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1.
J Exp Psychol Learn Mem Cogn ; 47(6): 968-997, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-33252925

RESUMO

Misinterpretations during language comprehension are common. The ability to recover from processing difficulties is therefore crucial for successful day-to-day communication. Previous research on the recovery from misinterpretations has focused on sentences containing syntactic ambiguities. The present study instead investigated the outcome of comprehension processes and online reading behavior when misinterpretations occurred due to lexical-semantic ambiguity. Ninety-six adult participants read "garden-path" sentences in which an ambiguous word was disambiguated toward an unexpected meaning (e.g., "The ball was crowded"), while their eye movements were monitored. A meaning coherence judgment task required them to decide whether or not each sentence made sense. Results suggested that readers did not always engage in reinterpretation processes but instead followed a "good enough" processing strategy. Successful detection of a violation of sentence coherence and associated reinterpretation processes also required additional processing time compared to sentences that did not induce a misinterpretation. Although these reinterpretation-related processing costs were relatively stable across individuals, there was some evidence to suggest that readers with greater lexical expertise benefited from greater sensitivity to the disambiguating information, and were able to flexibly adapt their online reading behavior to recover from misinterpretations more efficiently. (PsycInfo Database Record (c) 2021 APA, all rights reserved).


Assuntos
Compreensão , Leitura , Semântica , Adolescente , Adulto , Movimentos Oculares , Feminino , Humanos , Masculino , Adulto Jovem
2.
Cereb Cortex ; 25(11): 4638-50, 2015 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-26092220

RESUMO

Humans can generate mental auditory images of voices or songs, sometimes perceiving them almost as vividly as perceptual experiences. The functional networks supporting auditory imagery have been described, but less is known about the systems associated with interindividual differences in auditory imagery. Combining voxel-based morphometry and fMRI, we examined the structural basis of interindividual differences in how auditory images are subjectively perceived, and explored associations between auditory imagery, sensory-based processing, and visual imagery. Vividness of auditory imagery correlated with gray matter volume in the supplementary motor area (SMA), parietal cortex, medial superior frontal gyrus, and middle frontal gyrus. An analysis of functional responses to different types of human vocalizations revealed that the SMA and parietal sites that predict imagery are also modulated by sound type. Using representational similarity analysis, we found that higher representational specificity of heard sounds in SMA predicts vividness of imagery, indicating a mechanistic link between sensory- and imagery-based processing in sensorimotor cortex. Vividness of imagery in the visual domain also correlated with SMA structure, and with auditory imagery scores. Altogether, these findings provide evidence for a signature of imagery in brain structure, and highlight a common role of perceptual-motor interactions for processing heard and internally generated auditory information.


Assuntos
Percepção Auditiva/fisiologia , Córtex Cerebral/anatomia & histologia , Córtex Cerebral/fisiologia , Imaginação/fisiologia , Individualidade , Ruído , Estimulação Acústica , Adulto , Idoso , Idoso de 80 Anos ou mais , Mapeamento Encefálico , Feminino , Humanos , Processamento de Imagem Assistida por Computador , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Vias Neurais/irrigação sanguínea , Vias Neurais/fisiologia , Oxigênio/sangue , Análise de Regressão , Adulto Jovem
3.
Front Hum Neurosci ; 8: 530, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-25120445

RESUMO

Semantic ambiguity resolution is an essential and frequent part of speech comprehension because many words map onto multiple meanings (e.g., "bark," "bank"). Neuroimaging research highlights the importance of the left inferior frontal gyrus (LIFG) and the left posterior temporal cortex in this process but the roles they serve in ambiguity resolution are uncertain. One possibility is that both regions are engaged in the processes of semantic reinterpretation that follows incorrect interpretation of an ambiguous word. Here we used fMRI to investigate this hypothesis. 20 native British English monolinguals were scanned whilst listening to sentences that contained an ambiguous word. To induce semantic reinterpretation, the disambiguating information was presented after the ambiguous word and delayed until the end of the sentence (e.g., "the teacher explained that the BARK was going to be very damp"). These sentences were compared to well-matched unambiguous sentences. Supporting the reinterpretation hypothesis, these ambiguous sentences produced more activation in both the LIFG and the left posterior inferior temporal cortex. Importantly, all but one subject showed ambiguity-related peaks within both regions, demonstrating that the group-level results were driven by high inter-subject consistency. Further support came from the finding that activation in both regions was modulated by meaning dominance. Specifically, sentences containing biased ambiguous words, which have one more dominant meaning, produced greater activation than those with balanced ambiguous words, which have two equally frequent meanings. Because the context always supported the less frequent meaning, the biased words require reinterpretation more often than balanced words. This is the first evidence of dominance effects in the spoken modality and provides strong support that frontal and temporal regions support the updating of semantic representations during speech comprehension.

