Effect of the static magnetic field of the MR-scanner on ERPs: evaluation of visual, cognitive and motor potentials

OBJECTIVE

This work investigates the influence of the static magnetic field of the MR-scanner on ERPs extracted from simultaneous EEG-fMRI recordings. The quality of the ERPs after BallistoCardioGraphic (BCG) artifact removal, as well as the reproducibility of the waveforms in different environments is investigated.

METHODS

We consider a Detection, a Go-Nogo and a Motor task, eliciting peaks that differ in amplitude, latency and scalp topography, repeated in two situations: outside the scanner room (0T) and inside the MR-scanner but without gradients (3T). The BCG artifact is removed by means of three techniques: the Average Artifact Subtraction (AAS) method, the Optimal Basis Set (OBS) method and the Canonical Correlation Analysis (CCA) approach.

RESULTS

The performance of the three methods depends on the amount of averaged trials. Moreover, differences are found on both amplitude and latency of ERP components recorded in two environments (0T vs 3T).

CONCLUSIONS

We showed that, while ERPs can be extracted from simultaneous EEG-fMRI data at 3T, the static magnetic field might affect the physiological processes under investigation.

SIGNIFICANCE

The reproducibility of the ERPs in different recording environments (0T vs 3T) is a relevant issue that deserves further investigation to clarify the equivalence of cognitive processes in both behavioral and imaging studies.

Shared neural resources between left and right interlimb coordination skills: the neural substrate of abstract motor representations

Functional magnetic resonance imaging was used to reveal the shared neural resources between movements performed with effectors of the left versus right body side. Prior to scanning, subjects extensively practiced a complex coordination pattern involving cyclical motions of the ipsilateral hand and foot according to a 90 degrees out-of-phase coordination mode. Brain activity associated with this (nonpreferred) coordination pattern was contrasted with pre-existing isodirectional (preferred) coordination to extract the learning-related brain networks. To identify the principal candidates for effector-independent movement encoding, the conjunction of training-related activity for left and right limb coordination was determined. A dominantly left-lateralized parietal-to-(pre)motor activation network was identified, with activation in inferior and superior parietal cortex extending into intraparietal sulcus and activation in the premotor areas, including inferior frontal gyrus (pars opercularis). Similar areas were previously identified during observation of complex coordination skills by expert performers. These parietal-premotor areas are principal candidates for abstract (effector-independent) movement encoding, promoting motor equivalence, and they form the highest level in the action representation hierarchy.

Neural correlates of motor dysfunction in children with traumatic brain injury: exploration of compensatory recruitment patterns

Traumatic brain injury (TBI) is a common form of disability in children. Persistent deficits in motor control have been documented following TBI but there has been less emphasis on changes in functional cerebral activity. In the present study, children with moderate to severe TBI (n = 9) and controls (n = 17) were scanned while performing cyclical movements with their dominant and non-dominant hand and foot according to the easy isodirectional (same direction) and more difficult non-isodirectional (opposite direction) mode. Even though the children with TBI were shown to be less successful on various items of a clinical motor test battery than the control group, performance on the coordination task during scanning was similar between groups, allowing a meaningful interpretation of their brain activation differences. fMRI analysis revealed that the TBI children showed enhanced activity in medial and anterior parietal areas as well as posterior cerebellum as compared with the control group. Brain activation generally increased during the non-isodirectional as compared with the isodirectional mode and additional regions were involved, consistent with their differential degree of difficulty. However, this effect did not interact with group. Overall, the findings indicate that motor impairment in TBI children is associated with changes in functional cerebral activity, i.e. they exhibit compensatory activation reflecting increased recruitment of neural resources for attentional deployment and somatosensory processing.

Somatosensory cortex stimulation for deafferentation pain

Functional neuroimaging has demonstrated that a relationship exists between the intensity of deafferentation pain and the degree of deafferentation-related reorganization of the primary somatosensory cortex. It has also revealed that this cortical reorganization can be reversed after the attenuation of pain. Deafferentation pain is also associated with hyperactivity of the somatosensory thalamus and cortex. Therefore, in order to suppress pain, it seems logical to attempt to modify this deafferentation-related somatosensory cortex hyperactivity and reorganization. This can be achieved using neuronavigation-guided transcranial magnetic stimulation (TMS), a technique that is capable of modulating cortical activity. If TMS is capable of suppressing deafferentation pain, this benefit should be also obtained by the implantation of epidural stimulating electrodes over the area of electrophysiological signal abnormality in the primary somatosensory cortex. The first studies demonstrated a statistically significant pain suppression in all patients and a clinically significant pain suppression in 80% of them. This clinical experience suggests that somatosensory cortex stimulation may become a neurophysiology-based new approach for treating deafferentation pain in selected patients. In this chapter, we review the relevant recent reports and describe our studies in this field.

