histologia , Incerteza , Adulto JovemRESUMO
To localize the neural generators of the musically elicited mismatch negativity with high temporal resolution we conducted a beamformer analysis (Synthetic Aperture Magnetometry, SAM) on magnetoencephalography (MEG) data from a previous musical mismatch study. The stimuli consisted of a six-tone melodic sequence comprising broken chords in C- and G-major. The musical sequence was presented within an oddball paradigm in which the last tone was lowered occasionally (20%) by a minor third. The beamforming analysis revealed significant right hemispheric neural activation in the superior temporal (STC), inferior frontal (IFC), superior frontal (SFC) and orbitofrontal (OFC) cortices within a time window of 100-200 ms after the occurrence of a deviant tone. IFC and SFC activation was also observed in the left hemisphere. The pronounced early right inferior frontal activation of the auditory mismatch negativity has not been shown in MEG studies so far. The activation in STC and IFC is consistent with earlier electroencephalography (EEG), optical imaging and functional magnetic resonance imaging (fMRI) studies that reveal the auditory and inferior frontal cortices as main generators of the auditory MMN. The observed right hemispheric IFC is also in line with some previous music studies showing similar activation patterns after harmonic syntactic violations. The results demonstrate that a deviant tone within a musical sequence recruits immediately a distributed neural network in frontal and prefrontal areas suggesting that top-down processes are involved when expectation violation occurs within well-known stimuli.