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1.
J Biomed Inform ; 149: 104569, 2024 01.
Artículo en Inglés | MEDLINE | ID: mdl-38104851

RESUMEN

The joint modeling of genetic data and brain imaging information allows for determining the pathophysiological pathways of neurodegenerative diseases such as Alzheimer's disease (AD). This task has typically been approached using mass-univariate methods that rely on a complete set of Single Nucleotide Polymorphisms (SNPs) to assess their association with selected image-derived phenotypes (IDPs). However, such methods are prone to multiple comparisons bias and, most importantly, fail to account for potential cross-feature interactions, resulting in insufficient detection of significant associations. Ways to overcome these limitations while reducing the number of traits aim at conveying genetic information at the gene level and capturing the integrated genetic effects of a set of genetic variants, rather than looking at each SNP individually. Their associations with brain IDPs are still largely unexplored in the current literature, though they can uncover new potential genetic determinants for brain modulations in the AD continuum. In this work, we explored an explainable multivariate model to analyze the genetic basis of the grey matter modulations, relying on the AD Neuroimaging Initiative (ADNI) phase 3 dataset. Cortical thicknesses and subcortical volumes derived from T1-weighted Magnetic Resonance were considered to describe the imaging phenotypes. At the same time the genetic counterpart was represented by gene variant scores extracted by the Sequence Kernel Association Test (SKAT) filtering model. Moreover, transcriptomic analysis was carried on to assess the expression of the resulting genes in the main brain structures as a form of validation. Results highlighted meaningful genotype-phenotype interactionsas defined by three latent components showing a significant difference in the projection scores between patients and controls. Among the significant associations, the model highlighted EPHX1 and BCAS1 gene variant scores involved in neurodegenerative and myelination processes, hence relevant for AD. In particular, the first was associated with decreased subcortical volumes and the second with decreasedtemporal lobe thickness. Noteworthy, BCAS1 is particularly expressed in the dentate gyrus. Overall, the proposed approach allowed capturing genotype-phenotype interactions in a restricted study cohort that was confirmed by transcriptomic analysis, offering insights into the underlying mechanisms of neurodegeneration in AD in line with previous findings and suggesting new potential disease biomarkers.


Asunto(s)
Enfermedad de Alzheimer , Humanos , Enfermedad de Alzheimer/diagnóstico por imagen , Enfermedad de Alzheimer/genética , Enfermedad de Alzheimer/patología , Neuroimagen/métodos , Imagen por Resonancia Magnética/métodos , Encéfalo/diagnóstico por imagen , Atrofia/patología , Proteínas de Neoplasias
2.
Sensors (Basel) ; 23(21)2023 Oct 30.
Artículo en Inglés | MEDLINE | ID: mdl-37960532

RESUMEN

(1) Background: Transcranial magnetic stimulation combined with electroencephalography (TMS-EEG) provides a unique opportunity to investigate brain connectivity. However, possible hemispheric asymmetries in signal propagation dynamics following occipital TMS have not been investigated. (2) Methods: Eighteen healthy participants underwent occipital single-pulse TMS at two different EEG sites, corresponding to early visual areas. We used a state-of-the-art Bayesian estimation approach to accurately estimate TMS-evoked potentials (TEPs) from EEG data, which has not been previously used in this context. To capture the rapid dynamics of information flow patterns, we implemented a self-tuning optimized Kalman (STOK) filter in conjunction with the information partial directed coherence (iPDC) measure, enabling us to derive time-varying connectivity matrices. Subsequently, graph analysis was conducted to assess key network properties, providing insight into the overall network organization of the brain network. (3) Results: Our findings revealed distinct lateralized effects on effective brain connectivity and graph networks after TMS stimulation, with left stimulation facilitating enhanced communication between contralateral frontal regions and right stimulation promoting increased intra-hemispheric ipsilateral connectivity, as evidenced by statistical test (p < 0.001). (4) Conclusions: The identified hemispheric differences in terms of connectivity provide novel insights into brain networks involved in visual information processing, revealing the hemispheric specificity of neural responses to occipital stimulation.


