Violence-related content in video game may lead to functional connectivity changes in brain networks as revealed by fMRI-ICA in young men.

In violent video games, players engage in virtual aggressive behaviors. Exposure to virtual aggressive behavior induces short-term changes in players' behavior. In a previous study, a violence-related version of the racing game "Carmageddon TDR2000" increased aggressive affects, cognitions, and behaviors compared to its non-violence-related version. This study investigates the differences in neural network activity during the playing of both versions of the video game. Functional magnetic resonance imaging (fMRI) recorded ongoing brain activity of 18 young men playing the violence-related and the non-violence-related version of the video game Carmageddon. Image time series were decomposed into functional connectivity (FC) patterns using independent component analysis (ICA) and template-matching yielded a mapping to established functional brain networks. The FC patterns revealed a decrease in connectivity within 6 brain networks during the violence-related compared to the non-violence-related condition: three sensory-motor networks, the reward network, the default mode network (DMN), and the right-lateralized frontoparietal network. Playing violent racing games may change functional brain connectivity, in particular and even after controlling for event frequency, in the reward network and the DMN. These changes may underlie the short-term increase of aggressive affects, cognitions, and behaviors as observed after playing violent video games.

Upregulation of the rostral anterior cingulate cortex can alter the perception of emotions: fMRI-based neurofeedback at 3 and 7 T.

Recent advances in real-time functional magnetic resonance imaging (rt-fMRI) techniques enable online feedback about momentary brain activity from a localized region of interest. The anterior cingulate cortex (ACC) as a central hub for cognitive and emotional networks and its modulation has been suggested to elicit mood changes. In the presented real-time fMRI neurofeedback experiment at a 3 and a 7 T scanner we enabled participants to regulate ACC activity within one training session. The session consisted of three training runs of 8.5 min where subjects received online feedback about their current ACC activity. Before and after each run we presented emotional prosody. Subjects rated these stimuli according to their emotional valence and arousal, which served as an implicit mood measure. We found increases in ACC activation at 3 T (n = 15) and at 7 T (n = 9) with a higher activation success for the 3 T group. FMRI signal control of the rostral ACC depended on signal quality and predicted a valence bias in the rating of emotional prosody. Real-time fMRI neurofeedback of the ACC is feasible at different magnetic field strengths and can modulate localized ACC activity and emotion perception. It promises non-invasive therapeutic approaches for different psychiatric disorders characterized by impaired self-regulation.

[Psycho-oncology]. / Psychoonkologie.

Psycho-oncology addresses the psychosocial care of patients with cancer. Systematic research on the interactions between biological, psychological and social factors before, during and after cancer has only been carried out for a few decades. All cancer patients, their relatives and the treating medical team should receive low-threshold offers for psychosocial support. The demand for interdisciplinary counselling and therapy detected by clinical diagnosis and by systematic screening, is not satisfactorily covered and is continuously increasing. In collaboration between the involved professional groups, education and professional qualifications for psycho-oncologists are still being developed.

Effects of a CACNA1C genotype on attention networks in healthy individuals.

BACKGROUND: Recent genetic studies found the A allele of the variant rs1006737 in the alpha 1C subunit of the L-type voltage-gated calcium channel (CACNA1C) gene to be over-represented in patients with psychosis, including schizophrenia, bipolar disorder and major depressive disorder. In these disorders, attention deficits are among the main cognitive symptoms and have been related to altered neural activity in cerebral attention networks. The particular effect of CACNA1C on neural function, such as attention networks, remains to be elucidated. METHOD: The current event-related functional magnetic resonance imaging (fMRI) study investigated the effect of the CACNA1C gene on brain activity in 80 subjects while performing a scanner-adapted version of the Attention Network Test (ANT). Three domains of attention were probed simultaneously: alerting, orienting and executive control of attention. RESULTS: Risk allele carriers showed impaired performance in alerting and orienting in addition to reduced neural activity in the right inferior parietal lobule [Brodmann area (BA) 40] during orienting and in the medial frontal gyrus (BA 8) during executive control of attention. These areas belong to networks that have been related to impaired orienting and executive control mechanisms in neuropsychiatric disorders. CONCLUSIONS: Our results suggest that CACNA1C plays a role in the development of specific attention deficits in psychiatric disorders by modulation of neural attention networks.

The temporal dynamics of the Müller-Lyer illusion.

