EFFECTS OF NEUROMODULATION ON NEUROVASCULAR COUPLING

The communication between neurons within neural circuits relies on neurotransmitters (glutamate, γ-aminobutyric acid (GABA)) and neuromodulators (acetylcholine, dopamine, serotonin, etc.). However, despite sharing similar molecular elements, neurotransmitters and neuromodulators are distinct classes of molecules and mediate different aspects of neural activity and metabolism. Neurotransmitters on one hand are responsible for synaptic signal transmission (classical transmission) while neuromodulators exert their functions by mediating different postsynaptic events that result in changes to the balance between excitation and inhibition. Neuromodulation, while essential to nervous system function, has been significantly more difficult to study than neurotransmission. This is principally due to the fact that effects elicited by neuromodulators are usually of slow onset, long lasting, and are not simply excitation or inhibition. In contrast to the effects of neurotransmitters, neuromodulators enable neurons to be more flexible in their ability to encode different sorts of information (e.g. sensory information) on a variety of time scales. However, it is important to appreciate that one of the challenges in the study of neuromodulation is to understand the extent to which neuromodulators’ actions are coordinated at all levels of brain function. That is, from the cellular and metabolic level to network and cognitive control. Therefore, understanding the molecules that mediate brain networks interactions is essential to understanding the brain dynamic, and also helps to put the cellular and molecular processes in perspective. Functional magnetic resonance imaging (fMRI) is a technique that allows access to various cellular and metabolic aspects of network communication that are difficult to access when studying one neuron at the time. Its non-invasiveness nature allows the comparison of data and hypotheses of the primate brain to that of the human brain. Hence, understanding the effects of neuromodulation on local microcircuits is needed. Furthermore, given the massive projections of the neuromodulatory diffuse ascending systems, fMRI combined with pharmacological and neurophysiological methods may provide true insight into their organization and dynamics. However, little is known about how to interpret the effects of neuromodulation in fMRI and neurophysiological data, for instance, how to disentangle blood oxygenation level dependent (BOLD) signal changes relating to cognitive changes (presumably neuromodulatory influences) from stimulus-driven or perceptual effects. The purpose of this dissertation is to understand the causal relationship between neural activity and hemodynamic responses under the influence of neuromodulation. To this end we present the results of six studies. In the first study, we aimed to establish a mass-spectrometry-based technique to uncover the distribution of different metabolites, neurotransmitters and neuromodulators in the macaque brain. We simultaneously measured the concentrations of these biomolecules in brain and in blood. In a second study, we developed a multimodal approach consisting of fMRI (BOLD and cerebral blood flow or CBF), electrophysiological recording with a laminar probe and pharmacology to assess the effects of neuromodulation on neurovascular coupling. We developed a pharmacological injection delivery system using pressure-operated pumps to reliably apply drugs either systemically or intracortically in the NMR scanner. In our third study, we systemically injected lactate and pyruvate to explore whether the plasma concentration of either of these metabolites affects the BOLD responses. This is important given that both metabolites are in a metabolic equilibrium; if this equilibrium is disrupted, changes in the NAD and NADH concentrations would elicit changes in the CBF. In a fourth study, we explored the influence of dopaminergic (DAergic) neuromodulation in the BOLD, CBF and neurophysiological activity. Here we found that DAergic neuromodulation dissociated the BOLD responses from the underlying neural activity. Interestingly, the changes in the neural activity were tightly coupled to the effects seen in the CBF responses. In a subsequent study, we explored whether the effects of dopamine (DA) on the electrophysiological responses are cortical layer dependent and whether specific patterns of neural activity can be used to infer the effects of neuromodulation on the neural activity. This is important, given that different types of neural activity provide independent information about the amplitude and dynamics from BOLD responses, and studies have shown that these bands originate from different cortical layers. What this study revealed, is that local field potentials (LFPs) in the midrange frequencies can indeed provide indications about the sustained effects of neuromodulation on cortical sensory processing. Given the results from the previous study, in our sixth study, we aimed at understanding how different cortical layers may process incoming and outgoing information in the different LFP bands. These findings provide evidence that neuromodulation has profound effects on neurovascular coupling. By changing the excitation-inhibition balance of neural circuits, neuromodulators not only mediate the neural activity, but also adjust the metabolic demands. Therefore, understanding how the different types of neuromodulators affect the BOLD response is essential for an effective interpretation of fMRI-data, not only in tasks involving attentional and reward-related processes, but also for future diagnostic use of fMRI, since many psychiatric disorders are the result of alterations in neuromodulatory systems.Die Kommunikation zwischen den Neuronen innerhalb neuronalen Schaltkreise beruht auf Neurotransmitter (Glutamat, γ-Aminobuttersäure (GABA)) und Neuromodulatoren (Acetylcholin, Dopamin, Serotonin, etc.). Neurotransmitter und Neuromodulatoren sind jedoch unterschiedliche Klassen von Molekülen und verschiedenen Aspekte der neuronalen Aktivität und den Stoffwechsel vermitteln. Neurotransmitters sind einerseits verantwortlich für die synaptische Signalübertragung (klassische Übertragung), während ihre Funktionen ausüben, Neuromodulatoren durch verschiedene postsynaptischen Ereignisse