Asunto(s)
Electroencefalografía , Potenciales Evocados , Humanos , Teorema de Bayes , Potenciales Evocados/fisiología , Estimulación Magnética Transcraneal , Encéfalo/fisiología
4.
Sensors (Basel) ; 23(17)2023 Aug 30.
Artículo en Inglés | MEDLINE | ID: mdl-37687976

RESUMEN

(1) Background: in the field of motor-imagery brain-computer interfaces (MI-BCIs), obtaining discriminative features among multiple MI tasks poses a significant challenge. Typically, features are extracted from single electroencephalography (EEG) channels, neglecting their interconnections, which leads to limited results. To address this limitation, there has been growing interest in leveraging functional brain connectivity (FC) as a feature in MI-BCIs. However, the high inter- and intra-subject variability has so far limited its effectiveness in this domain. (2) Methods: we propose a novel signal processing framework that addresses this challenge. We extracted translation-invariant features (TIFs) obtained from a scattering convolution network (SCN) and brain connectivity features (BCFs). Through a feature fusion approach, we combined features extracted from selected channels and functional connectivity features, capitalizing on the strength of each component. Moreover, we employed a multiclass support vector machine (SVM) model to classify the extracted features. (3) Results: using a public dataset (IIa of the BCI Competition IV), we demonstrated that the feature fusion approach outperformed existing state-of-the-art methods. Notably, we found that the best results were achieved by merging TIFs with BCFs, rather than considering TIFs alone. (4) Conclusions: our proposed framework could be the key for improving the performance of a multiclass MI-BCI system.


Asunto(s)
Interfaces Cerebro-Computador , Encéfalo , Electroencefalografía , Imágenes en Psicoterapia , Procesamiento de Señales Asistido por Computador
6.
IEEE J Biomed Health Inform ; 27(1): 263-273, 2023 01.
Artículo en Inglés | MEDLINE | ID: mdl-36343005

RESUMEN

While stroke is one of the leading causes of disability, the prediction of upper limb (UL) functional recovery following rehabilitation is still unsatisfactory, hampered by the clinical complexity of post-stroke impairment. Predictive models leading to accurate estimates while revealing which features contribute most to the predictions are the key to unveil the mechanisms subserving the post-intervention recovery, prompting a new focus on individualized treatments and precision medicine in stroke. Machine learning (ML) and explainable artificial intelligence (XAI) are emerging as the enabling technology in different fields, being promising tools also in clinics. In this study, we had the twofold goal of evaluating whether ML can allow deriving accurate predictions of UL recovery in sub-acute patients, and disentangling the contribution of the variables shaping the outcomes. To do so, Random Forest equipped with four XAI methods was applied to interpret the results and assess the feature relevance and their consensus. Our results revealed increased performance when using ML compared to conventional statistical approaches. Moreover, the features deemed as the most relevant were concordant across the XAI methods, suggesting good stability of the results. In particular, the baseline motor impairment as measured by simple clinical scales had the largest impact, as expected. Our findings highlight the core role of ML not only for accurately predicting the individual outcome scores after rehabilitation, but also for making ML results interpretable when associated to XAI methods. This provides clinicians with robust predictions and reliable explanations that are key factors in therapeutic planning/monitoring of stroke patients.


Asunto(s)
Rehabilitación de Accidente Cerebrovascular , Accidente Cerebrovascular , Humanos , Rehabilitación de Accidente Cerebrovascular/métodos , Inteligencia Artificial , Extremidad Superior , Resultado del Tratamiento
7.
Sci Rep ; 11(1): 23097, 2021 11 29.
Artículo en Inglés | MEDLINE | ID: mdl-34845265

RESUMEN

Reach&grasp requires highly coordinated activation of different brain areas. We investigated whether reach&grasp kinematics is associated to EEG-based networks changes. We enrolled 10 healthy subjects. We analyzed the reach&grasp kinematics of 15 reach&grasp movements performed with each upper limb. Simultaneously, we obtained a 64-channel EEG, synchronized with the reach&grasp movement time points. We elaborated EEG signals with EEGLAB 12 in order to obtain event related synchronization/desynchronization (ERS/ERD) and lagged linear coherence between Brodmann areas. Finally, we evaluated network topology via sLORETA software, measuring network local and global efficiency (clustering and path length) and the overall balance (small-worldness). We observed a widespread ERD in α and ß bands during reach&grasp, especially in the centro-parietal regions of the hemisphere contralateral to the movement. Regarding functional connectivity, we observed an α lagged linear coherence reduction among Brodmann areas contralateral to the arm involved in the reach&grasp movement. Interestingly, left arm movement determined widespread changes of α lagged linear coherence, specifically among right occipital regions, insular cortex and somatosensory cortex, while the right arm movement exerted a restricted contralateral sensory-motor cortex modulation. Finally, no change between rest and movement was found for clustering, path length and small-worldness. Through a synchronized acquisition, we explored the cortical correlates of the reach&grasp movement. Despite EEG perturbations, suggesting that the non-dominant reach&grasp network has a complex architecture probably linked to the necessity of a higher visual control, the pivotal topological measures of network local and global efficiency remained unaffected.


