Age-Related Changes in Episodic Processing of Scenes: A Functional Activation and Connectivity Study.

The posterior-to-anterior shift in aging (PASA) effect is seen as a compensatory model that enables older adults to meet increased cognitive demands to perform comparably as their young counterparts. However, empirical support for the PASA effect investigating age-related changes in the inferior frontal gyrus (IFG), hippocampus, and parahippocampus has yet to be established. 33 older adults and 48 young adults were administered tasks sensitive to novelty and relational processing of indoor/outdoor scenes in a 3-Tesla MRI scanner. Functional activation and connectivity analyses were applied to examine the age-related changes on the IFG, hippocampus, and parahippocampus among low/high-performing older adults and young adults. Significant parahippocampal activation was generally found in both older (high-performing) and young adults for novelty and relational processing of scenes. Younger adults had significantly greater IFG and parahippocampal activation than older adults, and greater parahippocampal activation compared to low-performing older adults for relational processing-providing partial support for the PASA model. Observations of significant functional connectivity within the medial temporal lobe and greater negative left IFG-right hippocampus/parahippocampus functional connectivity for young compared to low-performing older adults for relational processing also supports the PASA effect partially.

How the Non-attending Brain Hears Its Owner's Name.

We used functional magnetic resonance imaging to investigate how attended and non-attended hearing of a subject's own name (SON) captures his or her attention. It has been reported that SON presentation activates the medial prefrontal cortex (mPFC), which is considered to be the key region for self-recognition. However, it remains unclear whether non-attended SON presentation also activates the mPFC. We hypothesized that an attended SON should activate mPFC more than a non-attended SON. To test this hypothesis, we designed an experiment in which we manipulated the task-relevance of SON; in a name-detection task, SON was a target stimulus, whereas in a tone-judgment task, SON was unrelated to the task. In each condition, identical sets of sound stimuli were presented. SON activated mPFC in the name-detection task but not in the tone-judgment task, supporting our hypothesis. In contrast, non-attended SON activated midbrain reticular formation, thalamus, insula, auditory cortex, and precuneus. We interpreted these to be related to low-level, automatic SON detection. Thus, hearing one's own name in a non-attended condition does not primarily engage the mPFC, but recruits a cortico-subcortical auditory attention network; this may account for the oft-observed salience of SON.

Use of the sit-to-stand task to evaluate motor function of older adults using telemetry.

BACKGROUND: Physical exercises are widely used in community programs, but not all older adults are willing to participate. Information and communication technology may solve this problem by allowing older people to participate in fitness programs at home. Use of remote instruction will facilitate physical exercise classes without requiring that participants gather at one place. The aim of this study was to examine use of a sit-to-stand task in evaluating motor function using conventional video communication in a telemetry system to enable real-time monitoring, and evaluation in physical performance of older adults at home. METHODS: The participants were 59 older individuals and 81 university students. Three physical exercise batteries were used: arm curl, figure-of-eight walk test, and functional reach. The knee extension maximum angular velocity (KEMAV) and the iliac elevation maximum velocity (IEMV) during standing up from a chair and the heel rise frequency were used in the motion-capture measurements. The results were assessed using multi-group structural equation modeling (SEM) for the young and older groups. RESULTS: Young participants consistently performed better than their older counterparts on all items. Analyses with multi-group SEM based on correlations between items yielded a good model-fit for the data. Among all path diagrams for IEMV and KEMAV in the older and young groups, paths from muscular strength to skillfulness showed significant effects. The path from the IEMV to muscular strength was also significant in the older group. CONCLUSIONS: Multi-group SEM suggested that video-based measurements of IEMV during sit-to-stand motion can estimate muscular strength, which suggests that remote monitoring of physical performance can support wellness of community-dwelling older adults.

Occupational exposure levels of static magnetic field during routine MRI examination in 3T MR system.