zu vermitteln, die in Änderungen an der Balance zwischen Erregung und Hemmung führen. Neuromodulation , während wesentlich Funktion des Nervensystems hat sich als Neurotransmission wesentlich schwieriger gewesen, zu studieren. Dies ist hauptsächlich auf die Tatsache zurückzuführen, die durch Neuromodulatoren sind in der Regel von langsamen Beginn, langlebig, und sind nicht einfach Anregung oder Hemmung ausgelöst beeinflusst. Im Gegensatz zu den Wirkungen von Neurotransmittern, Neuromodulatoren ermöglichen Neuronen flexibler zu sein in ihrer Fähigkeit, verschiedene Arten von Informationen (beispielsweise sensorische Informationen) auf einer Vielzahl von Zeitskalen zu kodieren. Im Gegensatz zu den Wirkungen von Neurotransmittern, Neuromodulatoren ermöglichen Neuronen flexibler zu sein in ihrer Fähigkeit, verschiedene Arten von Informationen (beispielsweise sensorische Informationen) auf einer Vielzahl von Zeitskalen zu kodieren. Im Gegensatz zu den Wirkungen von Neurotransmittern, Neuromodulatoren ermöglichen Neuronen flexibler zu sein in ihrer Fähigkeit, verschiedene Arten von Informationen (beispielsweise sensorische Informationen) auf einer Vielzahl von Zeitskalen zu kodieren. Jedoch ist es wichtig, dass eine der Herausforderungen bei der Untersuchung von Neuromodulations zu schätzen ist, das Ausmaß, in dem Neuromodulatoren Aktionen koordiniert sind auf allen Ebenen der Gehirnfunktion zu verstehen. Das heißt, von der zellulären und metabolischen Ebene zu vernetzen und kognitive Kontrolle. Daher die Moleküle zu verstehen, die Gehirn Netzwerke Interaktionen vermitteln ist wesentlich für das Verständnis des Gehirns dynamisch, und hilft auch, die zellulären und molekularen Prozesse in Perspektive zu setzen. Funktionellen Kernspintomographie (fMRI) ist eine Technik, die Zugang zu verschiedenen zellulären und metabolischen Aspekte der Netzwerk-Kommunikation ermöglicht, die schwer zugänglich sind, wenn zu der Zeit eines Neurons zu studieren. Seine nicht-Invasivität Natur ermöglicht den Vergleich von Daten und Hypothesen des Primatengehirn zu der des menschlichen Gehirns. Somit wurde das Verständnis der Auswirkungen der Neuromodulation auf lokale Mikro benötigt. Darüber hinaus sind die massiven Projektionen der neuromodulatorischen diffuse Aufstiegsanlagen gegeben, kombiniert fMRI mit pharmakologischen und neurophysiologischen Methoden wahren Einblick in ihre Organisation und Dynamik liefern. Allerdings ist nur wenig darüber bekannt, wie die Auswirkungen der Neuromodulations in fMRI und neurophysiologische Daten zu interpretieren, zum Beispiel, wie Blutoxydation pegelabhängig (BOLD) Signaländerungen in Bezug auf kognitive Veränderungen (vermutlich neuromodulatorischen Einflüsse) von Stimulus-driven oder Wahrnehmungseffekte zu entwirren. Der Zweck dieser Arbeit ist es, die kausale Beziehung zwischen neuronaler Aktivität und hämodynamischen Reaktionen unter dem Einfluss der Neuromodulations zu verstehen. Zu diesem Zweck stellen wir die Ergebnisse von sechs Studien. In der ersten Studie wollten wir eine auf Massenspektrometrie basierende Technik einzurichten, um die Verteilung von verschiedenen Metaboliten, Neurotransmittern und Neuromodulatoren in Makakengehirn aufzudeckenWir maßen gleichzeitig die Konzentrationen dieser Biomoleküle im Gehirn und im Blut. In einer zweiten Studie entwickelten wir einen multimodalen Ansatz, bestehend aus fMRI (BOLD und zerebralen Blutflusses oder CBF), elektrophysiologische Aufzeichnung mit einer laminaren Sonde und Pharmakologie, die Auswirkungen der Neuromodulation auf neurovaskulären Kopplung zu beurteilen. Wir entwickelten eine pharmakologische Injektionsverabreichungssystem druckbetriebenen Pumpen mit zuverlässiger Medikamente gelten entweder systemisch oder intrakortikale im NMR-Scanner. In unserer dritten Studie injizierten wir systemisch Laktat und Pyruvat zu untersuchen, ob die Plasmakonzentration von entweder dieser Metaboliten die BOLD-Antworten beeinflusst. Dies ist wichtig, dass beide gegeben Metaboliten in einem Stoffwechselgleichgewicht sind; wenn dieses Gleichgewicht gestört ist, Veränderungen in den NAD und NADH-Konzentrationen würden Veränderungen in der CBF entlocken. In einer vierten Studie untersuchten wir den Einfluss von dopaminergen (DA-erge) -Neuromodulation im BOLD, CBF und neurophysiologische Aktivität. Hier fanden wir, dass DAerge -Neuromodulation die BOLD-Antworten von der zugrunde liegenden neuronalen Aktivität distanzierte. Interessanterweise waren verbunden, um die Veränderungen in der neuronalen Aktivität eng auf die in den CBF Reaktionen gesehen Wirkungen. In einer nachfolgenden Studie untersuchten wir, ob die Wirkungen von Dopamin (DA) auf die elektrophysiologischen Reaktionen sind Rindenschicht abhängig, und ob bestimmte Muster der neuronalen Aktivität verwendet werden kann, die Wirkungen von Neuromodulations auf die neurale Aktivität zu schließen. Dies ist wichtig, da verschiedene Arten von neuralen Aktivität liefern unabhängige Informationen über die Amplitude und die Dynamik von BOLD-Antworten, und Studien haben gezeigt, dass diese Bands aus verschiedenen kortikalen Schichten stammen. Was diese Studie ergab, dass lokale Feldpotentiale (LFP) in den mittleren Frequenzen in der Tat Hinweise über die nachhaltige Wirkung der Neuromodulation auf die kortikale sensorische Verarbeitung zur Verfügung stellen kann. In Anbetracht der Ergebnisse der früheren Studie, in unserer sechsten Studie wollten wir auf das Verständnis, wie die verschiedenen kortikalen Schichten verarbeiten kann ein- und ausgehenden Informationen in den verschiedenen LFP-Bands. Diese Ergebnisse belegen, dass -Neuromodulation profunde Auswirkungen auf die neurovaskulären Kopplung hat. Durch die Veränderung der Erregungs Hemmung Gleichgewicht neuronaler Schaltkreise vermitteln Neuromodulatoren nicht nur die neurale Aktivität, sondern auch die metabolischen Anforderungen anzupassen. Daher verstehen, wie die verschiedenen Arten von Neuromodulatoren beeinflussen die BOLD-Antwort für eine effektive Interpretation von fMRI-Daten notwendig ist, nicht nur in Aufgaben attentional und Belohnung bezogenen Prozessen mit, sondern auch für zukünftige diagnostische Verwendung von fMRI, da viele psychiatrische Störungen sind das Ergebnis von Veränderungen in neuromodulatorischen Systemen.La comunicación de las neuronas en los circuitos neuronales depende de los