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1.
Front Hum Neurosci ; 17: 1305331, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-38125713

RESUMEN

A novel multimodal experimental setup and dyadic study protocol were designed to investigate the neurophysiological underpinnings of joint action through the synchronous acquisition of EEG, ECG, EMG, respiration and kinematic data from two individuals engaged in ecologic and naturalistic cooperative and competitive joint actions involving face-to-face real-time and real-space coordinated full body movements. Such studies are still missing because of difficulties encountered in recording reliable neurophysiological signals during gross body movements, in synchronizing multiple devices, and in defining suitable study protocols. The multimodal experimental setup includes the synchronous recording of EEG, ECG, EMG, respiration and kinematic signals of both individuals via two EEG amplifiers and a motion capture system that are synchronized via a single-board microcomputer and custom Python scripts. EEG is recorded using new dry sports electrode caps. The novel study protocol is designed to best exploit the multimodal data acquisitions. Table tennis is the dyadic motor task: it allows naturalistic and face-to-face interpersonal interactions, free in-time and in-space full body movement coordination, cooperative and competitive joint actions, and two task difficulty levels to mimic changing external conditions. Recording conditions-including minimum table tennis rally duration, sampling rate of kinematic data, total duration of neurophysiological recordings-were defined according to the requirements of a multilevel analytical approach including a neural level (hyperbrain functional connectivity, Graph Theoretical measures and Microstate analysis), a cognitive-behavioral level (integrated analysis of neural and kinematic data), and a social level (extending Network Physiology to neurophysiological data recorded from two interacting individuals). Four practical tests for table tennis skills were defined to select the study population, permitting to skill-match the dyad members and to form two groups of higher and lower skilled dyads to explore the influence of skill level on joint action performance. Psychometric instruments are included to assess personality traits and support interpretation of results. Studying joint action with our proposed protocol can advance the understanding of the neurophysiological mechanisms sustaining daily life joint actions and could help defining systems to predict cooperative or competitive behaviors before being overtly expressed, particularly useful in real-life contexts where social behavior is a main feature.

2.
Brain Struct Funct ; 228(3-4): 875-893, 2023 May.
Artículo en Inglés | MEDLINE | ID: mdl-37005932

RESUMEN

Verbal short-term memory (STM) deficits are associated with language processing impairments in people with aphasia. Importantly, the integrity of STM can predict word learning ability and anomia therapy gains in aphasia. While the recruitment of perilesional and contralesional homologous brain regions has been proposed as a possible mechanism for aphasia recovery, little is known about the white-matter pathways that support verbal STM in post-stroke aphasia. Here, we investigated the relationships between the language-related white matter tracts and verbal STM ability in aphasia. Nineteen participants with post-stroke chronic aphasia completed a subset of verbal STM subtests of the TALSA battery including nonword repetition (phonological STM), pointing span (lexical-semantic STM without language output) and repetition span tasks (lexical-semantic STM with language output). Using a manual deterministic tractography approach, we investigated the micro- and macrostructural properties of the structural language network. Next, we assessed the relationships between individually extracted tract values and verbal STM scores. We found significant correlations between volume measures of the right Uncinate Fasciculus and all three verbal STM scores, with the association between the right UF volume and nonword repetition being the strongest one. These findings suggest that the integrity of the right UF is associated with phonological and lexical-semantic verbal STM ability in aphasia and highlight the potential compensatory role of right-sided ventral white matter language tracts in supporting verbal STM after aphasia-inducing left hemisphere insult.


Asunto(s)
Afasia , Sustancia Blanca , Humanos , Memoria a Corto Plazo , Fascículo Uncinado , Afasia/etiología , Lenguaje
3.
Brain Struct Funct ; 227(5): 1817-1829, 2022 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-35286477

RESUMEN

Language capacities in autism spectrum disorders (ASD) range from normal scores on standardized language tests to absence of functional language in a substantial minority of 30% of individuals with ASD. Due to practical difficulties of scanning at this severe end of the spectrum, insights from MRI are scarce. Here we used manual deterministic tractography to investigate, for the first time, the integrity of the core white matter tracts defining the language connectivity network in non-verbal ASD (nvASD): the three segments of the arcuate (AF), the inferior fronto-occipital (IFOF), the inferior longitudinal (ILF) and the uncinate (UF) fasciculi, and the frontal aslant tract (FAT). A multiple case series of nine individuals with nvASD were compared to matched individuals with verbal ASD (vASD) and typical development (TD). Bonferroni-corrected repeated measure ANOVAs were performed separately for each tract-Hemisphere (2:Left/Right) × Group (3:TD/vASD/nvASD). Main results revealed (i) a main effect of group consisting in a reduction in fractional anisotropy (FA) in the IFOF in nvASD relative to TD; (ii) a main effect of group revealing lower values of radial diffusivity (RD) in the long segment of the AF in nvASD compared to vASD group; and (iii) a reduced volume in the left hemisphere of the UF when compared to the right, in the vASD group only. These results do not replicate volumetric differences of the dorsal language route previously observed in nvASD, and instead point to a disruption of the ventral language pathway, in line with semantic deficits observed behaviourally in this group.


