scholarly journals Improving Diagnosis and Prognosis in Acute Severe Brain Injury: A Multimodal Imaging Protocol

2021 ◽  
Vol 12 ◽  
Author(s):  
Karnig Kazazian ◽  
Loretta Norton ◽  
Geoffrey Laforge ◽  
Androu Abdalmalak ◽  
Teneille E. Gofton ◽  
...  

Multi-modal neuroimaging techniques have the potential to dramatically improve the diagnosis of the level consciousness and prognostication of neurological outcome for patients with severe brain injury in the intensive care unit (ICU). This protocol describes a study that will utilize functional Magnetic Resonance Imaging (fMRI), electroencephalography (EEG), and functional Near Infrared Spectroscopy (fNIRS) to measure and map the brain activity of acute critically ill patients. Our goal is to investigate whether these modalities can provide objective and quantifiable indicators of good neurological outcome and reliably detect conscious awareness. To this end, we will conduct a prospective longitudinal cohort study to validate the prognostic and diagnostic utility of neuroimaging techniques in the ICU. We will recruit 350 individuals from two ICUs over the course of 7 years. Participants will undergo fMRI, EEG, and fNIRS testing several times over the first 10 days of care to assess for residual cognitive function and evidence of covert awareness. Patients who regain behavioral awareness will be asked to complete web-based neurocognitive tests for 1 year, as well as return for follow up neuroimaging to determine which acute imaging features are most predictive of cognitive and functional recovery. Ultimately, multi-modal neuroimaging techniques may improve the clinical assessments of patients' level of consciousness, aid in the prediction of outcome, and facilitate efforts to find interventional methods that improve recovery and quality of life.

2019 ◽  
Author(s):  
Shannon Burns ◽  
Lianne N. Barnes ◽  
Ian A. McCulloh ◽  
Munqith M. Dagher ◽  
Emily B. Falk ◽  
...  

The large majority of social neuroscience research uses WEIRD populations – participants from Western, educated, industrialized, rich, and democratic locations. This makes it difficult to claim whether neuropsychological functions are universal or culture specific. In this study, we demonstrate one approach to addressing the imbalance by using portable neuroscience equipment in a study of persuasion conducted in Jordan with an Arabic-speaking sample. Participants were shown persuasive videos on various health and safety topics while their brain activity was measured using functional near infrared spectroscopy (fNIRS). Self-reported persuasiveness ratings for each video were then recorded. Consistent with previous research conducted with American subjects, this work found that activity in the dorsomedial and ventromedial prefrontal cortex predicted how persuasive participants found the videos and how much they intended to engage in the messages’ endorsed behaviors. Further, activity in the left ventrolateral prefrontal cortex was associated with persuasiveness ratings, but only in participants for whom the message was personally relevant. Implications for these results on the understanding of the brain basis of persuasion and on future directions for neuroimaging in diverse populations are discussed.


2021 ◽  
Vol 11 (2) ◽  
pp. 196
Author(s):  
Sébastien Laurent ◽  
Laurence Paire-Ficout ◽  
Jean-Michel Boucheix ◽  
Stéphane Argon ◽  
Antonio Hidalgo-Muñoz

The question of the possible impact of deafness on temporal processing remains unanswered. Different findings, based on behavioral measures, show contradictory results. The goal of the present study is to analyze the brain activity underlying time estimation by using functional near infrared spectroscopy (fNIRS) techniques, which allow examination of the frontal, central and occipital cortical areas. A total of 37 participants (19 deaf) were recruited. The experimental task involved processing a road scene to determine whether the driver had time to safely execute a driving task, such as overtaking. The road scenes were presented in animated format, or in sequences of 3 static images showing the beginning, mid-point, and end of a situation. The latter presentation required a clocking mechanism to estimate the time between the samples to evaluate vehicle speed. The results show greater frontal region activity in deaf people, which suggests that more cognitive effort is needed to process these scenes. The central region, which is involved in clocking according to several studies, is particularly activated by the static presentation in deaf people during the estimation of time lapses. Exploration of the occipital region yielded no conclusive results. Our results on the frontal and central regions encourage further study of the neural basis of time processing and its links with auditory capacity.


Sensors ◽  
2020 ◽  
Vol 20 (8) ◽  
pp. 2362 ◽  
Author(s):  
Alexander E. Hramov ◽  
Vadim Grubov ◽  
Artem Badarin ◽  
Vladimir A. Maksimenko ◽  
Alexander N. Pisarchik

Sensor-level human brain activity is studied during real and imaginary motor execution using functional near-infrared spectroscopy (fNIRS). Blood oxygenation and deoxygenation spatial dynamics exhibit pronounced hemispheric lateralization when performing motor tasks with the left and right hands. This fact allowed us to reveal biomarkers of hemodynamical response of the motor cortex on the motor execution, and use them for designing a sensing method for classification of the type of movement. The recognition accuracy of real movements is close to 100%, while the classification accuracy of imaginary movements is lower but quite high (at the level of 90%). The advantage of the proposed method is its ability to classify real and imaginary movements with sufficiently high efficiency without the need for recalculating parameters. The proposed system can serve as a sensor of motor activity to be used for neurorehabilitation after severe brain injuries, including traumas and strokes.


Author(s):  
Paola Pinti ◽  
Andrea Devoto ◽  
Isobel Greenhalgh ◽  
Ilias Tachtsidis ◽  
Paul W Burgess ◽  
...  

Abstract Anterior prefrontal cortex (PFC, Brodmann area 10) activations are often, but not always, found in neuroimaging studies investigating deception, and the precise role of this area remains unclear. To explore the role of the PFC in face-to-face deception, we invited pairs of participants to play a card game involving lying and lie detection while we used functional near infrared spectroscopy (fNIRS) to record brain activity in the PFC. Participants could win points for successfully lying about the value of their cards or for detecting lies. We contrasted patterns of brain activation when the participants either told the truth or lied, when they were either forced into this or did so voluntarily and when they either succeeded or failed to detect a lie. Activation in the anterior PFC was found in both lie production and detection, unrelated to reward. Analysis of cross-brain activation patterns between participants identified areas of the PFC where the lead player’s brain activity synchronized their partner’s later brain activity. These results suggest that during situations that involve close interpersonal interaction, the anterior PFC supports processing widely involved in deception, possibly relating to the demands of monitoring one’s own and other people’s behaviour.


2021 ◽  
Vol 12 ◽  
Author(s):  
James Crum

Neuroimaging and neuropsychological methods have contributed much toward an understanding of the information processing systems of the human brain in the last few decades, but to what extent do cognitive neuroscientific findings represent and generalize to the inter- and intra-brain dynamics engaged in adapting to naturalistic situations? If it is not marked, and experimental designs lack ecological validity, then this stands to potentially impact the practical applications of a paradigm. In no other domain is this more important to acknowledge than in human clinical neuroimaging research, wherein reduced ecological validity could mean a loss in clinical utility. One way to improve the generalizability and representativeness of findings is to adopt a more “real-world” approach to the development and selection of experimental designs and neuroimaging techniques to investigate the clinically-relevant phenomena of interest. For example, some relatively recent developments to neuroimaging techniques such as functional near-infrared spectroscopy (fNIRS) make it possible to create experimental designs using naturalistic tasks that would otherwise not be possible within the confines of a conventional laboratory. Mental health, cognitive interventions, and the present challenges to investigating the brain during treatment are discussed, as well as how the ecological use of fNIRS might be helpful in bridging the explanatory gaps to understanding the cultivation of mental health.


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