Asunto(s)
Electroencefalografía/métodos , Fuerza de la Mano/fisiología , Movimiento/fisiología , Neurociencias/métodos , Adulto , Fenómenos Biomecánicos , Encéfalo/fisiología , Mapeo Encefálico , Femenino , Humanos , Corteza Insular , Masculino , Persona de Mediana Edad , Modelos Neurológicos , Corteza Motora/fisiología , Vías Nerviosas , Lóbulo Parietal , Desempeño Psicomotor/fisiología , Reproducibilidad de los Resultados , Programas Informáticos , Corteza Somatosensorial/fisiología
8.
Sci Rep ; 10(1): 15061, 2020 09 15.
Artículo en Inglés | MEDLINE | ID: mdl-32934259

RESUMEN

The pathophysiology of essential tremor (ET) is controversial and might be further elucidated by advanced neuroimaging. Focusing on homogenous ET patients diagnosed according to the 2018 consensus criteria, this study aimed to: (1) investigate whether task functional MRI (fMRI) can identify networks of activated and deactivated brain areas, (2) characterize morphometric and functional modulations, relative to healthy controls (HC). Ten ET patients and ten HC underwent fMRI while performing two motor tasks with their upper limb: (1) maintaining a posture (both groups); (2) simulating tremor (HC only). Activations/deactivations were obtained from General Linear Model and compared across groups/tasks. Voxel-based morphometry and linear regressions between clinical and fMRI data were also performed. Few cerebellar clusters of gray matter loss were found in ET. Conversely, widespread fMRI alterations were shown. Tremor in ET (task 1) was associated with extensive deactivations mainly involving the cerebellum, sensory-motor cortex, and basal ganglia compared to both tasks in HC, and was negatively correlated with clinical tremor scales. Homogeneous ET patients demonstrated deactivation patterns during tasks triggering tremor, encompassing a network of cortical and subcortical regions. Our results point towards a marked cerebellar involvement in ET pathophysiology and the presence of an impaired cerebello-thalamo-cortical tremor network.


Asunto(s)
Ganglios Basales , Temblor Esencial , Imagen por Resonancia Magnética , Corteza Sensoriomotora , Anciano , Ganglios Basales/diagnóstico por imagen , Ganglios Basales/fisiopatología , Temblor Esencial/diagnóstico por imagen , Temblor Esencial/fisiopatología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Corteza Sensoriomotora/diagnóstico por imagen , Corteza Sensoriomotora/fisiopatología
9.
J Neural Eng ; 17(4): 046040, 2020 08 19.
Artículo en Inglés | MEDLINE | ID: mdl-32663803

RESUMEN

OBJECTIVE: Blood-oxygenated-level dependent (BOLD)-based functional magnetic resonance imaging (fMRI) is a widely used non-invasive tool for mapping brain function and connectivity. However, the BOLD signal is highly affected by non-neuronal contributions arising from head motion, physiological noise and scanner artefacts. Therefore, it is necessary to recover the signal of interest from the other noise-related fluctuations to obtain reliable functional connectivity (FC) results. Several pre-processing pipelines have been developed, mainly based on nuisance regression and independent component analysis (ICA). The aim of this work was to investigate the impact of seven widely used denoising methods on both resting-state and task fMRI. APPROACH: Task fMRI can provide some ground truth given that the task administered has well established brain activations. The resulting cleaned data were compared using a wide range of measures: motion evaluation and data quality, resting-state networks and task activations, FC. MAIN RESULTS: Improved signal quality and reduced motion artefacts were obtained with all advanced pipelines, compared to the minimally pre-processed data. Larger variability was observed in the case of brain activation and FC estimates, with ICA-based pipelines generally achieving more reliable and accurate results. SIGNIFICANCE: This work provides an evidence-based reference for investigators to choose the most appropriate method for their study and data.


