Multimodal Neurocognitive Markers of Naturalistic Discourse Typify Diverse Neurodegenerative Diseases.

Neurodegeneration has multiscalar impacts, including behavioral, neuroanatomical, and neurofunctional disruptions. Can disease-differential alterations be captured across such dimensions using naturalistic stimuli? To address this question, we assessed comprehension of four naturalistic stories, highlighting action, nonaction, social, and nonsocial events, in Parkinson's disease (PD) and behavioral variant frontotemporal dementia (bvFTD) relative to Alzheimer's disease patients and healthy controls. Text-specific correlates were evaluated via voxel-based morphometry, spatial (fMRI), and temporal (hd-EEG) functional connectivity. PD patients presented action-text deficits related to the volume of action-observation regions, connectivity across motor-related and multimodal-semantic hubs, and frontal hd-EEG hypoconnectivity. BvFTD patients exhibited social-text deficits, associated with atrophy and spatial connectivity patterns along social-network hubs, alongside right frontotemporal hd-EEG hypoconnectivity. Alzheimer's disease patients showed impairments in all stories, widespread atrophy and spatial connectivity patterns, and heightened occipitotemporal hd-EEG connectivity. Our framework revealed disease-specific signatures across behavioral, neuroanatomical, and neurofunctional dimensions, highlighting the sensitivity and specificity of a single naturalistic task. This investigation opens a translational agenda combining ecological approaches and multimodal cognitive neuroscience for the study of neurodegeneration.

Multidimensional inhibitory signatures of sentential negation in behavioral variant frontotemporal dementia.

BACKGROUND: Processing of linguistic negation has been associated to inhibitory brain mechanisms. However, no study has tapped this link via multimodal measures in patients with core inhibitory alterations, a critical approach to reveal direct neural correlates and potential disease markers. METHODS: Here we examined oscillatory, neuroanatomical, and functional connectivity signatures of a recently reported Go/No-go negation task in healthy controls and behavioral variant frontotemporal dementia (bvFTD) patients, typified by primary and generalized inhibitory disruptions. To test for specificity, we also recruited persons with Alzheimer's disease (AD), a disease involving frequent but nonprimary inhibitory deficits. RESULTS: In controls, negative sentences in the No-go condition distinctly involved frontocentral delta (2-3 Hz) suppression, a canonical inhibitory marker. In bvFTD patients, this modulation was selectively abolished and significantly correlated with the volume and functional connectivity of regions supporting inhibition (e.g. precentral gyrus, caudate nucleus, and cerebellum). Such canonical delta suppression was preserved in the AD group and associated with widespread anatomo-functional patterns across non-inhibitory regions. DISCUSSION: These findings suggest that negation hinges on the integrity and interaction of spatiotemporal inhibitory mechanisms. Moreover, our results reveal potential neurocognitive markers of bvFTD, opening a new agenda at the crossing of cognitive neuroscience and behavioral neurology.

The Neural Blending of Words and Movement: Event-Related Potential Signatures of Semantic and Action Processes during Motor-Language Coupling.

Behavioral embodied research shows that words evoking limb-specific meanings can affect responses performed with the corresponding body part. However, no study has explored this phenomenon's neural dynamics under implicit processing conditions, let alone by disentangling its conceptual and motoric stages. Here, we examined whether the blending of hand actions and manual action verbs, relative to nonmanual action verbs and nonaction verbs, modulates electrophysiological markers of semantic integration (N400) and motor-related cortical potentials during a lexical decision task. Relative to both other categories, manual action verbs involved reduced posterior N400 amplitude and greater modulations of frontal motor-related cortical potentials. Such effects overlapped in a window of ∼380-440 msec after word presentation and ∼180 msec before response execution, revealing the possible time span in which both semantic and action-related stages reach maximal convergence. These results allow refining current models of motor-language coupling while affording new insights on embodied dynamics at large.

Deep neural network for fringe pattern filtering and normalization.

