Copyright © 2008 Oury Monchi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Over the past decade, we have seen a large explosion of an-atomical and functional neuroimaging techniques, allowing exciting
investigation of new aspects of the human brain functions with respect to
cognition, learning, and memory. These developments have occurred with respect
to the machinery (diverse methods of acquisition), the
methods for analysis, and the extent of clinical applications. This issue gives
representative examples of these three avenues of development.
Recent advances
in magnetic resonance imaging acquisition techniques have not only focused on
functional se-quences but also on anatomical ones. One important contribution to
this field has been the recent development of diffusion weighted imaging
magnetic resonance (MR) sequences in order to study the quality of white matter
connectivity and importantly perform tractography in order to study for the
first time anatomical connectivity in the human brain in vivo. Indeed, five articles in the present issue focus on
such methods. Leh et al. use diffusion tensor imaging (DTI) tractography to
study cortical and subcortical connectivity of the pulvinar in the living human
brain. Their results are in accordance with those previously observed in
monkeys and provide further support for an important role of the pulvinar in
human visual information processing and spatial attention. One difficulty often
encountered in performing analyses of effective connectivity (such as
structural equations modeling or dynamical causal modeling) of fMRI data is
that one usually has to provide an initial network model to be validated. This
model should ideally be based on known anatomical connections between brain
regions. However, such information in humans is still incomplete. In their
article, Fonteijn et al. present
a study that revisits existing functional networks using DTI. The obtained
results are of great interest for all researchers in the field. Information is
provided about the likelihood of region connections via tractography. For a
number of connections the authors find anatomical connectivity that corresponds
to the proposed functional paths. They provide compelling examples
showing that the use of DTI tractography is a valuable tool to define the
anatomical networks required to perform good analysis of effective
connectivity. From a more methodological viewpoint, Jbabdi et al. propose a model for the
structure of the brain which considers anatomical connections between various
cerebral regions as being geodesic with respect to a metric given by the inverse
of the diffusion tensor. Using
this geodesic method, they are able to construct a path connecting every pair
of brain regions. However, the brain is obviously not fully connected, and
consequently, they needed to determine whether a given geodesic really
represents a white matter fiber tract or not. This is why they also propose an
index for the probability of being a fiber, which combines a term that
represents the data fit and another term that represents the data confidence. Their
new algorithm is tested on simulated data and proves to be computationally fast
as well as robust to local perturbation induced by fiber crossing. They also
use it on real data to show its feasibility.
A new approach
in studying diffusivity in the human brain has been the use of high angular
resolution diffusion imaging (HARDI) as an alternative to DTI to overcome the
latter method's limitation in complex fiber regions with crossing. Two articles
propose novel methods to make the best use of such acquisition sequences. Probabilistic
algorithms have been preferred to standard streamline techniques because they
are robust to noise in the orientation
distribution functions (ODFs) maps and because they can go through
bundle crossings that are likely to happen given the effective resolution of
the voxels. Perrin et al. develop a
new probabilistic algorithm based on the fiber ODF using a Monte Carlo random
walk algorithm. Monte Carlo
particles move inside the continuous field of q-ball diffusion ODF and are
subject to a trajectory regularization scheme. Their new algorithm is tested on simulated
data. Segmentation of white matter
and subcortical structures from diffusion weighted magnetic resonance imaging,
either DTI or HARDI, is fairly recent. Wassermann et al. use a region-based statistical active contour
technique on these images of ODFs to find coherent white matter fiber bundles
and a nonlinear spectral-clustering algorithm is presented in order to segment
different fiber bundles.
The use of transcranial
magnetic stimulation (TMS) has greatly increased during the last five years.
