scholarly journals ML of Striatum rs-fMRI Features Predicts TLE Diagnosis

Author(s):  
Yanchun Jiang ◽  
Liluo Nie ◽  
yanbo zhang ◽  
huihua Liu ◽  
jinou Zheng

Abstract Objective: To determine whether patients with temporal lobe epilepsy (TLE) exhibit aberrant resting-state functional magnetic resonance imaging (rs-fMRI)-functional connectivity and build an individualized TLE prediction model using ML (ML). Methods: Sixty TLE patients and fifty-one controls underwent rs-fMRI scanning. The striatum was divided into 12 striatal seeds. rs-FC was compared between groups to enable TLE classification based on striatal FC using the SPM12, SVM and PRONTO softwares. Bilateral striatal FC values were extracted and significance values were obtained using leave-one-out (LOO) SVM analysis and permutation testing (2,000) for cross-validation.Results: Patients with TLE exhibited a significantly decreased rs-FC between the left inferior ventral striatum and the right posterior central gyrus, left superior frontal gyrus;and between the left dorsal rostral putamen and right superior parietal lobule, right middle frontal gyrus. And between right dorsal caudate And left prefrontal lobe, and right middle temporal gyrus. rs-fMRI analysis a revealed significantly increased FC between the left inferior ventral striatum seed and right anterior cingulate in TLE patients (p<0.05). Right dorsal caudate FC may distinguish individuals with TLE from controls with 79.08% Accuracy, including a 72.77% Sensitivity and 76.44% Specificity, resulting in an AUC of 0.71 (p <0 .01). The areas informing classification included left prefrontal lobe, right middle temporal gyrus, and left superior parietal lobule.Conclusion: Our findings demonstrate aberrant FC in certain brain regions, such as the right dorsal caudate, may play an important role as potential biomarkers of TLE and highlight the utility of ML-based models for clinical decision making.

2008 ◽  
Vol 193 (5) ◽  
pp. 424-425 ◽  
Author(s):  
Ralph E. Hoffman ◽  
Adam W. Anderson ◽  
Maxine Varanko ◽  
John C. Gore ◽  
Michelle Hampson

SummaryThe time course of brain activation prior to onset of auditory/ verbal hallucinations was characterised using functional magnetic resonance imaging in six dextral patients with schizophrenia. Composite maps of pre-hallucination periods revealed activation in the left anterior insula and in the right middle temporal gyrus, partially replicating two previous case reports, as well as deactivation in the anterior cingulate and parahippocampal gyri. These findings may reflect brain events that trigger or increase vulnerability to auditory/verbal hallucinations.


2021 ◽  
Vol 15 ◽  
Author(s):  
Xia Zhe ◽  
Li Chen ◽  
Dongsheng Zhang ◽  
Min Tang ◽  
Jie Gao ◽  
...  

Background: Increasing evidence suggests that the temporal and parietal lobes are associated with multisensory integration and vestibular migraine. However, temporal and parietal lobe structural and functional connectivity (FC) changes related to vestibular migraine need to be further investigated.Methods: Twenty-five patients with vestibular migraine (VM) and 27 age- and sex- matched healthy controls participated in this study. Participants completed standardized questionnaires assessing migraine and vertigo-related clinical features. Cerebral cortex characteristics [i.e., thickness (CT), fractal dimension (FD), sulcus depth (SD), and the gyrification index (GI)] were evaluated using an automated Computational Anatomy Toolbox (CAT12). Regions with significant differences were used in a seed-based comparison of resting-state FC conducted with DPABI. The relationship between changes in cortical characteristics or FC and clinical features was also analyzed in the patients with VM.Results: Relative to controls, patients with VM showed significantly thinner CT in the bilateral inferior temporal gyrus, left middle temporal gyrus, and the right superior parietal lobule. A shallower SD was observed in the right superior and inferior parietal lobule. FD and GI did not differ significantly between the two groups. A negative correlation was found between CT in the right inferior temporal gyrus, as well as the left middle temporal gyrus, and the Dizziness Handicap Inventory (DHI) score in VM patients. Furthermore, patients with VM exhibited weaker FC between the left inferior/middle temporal gyrus and the left medial superior frontal gyrus, supplementary motor area.Conclusion: Our data revealed cortical structural and resting-state FC abnormalities associated with multisensory integration, contributing to a lower quality of life. These observations suggest a role for multisensory integration in patients with VM pathophysiology. Future research should focus on using a task-based fMRI to measure multisensory integration.