Asunto(s)
Mapeo Encefálico , Imagen por Resonancia Magnética , Artefactos , Encéfalo/diagnóstico por imagen , Procesamiento de Imagen Asistido por Computador
10.
Clin EEG Neurosci ; 51(5): 339-347, 2020 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-32248697

RESUMEN

Assessment of consciousness following severe brain-injury is challenging. Our hypothesis is that electroencephalography (EEG) can provide information on awareness, in terms of oscillatory activity and network task-related modifications, in people with disorders of consciousness. Similar results were obtained with neuroimaging techniques; we aim at demonstrating the use of EEG, which is low cost and routinely implemented, to the same goal. Nineteen-channel EEG was recorded in 7 persons with unresponsive wakefulness syndrome (UWS) and in 10 healthy subjects during the execution of active (attempted movement) and passive motor tasks as well as 2 mental imagery tasks. Event-related synchronization/desynchronization (ERS/ERD), coherence and network parameters were calculated in delta (1-4 Hz), theta (4-8 Hz), alpha1 (8-10 Hz), alpha2 (10-12 Hz), and beta (13-30 Hz) ranges. In UWS subjects, passive movement induced a weak alpha2 ERD over contralateral sensorimotor area. During motor imagery, ERD was detected over the frontal and motor contralateral brain areas; during spatial imagery, ERS in lower alpha band over the right temporo-parietal regions was missing. In UWS, functional connectivity provided evidence of network disruption and isolation of the motor areas, which cannot dialog with adjacent network nodes, likely suggesting a diffuse structural alteration. Our findings suggest that people with a clinical diagnosis of UWS were able to modulate their brain activity when prompted to perform movement tasks and thus suggest EEG as a potential tool to support diagnosis of disorders of consciousness.


Asunto(s)
Electroencefalografía , Corteza Motora , Vigilia , Encéfalo , Humanos , Corteza Motora/fisiopatología , Movimiento , Síndrome
11.
IEEE Trans Neural Syst Rehabil Eng ; 27(3): 450-456, 2019 03.
Artículo en Inglés | MEDLINE | ID: mdl-30676971

RESUMEN

Although the recent years have witnessed a growing interest in functional connectivity (FC) through brain sources, the FC in extreme situations has not been completely elucidated. This paper is aimed at investigating whether the expertise acquired during the deep-sea diving is reflected in FC in a group of professional divers (PDs) compared to a group of new divers (NDs), and how it could affect the concentration and stress levels. The sources of brain frequency rhythms, derived by the electroencephalography acquisition in a hyperbaric chamber, were extracted in different frequency bands and the corresponding FC was estimated in order to compare the two groups. The results highlighted a significant decrease of the alpha source in PDs during air breathing and a significant increase of the upper beta source over central areas at the beginning of post-oxygen air, as well as an increase of beta FC between fronto-temporal regions in the last minutes of oxygen breathing and in the early minutes of post-oxygen air. This provides evidence in support of the hypothesis that experience and expertise differences would modulate brain networks. These experiments provided the unique opportunity of investigating the impact of the neurophysiological activity in simulated critical scenarios in view of the investigation in real sea-water experiments.


Asunto(s)
Buceo/fisiología , Electroencefalografía/métodos , Vías Nerviosas/fisiología , Adulto , Ritmo alfa , Ritmo beta , Femenino , Humanos , Aprendizaje , Masculino , Oxígeno/metabolismo , Consumo de Oxígeno , Respiración , Estrés Psicológico
12.
Clin Neurophysiol ; 130(2): 231-238, 2019 02.
Artículo en Inglés | MEDLINE | ID: mdl-30580246

RESUMEN

OBJECTIVES: Left dorsolateral prefrontal cortex anodal transcranial direct current stimulation (tDCS) was applied in a group of patients with disorders of consciousness to determine the effects of modulation of spontaneous oscillatory brain activity. METHODS: 12 patients in an unresponsive wakefulness syndrome (UWS) and 12 in a minimally conscious state (MCS) underwent 2-weeks active and 2-weeks sham tDCS. Neurophysiological assessment was performed with EEG power spectra and coherence analysis directly before and after each session. RESULTS: An increase of power and coherence of the frontal and parietal alpha and beta frequency bands and significant clinical improvements were seen after the active tDCS in MCS patients. In contrast, UWS patients showed some local frontal changes in the slow frequencies. No treatment effect was observed after sham. CONCLUSIONS: tDCS could induce changes in cortical EEG oscillations, modulating the travel of alpha and beta waves between anterior and posterior brain areas when some cognitive functions were preserved. This plays an important role in consciousness by integrating cognitive-emotional processing with the state of arousal. In unresponsive people, brain integration seems to be lost. SIGNIFICANCE: Our results further support the critical role of long-range fronto-parietal connections in consciousness and show the potential therapeutic utility of tDCS.


