Psychotic experiences, working memory, and the developing brain: a multimodal neuroimaging study

Psychotic experiences (PEs) occur in the general population, especially in children and adolescents, and are associated with poor psychosocial outcomes, impaired cognition, and increased risk of transition to psychosis. It is unknown how the presence and persistence of PEs during early adulthood affects cognition and brain function. The current study assessed working memory as well as brain function and structure in 149 individuals, with and without PEs, drawn from a population cohort. Observer-rated PEs were classified as persistent or transient on the basis of longitudinal assessments. Working memory was assessed using the n-back task during fMRI. Dynamic causal modeling (DCM) was used to characterize frontoparietal network configuration and voxel-based morphometry was utilized to examine gray matter. Those with persistent, but not transient, PEs performed worse on the n-back task, compared with controls, yet showed no significant differences in regional brain activation or brain structure. DCM analyses revealed greater emphasis on frontal connectivity within a frontoparietal network in those with PEs compared with controls. We propose that these findings portray an altered configuration of working memory function in the brain, potentially indicative of an adaptive response to atypical development associated with the manifestation of PEs

The role of high-field magnetic resonance imaging in parkinsonian disorders:Pushing the boundaries forward

Historically, magnetic resonance imaging (MRI) has contributed little to the study of Parkinson's disease (PD), but modern MRI approaches have unveiled several complementary markers that are useful for research and clinical applications. Iron- and neuromelanin-sensitive MRI detect qualitative changes in the substantia nigra. Quantitative MRI markers can be derived from diffusion weighted and iron-sensitive imaging or volumetry. Functional brain alterations at rest or during task performance have been captured with functional and arterial spin labeling perfusion MRI. These markers are useful for the diagnosis of PD and atypical parkinsonism, to track disease progression from the premotor stages of these diseases and to better understand the neurobiological basis of clinical deficits. A current research goal using MRI is to generate time-dependent models of the evolution of PD biomarkers that can help understand neurodegeneration and provide reliable markers for therapeutic trials. This article reviews recent advances in MRI biomarker research at high-field (3T) and ultra high field-imaging (7T) in PD and atypical parkinsonism. © 2017 The Authors. Movement Disorders published by Wiley Periodicals, Inc. on behalf of International Parkinson and Movement Disorder Society

Movie-driven fMRI Reveals Network Asynchrony and Connectivity Alterations in Temporal Lobe Epilepsy

Mesial temporal lobe epilepsy (TLE) is the most common form of focal epilepsy and is often resistant to medication. Recent studies have noted brain-wide disruptions to several neural networks in so-called “focal” epilepsy, notably TLE, leading to it being recognized as a network disease. We aimed to assess the integrity of functional networks while they were simultaneously activated in an ecologically valid manner, using an actively engaging, richly stimulating audio-visual film clip. This stimulus elicits widespread, dynamic patterns of time-locked brain activity, measurable using functional magnetic resonance imaging. Thirteen persons with drug-resistant TLE (persons with epilepsy; PWE) and 10 demographically matched controls were scanned while at rest and while watching a suspenseful movie clip in a 3T MRI system. We observed idiosyncratic activation in several functional networks among PWE during movie-viewing. Activation time courses among PWE synchronized poorly with the highly stereotyped movie-driven BOLD fluctuations exhibited by controls [i.e., high inter-subject correlation (ISC)]. We also examined coupling (functional connectivity) among 10 canonical functional networks during resting-state and movie-viewing conditions. Whereas functional networks in healthy viewers segregate to support movie processing, the auditory and dorsal attention networks among PWE do not segregate as efficiently. Furthermore, we observed a robust pattern of connectivity alterations in temporal and extratemporal regions during movie viewing in PWE compared to controls. Our findings supplement evidence derived from resting-state fMRI and provide novel insight into how the cognitively engaged brain is altered in TLE

Resting-state functional brain netwoks in Parkinson's disease

The network approach is increasingly being applied to the investigation of normal brain function and its impairment. In the present review, we introduce the main methodological approaches employed for the analysis of resting-state neuroimaging data in Parkinson's disease studies. We then summarize the results of recent studies that used a functional network perspective to evaluate the changes underlying different manifestations of Parkinson's disease, with an emphasis on its cognitive symptoms. Despite the variability reported by many studies, these methods show promise as tools for shedding light on the pathophysiological substrates of different aspects of Parkinson's disease, as well as for differential diagnosis, treatment monitoring and establishment of imaging biomarkers for more severe clinical outcomes

Bipartite Functional Fractionation within the Default Network Supports Disparate Forms of Internally Oriented Cognition.