2020 ◽  
Vol 138 ◽  
pp. 107356
Author(s):  
Björn Machner ◽  
Janina von der Gablentz ◽  
Martin Göttlich ◽  
Wolfgang Heide ◽  
Christoph Helmchen ◽  
...  

2018 ◽  
Vol 22 (1) ◽  
pp. 68-73
Author(s):  
Jeremy Wetzel ◽  
David Bray ◽  
David Wrubel

Chronic encapsulated intraventricular hematoma (CEIVH) is a rare, intraventricular, nonneoplastic mass lesion that can become symptomatic from mass effect or obstructive hydrocephalus. Only 5 cases have been reported in the literature, and only one of these occurred in a pediatric patient and dates back to the pre–modern neuroimaging and pre-microsurgical era of neurosurgery. Imaging features can mimic those of many more common intraventricular lesions, such as choroid plexus tumors or cavernous malformations. In all reported symptomatic cases, resection was safely performed and led to a cure and symptom resolution. Here, the authors present a case of CEIVH in a pediatric patient, describe the operative techniques of resection, review the available literature, and discuss current understanding of the pathophysiology, making this the most comprehensive report on this disease entity to date. The case is a 14-year-old boy who presented with headaches and emesis. Computed tomography showed a hyperdense mass in the trigone of the right lateral ventricle. Magnetic resonance imaging showed a contrast-enhancing well-circumscribed mass. Right temporal craniotomy utilizing a posterior middle temporal gyrus transcortical approach was performed, and gross-total resection was achieved. Pathology revealed a CEIVH. The boy’s postoperative course was uncomplicated, and he was discharged 2 days after surgery.


2018 ◽  
Vol 2018 ◽  
pp. 1-10 ◽  
Author(s):  
Mi Li ◽  
Hongpei Xu ◽  
Shengfu Lu

Background. In the past, studies on the lateralization of the left and right hemispheres of the brain suggested that depression is dominated by the right hemisphere of the brain, but the neural basis of this theory remains unclear. Method. Functional magnetic resonance imaging of the brain was performed in 22 depressive patients and 15 healthy controls. The differences in the mean values of the regional homogeneity (ReHo) of two groups were compared, and the low-frequency amplitudes of these differential brain regions were compared. Results. The results show that compared with healthy subjects, depressive patients had increased ReHo values in the right superior temporal gyrus, right middle temporal gyrus, left inferior temporal gyrus, left middle temporal gyrus, right middle frontal gyrus, triangular part of the right inferior frontal gyrus, orbital part of the right inferior frontal gyrus, right superior occipital gyrus, right middle occipital gyrus, bilateral anterior cingulate, and paracingulate gyri; reduced ReHo values were seen in the right fusiform gyrus, left middle occipital gyrus, left lingual gyrus, and left inferior parietal except in the supramarginal and angular gyri. Conclusions. The results show that regional homogeneity mainly occurs in the right brain, and the overall performance of the brain is such that right hemisphere synchronization is enhanced while left hemisphere synchronization is weakened. ReHo abnormalities in the resting state can predict abnormalities in individual neurological activities that reflect changes in the structure and function of the brain; abnormalities shown with this indicator are the neuronal basis for the phenomenon that the right hemisphere of the brain has a dominant effect on depression.


Author(s):  
Takahiro Yamanoi ◽  
◽  
Yoshinori Tanaka ◽  
Mika Otsuki ◽  
Shin-ichi Ohnishi ◽  
...  