We propose a new framework for processing fringe patterns (FPs). Our novel, to the best of our knowledge, approach builds upon the hypothesis that the denoising and normalization of FPs can be learned by a deep neural network if enough pairs of corrupted and ideal FPs are provided. The main contributions of this paper are the following: (1) we propose the use of the U-net neural network architecture for FP normalization tasks; (2) we propose a modification for the distribution of weights in the U-net, called here the V-net model, which is more convenient for reconstruction tasks, and we conduct extensive experimental evidence in which the V-net produces high-quality results for FP filtering and normalization; (3) we also propose two modifications of the V-net scheme, namely, a residual version called ResV-net and a fast operating version of the V-net, to evaluate potential improvements when modifying our proposal. We evaluate the performance of our methods in various scenarios: FPs corrupted with different degrees of noise, and corrupted with different noise distributions. We compare our methodology versus other state-of-the-art methods. The experimental results (on both synthetic and real data) demonstrate the capabilities and potential of this new paradigm for processing interferograms.

Faster might not be better: Pictures may not elicit a stronger unconscious priming effect than words when modulated by semantic similarity.

It has been suggested that unconscious semantic processing is stimulus-dependent, and that pictures might have privileged access to semantic content. Those findings led to the hypothesis that unconscious semantic priming effect for pictorial stimuli would be stronger as compared to verbal stimuli. This effect was tested on pictures and words by manipulating the semantic similarity between the prime and target stimuli. Participants performed a masked priming categorization task for either words or pictures with three semantic similarity conditions: strongly similar, weakly similar, and non-similar. Significant differences in reaction times were only found between strongly similar and non-similar and between weakly similar and non-similar, for both pictures and words, with faster overall responses for pictures as compared to words. Nevertheless, pictures showed no superior priming effect over words. This could suggest the hypothesis that even though semantic processing is faster for pictures, this does not imply a stronger unconscious priming effect.

Diffusion MRI microstructure models with in vivo human brain Connectome data: results from a multi-group comparison.

A large number of mathematical models have been proposed to describe the measured signal in diffusion-weighted (DW) magnetic resonance imaging (MRI). However, model comparison to date focuses only on specific subclasses, e.g. compartment models or signal models, and little or no information is available in the literature on how performance varies among the different types of models. To address this deficiency, we organized the 'White Matter Modeling Challenge' during the International Symposium on Biomedical Imaging (ISBI) 2015 conference. This competition aimed to compare a range of different kinds of models in their ability to explain a large range of measurable in vivo DW human brain data. Specifically, we assessed the ability of models to predict the DW signal accurately for new diffusion gradients and b values. We did not evaluate the accuracy of estimated model parameters, as a ground truth is hard to obtain. We used the Connectome scanner at the Massachusetts General Hospital, using gradient strengths of up to 300 mT/m and a broad set of diffusion times. We focused on assessing the DW signal prediction in two regions: the genu in the corpus callosum, where the fibres are relatively straight and parallel, and the fornix, where the configuration of fibres is more complex. The challenge participants had access to three-quarters of the dataset and their models were ranked on their ability to predict the remaining unseen quarter of the data. The challenge provided a unique opportunity for a quantitative comparison of diverse methods from multiple groups worldwide. The comparison of the challenge entries reveals interesting trends that could potentially influence the next generation of diffusion-based quantitative MRI techniques. The first is that signal models do not necessarily outperform tissue models; in fact, of those tested, tissue models rank highest on average. The second is that assuming a non-Gaussian (rather than purely Gaussian) noise model provides little improvement in prediction of unseen data, although it is possible that this may still have a beneficial effect on estimated parameter values. The third is that preprocessing the training data, here by omitting signal outliers, and using signal-predicting strategies, such as bootstrapping or cross-validation, could benefit the model fitting. The analysis in this study provides a benchmark for other models and the data remain available to build up a more complete comparison in the future.