Asunto(s)
Trastorno Autístico , Sustancia Blanca , Trastorno Autístico/diagnóstico por imagen , Imagen de Difusión Tensora/métodos , Humanos , Lenguaje , Vías Nerviosas/diagnóstico por imagen , Sustancia Blanca/diagnóstico por imagen
4.
J Appl Res Intellect Disabil ; 35(2): 495-505, 2022 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-34693611

RESUMEN

BACKGROUND: Despite presenting higher risk of dementia, mild cognitive impairment (MCI) is not well defined in Down syndrome population. OBJECTIVE: We aimed to describe cognitive and neuropsychological patterns associated with MCI in Down syndrome individuals. METHOD: Two groups of adults with Down syndrome (control and prodromal) were studied throughout 3 years. Two linear mixed models and a model including the variables that best predicted group membership were built. RESULTS: Behavioural Regulation Index (BRI) (Behaviour Rating Inventory of Executive Function test) and the model composed of BRI, abstraction and delayed verbal memory were the variable and model best predicting group membership, respectively. CONCLUSION: Suggest a diagnosis of MCI when BRI is the earliest change perceived by caregivers and this is combined with low scores in abstract thinking, and when an amnesic pattern in delayed verbal memory is observed, but adaptive skills are preserved.


Asunto(s)
Disfunción Cognitiva , Síndrome de Down , Discapacidad Intelectual , Adulto , Disfunción Cognitiva/diagnóstico , Disfunción Cognitiva/epidemiología , Síndrome de Down/complicaciones , Síndrome de Down/diagnóstico , Función Ejecutiva/fisiología , Humanos , Discapacidad Intelectual/complicaciones , Pruebas Neuropsicológicas
5.
Geroscience ; 44(1): 195-209, 2022 02.
Artículo en Inglés | MEDLINE | ID: mdl-34591236

RESUMEN

Whether the deleterious effects of APOE4 are restricted to the Alzheimer's disease (AD) spectrum or cause cognitive impairment irrespectively of the development of AD is still a matter of debate, and the focus of this study. Our analyses included APOE4 genotype, neuropsychological variables, amyloid-ßeta (Aß) and Tau markers, FDG-PET values, and hippocampal volumetry data derived from the healthy controls sample of the ADNI database. We formed 4 groups of equal size (n = 30) based on APOE4 carriage and amyloid-PET status. Baseline and follow-up (i.e., 48 months post-baseline) results indicated that Aß-positivity was the most important factor to explain poorer cognitive performance, while APOE4 only exerted a significant effect in Aß-positive subjects. Additionally, multiple regression analyses evidenced that, within the Aß-positive sample, hippocampal volumetry explained most of the variability in cognitive performance for APOE4 carriers. These findings represent a strong support for the so-called preclinical/prodromal hypothesis, which states that the reported differences in cognitive performance between healthy carriers and non-carriers are mainly due to the APOE4's capability to increase the risk of AD. Moreover, our results reinforce the notion that a synergistic interaction of Aß and APOE4 elicits a neurodegenerative process in the hippocampus that might be the main cause of impaired cognitive performance.


Asunto(s)
Enfermedad de Alzheimer , Disfunción Cognitiva , Enfermedad de Alzheimer/genética , Apolipoproteína E4/genética , Cognición , Disfunción Cognitiva/genética , Humanos , Tomografía de Emisión de Positrones
6.
Brain Connect ; 11(9): 725-733, 2021 11.
Artículo en Inglés | MEDLINE | ID: mdl-33858203

RESUMEN

Introduction: The majority of individuals with Down syndrome (DS) show signs of Alzheimer's disease (AD) neuropathology in their fourth decade. However, there is a lack of specific markers for characterizing the disease stages while considering this population's differential features. Methods: Forty-one DS individuals participated in the study, and were classified into three groups according to their clinical status: Alzheimer's disease (AD-DS), mild cognitive impairment (MCI-DS), and controls (CN-DS). We performed an exhaustive neuropsychological evaluation and assessed brain functional connectivity (FC) from magnetoencephalographic recordings. Results: Compared with CN-DS, both MCI-DS and AD-DS showed a pattern of increased FC within the high alpha band. The neuropsychological assessment showed a generalized cognitive impairment, especially affecting mnestic functions, in MCI-DS and, more pronouncedly, in AD-DS. Discussion: These findings might help to characterize the AD-continuum in DS. In addition, they support the role of the excitatory/inhibitory imbalance as a key pathophysiological factor in AD. Impact statement The pattern of functional connectivity (FC) hypersynchronization found in this study resembles the largely reported Alzheimer's disease (AD) FC evolution pattern in population with typical development. This study supports the hypothesis of the excitatory/inhibitory imbalance as a key pathophysiological factor in AD, and its conclusions could help in the characterization and prediction of Down syndrome individuals with a greater likelihood of converting to dementia.