Asunto(s)
Trastornos de la Conciencia/fisiopatología , Trastornos de la Conciencia/terapia , Electroencefalografía/métodos , Corteza Prefrontal/fisiopatología , Estimulación Transcraneal de Corriente Directa/métodos , Adolescente , Adulto , Anciano , Trastornos de la Conciencia/diagnóstico , Estudios Cruzados , Método Doble Ciego , Femenino , Humanos , Masculino , Persona de Mediana Edad , Estado Vegetativo Persistente/diagnóstico , Estado Vegetativo Persistente/fisiopatología , Estado Vegetativo Persistente/terapia
13.
Neural Plast ; 2018: 8105480, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-29780410

RESUMEN

Background: Bilateral arm training (BAT) has shown promise in expediting progress toward upper limb recovery in chronic stroke patients, but its neural correlates are poorly understood. Objective: To evaluate changes in upper limb function and EEG power after a robot-assisted BAT in chronic stroke patients. Methods: In a within-subject design, seven right-handed chronic stroke patients with upper limb paresis received 21 sessions (3 days/week) of the robot-assisted BAT. The outcomes were changes in score on the upper limb section of the Fugl-Meyer assessment (FM), Motricity Index (MI), and Modified Ashworth Scale (MAS) evaluated at the baseline (T0), posttraining (T1), and 1-month follow-up (T2). Event-related desynchronization/synchronization were calculated in the upper alpha and the beta frequency ranges. Results: Significant improvement in all outcomes was measured over the course of the study. Changes in FM were significant at T2, and in MAS at T1 and T2. After training, desynchronization on the ipsilesional sensorimotor areas increased during passive and active movement, as compared with T0. Conclusions: A repetitive robotic-assisted BAT program may improve upper limb motor function and reduce spasticity in the chronically impaired paretic arm. Effects on spasticity were associated with EEG changes over the ipsilesional sensorimotor network.


Asunto(s)
Encéfalo/fisiopatología , Recuperación de la Función , Rehabilitación de Accidente Cerebrovascular , Accidente Cerebrovascular/fisiopatología , Extremidad Superior/fisiopatología , Anciano , Enfermedad Crónica/rehabilitación , Electroencefalografía , Humanos , Masculino , Persona de Mediana Edad , Proyectos Piloto , Estudios Prospectivos , Robótica , Resultado del Tratamiento
14.
J Neural Eng ; 15(2): 026018, 2018 04.
Artículo en Inglés | MEDLINE | ID: mdl-28884708

RESUMEN

OBJECTIVE: Dual-echo arterial spin labeling (DE-ASL) technique has been recently proposed for the simultaneous acquisition of ASL and blood-oxygenation-level-dependent (BOLD)-functional magnetic resonance imaging (fMRI) data. The assessment of this technique in detecting functional connectivity at rest or during motor and motor imagery tasks is still unexplored both per-se and in comparison with conventional methods. The purpose is to quantify the sensitivity of the DE-ASL sequence with respect to the conventional fMRI sequence (cvBOLD) in detecting brain activations, and to assess and compare the relevance of node features in decoding the network structure. APPROACH: Thirteen volunteers were scanned acquiring a pseudo-continuous DE-ASL sequence from which the concomitant BOLD (ccBOLD) simultaneously to the ASL can be extracted. The approach consists of two steps: (i) model-based analyses for assessing brain activations at individual and group levels, followed by statistical analysis for comparing the activation elicited by the three sequences under two conditions (motor and motor imagery), respectively; (ii) brain connectivity graph-theoretical analysis for assessing and comparing the network models properties. MAIN RESULTS: Our results suggest that cvBOLD and ccBOLD have comparable sensitivity in detecting the regions involved in the active task, whereas ASL offers a higher degree of co-localization with smaller activation volumes. The connectivity results and the comparative analysis of node features across sequences revealed that there are no strong changes between rest and tasks and that the differences between the sequences are limited to few connections. SIGNIFICANCE: Considering the comparable sensitivity of the ccBOLD and cvBOLD sequences in detecting activated brain regions, the results demonstrate that DE-ASL can be successfully applied in functional studies allowing to obtain both ASL and BOLD information within a single sequence. Further, DE-ASL is a powerful technique for research and clinical applications allowing to perform quantitative comparisons as well as to characterize functional connectivity.