4.
Brain ; 137(Pt 1): 242-54, 2014 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-24163248

RESUMO

Aphasic deficits are usually only interpreted in terms of domain-specific language processes. However, effective human communication and tests that probe this complex cognitive skill are also dependent on domain-general processes. In the clinical context, it is a pragmatic observation that impaired attention and executive functions interfere with the rehabilitation of aphasia. One system that is important in cognitive control is the salience network, which includes dorsal anterior cingulate cortex and adjacent cortex in the superior frontal gyrus (midline frontal cortex). This functional imaging study assessed domain-general activity in the midline frontal cortex, which was remote from the infarct, in relation to performance on a standard test of spoken language in 16 chronic aphasic patients both before and after a rehabilitation programme. During scanning, participants heard simple sentences, with each listening trial followed immediately by a trial in which they repeated back the previous sentence. Listening to sentences in the context of a listen-repeat task was expected to activate regions involved in both language-specific processes (speech perception and comprehension, verbal working memory and pre-articulatory rehearsal) and a number of task-specific processes (including attention to utterances and attempts to overcome pre-response conflict and decision uncertainty during impaired speech perception). To visualize the same system in healthy participants, sentences were presented to them as three-channel noise-vocoded speech, thereby impairing speech perception and assessing whether this evokes domain general cognitive systems. As expected, contrasting the more difficult task of perceiving and preparing to repeat noise-vocoded speech with the same task on clear speech demonstrated increased activity in the midline frontal cortex in the healthy participants. The same region was activated in the aphasic patients as they listened to standard (undistorted) sentences. Using a region of interest defined from the data on the healthy participants, data from the midline frontal cortex was obtained from the patients. Across the group and across different scanning sessions, activity correlated significantly with the patients' communicative abilities. This correlation was not influenced by the sizes of the lesion or the patients' chronological ages. This is the first study that has directly correlated activity in a domain general system, specifically the salience network, with residual language performance in post-stroke aphasia. It provides direct evidence in support of the clinical intuition that domain-general cognitive control is an essential factor contributing to the potential for recovery from aphasic stroke.


Assuntos
Afasia/psicologia , Afasia/reabilitação , Cognição/fisiologia , Recuperação de Função Fisiológica/fisiologia , Reabilitação do Acidente Vascular Cerebral , Acidente Vascular Cerebral/psicologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Análise de Variância , Afasia/fisiopatologia , Comportamento/fisiologia , Discriminação Psicológica/fisiologia , Feminino , Humanos , Processamento de Imagem Assistida por Computador , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Desempenho Psicomotor/fisiologia , Análise de Regressão , Reprodutibilidade dos Testes , Fala/fisiologia , Percepção da Fala/fisiologia , Acidente Vascular Cerebral/fisiopatologia
5.
Ann Neurol ; 73(2): 294-302, 2013 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-23281111

RESUMO

OBJECTIVE: Episodic memory encoding of a verbal message depends upon initial registration, which requires sustained auditory attention followed by deep semantic processing of the message. Motivated by previous data demonstrating modulation of auditory cortical activity during sustained attention to auditory stimuli, we investigated the response of the human auditory cortex during encoding of sentences to episodic memory. Subsequently, we investigated this response in patients with mild cognitive impairment (MCI) and probable Alzheimer's disease (pAD). METHODS: Using functional magnetic resonance imaging, 31 healthy participants were studied. The response in 18 MCI and 18 pAD patients was then determined, and compared to 18 matched healthy controls. Subjects heard factual sentences, and subsequent retrieval performance indicated successful registration and episodic encoding. RESULTS: The healthy subjects demonstrated that suppression of auditory cortical responses was related to greater success in encoding heard sentences; and that this was also associated with greater activity in the semantic system. In contrast, there was reduced auditory cortical suppression in patients with MCI, and absence of suppression in pAD. Administration of a central cholinesterase inhibitor (ChI) partially restored the suppression in patients with pAD, and this was associated with an improvement in verbal memory. INTERPRETATION: Verbal episodic memory impairment in AD is associated with altered auditory cortical function, reversible with a ChI. Although these results may indicate the direct influence of pathology in auditory cortex, they are also likely to indicate a partially reversible impairment of feedback from neocortical systems responsible for sustained attention and semantic processing.