By attaching arrows to a line's ends, the Müller-Lyer illusion can be used to modulate perceived line length. In the present study, we investigated the dynamics of the brain processes underlying this illusion using magnetoencephalography. Subjects were presented with a horizontal line with arrows attached to its ends. Across trials, the angles formed by the arrows were repeatedly changed such that 2 variants of the Müller-Lyer length illusion were either induced or not. The onset of both variants of the illusion revealed consistent activations in visual areas between 85 and 130 ms after stimulus onset, as well as strong and longer lasting activations along the ventral visual processing stream including inferior occipital, inferior temporal, and fusiform gyrus within the range of 195-220 ms. Subsequent neural activation was observed in the right superior temporal cortex, as well as in the right inferior parietal and the right inferior frontal cortex. The time course and the location of the activations suggest that the mechanisms involved in generating the Müller-Lyer illusion are closely linked to the ones associated with object perception, consistent with theories considering a relevant contribution of higher visual areas to the generation of the Müller-Lyer illusion.

[Magnetoencephalography in psychiatry]. / Magnetoenzephalographie in der Psychiatrie.

Neuropsychiatric disorders usually come with only sublime structural changes. Functional imaging can point at specific disturbances in information processing in neural networks. Besides imaging of receptor and metabolic functions with PET and fMRI, electromagnetic methods such as electroencephalography (EEG) and magnetoencephalography (MEG) offer the possibility for imaging of dynamic dysfunctions. As compared to EEG, MEG has a shorter history and is less common despite offering considerable advantages in temporospatial resolution and sensitivity to detect impaired signal processing and network functioning which renders it particularly interesting for psychiatric applications. Disturbed processing in the auditory and visual domain emerging in schizophrenic, affective and anxiety disorders can be detected with high sensitivity. Moreover, the neuromagnetic baseline activity allows conclusions to be drawn regarding neural network functions. Due to its high sensitivity to single deficits in information processing and to pharmacological effects, MEG will achieve clinical significance in specific areas.

Optimized mismatch negativity paradigm reflects deficits in schizophrenia patients. A combined EEG and MEG study.

Mismatch negativity (MMN) and its neuromagnetic analog (MMNm) are event-related brain responses elicited by changes in a sequence of auditory events and indexes early cognitive processing. It consistently detects neural processing deficits in schizophrenia. So far MMN is assessed with different methods (electroencephalography, EEG; magnetoencephalography, MEG) and with different paradigms: the "traditional" oddball design with rare deviants (20%) or the "optimum" design with 50% deviants varying in one of five parameters each. These MMN measures may not reflect one unitary mechanism which is equally affected in schizophrenia. We compared both designs in 12 patients with schizophrenia and controls using MEG and EEG. Automated, observer-independent data analysis rendered the procedures suitable for clinical applications. The optimum design was fastest to detect MMN and MEG had the best signal-to-noise ratio. In addition MMN was mostly reduced in schizophrenia if measured with MEG in the optimum paradigm. Optimized paradigms improve sensitivity and speed for the detection of schizophrenia endophenotypes. Dysfunctions in this disorder may lie primarily in the fast and automatic encoding of stimulus features at the auditory cortex.

fMRI reveals two distinct cerebral networks subserving speech motor control.

BACKGROUND: There are few data on the cerebral organization of motor aspects of speech production and the pathomechanisms of dysarthric deficits subsequent to brain lesions and diseases. The authors used fMRI to further examine the neural basis of speech motor control. METHODS AND RESULTS: In eight healthy volunteers, fMRI was performed during syllable repetitions synchronized to click trains (2 to 6 Hz; vs a passive listening task). Bilateral hemodynamic responses emerged at the level of the mesiofrontal and sensorimotor cortex, putamen/pallidum, thalamus, and cerebellum (two distinct activation spots at either side). In contrast, dorsolateral premotor cortex and anterior insula showed left-sided activation. Calculation of rate/response functions revealed a negative linear relationship between repetition frequency and blood oxygen level-dependent (BOLD) signal change within the striatum, whereas both cerebellar hemispheres exhibited a step-wise increase of activation at approximately 3 Hz. Analysis of the temporal dynamics of the BOLD effect found the various cortical and subcortical brain regions engaged in speech motor control to be organized into two separate networks (medial and dorsolateral premotor cortex, anterior insula, and superior cerebellum vs sensorimotor cortex, basal ganglia, and inferior cerebellum). CONCLUSION: These data provide evidence for two levels of speech motor control bound, most presumably, to motor preparation and execution processes. They also help to explain clinical observations such as an unimpaired or even accelerated speaking rate in Parkinson disease and slowed speech tempo, which does not fall below a rate of 3 Hz, in cerebellar disorders.

Rate-dependent activation of a prefrontal-insular-cerebellar network during passive listening to trains of click stimuli: an fMRI study.

