Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 20 de 106
Filter
1.
Prog Neurobiol ; 236: 102613, 2024 May.
Article in English | MEDLINE | ID: mdl-38631480

ABSTRACT

While medial frontal cortex (MFC) and subthalamic nucleus (STN) have been implicated in conflict monitoring and action inhibition, respectively, an integrated understanding of the spatiotemporal and spectral interaction of these nodes and how they interact with motor cortex (M1) to definitively modify motor behavior during conflict is lacking. We recorded neural signals intracranially across presupplementary motor area (preSMA), M1, STN, and globus pallidus internus (GPi), during a flanker task in 20 patients undergoing deep brain stimulation implantation surgery for Parkinson disease or dystonia. Conflict is associated with sequential and causal increases in local theta power from preSMA to STN to M1 with movement delays directly correlated with increased STN theta power, indicating preSMA is the MFC locus that monitors conflict and signals STN to implement a 'break.' Transmission of theta from STN-to-M1 subsequently results in a transient increase in M1-to-GPi beta flow immediately prior to movement, modulating the motor network to actuate the conflict-related action inhibition (i.e., delayed response). Action regulation during conflict relies on two distinct circuits, the conflict-related theta and movement-related beta networks, that are separated spatially, spectrally, and temporally, but which interact dynamically to mediate motor performance, highlighting complex parallel yet interacting networks regulating movement.


Subject(s)
Conflict, Psychological , Deep Brain Stimulation , Motor Cortex , Parkinson Disease , Prefrontal Cortex , Subthalamic Nucleus , Theta Rhythm , Humans , Theta Rhythm/physiology , Subthalamic Nucleus/physiology , Male , Female , Middle Aged , Adult , Prefrontal Cortex/physiology , Motor Cortex/physiology , Parkinson Disease/physiopathology , Aged , Neural Pathways/physiology , Dystonia/physiopathology
3.
Neuroimage ; 273: 120107, 2023 06.
Article in English | MEDLINE | ID: mdl-37059155

ABSTRACT

Midfrontal theta increases during scenarios when conflicts are successfully resolved. Often considered a generic signal of cognitive control, its temporal nature has hardly been investigated. Using advanced spatiotemporal techniques, we uncover that midfrontal theta occurs as a transient oscillation or "event" at single trials with their timing reflecting computationally distinct modes. Single-trial analyses of electrophysiological data from participants performing the Flanker (N = 24) and Simon task (N = 15) were used to probe the relationship between theta and metrics of stimulus-response conflict. We specifically investigated "partial errors", in which a small burst of muscle activity in the incorrect response effector occurred, quickly followed by a correction. We found that transient theta events in single trials could be categorized into two distinct theta modes based on their relative timing to different task events. Theta events from the first mode occurred briefly after the task stimulus and might reflect conflict-related processing of the stimulus. In contrast, theta events from the second mode were more likely to occur around the time partial errors were committed, suggesting they were elicited by a potential upcoming error. Importantly, in trials in which a full error was committed, this "error-related theta" occurred too late with respect to the onset of the erroneous muscle response, supporting the role of theta also in error correction. We conclude that different modes of transient midfrontal theta can be adopted in single trials not only to process stimulus-response conflict, but also to correct erroneous responses.


Subject(s)
Conflict, Psychological , Theta Rhythm , Humans , Theta Rhythm/physiology , Muscles , Personality , Electroencephalography , Reaction Time/physiology
4.
Behav Res Methods ; 55(8): 4099-4117, 2023 12.
Article in English | MEDLINE | ID: mdl-36344774