Light-weight neural network for intra-voxel structure analysis.

We present a novel neural network-based method for analyzing intra-voxel structures, addressing critical challenges in diffusion-weighted MRI analysis for brain connectivity and development studies. The network architecture, called the Local Neighborhood Neural Network, is designed to use the spatial correlations of neighboring voxels for an enhanced inference while reducing parameter overhead. Our model exploits these relationships to improve the analysis of complex structures and noisy data environments. We adopt a self-supervised approach to address the lack of ground truth data, generating signals of voxel neighborhoods to integrate the training set. This eliminates the need for manual annotations and facilitates training under realistic conditions. Comparative analyses show that our method outperforms the constrained spherical deconvolution (CSD) method in quantitative and qualitative validations. Using phantom images that mimic in vivo data, our approach improves angular error, volume fraction estimation accuracy, and success rate. Furthermore, a qualitative comparison of the results in actual data shows a better spatial consistency of the proposed method in areas of real brain images. This approach demonstrates enhanced intra-voxel structure analysis capabilities and holds promise for broader application in various imaging scenarios.

Electrophysiological alterations during action semantic processing in Parkinson's disease.

Assessments of action semantics consistently reveal markers of Parkinson's disease (PD). However, neurophysiological signatures of the domain remain under-examined in this population, especially under conditions that allow patients to process stimuli without stringent time constraints. Here we assessed event-related potentials and time-frequency modulations in healthy individuals (HPs) and PD patients during a delayed-response semantic judgment task involving related and unrelated action-picture pairs. Both groups had shorter response times for related than for unrelated trials, but they exhibited discrepant electrophysiological patterns. HPs presented significantly greater N400 amplitudes as well as theta enhancement and mu desynchronization for unrelated relative to related trials. Conversely, N400 and theta modulations were abolished in the patients, who further exhibited a contralateralized cluster in the mu range. None of these patterns were associated with the participants' cognitive status. Our results suggest that PD involves multidimensional neurophysiological disruptions during action-concept processing, even under task conditions that elicit canonical behavioral effects. New constraints thus emerge for translational neurocognitive models of the disease.

A Deep Learning Model Based on Capsule Networks for COVID Diagnostics through X-ray Images.

X-ray diagnostics are widely used to detect various diseases, such as bone fracture, pneumonia, or intracranial hemorrhage. This method is simple and accessible in most hospitals, but requires an expert who is sometimes unavailable. Today, some diagnoses are made with the help of deep learning algorithms based on Convolutional Neural Networks (CNN), but these algorithms show limitations. Recently, Capsule Networks (CapsNet) have been proposed to overcome these problems. In our work, CapsNet is used to detect whether a chest X-ray image has disease (COVID or pneumonia) or is healthy. An improved model called DRCaps is proposed, which combines the advantage of CapsNet and the dilation rate (dr) parameter to manage images with 226 × 226 resolution. We performed experiments with 16,669 chest images, in which our model achieved an accuracy of 90%. Furthermore, the model size is 11M with a reconstruction stage, which helps to avoid overfitting. Experiments show how the reconstruction stage works and how we can avoid the max-pooling operation for networks with a stride and dilation rate to downsampling the convolution layers. In this paper, DRCaps is superior to other comparable models in terms of accuracy, parameters, and image size handling. The main idea is to keep the model as simple as possible without using data augmentation or a complex preprocessing stage.

Language in Behavioral Variant Frontotemporal Dementia: Another Stone to Be Turned in Latin America.

