Cerebrospinal Fluid Space Alterations in Melancholic Depression

Melancholic depression is a biologically homogeneous clinical entity in which structural brain alterations have been described. Interestingly, reports of structural alterations in melancholia include volume increases in Cerebro-Spinal Fluid (CSF) spaces. However, there are no previous reports of CSF volume alterations using automated whole-brain voxel-wise approaches, as tissue classification algorithms have been traditionally regarded as less reliable for CSF segmentation. Here we aimed to assess CSF volumetric alterations in melancholic depression and their clinical correlates by means of a novel segmentation algorithm (‘new segment’, as implemented in the software Statistical Parametric Mapping-SPM8), incorporating specific features that may improve CSF segmentation. A three-dimensional Magnetic Resonance Image (MRI) was obtained from seventy patients with melancholic depression and forty healthy control subjects. Although imaging data were pre-processed with the ‘new segment’ algorithm, in order to obtain a comparison with previous segmentation approaches, tissue segmentation was also performed with the ‘unified segmentation’ approach. Melancholic patients showed a CSF volume increase in the region of the left Sylvian fissure, and a CSF volume decrease in the subarachnoid spaces surrounding medial and lateral parietal cortices. Furthermore, CSF increases in the left Sylvian fissure were negatively correlated with the reduction percentage of depressive symptoms at discharge. None of these results were replicated with the ‘unified segmentation’ approach. By contrast, between-group differences in the left Sylvian fissure were replicated with a non-automated quantification of the CSF content of this region. Left Sylvian fissure alterations reported here are in agreement with previous findings from non-automated CSF assessments, and also with other reports of gray and white matter insular alterations in depressive samples using automated approaches. The reliable characterization of CSF alterations may help in the comprehensive characterization of brain structural abnormalities in psychiatric samples and in the development of etiopathogenic hypotheses relating to the disorders

Evaluating Spatial Normalization Methods for the Human Brain

Cortical stimulation mapping (CSM) studies have shown cortical locations for language function are highly variable from one subject to the next. Because no two cortical surfaces are alike and language is a higher order cognitive function, observed variability is attributable to a combination of functional and anatomical variation. If individual variation can be normalized, patterns of language organization may emerge that were heretofore hidden. In order to discover whether or not such patterns exist, computer-aided spatial normalization is required. Because CSM data has been collected on the cortical surface, we believe that a surface-based normalization method will provide more accurate results than will a volume-based method. To investigate this hypothesis, we evaluate a surface-based (Caret) and volume-based method (SPM2). For our application, the "ideal" method would i) minimize variation as measured by spread reduction between cortical language sites across subjects while also ii) preserving anatomical localization of sites. Evaluation technique: Eleven MR image volumes and corresponding CSM site coordinates were selected. Images were segmented to create left hemisphere surface reconstruction for each patient. Individual surfaces were registered to the colin27 human brain atlas using each method. Deformation parameters from each method were applied to CSM coordinates to obtain post-normalization coordinates in 2D space and 3D ICBM152 space. Accuracy metrics were calculated i) as mean distance between language sites across subjects in both 2D and 3D space and ii) by visual inspection of post-normalization site locations on a 2D map. Results: Globally, we found no statistically significant difference between CARET (surface-based method) and SPM2 (volume-based method) as measured by both spread reduction and anatomical localization. Local analysis showed that more than twenty percent of total mapping errors were mapped incorrectly by both methods. There was a statistically significant difference between Caret and SPM2 mapping of type 2 errors

Anatomical characterization of human fetal brain development with diffusion tensor magnetic resonance imaging

Thehumanbrain is extraordinarily complex, and yet its origin is a simple tubular structure. Characterizing its anatomy at different stages of human fetal brain development not only aids in understanding this highly ordered process but also provides clues to detecting abnormalities caused by genetic or environmental factors. During the second trimester of human fetal development, neural structures in the brain undergo significant morphological changes. Diffusion tensor imaging (DTI), a novel method of magnetic resonance imaging, is capable of delineating anatomical components with high contrast and revealing structures at the microscopic level. In this study, high-resolution and high-signal-to-noise-ratio DTI data of fixed tissues of second-trimester human fetal brains were acquired and analyzed. DTI color maps and tractography revealed that important white matter tracts, such as the corpus callosum and uncinate and inferior longitudinal fasciculi, become apparent during this period. Three-dimensional reconstruction shows that major brain fissures appear while most of the cerebral surface remains smooth until the end of the second trimester. A dominant radial organization was identified at 15 gestational weeks, followed by both laminar and radial architectures in the cerebral wall throughout the remainder of the second trimester. Volumetric measurements of different structures indicate that the volumes of basal ganglia and ganglionic eminence increase along with that of the whole brain, while the ventricle size decreases in the later second trimester. The developing fetal brain DTI database presented can be used for education, as an anatomical research reference, and for data registration