ABSTRACT

The capacity to stop impending or ongoing actions contributes to executive control over behavior. Action-stopping, however, is difficult to directly quantify. It is therefore assayed via computational modeling of behavior in the stop signal task to estimate the latency of stopping (stop signal reaction time, SSRT) and, more recently, the reliability of stopping in terms of the distribution of SSRTs (standard deviation, SD-SSRT) and the frequency with which one outright fails to react to a stop signal (trigger failures, TF). Critically, the validity of computational estimates remains unknown because we currently have no direct readouts of behavior against which to compare them. Here, we developed a method for providing single-trial behavioral readouts of SSRT and trigger failures. The method relies on an adaptation of the stop signal task in which participants respond by moving a computer mouse. In two online experiments, we used movement kinematics to quantify stopping performance (SSRT, SD-SSRT, and TF), and then applied the standard Race Model and recent BEESTS model in order to examine the convergent validity of the methods. Overall, we demonstrate good correspondence between kinematics- and model-based estimates of stopping performance at the group and individual level. We conclude that the new method provides valid estimates of stopping performance that, unlike model-based estimates, can be read out at the level of single trials. Our approach might therefore be useful for interrogating single-trial neurophysiological correlates of stopping and for large-scale, online studies of behavioral stopping.


Subject(s)
Executive Function , Inhibition, Psychological , Humans , Reproducibility of Results , Reaction Time/physiology , Executive Function/physiology , Movement , Psychomotor Performance/physiology
5.
Cortex ; 158: 127-136, 2023 01.
Article in English | MEDLINE | ID: mdl-36521374

ABSTRACT

Flexibility of behavior and the ability to rapidly switch actions is critical for adaptive living in humans. It is well established that the right-inferior frontal gyrus (R-IFG) is recruited during outright action-stopping, relating to increased beta (12-30 Hz) power. It has also been posited that inhibiting incorrect response tendencies and switching is central to motor flexibility. However, it is not known if the commonly reported R-IFG beta signature of response inhibition in action-stopping is also recruited during response conflict, which would suggest overlapping networks for stopping and switching. In the current study, we analyzed high precision magnetoencephalography (hpMEG) data recorded with multiple within subject recording sessions (trials n > 10,000) from 8 subjects during different levels of response conflict. We hypothesized that a R-IFG-triggered network for response inhibition is domain general and therefore also involved in mediating response conflict. We tested whether R-IFG showed increased beta power dependent on the level of response conflict. Using event-related spectral perturbations and linear mixed modeling, we found that R-IFG beta power increased for response conflict trials. The R-IFG beta increase was specific to trials with strong response conflict, and increased R-IFG beta power related to less error. This supports a more generalized role for R-IFG beta, beyond simple stopping behavior towards response switching.


Subject(s)
Magnetoencephalography , Prefrontal Cortex , Humans , Prefrontal Cortex/physiology
6.
Science ; 378(6617): 255, 2022 10 21.
Article in English | MEDLINE | ID: mdl-36264791

ABSTRACT

Cutting greenhouse emissions will require less brain and more (collective) brawn.

7.
R Soc Open Sci ; 9(6): 210006, 2022 Jun.
Article in English | MEDLINE | ID: mdl-35706661

ABSTRACT

We are in a climate emergency. Because governments are reacting too slowly, grassroots collective action is key. Understanding the psychological factors underpinning engagement can facilitate the growth of such collective action. Yet, previous research in psychology rarely provided causal evidence for which factors trigger action, lacked focus on the climate crisis, was mostly self-reported behaviour or intentions rather than objective measures, and was mostly cross-sectional rather than longitudinal. Here we conducted a longitudinal study on the effectiveness of a 12-week video intervention designed to increase psychological predictors of collective action. The intervention boosted affective engagement, collective efficacy, and self-efficacy, but did not increase observed attendance of activism events. Interviews suggested that Zoom fatigue and the online study design undercut the social interaction participants wanted in order to join events. However, a smaller in-person replication did not increase activism either. Debriefings suggested that the replication participants were primarily motivated by payment and lacked time or resources for more engagement. These results highlight the crucial importance of going beyond measures of self-reported attitudes or intentions to objectively measuring activism behaviours and showing the difficulty of fostering event attendance.