Occupational exposure to the high static magnetic fields (SMFs) during magnetic resonance imaging (MRI) examinations raises concerns of adverse health effects. In this study, personal exposure monitoring of the magnetic fields during routine examinations in two 3 T MRI systems was carried out. A three-axis Hall magnetometer was attached to a subject's chest during monitoring. Data acquisition started every time the subject entered the scanner room and ended when the subject exited the room. Four radiologic technologists from two different institutes participated in this study. The maximum exposed field ranged from 0 to 1250 mT and the average peak magnetic field (B) was 428 ± 231 mT (mean ± standard deviation (SD): number of samples (N) = 103). Then, the relationship between exposure levels and work duties was analyzed. The MRI examination of the head or neck showed the highest average peak B among four work categories. These results provide information of real exposure levels for 3 T MRI system operators and can also improve the current practical training advice for preventing extra occupational field exposure.

[Survey report on magnetic resonance equipment damage in areas in Miyagi Prefecture affected by the Great East Japan Earthquake].

A questionnaire comprising 14 items, inquiring about the state of damage, whether safety could be ensured, and progress of repair and restoration was distributed to 984 facilities in seven prefectures on the Pacific coast as part of a fact-finding survey of damage caused to magnetic resonance (MR) devices by the Great East Japan Earthquake. In all, 458 responses (46.6%) were collected. In Miyagi Prefecture alone, 65 responses from 105 questionnaires were collected (response rate: 61.9%). The overall incidence of damage was 19.2%, with 57 facilities (12.4%) reporting that displacement of the magnets was the most common problem. The damage event rate in Miyagi Prefecture was 51.3%, with displacement of the magnet being highest at 17 cases (26.2%). There was a high rate of 13 cases (26.5%) of chiller and air conditioning failures and a rapid loss of He in ten MR scanners (20.4%). Notably, 87.8% of facilities in Miyagi Prefecture (24.5% of the total) were affected by earthquakes exceeding 6 on the Japanese Seismic Intensity Scale. Flood damage caused by the tsunami was also seen along the Sanriku coast to Sendai City (six MR scanners, 50% of the total), and was typical of the damage seen in Miyagi Prefecture.

Aging patterns of Japanese auditory semantic processing: an fMRI study.

The efficacy of listening comprehension is presumably sustained over the life span, contradicting the stereotype of universal cognitive decline. It is thus worth investigating whether and how the preserved auditory semantic function is supported by affected or unaffected neural mechanism with age. To investigate this issue, 22 younger and 21 older Japanese adults were imaged in a 3 Tesla MRI scanner while performing an auditory semantic-tone task. Results showed that (a) relative to younger adults, older participants had preserved accuracy and slowed responses, underpinned by weakened interconnectivity and largely unchanged activation and laterality; (b) older adults with superior performance developed increased regional left-lateralization and stronger interregional connectivity within the domain-general networks; (c) these age-related or performance-related cortical reorganizations were largely consistent with neurocognitive aging models that were supported by age-sensitive cognitive domains, suggesting that these models might also be accountable for relatively age-intact cognitive functions such as auditory semantic processing.

Verbal Training Induces Enhanced Functional Connectivity in Japanese Healthy Elderly Population.

This study employs fMRI to examine the neural substrates of response to cognitive training in healthy old adults. Twenty Japanese healthy elders participated in a 4-week program and practiced a verbal articulation task on a daily basis. Functional connectivity analysis revealed that in comparison to age- and education-matched controls, elders who received the cognitive training demonstrated increased connectivity in the frontotemporal regions related with language and memory functions and showed significant correlations between the behavioral change in a linguistic task and connectivity in regions for goal-oriented persistence and lexical processing. The increased hippocampal connectivity was consistent with previous research showing efficacious memory improvement and change in hippocampal functioning. Moreover, the increased intra-network connectivity following cognitive training suggested an improved neural differentiation, in contrast to the inter-network activation pattern typical in the aging brain. This research not only validates the relationship of functional change in the frontal and temporal lobes to age-associated cognitive decline but also shows promise in turning neural change toward the right direction by cognitive training.

Combination of two fat saturation pulses improves detectability of glucose signals in carbon-13 MR spectroscopy.

