A method for selecting an efficient diagnostic protocol for classification of perceptive and cognitive impairments in neurological patients

"Published in final edited form as: Conf Proc IEEE Eng Med Biol Soc. 2011 ; 2011: 1129–1132. doi:10.1109/IEMBS.2011.6090264."An important and unresolved problem in the assessment of perceptual and cognitive deficits in neurological patients is how to choose from the many existing behavioral tests, a subset that is sufficient for an appropriate diagnosis. This problem has to be dealt with in clinical trials, as well as in rehabilitation settings and often even at bedside in acute care hospitals. The need for efficient, cost effective and accurate diagnostic-evaluations, in the context of clinician time constraints and concerns for patients’ fatigue in long testing sessions, make it imperative to select a set of tests that will provide the best classification of the patient’s deficits. However, the small sample size of the patient population complicates the selection methodology and the potential accuracy of the classifier. We propose a method that allows for ordering tests based on having progressive increases in classification using cross-validation to assess the classification power of the chosen test set. This method applies forward linear regression to find an ordering of the tests with leave-one-out cross-validation to quantify, without biasing to the training set, the classification power of the chosen tests.R01 NS064100 - NINDS NIH HHS; R01NS064100 - NINDS NIH HHSAccepted manuscrip

The emotional valence of subliminal priming effects perception of facial expressions

We investigated, in young healthy subjects, how the affective content of subliminally presented priming images and their specific visual attributes impacted conscious perception of facial expressions. The priming images were broadly categorised as aggressive, pleasant, or neutral and further subcategorised by the presence of a face and by the centricity (egocentric or allocentric vantage-point) of the image content. Subjects responded to the emotion portrayed in a pixelated target-face by indicating via key-press if the expression was angry or neutral. Priming images containing a face compared to those not containing a face significantly impaired performance on neutral or angry targetface evaluation. Recognition of angry target-face expressions was selectively impaired by pleasant prime images which contained a face. For egocentric primes, recognition of neutral target-face expressions was significantly better than of angry expressions. Our results suggest that, first, the affective primacy hypothesis which predicts that affective information can be accessed automatically, preceding conscious cognition, holds true in subliminal priming only when the priming image contains a face. Second, egocentric primes interfere with the perception of angry target-face expressions suggesting that this vantage-point, directly relevant to the viewer, perhaps engages processes involved in action preparation which may weaken the priority of affect processing.Accepted manuscrip

Two mechanisms for optic flow and scale change processing of looming

Published in final edited form as: J Vis. ; 11(3): . doi:10.1167/11.3.5.The detection of looming, the motion of objects in depth, underlies many behavioral tasks, including the perception of self-motion and time-to-collision. A number of studies have demonstrated that one of the most important cues for looming detection is optic flow, the pattern of motion across the retina. Schrater et al. have suggested that changes in spatial frequency over time, or scale changes, may also support looming detection in the absence of optic flow (P. R. Schrater, D. C. Knill, & E. P. Simoncelli, 2001). Here we used an adaptation paradigm to determine whether the perception of looming from optic flow and scale changes is mediated by single or separate mechanisms. We show first that when the adaptation and test stimuli were the same (both optic flow or both scale change), observer performance was significantly impaired compared to a dynamic (non-motion, non-scale change) null adaptation control. Second, we found no evidence of cross-cue adaptation, either from optic flow to scale change, or vice versa. Taken together, our data suggest that optic flow and scale changes are processed by separate mechanisms, providing multiple pathways for the detection of looming.We thank Jonathan Victor and the anonymous reviewers of the paper for feedback and suggestions regarding the stimuli used here. This work was supported by NIH grant R01NS064100 to LMV. (R01NS064100 - NIH)Accepted manuscrip

Functional Roles of 10 Hz Alpha-Band Power Modulating Engagement and Disengagement of Cortical Networks in a Complex Visual Motion Task

Alpha band power, particularly at the 10 Hz frequency, is significantly involved in sensory inhibition, attention modulation, and working memory. However, the interactions between cortical areas and their relationship to the different functional roles of the alpha band oscillations are still poorly understood. Here we examined alpha band power and the cortico-cortical interregional phase synchrony in a psychophysical task involving the detection of an object moving in depth by an observer in forward self-motion. Wavelet filtering at the 10 Hz frequency revealed differences in the profile of cortical activation in the visual processing regions (occipital and parietal lobes) and in the frontoparietal regions. The alpha rhythm driving the visual processing areas was found to be asynchronous with the frontoparietal regions. These findings suggest a decoupling of the 10 Hz frequency into separate functional roles: sensory inhibition in the visual processing regions and spatial attention in the frontoparietal regions