Asunto(s)
Enfermedad de Alzheimer , Disfunción Cognitiva , Síndrome de Down , Enfermedad de Alzheimer/complicaciones , Encéfalo/diagnóstico por imagen , Disfunción Cognitiva/etiología , Humanos , Magnetoencefalografía
7.
Neuroimage ; 229: 117759, 2021 04 01.
Artículo en Inglés | MEDLINE | ID: mdl-33454403

RESUMEN

The mismatch negativity (MMN) is an event related brain potential (ERP) elicited by unpredicted sounds presented in a sequence of repeated auditory stimuli. The neural sources of the MMN have been previously attributed to a fronto-temporo-parietal network which crucially overlaps with the so-called auditory dorsal stream, involving inferior and middle frontal, inferior parietal, and superior and middle temporal regions. These cortical areas are structurally connected by the arcuate fasciculus (AF), a three-branch pathway supporting the feedback-feedforward loop involved in auditory-motor integration, auditory working memory, storage of acoustic templates, as well as comparison and update of those templates. Here, we characterized the individual differences in the white-matter macrostructural properties of the AF and explored their link to the electrophysiological marker of passive change detection gathered in a melodic multifeature MMN-EEG paradigm in 26 healthy young adults without musical training. Our results show that left fronto-temporal white-matter connectivity plays an important role in the pre-attentive detection of rhythm modulations within a melody. Previous studies have shown that this AF segment is also critical for language processing and learning. This strong coupling between structure and function in auditory change detection might be related to life-time linguistic (and possibly musical) exposure and experiences, as well as to timing processing specialization of the left auditory cortex. To the best of our knowledge, this is the first time in which the relationship between neurophysiological (EEG) and brain white-matter connectivity indexes using DTI-tractography are studied together. Thus, the present results, although still exploratory, add to the existing evidence on the importance of studying the constraints imposed on cognitive functions by the underlying structural connectivity.


Asunto(s)
Atención/fisiología , Corteza Cerebral/diagnóstico por imagen , Corteza Cerebral/fisiología , Individualidad , Música/psicología , Sustancia Blanca/diagnóstico por imagen , Sustancia Blanca/fisiología , Estimulación Acústica/métodos , Electroencefalografía/métodos , Femenino , Humanos , Imagen por Resonancia Magnética/métodos , Masculino , Red Nerviosa/diagnóstico por imagen , Red Nerviosa/fisiología , Adulto Joven
8.
Eur J Neurol ; 28(4): 1324-1333, 2021 04.
Artículo en Inglés | MEDLINE | ID: mdl-33296534

RESUMEN

BACKGROUND AND PURPOSE: Cancer treatments have deleterious effects on both brain structure and the cognition of lung cancer patients. Physical activity (PA) has beneficial effects on the cognition of healthy adults by eliciting brain plasticity, especially on the medial temporal lobe (hippocampus). Therefore, the aim was to study the neuroprotective effects of a 3-month PA programme (PAP) on the brain structure and cognitive performance of lung cancer patients. METHODS: Twelve patients (seven non-small-cell lung cancer [NSCLC] patients following chemotherapy, five small-cell lung cancer [SCLC] patients following chemotherapy and prophylactic cranial irradiation) agreed to complete the PAP and underwent baseline and 3-month (post-PAP) brain magnetic resonance imaging and neuropsychological evaluations (PAP group). Twelve lung cancer patients (seven NSCLC, five SCLC; non-PAP group) and 12 healthy sex-, age- and education-matched controls were recruited and completed two evaluations separated by the same amount of time. A region of interest voxel-based morphometry analysis focused on bilateral hippocampi was performed. RESULTS: Physical activity programme patients presented greater grey matter volume (GMV) across time in both hippocampi. Moreover, it was observed that SCLC patients in both the PAP and non-PAP groups presented a time-dependent GMV loss in bilateral hippocampi that was not significant in NSCLC patients. Importantly, the PA intervention decreased the magnitude of that GMV loss, becoming thus especially beneficial at the brain structural level for SCLC patients. CONCLUSIONS: Our study demonstrates, using a neuroimaging approach for the first time, that PA is able to stop the deleterious effects of systemic chemotherapy and brain radiation on brain structures of the lung cancer population, especially in SCLC patients.


