scholarly journals Studying Brain Activation during Skill Acquisition via Robot-Assisted Surgery Training

2021 ◽  
Vol 11 (7) ◽  
pp. 937
Author(s):  
Kurtulus Izzetoglu ◽  
Mehmet Emin Aksoy ◽  
Atahan Agrali ◽  
Dilek Kitapcioglu ◽  
Mete Gungor ◽  
...  

Robot-assisted surgery systems are a recent breakthrough in minimally invasive surgeries, offering numerous benefits to both patients and surgeons including, but not limited to, greater visualization of the operation site, greater precision during operation and shorter hospitalization times. Training on robot-assisted surgery (RAS) systems begins with the use of high-fidelity simulators. Hence, the increasing demand of employing RAS systems has led to a rise in using RAS simulators to train medical doctors. The aim of this study was to investigate the brain activity changes elicited during the skill acquisition of resident surgeons by measuring hemodynamic changes from the prefrontal cortex area via a neuroimaging sensor, namely, functional near-infrared spectroscopy (fNIRS). Twenty-four participants, who are resident medical doctors affiliated with different surgery departments, underwent an RAS simulator training during this study and completed the sponge suturing tasks at three different difficulty levels in two consecutive sessions/blocks. The results reveal that cortical oxygenation changes in the prefrontal cortex were significantly lower during the second training session (Block 2) compared to the initial training session (Block 1) (p < 0.05).

2021 ◽  
Author(s):  
Pratusha Reddy ◽  
Patricia A Shewokis ◽  
Kurtulus Izzetoglu

Abstract With tasks becoming more mentally focused and operators being required to conduct multiple tasks simultaneously, it is important to not only acquire direct measurements from the brain, but also account for changes in performance and brain activity as a function of intersubject variability and task demands. Such methodology is particularly important when evaluating skill acquisition and transfer during training on a complex and ecologically valid task. To evaluate the aforementioned factors, we implemented a search and surveillance task (scanning an assigned area and identifying targets) using a high-fidelity Unmanned Aerial System operator training simulator, acquired brain activity changes via a portable functional near infrared spectroscopy (fNIRS) sensor array, and had novice participants (N = 13) undergo three sessions of easy difficulty followed by two harder difficulty sessions. Behavioral performance results indicated no significant change in scan or target find performance across easy sessions when intersubject variability was not accounted for. However, accounting for intersubject variability indicated that some individuals improved their scan performance, and they deteriorated their target find performance (Attention-focused group), while others deteriorated their scan performance, and they improved their target find performance (Accuracy-focused group). fNIRS results displayed that both groups exhibited a decrease in brain activity across easy sessions within the left dorsolateral prefrontal cortex (LDLPFC) and right anterior medial PFC (RAMPFC), while activity in left anterior medial prefrontal cortex (LAMPFC) increased in the Attention-focused group and decreased in the Accuracy-focused group. In both groups, transitioning to hard sessions resulted in a decrease in performance. The Attention-focused group displayed an increase in brain activity within LDLPFC, RAMPFC and LAMPFC, while the Accuracy-focused group displayed an increase in brain activity within LDLPFC, no change within RAMPFC and a decrease within LAMPFC. These results suggest that the Attention-focused group was able to acquire and transfer the skills needed to efficiently complete the scan task, while remaining engaged in a target find task. Alternatively, the Accuracy-focused group was engaged only on acquiring the skills needed to efficiently complete the target find task. In conclusion, these results suggest that utilizing intersubject variability as relevant information rather than noise improves assessments of skill acquisition and transfer during training on a complex task.


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 (6) ◽  
pp. 701
Author(s):  
Cheng-Hsuan Chen ◽  
Kuo-Kai Shyu ◽  
Cheng-Kai Lu ◽  
Chi-Wen Jao ◽  
Po-Lei Lee

The sense of smell is one of the most important organs in humans, and olfactory imaging can detect signals in the anterior orbital frontal lobe. This study assessed olfactory stimuli using support vector machines (SVMs) with signals from functional near-infrared spectroscopy (fNIRS) data obtained from the prefrontal cortex. These data included odor stimuli and air state, which triggered the hemodynamic response function (HRF), determined from variations in oxyhemoglobin (oxyHb) and deoxyhemoglobin (deoxyHb) levels; photoplethysmography (PPG) of two wavelengths (raw optical red and near-infrared data); and the ratios of data from two optical datasets. We adopted three SVM kernel functions (i.e., linear, quadratic, and cubic) to analyze signals and compare their performance with the HRF and PPG signals. The results revealed that oxyHb yielded the most efficient single-signal data with a quadratic kernel function, and a combination of HRF and PPG signals yielded the most efficient multi-signal data with the cubic function. Our results revealed superior SVM analysis of HRFs for classifying odor and air status using fNIRS data during olfaction in humans. Furthermore, the olfactory stimulation can be accurately classified by using quadratic and cubic kernel functions in SVM, even for an individual participant data set.