Assuntos
Doença de Alzheimer/fisiopatologia , Transtornos da Percepção Auditiva/fisiopatologia , Indanos/uso terapêutico , Imageamento por Ressonância Magnética , Memória Episódica , Piperidinas/uso terapêutico , Aprendizagem Verbal/fisiologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Doença de Alzheimer/tratamento farmacológico , Atenção/fisiologia , Córtex Auditivo/fisiologia , Transtornos da Percepção Auditiva/tratamento farmacológico , Disfunção Cognitiva/tratamento farmacológico , Disfunção Cognitiva/fisiopatologia , Donepezila , Feminino , Humanos , Sistema Límbico/fisiologia , Masculino , Transtornos da Memória/tratamento farmacológico , Transtornos da Memória/fisiopatologia , Rememoração Mental/efeitos dos fármacos , Rememoração Mental/fisiologia , Pessoa de Meia-Idade , Nootrópicos/uso terapêutico , Adulto Jovem
6.
Brain Inj ; 26(2): 177-82, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-22360523

RESUMO

PURPOSE: To disseminate findings from an international workshop regarding priority issues for girls' and women's health and quality-of-life after sustaining a traumatic brain injury (TBI). METHODS: A workshop was held prior to the American Congress of Rehabilitation Medicine Conference 2010. The purpose of the workshop was to highlight the unique health issues experienced by women after a TBI, to identify research, education and policy gaps and to develop strategies to promote women's health. Presentations by researchers and consumers as well as large group discussions formed the basis of the recommendations. RESULTS: Twenty researchers, clinicians, consumers and community agency personnel attended from five countries. Significant gaps in service provision in the community were identified as were unique issues for the short- and long-term effects on maturation and ageing, reproductive and sexual health, mental health and life satisfaction. The workshop led to the development of an international task force and recommendations for future directions. CONCLUSION: Women and girls experience unique outcomes after a TBI. The workshop identified research, policy, education and service priorities for the promotion of health and quality-of-life within this population.


Assuntos
Lesões Encefálicas/reabilitação , Pessoas com Deficiência/reabilitação , Diretrizes para o Planejamento em Saúde , Política de Saúde/tendências , Qualidade de Vida , Adolescente , Comitês Consultivos , Envelhecimento , Lesões Encefálicas/epidemiologia , Criança , Pessoas com Deficiência/estatística & dados numéricos , Feminino , Humanos , Disseminação de Informação , Cooperação Internacional , Estados Unidos/epidemiologia
7.
Brain ; 134(Pt 9): 2565-81, 2011 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-21908872

RESUMO

Relating clinical symptoms to neuroanatomical profiles of brain damage and ultimately to tissue pathology is a key challenge in the field of neurodegenerative disease and particularly relevant to the heterogeneous disorders that comprise the frontotemporal lobar degeneration spectrum. Here we present a retrospective analysis of clinical, neuropsychological and neuroimaging (volumetric and voxel-based morphometric) features in a pathologically ascertained cohort of 95 cases of frontotemporal lobar degeneration classified according to contemporary neuropathological criteria. Forty-eight cases (51%) had TDP-43 pathology, 42 (44%) had tau pathology and five (5%) had fused-in-sarcoma pathology. Certain relatively specific clinicopathological associations were identified. Semantic dementia was predominantly associated with TDP-43 type C pathology; frontotemporal dementia and motoneuron disease with TDP-43 type B pathology; young-onset behavioural variant frontotemporal dementia with FUS pathology; and the progressive supranuclear palsy syndrome with progressive supranuclear palsy pathology. Progressive non-fluent aphasia was most commonly associated with tau pathology. However, the most common clinical syndrome (behavioural variant frontotemporal dementia) was pathologically heterogeneous; while pathologically proven Pick's disease and corticobasal degeneration were clinically heterogeneous, and TDP-43 type A pathology was associated with similar clinical features in cases with and without progranulin mutations. Volumetric magnetic resonance imaging, voxel-based morphometry and cluster analyses of the pathological groups here suggested a neuroanatomical framework underpinning this clinical and pathological diversity. Frontotemporal lobar degeneration-associated pathologies segregated based on their cerebral atrophy profiles, according to the following scheme: asymmetric, relatively localized (predominantly temporal lobe) atrophy (TDP-43 type C); relatively symmetric, relatively localized (predominantly temporal lobe) atrophy (microtubule-associated protein tau mutations); strongly asymmetric, distributed atrophy (Pick's disease); relatively symmetric, predominantly extratemporal atrophy (corticobasal degeneration, fused-in-sarcoma pathology). TDP-43 type A pathology was associated with substantial individual variation; however, within this group progranulin mutations were associated with strongly asymmetric, distributed hemispheric atrophy. We interpret the findings in terms of emerging network models of neurodegenerative disease: the neuroanatomical specificity of particular frontotemporal lobar degeneration pathologies may depend on an interaction of disease-specific and network-specific factors.