Asunto(s)
Carcinoma de Pulmón de Células no Pequeñas , Neoplasias Pulmonares , Adulto , Encéfalo , Carcinoma de Pulmón de Células no Pequeñas/terapia , Ejercicio Físico , Sustancia Gris , Hipocampo , Humanos , Neoplasias Pulmonares/terapia , Imagen por Resonancia Magnética
9.
Neuroimage ; 213: 116689, 2020 06.
Artículo en Inglés | MEDLINE | ID: mdl-32119984

RESUMEN

Music and language engage the dorsal auditory pathway, linked by the arcuate fasciculus (AF). Sustained practice in these activities can modify brain structure, depending on length of experience but also age of onset (AoO). To study the impact of early experience on brain structure we manually dissected the AF in bilinguals with and without music training (MT) who differed in the AoO of their second language (L2), or MT. We found the usual left-greater-than-right asymmetry in the volume of the long segment (LS) of the AF across all groups. However, simultaneous exposure to two languages from birth enhanced this leftward asymmetry, while early start of MT (≤7) enhanced the right LS macrostructure, reducing the normative asymmetry. Thus, immersive exposure to an L2 in the first year of life can produce long-term plastic effects on the left LS, which is considered to be largely under genetic control, while deliberate music training in early childhood alters the right LS, whose structure appears more open to experience. These findings show that AoO of specific experience plays a key role in a complex gene-environment interaction model where normative brain maturation is differentially impacted by diverse intensive auditory-motor experiences at different points during development.


Asunto(s)
Vías Auditivas/anatomía & histología , Encéfalo/anatomía & histología , Vías Eferentes/anatomía & histología , Multilingüismo , Música , Adolescente , Adulto , Vías Auditivas/fisiología , Encéfalo/fisiología , Niño , Preescolar , Imagen de Difusión Tensora , Vías Eferentes/fisiología , Femenino , Humanos , Aprendizaje/fisiología , Masculino , Plasticidad Neuronal/fisiología , Adulto Joven
10.
Neuroimage ; 191: 518-528, 2019 05 01.
Artículo en Inglés | MEDLINE | ID: mdl-30831314

RESUMEN

Due to the high linguistic and cognitive demands placed on real-time language translation, professional simultaneous interpreters (SIs) have previously been proposed to serve as a reasonable model for evaluating experience-dependent brain properties. However, currently it is still unknown whether intensive language training during adulthood might be reflected in microstructural changes in language-related white matter pathways contributing to sound-to-meaning mapping, auditory-motor integration, and verbal memory functions. Accordingly, we used a fully automated probabilistic tractography algorithm and compared the white matter microstructure of the bilateral inferior longitudinal fasciculus (ILF), uncinate fasciculus (UF), and arcuate fasciculus (AF, long and anterior segments) between professional SIs and multilingual control participants. In addition, we classically re-evaluated the three constitutional elements of the AF (long, anterior, and posterior segments) using a deterministic manual dissection procedure. Automated probabilistic tractography demonstrated overall reduced mean fractional anisotropy (FA) and increased radial diffusivity (RD) in SIs in the fiber tracts of the left hemisphere (LH). Furthermore, SIs exhibited reduced mean FA in the bilateral AF. However, according to manual dissection, this effect was limited to the anterior AF segment and accompanied by increased mean RD. Deterministic AF reconstruction also uncovered increased mean FA in the right and RD in the left long AF segment in SIs compared to controls. These results point to a relationship between simultaneous interpreting and white matter organization of pathways underlying speech and language processing in the language-dominant LH as well as of the AF.


Asunto(s)
Encéfalo/anatomía & histología , Encéfalo/fisiología , Multilingüismo , Habla/fisiología , Sustancia Blanca/anatomía & histología , Sustancia Blanca/fisiología , Adulto , Imagen de Difusión Tensora , Femenino , Humanos , Masculino , Persona de Mediana Edad , Vías Nerviosas/anatomía & histología , Vías Nerviosas/fisiología , Traducción
11.
Neuroimage ; 181: 252-262, 2018 11 01.
Artículo en Inglés | MEDLINE | ID: mdl-29929006

RESUMEN

Music learning has received increasing attention in the last decades due to the variety of functions and brain plasticity effects involved during its practice. Most previous reports interpreted the differences between music experts and laymen as the result of training. However, recent investigations suggest that these differences are due to a combination of genetic predispositions with the effect of music training. Here, we tested the relationship of the dorsal auditory-motor pathway with individual behavioural differences in short-term music learning. We gathered structural neuroimaging data from 44 healthy non-musicians (28 females) before they performed a rhythm- and a melody-learning task during a single behavioural session, and manually dissected the arcuate fasciculus (AF) in both hemispheres. The macro- and microstructural organization of the AF (i.e., volume and FA) predicted the learning rate and learning speed in the musical tasks, but only in the right hemisphere. Specifically, the volume of the right anterior segment predicted the synchronization improvement during the rhythm task, the FA in the right long segment was correlated with the learning rate in the melody task, and the volume and FA of the right whole AF predicted the learning speed during the melody task. This is the first study finding a specific relation between different branches within the AF and rhythmic and melodic materials. Our results support the relevant function of the AF as the structural correlate of both auditory-motor transformations and the feedback-feedforward loop, and suggest a crucial involvement of the anterior segment in error-monitoring processes related to auditory-motor learning. These findings have implications for both the neuroscience of music field and second-language learning investigations.