Asunto(s)
Imagen por Resonancia Magnética/métodos , Movimiento/fisiología , Red Nerviosa/fisiología , Desempeño Psicomotor/fisiología , Corteza Sensoriomotora/fisiología , Marcadores de Spin , Adulto , Estudios de Factibilidad , Femenino , Humanos , Masculino , Red Nerviosa/diagnóstico por imagen , Corteza Sensoriomotora/diagnóstico por imagen
15.
Front Neuroinform ; 12: 101, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-30894811

RESUMEN

Resting-state networks (RSNs) and functional connectivity (FC) have been increasingly exploited for mapping brain activity and identifying abnormalities in pathologies, including epilepsy. The majority of studies currently available are based on blood-oxygenation-level-dependent (BOLD) contrast in combination with either independent component analysis (ICA) or pairwise region of interest (ROI) correlations. Despite its success, this approach has several shortcomings as BOLD is only an indirect and non-quantitative measure of brain activity. Conversely, promising results have recently been achieved by arterial spin labeling (ASL) MRI, primarily developed to quantify brain perfusion. However, the wide application of ASL-based FC has been hampered by its complexity and relatively low robustness to noise, leaving several aspects of this approach still largely unexplored. In this study, we firstly aimed at evaluating the effect of noise reduction on spatio-temporal ASL analyses and quantifying the impact of two ad-hoc processing pipelines (basic and advanced) on connectivity measures. Once the optimal strategy had been defined, we investigated the applicability of ASL for connectivity mapping in patients with drug-resistant temporal epilepsy vs. controls (10 per group), aiming at revealing between-group voxel-wise differences in each RSN and ROI-wise FC changes. We first found ASL was able to identify the main network (DMN) along with all the others generally detected with BOLD but never previously reported from ASL. For all RSNs, ICA-based denoising (advanced pipeline) allowed to increase their similarity with the corresponding BOLD template. ASL-based RSNs were visibly consistent with literature findings; however, group differences could be identified in the structure of some networks. Indeed, statistics revealed areas of significant FC decrease in patients within different RSNs, such as DMN and cerebellum (CER), while significant increases were found in some cases, such as the visual networks. Finally, the ROI-based analyses identified several inter-hemispheric dysfunctional links (controls > patients) mainly between areas belonging to the DMN, right-left thalamus and right-left temporal lobe. Conversely, fewer connections, predominantly intra-hemispheric, showed the opposite pattern (controls < patients). All these elements provide novel insights into the pathological modulations characterizing a "network disease" as epilepsy, shading light on the importance of perfusion-based approaches for identifying the disrupted areas and communications between brain regions.

16.
Hum Brain Mapp ; 38(12): 5831-5844, 2017 12.
Artículo en Inglés | MEDLINE | ID: mdl-28885752

RESUMEN

Arterial spin labeling (ASL) MRI with a dual-echo readout module (DE-ASL) enables noninvasive simultaneous acquisition of cerebral blood flow (CBF)-weighted images and blood oxygenation level dependent (BOLD) contrast. Up to date, resting-state functional connectivity (FC) studies based on CBF fluctuations have been very limited, while the BOLD is still the method most frequently used. The purposes of this technical report were (i) to assess the potentiality of the DE-ASL sequence for the quantification of resting-state FC and brain organization, with respect to the conventional BOLD (cvBOLD) and (ii) to investigate the relationship between a series of complex network measures and the CBF information. Thirteen volunteers were scanned on a 3 T scanner acquiring a pseudocontinuous multislice DE-ASL sequence, from which the concomitant BOLD (ccBOLD) simultaneously to the ASL can be extracted. In the proposed comparison, the brain FC and graph-theoretical analysis were used for quantifying the connectivity strength between pairs of regions and for assessing the network model properties in all the sequences. The main finding was that the ccBOLD part of the DE-ASL sequence provided highly comparable connectivity results compared to cvBOLD. As expected, because of its different nature, ASL sequence showed different patterns of brain connectivity and graph indices compared to BOLD sequences. To conclude, the resting-state FC can be reliably detected using DE-ASL, simultaneously to CBF quantifications, whereas a single fMRI experiment precludes the quantitative measurement of BOLD signal changes. Hum Brain Mapp 38:5831-5844, 2017. © 2017 Wiley Periodicals, Inc.