neurotransmisores (glutamato, acido γ-amino-butírico o GABA) y los neuromoduladores (acetilcolina, dopamina, serotonina, etc.). Sin embargo, tanto neurotransmisores como neuromoduladores son diferentes clases de moléculas y median diferentes aspectos de la actividad neuronal y del metabolismo, a pesar de compartir elementos moleculares muy similares. Los neurotransmisores, por una lado, son responsables de la transmisión sináptica de la información mientras que los neuromoduladores median diferentes eventos pos-sinápticos que resultan en cambios en el balance de la excitación e inhibición. La influencia de la neuromodulación es esencial para la función del sistema nerviosos, sin embargo es más difícil de estudiar que neurotransmisión. Esto se debe a que los efectos de los neuromoduladores suelen ser de un inicio lento, de larga duración, y no reflejan excitación o inhibición. En contraste a los efectos de los neurotransmisores, los neuromoduladores permiten que las neuronas sean más flexibles en su habilidad de codificar diferentes tipos de información (por ejemplo, información sensorial) en varias escalas temporales. Sin embargo, es importante darse cuenta que uno de objetivos primordiales en el estudio de neuromodulación es el de entender el grado en que la acción de los neuromoduladores está coordinada a todos los niveles de la función cerebral. Es decir, desde los aspectos celulares y metabólicos hasta los niveles de redes neuronales y control cognitivo. Por lo tanto, comprender los forma en la que diferentes moléculas median la interacción entre redes neuronal es esencial para el entendimiento de la dinámica cerebral, y también nos ayudara a comprender los procesos celulares y moleculares asociados a la percepción. La resonancia magnética funcional (fMRI, por sus siglas en inglés) es una técnica que permite acceder a varios aspectos celulares y metabólicos de la comunicación entre redes neuronales que suele ser de difícil acceso. Al mismo tiempo y debido que la fMRI es de naturaleza no invasiva, también permite comparar resultados e hipótesis entre humanos y primates. Por lo tanto, entender los efectos de la neuromodulación en la actividad de los circuitos neuronales es de alta relevancia. Dado que las proyecciones anatómicas de los sistemas de neuromoduladores, el uso de fMRI en combinación con farmacología y neurofisiología puede incrementar nuestro conocimiento sobre la estructura y dinámica de los sistemas de neuromoduladores. Sin embargo, poco se sabe sobre cómo interpretar los efectos de neuromodulation usando fMRI y neurofisiología, por ejemplo, como diferenciar los cambios en la señal BOLD que están relacionados a diferentes estados cognitivos (presumiblemente reflejando la influencia de neuromodulation). El propósito de esta disertación es la de comprender la relación causal que existe entre la actividad neural y la respuesta hemodinámica bajo la influencia de neuromodulación. Para tal fin presentamos los resultados de seis estudios que fueron producto de esta disertacion. En el primer estudio, desarrollamos una técnica basada en espectrometría de masa para detectar y medir la concentración de diferente metabolitos, neurotransmisores y neuromoduladores en el cerebro de primates. Dicha cuantificación se desarrollo simultáneamente tanto in sangre y cerebro. En un segundo estudio, utilizamos varias técnicas de fMRI (BOLD y flujo cerebral sanguíneo, CBF por sus siglas en ingles), registros electrofisiológicos con electrodos laminares y farmacología para acceder a los efectos de neuromodulation en el acople neurovascular. Para este fin, desarrollamos un sistema de inyecciones, basada en cambios de presión, para aplicar substancias sistémicamente o intracorticalmente dentro de un escáner de resonancia magnética. En nuestro tercer estudio, comparamos los efectos de lactato y piruvato para explorar como el desequilibrio metabólico de estas dos substancias afecta la respuesta BOLD. Esto es de gran importancia ya que ambas substancias metabólicas usualmente están en equilibrio. Sin embargo, cuando dicho equilibrio es interrumpido, los procesos metabólicos que acontecen en la mitocondria afectan las concentraciones de NAD y NADH causado cambios en el CBF. En un cuarto estudio, exploramos los efectos de las modulación dopaminergica (DAergic) en las señales BOLD, CBF y en la actividad neuronal. Encontramos que la modulación DAergic disocia las respuesta BOLD de la respuesta neuronal. Interesalmente, los cambios que observamos en la actividad de las neuronas estaba altamente acoplados a los efectos que observamos en la señal de CBF. En un estudio subsecuente, exploramos si los efectos de dopamina en la actividad neuronal es diferentes en las distintas capas de la corteza cerebral. Al mismo tiempo y ya que los neuromoduladores afectan la actividad de circuitos neuronales, exploramos si dichos efectos pueden usados como marcadores de la influencia de la neuromodulación . Esto es importante, ya que diferentes tipos de actividad neuronal brinda información sobre la amplitud y dinámica de la repuesta BOLD, y estudies han demostrado que estas bandas se originan de diferentes capas cortical. Este estudio revelo, que los potenciales de capo (LFPs, por sus siglas en ingles) en frecuencias intermedias puede ser indicativos sobre los efectos de neuromodulation en el procesamiento cortical. Dado los resultados en el estudio previo, en un sexto estudio, nos enfocamos a entender que tan diferentes las capas de la corteza procesan información entrante y saliente en diferentes frecuencias de los LFPs. Estos descubrimientos demuestran que los efectos de los neuromoduladores tiene una fuerte influencia en el acople neurovascular. Los neuromoduladores cambian el balance de excitación e inhibición de los circuitos neuronal, pero también median las demandas metabólicas. De esta manera, entender cómo interpretar los efectos de los neuromoduladores en la respuesta BOLD es esencial para una interpretación veraz y efectiva de los datos generados con fMRI. Estos resultados, no solo nos permiten comprender los procesos que están relacionados a la atención o de varios procesos cognitivos, sino que a su vez, nos permite comprender la señal de fMRI para su futuro uso en la medicina diagnostica, ya que muchas enfermedades psiquiátricas están asociadas a trastornos en el sistemas neuromoduladores

