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Schielke A, Krekelberg B. Steady state visual evoked potentials in schizophrenia: A review. Front Neurosci 2022; 16:988077. [PMID: 36389256 PMCID: PMC9650391 DOI: 10.3389/fnins.2022.988077] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2022] [Accepted: 10/11/2022] [Indexed: 05/08/2024] Open
Abstract
Over the past decades, researchers have explored altered rhythmic responses to visual stimulation in people with schizophrenia using steady state visual evoked potentials (SSVEPs). Here we systematically review studies performed between 1954 and 2021, as identified on PubMed. We included studies if they included people with schizophrenia, a control group, reported SSVEPs as their primary outcome, and used quantitative analyses in the frequency domain. We excluded studies that used SSVEPs to primarily quantify cognitive processes (e.g., attention). Fifteen studies met these criteria. These studies reported decreased SSVEPs across a range of frequencies and electrode locations in people living with schizophrenia compared to controls; none reported increases. Null results, however, were common. Given the typically modest number of subjects in these studies, this is consistent with a moderate effect size. It is notable that most studies targeted frequencies that fall within the alpha and beta band, and investigations of frequencies in the gamma band have been rare. We group test frequencies in frequency bands and summarize the results in topographic plots. From the wide range of approaches in these studies, we distill suggested experimental designs and analysis choices for future experiments. This will increase the value of SSVEP studies, improve our understanding of the mechanisms that result in altered rhythmic responses to visual stimulation in schizophrenia, and potentially further the development of diagnostic tools.
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Affiliation(s)
- Alexander Schielke
- Center for Molecular and Behavioral Neuroscience, Rutgers University, Newark, NJ, United States
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Duffy FH, D'Angelo E, Rotenberg A, Gonzalez-Heydrich J. Neurophysiological differences between patients clinically at high risk for schizophrenia and neurotypical controls--first steps in development of a biomarker. BMC Med 2015; 13:276. [PMID: 26525736 PMCID: PMC4630963 DOI: 10.1186/s12916-015-0516-z] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/07/2015] [Accepted: 10/19/2015] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Schizophrenia is a severe, disabling and prevalent mental disorder without cure and with a variable, incomplete pharmacotherapeutic response. Prior to onset in adolescence or young adulthood a prodromal period of abnormal symptoms lasting weeks to years has been identified and operationalized as clinically high risk (CHR) for schizophrenia. However, only a minority of subjects prospectively identified with CHR convert to schizophrenia, thereby limiting enthusiasm for early intervention(s). This study utilized objective resting electroencephalogram (EEG) quantification to determine whether CHR constitutes a cohesive entity and an evoked potential to assess CHR cortical auditory processing. METHODS This study constitutes an EEG-based quantitative neurophysiological comparison between two unmedicated subject groups: 35 neurotypical controls (CON) and 22 CHR patients. After artifact management, principal component analysis (PCA) identified EEG spectral and spectral coherence factors described by associated loading patterns. Discriminant function analysis (DFA) determined factors' discrimination success between subjects in the CON and CHR groups. Loading patterns on DFA-selected factors described CHR-specific spectral and coherence differences when compared to controls. The frequency modulated auditory evoked response (FMAER) explored functional CON-CHR differences within the superior temporal gyri. RESULTS Variable reduction by PCA identified 40 coherence-based factors explaining 77.8% of the total variance and 40 spectral factors explaining 95.9% of the variance. DFA demonstrated significant CON-CHR group difference (P <0.00001) and successful jackknifed subject classification (CON, 85.7%; CHR, 86.4% correct). The population distribution plotted along the canonical discriminant variable was clearly bimodal. Coherence factors delineated loading patterns of altered connectivity primarily involving the bilateral posterior temporal electrodes. However, FMAER analysis showed no CON-CHR group differences. CONCLUSIONS CHR subjects form a cohesive group, significantly separable from CON subjects by EEG-derived indices. Symptoms of CHR may relate to altered connectivity with the posterior temporal regions but not to primary auditory processing abnormalities within these regions.
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Affiliation(s)
- Frank H Duffy
- Department of Neurology, Boston Children's Hospital and Harvard Medical School, 300 Longwood Ave, Boston, Massachusetts, 02115, USA.
| | - Eugene D'Angelo
- Department of Psychiatry, Boston Children's Hospital and Harvard Medical School, 300 Longwood Ave, Boston, Massachusetts, 02115, USA.
| | - Alexander Rotenberg
- Department of Neurology, Boston Children's Hospital and Harvard Medical School, 300 Longwood Ave, Boston, Massachusetts, 02115, USA.
| | - Joseph Gonzalez-Heydrich
- Department of Psychiatry, Boston Children's Hospital and Harvard Medical School, 300 Longwood Ave, Boston, Massachusetts, 02115, USA.