Deficit of temporal dynamics of detection of a moving object during egomotion in a stroke patient: a psychophysical and MEG study

To investigate the temporal dynamics underlying object motion detection during egomotion, we used psychophysics and MEG with a motion discrimination task. The display contained nine spheres moving for 1 second, eight moved consistent with forward observer translation, and one (the target) with independent motion within the scene (approaching or receding). Observers's task was to detect the target. Seven healthy subjects (7HS) and patient PF with an infarct involving the left occipital-temporal cortex participated in both the psychophysical and MEG study. Psychophysical results showed that PF was severely impaired on this task. He was also impaired on the discrimination of radial motion (with even poorer performance on contraction) and 2D direction as well as on detecting motion discontinuity. We used anatomically constrained MEG and dynamic Granger causality to investigate the direction and dynamics of connectivity between the functional areas involved in the object-motion task and compared the results of 7HS and PF. The dynamics of the causal connections among the motion responsive cortical areas (MT, STS, IPS) during the first 200 ms of the stimulus was similar in all subjects. However, in the later part of the stimulus (>200 ms) PF did not show significant causal connections among these areas. Also the 7HS had a strong, probably attention modulatory connection, between MPFC and MT, which was completely absent in PF. In PF and the 7HS, analysis of onset latencies revealed two stages of activations: early after motion onset (200–400 ms) bilateral activations in MT, IPS, and STS, followed (>500 ms) by activity in the postcentral sulcus and middle prefrontal cortex (MPFC). We suggest that the interaction of these early and late onset areas is critical to object motion detection during self-motion, and disrupted connections among late onset areas may have contributed to the perceptual deficits of patient PF.Published versio

A computational study of whole-brain connectivity in resting state and task fMRI

Background: We compared the functional brain connectivity produced during resting-state in which subjects were not actively engaged in a task with that produced while they actively performed a visual motion task (task-state). Material/Methods In this paper we employed graph-theoretical measures and network statistics in novel ways to compare, in the same group of human subjects, functional brain connectivity during resting-state fMRI with brain connectivity during performance of a high level visual task. We performed a whole-brain connectivity analysis to compare network statistics in resting and task states among anatomically defined Brodmann areas to investigate how brain networks spanning the cortex changed when subjects were engaged in task performance. Results: In the resting state, we found strong connectivity among the posterior cingulate cortex (PCC), precuneus, medial prefrontal cortex (MPFC), lateral parietal cortex, and hippocampal formation, consistent with previous reports of the default mode network (DMN). The connections among these areas were strengthened while subjects actively performed an event-related visual motion task, indicating a continued and strong engagement of the DMN during task processing. Regional measures such as degree (number of connections) and betweenness centrality (number of shortest paths), showed that task performance induces stronger inter-regional connections, leading to a denser processing network, but that this does not imply a more efficient system as shown by the integration measures such as path length and global efficiency, and from global measures such as small-worldness. Conclusions: In spite of the maintenance of connectivity and the “hub-like” behavior of areas, our results suggest that the network paths may be rerouted when performing the task condition

When does Subliminal Affective Image Priming Influence the Ability of Schizophrenic Patients to Perceive Face Emotions?

Background: Deficits in face emotion perception are among the most pervasive aspects of schizophrenia impairments which strongly affects interpersonal communication and social skills. Material/Methods Schizophrenic patients (PSZ) and healthy control subjects (HCS) performed 2 psychophysical tasks. One, the SAFFIMAP test, was designed to determine the impact of subliminally presented affective or neutral images on the accuracy of face-expression (angry or neutral) perception. In the second test, FEP, subjects saw pictures of face-expression and were asked to rate them as angry, happy, or neutral. The following clinical scales were used to determine the acute symptoms in PSZ: Positive and Negative Syndrome (PANSS), Young Mania Rating (YMRS), Hamilton Depression (HAM-D), and Hamilton Anxiety (HAM-A). Results: On the SAFFIMAP test, different from the HCS group, the PSZ group tended to categorize the neutral expression of test faces as angry and their response to the test-face expression was not influenced by the affective content of the primes. In PSZ, the PANSS-positive score was significantly correlated with correct perception of angry faces for aggressive or pleasant primes. YMRS scores were strongly correlated with PSZ’s tendency to recognize angry face expressions when the prime was a pleasant or a neutral image. The HAM-D score was positively correlated with categorizing the test-faces as neutral, regardless of the affective content of the prime or of the test-face expression (angry or neutral). Conclusions: Despite its exploratory nature, this study provides the first evidence that conscious perception and categorization of facial emotions (neutral or angry) in PSZ is directly affected by their positive or negative symptoms of the disease as defined by their individual scores on the clinical diagnostic scales

