Detecting diverse types of cardiovascular brain pulses in Alzheimer’s disease simultaneously with fNIRS and MREG

Abstract. One of the risk factors for Alzheimer’s disease is hypertension. Hypertension alters the brain’s blood vessel structure due to increased arterial pressure. Structural changes in the blood vessels are seen in the cardiovascular pulse, which is formed by blood velocity, blood flow rate, blood pressure, and infrequently blood flow. By simultaneously applying magnetic resonance encephalography (MREG) and functional near-infrared spectroscopy (fNIRS), this study discovered cardiovascular brain pulses from the blood flow within patients with Alzheimer’s disease and healthy controls. This study detects specific parameters within diverse types of cardiovascular brain pulses. The results detected changes in parameters for diverse types of cardiovascular brain pulses in patients with Alzheimer’s disease within MREG and fNIRS. In addition, the results present an alternative method for finding cardiovascular brain pulse from the blood flow, which might reflect the structural changes of a blood vessel in patients with Alzheimer’s disease. In conclusion, diverse types of cardiovascular brain pulses represent an approximation of arterial, venous, and tissue pulses, which is beneficial for distinguishing the effect of venous and arterial hypertension in Alzheimer’s disease. Furthermore, altered blood flow may potentially be associated with the impaired glymphatic system in Alzheimer’s disease

fNIRS complexity analysis for the assessment of motor imagery and mental arithmetic tasks

Conventional methods for analyzing functional near-infrared spectroscopy (fNIRS) signals primarily focus on characterizing linear dynamics of the underlying metabolic processes. Nevertheless, linear analysis may underrepresent the true physiological processes that fully characterizes the complex and nonlinear metabolic activity sustaining brain function. Although there have been recent attempts to characterize nonlinearities in fNIRS signals in various experimental protocols, to our knowledge there has yet to be a study that evaluates the utility of complex characterizations of fNIRS in comparison to standard methods, such as the mean value of hemoglobin. Thus, the aim of this study was to investigate the entropy of hemoglobin concentration time series obtained from fNIRS signals and perform a comparitive analysis with standard mean hemoglobin analysis of functional activation. Publicly available data from 29 subjects performing motor imagery and mental arithmetics tasks were exploited for the purpose of this study. The experimental results show that entropy analysis on fNIRS signals may potentially uncover meaningful activation areas that enrich and complement the set identified through a traditional linear analysis

Screening for Alzheimer's disease using prefrontal resting-state functional near-infrared spectroscopy

IntroductionAlzheimer's disease (AD) is neurodegenerative dementia that causes neurovascular dysfunction and cognitive impairment. Currently, 50 million people live with dementia worldwide, and there are nearly 10 million new cases every year. There is a need for relatively less costly and more objective methods of screening and early diagnosis. MethodsFunctional near-infrared spectroscopy (fNIRS) systems are a promising solution for the early Detection of AD. For a practical clinically relevant system, a smaller number of optimally placed channels are clearly preferable. In this study, we investigated the number and locations of the best-performing fNIRS channels measuring prefrontal cortex activations. Twenty-one subjects diagnosed with AD and eighteen healthy controls were recruited for the study. ResultsWe have shown that resting-state fNIRS recordings from a small number of prefrontal locations provide a promising methodology for detecting AD and monitoring its progression. A high-density continuous-wave fNIRS system was first used to verify the relatively lower hemodynamic activity in the prefrontal cortical areas observed in patients with AD. By using the episode averaged standard deviation of the oxyhemoglobin concentration changes as features that were fed into a Support Vector Machine; we then showed that the accuracy of subsets of optical channels in predicting the presence and severity of AD was significantly above chance. The results suggest that AD can be detected with a 0.76 sensitivity score and a 0.68 specificity score while the severity of AD could be detected with a 0.75 sensitivity score and a 0.72 specificity score with <= 5 channels. DiscussionThese scores suggest that fNIRS is a viable technology for conveniently detecting and monitoring AD as well as investigating underlying mechanisms of disease progression