8.
Psychol Sci ; 33(7): 1068-1085, 2022 07.
Article in English | MEDLINE | ID: mdl-35699435

ABSTRACT

Mind wandering is a state in which our mental focus shifts toward task-unrelated thoughts. Although it is known that mind wandering has a detrimental effect on concurrent task performance (e.g., decreased accuracy), its effect on executive functions is poorly studied. Yet the latter question is relevant to many real-world situations, such as rapid stopping during driving. Here, we studied how mind wandering would affect the requirement to subsequently stop an incipient motor response. In healthy adults, we tested whether mind wandering affected stopping and, if so, which component of stopping was affected: the triggering of the inhibitory brake or the implementation of the brake following triggering. We observed that during mind wandering, stopping latency increased, as did the percentage of trials with failed triggering. Indeed, 67% of the variance of the increase in stopping latency was explained by increased trigger failures. Thus, mind wandering primarily affects stopping by affecting the triggering of the brake.


Subject(s)
Attention , Automobile Driving , Adult , Attention/physiology , Executive Function/physiology , Humans , Task Performance and Analysis
9.
Neuroimage ; 254: 119145, 2022 07 01.
Article in English | MEDLINE | ID: mdl-35342005

ABSTRACT

Action-stopping in humans involves bursts of beta oscillations in prefrontal-basal ganglia regions. To determine the functional role of these beta bursts we took advantage of the Race Model framework describing action-stopping. We incorporated beta bursts in three race model variants, each implementing a different functional contribution of beta to action-stopping. In these variants, we hypothesized that a transient increase in beta could (1) modulate decision thresholds, (2) change stop accumulation rates, or (3) promote the interaction between the Stop and the Go process. We then tested the model predictions using EEG recordings in humans performing a Stop-signal task. We found that the model variant in which beta increased decision thresholds for a brief period of time best explained the empirical data. The model parameters fitted to the empirical data indicated that beta bursts involve a stronger decision threshold modulation for the Go process than for the Stop process. This suggests that prefrontal beta influences stopping by temporarily holding the response from execution. Our study further suggests that human action-stopping could be multi-staged with the beta acting as a pause, increasing the response threshold for the Stop process to modulate behavior successfully. Overall, our approach of introducing transient oscillations into the race model and testing against human electrophysiological data provides a novel account of the puzzle of prefrontal beta in executive control.


Subject(s)
Basal Ganglia , Executive Function , Basal Ganglia/physiology , Executive Function/physiology , Humans , Psychomotor Performance/physiology , Reaction Time/physiology
10.
Neuroimage ; 251: 118975, 2022 05 01.
Article in English | MEDLINE | ID: mdl-35134408

ABSTRACT

We aimed to test the idea that rhythmic transcranial magnetic stimulation (TMS) entrains cortical oscillations. To do this, we examined oscillatory responses in the electroencephalogram (EEG) to TMS over primary motor cortex. In particular, we contrasted responses to real TMS with those to sham TMS in order to dissociate the contributions of direct (transcranial) activation and indirect activation (via auditory/sensory input) of the brain. We first showed that real single pulse TMS elicited a brief (∼200 ms) increase in sensorimotor beta power whose frequency closely matched that of each individual's post-movement beta rebound (PMBR, ∼18 Hz). Sham TMS triggered minimal oscillatory activity. Together this implies that real TMS interacts with endogenous oscillations via direct brain activation. We then showed that although trains of real rhythmic TMS delivered at each individuals PMBR frequency produced a brief increase in beta power at the same frequency, real arrhythmic TMS also elicited an equivalent increase in beta. The implication is that the oscillatory response is independent of the rhythm of stimulation. By contrast, sham stimulation elicited minimal activity in the beta band, and the responses to rhythmic and arrhythmic sham TMS were broadly similar, showing that sham rhythmic stimulation did not produce entrainment via sensory rhythms. Together, the data demonstrate that the beta oscillatory response of M1 to real TMS predominantly reflects direct activation of the underlying cortex. However, the data do not support the notion of rhythmic TMS enhancing oscillatory activity via entrainment-like mechanisms, at least within the constraints of the current experimental set-up.