Asunto(s)
Vías Auditivas/anatomía & histología , Percepción Auditiva/fisiología , Imagen de Difusión Tensora/métodos , Vías Eferentes/anatomía & histología , Aprendizaje/fisiología , Música , Sustancia Blanca/anatomía & histología , Adulto , Vías Auditivas/diagnóstico por imagen , Vías Eferentes/diagnóstico por imagen , Función Ejecutiva/fisiología , Retroalimentación , Femenino , Lateralidad Funcional/fisiología , Humanos , Masculino , Percepción del Tiempo/fisiología , Sustancia Blanca/diagnóstico por imagen , Adulto Joven
12.
Q J Exp Psychol (Hove) ; 71(6): 1469-1481, 2018 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-28856956

RESUMEN

We studied the initial acquisition and overnight consolidation of new spoken words that resemble words in the native language (L1) or in an unfamiliar, non-native language (L2). Spanish-speaking participants learned the spoken forms of novel words in their native language (Spanish) or in a different language (Hungarian), which were paired with pictures of familiar or unfamiliar objects, or no picture. We thereby assessed, in a factorial way, the impact of existing knowledge (schema) on word learning by manipulating both semantic (familiar vs unfamiliar objects) and phonological (L1- vs L2-like novel words) familiarity. Participants were trained and tested with a 12-hr intervening period that included overnight sleep or daytime awake. Our results showed (1) benefits of sleep to recognition memory that were greater for words with L2-like phonology and (2) that learned associations with familiar but not unfamiliar pictures enhanced recognition memory for novel words. Implications for complementary systems accounts of word learning are discussed.


Asunto(s)
Memoria/fisiología , Fonética , Reconocimiento en Psicología/fisiología , Semántica , Aprendizaje Verbal/fisiología , Adolescente , Adulto , Análisis de Varianza , Aprendizaje por Asociación , Conducta de Elección/fisiología , Femenino , Humanos , Masculino , Tiempo de Reacción/fisiología , Sueño/fisiología , Adulto Joven
13.
Addict Biol ; 22(3): 844-856, 2017 May.
Artículo en Inglés | MEDLINE | ID: mdl-26786150

RESUMEN

Cocaine addiction has been associated with increased sensitivity of the human reward circuit to drug-related stimuli. However, the capacity of non-drug incentives to engage this network is poorly understood. Here, we characterized the functional sensitivity to monetary incentives and the structural integrity of the human reward circuit in abstinent cocaine-dependent (CD) patients and their matched controls. We assessed the BOLD response to monetary gains and losses in 30 CD patients and 30 healthy controls performing a lottery task in a magnetic resonance imaging scanner. We measured brain gray matter volume (GMV) using voxel-based morphometry and white matter microstructure using voxel-based fractional anisotropy (FA). Functional data showed that, after monetary incentives, CD patients exhibited higher activation in the ventral striatum than controls. Furthermore, we observed an inverted BOLD response pattern in the prefrontal cortex, with activity being highest after unexpected high gains and lowest after losses. Patients showed increased GMV in the caudate and the orbitofrontal cortex, increased white matter FA in the orbito-striatal pathway but decreased FA in antero-posterior association bundles. Abnormal activation in the prefrontal cortex correlated with GMV and FA increases in the orbitofrontal cortex. While functional abnormalities in the ventral striatum were inversely correlated with abstinence duration, structural alterations were not. In conclusion, results suggest abnormal incentive processing in CD patients with high salience for rewards and punishments in subcortical structures but diminished prefrontal control after adverse outcomes. They further suggest that hypertrophy and hyper-connectivity within the reward circuit, to the expense of connectivity outside this network, characterize cocaine addiction.


Asunto(s)
Trastornos Relacionados con Cocaína/fisiopatología , Motivación/fisiología , Vías Nerviosas/fisiopatología , Corteza Prefrontal/fisiopatología , Recompensa , Estriado Ventral/fisiopatología , Mapeo Encefálico/métodos , Femenino , Humanos , Imagen por Resonancia Magnética/métodos , Masculino
14.
Cereb Cortex ; 27(8): 3906-3917, 2017 08 01.
Artículo en Inglés | MEDLINE | ID: mdl-27461123

RESUMEN

Speech imitation is crucial for language acquisition and second-language learning. Interestingly, large individual differences regarding the ability in imitating foreign-language sounds have been observed. The origin of this interindividual diversity remains unknown, although it might be partially explained by structural predispositions. Here we correlated white-matter structural properties of the arcuate fasciculus (AF) with the performance of 52 German-speakers in a Hindi sentence- and word-imitation task. First, a manual reconstruction was performed, permitting us to extract the mean values along the three branches of the AF. We found that a larger lateralization of the AF volume toward the left hemisphere predicted the performance of our participants in the imitation task. Second, an automatic reconstruction was carried out, allowing us to localize the specific region within the AF that exhibited the largest correlation with foreign language imitation. Results of this reconstruction also showed a left lateralization trend: greater fractional anisotropy values in the anterior half of the left AF correlated with the performance in the Hindi-imitation task. From the best of our knowledge, this is the first time that foreign language imitation aptitude is tested using a more ecological imitation task and correlated with DTI tractography, using both a manual and an automatic method.


