Disconnected aging: cerebral white matter integrity and age-related differences in cognition.

Cognition arises as a result of coordinated processing among distributed brain regions and disruptions to communication within these neural networks can result in cognitive dysfunction. Cortical disconnection may thus contribute to the declines in some aspects of cognitive functioning observed in healthy aging. Diffusion tensor imaging (DTI) is ideally suited for the study of cortical disconnection as it provides indices of structural integrity within interconnected neural networks. The current review summarizes results of previous DTI aging research with the aim of identifying consistent patterns of age-related differences in white matter integrity, and of relationships between measures of white matter integrity and behavioral performance as a function of adult age. We outline a number of future directions that will broaden our current understanding of these brain-behavior relationships in aging. Specifically, future research should aim to (1) investigate multiple models of age-brain-behavior relationships; (2) determine the tract-specificity versus global effect of aging on white matter integrity; (3) assess the relative contribution of normal variation in white matter integrity versus white matter lesions to age-related differences in cognition; (4) improve the definition of specific aspects of cognitive functioning related to age-related differences in white matter integrity using information processing tasks; and (5) combine multiple imaging modalities (e.g., resting-state and task-related functional magnetic resonance imaging; fMRI) with DTI to clarify the role of cerebral white matter integrity in cognitive aging

Thalamo-cortical network activity between migraine attacks. Insights from MRI-based microstructural and functional resting-state network correlation analysis

BACKGROUND: Resting state magnetic resonance imaging allows studying functionally interconnected brain networks. Here we were aimed to verify functional connectivity between brain networks at rest and its relationship with thalamic microstructure in migraine without aura (MO) patients between attacks. METHODS: Eighteen patients with untreated MO underwent 3 T MRI scans and were compared to a group of 19 healthy volunteers (HV). We used MRI to collect resting state data among two selected resting state networks, identified using group independent component (IC) analysis. Fractional anisotropy (FA) and mean diffusivity (MD) values of bilateral thalami were retrieved from a previous diffusion tensor imaging study on the same subjects and correlated with resting state ICs Z-scores. RESULTS: In comparison to HV, in MO we found significant reduced functional connectivity between the default mode network and the visuo-spatial system. Both HV and migraine patients selected ICs Z-scores correlated negatively with FA values of the thalamus bilaterally. CONCLUSIONS: The present results are the first evidence supporting the hypothesis that an abnormal resting within networks connectivity associated with significant differences in baseline thalamic microstructure could contribute to interictal migraine pathophysiology

Occasional essay: upper motor neuron syndrome in amyotrophic lateral sclerosis

The diagnosis of amyotrophic lateral sclerosis (ALS) requires recognition of both lower (LMN) and upper motor neuron (UMN) dysfunction.1 However, classical UMN signs are frequently difficult to identify in ALS.2 LMN involvement is sensitively detected by electromyography (EMG)3 but, as yet, there are no generally accepted markers for monitoring UMN abnormalities,4 the neurobiology of ALS itself, and disease spread through the brain and spinal cord,.5 Full clinical assessment is therefore necessary to exclude other diagnoses and to monitor disease progression. In part, this difficulty regarding detection of UMN involvement in ALS derives from the definition of ‘the UMN syndrome’. Abnormalities of motor control in ALS require reformulation within an expanded concept of the UMN, together with the neuropathological, neuro-imaging and neurophysiological abnormalities in ALS. We review these issues here

On the sensitivity of the diffusion MRI signal to brain activity in response to a motor cortex paradigm

Diffusion functional MRI (dfMRI) is a promising technique to map functional activations by acquiring diffusion-weighed spin-echo images. In previous studies, dfMRI showed higher spatial accuracy at activation mapping compared to classic functional MRI approaches. However, it remains unclear whether dfMRI measures result from changes in the intra-/extracellular environment, perfusion and/or T2 values. We designed an acquisition/quantification scheme to disentangle such effects in the motor cortex during a finger tapping paradigm. dfMRI was acquired at specific diffusion weightings to selectively suppress perfusion and free-water diffusion, then times series of the apparent diffusion coefficient (ADC-fMRI) and of the perfusion signal fraction (IVIM-fMRI) were derived. ADC-fMRI provided ADC estimates sensitive to changes in perfusion and free-water volume, but not to T2/T2* values. With IVIM-fMRI we isolated the perfusion contribution to ADC, while suppressing T2 effects. Compared to conventional gradient-echo BOLD fMRI, activation maps obtained with dfMRI and ADC-fMRI had smaller clusters, and the spatial overlap between the three techniques was below 50%. Increases of perfusion fractions were observed during task in both dfMRI and ADC-fMRI activations. Perfusion effects were more prominent with ADC-fMRI than with dfMRI but were significant in less than 25% of activation ROIs. Taken together, our results suggest that the sensitivity to task of dfMRI derives from a decrease of hindered diffusion and an increase of the pseudo-diffusion signal fraction, leading to different, more confined spatial activation patterns compared to classic functional MRI.Comment: Submitted to peer-reviewed journa

Structural adaptive smoothing: Principles and applications in imaging

Structural adaptive smoothing provides a new concept of edge-preserving non-parametric smoothing methods. In imaging it employs qualitative assumption on the underlying homogeneity structure of the image. The chapter describes the main principles of the approach and discusses applications ranging from image denoising to the analysis of functional and diffusion weighted Magnetic Resonance experiments

Functional Imaging of Autonomic Regulation: Methods and Key Findings.

