Functional and structural brain network correlates of visual hallucinations in Lewy body dementia

Visual hallucinations are a common feature of Lewy body dementia. Previous studies have shown that visual hallucinations are highly specific in differentiating Lewy body dementia from Alzheimer’s disease dementia and Alzheimer-Lewy body mixed pathology cases. Computational models propose that impairment of visual and attentional networks is aetiologically key to the manifestation of visual hallucinations symptomatology. However, there is still a lack of experimental evidence on functional and structural brain network abnormalities associated with visual hallucinations in Lewy body dementia. We used EEG source localisation and Network Based Statistics to assess differential topographical patterns in Lewy body dementia between 25 participants with visual hallucinations and 17 participants without hallucinations. Diffusion tensor imaging was used to assess structural connectivity between thalamus, basal forebrain and cortical regions belonging to the functionally affected network component in the hallucinating group, as assessed with Network Based Statistics. Number of white matter streamlines within the cortex and between subcortical and cortical regions was compared between hallucinating and not hallucinating groups and correlated with average EEG source connectivity of the affected subnetwork. Moreover, modular organisation of the EEG source network was obtained, compared between groups, and tested for correlation with structural connectivity. Network analysis showed that compared to non-hallucinating patients, those with hallucinations feature consistent weakened connectivity within the visual ventral network, and between this network and default mode and ventral attentional networks, but not between or within attentional networks. The occipital lobe was the most functionally disconnected region. Structural analysis yielded significantly affected white matter streamlines connecting the cortical regions to the nucleus basalis of Meynert and the thalamus in hallucinating compared to not hallucinating patients. The number of streamlines in the tract between the basal forebrain and the cortex correlated with cortical functional connectivity in non-hallucinating patients, whilst a correlation emerged for the white matter streamlines connecting the functionally affected cortical regions in the hallucinating group. This study proposes, for the first time, differential functional networks between hallucinating and not hallucinating Lewy body dementia patients, and provides an empirical evidence for existing models of visual hallucinations. Specifically, the outcome of the present study shows that the hallucinating condition is associated with functional network segregation in Lewy body dementia and supports the involvement of the cholinergic system as proposed in the current literature

Alterations in nicotinic α4β2 receptor binding in vascular dementia using 123I-5IA-85380 SPECT: Comparison with regional cerebral blood flow

Objective: To investigate differences in distribution of alpha 4 beta 2 subtypes of nicotinic acetylcholine receptors (nAChRs) using the ligand I-123-5-Iodo-3-[2(S)-2-azetidinylmethoxy] pyridine (5IA-85380) and single photon emission computed tomography (SPECT) in subjects with vascular dementia and age-matched controls. I-123-5IA-85380 binding was compared to corresponding regional cerebral blood flow (rCBF) changes in the same subjects. Methods: Thirty subjects (14 vascular dementia and 16 controls) underwent I-123-5IA-85380 and rCBF ((99)mTc-exametazime) SPECT scanning. Image analysis was performed on voxel basis using statistical parametric mapping (SPM2). Results: Compared to controls, reductions in relative I-123-5IA-85380 uptake were identified in dorsal thalamus and right caudate in vascular dementia. Increase in scaled I-123-5IA-85380 uptake in cuneus was also demonstrated in vascular dementia relative to controls. Perfusion deficits in anterior cingulate were apparent in the patient group and did not appear to be associated with I-123-5IA-85380 changes. Conclusions: Reduced I-123-5IA-85380 uptake in vascular dementia was confined to sub-cortical regions, unlike the cortical reductions previously described in Alzheimer's disease. Elevation of normalised I-123-5IA-85380 uptake in cuneus in vascular dementia could be a compensatory response to reduced cholinergic activity in dorsal thalamus

A comparison of the ecological quality of land between an English agri-environment scheme and the countryside as a whole