Subject(s)
Motor Cortex , Beta Rhythm , Electroencephalography , Evoked Potentials, Motor/physiology , Heart Rate , Humans , Motor Cortex/physiology , Transcranial Magnetic Stimulation
11.
J Cogn Neurosci ; 33(7): 1311-1328, 2021 06 01.
Article in English | MEDLINE | ID: mdl-34496400

ABSTRACT

The sensorimotor beta rhythm (∼13-30 Hz) is commonly seen in relation to movement. It is important to understand its functional/behavioral significance in both health and disease. Sorting out competing theories of sensorimotor beta is hampered by a paucity of experimental protocols in humans that manipulate/induce beta oscillations and test their putative effects on concurrent behavior. Here, we developed a novel behavioral paradigm to generate beta and then test its functional relevance. In two human experiments with scalp EEG (n = 11 and 15), we show that a movement instruction generates a high beta state (postmovement beta rebound), which then slows down subsequent movements required during that state. We also show that this high initial beta rebound related to reduced mu-beta desynchronization for the subsequent movement and, further, that the temporal features of the beta state, that is, the beta bursts, related to the degree of slowing. These results suggest that increased sensorimotor beta in the postmovement period corresponds to an inhibitory state-insofar as it retards subsequent movement. By demonstrating a behavioral method by which people can proactively create a high beta state, our paradigm provides opportunities to test the effect of this state on sensations and affordances. It also suggests related experiments using motor imagery rather than actual movement, and this could later be clinically relevant, for example, in tic disorder.


Subject(s)
Sensorimotor Cortex , Beta Rhythm , Electroencephalography , Humans , Movement
12.
Nat Rev Neurosci ; 22(9): 538-552, 2021 09.
Article in English | MEDLINE | ID: mdl-34326532

ABSTRACT

Two decades of cross-species neuroscience research on rapid action-stopping in the laboratory has provided motivation for an underlying prefrontal-basal ganglia circuit. Here we provide an update of key studies from the past few years. We conclude that this basic neural circuit is on increasingly firm ground, and we move on to consider whether the action-stopping function implemented by this circuit applies beyond the simple laboratory stop signal task. We advance through a series of studies of increasing 'real-worldness', starting with laboratory tests of stopping of speech, gait and bodily functions, and then going beyond the laboratory to consider neural recordings and stimulation during moments of control presumably required in everyday activities such as walking and driving. We end by asking whether stopping research has clinical relevance, focusing on movement disorders such as stuttering, tics and freezing of gait. Overall, we conclude there are hints that the prefrontal-basal ganglia action-stopping circuit that is engaged by the basic stop signal task is recruited in myriad scenarios; however, truly proving this for real-world scenarios requires a new generation of studies that will need to overcome substantial technical and inferential challenges.


Subject(s)
Basal Ganglia/physiology , Executive Function/physiology , Movement Disorders/physiopathology , Prefrontal Cortex/physiology , Humans , Neural Pathways/physiology , Psychomotor Performance/physiology
13.
Neuroimage ; 238: 118205, 2021 09.
Article in English | MEDLINE | ID: mdl-34077804