Cortical Gyrification and Sulcal Spans in Early Stage Alzheimer's Disease

Alzheimer's disease (AD) is characterized by an insidious onset of progressive cerebral atrophy and cognitive decline. Previous research suggests that cortical folding and sulcal width are associated with cognitive function in elderly individuals, and the aim of the present study was to investigate these morphological measures in patients with AD. The sample contained 161 participants, comprising 80 normal controls, 57 patients with very mild AD, and 24 patients with mild AD. From 3D T1-weighted brain scans, automated methods were used to calculate an index of global cortex gyrification and the width of five individual sulci: superior frontal, intra-parietal, superior temporal, central, and Sylvian fissure. We found that global cortex gyrification decreased with increasing severity of AD, and that the width of all individual sulci investigated other than the intra-parietal sulcus was greater in patients with mild AD than in controls. We also found that cognitive functioning, as assessed by Mini-Mental State Examination (MMSE) scores, decreased as global cortex gyrification decreased. MMSE scores also decreased in association with a widening of all individual sulci investigated other than the intra-parietal sulcus. The results suggest that abnormalities of global cortex gyrification and regional sulcal span are characteristic of patients with even very mild AD, and could thus facilitate the early diagnosis of this condition

Mr volumetry study of hippocampus and temporal lobe in malay adults with normal mri brain in HUSM

Introduction: Volumetry of hippocampus and temporal lobe has been paid attention more and more along with advanced in MRI. Magnetic resonance imaging (MRI) is a non-invasive and provides detailed, accurate morphology of hippocampus and also temporal lobe. MR volumetry of these two structures is important as they are affected by several disease processes. Establishing a normative data for a population is essential so as to refer and diagnose particular illness. There are computer aided automated and semi-automated method available for MR volumetry. This study used manual method for the normative data of hippocampus and temporal lobe. Volumetric MRI analysis is more sensitive than T2-weighted imaging to atrophy associated with hippocampal sclerosis. It also distinguish volume loss from space occupying lesion as well as may predict a good prognosis following surgery for epilepsy (Bronen, Cheung et al. 1991). The purpose of this study is to obtain hippocampal and temporal lobes volumes in normal Malay adults as a normative database. Hence, it can be a reference in diagnosing diseases related with these two structures. Objectives: The aims of this study is to determine the volume of hippocampus and temporal lobe in Malay adult with normal MRI brain. Methods and materials: This was a cross sectional observational study to determine volume of hippocampus and temporal lobe in Malay adult with normal MRI brain. The age of the patients was range from 21 to 49 years old. The study period was from February 2008 until June 2009 and 51 subjects were included. Majority of them were normal volunteers, and some were patients who had normal MRI brain. MRI of brain and temporal lobe series were performed using a Signa Horizon LX 1.0 Tesla from the Generic Electric Company. Oblique coronal sections perpendicular to the axis of hippocampus were done with 4mm slice thickness and 1mm gap. T1, T2, FLAIR and SPGR series were done. Hippocampal and temporal lobevolumetry were performed. The mean and standard deviation (SD) of hippocampus and temporal lobe volume were calculated using SPSS version 17. Results: Mean and standard deviation of the total hippocampus volume of normal adult was 6.43 cm3 (0.80) for all subjects. Mean total hippocampus volume was 6.62 cm3 (0.87) in male and 6.27 cm3 (0.71) for female. Mean and standard deviation of hippocampus were 3.35 cm3 (0.46) on the right and 3.01 cm3 (0.45) on the left side. Mean hippocampal volume for the right side for male subjects is ranging from 3.21 cm3 (0.44) to 3.54 cm3 (0.35) and for the left side is from 2.95 cm3 (0.30) to 3.32 cm3 (0.42). Mean hippocampal volume for the right side for female subjects is ranging from 3.07 cm3 (0.47) to 3.42 cm3 (0.30) and for the left side is from 2.80 cm3 (0.36) to 3.08 cm3 (0.25). Mean total temporal lobe volume for all subjects was 161.28 cm3 (19.48). Mean total temporal lobe volume for male and female were 169.23 cm³ (19.40) and 153.63 cm³ (16.54) respectively. Mean temporal lobe volume for the right side is ranging from 79.18 cm³ (8.25) to 87.25 cm³ (11.11) and for the left side is from 76.79 cm³ (9.42) to 84.55 cm³ (11.04). There was significant correlation between volume of hippocampus and volume of temporal lobe (r = 0.475, p < 0.01). Conclusion: These normative data for hippocampus and temporal lobe were useful reference for Malay population. There was significantly larger right hippocampus as compared to left hippocampal volume. There is fairly good association between the temporal lobe and hippocampal volume within normal adult with normal MRI brain

