Assessing neuroplasticity using magnetoencephalography (MEG) in patient with left-temporo-parietal pilocytic astrocytomas treated with endoscopic surgery

Neuroplasticity has been subjected to a great deal of research in the last century. Recently, significant emphasis has been placed on the global effect of localized plastic changes throughout the central nervous system, and on how these changes integrate in a pathological context. The present study aimed to demonstrate the functional cortical reorganization before and after surgery using magnetoencephalography (MEG) in a participant with brain tumor. Results of Visual Evoked Magnetic Field (VEF) based on functional MEG study revealed significantly different of MEG N100 waveforms before and after surgery. Larger and additional new locations for visual activation areas after the surgery were found suggesting neuroplasticity. The present study highlight a physiological plasticity in a teenage brain and the alterations regarding neural plasticity and network remodeling described in pathological contexts in higher-order visual association areas

Kesan penuaan ke atas kehubungan berkesan otak semasa pemprosesan persepsi pertuturan daripada perspektif pemodelan sebab dan akibat dinamik: satu kajian fMRI

Proses penuaan seringkali dikaitkan dengan kemerosotan pada sistem kognitif. Kemerosotan kognitif bermula seawal usia dua puluhan dan berterusan secara linear. Selain itu, kemerosotan kognitif juga menjadi lebih nyata dengan kehadiran hingar latar. Walau bagaimanapun, kesan penuaan ke atas mekanisme pemprosesan persepsi pertuturan menggunakan tugasan mengulang secara terus (FRT) dalam senyap dan hingar belum difahami dengan jelas. Dalam kajian ini, pengimejan resonans magnet kefungsian (fMRI) digunakan untuk membandingkan kesan penuaan ke atas kehubungan efektif otak yang terhasil daripada tugasan FRT ke atas subjek normal dengan empat kumpulan umur yang berlainan iaitu 20 - 29 tahun (n = 15), 30 - 39 tahun (n = 15), 40 - 49 tahun (n = 10) dan 50 - 65 tahun (n = 14). Satu siri lima perkataan yang diselang-seli dalam keadaan hingar dengan senyap diberikan secara auditori. Pemetaan statistik berparameter (SPM8) dan pemodelan dinamik penyebab (DCM10) digunakan untuk menentukan kehubungan efektif otak. Kawasan yang terlibat dalam pembinaan model kehubungan efektif otak adalah STG, HG dan PCG. Model optimum yang dipilih dalam kajian ini adalah model yang menunjukkan keseimbangan antara ketepatan dan kesukaran. Keputusan fMRI kehubungan efektif menunjukkan bahawa komunikasi antara intrahemisfera tidak berubah dengan menggunakan tugasan FRT ini apabila seseorang semakin berusia, tetapi komunikasi antara interhemisfera menjadi semakin kompleks

Observation of tumour-induced reorganization in structural and functional architecture of the brain in three pre-surgical patients with left frontal-temporal brain tumour: a combination of MEG, DTI and neuropsychological assessment

Visual function is mainly located within the bilateral hemisphere of the occipital lobes of the brain. However, our functional magnetoencephalography (MEG) result has demonstrated the reorganization of brain activity in the occipital area in patients with left-sided brain tumour. The results showed that brain laterality changes from bilateral to unilateral activation of the occipital area. Right occipital area (contralateral areas to the tumour), shows increase intensity of activation. Diffusion tensor imaging (DTI) with fibre tracking was performed to further investigate this brain laterality modification and the findings confirmed there is an alteration in the left hemisphere fibre optic tracts. This functional modification and changes of the brain laterality and optic tracts in the brain is suspected to be the result of tumour growth induced changes. The present observation will be discussed in term of the mechanism of tumour induced reorganization and changes with the corroborating evidence from MEG, DTI and neuropsychological assessment

Observation of auditory perceptual and visuo-spatial characteristic of a patient with hemangiopericytoma in occipital lobe: a magnetoencephalography (MEG) study