Intraoperative Guidance for Pediatric Brain Surgery based on Optical Techniques

For most of the patients with brain tumors and/or epilepsy, surgical resection of brain lesions, when applicable, remains one of the optimal treatment options. The success of the surgery hinges on accurate demarcation of neoplastic and epileptogenic brain tissue. The primary goal of this PhD dissertation is to demonstrate the feasibility of using various optical techniques in conjunction with sophisticated signal processing algorithms to differentiate brain tumor and epileptogenic cortex from normal brain tissue intraoperatively. In this dissertation, a new tissue differentiation algorithm was developed to detect brain tumors in vivo using a probe-based diffuse reflectance spectroscopy system. The system as well as the algorithm were validated experimentally on 20 pediatric patients undergoing brain tumor surgery at Nicklaus Children’s Hospital. Based on the three indicative parameters, which reflect hemodynamic and structural characteristics, the new algorithm was able to differentiate brain tumors from the normal brain with a very high accuracy. The main drawbacks of the probe-based system were its high susceptibility to artifacts induced by hand motion and its interference to the surgical procedure. Therefore, a new optical measurement scheme and its companion spectral interpretation algorithm were devised. The new measurement scheme was evaluated both theoretically with Monte Carlo simulation and experimentally using optical phantoms, which confirms the system is capable of consistently acquiring total diffuse reflectance spectra and accurately converting them to the ratio of reduced scattering coefficient to absorption coefficient (µs’(λ)/µa(λ)). The spectral interpretation algorithm for µs’(λ)/µa(λ) was also validated based on Monte Carlo simulation. In addition, it has been demonstrated that the new measurement scheme and the spectral interpretation algorithm together are capable of detecting significant hemodynamic and scattering variations from the Wistar rats’ somatosensory cortex under forepaw stimulation. Finally, the feasibility of using dynamic intrinsic optical imaging to distinguish epileptogenic and normal cortex was validated in an in vivo study involving 11 pediatric patients with intractable epilepsy. Novel data analysis methods were devised and applied to the data from the study; identification of the epileptogenic cortex was achieved with a high accuracy

