Working Memory Performance under a Negative Affect Is More Susceptible to Higher Cognitive Workloads with Different Neural Haemodynamic Correlates.

The effect of stress on task performance is complex, too much or too little stress negatively affects performance and there exists an optimal level of stress to drive optimal performance. Task difficulty and external affective factors are distinct stressors that impact cognitive performance. Neuroimaging studies showed that mood affects working memory performance and the correlates are changes in haemodynamic activity in the prefrontal cortex (PFC). We investigate the interactive effects of affective states and working memory load (WML) on working memory task performance and haemodynamic activity using functional near-infrared spectroscopy (fNIRS) neuroimaging on the PFC of healthy participants. We seek to understand if haemodynamic responses could tell apart workload-related stress from situational stress arising from external affective distraction. We found that the haemodynamic changes towards affective stressor- and workload-related stress were more dominant in the medial and lateral PFC, respectively. Our study reveals distinct affective state-dependent modulations of haemodynamic activity with increasing WML in n-back tasks, which correlate with decreasing performance. The influence of a negative effect on performance is greater at higher WML, and haemodynamic activity showed evident changes in temporal, and both spatial and strength of activation differently with WML.

Optimizing Mental Workload Estimation by Detecting Baseline State Using Vector Phase Analysis Approach.

Improper baseline return from the previous task-evoked hemodynamic response (HR) can contribute to a large variation in the subsequent HR, affecting the estimation of mental workload in brain-computer interface systems. In this study, we proposed a method using vector phase analysis to detect the baseline state as being optimal or suboptimal. We hypothesize that selecting neuronal-related HR as observed in the optimal-baseline blocks can lead to an improvement in estimating mental workload. Oxygenated and deoxygenated hemoglobin concentration changes were integrated as parts of the vector phase. The proposed method was applied to a block-design functional near-infrared spectroscopy dataset (total blocks = 1384), measured on 24 subjects performing multiple difficulty levels of mental arithmetic task. Significant differences in hemodynamic signal change were observed between the optimal- and suboptimal-baseline blocks detected using the proposed method. This supports the effectiveness of the proposed method in detecting baseline state for better estimation of mental workload. The results further highlight the need of customized recovery duration. In short, the proposed method offers a practical approach to detect task-evoked signals, without the need of extra probes.

A Unified Analytical Framework With Multiple fNIRS Features for Mental Workload Assessment in the Prefrontal Cortex.

Knowing the actual level of mental workload is important to ensure the efficacy of brain-computer interface (BCI) based cognitive training. Extracting signals from limited area of a brain region might not reveal the actual information. In this study, a functional near-infrared spectroscopy (fNIRS) device equipped with multi-channel and multi-distance measurement capability was employed for the development of an analytical framework to assess mental workload in the prefrontal cortex (PFC). In addition to the conventional features, e.g. hemodynamic slope, we introduced a new feature - deep contribution ratio which is the proportion of cerebral hemodynamics to the fNIRS signals. Multiple sets of features were examined by a simple logical operator to suppress the false detection rate in identifying the activated channels. Using the number of activated channels as input to a linear support vector machine (SVM), the performance of the proposed analytical framework was assessed in classifying three levels of mental workload. The best set of features involves the combination of hemodynamic slope and deep contribution ratio, where the identified number of activated channels returned an average accuracy of 80.6% in predicting mental workload, compared to a single conventional feature (accuracy: 59.8%). This suggests the feasibility of the proposed analytical framework with multiple features as a means towards a more accurate assessment of mental workload in fNIRS-based BCI applications.

Automated Thresholding Method for fNIRS-Based Functional Connectivity Analysis: Validation With a Case Study on Alzheimer's Disease.

While functional integration has been suggested to reflect brain health, non-standardized network thresholding methods complicate network interpretation. We propose a new method to analyze functional near-infrared spectroscopy-based functional connectivity (fNIRS-FC). In this study, we employed wavelet analysis for motion correction and orthogonal minimal spanning trees (OMSTs) to derive the brain connectivity. The proposed method was applied to an Alzheimer's disease (AD) dataset and was compared with a number of well-known thresholding techniques. The results demonstrated that the proposed method outperformed the benchmarks in filtering cost-effective networks and in differentiation between patients with mild AD and healthy controls. The results also supported the proposed method as a feasible technique to analyze fNIRS-FC, especially with cost-efficiency, assortativity and laterality as a set of effective features for the diagnosis of AD.

Assessing Neural Compensation With Visuospatial Working Memory Load Using Near-Infrared Imaging.