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3
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Lazarev VV, Pontes A, Mitrofanov AA, deAzevedo LC. Reduced interhemispheric connectivity in childhood autism detected by electroencephalographic photic driving coherence. J Autism Dev Disord 2015; 45:537-47. [PMID: 24097142 DOI: 10.1007/s10803-013-1959-8] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
The EEG coherence among 14 scalp points during intermittent photic stimulation at 11 fixed frequencies of 3-24 Hz was studied in 14 boys with autism, aged 6-14 years, with relatively intact verbal and intellectual functions, and 19 normally developing boys. The number of interhemispheric coherent connections pertaining to the 20 highest connections of each individual was significantly lower in autistic patients than in the control group at all the EEG beta frequencies corresponding to those of stimulation. The coefficient of coherence values between homologous occipital, parietal and central areas at the same frequencies were also lower in the autistic group in both mono- and bipolar montages due to a deficit in reactive photic driving increase. No differences between the groups were observed in the spontaneous EEG.
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Affiliation(s)
- Vladimir V Lazarev
- Laboratory of Neurobiology and Clinical Neurophysiology, National Institute of Women, Children and Adolescents Health Fernandes Figueira, Oswaldo Cruz Foundation, Av. Rui Barbosa, 716, Rio de Janeiro, RJ, 22250-020, Brazil,
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Guo S, Palaniyappan L, Yang B, Liu Z, Xue Z, Feng J. Anatomical distance affects functional connectivity in patients with schizophrenia and their siblings. Schizophr Bull 2014; 40:449-59. [PMID: 24282323 PMCID: PMC3932090 DOI: 10.1093/schbul/sbt163] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
BACKGROUND The efficiency of human brain depends on the integrity of both long- and short-range connections, but the long-range connections need to be "penalized" to reduce overall wiring costs. This principle, termed as the anatomical distance function (ADF), refers to the presence of an inverse relationship between anatomical distance and connectivity. A crucial developmental feature that occurs in normal adolescence is the weakening of ADF, which is characterized by a selective strengthening of long-distance connections. Schizophrenia is associated with widespread dysconnectivity that is linked to aberrant cortical development. METHODS We studied the ADF in adults with schizophrenia (n = 28), their age-matched siblings (n = 28), and healthy controls (n = 60). We investigated the proportional abnormalities in the long-range connections involving interhemispheric, subcortical, frontal, and salience network regions and localized the connections showing most significant changes in schizophrenia. The groups were discriminated on the basis of short- and long-range connectivity using a machine-learning algorithm. RESULTS Both patients and their siblings showed abnormally pronounced ADF. This was associated with a disproportionate reduction in the number of long-range connections, affecting the subcortical, interhemispheric, and the salience network connections. The abnormalities in long-range connections had superior ability to accurately identify group membership. CONCLUSIONS A crucial organizing principle of the brain architecture that becomes apparent during normal adolescence is disturbed in schizophrenia. While siblings show some evidence of compensating for this deficit, patients lack putative compensatory changes. Age-related shift in ADF provides an explanatory framework for the developmental emergence of widespread dysconnectivity that is influenced by genetic risk in schizophrenia.
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Affiliation(s)
- Shuixia Guo
- *To whom correspondence should be addressed; Department of Computer Science, University of Warwick, Coventry CV4 7AL, UK; tel: 00447799572480; fax: 00442476523193.
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Hoptman MJ, Zuo XN, D’Angelo D, Mauro CJ, Butler PD, Milham MP, Javitt DC. Decreased interhemispheric coordination in schizophrenia: a resting state fMRI study. Schizophr Res 2012; 141:1-7. [PMID: 22910401 PMCID: PMC3446206 DOI: 10.1016/j.schres.2012.07.027] [Citation(s) in RCA: 114] [Impact Index Per Article: 9.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/21/2012] [Revised: 07/18/2012] [Accepted: 07/20/2012] [Indexed: 01/22/2023]
Abstract
Schizophrenia has been increasingly conceptualized as a disorder of brain connectivity, in large part due to findings emerging from white matter and functional connectivity (FC) studies. This work has focused primarily on within-hemispheric connectivity, however some evidence has suggested abnormalities in callosal structure and interhemispheric interaction. Here we examined functional connectivity between homotopic points in the brain using a technique called voxel-mirrored homotopic connectivity (VMHC). We performed VMHC analyses on resting state fMRI data from 23 healthy controls and 25 patients with schizophrenia or schizoaffective disorder. We found highly significant reductions in VMHC in patients for a number of regions, particularly the occipital lobe, the thalamus, and the cerebellum. No regions of increased VMHC were detected in patients. VMHC in the postcentral gyrus extending into the precentral gyrus was correlated with PANSS Total scores. These results show substantial impairment of interhemispheric coordination in schizophrenia.