Auditory cortex stimulation for tinnitus

Functional imaging techniques have demonstrated a relationship between the intensity of tinnitus and the degree of reorganization of the primary auditory cortex. Studies in experimental animals and humans have revealed that tinnitus is associated with a synchronized hyperactivity in the auditory cortex and proposed that the underlying pathophysiological mechanism is thalamocortical dysrhythmia; hence, decreased auditory stimulation results in decreased firing rate, and decreased lateral inhibition. Consequently, the surrounding brain area becomes hyperactive, firing at gamma band rates; this is considered a necessary precondition of auditory consciousness, and also tinnitus. Synchronization of the gamma band activity could possibly induce a topographical reorganization based on Hebbian mechanisms. Therefore, it seems logical to try to suppress tinnitus by modifying the tinnitus-related auditory cortex reorganization and hyperactivity. This can be achieved using neuronavigation-guided transcranial magnetic stimulation (TMS), which is capable of modulating cortical activity. If TMS is capable of suppressing tinnitus, the effect should be maintained by implanting electrodes over the area of electrophysiological signal abnormality on the auditory cortex. The results in the first patients treated by auditory cortex stimulation demonstrate a statistically significant tinnitus suppression in cases of unilateral pure tone tinnitus without suppression of white or narrow band noise. Hence, auditory cortex stimulation could become a physiologically guided treatment for a selected category of patients with severe tinnitus.

Spurious absence of signal on 3D time-of-flight MR angiograms on 1 and 3 tesla magnets in cerebral arteries associated with a giant ophthalmic segment aneurysm: the need for alternative techniques

There are many high-resolution MR angiographic techniques available today for the evaluation of circle of Willis. We report a case of bilateral aneurysms of the carotico-ophthalmic segment, the left one being a giant aneurysm, in a 41-year-old woman. She underwent different MRA sequences on both 1 and 3Tesla magnets and a digital subtraction angiography. 3D time-of-flight angiograms can give spurious information on giant aneurysms and other techniques like phase contrast and dynamic contrast enhanced angiographies can supplement if not replace it. High field strength improves the objective quality of MR angiograms, but in the case of large aneurysms, intra aneurysmal and distal vessel signal loss can be a significant problem.

Intra-axial brain tumours

The radiological diagnosis and differential diagnosis of intra-axial tumours no longer relies on CT scan and routine MR sequences alone. Standard multiplanar imaging has to be combined with fMRI to allow the exact anatomic location of the lesion and precise determination of the extension of the tumour. Perfusion and diffusion MR is becoming more and more important in the differential diagnosis of cerebral mass lesions and in the grading and typing of gliomas. More sophisticated techniques such as diffusion tensor imaging and spectroscopy will further enhance the value of the radiological studies.

Cerebellar and premotor function in bimanual coordination: parametric neural responses to spatiotemporal complexity and cycling frequency

In the present functional magnetic resonance imaging (fMRI) study, we assessed the neural network governing bimanual coordination during manipulations of spatiotemporal complexity and cycling frequency. A parametric analysis was applied to determine the effects of each of both factors as well as their interaction. Subjects performed four different cyclical movement tasks of increasing spatiotemporal complexity (i.e., unimanual left-right hand movements, bimanual in-phase movements, bimanual anti-phase movements, and bimanual 90 degrees out-of-phase movements) across four frequency levels (0.9, 1.2, 1.5, and 1.8 Hz). Results showed that, within the network involved in bimanual coordination, functional subcircuits could be distinguished: Activation in the supplementary motor area, superior parietal cortex (SPS), and thalamic VPL Nc was mainly correlated with increasing spatiotemporal complexity of the limb movements, suggesting that these areas are involved in higher-order movement control. By contrast, activation within the primary motor cortex, cingulate motor cortex (CMC), globus pallidus, and thalamic VLo Nc correlated mainly with movement frequency, indicating that these areas play an important role during movement execution. Interestingly, the cerebellum and the dorsal premotor cortex were identified as the principal regions responding to manipulation of both parameters and exhibiting clear interaction effects. Therefore, it is concluded that both areas represent critical sites for the control of bimanual coordination.

