The detection of contingency and animacy from simple animations in the human brain.

Contingencies between objects and people can be mechanical or intentional-social in nature. In this fMRI study we used simplified stimuli to investigate brain regions involved in the detection of mechanical and intentional contingencies. Using a factorial design we manipulated the 'animacy' and 'contingency' of stimulus movement, and the subject's attention to the contingencies. The detection of mechanical contingency between shapes whose movement was inanimate engaged the middle temporal gyrus and right intraparietal sulcus. The detection of intentional contingency between shapes whose movement was animate activated superior parietal networks bilaterally. These activations were unaffected by attention to contingency. Additional regions, the right middle frontal gyrus and left superior temporal sulcus, became activated by the animate-contingent stimuli when subjects specifically attended to the contingent nature of the stimuli. Our results help to clarify neural networks previously associated with 'theory of mind' and agency detection. In particular, the results suggest that low-level perception of agency in terms of objects reacting to other objects at a distance is processed by parietal networks. In contrast, the activation of brain regions traditionally associated with theory of mind tasks appears to require attention to be directed towards agency and contingency.

How the brain perceives causality: an event-related fMRI study.

Detection of the causal relationships between events is fundamental for understanding the world around us. We report an event-related fMRI study designed to investigate how the human brain processes the perception of mechanical causality. Subjects were presented with mechanically causal events (in which a ball collides with and causes movement of another ball) and non-causal events (in which no contact is made between the balls). There was a significantly higher level of activation of V5/MT/MST bilaterally, the superior temporal sulcus bilaterally and the left intraparietal sulcus to causal relative to non-causal events. Directing attention to the causal nature of the stimuli had no significant effect on the neural processing of the causal events. These results support theories of causality suggesting that the perception of elementary mechanical causality events is automatically processed by the visual system.

Artifact due to B(0) fluctuations in fMRI: correction using the k-space central line.

Magnetic resonance experiments require the main magnetic field, B(0), to remain very stable. Several external sources, such as moving ferromagnetic objects and/or changing electromagnetic fields, can significantly change the value of B(0) over time. This work describes an apparent displacement along the phase-encoding axis caused by a variation in B(0). This artifact was observed in fMRI images acquired with EPI. The effect was characterized and tested using an immobile phantom. The image displacement motion along the phase-encoding axis closely followed the changes in B(0). The phase of the central line in the Fourier space was successfully used to correct this artifact. Fluctuations in B(0) may result in artifacts that mimic subject head motion, and must be appropriately corrected. Magn Reson Med 46:198-201, 2001.

Cerebral hemodynamics in CADASIL before and after acetazolamide challenge assessed with MRI bolus tracking.

BACKGROUND: White matter lesions in cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL) are underlaid by severe ultrastructural changes of the arteriolar wall. Although chronic ischemia is presumed to cause the tissue lesions, the pattern of perfusion abnormalities and hemodynamic reserve in CADASIL, particularly within the white matter, remains unknown. METHODS: We used the MRI bolus tracking method in 15 symptomatic patients with CADASIL (5 with dementia) and 10 age-matched control subjects before and 20 minutes after the intravenous injection of acetazolamide (ACZ, 17 mg/kg). Cerebral blood flow (CBF), blood volume (CBV), and mean transit time (MTT) were calculated both in the cortex and in the white matter according to the singular value decomposition technique. Perfusion parameters were obtained in regions of hyperintensities and within the normal-appearing white matter as observed on T2-weighted images. Analysis was performed with both absolute and relative (region/whole brain) values. RESULTS: A significant reduction in absolute and relative CBF and CBV was found within areas of T2 hyperintensities in white matter in the absence of significant variations of MTT. This reduction was more severe in demented than in nondemented patients. No significant change in absolute CBF and CBV values was observed in the cortex of patients with CADASIL. A decrease in relative CBF and CBV values was detected in the occipital cortex. After ACZ administration, CBF and CBV increased significantly in both the cortex and white matter of affected subjects, but the increase in absolute CBF was lower within areas of increased signal on T2-weighted images in patients than in the white matter of control subjects. CONCLUSIONS: In CADASIL, both basal perfusion and hemodynamic reserve are decreased in areas of T2 hyperintensities in the white matter. This hypoperfusion appears to be related to the clinical severity. The significant effect of ACZ on CBF and CBV suggests that cerebral perfusion might be increased using pharmacological vasodilation in CADASIL.

Tissue characterization of atherosclerotic plaque vulnerability by nuclear magnetic resonance.

Developing imaging technologies capable of identifying unstable atheromatous plaques in vivo is a major issue of clinical cardiovascular research. These techniques would permit an earlier surgical or medical therapy and would anticipate acute ischemic syndromes. Plaque vulnerability depends on the relative amount and thickness of its lipid core and fibrous cap. Several means of assessing atherosclerotic plaque composition have been used with nuclear magnetic resonance (NMR): carbon-13 and proton spectroscopy, proton imaging, chemical shift imaging, water diffusion imaging, and magnetization transfer. Recent data have shown that MR allows for accurate in vivo diagnosis and may support large scale prevention studies.

Clinical severity in CADASIL related to ultrastructural damage in white matter: in vivo study with diffusion tensor MRI.