The authors measure electroencephalograms (EEGs) from a subject looking at line drawings of body parts and recalling their names silently. The equivalent current dipole source localization (ECDL) method is applied to the event related potentials (ERPs): summed EEGs. As the dominant language area of the subject is considered to be in the right hemisphere in the previous research study, ECDs are localized to the right middle temporal gyrus: the angular gyrus. Then ECDs are localized to the right fusiform gyrus, the right middle temporal pole (TEP), and the right inferior temporal white matter (TWM). ECDs are located in the ventral pathway. The areas are related to the integrated process of visual recognition of pictures and the recalling of words. Some of these areas are also related to image recognition and word generation.


2012 ◽  
Vol 17 (2) ◽  
pp. 69-74 ◽  
Author(s):  
Chantal Villemure ◽  
Audrey C Laferrière ◽  
M Catherine Bushnell

BACKGROUND: The ventral striatum, particularly the nucleus accumbens, is commonly associated with the processing of reward and positive stimuli, positive affect as well as antinociceptive processes.OBJECTIVES: The present study examined whether the ventral striatum is implicated in analgesia resulting from positive mood change induced by pleasant odours.METHODS: Functional magnetic resonance imaging studies were conducted in healthy individuals receiving painful heat stimuli in the presence of pleasant or unpleasant odours, which were used to induce positive and negative mood states. Ventral striatum activity was examined in the two mood states.RESULTS: For most subjects, pleasant odours improved mood and reduced pain unpleasantness perception relative to unpleasant odours. In the pleasant odour condition, the maximum activation of both the left and right ventral striatum was positively correlated with the amount of pain reduction. Furthermore, the left and right ventral striatum activations positively covaried with one another, and the right ventral striatum activation positively correlated with that in the periaqueductal grey matter. Both ventral striatum activations negatively covaried with the activation of the right mediodorsal thalamus, left dorsal anterior cingulate cortex, left medial prefrontal cortex and right ventrolateral prefrontal cortex.CONCLUSIONS: Because both the mediodorsal thalamus and anterior cingulate are involved in pain affect perception, and activation within the prefrontal areas and periaqueductal grey matter were previously shown to correlate with mood-related pain modulation, it is concluded that the ventral striatum is likely implicated in the analgesic effect of positive mood changes induced by pleasant odours on pain unpleasantness.


1907 ◽  
Vol 64 (2) ◽  
pp. 299-304-1
Author(s):  
A. N. Collins ◽  
E. E. Southard

2021 ◽  
Vol 2021 ◽  
pp. 1-12
Author(s):  
Meiqi Yan ◽  
Xilong Cui ◽  
Feng Liu ◽  
Huabing Li ◽  
Renzhi Huang ◽  
...  

Background. Melancholic depression has been assumed as a severe type of major depressive disorder (MDD). We aimed to explore if there were some distinctive alterations in melancholic MDD and whether the alterations could be used to discriminate the melancholic MDD and nonmelancholic MDD. Methods. Thirty-one outpatients with melancholic MDD, thirty-three outpatients with nonmelancholic MDD, and thirty-two age- and gender-matched healthy controls were recruited. All participants were scanned by resting-state functional magnetic resonance imaging (fMRI). Imaging data were analyzed with the network homogeneity (NH) and support vector machine (SVM) methods. Results. Both patient groups exhibited increased NH in the right PCC/precuneus and right angular gyrus and decreased NH in the right middle temporal gyrus compared with healthy controls. Compared with nonmelancholic patients and healthy controls, melancholic patients exhibited significantly increased NH in the bilateral superior medial frontal gyrus and decreased NH in the left inferior temporal gyrus. But merely for melancholic patients, the NH of the right middle temporal gyrus was negatively correlated with TEPS total and contextual anticipatory scores. SVM analysis showed that a combination of NH values in the left superior medial frontal gyrus and left inferior temporal gyrus could distinguish melancholic patients from nonmelancholic patients with accuracy, sensitivity, and specificity of 79.66% (47/59), 70.97% (22/31), and 89.29%(25/28), respectively. Conclusion. Our findings showed distinctive network homogeneity alterations in melancholic MDD which may be potential imaging markers to distinguish melancholic MDD and nonmelancholic MDD.


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