56 research outputs found

    Microwave Gaseous Discharges

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    Contains reports on five research projects.United States Atomic Energy Commission (Contract AT(30-1) 1842

    Microwave Gaseous Discharges

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    Contains research objectives and reports on five research projects

    Activation of brain regions vulnerable to Alzheimer\u27s disease: The effect of mild cognitive impairment

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    This study examined the functionality of the medial temporal lobe (MTL) and posterior cingulate (PC) in mild cognitive impairment amnestic type (MCI), a syndrome that puts patients at greater risk for developing Alzheimer disease (AD). Functional MRI (fMRI) was used to identify regions normally active during encoding of novel items and recognition of previously learned items in a reference group of 77 healthy young and middle-aged adults. The pattern of activation in this group guided further comparisons between 14 MCI subjects and 14 age-matched controls. The MCI patients exhibited less activity in the PC during recognition of previously learned items, and in the right hippocampus during encoding of novel items, despite comparable task performance to the controls. Reduced fMRI signal change in the MTL supports prior studies implicating the hippocampus for encoding new information. Reduced signal change in the PC converges with recent research on its role in recognition in normal adults as well as metabolic decline in people with genetic or cognitive risk for AD. Our results suggest that a change in function in the PC may account, in part, for memory recollection failure in AD. Ā© 2005 Elsevier Inc. All rights reserved

    Individual classification of children with epilepsy using support vector machine with multiple indices of diffusion tensor imaging

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    AbstractIntroductionSupport vector machines (SVM) have recently been demonstrated to be useful for voxel-based MR image classification. In the present study we sought to evaluate whether this method is feasible in the classification of childhood epilepsy intractability based on diffusion tensor imaging (DTI), with adequate accuracy. We applied SVM in conjunction DTI indices of fractional anisotropy (FA), mean diffusivity (MD), radial diffusivity (RD) and axial diffusivity (AD). DTI studies have reported white matter abnormalities in childhood-onset epilepsy, but the mechanisms underlying these abnormalities are not well understood. The aim of this study was to examine the relationship between epileptic seizures and cerebral white matter abnormalities identified by DTI in children with active compared to remitted epilepsy utilizing an automated and unsupervised classification method.MethodsThe DTI data were tensor-derived indices including FA, MD, AD and RD in 49 participants including 20 children with epilepsy 5ā€“6years after seizure onset as compared to healthy controls. To determine whether there was normalization of white matter diffusion behavior following cessation of seizures and treatment, the epilepsy subjects were grouped into those with active versus remitted epilepsy. Group comparisons were previously made examining FA, MD and RD via whole-brain tract-based spatial statistics (TBSS). The SVM analysis was undertaken with the WEKA software package with 10-fold cross validation. Weighted sensitivity, specificity and accuracy were measured for all the DTI indices for two classifications: (1) controls vs. all children with epilepsy and (2) controls vs. children with remitted epilepsy vs. children with active epilepsy.ResultsUsing TBSS, significant differences were identified between controls and all children with epilepsy, between controls and children with active epilepsy, and also between the active and remitted epilepsy groups. There were no significant differences between the remitted epilepsy and controls on any DTI measure. In the SVM analysis, the best predictor between controls and all children with epilepsy was MD, with a sensitivity of 90ā€“100% and a specificity between 96.6 and 100%. For the three-way classification, the best results were for FA with 100% sensitivity and specificity.ConclusionDTI-based SVM classification appears promising for distinguishing children with active epilepsy from either those with remitted epilepsy or controls, and the question that arises is whether it will prove useful as a prognostic index of seizure remission. While SVM can correctly identify children with active epilepsy from other groups' diagnosis, further research is needed to determine the efficacy of SVM as a prognostic tool in longitudinal clinical studies

    Probing thalamic integrity in schizophrenia using concurrent transcranial magnetic stimulation and functional magnetic resonance imaging

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    CONTEXT: Schizophrenia is a devastating illness with an indeterminate pathophysiology. Several lines of evidence implicate dysfunction in the thalamus, a key node in the distributed neural networks underlying perception, emotion, and cognition. Existing evidence of aberrant thalamic function is based on indirect measures of thalamic activity, but dysfunction has not yet been demonstrated with a causal method. OBJECTIVE: To test the hypothesis that direct physiological stimulation of the cortex will produce an abnormal thalamic response in individuals with schizophrenia. DESIGN: We stimulated the precentral gyrus with single-pulse transcranial magnetic stimulation (spTMS) and measured the response to this pulse in synaptically connected regions (thalamus, medial superior frontal cortex, insula) using concurrent functional magnetic resonance imaging. The mean hemodynamic response from these regions was fit with the sum of 2 gamma functions, and response parameters were compared across groups. SETTING: Academic research laboratory. PARTICIPANTS: Patients with schizophrenia and sex- and age-matched psychiatrically healthy subjects were recruited from the community. MAIN OUTCOME MEASURE: Peak amplitude of the thalamic hemodynamic response to spTMS of the precentral gyrus. RESULTS: The spTMS-evoked responses did not differ between groups at the cortical stimulation site. Compared with healthy subjects, patients with schizophrenia showed a reduced response to spTMS in the thalamus (P=1.86 7 10(-9)) and medial superior frontal cortex (P=.02). Similar results were observed in the insula. Sham TMS indicated that these results could not be attributed to indirect effects of TMS coil discharge. Functional connectivity analyses revealed weaker thalamus-medial superior frontal cortex and thalamus-insula connectivity in patients with schizophrenia compared with control subjects. CONCLUSIONS: Individuals with schizophrenia showed reduced thalamic activation in response to direct perturbation delivered to the cortex. These results extend prior work implicating the thalamus in the pathophysiology of schizophrenia and suggest that the thalamus contributes to the patterns of aberrant connectivity characteristic of this disease
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