Assuntos
Degeneração Lobar Frontotemporal/patologia , Degeneração Lobar Frontotemporal/fisiopatologia , Adulto , Idoso , Encéfalo/patologia , Encéfalo/fisiopatologia , Análise por Conglomerados , Estudos de Coortes , Proteínas de Ligação a DNA/genética , Proteínas de Ligação a DNA/metabolismo , Degeneração Lobar Frontotemporal/genética , Humanos , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Doença de Pick/patologia , Proteína FUS de Ligação a RNA/genética , Proteína FUS de Ligação a RNA/metabolismo , Estudos Retrospectivos , Proteínas tau/genética , Proteínas tau/metabolismo
8.
J Cogn Neurosci ; 23(4): 961-77, 2011 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-20350182

RESUMO

This study investigated links between working memory and speech processing systems. We used delayed pseudoword repetition in fMRI to investigate the neural correlates of sublexical structure in phonological working memory (pWM). We orthogonally varied the number of syllables and consonant clusters in auditory pseudowords and measured the neural responses to these manipulations under conditions of covert rehearsal (Experiment 1). A left-dominant network of temporal and motor cortex showed increased activity for longer items, with motor cortex only showing greater activity concomitant with adding consonant clusters. An individual-differences analysis revealed a significant positive relationship between activity in the angular gyrus and the hippocampus, and accuracy on pseudoword repetition. As models of pWM stipulate that its neural correlates should be activated during both perception and production/rehearsal [Buchsbaum, B. R., & D'Esposito, M. The search for the phonological store: From loop to convolution. Journal of Cognitive Neuroscience, 20, 762-778, 2008; Jacquemot, C., & Scott, S. K. What is the relationship between phonological short-term memory and speech processing? Trends in Cognitive Sciences, 10, 480-486, 2006; Baddeley, A. D., & Hitch, G. Working memory. In G. H. Bower (Ed.), The psychology of learning and motivation: Advances in research and theory (Vol. 8, pp. 47-89). New York: Academic Press, 1974], we further assessed the effects of the two factors in a separate passive listening experiment (Experiment 2). In this experiment, the effect of the number of syllables was concentrated in posterior-medial regions of the supratemporal plane bilaterally, although there was no evidence of a significant response to added clusters. Taken together, the results identify the planum temporale as a key region in pWM; within this region, representations are likely to take the form of auditory or audiomotor "templates" or "chunks" at the level of the syllable [Papoutsi, M., de Zwart, J. A., Jansma, J. M., Pickering, M. J., Bednar, J. A., & Horwitz, B. From phonemes to articulatory codes: an fMRI study of the role of Broca's area in speech production. Cerebral Cortex, 19, 2156-2165, 2009; Warren, J. E., Wise, R. J. S., & Warren, J. D. Sounds do-able: auditory-motor transformations and the posterior temporal plane. Trends in Neurosciences, 28, 636-643, 2005; Griffiths, T. D., & Warren, J. D. The planum temporale as a computational hub. Trends in Neurosciences, 25, 348-353, 2002], whereas more lateral structures on the STG may deal with phonetic analysis of the auditory input [Hickok, G. The functional neuroanatomy of language. Physics of Life Reviews, 6, 121-143, 2009].


Assuntos
Mapeamento Encefálico , Encéfalo/fisiologia , Memória de Curto Prazo/fisiologia , Fonética , Estimulação Acústica/métodos , Adulto , Análise de Variância , Encéfalo/anatomia & histologia , Encéfalo/irrigação sanguínea , Feminino , Lateralidade Funcional , Humanos , Processamento de Imagem Assistida por Computador/métodos , Linguística , Imageamento por Ressonância Magnética/métodos , Masculino , Oxigênio/sangue , Tempo de Reação/fisiologia , Adulto Jovem
9.
J Neurosci ; 30(41): 13552-7, 2010 Oct 13.
Artigo em Inglês | MEDLINE | ID: mdl-20943896

RESUMO

Our ability to recognize the emotions of others is a crucial feature of human social cognition. Functional neuroimaging studies indicate that activity in sensorimotor cortices is evoked during the perception of emotion. In the visual domain, right somatosensory cortex activity has been shown to be critical for facial emotion recognition. However, the importance of sensorimotor representations in modalities outside of vision remains unknown. Here we use continuous theta-burst transcranial magnetic stimulation (cTBS) to investigate whether neural activity in the right postcentral gyrus (rPoG) and right lateral premotor cortex (rPM) is involved in nonverbal auditory emotion recognition. Three groups of participants completed same-different tasks on auditory stimuli, discriminating between the emotion expressed and the speakers' identities, before and following cTBS targeted at rPoG, rPM, or the vertex (control site). A task-selective deficit in auditory emotion discrimination was observed. Stimulation to rPoG and rPM resulted in a disruption of participants' abilities to discriminate emotion, but not identity, from vocal signals. These findings suggest that sensorimotor activity may be a modality-independent mechanism which aids emotion discrimination.