ABSTRACT

Growing evidence suggests that both the medial prefrontal cortex (mPFC) and the subthalamic nucleus (STN) play crucial roles in conflict processing, but how these two structures coordinate their activities remains poorly understood. We simultaneously recorded electroencephalogram from the mPFC and local field potentials from the STN using deep brain stimulation electrodes in 13 Parkinson's disease patients while they performed a Stroop task. Both mPFC and STN showed significant increases in theta activities (2-8 Hz) in incongruent trials compared to the congruent trials. The theta activity in incongruent trials also demonstrated significantly increased phase synchronization between mPFC and STN. Furthermore, the amplitude of gamma oscillation was modulated by the phase of theta activity at the STN in incongruent trials. Such theta-gamma phase-amplitude coupling (PAC) was much stronger for incongruent trials with faster reaction times than those with slower reaction times. Elevated theta-gamma PAC in the STN provides a novel mechanism by which the STN may operationalize its proposed "hold-your-horses" role. The co-occurrence of mPFC-STN theta phase synchronization and STN theta-gamma PAC reflects a neural substrate for fronto-subthalamic communication during conflict processing. More broadly, it may be a general mechanism for neuronal interactions in the cortico-basal ganglia circuits via a combination of long-range, within-frequency phase synchronization and local cross-frequency PAC.


Subject(s)
Gamma Rhythm/physiology , Neurons/physiology , Parkinson Disease/physiopathology , Prefrontal Cortex/physiopathology , Subthalamic Nucleus/physiopathology , Theta Rhythm/physiology , Adult , Aged , Attention/physiology , Electroencephalography , Executive Function/physiology , Female , Humans , Male , Middle Aged , Neural Pathways/physiopathology , Reaction Time/physiology , Stroop Test
14.
J Neurophysiol ; 125(1): 140-153, 2021 01 01.
Article in English | MEDLINE | ID: mdl-33112697

ABSTRACT

Stopping action depends on the integrity of the right inferior frontal gyrus (rIFG). Electrocorticography from the rIFG shows an increase in beta power during action stopping. Scalp EEG shows a similar right frontal beta increase, but it is unknown whether this beta modulation relates to the underlying rIFG network. Demonstrating a causal relationship between the rIFG and right frontal beta in EEG during action stopping is important for putting this electrophysiological marker on a firmer footing. In a double-blind study with a true sham coil, we used fMRI-guided 1-Hz repetitive transcranial magnetic stimulation (rTMS) to disrupt the rIFG and to test whether this reduced right frontal beta and impaired action stopping. We found that rTMS selectively slowed stop signal reaction time (SSRT) (no effect on Go) and reduced right frontal beta (no effect on sensorimotor mu/beta related to Go); it also reduced the variance of a single-trial muscle marker of stopping. Surprisingly, sham stimulation also slowed SSRTs and reduced beta. Part of this effect, however, resulted from carryover of real stimulation in participants who received real stimulation first. A post hoc between-group comparison of those participants who received real first compared with those who received sham first showed that real stimulation reduced beta significantly more. Thus, real rTMS uniquely affected metrics of stopping in the muscle and resulted in a stronger erosion of beta. We argue that this causal test validates right frontal beta as a functional marker of action stopping.NEW & NOTEWORTHY Action stopping recruits the right inferior frontal gyrus (rIFG) and elicits increases in right frontal beta. The present study now provides causal evidence linking these stopping-related beta oscillations to the integrity of the underlying rIFG network. One-hertz transcranial magnetic stimulation (TMS) over the rIFG impaired stopping and reduced right frontal beta during a stop-signal task. Furthermore, the effect on neural oscillations was specific to stopping-related beta, with no change in sensorimotor mu/beta corresponding to the Go response.


Subject(s)
Beta Rhythm , Frontal Lobe/physiology , Muscle, Skeletal/physiology , Female , Humans , Male , Muscle, Skeletal/innervation , Transcranial Magnetic Stimulation/methods , Young Adult
15.
J Cogn Neurosci ; 33(1): 119-128, 2021 01.
Article in English | MEDLINE | ID: mdl-33078991