Changes in brain activation during the acquisition of a new bimanual coodination task

Motor skill acquisition is associated with the development of automaticity and induces neuroplastic changes in the brain. Using functional magnetic resonance imaging (fMRI), the present study traced learning-related activation changes during the acquisition of a new complex bimanual skill, requiring a difficult spatio-temporal relationship between the limbs, i.e., cyclical flexion-extension movements of both hands with a phase offset of 90 degrees. Subjects were scanned during initial learning and after the coordination pattern was established. Kinematics of the movements were accurately registered and showed that the new skill was acquired well. Learning-related decreases in activation were found in right dorsolateral prefrontal cortex (DLPFC), right premotor, bilateral superior parietal cortex, and left cerebellar lobule VI. Conversely, learning-related increases in activation were observed in bilateral primary motor cortex, bilateral superior temporal gyrus, bilateral cingulate motor cortex (CMC), left premotor cortex, cerebellar dentate nuclei/lobule III/IV/Crus I, putamen/globus pallidus and thalamus. Accordingly, bimanual skill learning was associated with a shift in activation among cortico-subcortical regions, providing further evidence for the existence of differential cortico-subcortical circuits preferentially involved during the early and advanced stages of learning. The observed activation changes account for the transition from highly attention-demanding task performance, involving processing of sensory information and corrective action planning, to automatic performance based on memory representations and forward control.

Sequences and techniques in spinal MR imaging

The optimal protocol in spinal MR imaging is not evident. Sagittal T2 weighted FSE, sagittal T1 weighted SE and axial T2 weighted FSE sequences are widely accepted for imaging patients with sciatica and/or lumbar pain. Because of the limited amount of CSF compared to the lumbar spine, the choice of sequences is much more complex in the study of the cervical spine. Sagittal T2 FSE, sagittal T1 SE and axial 2D GE images are suggested in routine cervical spine imaging. To assess the bone marrow, a STIR sequence can be added to this protocol on both lumbar and cervical spine examinations. The 2D GE produces an acceptable image quality to differentiate between the disc and bony protrusions. The use of FLAIR for imaging spinal cord lesions remains controversial in the literature.

Extracting 3D from motion: differences in human and monkey intraparietal cortex

We compared three-dimensional structure-from-motion (3D-SFM) processing in awake monkeys and humans using functional magnetic resonance imaging. Occipital and midlevel extrastriate visual areas showed similar activation by 3D-SFM stimuli in both species. In contrast, intraparietal areas showed significant 3D-SFM activation in humans but not in monkeys. This suggests that human intraparietal cortex contains visuospatial processing areas that are not present in monkeys.

BOLD contrast fMRI of whole rodent tumour during air or carbogen breathing using echo-planar imaging at 1.5 T

The aim of this study was to evaluate the feasibility of functional MR imaging (fMRI) at 1.5 T, exploiting blood oxygenation level-dependent (BOLD) contrast, for detecting changes in whole-tumour oxygenation induced by carbogen (5% CO2+95% O2) inhalation of the host. Adult WAG/Rij rats with rhabdomyosarcomas growing subcutaneously in the lower flank were imaged when tumours reached sizes between 1 and 11 cm3 (n=12). Air and carbogen were alternatively supplied at 2 l/min using a snout mask. Imaging was done on a 1.5-T MR scanner using a T2*-weighted gradient-echo, echo-planar imaging (GE-EPI) sequence. Analysis of the whole-tumour EPI images was based on statistical parametric maps. Voxels with and without signal intensity changes (SIC) were recorded. Significance thresholds were set at p<0.05, corrected for multiple comparisons. In continuous air breathing condition, 3 of 12 tumours showed significant negative SIC and 1 tumour had a clear-cut positive SIC. The remaining tumours showed very little or no change. When switching to carbogen breathing, the SIC were significantly positive in 10 of 12 tumours. Negative SIC were present in 4 tumours, of which three were simultaneously characterised by positive SIC. The overall analysis indicated that 6 of the 12 tumours could be considered as strong positive responders to carbogen. Our research demonstrates the applicability of fMRI GE-EPI at 1.5 T to study whole-tumour oxygenation non-invasively. The observed negative SIC during air condition may reflect the presence of transient hypoxia during these measurements. Selection of tumours on the basis of their individual response to carbogen is possible, indicating a role of such non-invasive measurements for using tailor-made treatments.

