03132nas a2200433 4500008004100000022001400041245013100055210006900186260001200255300001100267490000800278520179900286653000902085653001002094653001502104653001902119653003002138653002302168653001802191653001102209653002902220100001702249700001902266700002202285700001902307700001702326700002602343700001802369700002702387700002002414700002102434700001802455700002102473700001702494700002402511700001902535700002002554856012402574 2023 eng d a1095-957200aComparisons of electrophysiological markers of impaired executive attention after traumatic brain injury and in healthy aging.0 aComparisons of electrophysiological markers of impaired executiv c07/2023 a1201260 v2743 a

Executive attention impairments are a persistent and debilitating consequence of traumatic brain injury (TBI). To make headway towards treating and predicting outcomes following heterogeneous TBI, cognitive impairment specific pathophysiology first needs to be characterized. In a prospective observational study, we measured EEG during the attention network test aimed at detecting alerting, orienting, executive attention and processing speed. The sample (N = 110) of subjects aged 18-86 included those with and without traumatic brain injury: n = 27, complicated mild TBI; n = 5, moderate TBI; n = 10, severe TBI; n = 63, non-brain-injured controls. Subjects with TBI had impairments in processing speed and executive attention. Electrophysiological markers of executive attention processing in the midline frontal regions reveal that, as a group, those with TBI and elderly non-brain-injured controls have reduced responses. We also note that those with TBI and elderly controls have responses that are similar for both low and high-demand trials. In subjects with moderate-severe TBI, reductions in frontal cortical activation and performance profiles are both similar to that of controls who are ∼4 to 7 years older. Our specific observations of frontal response reductions in subjects with TBI and in older adults is consistent with the suggested role of the anterior forebrain mesocircuit as underlying cognitive impairments. Our results provide novel correlative data linking specific pathophysiological mechanisms underlying domain-specific cognitive deficits following TBI and with normal aging. Collectively, our findings provide biomarkers that may serve to track therapeutic interventions and guide development of targeted therapeutics following brain injuries.

10aAged10aAging10aBiomarkers10aBrain Injuries10aBrain Injuries, Traumatic10aExecutive Function10aHealthy Aging10aHumans10aNeuropsychological Tests1 aKim, Nayoung1 aJamison, Keith1 aJaywant, Abhishek1 aGaretti, Jacob1 aBlunt, Emily1 aRoyChoudhury, Arindam1 aButler, Tracy1 aDams-O'Connor, Kristen1 aKhedr, Shahenda1 aChen, Chun-Cheng1 aShetty, Teena1 aWinchell, Robert1 aHill, Jeremy1 aSchiff, Nicholas, D1 aKuceyeski, Amy1 aShah, Sudhin, A uhttps://www.neurotechcenter.org/publications/2023/comparisons-electrophysiological-markers-impaired-executive-attention00766nas a2200217 4500008004100000022001400041245013600055210006900191260001200260300001000272490000700282653002400289653003400313653004400347653001100391653002900402653002000431100002600451700002300477856004800500 2014 eng d a2157-310700aModality specificity is the preferred method for diagnosing the auditory processing disorder (APD): response to Moore and Ferguson.0 aModality specificity is the preferred method for diagnosing the  c08/2014 a698-90 v2510aAuditory Perception10aAuditory Perceptual Disorders10aEvoked Potentials, Auditory, Brain Stem10aHumans10aNeuropsychological Tests10aPsychoacoustics1 aMcFarland, Dennis, J.1 aCacace, Anthony, T uhttp://www.ncbi.nlm.nih.gov/pubmed/2536537300757nas a2200217 4500008004100000022001400041245012700055210006900182260001200251300001000263490000700273653002400280653003400304653004400338653001100382653002900393653002000422100002300442700002600465856004800491 2014 eng d a2157-310700aModality Specificity trumps other methods for diagnosing the auditory processing disorder (APD): response to Dillon et al.0 aModality Specificity trumps other methods for diagnosing the aud c08/2014 a703-50 v2510aAuditory Perception10aAuditory Perceptual Disorders10aEvoked Potentials, Auditory, Brain Stem10aHumans10aNeuropsychological Tests10aPsychoacoustics1 aCacace, Anthony, T1 aMcFarland, Dennis, J. uhttp://www.ncbi.nlm.nih.gov/pubmed/2536537502881nas a2200397 4500008004100000022001400041245011100055210006900166260001200235300001100247490000700258520172500265653001501990653002002005653001802025653002002043653002502063653002702088653002402115653001102139653001102150653001302161653002902174653003202203653001102235100002602246700001902272700002602291700002402317700001902341700001902360700001802379700002302397700001502420856004802435 2014 eng d a1933-071500aReal-time functional mapping: potential tool for improving language outcome in pediatric epilepsy surgery.0 aRealtime functional mapping potential tool for improving languag c09/2014 a287-950 v143 a

