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Parrish, T. B.

Publications and source records attributed to Parrish, T. B..

7 recordsLinked to original sources

Cortical Sites Critical for Speech and Language Exhibit Distinct fMRI-Derived Network Features

Direct electrocortical stimulation (ECS) is a well-established brain mapping technique that helps achieve safe and effective resection of epileptic foci, tumors or vascular malformations. Recent studies using electrocorticography (ECoG) suggest that ECS' exerted effects on brain sites are determined by the roles of those sites in larger networks. However, ECoG has limited spatial coverage. Here, we used functional magnetic resonance imaging from eighteen participants during performance of five language tasks to assess the functional network signatures of cortical sites defined as critical for speech and language by ECS. We found that critical sites causing speech arrests (SA) and language errors (LE) exhibited lower local and global connectivity than non-critical sites. LE sites showed greater connectivity across sub-networks (communities) than both non-critical and SA sites, indicating their role as connectors across functional networks. This connector profile of LE sites was most robust when considering network connectivity across the entire brain. Connector sites were concentrated primarily in temporal and inferior parietal cortices. Finally, these network features accurately predicted which sites were critical in machine learning models. These findings provide a preoperative framework for predicting cortical sites critical for speech and language function, which may ultimately help accelerate or improve brain mapping.

neuroscience↗

Variable Cerebral Blood Flow Responsiveness to Acute Hypoxic Hypoxia

Cerebrovascular reactivity (CVR) to changes in blood carbon dioxide and oxygen levels is a robust indicator of vascular health. Although CVR is typically assessed with hypercapnia, the interplay between carbon dioxide and oxygen, and their ultimate roles in dictating vascular tone, can vary with pathology. Methods to characterize vasoreactivity to oxygen changes, particularly hypoxia, would provide important complementary information to established hypercapnia techniques. However, existing methods to study hypoxic CVR, typically with arterial spin labeling (ASL) MRI, demonstrate high variability and paradoxical responses. To understand whether these responses are real or due to methodological confounds of ASL, we used phase-contrast MRI to quantify whole-brain blood flow in 21 participants during baseline, hypoxic, and hypercapnic respiratory states in three scan sessions. Hypoxic CVR reliability was poor-to-moderate (ICC=0.42 for CVR relative to PETO2 changes, ICC=0.56 relative to SpO2 changes) and was less reliable than hypercapnic CVR (ICC=0.67). Without the uncertainty from ASL-related confounds, we still observed paradoxical responses at each timepoint. Concurrent changes in blood carbon dioxide levels did not account for paradoxical responses. Hypoxic CVR and hypercapnic CVR shared approximately 40% of variance across the dataset, indicating that the two effects may indeed reflect distinct, complementary elements of vascular regulation.

neuroscience↗

MRI mapping of hemodynamics in the human spinal cord

Impaired spinal cord vascular function contributes to numerous neurological pathologies, making it important to be able to noninvasively characterize these changes. Here, we propose a functional magnetic resonance imaging (fMRI)-based method to map spinal cord vascular reactivity (SCVR). We used a hypercapnic breath-holding task to evoke a systemic vasodilatory response during concurrent blood oxygenation level-dependent fMRI. SCVR amplitude and hemodynamic delay were mapped at the group level as proof-of-concept of the approach, and in two highly-sampled participants to probe feasibility/stability of individual SCVR mapping. Across the group and individuals, a strong ventral SCVR amplitude was initially observed without accounting for local regional variation in the timing of the vasodilatory response. Shifted breathing traces were used to account for temporal differences in the vasodilatory response across the cord, producing maps of SCVR delay. These maps demonstrate distinct gray matter regions concordant with territories of arterial supply. The SCVR fMRI methods described here enable robust mapping of spatiotemporal hemodynamic properties of the human spinal cord. This noninvasive approach has the potential to provide early insight into pathology-driven vascular changes in the cord, which may precede and predict future irreversible tissue damage and guide the treatment of several neurological pathologies involving the spine.

physiology↗

Spatial distribution of hand-grasp motor task activity in spinal cord functional magnetic resonance imaging

Upper extremity motor paradigms during spinal cord functional magnetic resonance imaging (fMRI) can provide insight into the functional organization of the cord. Hand-grasping is an important daily function with clinical significance, but previous studies of similar squeezing movements have not reported consistent areas of activity and are limited by sample size and simplistic analysis methods. Here, we study spinal cord fMRI activation using a unimanual isometric hand-grasping task that is calibrated to participant maximum voluntary contraction (MVC). Two task modeling methods were considered: (1) a task regressor derived from an idealized block design (Ideal) and (2) a task regressor based on the recorded force trace normalized to individual MVC (%MVC). Across these two methods, group motor activity was highly lateralized to the hemicord ipsilateral to the side of the task. Activation spanned C5-C8 and was primarily localized to the C7 spinal cord segment. Specific differences in spatial distribution are also observed, such as an increase in C8 and dorsal cord activity when using the %MVC regressor. Furthermore, we explored the impact of data quantity and spatial smoothing on sensitivity to hand-grasp motor task activation. This analysis shows a large increase in number of active voxels associated with the number of fMRI runs, sample size, and spatial smoothing, demonstrating the impact of experimental design choices on motor activation.