Brain areas involved in interlimb coordination: a distributed network

Whereas behavioral studies have made significant contributions toward the identification of the principles governing the coordination of limb movements, little is known about the role of higher brain areas that are involved in interlimb coordination. Functional magnetic resonance imaging (fMRI) was used to reveal the brain areas activated during the cyclical coordination of ipsilateral wrist and foot movements. Six normal subjects performed five different tasks that were presented in a random order, i.e., isolated flexion-extension movements of the right wrist (WRIST) and right foot (FOOT), cyclical coordination of wrist and foot according to the isodirectional (ISODIR) and nonisodirectional (NON-ISODIR) mode, and rest (REST). All movements were auditory paced at 66 beats/min. During the coordination of both limb segments, a distributed network was identified showing activation levels in the supplementary motor area (SMA), cingulate motor cortex (CMC), premotor cortex (PMC), primary sensorimotor cortex (M1/S1), and cerebellum that exceeded the sum of the activations observed during the isolated limb movements. In addition, coordination of the limb movements in different directions was associated with extra activation of the SMA as compared to movements in the same direction. It is therefore concluded that the SMA is substantially involved in the coordination of the nonhomologous limbs as part of a distributed motor network. Accordingly, the long-standing exclusive association that has been made between this medial frontal area and bimanual (homologous) coordination needs to be abandoned and extended towards other forms of interlimb coordination (nonhomologous).

Attention mechanisms in visual search -- an fMRI study

The human visual system is usually confronted with many different objects at a time, with only some of them reaching consciousness. Reaction-time studies have revealed two different strategies by which objects are selected for further processing: an automatic, efficient search process, and a conscious, so-called inefficient search [Treisman, A. (1991). Search, similarity, and integration of features between and within dimensions. Journal of Experimental Psychology: Human Perception and Performance, 17, 652--676; Treisman, A., & Gelade, G. (1980). A feature integration theory of attention. Cognitive Psychology, 12, 97--136; Wolfe, J. M. (1996). Visual search. In H. Pashler (Ed.), Attention. London: University College London Press]. Two different theories have been proposed to account for these search processes. Parallel theories presume that both types of search are treated by a single mechanism that is modulated by attentional and computational demands. Serial theories, in contrast, propose that parallel processing may underlie efficient search, but inefficient searching requires an additional serial mechanism, an attentional "spotlight" (Treisman, A., 1991) that successively shifts attention to different locations in the visual field. Using functional magnetic resonance imaging (fMRI), we show that the cerebral networks involved in efficient and inefficient search overlap almost completely. Only the superior frontal region, known to be involved in working memory [Courtney, S. M., Petit, L., Maisog, J. M., Ungerleider, L. G., & Haxby, J. V. (1998). An area specialized for spatial working memory in human frontal cortex. Science, 279, 1347--1351], and distinct from the frontal eye fields, that control spatial shifts of attention, was specifically involved in inefficient search. Activity modulations correlated with subjects' behavior best in the extrastriate cortical areas, where the amount of activity depended on the number of distracting elements in the display. Such a correlation was not observed in the parietal and frontal regions, usually assumed as being involved in spatial attention processing. These results can be interpreted in two ways: the most likely is that visual search does not require serial processing, otherwise we must assume the existence of a serial searchlight that operates in the extrastriate cortex but differs from the visuospatial shifts of attention involving the parietal and frontal regions.

Clinical applications of functional magnetic resonance imaging

This article addresses the application of clinical functional MR imaging to evaluate tumors, epilepsy, and questions of brain plasticity.

Human brain regions involved in heading estimation

Observer motion in a stationary visual environment results in an optic flow pattern on the retina, which in simple situations can be used to determine the direction of self motion or heading. The present study, using positron emission tomography (PET) and functional magnetic resonance imaging (fMRI), investigated the human cerebral activation pattern, elicited when subjects viewing a ground plane optic flow pattern actively judged heading. Several successive experiments controlled for visual input, visuospatial attention, and motor response effects. Results indicate that the network specifically involved in heading consists of only two motion sensitive areas: human MT/V5+, including an inferior satellite, and dorsal intraparietal sulcus area (DIPSM/L), predominantly in the right hemisphere, plus a dorsal premotor region bilaterally. These results suggest possible homologies with the dorsal part of the medial superior temporal area and area 7a in the monkey.