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Affiliation(s)
- Matthew J. Hoptman
- Schizophrenia Research Division, Nathan Kline Institute, Orangeburg, NY,Department of Psychiatry, New York University School of Medicine, New York, NY
| | - Xi-Nian Zuo
- Laboratory for Functional Connectome and Development, Key Laboratory of Behavioral Science, Magnetic Resonance Imaging Research Center, Institute of Psychology, Chinese Academy of Sciences, Beijing, China
| | - Debra D’Angelo
- Schizophrenia Research Division, Nathan Kline Institute, Orangeburg, NY
| | - Cristina J. Mauro
- Schizophrenia Research Division, Nathan Kline Institute, Orangeburg, NY
| | - Pamela D. Butler
- Schizophrenia Research Division, Nathan Kline Institute, Orangeburg, NY,Department of Psychiatry, New York University School of Medicine, New York, NY
| | - Michael P. Milham
- Schizophrenia Research Division, Nathan Kline Institute, Orangeburg, NY,Child Mind Institute, New York, NY
| | - Daniel C. Javitt
- Schizophrenia Research Division, Nathan Kline Institute, Orangeburg, NY,Department of Psychiatry, College of Physicians and Surgeons, Columbia University, New York, NY
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Jalili M, Knyazeva MG. EEG-based functional networks in schizophrenia. Comput Biol Med 2011; 41:1178-86. [PMID: 21601186 DOI: 10.1016/j.compbiomed.2011.05.004] [Citation(s) in RCA: 43] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2010] [Revised: 01/11/2011] [Accepted: 05/02/2011] [Indexed: 01/05/2023]
Abstract
Schizophrenia is often considered as a dysconnection syndrome in which, abnormal interactions between large-scale functional brain networks result in cognitive and perceptual deficits. In this article we apply the graph theoretic measures to brain functional networks based on the resting EEGs of fourteen schizophrenic patients in comparison with those of fourteen matched control subjects. The networks were extracted from common-average-referenced EEG time-series through partial and unpartial cross-correlation methods. Unpartial correlation detects functional connectivity based on direct and/or indirect links, while partial correlation allows one to ignore indirect links. We quantified the network properties with the graph metrics, including mall-worldness, vulnerability, modularity, assortativity, and synchronizability. The schizophrenic patients showed method-specific and frequency-specific changes especially pronounced for modularity, assortativity, and synchronizability measures. However, the differences between schizophrenia patients and normal controls in terms of graph theory metrics were stronger for the unpartial correlation method.
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Affiliation(s)
- Mahdi Jalili
- Department of Computer Engineering, Sharif University of Technology, Tehran, Iran.
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Hinkley LBN, Owen JP, Fisher M, Findlay AM, Vinogradov S, Nagarajan SS. Cognitive Impairments in Schizophrenia as Assessed Through Activation and Connectivity Measures of Magnetoencephalography (MEG) Data. Front Hum Neurosci 2010; 3:73. [PMID: 21160543 PMCID: PMC2991173 DOI: 10.3389/neuro.09.073.2009] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2009] [Accepted: 12/16/2009] [Indexed: 02/05/2023] Open
Abstract
The cognitive dysfunction present in patients with schizophrenia is thought to be driven in part by disorganized connections between higher-order cortical fields. Although studies utilizing electroencephalography (EEG), PET and fMRI have contributed significantly to our understanding of these mechanisms, magnetoencephalography (MEG) possesses great potential to answer long-standing questions linking brain interactions to cognitive operations in the disorder. Many experimental paradigms employed in EEG and fMRI are readily extendible to MEG and have expanded our understanding of the neurophysiological architecture present in schizophrenia. Source reconstruction techniques, such as adaptive spatial filtering, take advantage of the spatial localization abilities of MEG, allowing us to evaluate which specific structures contribute to atypical cognition in schizophrenia. Finally, both bivariate and multivariate functional connectivity metrics of MEG data are useful for understanding how these interactions in the brain are impaired in schizophrenia, and how cognitive and clinical outcomes are affected as a result. We also present here data from our own laboratory that illustrates how some of these novel functional connectivity measures, specifically imaginary coherence (IC), are quite powerful in relating disconnectivity in the brain to characteristic behavioral findings in the disorder.
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Affiliation(s)
- Leighton B N Hinkley
- Department of Radiology and Biomedical Imaging, University of California San Francisco, CA, USA
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Takahashi T, Cho RY, Murata T, Mizuno T, Kikuchi M, Mizukami K, Kosaka H, Takahashi K, Wada Y. Age-related variation in EEG complexity to photic stimulation: a multiscale entropy analysis. Clin Neurophysiol 2009; 120:476-83. [PMID: 19231279 DOI: 10.1016/j.clinph.2008.12.043] [Citation(s) in RCA: 84] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2008] [Revised: 12/11/2008] [Accepted: 12/28/2008] [Indexed: 10/21/2022]
Abstract
OBJECTIVE This study was intended to examine variations in electroencephalographic (EEG) complexity in response to photic stimulation (PS) during aging to test the hypothesis that the aging process reduces physiologic complexity and functional responsiveness. METHODS Multiscale entropy (MSE), an estimate of time-series signal complexity associated with long-range temporal correlation, is used as a recently proposed method for quantifying EEG complexity with multiple coarse-grained sequences. We recorded EEG in 13 healthy elderly subjects and 12 healthy young subjects during pre-PS and post-PS conditions and estimated their respective MSE values. RESULTS For the pre-PS condition, no significant complexity difference was found between the groups. However, a significant MSE change (complexity increase) was found post-PS only in young subjects, thereby revealing a power-law scaling property, which means long-range temporal correlation. CONCLUSIONS Enhancement of long-range temporal correlation in young subjects after PS might reflect a cortical response to stimuli, which was absent in elderly subjects. These results are consistent with the general "loss of complexity/diminished functional response to stimuli" theory of aging. SIGNIFICANCE Our findings demonstrate that application of MSE analysis to EEG is a powerful approach for studying age-related changes in brain function.