Accurate language localization expands surgical treatment options for epilepsy patients and reduces the risk of postsurgery language deficits. Electrical cortical stimulation mapping (ESM) is considered to be the clinical gold standard for language localization. While ESM affords clinically valuable results, it can be poorly tolerated by children, requires active participation and compliance, carries a risk of inducing seizures, is highly time consuming, and is labor intensive. Given these limitations, alternative and/or complementary functional localization methods such as analysis of electrocorticographic (ECoG) activity in high gamma frequency band in real time are needed to precisely identify eloquent cortex in children. In this case report, the authors examined 1) the use of real-time functional mapping (RTFM) for language localization in a high gamma frequency band derived from ECoG to guide surgery in an epileptic pediatric patient and 2) the relationship of RTFM mapping results to postsurgical language outcomes. The authors found that RTFM demonstrated relatively high sensitivity (75%) and high specificity (90%) when compared with ESM in a "next-neighbor" analysis. While overlapping with ESM in the superior temporal region, RTFM showed a few other areas of activation related to expressive language function, areas that were eventually resected during the surgery. The authors speculate that this resection may be associated with observed postsurgical expressive language deficits. With additional validation in more subjects, this finding would suggest that surgical planning and associated assessment of the risk/benefit ratio would benefit from information provided by RTFM mapping.

10aAdolescent10aAnticonvulsants10aBrain Mapping10aCerebral Cortex10aElectric Stimulation10aElectroencephalography10aEpilepsies, Partial10aFemale10aHumans10aLanguage10aNeuropsychological Tests10aSensitivity and Specificity10aSpeech1 aKorostenskaja, Milena1 aChen, Po-Ching1 aSalinas, Christine, M1 aWesterveld, Michael1 aBrunner, Peter1 aSchalk, Gerwin1 aCook, Jane, C1 aBaumgartner, James1 aLee, Ki, H uhttp://www.ncbi.nlm.nih.gov/pubmed/2499581501970nas a2200205 4500008004100000022001400041245009800055210006900153260001200222300001100234490000700245520134700252653001301599653001401612653001101626653002401637653002901661100002601690856004801716 2012 eng d a1744-411X00aA single g factor is not necessary to simulate positive correlations between cognitive tests.0 asingle g factor is not necessary to simulate positive correlatio c01/2012 a378-840 v343 aIn the area of abilities testing, one issue of continued dissent is whether abilities are best conceptualized as manifestations of a single underlying general factor or as reflecting the combination of multiple traits that may be dissociable. The fact that diverse cognitive tests tend to be positively correlated has been taken as evidence for a single general ability or "g" factor. In the present study, simulations of test performance were run to evaluate the hypothesis that multiple independent abilities that affect test performance in a consistent manner will produce a positive manifold. Correlation matrices were simulated from models using either one or eight independent factors. The extent to which these factors operated in a consistent manner across tests (i.e., that a factor that facilitates performance on one test tends to facilitate performance on other tests) was manipulated by varying the mean value of the randomly selected weights. The tendency of both a single factor and eight independent factors to produce positive correlations increased as the randomly selected weights operated in a more consistent fashion. Thus the presence of a positive manifold in the correlations between diverse cognitive tests does not provide differential support for either single factor or multiple factor models of general abilities.10aAptitude10aCognition10aHumans10aModels, Theoretical10aNeuropsychological Tests1 aMcFarland, Dennis, J. uhttp://www.ncbi.nlm.nih.gov/pubmed/2226019003596nas a2200505 4500008004100000022001400041245010700055210006900162260001200231300001300243490000700256520217800263653002502441653001502466653001002481653002502491653001802516653001602534653002002550653002402570653002702594653001302621653002202634653001102656653001102667653000902678653001602687653002902703653002302732653002302755653001802778653002202796653001702818653001502835100002202850700001802872700002902890700002402919700002002943700001802963700002302981700001903004700001903023856004803042 2011 eng d a1529-240100aNonuniform high-gamma (60-500 Hz) power changes dissociate cognitive task and anatomy in human cortex.0 aNonuniform highgamma 60500 Hz power changes dissociate cognitive c02/2011 a2091-1000 v313 a