Healthcare ◽  
2021 ◽  
Vol 9 (4) ◽  
pp. 412
Author(s):  
Li Cong ◽  
Hideki Miyaguchi ◽  
Chinami Ishizuki

Evidence shows that second language (L2) learning affects cognitive function. Here in this work, we compared brain activation in native speakers of Mandarin (L1) who speak Japanese (L2) between and within two groups (high and low L2 ability) to determine the effect of L2 ability in L1 and L2 speaking tasks, and to map brain regions involved in both tasks. The brain activation during task performance was determined using prefrontal cortex blood flow as a proxy, measured by functional near-infrared spectroscopy (fNIRS). People with low L2 ability showed much more brain activation when speaking L2 than when speaking L1. People with high L2 ability showed high-level brain activation when speaking either L2 or L1. Almost the same high-level brain activation was observed in both ability groups when speaking L2. The high level of activation in people with high L2 ability when speaking either L2 or L1 suggested strong inhibition of the non-spoken language. A wider area of brain activation in people with low compared with high L2 ability when speaking L2 is considered to be attributed to the cognitive load involved in code-switching L1 to L2 with strong inhibition of L1 and the cognitive load involved in using L2.


2021 ◽  
pp. 1-9
Author(s):  
Kyeong Joo Song ◽  
Min Ho Chun ◽  
Junekyung Lee ◽  
Changmin Lee

OBJECTIVE: To investigate the effects of the robot–assisted gait training on cortical activation and functional outcomes in stroke patients. METHODS: The patients were randomly assigned: training with Morning Walk® (Morning Walk group; n = 30); conventional physiotherapy (control group; n = 30). Rehabilitation was performed five times a week for 3 weeks. The primary outcome was the cortical activation in the Morning Walk group. The secondary outcomes included gait speed, 10-Meter Walk Test (10MWT), FAC, Motricity Index–Lower (MI–Lower), Modified Barthel Index (MBI), Rivermead Mobility Index (RMI), and Berg Balance Scale (BBS). RESULTS: Thirty-six subjects were analyzed, 18 in the Morning Walk group and 18 in the control group. The cortical activation was lower in affected hemisphere than unaffected hemisphere at the beginning of robot rehabilitation. After training, the affected hemisphere achieved a higher increase in cortical activation than the unaffected hemisphere. Consequently, the cortical activation in affected hemisphere was significantly higher than that in unaffected hemisphere (P = 0.036). FAC, MBI, BBS, and RMI scores significantly improved in both groups. The Morning Walk group had significantly greater improvements than the control group in 10MWT (P = 0.017), gait speed (P = 0.043), BBS (P = 0.010), and MI–Lower (P = 0.047) scores. CONCLUSION: Robot-assisted gait training not only improved functional outcomes but also increased cortical activation in stroke patients.


Gesture ◽  
2020 ◽  
Vol 19 (2-3) ◽  
pp. 196-222
Author(s):  
Michela Balconi ◽  
Angela Bartolo ◽  
Giulia Fronda

Abstract The interest of neuroscience has been aimed at the investigation of the neural bases underlying gestural communication. This research explored the intra- and inter-brain connectivity between encoder and decoder. Specifically, adopting a “hyperscanning paradigm” with the functional Near-infrared Spectroscopy (fNIRS) cerebral connectivity in oxygenated (O2Hb) and deoxygenated (HHb) hemoglobin levels were revealed during the reproduction of affective, social, and informative gestures of different valence. Results showed an increase of intra- and inter-brain connectivity in dorsolateral prefrontal cortex for affective gestures, in superior frontal gyrus for social gestures and in frontal eyes field for informative gestures. Moreover, encoder showed a higher intra-brain connectivity in posterior parietal areas more than decoder. Finally, an increasing of inter-brain connectivity more than intra-brain (ConIndex) was observed in left regions for positive gestures. The present research has explored how the individuals neural tuning mechanisms turn out to be strongly influenced by the nature of specific gestures.


2021 ◽  
Vol 36 (6) ◽  
pp. 1048-1048
Author(s):  
Daliah Ross ◽  
Mark E Wagshul ◽  
Meltem Izzetoglu ◽  
Roee Holtzer

Abstract Objective Greater intraindividual variability (IIV) in behavioral and cognitive performance is a risk factor for adverse outcomes but research concerning IIV in neural signal is scarce. Using functional near-infrared spectroscopy (fNIRS), we showed that IIV in oxygenated hemoglobin (HbO2) levels in the prefrontal cortex increased from single task (Single-Task-Walk–STW; Single-Task-Alpha–STA) to Dual-Task-Walk (DTW) conditions in older adults. Herein, we predicted that, consistent with the neural inefficiency hypothesis, reduced cortical thickness would be associated with greater increases in IIV in fNIRS-derived HbO2 from single tasks to DTW when adjusting for behavioral performance. Method Participants were right-handed older adults without dementia recruited from the community (N = 55; M(SD) age = 74.84(4.97); %female = 49.1). Neuroimaging included fNIRS for HbO2 levels in the prefrontal cortex during tasks and MRI for cortical thickness. IIV was operationalized using the SD of fNIRS-derived HbO2 observations assessed during a 30-s interval in each experimental condition. Results Moderation analyses, assessed through linear mixed effects models, revealed that in several frontal (p &lt; 0.02), parietal (p &lt; 0.02), temporal (p &lt; 0.01), and occipital (p &lt; 0.01) regions, thinner cortex was associated with greater increases in HbO2 IIV from the single tasks to DTW. Conclusion Reduced cortical thickness was associated with inefficient increases in IIV in fNIRS-derived HbO2 from single tasks to dual-task walking. Worse IIV in gait performance under DTW predicts adverse mobility outcomes. Reduced cortical thickness and worse IIV of fNIRS-derived HbO2 during DTW are possible brain mechanisms that explain the risk of developing mobility impairments in aging and disease populations.


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