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Affiliation(s)
- Tetsuya Takahashi
- Department of Neuropsychiatry, Faculty of Medical Sciences, University of Fukui, 23-3 Matsuokashimoaizuki, Eiheiji-cho, Yoshida-gun, Fukui 910-1193, Japan.
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Vierling-Claassen D, Siekmeier P, Stufflebeam S, Kopell N. Modeling GABA alterations in schizophrenia: a link between impaired inhibition and altered gamma and beta range auditory entrainment. J Neurophysiol 2008; 99:2656-71. [PMID: 18287555 DOI: 10.1152/jn.00870.2007] [Citation(s) in RCA: 131] [Impact Index Per Article: 8.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
The disorganized symptoms of schizophrenia, including severely disordered thought patterns, may be indicative of a problem with the construction and maintenance of cell assemblies during sensory processing and attention. The gamma and beta frequency bands (15-70 Hz) are believed relevant to such processing. This paper addresses the results of an experimental examination of the cortical response of 12 schizophrenia patients and 12 control subjects when presented with auditory click-train stimuli in the gamma/beta frequency band during measurement using magnetoencephalography (MEG), as well as earlier work by Kwon et al. These data indicate that control subjects show an increased 40-Hz response to both 20- and 40-Hz stimulation as compared with patients, whereas schizophrenic subjects show a preference for 20-Hz response to the same driving frequencies. In this work, two computational models of the auditory cortex are constructed based on postmortem studies that indicate cortical interneurons in schizophrenic subjects have decreased GAT-1 (a GABA transporter) and GAD(67) (1 of 2 enzymes responsible for GABA synthesis). The models transition from control to schizophrenic frequency response when an extended inhibitory decay time is introduced; this change captures a possible effect of these GABA alterations. Modeling gamma/beta range auditory entrainment in schizophrenia provides insight into how biophysical mechanisms can impact cognitive function. In addition, the study of dynamics that underlie auditory entrainment in schizophrenia may contribute to the understanding of how gamma and beta rhythms impact cognition in general.
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Affiliation(s)
- Dorea Vierling-Claassen
- Department of Mathematics and Statistics, Center for BioDynamics, Boston University, Boston, MA, USA.
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Jalili M, Lavoie S, Deppen P, Meuli R, Do KQ, Cuénod M, Hasler M, De Feo O, Knyazeva MG. Dysconnection topography in schizophrenia revealed with state-space analysis of EEG. PLoS One 2007; 2:e1059. [PMID: 17957243 PMCID: PMC2020441 DOI: 10.1371/journal.pone.0001059] [Citation(s) in RCA: 40] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2007] [Accepted: 10/01/2007] [Indexed: 12/02/2022] Open
Abstract
Background The dysconnection hypothesis has been proposed to account for pathophysiological mechanisms underlying schizophrenia. Widespread structural changes suggesting abnormal connectivity in schizophrenia have been imaged. A functional counterpart of the structural maps would be the EEG synchronization maps. However, due to the limits of currently used bivariate methods, functional correlates of dysconnection are limited to the isolated measurements of synchronization between preselected pairs of EEG signals. Methods/Results To reveal a whole-head synchronization topography in schizophrenia, we applied a new method of multivariate synchronization analysis called S-estimator to the resting dense-array (128 channels) EEG obtained from 14 patients and 14 controls. This method determines synchronization from the embedding dimension in a state-space domain based on the theoretical consequence of the cooperative behavior of simultaneous time series—the shrinking of the state-space embedding dimension. The S-estimator imaging revealed a specific synchronization landscape in schizophrenia patients. Its main features included bilaterally increased synchronization over temporal brain regions and decreased synchronization over the postcentral/parietal region neighboring the midline. The synchronization topography was stable over the course of several months and correlated with the severity of schizophrenia symptoms. In particular, direct correlations linked positive, negative, and general psychopathological symptoms to the hyper-synchronized temporal clusters over both hemispheres. Along with these correlations, general psychopathological symptoms inversely correlated within the hypo-synchronized postcentral midline region. While being similar to the structural maps of cortical changes in schizophrenia, the S-maps go beyond the topography limits, demonstrating a novel aspect of the abnormalities of functional cooperation: namely, regionally reduced or enhanced connectivity. Conclusion/Significance The new method of multivariate synchronization significantly boosts the potential of EEG as an imaging technique compatible with other imaging modalities. Its application to schizophrenia research shows that schizophrenia can be explained within the concept of neural dysconnection across and within large-scale brain networks.