In order to improve the fat suppression performance of in vivo (13)C-MRS operating at 3.0 Tesla, a phantom model study was conducted using a combination of two fat suppression techniques; a set of pulses for frequency (chemical shift) selective suppression (CHESS), and spatial saturation (SAT). By optimizing the slab thickness for SAT and the irradiation bandwidth for CHESS, the signals of the -(13)CH(3) peak at 49 ppm and the -(13)CH(2)- peak at 26 ppm simulating fat components were suppressed to 5% and 19%, respectively. Combination of these two fat suppression pulses achieved a 53% increase of the height ratio of the glucose C1ß peak compared with the sum of all other peaks, indicating better sensitivity for glucose signal detection. This method will be applicable for in vivo (13)C-MRS by additional adjustment with the in vivo relaxation times of the metabolites.

Neural substrates of phonological selection for Japanese character Kanji based on fMRI investigations.

Japanese and Chinese both share the same ideographic/logographic character system. How these characters are processed, however, is inherently different for each language. We harnessed the unique property of homophone judgment in Japanese kanji to provide an analogous Chinese condition using event-related functional magnetic resonance imaging (fMRI) in 33 native Japanese speakers. We compared two types of kanji: (1) kanji that usually evokes only one pronunciation to Japanese speakers, which is representative of most Chinese characters (monophonic character); (2) kanji that evoked multiple pronunciation candidates, which is typical in Japanese kanji (heterophonic character). Results showed that character pairs with multiple sound possibilities increased activation in posterior regions of the left, middle and inferior frontal gyri (MFG and IFG), the bilateral anterior insulae, and the left anterior cingulate cortex as compared with those of kanji with only one sound. The activity seen in the MFG, dorsal IFG, and ventral IFG in the left posterior lateral prefrontal cortex, which was thought to correspond with language components of orthography, phonology, and semantics, respectively, was discussed in regards to their potentially important roles in information selection among competing sources of the components. A comparison with previous studies suggested that detailed analyses of activation in these language areas could explain differences between Japanese and Chinese, such as a greater involvement of the prefrontal language production regions for Japanese, whereas, for Chinese there is more phonological processing of inputs in the superior temporal gyrus.

Improving Real-Time Brain State Classification of Motor Imagery Tasks During Neurofeedback Training.

In this study, we investigated the effect of the dynamic changes in brain activation during neurofeedback training in the classification of the different brain states associated with the target tasks. We hypothesized that ongoing activation patterns could change during neurofeedback session due to learning effects and, in the process, could affect the performance of brain state classifiers trained using data obtained prior to the session. Using a motor imagery paradigm, we then examined the application of an incremental training approach where classifiers were continuously updated in order to account for these activation changes. Our results confirmed our hypothesis that neurofeedback training could be associated with dynamic changes in brain activation characterized by an initially more widespread brain activation followed by a more focused and localized activation pattern. By continuously updating the trained classifiers after each feedback run, significant improvement in accurately classifying the different brain states associated with the target motor imagery tasks was achieved. These findings suggest the importance of taking into account brain activation changes during neurofeedback in order to provide more reliable and accurate feedback information to the participants, which is critical for an effective neurofeedback application.

Age-related differences in the activation of the mentalizing- and reward-related brain regions during the learning of others' true trustworthiness.

Behavioral studies suggest that older adults may be less adept than younger adults at remembering information contradicting their first impressions about others' trustworthiness. To identify the neural bases associated with such age-related differences, we measured the brain activity of older and younger participants using functional magnetic resonance imaging while they processed feedback on whether their initial trustworthiness impressions of stimulus persons, whose true trustworthiness had been predetermined, were right or wrong. Of special interest was the activation in mentalizing- (e.g., medial prefrontal cortex) and reward-related brain regions (e.g., striatum), which are known to be involved in impression formation and feedback learning, respectively. The reduction in the striatal responses to impression-contradicting versus impression-confirming feedback was greater in older than in younger participants. The activation of some mentalizing-related regions (medial prefrontal cortex and precuneus) was lower in older than younger participants; however, it was not modulated by impression-feedback congruency. The results suggest that age-related differences in the striatum engagement may underlie older adults' inefficiency in learning impression-incongruent information about others' trustworthiness.

Ontology for FMRI as a biomedical informatics method.