ABSTRACT

Quickly preventing the retrieval of (inappropriate) long-term memories might recruit a similar control mechanism as rapid action-stopping. A very specific characteristic of rapid action-stopping is "global motor suppression": When a single response is rapidly stopped, there is a broad skeletomotor suppression. This is shown by the technique of TMS placed over a task-irrelevant part of the primary motor cortex (M1) to measure motor-evoked potentials. Here, we used this same TMS method to test if rapidly preventing long-term memory retrieval also shows this broad skeletomotor suppression effect. Twenty human participants underwent a Think/No-Think task. In the first phase, they learned word pairs. In the second phase, they received the left-hand word as a cue and had to either retrieve the associated right-hand word ("Think") or stop retrieval ("No-Think"). At the end of each trial, they reported whether they had experienced an intrusion of the associated memory. Behaviorally, on No-Think trials, they reported fewer intrusions than Think trials, and the reporting of intrusions decreased with practice. Physiologically, we observed that the motor-evoked potential, measured from the hand (which was irrelevant to the task), was reduced on No-Think trials in the time frame of 300-500 msec, especially on trials where they did report an intrusion. This unexpected result contradicted our preregistered prediction that we would find such a decrease on No-Think trials where the intrusion was not reported. These data suggest that one form of executive control over (inappropriate) long-term memory retrieval is a rapid and broad stop, akin to action-stopping, that is triggered by the intrusion itself.


Subject(s)
Executive Function , Motor Cortex , Evoked Potentials, Motor , Humans
16.
eNeuro ; 7(5)2020.
Article in English | MEDLINE | ID: mdl-32887694

ABSTRACT

Much evidence supports a fundamental role for the subthalamic nucleus (STN) in rapidly stopping behavior when a stop signal or surprising event occurs, but the extent to which the STN may be involved in stopping cognitive processes is less clear. Here, we used an optogenetic approach to control STN activity in a delayed-match-to-position (DMTP) task where mice had to recall a response location after a delay. We first demonstrated that a surprising event impaired performance by both slowing the latency to respond and increasing the rate of errors. We next showed that these effects could be mimicked by brief optogenetic activation of the STN. Further, inhibiting STN during surprise blocked surprise-induced slowing, although without changing surprise-induced errors. These data are consistent with the hypothesis that STN is recruited by surprise to slow responding and that this can also interrupt cognitive processes. Under normal conditions STN-mediated stopping of behavior may slow or stop ongoing cognition to facilitate cognitive reorienting and adaptive responses to unexpected sensory information, but when malfunctioning, it could produce pathologies related to over-rigidity or increased distractibility.


Subject(s)
Subthalamic Nucleus , Animals , Cognition , Mice , Optogenetics
17.
Neuroimage ; 222: 117222, 2020 11 15.
Article in English | MEDLINE | ID: mdl-32768628

ABSTRACT

Human action-stopping is thought to rely on a prefronto-basal ganglia-thalamocortical network, with right inferior frontal cortex (rIFC) posited to play a critical role in the early stage of implementation. Here we sought causal evidence for this idea in experiments involving healthy human participants. We first show that action-stopping is preceded by bursts of electroencephalographic activity in the beta band over prefrontal electrodes, putatively rIFC, and that the timing of these bursts correlates with the latency of stopping at a single-trial level: earlier bursts are associated with faster stopping. From this we reasoned that the integrity of rIFC at the time of beta bursts might be critical to successful stopping. We then used fMRI-guided transcranial magnetic stimulation (TMS) to disrupt rIFC at the approximate time of beta bursting. Stimulation prolonged stopping latencies and, moreover, the prolongation was most pronounced in individuals for whom the pulse appeared closer to the presumed time of beta bursting. These results help validate a model of the neural architecture and temporal dynamics of action-stopping. They also highlight the usefulness of prefrontal beta bursts to index an apparently important sub-process of stopping, the timing of which might help explain within- and between-individual variation in impulse control.