Visualization and manipulation of repair and regeneration in biological systems using light

Tissue repair after an injury is a fundamental process in biomedicine. It can involve regeneration, which uses new growth to restore tissue function. The interest in repair and regeneration is motivated by the desire to treat injuries and diseases and has attracted researchers for centuries. In the last decades, it evolved in the field of regenerative medicine, which has the ultimate goal of providing strategies for regenerating human cells, tissues, or even organs, for instance, via engineering principles. Already since the first experiments on regeneration by Abraham Trembley, novel findings in biomedicine, repair, and regeneration have been enabled or accompanied by research in optics, for example, on the development of novel microscopy techniques. Nowadays, novel optical techniques are advancing, which allow to understand the role of single cells in tissue repair processes. Moreover, repair processes within cells can be visualized and manipulated. Ultimately, optics can provide enabling techniques for regenerative therapies. This habilitation thesis aims to present several of these advances. On a single cell level, femtosecond laser nanosurgery was used to target specific intracellular structures during concurrent imaging in vitro. The relation of femtosecond laser nanosurgery to the cell state and cellular staining was investigated. Manipulation of single Z-discs in cardiomyocytes using a femtosecond oscillator laser system was accomplished, which allows to better elucidate the role of a single Z-disc in cardiomyocyte function. In particular, measurements on cell survival, (calcium-) homeostasis, and morphology yielded only minor deviations from control cells after single Z-disc ablation. A reduction in force generation was elucidated via traction force microscopy and gene expression level changes, for instance, an upregulation of -actinin were examined. Additionally, light-based systems to influence single cells in their alignment or to trigger single cells, for example, to activate other cells via optogenetics were applied. On the tissue scale, imaging via confocal microscopy or multiphoton microscopy has been applied for various contexts of regenerative approaches. Furthermore, a fiber-based imaging approach, which could later be used for longitudinal imaging in vivo and builds upon a fluorescence microscope system and an imaging fiber bundle in combination with reconstruction via a neural network, was developed. As another imaging strategy, an abdominal imaging window served to image the mouse liver in vivo via multiphoton microscopy in successive imaging sessions. Manipulation in tissue was applied in colonoids, which resemble the structure of the colon on an in vitro scale, and revealed different cell dynamics dependent on the location of the damage. In particular, activation of the Wnt signaling pathway after crypt damage was observed. Cell ablation via a femtosecond laser amplifier system during concurrent two-photon microscopy was also established during in vivo liver imaging to study micro-regenerative processes. Furthermore, laser-based delivery processes with novel materials or in the context of genome editing using CRISPR/Cas9 technology were investigated as enabling technologies for regenerative medicine. In conclusion, this thesis addresses the question of how optics can help to illuminate future directions in research on tissue repair and regeneration, as well as, regenerative therapies by addressing (longitudinal) imaging in a complex environment, sophisticated cell-manipulation strategies, and the application of novel materials for laser-based delivery