A survey of 451 Countryside Stewardship Scheme (CSS) agreements was carried out across England in 1998–1999 to characterise the ecological quality of the land. The land within the agreements was mapped using the UK Biodiversity Action Plan Broad and Priority Habitats and the vegetation of the agreements was sampled using random quadrats. By far the most widespread Broad Habitat was Improved Grassland, accounting for around 50% of all agreement land. Of this, the majority was semi-improved. Priority Habitats accounted for 15% of all agreement land (equivalent to around 18,500 ha). In addition to the 15%, there was also land within habitat mosaics containing one or more Priority Habitat. The analysis of vegetation revealed that 53% of all randomlyplaced quadrats were categorised as Infertile Grassland and 24% as Fertile Grassland. Survey data were compared with results from the Countryside Survey 2000, a national assessment of vegetation undertaken in 1998. In the lowland areas of England, CSS land had a much higher proportion of grassland habitats and was much more likely to be typical of low fertility situations than the countryside as a whole. In the marginal uplands and uplands, CSS agreement land contained a greater proportion of grassland, but with a reduced proportion of important upland Broad Habitats, such as Dwarf Shrub Heath and Bog, although these do tend to be found more in the Environmentally Sensitive Areas. The differences between the CSS and the countryside as a whole clearly reflect the priorities of the CSS, especially the high proportion of grassland. The CSS has targeted Broad and Priority Habitats and in this respect has been successful

Effects of genetically modified herbicide-tolerant cropping systems on weed seedbanks in two years of following crops

The Farm Scale Evaluations (FSEs) showed that genetically modified herbicide-tolerant (GMHT) cropping systems could influence farmland biodiversity because of their effects on weed biomass and seed production. Recently published results for winter oilseed rape showed that a switch to GMHT crops significantly affected weed seedbanks for at least 2 years after the crops were sown, potentially causing longer-term effects on other taxa. Here, we seek evidence for similar medium-term effects on weed seedbanks following spring-sown GMHT crops, using newly available data from the FSEs. Weed seedbanks following GMHT maize were significantly higher than following conventional varieties for both the first and second years, while by contrast, seedbanks following GMHT spring oilseed rape were significantly lower over this period. Seedbanks following GMHT beet were smaller than following conventional crops in the first year after the crops had been sown, but this difference was much reduced by the second year for reasons that are not clear. These new data provide important empirical evidence for longer-term effects of GMHT cropping on farmland biodiversity

Monte Carlo simulation of light propagation in adult brain: influence of tissue blood content and indocyanine green

Near-infrared spectroscopy (NIRS), applied to a human head, is a noninvasive method in neurointensive care to monitor cerebral hemodynamics and oxygenation. The method is particularly powerful when it is applied in combination with indocyanine green (ICG) as a tracer substance. In order to assess contributions to the measured optical density (OD) which are due to extracerebral circulation and disturb the clinically significant intracerebral signals, we simulated the light propagation in an anatomically representative model of the adult head derived from MRI measurements with the aid of Monte Carlo methods. Since the measured OD signal depends largely on the relative blood content in various transilluminated tissues, we weighted the calculated densities of the photon distribution under baseline conditions within the tissues with the changes and aberrations of the relative blood volumes which we expect to prevail under physiological conditions. Furthermore, the influence of the IGC dye as a tracer substance was assessed. We conclude that up to about different 70% of the measured OD signal may have its origin in the tissues of interest under optimal conditions, which is mainly due to the extrapolated high relative blood content of brain tissue along with the influence of ICG

Energyscapes : linking the energy system and ecosystem services in real landscapes

The drive for sustainable energy production is leading to increased deployment of land based renewables. Although there is public support, in principle, for renewable energy at a national level, major resistance to renewable energy technologies often occurs at a local level. Within this context, it can be useful to consider the “energyscape” which we initially define as the complex spatial and temporal combination of the supply, demand and infrastructure for energy within a landscape. By starting with a consideration of the energyscape, we can then consider the positive and negative interactions with other ecosystem services within a particular landscape. This requires a multi-disciplinary systems-approach that uses existing knowledge of landscapes, energy options, and the different perspectives of stakeholders. The approach is examined in relation to pilot case-study comprising a 155 km2 catchment in Bedfordshire, England