Subject(s)
Beta Rhythm/physiology , Motor Cortex/physiology , Prefrontal Cortex/physiology , Transcranial Magnetic Stimulation , Adult , Basal Ganglia/physiology , Female , Humans , Inhibition, Psychological , Magnetic Resonance Imaging/methods , Male , Reaction Time/physiology , Time Factors , Transcranial Magnetic Stimulation/methods
18.
Neuron ; 106(1): 17-20, 2020 04 08.
Article in English | MEDLINE | ID: mdl-32272064

ABSTRACT

The world faces a climate emergency. Here, we consider the actions that can be taken by neuroscientists to tackle climate change. We encourage neuroscientists to put emissions reductions at the center of their everyday professional activities.


Subject(s)
Aviation , Carbon Footprint , Climate Change , Neurosciences , Social Justice , Congresses as Topic , Emergencies , Humans , Plastics , Research , Research Design , Vehicle Emissions , Video Recording , Videoconferencing
19.
Elife ; 92020 03 18.
Article in English | MEDLINE | ID: mdl-32186515

ABSTRACT

Action-stopping is a canonical executive function thought to involve top-down control over the motor system. Here we aimed to validate this stopping system using high temporal resolution methods in humans. We show that, following the requirement to stop, there was an increase of right frontal beta (~13 to 30 Hz) at ~120 ms, likely a proxy of right inferior frontal gyrus; then, at 140 ms, there was a broad skeletomotor suppression, likely reflecting the impact of the subthalamic nucleus on basal ganglia output; then, at ~160 ms, suppression was detected in the muscle, and, finally, the behavioral time of stopping was ~220 ms. This temporal cascade supports a physiological model of action-stopping, and partitions it into subprocesses that are isolable to different nodes and are more precise than the behavioral latency of stopping. Variation in these subprocesses, including at the single-trial level, could better explain individual differences in impulse control.


Subject(s)
Inhibition, Psychological , Motor Cortex/physiology , Muscles/physiology , Psychomotor Performance , Brain Mapping , Cues , Electroencephalography , Electromyography , Executive Function , Female , Humans , Magnetic Resonance Imaging , Male
20.
Neuroimage Clin ; 25: 102099, 2020.
Article in English | MEDLINE | ID: mdl-31865023

ABSTRACT

OBJECTIVE: To determine whether brain imaging markers of tissue microstructure can detect the effect of disease progression across the preclinical stages of Huntington's disease. METHODS: Longitudinal microstructural changes in diffusion imaging metrics (mean diffusivity and fractional anisotropy) were investigated in participants with presymptomatic Huntington's disease (N = 35) stratified into three preclinical subgroups according to their estimated time until onset of symptoms, compared with age- and gender-matched healthy controls (N = 19) over a 1y period. RESULTS: Significant differences were found over the four groups in change of mean diffusivity in the posterior basal ganglia and the splenium of the corpus callosum. This overall effect was driven by significant differences between the group far-from-onset (FAR) of symptoms and the groups midway- (MID) and near-the-onset (NEAR) of symptoms. In particular, an initial decrease of mean diffusivity in the FAR group was followed by a subsequent increase in groups closer to onset of symptoms. The seemingly counter-intuitive decrease of mean diffusivity in the group furthest from onset of symptoms might be an early indicator of neuroinflammatory process preceding the neurodegenerative phase. In contrast, the only clinical measure that was able to capture a difference in 1y changes between the preclinical stages was the UHDRS confidence in motor score. CONCLUSIONS: With sensitivity to longitudinal changes in brain microstructure within and between preclinical stages, and potential differential response to distinct pathophysiological mechanisms, diffusion imaging is a promising state marker for monitoring treatment response and identifying the optimal therapeutic window of opportunity in preclinical Huntington's disease.


Subject(s)
Basal Ganglia/diagnostic imaging , Corpus Callosum/diagnostic imaging , Diffusion Tensor Imaging , Huntington Disease/diagnostic imaging , Prodromal Symptoms , Adult , Basal Ganglia/pathology , Corpus Callosum/pathology , Diffusion Tensor Imaging/standards , Female , Humans , Huntington Disease/pathology , Longitudinal Studies , Male , Middle Aged
SELECTION OF CITATIONS
SEARCH DETAIL
...