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ABSTRACT: In the present study we investigate neural network changes after moderate and severe traumatic brain injury (TBI) through the use of resting state functional connectivity (RSFC) methods. Using blood oxygen level dependent functional MRI, we examined RSFC at 3 and 6 months following resolution of posttraumatic amnesia. The goal of this study was to examine how regional off-task connectivity changes during a critical period of recovery from significant neurological disruption. This was achieved by examining regional changes in the intrinsic, or "resting", BOLD fMRI signal in separate networks: 1) regions linked to goal-directed (or external-state) networks and 2) default mode (or internal-state) networks. Findings here demonstrate significantly increased resting connectivity internal-state networks in the TBI sample during the first 6 months following recovery. The most consistent finding was increased connectivity in both internal and external state networks to the insula and medial temporal regions during recovery. These findings were dissociable from repeat measurements in a matched healthy control sample.
International journal of psychophysiology: official journal of the International Organization of Psychophysiology 04/2011; 82(1):115-23. · 3.05 Impact Factor
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ABSTRACT: Consistent with the cognitive reserve hypothesis, higher education and vocabulary help persons with Alzheimer disease (AD) and multiple sclerosis (MS) better withstand neuropathology before developing cognitive impairment. Also, premorbid cognitive leisure (e.g., reading, hobbies) is an independent source of cognitive reserve for elders with AD, but there is no research on the contribution of leisure activity to cognition in MS. We investigated whether premorbid cognitive leisure protects patients with MS from cognitive impairment.
Premorbid cognitive leisure was surveyed in 36 patients with MS. Neurologic disease severity was estimated with brain atrophy, measured as third ventricle width on high-resolution MRI. Cognitive status was measured with a composite score of processing speed and memory.
Controlling for brain atrophy, premorbid cognitive leisure was positively associated with current cognitive status (r(p) = 0.49, p < 0.01), even when controlling for vocabulary (r(p) = 0.39, p < 0.05) and education (r(p) = 0.47, p < 0.01). Also, premorbid cognitive leisure was unrelated to brain atrophy (r = 0.03, p > 0.5), but a positive partial correlation between leisure and atrophy emerged when controlling for cognitive status (r(p) = 0.37, p < 0.05), which remained when also controlling for vocabulary (r(p) = 0.34, p < 0.05) and education (r(p) = 0.35, p < 0.05).
Premorbid cognitive leisure contributes to cognitive status in patients with MS independently of vocabulary and education. Also, patients with MS who engaged in more cognitive leisure were able to withstand more severe brain atrophy at a given cognitive status. Premorbid cognitive leisure is supported as an independent source of cognitive reserve in patients with MS.
Neurology 10/2010; 75(16):1428-31. · 8.31 Impact Factor
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ABSTRACT: The present study used fMRI (functional magnetic resonance imaging) to objectively assess cognitive fatigue in persons with traumatic brain injury (TBI). It was hypothesized that while performing a cognitive task, TBI participants would show increased brain activity over time, indicative of increased cerebral 'effort' which might manifest as the subjective feeling of cognitive fatigue.
Functional MRI was used to track brain activity across time while 11 TBI patients with moderate-severe injury and 11 age-matched healthy controls (HCs) performed a modified Symbol Digit Modalities Task (mSDMT). Cognitive fatigue was operationally defined as a relative increase in cerebral activation across time compared to that seen in HCs. ROIs were derived from the Chauduri and Behan model of cognitive fatigue.
While performing the mSDMT, participants with a TBI showed increased activity, while HCs subsequently showed decreased activity in several regions including the middle frontal gyrus, superior parietal cortex, basal ganglia and anterior cingulate.
Increased brain activity exhibited by participants with a TBI might represent increased cerebral effort which may be manifested as cognitive fatigue. Functional MRI appears to be a potentially useful tool for understanding the neural mechanisms associated with cognitive fatigue in TBI.
Brain Injury 06/2009; 23(5):420-32. · 1.36 Impact Factor
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ABSTRACT: Subjects switched between tasks that rely on separable "low-level" neural circuits, a motion and a color task. Using functional magnetic resonance imaging, we assessed anticipatory processes within these circuits during preparation to switch between tasks. Once the switch was made, we could then compare activation levels within the circuit associated with the newly relevant task to continuing activity in the circuit associated with the irrelevant task, allowing us to assess both the effectiveness of anticipatory switching mechanisms and the subsequent competition between alternative stimulus-response contingencies. Subjects prepared effectively for the color task, being equally fast and accurate on switch trials as on repeat trials, and this successful preparation was associated with robust preparatory activity within well-known color-processing regions. In contrast, subjects showed considerable behavioral costs when switching to the motion task, evincing a lack of effective preparation, borne out by the fact that motion circuits were silent during the preparatory period.
Cerebral Cortex 04/2006; 16(3):394-404. · 6.54 Impact Factor
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ABSTRACT: We used fMRI to study the brain processes involved in the executive control of behavior. The Sustained Attention to Response Task (SART), which allows unpredictable and predictable NOGO events to be contrasted, was imaged using a mixed (block and event-related) fMRI design to examine tonic and phasic processes involved in response inhibition, error detection, conflict monitoring and sustained attention. A network of regions, including right ventral prefrontal cortex (PFC), left dorsolateral PFC (DLPFC) and right inferior parietal cortex, was activated for successful unpredictable inhibitions, while rostral anterior cingulate was implicated in error processing and the pre-SMA in conflict monitoring. Furthermore, the pattern of correlations between left dorsolateral PFC, implicated in task-set maintenance, and the pre-SMA were indicative of a tight coupling between prefrontally mediated control and conflict levels monitored more posteriorly. The results reveal that the executive control of behavior can be separated into distinct functions performed by discrete cortical regions.