neuroscience↗

Effects of variability in manually contoured spinal cord masks on fMRI co-registration and interpretation

Functional magnetic resonance imaging (fMRI) of the human spinal cord (SC) is a unique non-invasive method for characterizing neurovascular responses to stimuli. Group-analysis of SC fMRI data involves co-registration of subject-level data to standard space, which requires manual masking of the cord and may result in bias of group-level SC fMRI results. To test this, we examined variability in SC masks drawn in fMRI data from 21 healthy participants from a completed study mapping responses to sensory stimuli of the C7 dermatome. Masks were drawn on temporal mean functional image by eight raters with varying levels of neuroimaging experience, and the rater from the original study acted as a reference. Spatial agreement between rater and reference masks was measured using the Dice Similarity Coefficient, and the influence of rater and dataset was examined using ANOVA. Each raters masks were used to register functional data to the PAM50 template. Gray matter-white matter signal contrast of registered functional data was used to evaluate the spatial normalization accuracy across raters. Subject- and group-level analyses of activation during left- and right-sided sensory stimuli were performed for each raters co-registered data. Agreement with the reference SC mask was associated with both rater (F(7,140) = 32.12, P < 2x10-16,{eta} 2 = 0.29) and dataset (F(20,140) = 20.58, P < 2x10-16,{eta} 2 = 0.53). Dataset variations may reflect image quality metrics: the ratio between the signal intensity of spinal cord voxels and surrounding cerebrospinal fluid was correlated with DSC results (p<0.001). As predicted, variability in the manually-drawn masks influenced spatial normalization, and GM:WM contrast in the registered data showed significant effects of rater and dataset (rater: F(8,160) = 23.57, P < 2x10-16,{eta} 2 = 0.24; dataset: F(20,160) = 22.00, P < 2x10-16,{eta} 2 = 0.56). Registration differences propagated into subject-level activation maps which showed rater-dependent agreement with the reference. Although group-level activation maps differed between raters, no systematic bias was identified. Increasing consistency in manual contouring of spinal cord fMRI data improved co-registration and inter-rater agreement in activation mapping, however our results suggest that improvements in image acquisition and post-processing are also critical to address.

neuroscience↗

Analyzing Brain Morphology in Alzheimer's Disease Using Discriminative and Generative Spiral Networks

Several patterns of atrophy have been identified and strongly related to Alzheimers disease (AD) pathology and its progression. Morphological changes in brain shape have been identified up to ten years before clinical diagnoses of AD, making its early detection more relevant. We propose novel geometric deep learning frameworks for the analysis of brain shape in the context of neurodegeneration caused by AD. Our deep neural networks learn low-dimensional shape descriptors of multiple neuroanatomical structures, instead of handcrafted features for each structure. A discriminative network using spiral convolution on 3D meshes is constructed for the in-vivo binary classification of AD from healthy controls (HCs) using a fast and efficient "spiral" convolution operator on 3D triangular mesh surfaces of human brain subcortical structures extracted from T1-weighted magnetic resonance imaging (MRI). Our network architecture consists of modular learning blocks using residual connections to improve overall classifier performance. In this work: (1) a discriminative network is used to analyze the efficacy of disease classification using input data from multiple brain structures and compared to using a single hemisphere or a single structure. It also outperforms prior work using spectral graph convolution on the same the same tasks, as well as alternative methods that operate on intermediate point cloud representations of 3D shapes. (2) Additionally, visual interpretations for regions on the surface of brain structures that are associated to true positive AD predictions are generated and fall in accordance with the current reports on the structural localization of pathological changes associated to AD. (3) A conditional generative network is also implemented to analyze the effects of phenotypic priors given to the model (i.e. AD diagnosis) in generating subcortical structures. The generated surface meshes by our model indicate learned morphological differences in the presence of AD that agrees with the current literature on patterns of atrophy associated to the disease. In particular, our inference results demonstrate an overall reduction in subcortical mesh volume and surface area in the presence of AD, especially in the hippocampus. The low-dimensional shape descriptors obtained by our generative model are also evaluated in our discriminative baseline comparisons versus our discriminative network and the alternative shape-based approaches.

neuroscience↗

Novel age-dependent cortico-subcortical morphologic interactions predict fluid intelligence: A multi-cohort geometric deep learning study.

Brain structure is tightly coupled with brain functions, but it remains unclear how cognition is related to brain morphology, and what is consistent across neurodevelopment. In this work, we developed graph convolutional neural networks (gCNNs) to predict Fluid Intelligence (Gf) from shapes of cortical ribbons and subcortical structures. T1-weighted MRIs from two independent cohorts, the Human Connectome Project (HCP; age: 28.81{+/-}3.70) and the Adolescent Brain Cognitive Development Study (ABCD; age: 9.93{+/-}0.62) were independently analyzed. Cortical and subcortical surfaces were extracted and modeled as surface meshes. Three gCNNs were trained and evaluated using six-fold nested cross-validation. Overall, combining cortical and subcortical surfaces yielded the best predictions on both HCP (R=0.454) and ABCD datasets (R=0.314), and outperformed the current literature. Across both datasets, the morphometry of the amygdala and hippocampus, along with temporal, parietal and cingulate cortex consistently drove the prediction of Gf, suggesting a novel reframing of the morphometry underlying Gf.

neuroscience↗