Central nervous system processing of autonomic function involves a network of regions throughout the brain which can be visualized and measured with neuroimaging techniques, notably functional magnetic resonance imaging (fMRI). The development of fMRI procedures has both confirmed and extended earlier findings from animal models, and human stroke and lesion studies. Assessments with fMRI can elucidate interactions between different central sites in regulating normal autonomic patterning, and demonstrate how disturbed systems can interact to produce aberrant regulation during autonomic challenges. Understanding autonomic dysfunction in various illnesses reveals mechanisms that potentially lead to interventions in the impairments. The objectives here are to: (1) describe the fMRI neuroimaging methodology for assessment of autonomic neural control, (2) outline the widespread, lateralized distribution of function in autonomic sites in the normal brain which includes structures from the neocortex through the medulla and cerebellum, (3) illustrate the importance of the time course of neural changes when coordinating responses, and how those patterns are impacted in conditions of sleep-disordered breathing, and (4) highlight opportunities for future research studies with emerging methodologies. Methodological considerations specific to autonomic testing include timing of challenges relative to the underlying fMRI signal, spatial resolution sufficient to identify autonomic brainstem nuclei, blood pressure, and blood oxygenation influences on the fMRI signal, and the sustained timing, often measured in minutes of challenge periods and recovery. Key findings include the lateralized nature of autonomic organization, which is reminiscent of asymmetric motor, sensory, and language pathways. Testing brain function during autonomic challenges demonstrate closely-integrated timing of responses in connected brain areas during autonomic challenges, and the involvement with brain regions mediating postural and motoric actions, including respiration, and cardiac output. The study of pathological processes associated with autonomic disruption shows susceptibilities of different brain structures to altered timing of neural function, notably in sleep disordered breathing, such as obstructive sleep apnea and congenital central hypoventilation syndrome. The cerebellum, in particular, serves coordination roles for vestibular stimuli and blood pressure changes, and shows both injury and substantially altered timing of responses to pressor challenges in sleep-disordered breathing conditions. The insights into central autonomic processing provided by neuroimaging have assisted understanding of such regulation, and may lead to new treatment options for conditions with disrupted autonomic function

Image analysis and statistical inference in neuroimaging with R

R is a language and environment for statistical computing and graphics. It can be considered an alternative implementation of the S language developed in the 1970s and 1980s for data analysis and graphics (Becker and Chambers, 1984; Becker et al., 1988). The R language is part of the GNU project and offers versions that compile and run on almost every major operating system currently available. We highlight several R packages built specifically for the analysis of neuroimaging data in the context of functional MRI, diffusion tensor imaging, and dynamic contrast-enhanced MRI. We review their methodology and give an overview of their capabilities for neuroimaging. In addition we summarize some of the current activities in the area of neuroimaging software development in R

FUNCTIONAL NETWORK CONNECTIVITY IN HUMAN BRAIN AND ITS APPLICATIONS IN AUTOMATIC DIAGNOSIS OF BRAIN DISORDERS

The human brain is one of the most complex systems known to the mankind. Over the past 3500 years, mankind has constantly investigated this remarkable system in order to understand its structure and function. Emerging of neuroimaging techniques such as functional magnetic resonance imaging (fMRI) have opened a non-invasive in-vivo window into brain function. Moreover, fMRI has made it possible to study brain disorders such as schizophrenia from a different angle unknown to researchers before. Human brain function can be divided into two categories: functional segregation and integration. It is well-understood that each region in the brain is specialized in certain cognitive or motor tasks. The information processed in these specialized regions in different temporal and spatial scales must be integrated in order to form a unified cognition or behavior. One way to assess functional integration is by measuring functional connectivity (FC) among specialized regions in the brain. Recently, there is growing interest in studying the FC among brain functional networks. This type of connectivity, which can be considered as a higher level of FC, is termed functional network connectivity (FNC) and measures the statistical dependencies among brain functional networks. Each functional network may consist of multiple remote brain regions. Four studies related to FNC are presented in this work. First FNC is compared during the resting-state and auditory oddball task (AOD). Most previous FNC studies have been focused on either resting-state or task-based data but have not directly compared these two. Secondly we propose an automatic diagnosis framework based on resting-state FNC features for mental disorders such as schizophrenia. Then, we investigate the proper preprocessing for fMRI time-series in order to conduct FNC studies. Specifically the impact of autocorrelated time-series on FNC will be comprehensively assessed in theory, simulation and real fMRI data. At the end, the notion of autoconnectivity as a new perspective on human brain functionality will be proposed. It will be shown that autoconnectivity is cognitive-state and mental-state dependent and we discuss how this source of information, previously believed to originate from physical and physiological noise, can be used to discriminate schizophrenia patients with high accuracy