High-gamma-band (>60 Hz) power changes in cortical electrophysiology are a reliable indicator of focal, event-related cortical activity. Despite discoveries of oscillatory subthreshold and synchronous suprathreshold activity at the cellular level, there is an increasingly popular view that high-gamma-band amplitude changes recorded from cellular ensembles are the result of asynchronous firing activity that yields wideband and uniform power increases. Others have demonstrated independence of power changes in the low- and high-gamma bands, but to date, no studies have shown evidence of any such independence above 60 Hz. Based on nonuniformities in time-frequency analyses of electrocorticographic (ECoG) signals, we hypothesized that induced high-gamma-band (60-500 Hz) power changes are more heterogeneous than currently understood. Using single-word repetition tasks in six human subjects, we showed that functional responsiveness of different ECoG high-gamma sub-bands can discriminate cognitive task (e.g., hearing, reading, speaking) and cortical locations. Power changes in these sub-bands of the high-gamma range are consistently present within single trials and have statistically different time courses within the trial structure. Moreover, when consolidated across all subjects within three task-relevant anatomic regions (sensorimotor, Broca's area, and superior temporal gyrus), these behavior- and location-dependent power changes evidenced nonuniform trends across the population. Together, the independence and nonuniformity of power changes across a broad range of frequencies suggest that a new approach to evaluating high-gamma-band cortical activity is necessary. These findings show that in addition to time and location, frequency is another fundamental dimension of high-gamma dynamics.

10aAcoustic Stimulation10aAdolescent10aAdult10aAnalysis of Variance10aBrain Mapping10aBrain Waves10aCerebral Cortex10aCognition Disorders10aElectroencephalography10aEpilepsy10aEvoked Potentials10aFemale10aHumans10aMale10aMiddle Aged10aNeuropsychological Tests10aNonlinear Dynamics10aPhotic Stimulation10aReaction Time10aSpectrum Analysis10aTime Factors10aVocabulary1 aGaona, Charles, M1 aSharma, Mohit1 aFreudenberg, Zachary, V.1 aBreshears, Jonathan1 aBundy, David, T1 aRoland, Jarod1 aBarbour, Dennis, L1 aSchalk, Gerwin1 aLeuthardt, E C uhttp://www.ncbi.nlm.nih.gov/pubmed/2130724604192nas a2200409 4500008004100000022001400041245005900055210005700114260001200171300001100183490000700194520303500201653001403236653001403250653001503264653002703279653001303306653001103319653004003330653003103370653002903401653001103430653002203441653002803463653002203491653001703513653002803530100002803558700001703586700002303603700002503626700001903651700002003670700002403690700002003714856004803734 2010 eng d a1531-824900aBrain-computer interfacing based on cognitive control.0 aBraincomputer interfacing based on cognitive control c06/2010 a809-160 v673 a

OBJECTIVE: 

Brain-computer interfaces (BCIs) translate deliberate intentions and associated changes in brain activity into action, thereby offering patients with severe paralysis an alternative means of communication with and control over their environment. Such systems are not available yet, partly due to the high performance standard that is required. A major challenge in the development of implantable BCIs is to identify cortical regions and related functions that an individual can reliably and consciously manipulate. Research predominantly focuses on the sensorimotor cortex, which can be activated by imagining motor actions. However, because this region may not provide an optimal solution to all patients, other neuronal networks need to be examined. Therefore, we investigated whether the cognitive control network can be used for BCI purposes. We also determined the feasibility of using functional magnetic resonance imaging (fMRI) for noninvasive localization of the cognitive control network.

METHODS: 

Three patients with intractable epilepsy, who were temporarily implanted with subdural grid electrodes for diagnostic purposes, attempted to gain BCI control using the electrocorticographic (ECoG) signal of the left dorsolateral prefrontal cortex (DLPFC).

RESULTS: 

All subjects quickly gained accurate BCI control by modulation of gamma-power of the left DLPFC. Prelocalization of the relevant region was performed with fMRI and was confirmed using the ECoG signals obtained during mental calculation localizer tasks.

INTERPRETATION: 

The results indicate that the cognitive control network is a suitable source of signals for BCI applications. They also demonstrate the feasibility of translating understanding about cognitive networks derived from functional neuroimaging into clinical applications.

10aCognition10aComputers10aElectrodes10aElectroencephalography10aEpilepsy10aHumans10aImage Processing, Computer-Assisted10aMagnetic Resonance Imaging10aNeuropsychological Tests10aOxygen10aPrefrontal Cortex10aPsychomotor Performance10aSpectrum Analysis10aTime Factors10aUser-Computer Interface1 aVansteensel, Mariska, J1 aHermes, Dora1 aAarnoutse, Erik, J1 aBleichner, Martin, G1 aSchalk, Gerwin1 aRijen, Peter, C1 aLeijten, Frans, S S1 aRamsey, Nick, F uhttp://www.ncbi.nlm.nih.gov/pubmed/20517943