Frontiers in psychodynamic neuroscience

he term psychodynamics was introduced in 1874 by Ernst von Brücke, the renowned German physiologist and Freud’s research supervisor at the University of Vienna. Together with Helmholtz and others, Brücke proposed that all living organisms are energy systems, regulated by the same thermodynamic laws. Since Freud was a student of Brücke and a deep admirer of Helmholtz, he adopted this view, thus laying the foundations for his metapsychology. The discovery of the Default Network and the birth of Neuropsychoanalysis, twenty years ago, facilitated a deep return to this classical conception of the brain as an energy system, and therefore a return to Freud's early ambition to establish psychology as natural science. Our current investigations of neural networks and applications of the Free Energy Principle are equally ‘psychodynamic’ in Brücke’s original sense of the term. Some branches of contemporary neuroscience still eschew subjective data and therefore exclude the brain’s most remarkable property – its selfhood – from the field, and many neuroscientists remain skeptical about psychoanalytic methods, theories, and concepts. Likewise, some psychoanalysts continue to reject any consideration of the structure and functions of the brain from their conceptualization of the mind in health and disease. Both cases seem to perpetuate a Cartesian attitude in which the mind is linked to the brain in some equivocal relationship and an attitude that detaches the brain from the body -- rather than considering it an integral part of the complex and dynamic living organism as a whole. Evidence from psychodynamic neuroscience suggests that Freudian constructs can now be realized neurobiologically. For example, Freud’s notion of primary and secondary processes is consistent with the hierarchical organization of self-organized cortical and subcortical systems, and his description of the ego is consistent with the functions of the Default Network and its reciprocal exchanges with subordinate brain systems. Moreover, thanks to new methods of measuring brain entropy, we can now operationalize the primary and secondary processes and therefore test predictions arising from these Freudian constructs. All of this makes it possible to deepen the dialogue between neuroscience and psychoanalysis, in ways and to a degree that was unimaginable in Freud's time, and even compared to twenty years ago. Many psychoanalytical hypotheses are now well integrated with contemporary neuroscience. Other Freudian and post-Freudian hypotheses about the structure and function of the mind seem ripe for the detailed and sophisticated development that modern psychodynamic neuroscience can offer. This Research Topic aims to provide comprehensive coverage of the latest advances in psychodynamic neuroscience and neuropsychoanalysis. Potential authors are invited to submit papers (original research, case reports, review articles, commentaries) that deploy, review, compare or develop the methods and theories of psychodynamic neuroscience and neuropsychoanalysis. Potential authors include researchers, psychoanalysts, and neuroscientists

Optical Cerebral Blood Flow Monitoring of Mice to Men

This thesis describes cerebral hemodynamic monitoring with the optical techniques of diffuse optical spectroscopy (DOS) and diffuse correlation spectroscopy (DCS). DOS and DCS both employ near-infrared light to investigate tissue physiology millimeters to centimeters below the tissue surface. DOS is a static technique that analyzes multispectral tissue-scattered light intensity signals with a photon diffusion approach (Chapter 2) or a Modified Beer-Lambert law approach (Chapter 3) to derive tissue oxy- and deoxy-hemoglobin concentrations, which are in turn used to compute tissue oxygen saturation and blood volume (Section 2.13). DCS is a qualitatively different dynamic technique that analyzes rapid temporal fluctuations in tissue-scattered light with a correlation diffusion approach to derive tissue blood flow (Chapter 4). Further, in combination these measurements of blood flow and blood oxygenation provide access to tissue oxygen metabolism (Section 7.6). The new contributions of my thesis to the diffuse optics field are a novel analysis technique for the DCS signal (Chapter 5), and a novel approach for separating cerebral hemodynamic signals from extra-cerebral artifacts (Chapter 6). The DCS analysis technique extends the Modified Beer-Lambert approach for DOS to the DCS measurement. This new technique has some useful advantages compared to the correlation diffusion approach. It facilitates real-time flow monitoring in complex tissue geometries, provides a novel route for increasing DCS measurement speed, and can be used to probe tissues wherein light transport is non-diffusive (Chapter 5). It also can be used to filter signals from superficial tissues. For separation of cerebral hemodynamic signals from extra-cerebral artifacts, the Modified Beer-Lambert approach is employed in a pressure modulation scheme, which determines subject-specific contributions of extra-cerebral and cerebral tissues to the DCS/DOS signals by utilizing probe pressure modulation to induce variations in extra-cerebral hemodynamics while cerebral hemodynamics remain constant (Chapter 6). In another novel contribution, I used optical techniques to characterize neurovascular coupling at several levels of cerebral ischemia in a rat model (Chapter 7). Neurovascular coupling refers to the relationship between increased blood flow and oxygen metabolism and increased neuronal activity in the brain. In the rat, localized neuronal activity was increased from functional forepaw stimulation. Under normal flow levels, I (and others) observed that the increase in cerebral blood flow (surrogate for oxygen delivery) from forepaw stimulation exceeded the increase in cerebral oxygen metabolism by about a factor of 2. My measurements indicate that this mismatch between oxygen delivery and consumption are more balanced during ischemia (Chapter 7). In Chapters 2 and 3, I review the underlying theory for the photon diffusion model and the Modified Beer-Lambert law for DOS analysis. I also review the correlation diffusion approach for analyzing DCS signals in Chapter 4. My hope is that readers new to the field will find these background chapters helpful