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Affiliation(s)
- Mahdi Jalili
- École Polytechnique Fédérale de Lausanne (EPFL), IC – School of Computer and Communication Sciences, Laboratory of Nonlinear Systems (ICLANOS), Lausanne, Switzerland
| | - Suzie Lavoie
- Center for Psychiatric Neuroscience, Department of Psychiatry, Centre Hospitalier Universitaire Vaudois and University of Lausanne, Lausanne, Switzerland
| | - Patricia Deppen
- Center for Psychiatric Neuroscience, Department of Psychiatry, Centre Hospitalier Universitaire Vaudois and University of Lausanne, Lausanne, Switzerland
| | - Reto Meuli
- Department of Radiology, Centre Hospitalier Universitaire Vaudois and University of Lausanne, Lausanne, Switzerland
| | - Kim Q. Do
- Center for Psychiatric Neuroscience, Department of Psychiatry, Centre Hospitalier Universitaire Vaudois and University of Lausanne, Lausanne, Switzerland
| | - Michel Cuénod
- Center for Psychiatric Neuroscience, Department of Psychiatry, Centre Hospitalier Universitaire Vaudois and University of Lausanne, Lausanne, Switzerland
| | - Martin Hasler
- École Polytechnique Fédérale de Lausanne (EPFL), IC – School of Computer and Communication Sciences, Laboratory of Nonlinear Systems (ICLANOS), Lausanne, Switzerland
| | - Oscar De Feo
- Microelectronic Engineering, University College Cork, Cork City, Ireland
| | - Maria G. Knyazeva
- Department of Radiology, Centre Hospitalier Universitaire Vaudois and University of Lausanne, Lausanne, Switzerland
- Department of Neurology, Centre Hospitalier Universitaire Vaudois and University of Lausanne, Lausanne, Switzerland
- * To whom correspondence should be addressed. E-mail:
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Irisawa S, Isotani T, Yagyu T, Morita S, Nishida K, Yamada K, Yoshimura M, Okugawa G, Nobuhara K, Kinoshita T. Increased omega complexity and decreased microstate duration in nonmedicated schizophrenic patients. Neuropsychobiology 2007; 54:134-9. [PMID: 17199099 DOI: 10.1159/000098264] [Citation(s) in RCA: 46] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/06/2006] [Accepted: 10/03/2006] [Indexed: 11/19/2022]
Abstract
To explore brain functions in schizophrenic patients, the global analytic strategy of multichannel EEG was performed that combines measures of global complexity (Omega), total power (Sigma) and generalized frequency (Phi), and EEG microstate analysis was applied to multichannel EEG data for 24 nonmedicated patients and 24 healthy subjects. The patients had higher Omega and Sigma values, and lower Phi values compared with healthy subjects. Three topographical classes were obtained from all EEG data by EEG microstate analysis. The mean duration of one topographical class in the patients was shortened compared to healthy subjects. These results indicated looser cooperativity, or decreased connectivity of the active brain process and deviant brain information processing in schizophrenic patients.
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Affiliation(s)
- Satoshi Irisawa
- Department of Neuropsychiatry, Kansai Medical University, 10-15 Fumizono-cho, Moriguchi 570-8506, Japan.
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Foucher JR, Luck D. Psychosis related to neurological conditions: pro and cons of the dis- / mis-connectivity models of schizophrenia. DIALOGUES IN CLINICAL NEUROSCIENCE 2006. [PMID: 16640110 PMCID: PMC3181754 DOI: 10.31887/dcns.2006.8.1/jfoucher] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
Schizophrenia is still a condition with obscure causes and psychopathology. This paper aims to discuss the “disconnectivity” hypothesis in relation to some neurological conditions which are known to alter brain connectivity, as well as mimicking some aspects of the disorder. After a short historical introduction to the concept, we will examine the evidence for connectivity problems in schizophrenia, separating the anatomical level from the functional level. Then, we will discuss three different issues concerning connectivity: i) local reduction in connectivity without neuronal loss (within the gray matter); ii) reduction in or alteration of long-range connectivity (within the white matter); and iii) abnormal targets for connections. For each of these aspects, we will look at the conditions able to reproduce anomalies capable of increasing susceptibility to schizophrenia. We conclude that psychosis is more likely to occur: i) when long-range connectivity is concerned; ii) when lesions result in lengthening and scattering of conduction times; and iii) when there are high dopamine levels, shedding light on or adding weight to the idea of an interaction between dopamine and connectivity.
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Affiliation(s)
- Jack R Foucher
- Clinique Psychiatrique - INSERM U666, Hôpitaux Universitaires, BP 406 - 67091 Strasbourg, France.
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Higashima M, Takeda T, Kikuchi M, Nagasawa T, Koshino Y. Functional connectivity between hemispheres and schizophrenic symptoms: a longitudinal study of interhemispheric EEG coherence in patients with acute exacerbations of schizophrenia. Clin EEG Neurosci 2006; 37:10-5. [PMID: 16475479 DOI: 10.1177/155005940603700104] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
To clarify whether interhemispheric electroencephalogram (EEG) coherence reflecting functional connectivity between the two cerebral hemispheres can change in a symptom-dependent manner in schizophrenia, we measured resting EEG and symptom severity twice at an average interval of 32.7 days during the course of treatment in 15 patients hospitalized for acute exacerbations of schizophrenia. Symptom severity was estimated quantitatively by means of the Brief Psychiatric Rating Scale (BPRS). Correlation analysis showed that increases in the beta-band coherence for frontal electrode pairs during the treatment were associated with improvement in the total score and the score on the positive subscale of BPRS. This result suggests that functional disconnection between the left and right frontal lobes may be related to the generation of psychotic symptoms and can normalize following antipsychotic treatment.
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Affiliation(s)
- Masato Higashima
- Department of Psychiatry and Neurobiology, Graduate School of Medical Science, Kanazawa University, Japan.