Asunto(s)
Encéfalo/diagnóstico por imagen , Encéfalo/fisiología , Circulación Cerebrovascular/fisiología , Imagen por Resonancia Magnética/métodos , Oxígeno/sangre , Adulto , Artefactos , Mapeo Encefálico/métodos , Femenino , Humanos , Masculino , Vías Nerviosas/diagnóstico por imagen , Vías Nerviosas/fisiología , Descanso
17.
Sci Rep ; 7: 44664, 2017 03 15.
Artículo en Inglés | MEDLINE | ID: mdl-28294187

RESUMEN

In progressive myoclonic epilepsy (PME), a rare epileptic syndrome caused by a variety of genetic disorders, the combination of peripheral stimulation and functional magnetic resonance imaging (fMRI) can shed light on the mechanisms underlying cortical dysfunction. The aim of the study is to investigate sensorimotor network modifications in PME by assessing the relationship between neurophysiological findings and blood oxygen level dependent (BOLD) activation. Somatosensory-evoked potential (SSEP) obtained briefly before fMRI and BOLD activation during median-nerve electrical stimulation were recorded in four subjects with typical PME phenotype and compared with normative data. Giant scalp SSEPs with enlarger N20-P25 complex compared to normal data (mean amplitude of 26.2 ± 8.2 µV after right stimulation and 27.9 ± 3.7 µV after left stimulation) were detected. Statistical group analysis showed a reduced BOLD activation in response to median nerve stimulation in PMEs compared to controls over the sensorimotor (SM) areas and an increased response over subcortical regions (p < 0.01, Z > 2.3, corrected). PMEs show dissociation between neurophysiological and BOLD findings of SSEPs (giant SSEP with reduced BOLD activation over SM). A direct pathway connecting a highly restricted area of the somatosensory cortex with the thalamus can be hypothesized to support the higher excitability of these areas.


Asunto(s)
Potenciales Evocados Somatosensoriales/fisiología , Epilepsias Mioclónicas Progresivas/fisiopatología , Monitorización Neurofisiológica , Corteza Somatosensorial/fisiopatología , Adulto , Mapeo Encefálico , Estimulación Eléctrica , Electroencefalografía , Femenino , Humanos , Imagen por Resonancia Magnética , Masculino , Nervio Mediano/diagnóstico por imagen , Nervio Mediano/metabolismo , Nervio Mediano/fisiopatología , Persona de Mediana Edad , Epilepsias Mioclónicas Progresivas/sangre , Epilepsias Mioclónicas Progresivas/diagnóstico , Epilepsias Mioclónicas Progresivas/diagnóstico por imagen , Oxígeno/sangre , Tiempo de Reacción , Corteza Somatosensorial/diagnóstico por imagen , Corteza Somatosensorial/metabolismo
18.
IEEE J Biomed Health Inform ; 21(5): 1411-1421, 2017 09.
Artículo en Inglés | MEDLINE | ID: mdl-28113682

RESUMEN

The application of time-varying measures of causality between source time series can be very informative to elucidate the direction of communication among the regions of an epileptic brain. The aim of the study was to identify the dynamic patterns of epileptic networks in focal epilepsy by applying multivariate adaptive directed transfer function (ADTF) analysis and graph theory to high-density electroencephalographic recordings. The cortical network was modeled after source reconstruction and topology modulations were detected during interictal spikes. First a distributed linear inverse solution, constrained to the individual grey matter, was applied to the averaged spikes and the mean source activity over 112 regions, as identified by the Harvard-Oxford Atlas, was calculated. Then, the ADTF, a dynamic measure of causality, was used to quantify the connectivity strength between pairs of regions acting as nodes in the graph, and the measure of node centrality was derived. The proposed analysis was effective in detecting the focal regions as well as in characterizing the dynamics of the spike propagation, providing evidence of the fact that the node centrality is a reliable feature for the identification of the epileptogenic zones. Validation was performed by multimodal analysis as well as from surgical outcomes. In conclusion, the time-variant connectivity analysis applied to the epileptic patients can distinguish the generator of the abnormal activity from the propagation spread and identify the connectivity pattern over time.