Our understanding about the functionality of the brain's default network (DN) has significantly evolved over the past decade. Whereas traditional views define this network based on its suspension/disengagement during task-oriented behavior, contemporary accounts have characterized various situations wherein the DN actively contributes to task performance. However, it is unclear how different task-contexts drive componential regions of the DN to coalesce into a unitary network and fractionate into different subnetworks. Here we report a compendium of evidence that provides answers to these questions. Across multiple analyses, we found a striking dyadic structure within the DN in terms of the profiles of task-triggered fMRI response and effective connectivity, significantly extending beyond previous inferences based on meta-analysis and resting-state activities. In this dichotomy, one subset of DN regions prefers mental activities "interfacing with" perceptible events, while the other subset prefers activities "detached from" perceptible events. While both show a common "aversion" to sensory-motoric activities, their differential preferences manifest a subdivision that sheds light upon the taxonomy of the brain's memory systems. This dichotomy is consistent with proposals of a macroscale gradational structure spanning across the cerebrum. This gradient increases its representational complexity, from primitive sensory-motoric processing, through lexical-semantic representations, to elaborated self-generated thoughts.This research was funded by an MRC programme grant to MALR (MR/R023883/1) and a Sir Henry Wellcome Fellowship (201381/Z/16/Z) to RC

Task-Dependent Individual Differences in Prefrontal Connectivity

Recent advances in neuroimaging have permitted testing of hypotheses regarding the neural bases of individual differences, but this burgeoning literature has been characterized by inconsistent results. To test the hypothesis that differences in task demands could contribute to between-study variability in brain-behavior relationships, we had participants perform 2 tasks that varied in the extent of cognitive involvement. We examined connectivity between brain regions during a low-demand vigilance task and a higher-demand digit–symbol visual search task using Granger causality analysis (GCA). Our results showed 1) Significant differences in numbers of frontoparietal connections between low- and high-demand tasks 2) that GCA can detect activity changes that correspond with task-demand changes, and 3) faster participants showed more vigilance-related activity than slower participants, but less visual-search activity. These results suggest that relatively low-demand cognitive performance depends on spontaneous bidirectionally fluctuating network activity, whereas high-demand performance depends on a limited, unidirectional network. The nature of brain-behavior relationships may vary depending on the extent of cognitive demand. High-demand network activity may reflect the extent to which individuals require top-down executive guidance of behavior for successful task performance. Low-demand network activity may reflect task- and performance monitoring that minimizes executive requirements for guidance of behavior

The Future of Memory: Remembering, Imagining, and the Brain

During the past few years, there has been a dramatic increase in research examining the role of memory in imagination and future thinking. This work has revealed striking similarities between remembering the past and imagining or simulating the future, including the finding that a common brain network underlies both memory and imagination. Here we discuss a number of key points that have emerged during recent years, focusing in particular on the importance of distinguishing between temporal and non-temporal factors in analyses of memory and imagination, the nature of differences between remembering the past and imagining the future, the identification of component processes that comprise the default network supporting memory- based simulations, and the finding that this network can couple flexibly with other networks to support complex goal-directed simulations. This growing area of research has broadened our conception of memory by highlighting the many ways in which memory supports adaptive functioning.Psycholog

The role of multi-scale phase synchronization and cross-frequency interactions in cognitive integration