The present study discussed functional reorganization and alteration in respond to the slow-growing tumour, hemangiopericytoma in the occipital cortex. Visual evoked field (VEF) and auditory evoked field (AEF) using magnetoencephalography (MEG) was used to evaluate the source localization and brain activity. Results of VEF source localization show a typical brain waves. Brain activity of the occipital lobe demonstrate low activation in the ipsilateral to the tumour. However, result shows the activation on the contralateral hemisphere was high and bigger in activation volume. AEF result shows an identical source localization and both side of the temporal lobe are activated. This result suggests that there is a positive plasticity in auditory cortex and slow-growing tumour can induce functional reorganization and alteration to the brain

Coconut Shell Biochar for Removal of Cu(II) from Aqueous Solution

The ability of coconut shell biochar (CSB) and acid-base modified coconut shell biochar (MCSB) for the removal of copper (Cu(II)) from aqueous solution is examined. The basic characteristics of CSB as well as MCSB such as proximate analysis, pH value, surface area, surface morphology and surface functional groups are investigated. The individual effect of initial concentration and contact time on the removal efficiency of Cu(II) by CSB and MCSB was determined using one variable at a time (OVAT) approach. In addition, the response surface methodology (RSM) approach is applied to determine the combined effects of variables (pH, contact time and particle size) on the removal efficiency of Cu(II) ion. The RSM results for the MCSB showed that Cu(II) maximum removal efficiency is 99.50% at pH 7, contact time of 60 min, and particle size of 0.60 mm, respectively. It can be concluded that MCSB has greater potential than CSB to be utilized as an adsorbent for Cu(II) removal in water bodies

Brain volumetric changes in menopausal women and its association with cognitive function: a structured review

The menopausal transition has been proposed to put women at risk for undesirable neurological symptoms, including cognitive decline. Previous studies suggest that alterations in the hormonal milieu modulate brain structures associated with cognitive function. This structured review provides an overview of the relevant studies that have utilized MRI to report volumetric differences in the brain following menopause, and its correlations with the evaluated cognitive functions. We performed an electronic literature search using Medline (Ovid) and Scopus to identify studies that assessed the influence of menopause on brain structure with MRI. Fourteen studies met the inclusion criteria. Brain volumetric differences have been reported most frequently in the frontal and temporal cortices as well as the hippocampus. These regions are important for higher cognitive tasks and memory. Additionally, the deficit in verbal and visuospatial memory in postmenopausal women has been associated with smaller regional brain volumes. Nevertheless, the limited number of eligible studies and cross-sectional study designs warrant further research to draw more robust conclusions

Resting-state fMRI: comparing default mode network connectivity between normal and low auditory working memory groups

The relationship between resting effective connectivity (EC) among default mode network (DMN) regions and auditory working memory (AWM) performance is still poorly understood. In this work, resting-state functional magnetic resonance imaging (rsfMRI) was used to determine the optimum connectivity model between posterior cingulate cortex (PCC) and medial prefrontal cortex (mPFC) in 40 healthy male volunteers. in low and normal working memory groups of subjects. Correlation between EC with AWM performance and AWM-capacity was also studied. The participants were divided into two groups which are normal and low AWM-capacity groups based on Malay Version Auditory Verbal Learning Test. The AWM performance was assessed using a word-based backward recall task. Both assessments were conducted outside the MRI scanner. The participants were scanned using a 3-T MRI system and the data were analyzed using statistical parametric mapping (SPM12) and spectral Dynamic Causal Modelling (spDCM). Results revealed that PCC and mPFC were significantly interconnected in both groups. Group analyses showed that the connection between PCC and mPFC exhibits an anti-correlated network. The results also indicated that the AWM performance and AWM-capacity were not associated with EC. These findings suggest that EC at rest between the two regions may not significantly influence cognitive abilities important for this AWM task

Quality of Life and Patient-Reported Outcomes Following Proton Therapy for Oropharyngeal Carcinoma: A Systematic Review