Functional near-infrared spectroscopy in the neuropsychological assessment of spatial memory: A systematic review; 35123299

Functional near-infrared spectroscopy (fNIRS) is a non-invasive optical imaging technique that employs near-infrared light to measure cortical brain oxygenation. The use of fNIRS has increased exponentially in recent years. Spatial memory is defined as the ability to learn and use spatial information. This neuropsychological process is constantly used in our daily lives and can be measured by fNIRS but no research has reviewed whether this technique can be useful in the neuropsychological assessment of spatial memory. This study aimed to review empirical work on the use of fNIRS in the neuropsychological assessment of human spatial memory. We used four databases: PubMed, PsycINFO, Scopus and Web of Science, and a total of 18 articles were found to be eligible. Most of the articles assessed spatial or visuospatial working memory with a predominance in computer-based tasks, used fNIRS equipment of 16 channels and mainly measured the prefrontal cortex (PFC). The studies analysed found linear or quadratic relationships between working memory load and PFC activity, greater activation of PFC activity and worse behavioural results in healthy older people in comparison with healthy adults, and hyperactivation of PFC as a form of compensation in clinical samples. We conclude that fNIRS is compatible with the standard neuropsychological assessment of spatial memory, making it possible to complement behavioural results with data of cortical functional activity. © 202

Fiberless, Multi-Channel fNIRS-EEG System Based on Silicon Photomultipliers: Towards Sensitive and Ecological Mapping of Brain Activity and Neurovascular Coupling

Portable neuroimaging technologies can be employed for long-term monitoring of neurophysiological and neuropathological states. Functional Near-Infrared Spectroscopy (fNIRS) and Electroencephalography (EEG) are highly suited for such a purpose. Their multimodal integration allows the evaluation of hemodynamic and electrical brain activity together with neurovascular coupling. An innovative fNIRS-EEG system is here presented. The system integrated a novel continuous-wave fNIRS component and a modified commercial EEG device. fNIRS probing relied on fiberless technology based on light emitting diodes and silicon photomultipliers (SiPMs). SiPMs are sensitive semiconductor detectors, whose large detection area maximizes photon harvesting from the scalp and overcomes limitations of fiberless technology. To optimize the signal-to-noise ratio and avoid fNIRS-EEG interference, a digital lock-in was implemented for fNIRS signal acquisition. A benchtop characterization of the fNIRS component showed its high performances with a noise equivalent power below 1 pW. Moreover, the fNIRS-EEG device was tested in vivo during tasks stimulating visual, motor and pre-frontal cortices. Finally, the capabilities to perform ecological recordings were assessed in clinical settings on one Alzheimer’s Disease patient during long-lasting cognitive tests. The system can pave the way to portable technologies for accurate evaluation of multimodal brain activity, allowing their extensive employment in ecological environments and clinical practice

Travel Planning Ability in Right Brain-Damaged Patients: Two Case Reports

Planning ability is fundamental for goal-directed spatial navigation. Preliminary findings from patients and healthy individuals suggest that travel planning (TP)—namely, navigational planning—can be considered a distinct process from visuospatial planning (VP) ability. To shed light on this distinction, two right brain-damaged patients without hemineglect were compared with a control group on two tasks aimed at testing VP (i.e., Tower of London-16, ToL-16) and TP (i.e., Minefield Task, MFT). The former requires planning the moves to reach the right configuration of three colored beads on three pegs, whereas the latter was opportunely developed to assess TP in the navigational environment when obstacles are present. Specifically, the MFT requires participants to plan a route on a large carpet avoiding some hidden obstacles previously observed. Patient 1 showed lesions encompassing the temporoparietal region and the insula; she performed poorer than the control group on the ToL-16 but showed no deficit on the MFT. Conversely, Patient 2 showed lesions mainly located in the occipitoparietal network of spatial navigation; she performed worse than the control group on the MFT but not on the ToL-16. In both cases performances satisfied the criteria for a classical dissociation, meeting criteria for a double dissociation. These results support the idea that TP is a distinct ability and that it is dissociated from VP skills