Asunto(s)
Encéfalo/diagnóstico por imagen , Lateralidad Funcional , Conducta Imitativa , Habla , Sustancia Blanca/diagnóstico por imagen , Adulto , Encéfalo/fisiología , Imagen de Difusión Tensora , Femenino , Humanos , Conducta Imitativa/fisiología , Masculino , Persona de Mediana Edad , Multilingüismo , Pruebas Neuropsicológicas , Tamaño de los Órganos , Reconocimiento de Normas Patrones Automatizadas , Habla/fisiología , Sustancia Blanca/fisiología , Adulto Joven
15.
J Thorac Oncol ; 11(4): 475-86, 2016 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-26804637

RESUMEN

INTRODUCTION: The toxic effects of prophylactic cranial irradiation (PCI) and platinum-based chemotherapy on cognition in the lung cancer population have not yet been well established. In the present study we examined the longitudinal neuropsychological and brain structural changes observed in patients with lung cancer who were undergoing these treatments. METHODS: Twenty-two patients with small cell lung cancer (SCLC) who underwent platinum-based chemotherapy and PCI were compared with two control groups: an age- and education-matched group of healthy controls (n = 21) and a group of patients with non-SCLC (NSCLC, n = 13) who underwent platinum-based chemotherapy. All groups were evaluated using a neuropsychological battery and multimodal structural magnetic resonance imaging: T1-weighted and diffusion tensor imaging at baseline (before PCI for SCLC and chemotherapy for NSCLC) and at 3 months after treatment. T1 voxel-based morphometry and tract-based spatial statistics were used to analyze microstructural changes in gray matter (GM) and white matter (WM). The European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-Core Questionnaire was also completed. RESULTS: Patients with SCLC exhibited cognitive deterioration in verbal fluency over time. Structural magnetic resonance imaging showed decreases in GM at 3 months in the right subcortical regions, bilateral insular cortex, and superior temporal gyrus in patients with SCLC compared with both control groups. Additionally, patients with SCLC showed decreases in GM over time in the aforementioned regions plus in the right parahippocampal gyrus and hippocampus, together with changes in the WM microstructure of the entire corpus callosum. These changes had a limited impact on responses to the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-Core Questionnaire, however. Patients with NSCLC showed no cognitive or brain structural differences after chemotherapy. CONCLUSIONS: This longitudinal study documents moderate neuropsychological deficits together with notable brain-specific structural changes (in GM and WM) in patients with SCLC after chemotherapy and PCI, suggesting that chemotherapy and especially PCI are associated with the development of cognitive and structural brain toxic effects.


Asunto(s)
Encéfalo/efectos de la radiación , Irradiación Craneana/efectos adversos , Neoplasias Pulmonares/radioterapia , Traumatismos por Radiación/patología , Carcinoma Pulmonar de Células Pequeñas/radioterapia , Protocolos de Quimioterapia Combinada Antineoplásica/efectos adversos , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapéutico , Encéfalo/patología , Cognición/efectos de los fármacos , Cognición/efectos de la radiación , Trastornos del Conocimiento/etiología , Irradiación Craneana/métodos , Femenino , Humanos , Estudios Longitudinales , Neoplasias Pulmonares/tratamiento farmacológico , Neoplasias Pulmonares/patología , Masculino , Persona de Mediana Edad , Compuestos Organoplatinos/administración & dosificación , Compuestos Organoplatinos/efectos adversos , Estudios Prospectivos , Traumatismos por Radiación/etiología , Factores de Riesgo , Carcinoma Pulmonar de Células Pequeñas/tratamiento farmacológico , Carcinoma Pulmonar de Células Pequeñas/patología , Encuestas y Cuestionarios
16.
Neuroimage ; 126: 106-19, 2016 Feb 01.
Artículo en Inglés | MEDLINE | ID: mdl-26584868