Ontological engineering is one of the most challenging topics in biomedical informatics because of its key role in integrating the heterogeneous database used by biomedical information services. Ontology can translate concepts and their real-world relationships into expressions that can be processed by computer programs or web services, providing a unique taxonomic frame to describe a pathway for extracting, processing, storing, and retrieving information. In developing clinical functional neuroimaging, which requires the integration of heterogeneous information derived from multimodal measurement of the brain, these features will be indispensable. Neuroimaging ontology is remarkable in that it requires detailed description of the hypothesis, the paradigm employed, and a scheme for data generation. Neuroimaging modalities, such as functional magnetic resonance imaging (fMRI), magnetoencephalography (MEG), electroencephalography (EEG), and near infrared spectroscopy (NIRS), share similar application purposes, imaging protocol, analyzing methods, and data structure; semantic gaps that remain among the modalities will be bridged as ontology develops. High-performance, global resource information database (GRID) computing and the applications organized as service-oriented computing (SOC) will support the heavy processing to integrate the heterogeneous neuroimaging system. We have been developing such a distributed intelligent neuroimaging system for real-time fMRI analysis, called BAXGRID, and a neuroimaging database. The fMRI ontology of this system will be integrated with established medical ontologies, such as the Unified Medical Language System (UMLS).

The role of regional heterogeneity in age-related differences in functional hemispheric asymmetry: an fMRI study.

Neuroimaging literature has documented age-related hemispheric asymmetry reduction in frontal regions during task performances. As most studies employed working memory paradigms, it is therefore less clear if this pattern of neural reorganization is constrained by working memory processes or it would also emerge in other cognitive domains which are predominantly lateralized. Using blocked functional magnetic resonance imaging (fMRI), the present study used a homophone judgment task and a line judgment task to investigate age-related differences in functional hemispheric asymmetry in language and visuospatial processing respectively. Young and older adults achieved similar task accuracy although older adults required a significantly longer time. Age-related functional hemispheric asymmetry reduction was found only in dorsal inferior frontal gyrus and was associated with better performance when the homophone condition was contrasted against fixation, and not line condition. Our data thus highlights the importance of considering regional heterogeneity of aging effects together with general age-related cognitive processes.

Frontal White Matter Hyperintensity Is Associated with Verbal Aggressiveness in Elderly Women with Alzheimer Disease and Amnestic Mild Cognitive Impairment.

BACKGROUND/AIMS: Behavioral and psychological symptoms of dementia (BPSD) are exhibited in most patients with Alzheimer disease (AD). Although white matter hyperintensity (WMH) is often observed with AD, the precise role of WMH in BPSD remains unclear. The current study aimed to identify the impact of regional WMH on specific features of BPSD in persons with mild to moderate AD and amnestic mild cognitive impairment (aMCI). METHODS: A sample of 256 female outpatients with AD (n = 217) and aMCI (n = 39) were recruited. We assessed BPSD using the Dementia Behavior Disturbance Scale. WMH and brain atrophy were evaluated using an automatic segmentation program. Regional WMH was evaluated as periventricular hyperintensity (PVH) and deep WMH in frontal, temporal, occipital, and parietal lobes. RESULTS: Whole-brain WMH was associated with verbal aggressiveness. In multivariate analysis, PVH in the frontal lobe was independently associated with verbal aggressiveness after adjustment for brain atrophy and clinical confounders. CONCLUSION: The current results indicated that PVH in the frontal lobe was independently associated with verbal aggressiveness.

Improved Volitional Recall of Motor-Imagery-Related Brain Activation Patterns Using Real-Time Functional MRI-Based Neurofeedback.

Motor imagery (MI), a covert cognitive process where an action is mentally simulated but not actually performed, could be used as an effective neurorehabilitation tool for motor function improvement or recovery. Recent approaches employing brain-computer/brain-machine interfaces to provide online feedback of the MI during rehabilitation training have promising rehabilitation outcomes. In this study, we examined whether participants could volitionally recall MI-related brain activation patterns when guided using neurofeedback (NF) during training. The participants' performance was compared to that without NF. We hypothesized that participants would be able to consistently generate the relevant activation pattern associated with the MI task during training with NF compared to that without NF. To assess activation consistency, we used the performance of classifiers trained to discriminate MI-related brain activation patterns. Our results showed significantly higher predictive values of MI-related activation patterns during training with NF. Additionally, this improvement in the classification performance tends to be associated with the activation of middle temporal gyrus/inferior occipital gyrus, a region associated with visual motion processing, suggesting the importance of performance monitoring during MI task training. Taken together, these findings suggest that the efficacy of MI training, in terms of generating consistent brain activation patterns relevant to the task, can be enhanced by using NF as a mechanism to enable participants to volitionally recall task-related brain activation patterns.