Cognitive Brain Research 08/2004; 20(2):132-43. · 3.77 Impact Factor
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ABSTRACT: Task-switching paradigms, which are regularly used to assay 'executive control' processes in humans, almost invariably reveal a decrement in subjects' performance on the first trial following a switch of task. That is, subjects are slower to respond and more error prone on the switch trial, a difference in performance that has been termed the 'switch-cost'. This switch cost has then been taken to reflect the time taken by neural control processes. Previous studies have shown that while performance improves as more time is provided to prepare for the switch, switch costs persist, even over very long intervals. In the present study, however, we find that changing the response regimen (choice reaction time vs go-no-go) has profound effects on the switch cost. A task switching paradigm was used in which subjects randomly switched between two tasks, based on a cue that was presented at varying intervals prior to the presentation of the imperative stimulus. While switch costs were found in all conditions in the choice reaction time blocks, they were completely abolished in the go-no-go blocks when sufficient preparation time was provided (500 or 800 ms). This is important because the only difference between the choice reaction time and go-no-go conditions was the response requirement: these conditions did not differ in the stimuli used, in the tasks performed or in the preparation time provided. These data call into question models of executive control that interpret switch costs as reflecting the time taken by neural processes to switch the system from a readiness to perform one task to a readiness to perform another.
Neuroreport 05/2004; 15(6):1079-87. · 1.66 Impact Factor
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ABSTRACT: Flexibly switching between tasks is one of the paradigmatic functions of so-called "executive control" processes. Neuroimaging studies have implicated both prefrontal and parietal cortical regions in the processing necessary to effectively switch task. Beyond their general involvement in this critical function, however, little is known about the dynamics of processing across frontal and parietal regions. For instance, it remains to be determined to what extent these areas play a role in preparing to switch task before arrival of the stimulus to be acted upon and to what extent they play a role in any switching processes that occur after the stimulus is presented. Here, we used the excellent temporal resolution afforded by high-density mapping of brain potentials to explore the time course of the processes underlying (1) the performance of and (2) the preparation for a switch of task. We detail the contributions of both frontal and parietal processes to these two aspects of the task-switching process. Our data revealed a complex pattern of effects. Most striking was a period of sustained activity over bilateral parietal regions preceding the switch trial. Over frontal regions, activity actually decreased during this same period. Strongest sustained frontal activity was in fact seen for trials on which no switch was required. Further, we find that the first differential activity associated with switching task was over posterior parietal areas (220 ms), whereas over frontal scalp, the first differential activity is found more than 200 ms later. These and other effects are interpreted in terms of a "competition" model in which preparing to switch task is understood as the beginning of a competition between the potentially relevant tasks that is resolved during the switch trial. Our findings are difficult to account for with models that posit a strong role for frontal cortical regions in "reconfiguring" the system during switches of task.
NeuroImage 01/2004; 20(4):2322-42. · 5.89 Impact Factor
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ABSTRACT: For successful negotiation of our environment, humans must be readily able to switch from one task to another. This ability relies on 'executive control' processes and despite extensive efforts to detail the nature of these processes, there is little consensus as to how the brain achieves this critical function. Behavioural studies show that as subjects are given more time to prepare to switch task, performance improves; yet even with the longest preparation intervals, there remains an ineradicable performance cost on switch trials. As such, some elements of the switching process must wait until the stimulus to be acted upon has actually been presented. Here, using the methods of high-density mapping of brain potentials, we show that early visual processes are substantially different on switch trials than on later trials. Our data show that while there is clearly a degree of preparatory processing that occurs prior to a predictable switch of task, some elements of switching are only achieved after the switch stimulus has been presented. Our findings are discussed in the context of a new model of executive control processes that suggests that preparing to switch task may not be a separate (control) process per se, but rather, the beginning of a competition between the potentially relevant tasks, a competition that is ultimately resolved during the switch trial.
European Journal of Neuroscience 03/2003; 17(3):667-72. · 3.63 Impact Factor
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ABSTRACT: We used fMRI to study the brain processes involved in the executive control of behavior. The Sustained Attention to Response Task (SART), which allows unpredictable and predictable NOGO events to be contrasted, was imaged using a mixed (block and event-related) fMRI design to examine tonic and phasic processes involved in response inhibition, error detection, conflict monitoring and sustained attention. A network of regions, including right ventral prefrontal cortex (PFC), left dorsolateral PFC (DLPFC) and right inferior parietal cortex, was activated for successful unpredictable inhibitions, while rostral anterior cingulate was implicated in error processing and the pre-SMA in conflict monitoring. Furthermore, the pattern of correlations between left dorsolateral PFC, implicated in task-set maintenance, and the pre-SMA were indicative of a tight coupling between prefrontally mediated control and conflict levels monitored more posteriorly. The results reveal that the executive control of behavior can be separated into distinct functions performed by discrete cortical regions.
Cognitive Brain Research.