RESUMEN

In the last decade, several studies have investigated the neuroplastic changes induced by long-term musical training. Here we investigated structural brain differences in expert pianists compared to non-musician controls, as well as the effect of the age of onset (AoO) of piano playing. Differences with non-musicians and the effect of sensitive periods in musicians have been studied previously, but importantly, this is the first time in which the age of onset of music-training was assessed in a group of musicians playing the same instrument, while controlling for the amount of practice. We recruited a homogeneous group of expert pianists who differed in their AoO but not in their lifetime or present amount of training, and compared them to an age-matched group of non-musicians. A subset of the pianists also completed a scale-playing task in order to control for performance skill level differences. Voxel-based morphometry analysis was used to examine gray-matter differences at the whole-brain level. Pianists showed greater gray matter (GM) volume in bilateral putamen (extending also to hippocampus and amygdala), right thalamus, bilateral lingual gyri and left superior temporal gyrus, but a GM volume shrinkage in the right supramarginal, right superior temporal and right postcentral gyri, when compared to non-musician controls. These results reveal a complex pattern of plastic effects due to sustained musical training: a network involved in reinforcement learning showed increased GM volume, while areas related to sensorimotor control, auditory processing and score-reading presented a reduction in the volume of GM. Behaviorally, early-onset pianists showed higher temporal precision in their piano performance than late-onset pianists, especially in the left hand. Furthermore, early onset of piano playing was associated with smaller GM volume in the right putamen and better piano performance (mainly in the left hand). Our results, therefore, reveal for the first time in a single large dataset of healthy pianists the link between onset of musical practice, behavioral performance, and putaminal gray matter structure. In summary, skill-related plastic adaptations may include decreases and increases in GM volume, dependent on an optimization of the system caused by an early start of musical training. We believe our findings enrich the plasticity discourse and shed light on the neural basis of expert skill acquisition.


Asunto(s)
Sustancia Gris , Música , Plasticidad Neuronal/fisiología , Desempeño Psicomotor/fisiología , Putamen , Adulto , Factores de Edad , Femenino , Lateralidad Funcional/fisiología , Sustancia Gris/anatomía & histología , Sustancia Gris/fisiología , Humanos , Imagen por Resonancia Magnética , Masculino , Putamen/anatomía & histología , Putamen/fisiología , Adulto Joven
17.
Brain Imaging Behav ; 10(1): 283-95, 2016 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-26015269

RESUMEN

Long-term toxic effects of prophylactic cranial irradiation (PCI) on cognition in small cell lung cancer (SCLC) patients have not yet been well-established. The aim of our study was to examine the cognitive toxic effects together with brain structural changes in a group of long-term SCLC survivors treated with PCI. Eleven SCLC patients, who underwent PCI ≥ 2 years before, were compared with an age and education matched healthy control group. Both groups were evaluated using a neuropsychological battery and multimodal structural magnetic resonance imaging. Voxel-based morphometry and Tract-based Spatial Statistics were used to study gray matter density (GMD) and white matter (WM) microstructural changes. Cognitive deterioration was correlated with GMD and Fractional Anisotropy (FA). Finally, we carried out a single-subject analysis in order to evaluate individual structural brain changes. Nearly half of the SCLC met criteria for cognitive impairment, all exhibiting a global worsening of cognitive functioning. Patients showed significant decreases of GMD in basal ganglia bilaterally (putamen and caudate), bilateral thalamus and right insula, together with WM microstructural changes of the entire corpus callosum. Cognitive deterioration scores correlated positively with mean FA values in the corpus callosum. Single-subject analysis revealed that GMD and WM changes were consistently observed in nearly all patients. This study showed neuropsychological deficits together with brain-specific structural differences in long-term SCLC survivors. Our results suggest that PCI therapy, possibly together with platinum-based chemotherapy, was associated to permanent long-term cognitive and structural brain effects in a SCLC population.


Asunto(s)
Encéfalo/diagnóstico por imagen , Encéfalo/efectos de la radiación , Trastornos del Conocimiento/etiología , Irradiación Craneana/efectos adversos , Carcinoma Pulmonar de Células Pequeñas/radioterapia , Anciano , Trastornos del Conocimiento/diagnóstico por imagen , Estudios de Cohortes , Irradiación Craneana/métodos , Imagen de Difusión Tensora , Femenino , Sustancia Gris/diagnóstico por imagen , Sustancia Gris/efectos de la radiación , Humanos , Procesamiento de Imagen Asistido por Computador , Imagen por Resonancia Magnética , Masculino , Persona de Mediana Edad , Pruebas Neuropsicológicas , Carcinoma Pulmonar de Células Pequeñas/diagnóstico por imagen , Sustancia Blanca/diagnóstico por imagen , Sustancia Blanca/efectos de la radiación
18.
PLoS One ; 10(3): e0119159, 2015.
Artículo en Inglés | MEDLINE | ID: mdl-25803273