Neuronal processing is distributed into anatomically distinct, largely specialized, neuronal populations. These populations undergo rhythmic fluctuations in excitability, which are commonly known as neuronal oscillations. Electrophysiological studies of neuronal activity have shown that phase synchronization of oscillations within frequencies characterizes both resting state and task execution and that its strength is correlated with task performance. Therefore phase-synchronization within frequencies is thought to support communication between oscillating neuronal populations and thereby integration and coordination of anatomically distributed processing in cognitive functions. However, it has remained open if and how phase synchronization is associated with directional flow of information. Furthermore, oscillations and synchronization are observed concurrently in multiple frequencies, which are thought to underlie distinct computational functions. Little is known how oscillations and synchronized networks of different frequencies in the human brain are integrated and enable unified cognitive function and experience. In the first study of this thesis, we developed a measure of directed connectivity in networks of coupled oscillators, called Phase Transfer Entropy (Phase TE) and tested if Phase TE could detect directional flow in simulated data in the presence of noise and signal mixing. Results showed that Phase TE indeed reliably detected information flow under these conditions and was computationally efficient. In the other three studies, we investigated if two different forms of inter-areal cross-frequency coupling (CFC), namely cross-frequency phase synchrony (CFS) and phase-amplitude coupling (PAC), could support integration and coordination of neuronal processing distributed across frequency bands in the human brain. In the second study, we analyzed source-reconstructed magneto- and electroencephalographic (M/EEG) data to investigate whether inter-areal CFS could be observed between within-frequency synchronized networks and thereby support the coordination of spectrally distributed processing in visual working memory (VWM). The results showed that CFS was increased during VWM maintenance among theta to gamma frequency bands and the strength of CFS networks predicted individual VWM capacity. Spectral patterns of CFS were found to be different from PAC, indicating complementary roles for both mechanisms. In the third study, we analyzed source-reconstructed M/EEG data to investigate whether inter-areal CFS and PAC could be observed during two multi-object visual tracking tasks and thereby support visual attention. PAC was found to be significantly correlated with object load in both tasks, and CFS in one task. Further, patterns of CFS and PAC differed significantly between subjects with high and low capacity for visual attention. In the fourth study, we analyzed intracerebral stereo-electroencephalographic data (SEEG) and source-reconstructed MEG data to investigate whether CFS and PAC are present also in resting state. Further, in order to address concerns about observations of CFC being spurious and caused by non-sinusoidal or non-zero mean signal waveforms, we introduced a new approach to identify true inter-areal CFC connections and discard potentially spurious ones. We observed both inter-areal CFS and PAC, and showed that a significant part of connections was unambiguously true and non-spurious. Spatial profiles differed between CFS and PAC, but were consistent across datasets. Together, the results from studies II-IV provide evidence that inter-areal CFS and PAC, in complementary ways, connect frequency-specific phase-synchronized networks that involve functionally specialized regions across the cortex to support complex functions such as VWM and attention, and also characterize the resting state. Inter-areal CFC thus may be crucial for the coordination and integration of spectrally distributed processing and the emergence of introspectively coherent cognitive function.Keskeinen kysymys aivotutkimuksessa on, kuinka ajattelu ja kognitio syntyvät ihmisaivojen 10^15 hermosolussa. Informaation käsittely aivoissa tapahtuu suurissa hermosolupopulaatioissa, jotka ovat toiminnallisesti erikoistuneita ja anatomisesti eroteltuja eri aivoalueille. Niiden aktivaatiorakenteiden jaksollisia muutoksia kutsutaan aivorytmeiksi eli oskillaatioiksi. Hermosolupopulaatioiden välistä viestintää edesauttaa niiden toiminnan samantahtisuus eli synkronoituminen. Sähköfysiologisissa tutkimuksissa on havaittu aivorytmien synkronoituvan sekä lepomittausten että tehtävien suorituksen aikana siten että tämä synkronoituminen ennustaa kognitiivissa tehtävissä suoriutumista. Oskillaatioiden vaihesynkronia ei kuitenkaan kerro niiden välisen vuorovaikutuksen suunnasta. Tämän lisäksi oskillaatioita ja niiden välistä synkroniaa havaitaan yhtäaikaisesti lukuisilla eri taajuuksilla, joiden ajatellaan olevan vastuussa erillisistä laskennallisista ja kognitiivisista toiminnoista. Toistaiseksi on kuitenkin jäänyt kartoittamatta, miten informaation käsittely eri taajuuksilla yhdistetään yhtenäisiksi kognitiivisiksi toiminnoiksi, ja havaitaanko myös eri taajuisten oskillaatioverkkojen välillä synkroniaa. Väitöskirjan ensimmäisessä osatyössä on kehitetty uusi tapata mitata oskillaattoriverkkojen vuorovaikutusten suuntia, jonka toimivuus todennettiin simuloimalla synkronoituneita hermosolupopulaatioita. Väitöskirjan muissa osatöissä on tutkittu havaitaanko ihmisaivoissa eri taajuisten oskillaatioiden välistä synkronoitumista. Erityisesti tutkittiin kahta erilaista synkronian muotoa, joista ensimmäinen (’cross- frequency phase synchrony’,CFS) mittaa kahden oskillaation välistä vaihesuhdetta ja toinen (’phase-amplitude coupling’, PAC) vaiheen ja amplitudin suhdetta. Väitöskirjan toisessa osassa tutkittiin, selittääkö CFS koehenkilöiden suoriutumista näkötyömuistitehtävässä. Tutkimukseen osallistuneilta koehenkilöiltä mitattiin aivosähkökäyrä (EEG) ja aivomagneettikäyrä (MEG), joiden avulla selvitettiin havaitaanko aivoalueiden välistä synkroniaa (CFS). Tutkimustulokset osoittivat, että koehenkilöiden CFS oli korkeampi näkötyömuistitehtävän mielessä pitämisen aikana theta-taajuuksista gamma-taajuuksiin asti ja että CFS-verkkojen vahvuus ennusti yksilöllistä työmuistikapasiteettia. Kolmannessa tutkimuksessa analysoitiin MEG- ja EEG-aivokuvantamislaitteita käyttäen onko aivoalueiden välillä CFS:ä ja PAC:a kahdessa näkötarkkaavaisuustehtävässä. PAC lisääntyi tilastollisesti merkitsevästi tehtävän vaikeuden mukaan kummassakin tehtävässä, kun taas CFS lisääntyi yhdessä tehtävässä. Lisäksi CFS ja PAC taajuusparit olivat erilaisia hyvin suoriutuvien koehenkilöiden sekä heikosti suoriutuvien koehenkilöiden välillä. Neljännessä tutkimuksessa tutkittiin havaitaanko CFS:ä ja PAC:a aivojen lepotilassa. Aivokuoren aktiivisuutta mitattiin MEG:llä sekä epilepsiapotilailta aivoihin kirurgisesti asetetuilla elektrodeilla. CFS:ä sekä PAC:a havaittiin kummallakin menetelmällä. Lisäksi kehitimme menetelmän joka vähentää väärien havaintojen todennäköisyyttä ja lisää aitojen CFS ja PAC yhteyksien havaitsemista. Tulokset osoittavat, että merkittävä osuus yhteyksistä aivoalueiden välillä on aitoja. CFS- ja PAC-profiilit erosivat toisistaan, mutta olivat samanlaisia eri menetelmillä tutkittaessa. Yhdistettynä tulokset tutkimuksista II–IV viittaavat siihen, että CFS ja PAC yhdistävät eri taajuuksille ja aivoalueille hajautettua informaation käsittelyä. CFS:sää ja PAC:ia havaittiin aivojen lepotilassa mutta myös tarkkaavaisuus- ja näkötyömuistitehtävän aikana. CFS ja PAC saattavat mahdollistaa eri taajuisten aivorytmien ja hajautettujen prosessien koordinaation ja yhdistämisen