Assuntos
Percepção Auditiva/fisiologia , Córtex Cerebral/fisiologia , Discriminação Psicológica/fisiologia , Emoções/fisiologia , Reconhecimento Psicológico/fisiologia , Estimulação Acústica , Adulto , Análise de Variância , Mapeamento Encefálico , Feminino , Lateralidade Funcional/fisiologia , Humanos , Processamento de Imagem Assistida por Computador , Masculino , Fatores de Tempo , Estimulação Magnética Transcraniana/métodos
10.
Brain ; 133(Pt 4): 1200-13, 2010 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-20142334

RESUMO

Despite much recent interest in the clinical neuroscience of music processing, the cognitive organization of music as a domain of non-verbal knowledge has been little studied. Here we addressed this issue systematically in two expert musicians with clinical diagnoses of semantic dementia and Alzheimer's disease, in comparison with a control group of healthy expert musicians. In a series of neuropsychological experiments, we investigated associative knowledge of musical compositions (musical objects), musical emotions, musical instruments (musical sources) and music notation (musical symbols). These aspects of music knowledge were assessed in relation to musical perceptual abilities and extra-musical neuropsychological functions. The patient with semantic dementia showed relatively preserved recognition of musical compositions and musical symbols despite severely impaired recognition of musical emotions and musical instruments from sound. In contrast, the patient with Alzheimer's disease showed impaired recognition of compositions, with somewhat better recognition of composer and musical era, and impaired comprehension of musical symbols, but normal recognition of musical emotions and musical instruments from sound. The findings suggest that music knowledge is fractionated, and superordinate musical knowledge is relatively more robust than knowledge of particular music. We propose that music constitutes a distinct domain of non-verbal knowledge but shares certain cognitive organizational features with other brain knowledge systems. Within the domain of music knowledge, dissociable cognitive mechanisms process knowledge derived from physical sources and the knowledge of abstract musical entities.


Assuntos
Doença de Alzheimer/psicologia , Cognição/fisiologia , Degeneração Lobar Frontotemporal/psicologia , Música/psicologia , Idoso , Doença de Alzheimer/diagnóstico , Doença de Alzheimer/fisiopatologia , Percepção Auditiva/fisiologia , Emoções/fisiologia , Feminino , Degeneração Lobar Frontotemporal/diagnóstico , Degeneração Lobar Frontotemporal/fisiopatologia , Humanos , Masculino , Pessoa de Meia-Idade
11.
Hum Brain Mapp ; 31(3): 365-77, 2010 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-19777554

RESUMO

Speech comprehension involves processing at different levels of analysis, such as acoustic, phonetic, and lexical. We investigated neural responses to manipulating the difficulty of processing at two of these levels. Twelve subjects underwent positron emission tomographic scanning while making decisions based upon the semantic relatedness between heard nouns. We manipulated perceptual difficulty by presenting either clear or acoustically degraded speech, and semantic difficulty by varying the degree of semantic relatedness between words. Increasing perceptual difficulty was associated with greater activation of the left superior temporal gyrus, an auditory-perceptual region involved in speech processing. Increasing semantic difficulty was associated with reduced activity in both superior temporal gyri and increased activity within the left angular gyrus, a heteromodal region involved in accessing word meaning. Comparing across all the conditions, we also observed increased activation within the left inferior prefrontal cortex as the complexity of language processing increased. These results demonstrate a flexible system for language processing, where activity within distinct parts of the network is modulated as processing demands change.


Assuntos
Encéfalo/diagnóstico por imagem , Encéfalo/fisiologia , Idioma , Semântica , Percepção da Fala/fisiologia , Estimulação Acústica , Adulto , Percepção Auditiva/fisiologia , Mapeamento Encefálico , Tomada de Decisões/fisiologia , Feminino , Humanos , Testes de Linguagem , Masculino , Pessoa de Meia-Idade , Vias Neurais/diagnóstico por imagem , Vias Neurais/fisiologia , Testes Neuropsicológicos , Tomografia por Emissão de Pósitrons , Tempo de Reação , Fala
12.
Brain ; 132(Pt 12): 3428-42, 2009 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-19903736