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Jin SH, Ham BJ, Kim SY. Functional clustering in EEG photic and auditory driving in schizophrenia. Int J Psychophysiol 2005; 56:249-59. [PMID: 15866328 DOI: 10.1016/j.ijpsycho.2004.12.009] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2004] [Revised: 12/17/2004] [Accepted: 12/20/2004] [Indexed: 11/21/2022]
Abstract
The purpose of this study is to investigate the effects of photic and auditory stimuli on brain functions in schizophrenics by investigating the functional cluster (FC) of EEGs. We recorded EEGs using 16 electrodes on 10 schizophrenic patients and on 10 normal controls during photic and auditory stimuli. We estimated FC would characterize the strongly interactive brain regions among many brain regions. FC refers to the brain regions that interact much more strongly among themselves than with the rest of the brain. Brain regions that belong to the same cluster are therefore all functionally involved while, presumably, the regions that belong to separate clusters are functionally unrelated. When photic and auditory stimuli are applied, the schizophrenic patients have a very similar cluster composed of the right temporal and occipital regions for both conditions, whereas the normal controls show the normally driven information stream from the posterior areas to the prefrontal cortex. Our findings may suggest that in schizophrenics the right temporal and occipital regions strongly interact with neuronal activities not only in the resting condition but also during the stimulation condition. In addition, this strong interaction supports the abnormal brain functional connectivity and the dysfunction of the cortical structure during photic and auditory stimuli. Our study shows the existence and different pattern of FCs for normal controls and schizophrenics. Thus, FC analysis would be a potential tool to investigate the simultaneous neuronal activity of human EEGs.
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Affiliation(s)
- Seung-Hyun Jin
- Department of Physics, Korea Advanced Institute of Science and Technology, Daejeon, 305-701 Korea.
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Hanaoka A, Kikuchi M, Komuro R, Oka H, Kidani T, Ichikawa S. EEG coherence analysis in never-medicated patients with panic disorder. Clin EEG Neurosci 2005; 36:42-8. [PMID: 15683197 DOI: 10.1177/155005940503600109] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
To investigate the functional abnormalities in the central nervous system (CNS) of patients with panic disorder (PD), we compared the electroencephalography (EEG) coherence values in 18 never-medicated PD patients with those in age-matched normal control subjects, and examined the relationships between EEG coherence values and both the duration of disease and the severity of panic attacks. EEG data were recorded in the resting state. The PD patients had lower coherence values with significant differences in F3-F4, C3-C4, P3-P4, F7-T5, and F8-T6. There were positive correlations for the higher alpha band between coherence values and both the duration of disease and the severity of panic attacks. These findings provide further evidence that PD patients have a lower degree of inter-hemispheric functional connectivity in the frontal region and intra-hemispheric functional connectivity in the bilateral temporal region, and that chronic condition or frequent panic attacks in PD patients may be related to the pathophysiological CNS changes.
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Affiliation(s)
- Akira Hanaoka
- Department of Psychiatry and Neurobiology, Graduate School of Medical Science, Kanazawa University, Japan.
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16
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Krystal JH, D'Souza DC, Mathalon D, Perry E, Belger A, Hoffman R. NMDA receptor antagonist effects, cortical glutamatergic function, and schizophrenia: toward a paradigm shift in medication development. Psychopharmacology (Berl) 2003; 169:215-33. [PMID: 12955285 DOI: 10.1007/s00213-003-1582-z] [Citation(s) in RCA: 398] [Impact Index Per Article: 19.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/10/2003] [Accepted: 07/09/2003] [Indexed: 11/25/2022]
Abstract
There is an urgent need to improve the pharmacotherapy of schizophrenia despite the introduction of important new medications. New treatment insights may come from appreciating the therapeutic implications of model psychoses. In particular, basic and clinical studies have employed the N-methyl-D-aspartate (NMDA) glutamate receptor antagonist, ketamine, as a probe of NMDA receptor contributions to cognition and behavior. These studies illustrate a translational neuroscience approach for probing mechanistic hypotheses related to the neurobiology and treatment of schizophrenia and other disorders. Two particular pathophysiologic themes associated with schizophrenia, the disturbance of cortical connectivity and the disinhibition of glutamatergic activity may be modeled by the administration of NMDA receptor antagonists. The purpose of this review is to consider the possibility that agents that attenuate these two components of NMDA receptor antagonist response may play complementary roles in the treatment of schizophrenia.
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Affiliation(s)
- John H Krystal
- Schizophrenia Biological Research Center (116-A), VA Connecticut Healthcare System, 950 Campbell Ave., West Haven, CT 06516, USA.