Functional Connectivity Changes Across the Spectrum of Subjective Cognitive Decline, Amnestic Mild Cognitive Impairment and Alzheimer’s Disease

The abnormality occurs at molecular, cellular as well as network levels in patients with Alzheimer’s disease (AD) prior to diagnosis. Most previous connectivity studies were conducted at 1 out of 3 (local, meso and global) scales in subjects covering only part of the entire AD spectrum (subjective cognitive decline, SCD; amnestic mild cognitive impairment, aMCI; and then fully manifest AD). Data interpretation within the framework of disease progression is therefore difficult. The current study included 3 age- and sex-matched cohorts: SCD (n = 32), aMCI (n = 37) and fully-established AD (n = 30). A group of healthy elderly subjects (n = 40) were included as a normal control (NC). Network connectivity was examined at the local (degree centrality), meso [subgraph centrality (SC)], and global (eigenvector and page-rank centralities) levels. As compared to NC, SCD subjects had isolated decrease of SC in primary (somatomotor and visual) networks. aMCI subjects had decreased centralities at all three scales in associative (frontoparietal control, dorsal attention, limbic and default) networks. AD subjects had increased centrality at the global scale in all seven networks. There was a positive association between Montreal Cognitive Assessment (MoCA) scores and DC in the frontoparietal control network in SCD, a negative relationship between Mini-Mental State Examination (MMSE) scores and EC in the somatomotor network in AD. These findings suggest that the primary network is impaired as early as in SCD. Impairment in the associative network also starts at the local level at this stage and may contribute to the cognitive decline. As associative network impairment extends from local to meso and global scales in aMCI, compensatory mechanisms in the primary network are activated