Background: Complex anatomy surrounding the oropharynx makes proton therapy (PT), especially intensity-modulated PT (IMPT), a potentially attractive option due to its ability to reduce the volume of irradiated healthy tissues. Dosimetric improvement may not translate to clinically relevant benefits. As outcome data are emerging, we aimed to evaluate the evidence of the quality of life (QOL) and patient-reported outcomes (PROs) following PT for oropharyngeal carcinoma (OC). Materials and Methods: We searched PubMed and Scopus electronic databases (date: 15 February 2023) to identify original studies on QOL and PROs following PT for OC. We employed a fluid strategy in the search strategy by tracking citations of the initially selected studies. Reports were extracted for information on demographics, main results, and clinical and dose factor correlates. Quality assessment was performed using the NIH’s Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies. The PRISMA guidelines were followed in the preparation of this report. Results: Seven reports were selected, including one from a recently published paper captured from citation tracking. Five compared PT and photon-based therapy, although none were randomized controlled trials. Most endpoints with significant differences favored PT, including xerostomia, cough, need for nutritional supplements, dysgeusia, food taste, appetite, and general symptoms. However, some endpoints favored photon-based therapy (sexual symptoms) or showed no significant difference (e.g., fatigue, pain, sleep, mouth sores). The PROs and QOL improve following PT but do not appear to return to baseline. Conclusion: Evidence suggests that PT causes less QOL and PRO deterioration than photon-based therapy. Biases due to the non-randomized study design remain obstacles to a firm conclusion. Whether or not PT is cost-effective should be the subject of further investigation

The Utilization of Diffusion Tensor Imaging as an Image-Guided Tool in Brain Tumor Resection Surgery: A Systematic Review

The diffusion tensor imaging technique has been recognized as a neuroimaging tool for in vivo visualization of white matter tracts. However, DTI is not a routine procedure for preoperative planning for brain tumor resection. Our study aimed to systematically evaluate the effectiveness of DTI and the outcomes of surgery. The electronic databases, PubMed/MEDLINE and Scopus, were searched for relevant studies. Studies were systematically reviewed based on the application of DTI in pre-surgical planning, modification of operative planning, re-evaluation of preoperative DTI data intraoperatively, and the outcome of surgery decisions. Seventeen studies were selected based on the inclusion and exclusion criteria. Most studies agreed that preoperative planning using DTI improves postoperative neuro-deficits, giving a greater resection yield and shortening the surgery time. The results also indicate that the re-evaluation of preoperative DTI intraoperatively assists in a better visualization of white matter tract shifts. Seven studies also suggested that DTI modified the surgical decision of the initial surgical approach and the rate of the GTR in tumor resection surgery. The utilization of DTI may give essential information on white matter tract pathways, for a better surgical approach, and eventually reduce the risk of neurologic deficits after surgery

Activation characteristics of the primary motor (M1) and supplementary motor (SMA) areas during robust unilateral finger tapping task

This study investigated the functional specialisation characteristics of brain in multiple right-hand dominant subjects pertaining to the activation of the cerebral motor cortices evoked by unilateral finger tapping, especially in primary motor (M1) and supplementary motor (SMA) areas. This multiple-subject study used unilateral (UNIright and UNIleft) selfpaced tapping of hand fingers to activate the M1 and SMA. Brain activation characteristics were analysed using statistical parametric mapping (SPM). Activation for UNIright and UNIleft showed the involvement of contralateral and ipsilateral M1 and SMA. A larger activation area but with a lower percentage of signal change (PSC) were observed in the left M1 due to the control on UNIright (4164 voxels at α = 0.001, PSC = 1.650) as compared to the right M1 due to the control on UNIleft (2012 voxels at α = 0.001, PSC = 2.377). This is due to the influence of the tapping rate effects which is greater than what could be produced by the average effects of the dominant and sub-dominant hands. The significantly higher PSC value observed in the right M1 (p < 0.05) is due to a higher control demand used by the brain in coordinating the tapping of the sub-dominant fingers. The findings obtained from this study showed strong evidence of the existence of brain functional specialisation and could be used as baseline references in determining the most probable motor pathways in a sample of subjects