Beyond canonical deficits in social cognition and interpersonal conduct, behavioral variant frontotemporal dementia (bvFTD) involves language difficulties in a substantial proportion of cases. However, since most evidence comes from high-income countries, the scope and relevance of language deficits in Latin American bvFTD samples remain poorly understood. As a first step toward reversing this scenario, we review studies reporting language measures in Latin American bvFTD cohorts relative to other groups. We identified 24 papers meeting systematic criteria, mainly targeting phonemic and semantic fluency, naming, semantic processing, and comprehension skills. The evidence shows widespread impairments in these domains, often related to overall cognitive disturbances. Some of these deficits may be as severe as in other diseases where they are more widely acknowledged, such as Alzheimer's disease. Considering the prevalence and informativeness of language deficits in bvFTD patients from other world regions, the need arises for more systematic research in Latin America, ideally spanning multiple domains, in diverse languages and dialects, with validated batteries. We outline key challenges and pathways of progress in this direction, laying the ground for a new regional research agenda on the disorder.

Bayesian segmentation of range images of polyhedral objects using entropy-controlled quadratic Markov measure field models.

We present a method based on Bayesian estimation with prior Markov random field models for segmentation of range images of polyhedral objects. This method includes new ways to determine the confidence associated with the information given for every pixel in the image as well as an improved method for localization of the boundaries between regions. The performance of the method compares favorably with other state-of-the-art procedures when evaluated using a standard benchmark.

Erector spinae plane versus fascia iliaca block after total hip arthroplasty: a randomized clinical trial comparing analgesic effectiveness and motor block / 대한마취과학회지

Background@#Ultrasound-guided supra-inguinal fascia iliaca block (FIB) provides effective analgesia after total hip arthroplasty (THA) but is complicated by high rates of motor block. The erector spinae plane block (ESPB) is a promising motor-sparing technique. In this study, we tested the analgesic superiority of the FIB over ESPB and associated motor impairment. @*Methods@#In this randomized, observer-blinded clinical trial, patients scheduled for THA under spinal anesthesia were randomly assigned to preoperatively receive either the ultrasound-guided FIB or ESPB. The primary outcome was morphine consumption 24 h after surgery. The secondary outcomes were pain scores, assessment of sensory and motor block, incidence of postoperative nausea and vomiting and other complications, and development of chronic post-surgical pain. @*Results@#A total of 60 patients completed the study. No statistically significant differences in morphine consumption at 24 h (P = 0.676) or pain scores were seen at any time point. The FIB produced more reliable sensory block in the femoral nerve (P = 0.001) and lateral femoral cutaneous nerve (P = 0.018) distributions. However, quadriceps motor strength was better preserved in the ESPB group than in the FIB group (P = 0.002). No differences in hip adduction motor strength (P = 0.253), side effects, or incidence of chronic pain were seen between the groups. @*Conclusions@#ESPBs may be a promising alternative to FIBs for postoperative analgesia after THA. The ESPB and FIB offer similar opioid-sparing benefits in the first 24 h after surgery; however, ESPBs result in less quadriceps motor impairment.

Diffusion basis functions decomposition for estimating white matter intravoxel fiber geometry.

In this paper, we present a new formulation for recovering the fiber tract geometry within a voxel from diffusion weighted magnetic resonance imaging (MRI) data, in the presence of single or multiple neuronal fibers. To this end, we define a discrete set of diffusion basis functions. The intravoxel information is recovered at voxels containing fiber crossings or bifurcations via the use of a linear combination of the above mentioned basis functions. Then, the parametric representation of the intravoxel fiber geometry is a discrete mixture of Gaussians. Our synthetic experiments depict several advantages by using this discrete schema: the approach uses a small number of diffusion weighted images (23) and relatively small b values (1250 s/mm2), i.e., the intravoxel information can be inferred at a fraction of the acquisition time required for datasets involving a large number of diffusion gradient orientations. Moreover our method is robust in the presence of more than two fibers within a voxel, improving the state-of-the-art of such parametric models. We present two algorithmic solutions to our formulation: by solving a linear program or by minimizing a quadratic cost function (both with non-negativity constraints). Such minimizations are efficiently achieved with standard iterative deterministic algorithms. Finally, we present results of applying the algorithms to synthetic as well as real data.

Entropy-controlled quadratic markov measure field models for efficient image segmentation.