A surface-based analysis of hemispheric asymmetries and folding of cerebral cortex in term-born human infants

We have established a population average surface based atlas of human cerebral cortex at term gestation and used it to compare infant and adult cortical shape characteristics. Accurate cortical surface reconstructions for each hemisphere of 12 healthy term gestation infants were generated from structural magnetic resonance imaging data using a novel segmentation algorithm. Each surface was inflated, flattened, mapped to a standard spherical configuration, and registered to a target atlas sphere that reflected shape characteristics of all 24 contributing hemispheres using landmark constrained surface registration. Population average maps of sulcal depth, depth variability, 3-dimensional positional variability, and hemispheric depth asymmetry were generated and compared to previously established maps of adult cortex. We found that cortical structure in term infants is similar to the adult in many respects, including the pattern of individual variability and the presence of statistically significant structural asymmetries in lateral temporal cortex, including the planum temporale and superior temporal sulcus. These results indicate that several features of cortical shape are minimally influenced by the postnatal environment

Rightward hemispheric asymmetries in auditory language cortex in children with autistic disorder: an MRI investigation

Purpose: determine if language disorder in children with autistic disorder (AD) corresponds to abnormalities in hemispheric asymmetries in auditory language cortex. Methods: MRI morphometric study in children with AD (n = 50) to assess hemispheric asymmetries in auditory language cortex. A key region of interest was the planum temporale (PT), which is larger in the left hemisphere in most healthy individuals. Results: (i) Heschl’s gyrus and planum polare showed typical hemisphere asymmetry patterns; (ii) posterior Superior Temporal Gyrus (pSTG) showed significant rightward asymmetry; and (iii) PT showed a trend for rightward asymmetry that was significant when constrained to right-handed boys (n = 30). For right-handed boys, symmetry indices for pSTG were significantly positively correlated with those for PT. PT asymmetry was age dependent, with greater rightward asymmetry with age. Conclusions: results provide evidence for rightward asymmetry in auditory association areas (pSTG and PT) known to subserve language processing. Cumulatively, our data provide evidence for a differing maturational path for PT for lower functioning children with AD, with both pre- and post-natal experience likely playing a role in PT asymmetry

Brain structural and functional asymmetry in human situs inversus totalis

Magnetic resonance imaging was used to investigate brain structural and functional asymmetries in 15 participants with complete visceral reversal (situs inversus totalis, SIT). Language-related brain structural and functional lateralization of SIT participants, including peri-Sylvian gray and white matter asymmetries and hemispheric language dominance, was similar to those of 15 control participants individually matched for sex, age, education, and handedness. In contrast, the SIT cohort showed reversal of the brain (Yakovlevian) torque (occipital petalia and occipital bending) compared to the control group. Secondary findings suggested different asymmetry patterns between SIT participants with (n = 6) or without (n = 9) primary ciliary dyskinesia (PCD, also known as Kartagener syndrome) although the small sample sizes warrant cautious interpretation. In particular, reversed brain torque was mainly due to the subgroup with PCD-unrelated SIT and this group also included 55% left handers, a ratio close to a random allocation of handedness. We conclude that complete visceral reversal has no effect on the lateralization of brain structural and functional asymmetries associated with language, but seems to reverse the typical direction of the brain torque in particular in participants that have SIT unrelated to PCD. The observed differences in asymmetry patterns of SIT groups with and without PCD seem to suggest that symmetry breaking of visceral laterality, brain torque, and language dominance rely on different mechanisms