Orientation discrimination of objects and gratings compared: an fMRI study

We used functional magnetic resonance imaging to compare the human brain regions involved in orientation discrimination of two-dimensional (2D) objects and gratings. The orientation discrimination tasks, identification and successive discrimination, were contrasted to a dimming detection control condition with identical retinal input. Regions involved in orientation discrimination were very similar for the two types of tasks and for the two types of stimuli and both belonged to the dorsal and ventral visual pathways. They included posterior occipital, lingual, posterior fusiform, inferior temporal, dorsal intraparietal and medial parietal regions. The main difference between the two types of stimuli was a larger activation of precuneus when 2D objects were used compared to gratings. The main difference between discrimination tasks was an enhanced activity, at the group level, in superior frontal sulcus in identification compared to successive discrimination, and at least at the single subject level, a larger activity in right fusiform cortex in successive discriminations compared to identification. Thus, in contradiction to generally accepted views, orientation discrimination of gratings and objects involve largely similar networks including both ventral and dorsal visual regions.

The representation of shape in the context of visual object categorization tasks

To investigate the role of human fusiform gyrus in shape processing, we determined the effect of shape degradation on BOLD contrast in this region with fMRI during three tasks requiring subjects to determine either whether two successively presented nonsense shapes had the same global orientation (OR task); whether two successively presented meaningful objects belonged to the same basic level category (CAT task); or whether two successively presented objects represented the same exemplar of a category (EX task). On the behavioral level, shape degradation by locally shifting the pixels constituting the lines of stimuli had no effect on performance in the OR task, while it was detrimental to performance in the CAT and EX tasks. In comparison to the OR task, both the CAT and EX tasks were associated with activations in the occipitotemporal and parietal cortex. When shape degradation was applied, activation in the middle fusiform gyrus was reduced in all tasks. The occurrence of this effect in the OR task indicates that it is independent of memory representations. The persistence of the effect in both tasks that showed a behavioral effect of degradation suggests that it does not reflect the amount of shape processing performed on the stimuli, but rather the specificity of the final perceptual representation that can be built from the shape information that is available. Other studies have shown effects of stimulus familiarity and task requirements in the fusiform gyrus, suggesting that there is no need to assume different modules for perceptual representation and representation in memory.

Attention to speed of motion, speed discrimination, and task difficulty: an fMRI study

We studied the functional neuroanatomy of attention to speed of motion using functional magnetic resonance imaging in eight healthy subjects, who performed a speed discrimination (SID) task using a random textured pattern moving at a reference speed of 6 deg/s. During the control condition (DIM), with retinal stimulation identical to that during SID, subjects detected the dimming of the central fixation point. Attention to speed (SID compared to DIM) activated mainly ventral V3 and V4, dorsal V3 and V3A. Compared to a fixation control condition, speed discrimination recruited a large visuomotor network, including hMT/V5+. However, hMT/V5+ was only marginally more active during speed discrimination than during dimming detection. Thus hMT/V5+ is involved in speed discrimination, in line with the speed discrimination impairments following hMT/V5+ lesions, but our results suggest that this activity simply reflects the processing of motion rather than attention to speed. Manipulating the difficulty of the speed discrimination task over a large range of the psychometric curve revealed that increasing difficulty linearly increases activity in right frontal regions, as well as in lateral occipital and dorsal parietal regions. A weak effect of difficulty was also observed in dorsal V3.

Human cortical regions involved in extracting depth from motion

We used functional magnetic resonance imaging (fMRI) to investigate brain regions involved in extracting three-dimensional structure from motion. A factorial design included two-dimensional and three-dimensional structures undergoing rigid and nonrigid motions. As predicted from monkey data, the human homolog of MT/V5 was significantly more active when subjects viewed three-dimensional (as opposed to two-dimensional) displays, irrespective of their rigidity. Human MT/V5+ (hMT/V5+) is part of a network with right hemisphere dominance involved in extracting depth from motion, including a lateral occipital region, five sites along the intraparietal sulcus (IPS), and two ventral occipital regions. Control experiments confirmed that this pattern of activation is most strongly correlated with perceived three-dimensional structure, in as much as it arises from motion and cannot be attributed to numerous two-dimensional image properties or to saliency.