We present a new Markov random field (MRF) based model for parametric image segmentation. Instead of directly computing a label map, our method computes the probability that the observed data at each pixel is generated by a particular intensity model. Prior information about segmentation smoothness and low entropy of the probability distribution maps is codified in the form of a MRF with quadratic potentials so that the optimal estimator is obtained by solving a quadratic cost function with linear constraints. Although, for segmentation purposes, the mode of the probability distribution at each pixel is naturally used as an optimal estimator, our method permits the use of other estimators, such as the mean or the median, which may be more appropriate for certain applications. Numerical experiments and comparisons with other published schemes are performed, using both synthetic images and real data of brain MRI for which expert hand-made segmentations are available. Finally, we show that the proposed methodology may be easily extended to other problems, such as stereo disparity estimation.

Half-quadratic cost function for computing arbitrary phase shifts and phase: Adaptive out of step phase shifting.

We present a phase shifting robust method for irregular and unknown phase steps. The method is formulated as the minimization of a half-quadratic (robust) regularized cost function for simultaneously computing phase maps and arbitrary phase shifts. The convergence to, at least, a local minimum is guaranteed. The algorithm can be understood as a phase refinement strategy that uses as initial guess a coarsely computed phase and coarsely estimated phase shifts. Such a coarse phase is assumed to be corrupted with artifacts produced by the use of a phase shifting algorithm but with imprecise phase steps. The refinement is achieved by iterating alternated minimization of the cost function for computing the phase map correction, an outliers rejection map and the phase shifts correction, respectively. The method performance is demonstrated by comparison with standard filtering and arbitrary phase steps detecting algorithms.

Sparse and Adaptive Diffusion Dictionary (SADD) for recovering intra-voxel white matter structure.

On the analysis of the Diffusion-Weighted Magnetic Resonance Images, multi-compartment models overcome the limitations of the well-known Diffusion Tensor model for fitting in vivo brain axonal orientations at voxels with fiber crossings, branching, kissing or bifurcations. Some successful multi-compartment methods are based on diffusion dictionaries. The diffusion dictionary-based methods assume that the observed Magnetic Resonance signal at each voxel is a linear combination of the fixed dictionary elements (dictionary atoms). The atoms are fixed along different orientations and diffusivity profiles. In this work, we present a sparse and adaptive diffusion dictionary method based on the Diffusion Basis Functions Model to estimate in vivo brain axonal fiber populations. Our proposal overcomes the following limitations of the diffusion dictionary-based methods: the limited angular resolution and the fixed shapes for the atom set. We propose to iteratively re-estimate the orientations and the diffusivity profile of the atoms independently at each voxel by using a simplified and easier-to-solve mathematical approach. As a result, we improve the fitting of the Diffusion-Weighted Magnetic Resonance signal. The advantages with respect to the former Diffusion Basis Functions method are demonstrated on the synthetic data-set used on the 2012 HARDI Reconstruction Challenge and in vivo human data. We demonstrate that improvements obtained in the intra-voxel fiber structure estimations benefit brain research allowing to obtain better tractography estimations. Hence, these improvements result in an accurate computation of the brain connectivity patterns.

A flocking based method for brain tractography.

We propose a new method to estimate axonal fiber pathways from Multiple Intra-Voxel Diffusion Orientations. Our method uses the multiple local orientation information for leading stochastic walks of particles. These stochastic particles are modeled with mass and thus they are subject to gravitational and inertial forces. As result, we obtain smooth, filtered and compact trajectory bundles. This gravitational interaction can be seen as a flocking behavior among particles that promotes better and robust axon fiber estimations because they use collective information to move. However, the stochastic walks may generate paths with low support (outliers), generally associated to incorrect brain connections. In order to eliminate the outlier pathways, we propose a filtering procedure based on principal component analysis and spectral clustering. The performance of the proposal is evaluated on Multiple Intra-Voxel Diffusion Orientations from two realistic numeric diffusion phantoms and a physical diffusion phantom. Additionally, we qualitatively demonstrate the performance on in vivo human brain data.