While not being an imaging method per se, it does allow to perform “brain
mapping” by studying change in behavior and performance when stimulating a
specific cortical region. In combination with other brain imaging methods such
as Positron emisson tomography or functional MRI, it also allows for the study
of functional connectivity. Finally, it is also being explored as a therapeutic
tool for patients with neurological and psychiatric disorders. In their
manuscript, Ko et al. applied rTMS to right dorsolateral prefrontal cortex
(DLPFC) and the vertex during different temporal phases of the Wisconsin card
sorting task (WCST), an extensively used neuropsychological task to assess
executive processes. Performance on the WCST specifically deteriorated when
applying rTMS to the DLPFC (and not the vertex) when it was applied during the
feedback period (when the participant plans the next response) but not when it
was applied during the matching period (when the response is executed). This selective impairment of the DLPFC is
consistent with its proposed role in monitoring events in working memory. Rektorova et al.,
for their part, investigated whether rTMS can induce beneficial effects
on L-Dopa induced dyskinesias in Parkinson’s disease. Their preliminary results
indicate that rTMS of the DLPFC in these patients does have an improving effect
on dyskinesias possibly by inducing a depression of motor cortex excitability,
while stimulating the motor cortex directly does not provide the same effect.
One issue of great debate regarding blood oxygenated level dependant (BOLD) functional MRI
is its relationship to cerebral blood flow and metabolism under different co-nditions. Previous
studies have suggested that during selective activation of a subset of the
zones comprising a columnar system in the visual cortex, perfusion increases
uniformly in all columns in the system, while an increase in oxidative
metabolism occurs predominantly in the activated column. If this were true, one
would expect a disproportionally large BOLD increase compared with blood flow,
for a highly localized response in the cortex as opposed to a more diffuse one.
To address this issue, Gauthier and Hoge used arterial spin labeling in a group
of young adults while performing a monocular and a binocular task. Their
results show that the ratio of BOLD to cerebral blood flow effects do not
differ significantly between the two stimulation conditions, indicating
comparable coupling between flow and oxidative metabolism in V1, regardless of the
columnar fraction that was activated.
The investigation of the patterns of connectivity in large-scale extended brain
networks in the context of BOLD fMRI is a complex task that has also been the
source of much attention during the last few years. In their article, Perlbarg and
Marrelec review the methods used so far, discuss some of the issues that have
to be faced, and propose some avenues for more efficient exploration of such
networks. They describe the early correlation approaches that have been used,
so-called functional connectivity studies, but point out that the exploration
of a whole network would require the successive computations of many functional
connectivity maps, each map being used for the selection of the seed voxel, which
does not prove very realistic. They also advocate that most methods developed
so far for effective connectivity have been of restricted use for studying
extended large-scale networks, as their intrinsic complexity prevents them from
modeling systems with that many degrees of freedom. They propose that
mathematical methods coming from graph and/or network theory may be well suited
to deal with such problems, and stress the importance of comparing results
coming from other imaging modalities to validate and better understand the
large-scale network approach in fMRI.
Multiple methods have been developed recently to perform meta-analysis of functional
neuroimaging data. Many of them have been task dependent. Peiffer et al.
propose to extend to BOLD fMRI, a method that has been proposed in the mid-60’s
to assess the relationship between response times in young and older adults
across a variety of tasks called the Brinley plots. In the proposed method, a
linear regression is performed over the average BOLD activity map taken over
different scanning sessions (while performing different tasks) taken from each
group to be compared (e.g., older versus younger adults). This provides a
relatively easy method to perform a meta-analysis to evaluate two different
groups that take into account between-task differences.
Finally, on the
clinical side, Bernad and Doyon review the role of noninvasive neuroimaging
techniques such as fMRI and TMS in understanding how the neural connections are
altered as a consequence to cerebrovascular injury, the neural mechanisms that
underlie neurorehabilitation in stroke, as well as motor memory consolidation
in healthy adults. They argue that these methods have the potential to be used
as clinical tools to promote and optimize individualized motor recovery in
stroke patients.
Altogether,
these papers constitute a representative sample of the state of the art in
neuroimaging methodology and we hope they will be of great interest to a large
number of scientists and clinicians in the field.
Acknowledgments
We would like to express our sincere gratitude to all contributing authors, reviewers, as well
as the Editor Dr. Ge Wang, for making this special issue possible and successful.
Oury Monchi
Habib Benali
Julien Doyon
Antonio P. Strafella