Quantitative functional MRI of the Cerebrovascular Reactivity to CO2

Le dioxyde de carbone (CO2) est un résidu naturel du métabolisme cellulaire, la troisième substance la plus abondante du sang, et un important agent vasoactif. À la moindre variation de la teneur en CO2 du sang, la résistance du système vasculaire cérébral et la perfusion tissulaire cérébrale subissent des changements globaux. Bien que les mécanismes exacts qui sous-tendent cet effet restent à être élucidés, le phénomène a été largement exploité dans les études de réactivité vasculaire cérébrale (RVC). Une voie prometteuse pour l’évaluation de la fonction vasculaire cérébrale est la cartographie de la RVC de manière non-invasive grâce à l’utilisation de l’Imagerie par Résonance Magnétique fonctionnelle (IRMf). Des mesures quantitatives et non-invasives de de la RVC peuvent être obtenus avec l’utilisation de différentes techniques telles que la manipu- lation du contenu artériel en CO2 (PaCO2) combinée à la technique de marquage de spin artériel (Arterial Spin Labeling, ASL), qui permet de mesurer les changements de la perfusion cérébrale provoqués par les stimuli vasculaires. Toutefois, les préoccupations liées à la sensibilité et la fiabilité des mesures de la RVC limitent de nos jours l’adoption plus large de ces méthodes modernes de IRMf. J’ai considéré qu’une analyse approfondie ainsi que l’amélioration des méthodes disponibles pourraient apporter une contribution précieuse dans le domaine du génie biomédical, de même qu’aider à faire progresser le développement de nouveaux outils d’imagerie de diagnostique. Dans cette thèse je présente une série d’études où j’examine l’impact des méthodes alternatives de stimulation/imagerie vasculaire sur les mesures de la RVC et les moyens d’améliorer la sensibilité et la fiabilité de telles méthodes. J’ai aussi inclus dans cette thèse un manuscrit théorique où j’examine la possible contribution d’un facteur méconnu dans le phénomène de la RVC : les variations de la pression osmotique du sang induites par les produits de la dissolution du CO2. Outre l’introduction générale (Chapitre 1) et les conclusions (Chapitre 6), cette thèse comporte 4 autres chapitres, au long des quels cinq différentes études sont présentées sous forme d’articles scientifiques qui ont été acceptés à des fins de publication dans différentes revues scientifiques. Chaque chapitre débute par sa propre introduction, qui consiste en une description plus détaillée du contexte motivant le(s) manuscrit(s) associé(s) et un bref résumé des résultats transmis. Un compte rendu détaillé des méthodes et des résultats peut être trouvé dans le(s) dit(s) manuscrit(s). Dans l’étude qui compose le Chapitre 2, je compare la sensibilité des deux techniques ASL de pointe et je démontre que la dernière implémentation de l’ASL continue, la pCASL, offre des mesures plus robustes de la RVC en comparaison à d’autres méthodes pulsés plus âgées. Dans le Chapitre 3, je compare les mesures de la RVC obtenues par pCASL avec l’utilisation de quatre méthodes respiratoires différentes pour manipuler le CO2 artérielle (PaCO2) et je démontre que les résultats peuvent varier de manière significative lorsque les manipulations ne sont pas conçues pour fonctionner dans l’intervalle linéaire de la courbe dose-réponse du CO2. Le Chapitre 4 comprend deux études complémentaires visant à déterminer le niveau de reproductibilité qui peut être obtenu en utilisant des méthodes plus récentes pour la mesure de la RVC. La première étude a abouti à la mise au point technique d’un appareil qui permet des manipulations respiratoires du CO2 de manière simple, sécuritaire et robuste. La méthode respiratoire améliorée a été utilisée dans la seconde étude – de neuro-imagerie – où la sensibilité et la reproductibilité de la RVC, mesurée par pCASL, ont été examinées. La technique d’imagerie pCASL a pu détecter des réponses de perfusion induites par la variation du CO2 dans environ 90% du cortex cérébral humain et la reproductibilité de ces mesures était comparable à celle d’autres mesures hémodynamiques déjà adoptées dans la pratique clinique. Enfin, dans le Chapitre 5, je présente un modèle mathématique qui décrit la RVC en termes de changements du PaCO2 liés à l’osmolarité du sang. Les réponses prédites par ce modèle correspondent étroitement aux changements hémodynamiques mesurés avec pCASL ; suggérant une contribution supplémentaire à la réactivité du système vasculaire cérébral en lien avec le CO2.Carbon dioxide (CO2) is a natural byproduct of cellular metabolism, the third most abundant substance of blood, and a potent vasoactive agent. The resistance of cerebral vasculature and perfusion of the brain tissue respond to the slightest change in blood CO2 content. The physiology of such an effect remains elusive, yet the phenomenon has been widely exploited in studies of the cerebral vascular function. A promising avenue for the assessment of brain’s vascular function is to measure the cerebrovascular reactivity to CO2 (CVR) non-invasively using functional MRI. Quantitative and non-invasive mapping of CVR can be obtained using respiratory manipulations in arterial CO2 and Arterial Spin Labeling (ASL) to measure the perfusion changes associated with the vascular stimulus. However, concerns related to the sensitivity and reliability of CVR mea- sures by ASL still limit their broader adoption. I considered that a thorough analysis and amelioration of available methods could bring a valuable contribution in the domain of biomedical engineering, helping to advance new diagnostic imaging tools. In this thesis I present a series of studies where I exam the impact of alternative manipulation/ASL methods on CVR measures, and ways to improve the sensitivity and reliability of these measures. I have also included in this thesis a theoretical paper, where I exam the possible contribution of an unappreciated factor in the CVR phenomenon: the changes in blood osmotic pressure induced by the products of CO2 dissolution. Apart from a general introduction (Chapter 1) and conclusion (Chapter 6), this thesis comprises 4 other chapters, in which five different research studies are presented in the form of articles accepted for publication in scientific journals. Each of these chapters begins with its own specific introduction, which consists of a description of the background motivating the study and a brief summary of conveyed findings. A detailed account of methods and results can be found in the accompanying manuscript(s). The study composing Chapter 2 compares the sensitivity of two state-of-the-art ASL techniques and show that a recent implementation of continuous ASL, pCASL, affords more robust measures of CVR than older pulsed methods. The study described in Chapter 3 compares pCASL CVR measures obtained using 4 different respiratory methods to manipulate arterial CO2 (PaCO2) and shows that results can differ significantly when manipulations are not designed to operate at the linear range of the CO2 dose-response curve. Chapter 4 encompasses two complementary studies seeking to determine the degree of reproducibility that can be attained measuring CVR using the most recent methods. The first study resulted in the technical development of a breathing apparatus allowing simple, safe and robust respiratory CO2 manipulations. The improved respiratory method was used in the second – neuroimaging – study, in which I and co-authors investigate the sensitivity and reproducibility of pCASL measuring CVR. The pCASL imaging technique was able to detect CO2-induced perfusion responses in about 90% of the human brain cortex and the reproducibility of its measures was comparable to other hemodynamic measures already adopted in the clinical practice. Finally, in Chapter 5 I present a mathematical model that describes CVR in terms of PaCO2-related changes in blood osmolarity. The responses predicted by this model correspond closely to the hemodynamic changes measured with pCASL, suggesting an additional contribution to the reactivity of cerebral vasculature to CO2