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17
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Jin SH, Na SH, Kim SY, Ham BJ, Lee DH, Lee JH, Lee H. Hemispheric laterality and dimensional complexity in schizophrenia under sound and light stimulation. Int J Psychophysiol 2003; 49:1-15. [PMID: 12853126 DOI: 10.1016/s0167-8760(03)00078-3] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
The aim of the present study is to investigate the relationship between linear and non-linear activities in human electroencephalograms (EEGs) by examining the linear lateral asymmetry index and the correlation dimension as a non-linear measure of complexity and to typify the characteristics of EEGs between schizophrenic patients and normal controls. We recorded the EEG from 16 electrodes in 10 schizophrenics (6 males and 4 females) and 10 age-matched normal controls (10 males), and calculated their asymmetry indices. The asymmetry index shows which hemispheric activity is dominant through examination of interhemispheric pairs in the frequency domain with EEGs between two regions. We also estimated correlation dimension. Remarkably, lower dimensional complexities appeared on the brain regions, which had significantly lower brain activity, as determined by a lateral asymmetry analysis, in schizophrenics before sound and light (SL) stimulation. We may suggest the possibility of co-varying of both linear and non-linear properties. This co-varying phenomenon maintained after the SL stimulation. Furthermore, schizophrenic patients revealed opposite asymmetric patterns compared to normal controls, as well as reversal phenomena and abnormalities in the left frontal region when SL stimuli were applied.
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Affiliation(s)
- Seung-Hyun Jin
- Department of Physics, Korea Advanced Institute of Science and Technology, 305-701, Daejeon, South Korea
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18
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Abstract
The Zeitgeist favors an interpretation of schizophrenia as a condition of abnormal connectivity of cortical neurons, particularly in the prefrontal and temporal cortex. The available evidence points to reduced connectivity, a possible consequence of excessive synaptic pruning in development. A decreased thalamic input to the cerebral cortex appears likely, and developmental studies predict that this decrease should entail a secondary loss of both long- and short-range cortico-cortical connections, including connections between the hemispheres. Indeed, morphological, electrophysiological and neuropsychological studies over the last two decades suggest that the callosal connections are altered in schizophrenics. However, the alterations are subtle and sometimes inconsistent across studies, and need to be investigated further with new methodologies.
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Affiliation(s)
- G M Innocenti
- Department of Neuroscience, Karolinska Institutet, Stockholm, Sweden.
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19
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Abstract
The objective of the present study was to provide a pathophysiological model of the development of schizophrenia. The method used was the selective review of recent findings, including those of animal models from our own department, to clarify the relationship between morphological brain changes and dopamine metabolism, and the pathophysiology of schizophrenia. The results showed that entorhinal cortex-lesioned animals had increased concentrations of dopamine in the amygdala, and methamphetamine-induced dopamine release in the amygdala of lesioned rats was significantly enhanced compared with sham-operated rats. These results and the morphological findings in schizotypal disorder patients support the view that temporal lobe changes may underlie a vulnerability to schizophrenia. Latent dysfunction in these regions may become clinically apparent as positive psychotic symptoms due to additional frontal lobe changes in schizophrenia. For the emergence of positive Schneiderian symptoms, aberrant activity of sociality-related circuits, including the amygdala was postulated. In conclusion, a temporo-frontal two-step hypothesis for the development of schizophrenia was suggested.
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Affiliation(s)
- Masayoshi Kurachi
- Department of Psychiatry, Faculty of Medicine, Toyama Medical and Pharmaceutical University, Toyama, Japan.
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20
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Knott VJ, LaBelle A, Jones B, Mahoney C. EEG coherence following acute and chronic clozapine in treatment-resistant schizophrenics. Exp Clin Psychopharmacol 2002; 10:435-44. [PMID: 12498341 DOI: 10.1037/1064-1297.10.4.435] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Electroencephalographic (EEG) coherence is an index of brain regional coupling that has been found to be abnormal in people with schizophrenia but has not been systematically examined in response to neuroleptics. EEG coherence in slow (delta and theta) frequencies was assessed in 17 treatment-resistant people with schizophrenia at baseline, 2 hr after their first oral dose (25 mg) and after 6 weeks of clozapine treatment. Compared with EEG norms, participants exhibited significant interhemispheric and intrahemispheric coherence abnormalities prior to treatment. Both acute and chronic treatments altered coherence but differed with respect to their relationship to symptom reduction and their ability to normalize or augment pretreatment abnormalities. Findings are discussed in relation to "disconnection" theories of schizophrenia.
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Affiliation(s)
- Verner J Knott
- Department of Psychiatry and Psychology, University of Ottawa/Royal Ottawa Hospital, Ontario, Canada.
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21
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Strelets VB, Novototsky-Vlasov VY, Golikova JV. Cortical connectivity in high frequency beta-rhythm in schizophrenics with positive and negative symptoms. Int J Psychophysiol 2002; 44:101-15. [PMID: 11909645 DOI: 10.1016/s0167-8760(01)00196-9] [Citation(s) in RCA: 60] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
During the last decade the role of high frequency EEG activity in the 'binding phenomenon' was discovered. It was supposed that this phenomenon provided the integration between different brain structures underlying higher nervous functions and possibly even consciousness [Proc. Natl. Acad. Sci. 90 (1993) 2078; Annu. Rev. Neurosci. 18 (1995) 555; J. Neurosci. V 16 (1996) 4240; Am. Physiol. Soc. (1998) 1567; Induced Rhythms in the Brain (1992) 425; NeuroReport 8 (1997) 531; Proc. Natl. Acad. Sci. USA 94 (1997) 12198]. Schizophrenia is considered as a disorder of the integration between different brain regions [Review of Psychiatry 18 (1999a) 29; Conceptual Advances in Russian Neuroscience: Complex Brain Functions (1999) 151; Brain Res. Rev. 31 (2000) 301], and in the present work we have studied cortical connectivity, focusing on those connections which are maintained by high frequency EEG-rhythm (20-40 Hz). The results showed a high degree of biopotential synchronisation between definite cortical areas during cognitive processes in normal subjects and have evidenced significant functional connectivity disturbances in schizophrenia in this EEG frequency domain.