Asunto(s)
Mapeo Encefálico/métodos , Encéfalo , Electroencefalografía/métodos , Epilepsia/diagnóstico por imagen , Procesamiento de Imagen Asistido por Computador/métodos , Anciano , Encéfalo/diagnóstico por imagen , Encéfalo/fisiología , Epilepsia/cirugía , Humanos , Persona de Mediana Edad
19.
Brain Topogr ; 29(2): 322-33, 2016 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-26590568

RESUMEN

In patients without a behavioral response, non-invasive techniques and new methods of data analysis can complement existing diagnostic tools by providing a method for detecting covert signs of residual cognitive function and awareness. The aim of this study was to investigate the brain oscillatory activities synchronized by single-pulse transcranial magnetic stimulation (TMS) delivered over the primary motor area in the time-frequency domain in patients with the unresponsive wakefulness syndrome or in a minimally conscious state as compared to healthy controls. A time-frequency analysis based on the wavelet transform was used to characterize rapid modifications of oscillatory EEG rhythms induced by TMS in patients as compared to healthy controls. The pattern of EEG changes in the patients differed from that of healthy controls. In the controls there was an early synchronization of slow waves immediately followed by a desynchronization of alpha and beta frequency bands over the frontal and centro-parietal electrodes, whereas an opposite early synchronization, particularly over motor areas for alpha and beta and over the frontal and parietal electrodes for beta power, was seen in the patients. In addition, no relevant modification in slow rhythms (delta and theta) after TMS was noted in patients. The clinical impact of these findings could be relevant in neurorehabilitation settings for increasing the awareness of these patients and defining new treatment procedures.


Asunto(s)
Sincronización Cortical/fisiología , Potenciales Evocados Motores/fisiología , Estado Vegetativo Persistente/rehabilitación , Estimulación Magnética Transcraneal/métodos , Vigilia/fisiología , Adulto , Anciano , Análisis de Varianza , Biofisica , Ondas Encefálicas/fisiología , Electroencefalografía , Femenino , Análisis de Fourier , Humanos , Masculino , Persona de Mediana Edad , Índice de Severidad de la Enfermedad , Factores de Tiempo
20.
Clin EEG Neurosci ; 47(4): 276-290, 2016 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-26251456

RESUMEN

Functional connectivity estimates the temporal synchrony among functionally homogeneous brain regions based on the assessment of the dynamics of topologically localized neurophysiological responses. The aim of this study was to investigate task-related changes in brain activity and functional connectivity by applying different methods namely event-related desynchronization (ERD), coherence, and graph-theoretical analysis to electroencephalographic (EEG) recordings, for comparing their respective descriptive power and complementarity. As it is well known, ERD provides an estimate of differences in power spectral densities between active (or task) and rest conditions, functional connectivity allows assessing the level of synchronization between the signals recorded at different scalp locations and graph analysis enables the estimation of the functional network features and topology. EEG activity was recorded on 10 subjects during left/right arm movements. The theta, alpha, and beta bands were considered. Conventional analysis showed a significant ERD in both alpha and beta bands over the sensorimotor cortex during the left arm movement and in beta band during the right arm movement, besides identifying the regions involved in the task, as it was expected. On the other hand, connectivity assessment highlighted that stronger connections are those that involved the motor regions for which graph analysis revealed reduced accessibility and an increased centrality during the movement. Jointly, the last two methods allow identifying the cortical areas that are functionally related in the active condition as well as the topological organization of the functional network. Results support the hypothesis that network analysis brings complementary knowledge with respect to established approaches for modeling motor-induced functional connectivity and could be profitably exploited in clinical contexts.


Asunto(s)
Encéfalo/fisiología , Conectoma/métodos , Electroencefalografía/métodos , Movimiento/fisiología , Red Nerviosa/fisiología , Volición/fisiología , Adulto , Algoritmos , Brazo/fisiología , Encéfalo/anatomía & histología , Sincronización Cortical/fisiología , Femenino , Humanos , Masculino , Red Nerviosa/anatomía & histología , Reproducibilidad de los Resultados , Sensibilidad y Especificidad
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