RESUMO

Focal brain lesions are assumed to produce language deficits by two basic mechanisms: local cortical dysfunction at the lesion site, and remote cortical dysfunction due to disruption of the transfer and integration of information between connected brain regions. However, functional imaging studies investigating language outcome after aphasic stroke have tended to focus only on the role of local cortical function. In this positron emission tomography functional imaging study, we explored relationships between language comprehension performance after aphasic stroke and the functional connectivity of a key speech-processing region in left anterolateral superior temporal cortex. We compared the organization of left anterolateral superior temporal cortex functional connections during narrative speech comprehension in normal subjects with left anterolateral superior temporal cortex connectivity in a group of chronic aphasic stroke patients. We then evaluated the language deficits associated with altered left anterolateral superior temporal cortex connectivity in aphasic stroke. During normal narrative speech comprehension, left anterolateral superior temporal cortex displayed positive functional connections with left anterior basal temporal cortex, left inferior frontal gyrus and homotopic cortex in right anterolateral superior temporal cortex. As a group, aphasic patients demonstrated a selective disruption of the normal functional connection between left and right anterolateral superior temporal cortices. We observed that deficits in auditory single word and sentence comprehension correlated both with the degree of disruption of left-right anterolateral superior temporal cortical connectivity and with local activation in the anterolateral superior temporal cortex. Subgroup analysis revealed that aphasic patients with preserved positive intertemporal connectivity displayed better receptive language function; these patients also showed greater than normal left inferior frontal gyrus activity, suggesting a possible 'top-down' compensatory mechanism. These results demonstrate that functional connectivity between anterolateral superior temporal cortex and right anterior superior temporal cortex is a marker of receptive language outcome after aphasic stroke, and illustrate that language system organization after focal brain lesions may be marked by complex signatures of altered local and pathway-level function.


Assuntos
Afasia/fisiopatologia , Acidente Vascular Cerebral/fisiopatologia , Lobo Temporal/fisiopatologia , Idoso , Afasia/diagnóstico por imagem , Afasia/patologia , Córtex Auditivo/patologia , Córtex Auditivo/fisiopatologia , Mapeamento Encefálico , Dominância Cerebral/fisiologia , Feminino , Lobo Frontal/patologia , Lobo Frontal/fisiopatologia , Lateralidade Funcional/fisiologia , Humanos , Processamento de Imagem Assistida por Computador , Idioma , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Vias Neurais/patologia , Vias Neurais/fisiopatologia , Tomografia por Emissão de Pósitrons , Prognóstico , Recuperação de Função Fisiológica/fisiologia , Fala/fisiologia , Percepção da Fala/fisiologia , Acidente Vascular Cerebral/diagnóstico por imagem , Acidente Vascular Cerebral/patologia , Lobo Temporal/diagnóstico por imagem , Lobo Temporal/patologia , Comportamento Verbal/fisiologia
14.
MAGMA ; 22(3): 187-200, 2009 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-19238472

RESUMO

OBJECT: To develop an efficient, automated method to correct through-slice signal loss in gradient-echo EPI at 3T. MATERIAL AND METHODS: The optimal choice of two z-shim values for signal recovery was determined from simulations and experiments. The specific required z-shim values are determined using a rapid calibration method that combines information about the slice profile with a sparse set of measurements. The proposed correction method was implemented for a language fMRI study which suffers from signal loss near the auditory canals, and tested on 12 volunteers. RESULTS: Using a square root sum of squares combination of two z-shim values full signal restoration (to within 2% of the correct value) was achieved in 96% of all correctable brain pixels for 3 mm slices, and partial correction in pixels outside this range. In all subjects, language processing activation was recovered in the inferior and lateral areas of the left temporal lobe which was not detectable with conventional fMRI. CONCLUSION: The careful choice of two z-shim values by the proposed method achieves through-slice signal loss correction for the majority of pixels in the brain for 3 mm slices at 3T.


Assuntos
Algoritmos , Artefatos , Interpretação de Imagem Assistida por Computador , Animais , Encéfalo/anatomia & histologia , Humanos , Aumento da Imagem , Imageamento por Ressonância Magnética/métodos
15.
J Toxicol Environ Health A ; 71(9-10): 583-7, 2008.
Artigo em Inglês | MEDLINE | ID: mdl-18569630

RESUMO

Evaluating the extent to which air quality regulations improve public health--sometimes referred to as accountability--is part of an emerging effort to assess the effectiveness of environmental regulatory policies. Air quality has improved substantially in the United States and Western Europe in recent decades, with far less visible pollution and decreasing concentrations of several major pollutants. In large part, these gains were achieved through increasingly stringent air quality regulations. The costs associated with compliance and, importantly, the need to ensure that the regulations are achieving the intended public health benefits underscore the importance of accountability research. To date, accountability research has emphasized measuring the effects of actions already taken to improve air quality. Such research may also contribute to estimating the burden of disease that might be avoided in the future if certain actions are taken. The Health Effects Institute (HEI) currently funds eight ongoing studies on accountability, which cover near-term interventions to improve air quality including (1) a ban on the sale of coal, (2) replacing old wood stoves with cleaner ones, (3) decreasing sulfur content in fuel, (4) measures to reduce traffic, and (5) longer term, wide-ranging actions or events (such as complex changes associated with the reunification of Germany). HEI is also funding the development of methods and research to assess regulations that are implemented incrementally over extended periods of time, such as Title IV of the 1990 Clean Air Act Amendments, which reduces sulfur dioxide emissions from power plants in the eastern United States.