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Affiliation(s)
- V B Strelets
- Institute of Higher Nervous Activity and Neurophysiology, Russian Academy of Sciences, Moscow, Russia
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22
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Winterer G, Egan MF, Rädler T, Hyde T, Coppola R, Weinberger DR. An association between reduced interhemispheric EEG coherence in the temporal lobe and genetic risk for schizophrenia. Schizophr Res 2001; 49:129-43. [PMID: 11343872 DOI: 10.1016/s0920-9964(00)00128-6] [Citation(s) in RCA: 94] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Previous studies have suggested that schizophrenic patients show resting changes such as frequency-slowing and decreased coherence in the frontal and temporal area. We sought to determine whether these findings are also found in clinically unaffected siblings of schizophrenics and estimate heritability by calculating relative risk. We investigated two independent data sets: (1) from the NIMH St. Elisabeth's campus (59 schizophrenics, 76 unaffected siblings and 32 unrelated normal controls) and (2) from the NIH-campus (Bethesda) (59 schizophrenics, 90 unaffected siblings and 26 unrelated normal controls). We computed power spectra and coherence on the first data set and then tried to replicate the results on the second data set. Power spectrum analysis suggested that schizophrenics are cortically hypoactivated, whereas in unaffected siblings, a tendency for hyperactivation was found. In contrast, spectral coherences (0.5-5Hz) were reduced in both data sets in the temporal lobe areas in schizophrenics and in their unaffected siblings. Changes were most pronounced for the interhemispheric coherence linking both posterior temporal lobe areas. Relative risk calculations (lambda(S)) ranged between 3.7 and 9.8, depending on phenotype definition. Thus, while power spectrum EEG abnormalities may be state-dependent, reduced coherence as a possible measure of neuronal synchronization is familial and potentially a heritable trait related to genetic risk for schizophrenia.
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Affiliation(s)
- G Winterer
- Clinical Brain Disorder Branch, National Institute of Mental Health, National Institutes of Health, Bethesda, MD 20892-1379, USA.
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23
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Kikuchi M, Wada Y, Koshino Y, Nanbu Y, Hashimoto T. Effect of normal aging upon interhemispheric EEG coherence: analysis during rest and photic stimulation. CLINICAL EEG (ELECTROENCEPHALOGRAPHY) 2000; 31:170-4. [PMID: 11056838 DOI: 10.1177/155005940003100404] [Citation(s) in RCA: 36] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
The present study was conducted to examine and compare interhemispheric EEG coherence at rest and during photic stimulation (PS; 5, 10 and 15 Hz) in 30 younger subjects aged 22.1 +/- 2.2 (mean +/- S.D.) and 25 elderly subjects aged 56.8 +/- 4.9. The elderly subjects had significantly lower coherence in the resting EEG for the delta, theta, alpha-3, beta-1 and beta-2 frequency bands. In contrast, EEG analysis during PS showed that elderly subjects had significantly higher coherence in the frequency corresponding to PS at 15 Hz. In addition, when we examined the changes in coherence from the resting state to the stimulus condition (i.e., coherence reactivity), elderly subjects had significantly higher coherence reactivity to PS at 15 Hz. These findings suggest a low interhemispheric functional connectivity in elderly subjects under non stimulus conditions and a high connectivity during photic stimulus.
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Affiliation(s)
- M Kikuchi
- Department of Neuropsychiatry, Kanazawa University School of Medicine, Japan
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24
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Arfanakis K, Cordes D, Haughton VM, Moritz CH, Quigley MA, Meyerand ME. Combining independent component analysis and correlation analysis to probe interregional connectivity in fMRI task activation datasets. Magn Reson Imaging 2000; 18:921-30. [PMID: 11121694 DOI: 10.1016/s0730-725x(00)00190-9] [Citation(s) in RCA: 155] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
A new approach in studying interregional functional connectivity using functional magnetic resonance imaging (fMRI) is presented. Functional connectivity may be detected by means of cross correlating time course data from functionally related brain regions. These data exhibit high temporal coherence of low frequency fluctuations due to synchronized blood flow changes. In the past, this fMRI technique for studying functional connectivity has been applied to subjects that performed no prescribed task ("resting" state). This paper presents the results of applying the same method to task-related activation datasets. Functional connectivity analysis is first performed in areas not involved with the task. Then a method is devised to remove the effects of activation from the data using independent component analysis (ICA) and functional connectivity analysis is repeated. Functional connectivity, which is demonstrated in the "resting brain," is not affected by tasks which activate unrelated brain regions. In addition, ICA effectively removes activation from the data and may allow us to study functional connectivity even in the activated regions.
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Affiliation(s)
- K Arfanakis
- Department of Medical Physics, University of Wisconsin, 1530 Medical Science Center, 1300 University Avenue, Madison, WI 53706-1532, USA.
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