Quantitative comparison of reconstruction methods for intra-voxel fiber recovery from diffusion MRI.

Validation is arguably the bottleneck in the diffusion magnetic resonance imaging (MRI) community. This paper evaluates and compares 20 algorithms for recovering the local intra-voxel fiber structure from diffusion MRI data and is based on the results of the "HARDI reconstruction challenge" organized in the context of the "ISBI 2012" conference. Evaluated methods encompass a mixture of classical techniques well known in the literature such as diffusion tensor, Q-Ball and diffusion spectrum imaging, algorithms inspired by the recent theory of compressed sensing and also brand new approaches proposed for the first time at this contest. To quantitatively compare the methods under controlled conditions, two datasets with known ground-truth were synthetically generated and two main criteria were used to evaluate the quality of the reconstructions in every voxel: correct assessment of the number of fiber populations and angular accuracy in their orientation. This comparative study investigates the behavior of every algorithm with varying experimental conditions and highlights strengths and weaknesses of each approach. This information can be useful not only for enhancing current algorithms and develop the next generation of reconstruction methods, but also to assist physicians in the choice of the most adequate technique for their studies.

Standardized evaluation methodology and reference database for evaluating IVUS image segmentation.

This paper describes an evaluation framework that allows a standardized and quantitative comparison of IVUS lumen and media segmentation algorithms. This framework has been introduced at the MICCAI 2011 Computing and Visualization for (Intra)Vascular Imaging (CVII) workshop, comparing the results of eight teams that participated. We describe the available data-base comprising of multi-center, multi-vendor and multi-frequency IVUS datasets, their acquisition, the creation of the reference standard and the evaluation measures. The approaches address segmentation of the lumen, the media, or both borders; semi- or fully-automatic operation; and 2-D vs. 3-D methodology. Three performance measures for quantitative analysis have been proposed. The results of the evaluation indicate that segmentation of the vessel lumen and media is possible with an accuracy that is comparable to manual annotation when semi-automatic methods are used, as well as encouraging results can be obtained also in case of fully-automatic segmentation. The analysis performed in this paper also highlights the challenges in IVUS segmentation that remains to be solved.

Segmentation of the luminal border in intravascular ultrasound B-mode images using a probabilistic approach.

Intravascular ultrasound (IVUS) is a catheter-based medical imaging technique that produces cross-sectional images of blood vessels and is particularly useful for studying atherosclerosis. In this paper, we present a computational method for the delineation of the luminal border in IVUS B-mode images. The method is based in the minimization of a probabilistic cost function (that deforms a parametric curve) which defines a probability field that is regularized with respect to the given likelihoods of the pixels belonging to blood and non-blood. These likelihoods are obtained by a Support Vector Machine classifier trained using samples of the lumen and non-lumen regions provided by the user in the first frame of the sequence to be segmented. In addition, an optimization strategy is introduced in which the direction of the steepest descent and Broyden-Fletcher-Goldfarb-Shanno optimization methods are linearly combined to improve convergence. Our proposed method (MRK) is capable of segmenting IVUS B-mode images from different systems and transducer frequencies without the need of any parameter tuning, and it is robust with respect to changes of the B-mode reconstruction parameters which are subjectively adjusted by the interventionist. We validated the proposed method on six 20MHz and six 40MHz IVUS stationary sequences corresponding to regions with different degrees of stenosis, and evaluated its performance by comparing the segmentation results with manual segmentation by two observers. Furthermore, we compared our method with the segmentation results on the same sequences as provided by the authors of three other segmentation methods available in the literature. The performance of all methods was quantified using Dice and Jaccard similarity indexes, Hausdorff distance, linear regression and Bland-Altman analysis. The results indicate the advantages of our method for the segmentation of the lumen contour.