BACKGROUND AND PURPOSE: CADASIL is a newly recognized cause of subcortical ischemic strokes that progressively leads to dementia associated with pseudobulbar palsy and severe motor disability. This deleterious progression and the severity of clinical presentation are widely variable among affected subjects. The exact role played by MRI white-matter abnormalities, a hallmark of the disease, in the severity of the clinical phenotype remains poorly understood. METHODS: To address this issue, we used diffusion tensor imaging (DTI), a new MRI technique highly sensitive to white-matter microstructural changes, in 16 symptomatic patients and 10 age-matched controls. Mean diffusivity and anisotropy of diffusion were measured within hyperintensities identified on T2-weighted images (T2WI) and outside these lesions on 4 slices at the level of centrum semiovale. RESULTS: We found a 60% increase of water mean diffusivity and a parallel loss of diffusion anisotropy in hyperintensities identified on T2WI. The same pattern of diffusion changes, but of lesser intensity, was found in the normal-appearing white matter on T2WI. Mean diffusivity in regions with increased signal on T2WI was higher in patients with severe clinical disability compared with those with no or mild deficit (1.33+/-0.11 versus 1.13+/-0.11 10(-3) mm(2)/s, P<0.01). Furthermore, diffusion measured within T2 hyperintensities correlated with both the Mini-Mental State Examination and Rankin scale scores. In patients with a severe clinical status, the increase of water diffusion in these regions exceeded 70% in comparison with values obtained in the normal white matter in control subjects. CONCLUSIONS: These results indicate that DTI is able to detect important ultrastructural changes in regions with increased signal on T2WI and within the normal-appearing white matter in CADASIL. The diffusion changes might be related to both neuronal loss and demyelination. The degree of the underlying ultrastructural alterations is related to the severity of the clinical status with a possible threshold level of white-matter damage above which severe neurological impairment may occur in this disease. DTI appears to be a promising technique for monitoring disease progression in CADASIL.

[Non-invasive imaging of atherosclerosis by MRI and ultrasonography]. / Imagerie non invasive de l'athérosclérose en IRM et échographie.

The concept of the unstable, so-called "high risk" or vulnerable atheromatous plaque has been accepted for several years and its biological, mechanical and cellular features (collagen top, lipid core with macrophages, metalloproteinases...) have been determined. However, the means of investigating these lesions remain limited. A description of their composition has become essential as the prognosis of coronary, aortic and carotid artery disease is no longer evaluated only by morphometric data (degree of stenosis). MRI with T1 or T2 contrast sequences, density of spin, chemical shift, diffusion, magnetisation transfer or spectroscopy provides a non-invasive tool for their study. This method, based on the detection of magnetic atomic nuclei (such as proton H1, carbon 13, sodium 23, potassium 49) enables tissue characterisation by means of the variations in chemical environment and their consequences on the degree of magnetisation of the nuclei studied. High frequency ultrasound could also be used to this end by measuring the coefficients of attenuation and back-scattering. These methods, used clinically and in different animal models, should improve our understanding of the physiopathology, facilitate diagnosis and improve the prognostic accuracy in patients with atherosclerosis.

Magnetization transfer characteristics in atherosclerotic plaque components assessed by adapted binomial preparation pulses.

Increasing the contrast between atheromatous plaque components is a major issue in cardiovascular MRI research. It would allow one to identify unstable plaque by differentiating the lipid core associated with vulnerability, from the fibrous cap, considered as a factor of stability. T2 and diffusion-weighted imaging have already provided satisfying results. Magnetization transfer (MT) between restricted protons Hr and free-water protons Hf could achieve a different contrast related to collagen and lipoprotein macromolecules present in the fibrous cap and lipid core, respectively. The purpose of this work was to evaluate in vitro the MT effect produced by adapted T2-selective 1-3-3-1 binomial pulses on isolated samples of atheromatous arteries at 3 T. A method based on simulation was used in order to improve the MT specificity: it is shown that 50% 1-3-3-1 pulses (the percentage indicating the level of Hr saturation) allow an estimation of T2r, the Hr T2. Using this technique, magnetization transfer was observed for the first time in atherosclerotic plaque components, an effect more pronounced for the fibrous cap and media than for the lipid core and adventitia. The T2r estimation gave values ranging from 20 to 25 micros for the four samples. This preliminary study provides a basis for establishing an MT imaging sequence of atheromatous arteries, by using 50% 1-3-3-1 pulses calibrated for saturating protons with a 20 micros T2. This MT protocol should be further compared to T2 and diffusion-weighted imaging.

Optimization of T2-selective binomial pulses for magnetization transfer.

Accurate rules have been established to build binomial pulses up to fifth order, for selectively saturating protons at any given T2 with minimum power deposition. Pulse performance and sensitivity to experimental defects have been evaluated; the third order is generally found to be best suited. It is shown, by combining theory and experiment performed at 0.1 T, that matching the saturation pulse to T2 of the motionally restricted pool is essential to reveal exchange with free water protons. It is emphasized that, to date, lack of magnetization transfer contrast with binomial pulses is due mainly to insufficient RF level available with most MR imaging systems, especially at high magnetic field.