Subregions of human parietal cortex selectively encoding object orientation.

Computation of object orientation could be an independent process from those of other object features, but currently neither the location of human brain areas selectively coding orientation information nor an optimum experimental paradigm have yet been established. In this study, functional magnetic resonance imaging was used to investigate brain activation in the parietal cortices related to object orientation. Using an Arabic digit whose spatial attributes were carefully manipulated, we found parietal areas exclusively sensitive to object orientation, but not to general spatial attention. It seems that, by excluding confounds such as mental manipulation or working memory as well as inherent spatial information within the stimuli, functional segregation within the parietal lobe can be effectively probed.

Impact of frontal white matter hyperintensity on instrumental activities of daily living in elderly women with Alzheimer disease and amnestic mild cognitive impairment.

BACKGROUND: Instrumental activities of daily living (IADL) start to decline during the progression of amnestic mild cognitive impairment (aMCI) to Alzheimer disease (AD). Cognitive and physical decline are involved in the loss of functional independence. However, little is known about AD-related neural change that leads to IADL impairment. The purpose of this study was to clarify the effects of regional white matter hyperintensity (WMH) on IADL impairment in persons with AD and aMCI. METHODS: The participants were 347 female subjects aged 65-85 years diagnosed with AD (n = 227), aMCI (n = 44) or normal cognition (n = 76). IADL was assessed by the Lawton Index. Cognition, mood and mobility function were evaluated by comprehensive geriatric assessment batteries. WMH and brain atrophy were analyzed with brain magnetic resonance imaging, using an automatic segmentation program. Regional WMH was measured in the frontal, temporal, occipital and parietal lobes. RESULTS: Ability to carry out IADL of shopping, food preparation, mode of transportation, responsibility for own medication, and ability to handle finances was obviously impaired in the early stage of AD. Frontal WMH was specifically associated with disability to do shopping and food preparation even after adjusting for several confounders including brain atrophy. CONCLUSIONS: IADL subcategories were differentially impaired along with cognitive status in persons with AD and aMCI. Frontal WMH was an important predictor of impaired ability to do shopping and food preparation. A preventive strategy for WMH might lead to suppression of IADL disability and slow the progression of AD.

Dynamic monitoring of brain activation under visual stimulation using fMRI--the advantage of real-time fMRI with sliding window GLM analysis.

An fMRI technique based on real-time analysis was applied to evaluate the advantages of dynamic monitoring of the t-statistics based on a general linear model. The temporal change of the t-statistics in V1 and V4 under four conditions of visual stimuli covering different visual fields with or without coloring was estimated using an incremental analysis and a sliding window analysis (SWA). The SWA not only visualized the dynamic change of the activation in response to the task conditions and switching, but also enabled us to evaluate the temporal correlation of the t-statistics among the four visual areas. It was suggested that the activity in the V4 was bilaterally organized, and the altering color stimuli gave stronger stimulation to the V1 than did the black and white stimuli. Although the activation map at each time point represents the brain activity during several task and rest blocks, a SWA will be useful to evaluate the transition of neuronal activation in response to several sequential task conditions. An incremental analysis will be useful to monitor the ongoing activation in real-time during the scan, since it gives a higher t-value according to the accumulation of volume data. These two methods will be complementary.

Real-time functional MRI: development and emerging applications.

Real-time functional magnetic resonance imaging (fMRI) is an emerging technique for assessing the dynamic and robust changes in brain activation during an ongoing experiment. Real-time fMRI allows measurement of several processes within the brain as they occur. The extracted information can be used to monitor the quality of acquired data sets, serve as the basis for neurofeedback training, and manipulate scans for interactive paradigm designs. Although more work is needed, recent results have demonstrated a variety of potential applications for real-time fMRI for research and clinical use. We discuss these developments and focus on methods enabling real-time analysis of fMRI data sets, novel research applications arising from these approaches, and potential use of real-time fMRI in clinical settings.