Maturation trajectories of cortical resting-state networks depend on the mediating frequency band

The functional significance of resting state networks and their abnormal manifestations in psychiatric disorders are firmly established, as is the importance of the cortical rhythms in mediating these networks. Resting state networks are known to undergo substantial reorganization from childhood to adulthood, but whether distinct cortical rhythms, which are generated by separable neural mechanisms and are often manifested abnormally in psychiatric conditions, mediate maturation differentially, remains unknown. Using magnetoencephalography (MEG) to map frequency band specific maturation of resting state networks from age 7 to 29 in 162 participants (31 independent), we found significant changes with age in networks mediated by the beta (13–30 Hz) and gamma (31–80 Hz) bands. More specifically, gamma band mediated networks followed an expected asymptotic trajectory, but beta band mediated networks followed a linear trajectory. Network integration increased with age in gamma band mediated networks, while local segregation increased with age in beta band mediated networks. Spatially, the hubs that changed in importance with age in the beta band mediated networks had relatively little overlap with those that showed the greatest changes in the gamma band mediated networks. These findings are relevant for our understanding of the neural mechanisms of cortical maturation, in both typical and atypical development.This work was supported by grants from the Nancy Lurie Marks Family Foundation (TK, SK, MGK), Autism Speaks (TK), The Simons Foundation (SFARI 239395, TK), The National Institute of Child Health and Development (R01HD073254, TK), National Institute for Biomedical Imaging and Bioengineering (P41EB015896, 5R01EB009048, MSH), and the Cognitive Rhythms Collaborative: A Discovery Network (NFS 1042134, MSH). (Nancy Lurie Marks Family Foundation; Autism Speaks; SFARI 239395 - Simons Foundation; R01HD073254 - National Institute of Child Health and Development; P41EB015896 - National Institute for Biomedical Imaging and Bioengineering; 5R01EB009048 - National Institute for Biomedical Imaging and Bioengineering; NFS 1042134 - Cognitive Rhythms Collaborative: A Discovery Network

Maturation trajectories of cortical resting-state networks depend on the mediating frequency band.

The functional significance of resting state networks and their abnormal manifestations in psychiatric disorders are firmly established, as is the importance of the cortical rhythms in mediating these networks. Resting state networks are known to undergo substantial reorganization from childhood to adulthood, but whether distinct cortical rhythms, which are generated by separable neural mechanisms and are often manifested abnormally in psychiatric conditions, mediate maturation differentially, remains unknown. Using magnetoencephalography (MEG) to map frequency band specific maturation of resting state networks from age 7 to 29 in 162 participants (31 independent), we found significant changes with age in networks mediated by the beta (13-30 Hz) and gamma (31-80 Hz) bands. More specifically, gamma band mediated networks followed an expected asymptotic trajectory, but beta band mediated networks followed a linear trajectory. Network integration increased with age in gamma band mediated networks, while local segregation increased with age in beta band mediated networks. Spatially, the hubs that changed in importance with age in the beta band mediated networks had relatively little overlap with those that showed the greatest changes in the gamma band mediated networks. These findings are relevant for our understanding of the neural mechanisms of cortical maturation, in both typical and atypical development

Resolution matrix showing percentage signal contribution across columns of each ROI.

<p>ROIs marked in red are joined together, ROIs in black were discarded, and ROIs in green are considered as separable regions. Abbreviations: Cinf – Inferior Central Sulcus, Csup – Superior Central Sulcus, DIPSM – Dorsal intraparietal sulcus middle, IPSsup – superior Intraparietal Sulcus, MPFC – middle Prefrontal Cortex, MT+ - human middle temporal area, PostCinf – Inferior Postcentral sulcus, SPL – Superior Parietal Lobule, FEF – Frontal Eye Field area, STP – Superior Temporal Polysensory area, STSm – Middle Superior Temporal Sulcus, VIP – Ventral Intraparietal Sulcus, V3a – area V3a.</p