Assuntos
Poluição do Ar/prevenção & controle , Saúde Ambiental/tendências , Avaliação de Programas e Projetos de Saúde/estatística & dados numéricos , Saúde Pública , Controle de Qualidade , Responsabilidade Social , Poluição do Ar/legislação & jurisprudência , Saúde Ambiental/métodos , Humanos
16.
Brain ; 131(Pt 1): 8-38, 2008 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-17947337

RESUMO

The patient with word-finding difficulty presents a common and challenging clinical problem. The complaint of 'word-finding difficulty' covers a wide range of clinical phenomena and may signify any of a number of distinct pathophysiological processes. Although it occurs in a variety of clinical contexts, word-finding difficulty generally presents a diagnostic conundrum when it occurs as a leading or apparently isolated symptom, most often as the harbinger of degenerative disease: the progressive aphasias. Recent advances in the neurobiology of the focal, language-based dementias have transformed our understanding of these processes and the ways in which they breakdown in different diseases, but translation of this knowledge to the bedside is far from straightforward. Speech and language disturbances in the dementias present unique diagnostic and conceptual problems that are not fully captured by classical models derived from the study of vascular and other acute focal brain lesions. This has led to a reformulation of our understanding of how language is organized in the brain. In this review we seek to provide the clinical neurologist with a practical and theoretical bridge between the patient presenting with word-finding difficulty in the clinic and the evidence of the brain sciences. We delineate key illustrative speech and language syndromes in the degenerative dementias, compare these syndromes with the syndromes of acute brain damage, and indicate how the clinical syndromes relate to emerging neurolinguistic, neuroanatomical and neurobiological insights. We propose a conceptual framework for the analysis of word-finding difficulty, in order both better to define the patient's complaint and its differential diagnosis for the clinician and to identify unresolved issues as a stimulus to future work.


Assuntos
Afasia/diagnóstico , Anomia/diagnóstico , Anomia/etiologia , Afasia/etiologia , Afasia/patologia , Afasia/psicologia , Encéfalo/patologia , Transtornos Cognitivos/etiologia , Demência/complicações , Diagnóstico Diferencial , Humanos , Testes de Linguagem , Imageamento por Ressonância Magnética
17.
J Neurosci ; 27(43): 11455-64, 2007 Oct 24.
Artigo em Inglês | MEDLINE | ID: mdl-17959788

RESUMO

Humans devote much time to the exchange of memories within the context of shared general and personal semantic knowledge. Our hypothesis was that functional imaging in normal subjects would demonstrate the convergence of speech comprehension and production on high-order heteromodal and amodal cortical areas implicated in declarative memory functions. Activity independent of speech phase (that is, comprehension and production) was most evident in the left and right lateral anterior temporal cortex. Significant activity was also observed in the posterior cortex, ventral to the angular gyri. The left and right hippocampus and adjacent inferior temporal cortex were active during speech comprehension, compatible with mnemonic encoding of narrative information, but activity was significantly less during the overt memory retrieval associated with speech production. Therefore, although clinical studies suggest that hippocampal function is necessary for the retrieval as well as the encoding of memories, the former appears to depend on much less net synaptic activity. In contrast, the retrosplenial/posterior cingulate cortex and the parahippocampal area, which are closely associated anatomically with the hippocampus, were equally active during both speech comprehension and production. The results demonstrate why a severe and persistent inability both to understand and produce meaningful speech in the absence of an impairment to process linguistic forms is usually only observed after bilateral, and particularly anterior, destruction of the temporal lobes, and emphasize the importance of retrosplenial/posterior cingulate cortex, an area known to be affected early in the course of Alzheimer's disease, in the processing of memories during communication.


Assuntos
Compreensão/fisiologia , Fala/fisiologia , Adulto , Feminino , Humanos , Imageamento por Ressonância Magnética/métodos , Masculino , Memória/fisiologia , Pessoa de Meia-Idade , Tomografia por Emissão de Pósitrons/métodos , Percepção da Fala/fisiologia , Lobo Temporal/fisiologia
18.
Neuroimage ; 35(1): 207-13, 2007 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-17240166