Alzheimer's disease is characterized by the progressive deterioration of cognitive abilities particularly working memory while mild cognitive impairment (MCI) represents its prodrome. It is generally believed that neural compensation is intact in MCI but absent in Alzheimer's disease. This study investigated the effects of increasing task load as a means to induce neural compensation through a novel visual working memory (VSWM) task using functional near-infrared spectroscopy (fNIRS). The bilateral prefrontal cortex (PFC) was explored due to its relevance in VSWM and neural compensation. A total of 31 healthy controls (HC), 12 patients with MCI and 18 patients with mild Alzheimer's disease (mAD) were recruited. Although all groups showed sensitivity in terms of behavioral performance (i.e. score) towards increasing task load (level 1 to 3), only in MCI load effect on cortical response (as measured by fNIRS) was significant. At lower task load, bilateral PFC activation did not differ between MCI and HC. Neural compensation in the form of hyperactivation was only noticeable in MCI with a moderate task load. Lack of hyperactivation in mAD, coupled with significantly poorer task performance across task loads, suggested the inability to compensate due to a greater degree of neurodegeneration. Our findings provided an insight into the interaction of cognitive load theory and neural compensatory mechanisms. The experiment results demonstrated the feasibility of inducing neural compensation with the proposed VSWM task at the right amount of cognitive load. This may provide a promising avenue to develop an effective cognitive training and rehabilitation for dementia population.

Optimizing Mental Workload by Functional Near-Infrared Spectroscopy Based Dynamic Difficulty Adjustment.

Gains of cognitive training may be eliminated due to mental fatigue. This paper reports the design and implementation of a functional near-infrared spectroscopy (fNIRS) - dynamic difficulty adjustment (DDA) system. A total of 25 healthy volunteers underwent two training sessions - one with fixed difficulty level of training (FDT) and one with neurofeedback training (NFT) using our fNIRS-DDA system. The workload in each training session was assessed using the National Aeronautics and Space Administration Task Load Index (NASA-TLX). Whilst sustaining mental task performance, the drop in oxygenation level observed in NFT subjects might indicate mental fatigue as they received higher NASA-TLX scores, especially in both mental demand and frustration subscales. In contrast, the oxygenation levels remained almost constant by NFT subjects throughout the experiment. This suggests that the proposed fNIRS-DDA system aided the participants in avoiding mental fatigue. Future studies will investigate if the system may prevent the progression of Alzheimer's disease.

Effectiveness Evaluation of Real-Time Scalp Signal Separating Algorithm on Near-Infrared Spectroscopy Neurofeedback.

Near-infrared spectroscopy (NIRS), one of the candidates to be used in a neurofeedback system or brain-computer interface (BCI), measures the brain activity by monitoring the changes in cerebral hemoglobin concentration. However, hemodynamic changes in the scalp may affect the NIRS signals. In order to remove the superficial signals when NIRS is used in a neurofeedback system or BCI, real-time processing is necessary. Real-time scalp signal separating (RT-SSS) algorithm, which is capable of separating the scalp-blood signals from NIRS signals obtained in real-time, may thus be applied. To demonstrate its effectiveness, two separate neurofeedback experiments were conducted. In the first experiment, the feedback signal was the raw NIRS signal recorded while in the second experiment, deep signal extracted using RT-SSS algorithm was used as the feedback signal. In both experiments, participants were instructed to control the feedback signal to follow a predefined track. Accuracy scores were calculated based on the differences between the trace controlled by feedback signal and the targeted track. Overall, the second experiment yielded better performance in terms of accuracy scores. These findings proved that RT-SSS algorithm is beneficial for neurofeedback.

Visualizing Hyperactivation in Neurodegeneration Based on Prefrontal Oxygenation: A Comparative Study of Mild Alzheimer's Disease, Mild Cognitive Impairment, and Healthy Controls.

Background: Cognitive performance is relatively well preserved during early cognitive impairment owing to compensatory mechanisms. Methods: We explored functional near-infrared spectroscopy (fNIRS) alongside a semantic verbal fluency task (SVFT) to investigate any compensation exhibited by the prefrontal cortex (PFC) in Mild Cognitive Impairment (MCI) and mild Alzheimer's disease (AD). In addition, a group of healthy controls (HC) was studied. A total of 61 volunteers (31 HC, 12 patients with MCI and 18 patients with mild AD) took part in the present study. Results: Although not statistically significant, MCI exhibited a greater mean activation of both the right and left PFC, followed by HC and mild AD. Analysis showed that in the left PFC, the time taken for HC to achieve the activation level was shorter than MCI and mild AD (p = 0.0047 and 0.0498, respectively); in the right PFC, mild AD took a longer time to achieve the activation level than HC and MCI (p = 0.0469 and 0.0335, respectively); in the right PFC, HC, and MCI demonstrated a steeper slope compared to mild AD (p = 0.0432 and 0. 0107, respectively). The results were, however, not significant when corrected by the Bonferroni-Holm method. There was also found to be a moderately positive correlation (R = 0.5886) between the oxygenation levels in the left PFC and a clinical measure [Mini-Mental State Examination (MMSE) score] in MCI subjects uniquely. Discussion: The hyperactivation in MCI coupled with a better SVFT performance may suggest neural compensation, although it is not known to what degree hyperactivation manifests as a potential indicator of compensatory mechanisms. However, hypoactivation plus a poorer SVFT performance in mild AD might indicate an inability to compensate due to the degree of structural impairment. Conclusion: Consistent with the scaffolding theory of aging and cognition, the task-elicited hyperactivation in MCI might reflect the presence of compensatory mechanisms and hypoactivation in mild AD could reflect an inability to compensate. Future studies will investigate the fNIRS parameters with a larger sample size, and their validity as prognostic biomarkers of neurodegeneration.