Applications of realtime fMRI for non-invasive brain computer interface-decoding and neurofeedback

Non-invasive brain-computer interfaces (BCIs) seek to enable or restore brain function by using neuroimaging e.g. functional magnetic resonance imaging (fMRI), to engage brain activations without the need for explicit behavioural output or surgical implants. Brain activations are converted into output signals, for use in communication interfaces, motor prosthetics, or to directly shape brain function via a feedback loop. The aim of this thesis was to develop cognitive BCIs using realtime fMRI (rt-fMRI), with the potential for use as a communication interface, or for initiating neural plasticity to facilitate neurorehabilitation. Rt-fMRI enables brain activation to be manipulated directly to produce changes in function, such as perception. Univariate and multivariate classification approaches were used to decode brain activations produced by the deployment of covert spatial attention to simple visual stimuli. Primary and higher order visual areas were examined, as well as potential control regions. The classification platform was then developed to include the use of real-world visual stimuli, exploiting the use of category-specific visual areas, and demonstrating real-world applicability as a communications interface. Online univariate classification of spatial attention was successfully achieved, with individual classification accuracies for 4-quadrant spatial attention reaching 70%. Further, a novel implementation of m-sequences enabled the use of the timing of stimuli presentation to enhance signal characterisation. An established rt-fMRI analysis loop was then used for neurofeedback-led manipulation of category-specific visual brain regions, modulating their functioning, and, as a result, biasing visual perception during binocular rivalry. These changes were linked with functional and effective connectivity changes in trained regions, as well as in a putative top-down control region. The work presented provides proof-of-principle for non-invasive BCIs using rt-fMRI, with the potential for translation into the clinical environment. Decoding and 4 neurofeedback applied to non-invasive and implantable BCIs form an evolving continuum of options for enabling and restoring brain function

Towards multimodal driver state monitoring systems for highly automated driving

Real-time monitoring of drivers’ functional states will soon become a required safety feature for commercially available vehicles with automated driving capability. Automated driving technology aims to mitigate human error from road transport with the progressive automatisation of specific driving tasks. However, while control of the driving task remains shared between humans and automated systems, the inclusion of this new technology is not exempt from other human factors-related challenges. Drivers’ functional states are essentially a combination of psychological, emotional, and cognitive states, and they generate a constant activity footprint available for measurement through neural and peripheral physiology, among other measures. These factors can determine drivers’ functional states and, thus, drivers’ availability to safely perform control transitions between human and vehicle. This doctoral project aims at investigating the potential of electrocardiogram (ECG), electrodermal activity (EDA) and functional near-infrared spectroscopy (fNIRS) as measures for a multimodal driver state monitoring (DSM) system for highly automated driving (i.e., SAE levels 3 and 4). While current DSM systems relying on gaze behaviour measures have proven valid and effective, several limitations and challenges could only be overcome using eye-tracking in tandem with physiological parameters. This thesis investigates whether ECG, EDA and fNIRS would be good candidates for such a purpose. Two driving simulator studies were performed to measure mental workload, trust in automation, stress and perceived risk, all identified as modulators of drivers’ functional states and that could eventually determine drivers’ availability to take-over manual control. The main findings demonstrate that DSM systems should adopt multiple physiological measures to capture changes in functional states relevant for driver readiness. Future DSM systems will benefit from the knowledge generated by this research by applying machine learning methods to these measures for determining drivers’ availability for optimal take-over performance