Neuroimaging Flashcards
Localization of function:
the idea that certain brain areas correspond to specific functions
Is function localized? - JOSEF GALL
Phrenology assumed:
* Different parts of the brain = Different functions
* Brains areas can be overdeveloped = Skull bumps (can literally feel the area that someone is particularly keen in)
* Bumps indicate the faculties of an individual
Is function localized? - KARL LASHLEY
- Law of Mass Action
- Trained rats on a task > lesion > look at task performance
- Looking for memories (“the engram”) in the cortex
Is function localized? - KARL LASHLEY: FINDINGS
- FINDINGS: large lesion = greater impairment, regardless of exact location
- Proposed “equipotentiality” – all other regions of cortex take over functions following damage (all other regions have equal potentiality in taking over any function/job)
- Too strong/overachieving, but related to modern understanding of neuroplasticity
Is function localized? - PAUL BROCA: CASE STUDY
- Case study: following a stroke, M. Leborgne could only say the word “Tan” but had intact language comprehension (e.g., pointing) > a specific impairment of speech production
- After his death, Broca discovered a left frontal lobe lesion = Broca’s area
Modern constraints on case studies
Paul Broca
Relying on naturally-occurring case studies is a limited way to map the brain (we have different opportunities)
- Strokes and injuries are rarely “clean”
- Not only affect one specific area - crosses boundaries
- Hard to establish causality
- What about brain areas necessary for life?
Is function localized? - WILDER PENFIELD
- Developed a method to treat epilepsy by directly stimulating the cortex of awake patients to make surgical decisions
- Looking to see what this feels like to the patient and if this stimulates a seizure
Is function localized? - WILDER PENFIELD: MOTOR EXAMPLE
- “Extreme flexion of write, elbow, and hand”
- “Patient states that he could not help closing his right eye but he actually closed both.”
- “Made a little noise; vocalization. This was repeated twice. Patient says he could not help it. It was associated with movement of the upper and lower lips, equal on the two sides.”
Penfield’s homunculi
visual representation of how the body is represented in the brain’s motor and sensory cortexes
Modern neuroimaging methods
- Transcranial Magnetic Stimulation (TMS)
- Single-neuron recording
Transcranial Magnetic Stimulation (TMS)
Modern neuroimaging methods
- A non-invasive brain stimulation therapy that uses magnetic pulses
- Depending on protocol, TMS can either stimulate or suppress cortical activity
Single-neuron recording
Modern neuroimaging methods
- e.g., Hippocampus-entorhinal cortex circuit
- Patients with implanted electrodes (prior to epilepsy surgery)
- Microelectrodes or needle electrodes are used to record the electrical activity of individual neurons
Structural neuroimaging
Why? What types?
- clinically important to guide interventions
- scientifically important to link injuries/dysfunction to outcomes
- X-rays
- Cerebral angiography
- Computed tomography (CT)
- Magnetic resonance imaging (MRI)
X-rays (electromagnetic radiation + film)
Structural neuroimaging
- allow us to image inside a living body
- First clinical x-ray image taken 1898
- Visually - good for skull fractures but not soft tissue
Cerebral angiography
Structural neuroimaging
- A contrast x-ray technique
- Uses a radio-opaque dye (usually iodine) into the cerebral artery (makes it visible)
Cerebral aniography - Used to locate:
Structural neuroimaging
Used to locate:
- vascular damage
- large tumours
- Arteriosclerosis
- aneurisms
Computed tomography (CT)
Structural neuroimaging
- Also a version of x-ray scanning
- Rotates x-ray source and detector to reconstruct image based on density of tissue (fat vs tissue vs bone)
Computed tomography (CT) - USED FOR:
Structural neuroimaging
skull fracture, intracranial bleeds, tumours
CT is only as good as its algorithms - PROS/CONS:
Structural neuroimaging
- Pros: quick, inexpensive
- Cons: radiation exposure (after multiple)
What if, instead of introducing a foreign contrast agent, we use an existing property of different brain structures to image them?
Structural neuroimaging
- Brain structures vary in their water (hydrogen + oxygen) content
- ANSWER: Magnetic resonance imaging (MRI)
- Used for: small/subtle lesions, conditions affecting white matter
MRI: how it works
Structural neuroimaging
We cause hydrogen to behave in a special way within a magnetic field:
* Spins in all different directions at rest
* PULSE SEQUENCE
MRI - How to introduce magnetism - pulse sequence: =>
Structural neuroimaging
- Align all the protons with the large magnetic field
- Momentarily perturb (“knock down”) that alignment with a second magnetic field
- Measure the radiofrequency (RF) (what the hydrogens are releasing) signal produced during the realignment with the large magnetic field (“relaxation”)
By changing properties of the pulse sequence, we can further enhance…
Structural neuroimaging
…differences between gray vs white matter, brain vs CSF, etc.
MRI - PROS/CONS
Structural neuroimaging
- Pros: spatial resolution
- Cons: slow and expensive; excludes patients with pacemakers, metal