RESUMEN

The medial temporal lobe (MTL)­comprising hippocampus and the surrounding neocortical regions­is a targeted brain area sensitive to several neurological diseases. Although functional magnetic resonance imaging (fMRI) has been widely used to assess brain functional abnormalities, detecting MTL activation has been technically challenging. The aim of our study was to provide an fMRI paradigm that reliably activates MTL regions at the individual level, thus providing a useful tool for future research in clinical memory-related studies. Twenty young healthy adults underwent an event-related fMRI study consisting of three encoding conditions: word-pairs, face-name associations and complex visual scenes. A region-of-interest analysis at the individual level comparing novel and repeated stimuli independently for each task was performed. The results of this analysis yielded activations in the hippocampal and parahippocampal regions in most of the participants. Specifically, 95% and 100% of participants showed significant activations in the left hippocampus during the face-name encoding and in the right parahippocampus, respectively, during scene encoding. Additionally, a whole brain analysis, also comparing novel versus repeated stimuli at the group level, showed mainly left frontal activation during the word task. In this group analysis, the face-name association engaged the HP and fusiform gyri bilaterally, along with the left inferior frontal gyrus, and the complex visual scenes activated mainly the parahippocampus and hippocampus bilaterally. In sum, our task design represents a rapid and reliable manner to study and explore MTL activity at the individual level, thus providing a useful tool for future research in clinical memory-related fMRI studies.


Asunto(s)
Imagen por Resonancia Magnética/métodos , Memoria/fisiología , Lóbulo Temporal/fisiología , Adulto , Mapeo Encefálico/métodos , Femenino , Hipocampo/fisiología , Humanos , Masculino , Reconocimiento Visual de Modelos/fisiología
19.
Q J Exp Psychol (Hove) ; 68(7): 1426-41, 2015.
Artículo en Inglés | MEDLINE | ID: mdl-25396284

RESUMEN

Being able to extract and interpret the internal structure of complex word forms such as the English word dance+r+s is crucial for successful language learning. We examined whether the ability to extract morphological information during word learning is affected by the morphological features of one's native tongue. Spanish and Finnish adult participants performed a word-picture associative learning task in an artificial language where the target words included a suffix marking the gender of the corresponding animate object. The short exposure phase was followed by a word recognition task and a generalization task for the suffix. The participants' native tongues vary greatly in terms of morphological structure, leading to two opposing hypotheses. On the one hand, Spanish speakers may be more effective in identifying gender in a novel language because this feature is present in Spanish but not in Finnish. On the other hand, Finnish speakers may have an advantage as the abundance of bound morphemes in their language calls for continuous morphological decomposition. The results support the latter alternative, suggesting that lifelong experience on morphological decomposition provides an advantage in novel morphological learning.


Asunto(s)
Aprendizaje por Asociación/fisiología , Desarrollo del Lenguaje , Multilingüismo , Reconocimiento en Psicología/fisiología , Aprendizaje Verbal/fisiología , Adolescente , Adulto , Análisis de Varianza , Femenino , Generalización Psicológica , Humanos , Masculino , Persona de Mediana Edad , Estimulación Luminosa , Encuestas y Cuestionarios , Factores de Tiempo , Adulto Joven
20.
J Thorac Oncol ; 10(1): 38-45, 2015 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-25325778

RESUMEN

INTRODUCTION: No study has examined structural brain changes specifically associated with chemotherapy in a lung cancer population. The aim of this cross-sectional study was to assess differences in brain structure between small-cell lung cancer patients (C+) following chemotherapy, non-small-cell lung cancer patients (C-) before chemotherapy and healthy controls (HC). METHODS: Twenty-eight small-cell lung cancer patients underwent a neuropsychological assessment and a structural magnetic resonance imaging, including T1-weighted and diffusion tensor imaging to examine gray matter density and white matter (WM) integrity, respectively, 1 month following completion of platinum-based chemotherapy. This group was compared with 20 age and education-matched non-small-cell lung cancer patients before receiving chemotherapy and 20 HC. RESULTS: Both C+ and C- groups exhibited cognitive impairment compared with the HC group. The C+ group performed significantly worse than HC in verbal fluency and visuospatial subtests; C- performed significantly worse than both C+ and HC in verbal memory. Voxel-based morphometry analysis revealed lower gray matter density in the insula and parahippocampal gyrus bilaterally, and left anterior cingulate cortex in C+ compared with HC. Diffusion tensor imaging indices showed focal decreased WM integrity in left cingulum and bilateral inferior longitudinal fasciculus in the C+ group and more widespread decreased integrity in the C- group compared with the HC group. CONCLUSION: This study demonstrates that lung cancer patients exhibit cognitive impairment before and after chemotherapy. Before the treatment, C- showed verbal memory deficits as well as a widespread WM damage. Following treatment, the C+ group performed exhibited lower visuospatial and verbal fluency abilities, together with structural gray matter and WM differences in bilateral regions integrating the paralimbic system.


Asunto(s)
Encéfalo/patología , Trastornos del Conocimiento/etiología , Neoplasias Pulmonares/patología , Neoplasias Pulmonares/psicología , Trastornos del Conocimiento/patología , Estudios Transversales , Imagen de Difusión por Resonancia Magnética/métodos , Femenino , Humanos , Masculino , Persona de Mediana Edad , Pruebas Neuropsicológicas , Estudios Prospectivos
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