RESUMO

The brain bases of specific human behaviours in health and disease are not well established. In this voxel-based morphometric (VBM) study we demonstrate neuroanatomical signatures of different abnormalities of eating behaviour (pathological sweet tooth and increased food consumption, or hyperphagia) in individuals with frontotemporal lobar degeneration (FTLD). Sixteen male patients with FTLD were assessed using the Manchester and Oxford Universities Scale for the Psychopathological Assessment of Dementia and classified according to the presence or absence of abnormal eating behaviours. Volumetric brain magnetic resonance imaging was performed in all patients and in a group of nine healthy age-matched male controls and grey matter changes were assessed using an optimised VBM protocol. Compared with healthy controls, the FTLD group had a typical pattern of extensive bilateral grey matter loss predominantly involving the frontal and temporal lobes. Within the FTLD group, grey matter changes associated with different abnormal behaviours were assessed independently using a covariate-only model. The development of pathological sweet tooth was associated with grey matter loss in a distributed brain network including bilateral posterolateral orbitofrontal cortex (Brodmann areas 12/47) and right anterior insula. Hyperphagia was associated with more focal grey matter loss in anterolateral OFC bilaterally (Brodmann area 11). In accord with emerging evidence in humans and other species, our findings implicate distinct components of a multi-component brain network in the control of specific aspects of eating behaviour.


Assuntos
Demência/patologia , Demência/psicologia , Transtornos da Alimentação e da Ingestão de Alimentos/patologia , Transtornos da Alimentação e da Ingestão de Alimentos/psicologia , Idoso , Eletrofisiologia , Comportamento Alimentar/fisiologia , Humanos , Hiperfagia/patologia , Hiperfagia/psicologia , Processamento de Imagem Assistida por Computador , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Rede Nervosa/patologia , Testes Neuropsicológicos , Escalas de Graduação Psiquiátrica
19.
J Neurosci ; 26(50): 13067-75, 2006 Dec 13.
Artigo em Inglês | MEDLINE | ID: mdl-17167096

RESUMO

Social interaction relies on the ability to react to communication signals. Although cortical sensory-motor "mirror" networks are thought to play a key role in visual aspects of primate communication, evidence for a similar generic role for auditory-motor interaction in primate nonverbal communication is lacking. We demonstrate that a network of human premotor cortical regions activated during facial movement is also involved in auditory processing of affective nonverbal vocalizations. Within this auditory-motor mirror network, distinct functional subsystems respond preferentially to emotional valence and arousal properties of heard vocalizations. Positive emotional valence enhanced activation in a left posterior inferior frontal region involved in representation of prototypic actions, whereas increasing arousal enhanced activation in presupplementary motor area cortex involved in higher-order motor control. Our findings demonstrate that listening to nonverbal vocalizations can automatically engage preparation of responsive orofacial gestures, an effect that is greatest for positive-valence and high-arousal emotions. The automatic engagement of responsive orofacial gestures by emotional vocalizations suggests that auditory-motor interactions provide a fundamental mechanism for mirroring the emotional states of others during primate social behavior. Motor facilitation by positive vocal emotions suggests a basic neural mechanism for establishing cohesive bonds within primate social groups.


Assuntos
Estimulação Acústica/métodos , Córtex Auditivo/fisiologia , Emoções/fisiologia , Lateralidade Funcional/fisiologia , Córtex Motor/fisiologia , Adulto , Nível de Alerta/fisiologia , Feminino , Humanos , Imageamento por Ressonância Magnética/métodos , Masculino
20.
J Neurosci ; 26(28): 7328-36, 2006 Jul 12.
Artigo em Inglês | MEDLINE | ID: mdl-16837579

RESUMO

There is general agreement that, after initial processing in unimodal sensory cortex, the processing pathways for spoken and written language converge to access verbal meaning. However, the existing literature provides conflicting accounts of the cortical location of this convergence. Most aphasic stroke studies localize verbal comprehension to posterior temporal and inferior parietal cortex (Wernicke's area), whereas evidence from focal cortical neurodegenerative syndromes instead implicates anterior temporal cortex. Previous functional imaging studies in normal subjects have failed to reconcile these opposing positions. Using a functional imaging paradigm in normal subjects that used spoken and written narratives and multiple baselines, we demonstrated common activation during implicit comprehension of spoken and written language in inferior and lateral regions of the left anterior temporal cortex and at the junction of temporal, occipital, and parietal cortex. These results indicate that verbal comprehension uses unimodal processing streams that converge in both anterior and posterior heteromodal cortical regions in the left temporal lobe.


Assuntos
Vias Auditivas , Idioma , Percepção da Fala , Lobo Temporal/fisiologia , Vias Visuais , Adulto , Idoso , Idoso de 80 Anos ou mais , Mapeamento Encefálico , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Narração , Lobo Occipital/fisiologia , Lobo Parietal/fisiologia , Leitura , Semântica , Técnica de Subtração , Lobo Temporal/diagnóstico por imagem , Tomografia Computadorizada de Emissão
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