Eight volunteers underwent fMRI during passive listening to click trains. Using a parametric approach, rate-response profiles across the frequency band considered (2-6 Hz) were determined. Several cerebral structures outside the central-auditory pathways and target areas displayed distinct activation patterns each: rate-response profiles resembling high-pass (left side) or low-pass filtered (right side) signal series emerged at the level of the anterior insula, band-pass like characteristics (center frequency: 3-4 Hz) were observed within the left inferior frontal gyrus, and click train rates > 4 Hz yielded enhanced activation of the right cerebellar hemisphere. A variety of clinical and experimental data indicate that the left and right cerebral hemispheres act as high- and low-pass filters, respectively, on auditory input (double filtering by frequency theory). In light of the present fMRI data, the anterior insula contributes to the assumed double filtering by frequency functions. Furthermore, these intrasylvian areas seem to join up with the right cerebellum and the left inferior frontal gyrus to a network subserving parsing/timing functions within the auditory-verbal domain.

Contralaterality of cortical auditory processing at the level of the M50/M100 complex and the mismatch field: a whole-head magnetoencephalography study.

Humans show a stronger cortical representation of auditory input at the opposite hemisphere each. To specify the temporal aspects of this contralaterality effect within the domain of speech stimuli, the present study recorded a series of evoked magnetic fields (M50, M100, mismatch field) subsequent to monaural application of stop consonant-vowel syllables using whole-head magnetoencephalography (MEG). The M50 components exhibited a skewed shape of cross-symmetrical distribution in terms of an initial maximum peak succeeded by a knot over the contralateral and a reversed pattern over the ipsilateral temporal lobe. Most presumably, this pattern of evoked fields reflects two distinct stages of central-auditory processing: (a) initial excitation of the larger contralateral and the smaller ipsilateral projection area of the stimulated ear; (b) subsequent transcallosal activation of the residual neurons, i.e. the targets of the non-stimulated ear, at either side. Previous studies using non-speech stimuli found contralaterality of central-auditory processing to extend to the M100 field. In contrast, a larger amplitude of ipsilateral M100 as compared to the respective opposite deflection emerged after stimulation of either ear. Finally, the computed magnetic analogues of mismatch negativity failed any significant laterality effects. These data provide first evidence for a distinct pattern of hemispheric differences at the level of the M50/M100 complex subsequent to monaural application of speech stimuli.

Salt-sensitivity and other predictors of stress-related cardiovascular reactivity in healthy young males.

Individuals whose mean arterial blood pressure is depending on oral salt intake are considered salt-sensitive and are at risk of developing essential hypertension. This study investigates the role of salt-sensitivity with respect to systolic blood pressure reactions under standardized mental stress. Forty-three healthy young males, previously characterized as salt-sensitive (n=16) or salt-resistant (n=27) by a dietary regimen, were subjected to multimodal physiological measurement during a computerized stress test and underwent comprehensive psychometrical testing. The most important predictors for systolic blood pressure reactions to stress were the degree of salt-sensitivity, body mass index and psychological characteristics like anxiety. The highest correlations with the degree of salt-sensitivity were found for the parameters age, systolic blood pressure reaction under stress, high frequency band of heart rate variability and two psychological variables. The concept of salt-sensitivity is a novel biological component that might contribute to reactivity research in subjects at high risk for essential hypertension.

Neural correlates of duplex perception: a whole-head magnetencephalography study.

Simultaneous experience of the same acoustic stimulus in two distinct phenomenological modes, e.g. as a speech-like and as a non-speech event, is referred to as duplex perception (DP). The most widely investigated DP paradigm splits each of the stop consonant-vowel (CV) syllables /ga/ and /da/ into an isolated formant transient (chirp) and the remaining sound structure (base). The present study recorded mismatch fields in response to a series of dichotically applied base and chirp components using whole-head magnetencephalography (MEG). Preattentive mismatch fields showed larger amplitudes in response to contralateral deviants. During attention to the fused percept /da/, the left ear deviants chirps elicited an enhanced and posteriorly shifted dipole field over the ipsilateral hemisphere. These data provide first neurophysiological evidence that the integration of acoustic stimulus elements into a coherent syllable representation constitutes a distinct stage of left-hemisphere speech sound encoding.

A new approach to measure single-event related brain activity using real-time fMRI: feasibility of sensory, motor, and higher cognitive tasks.

Real-time fMRI is a rapidly emerging methodology that enables monitoring changes in brain activity during an ongoing experiment. In this article we demonstrate the feasibility of performing single-event sensory, motor, and higher cognitive tasks in real-time on a clinical whole-body scanner. This approach requires sensitivity optimized fMRI methods: Using statistical parametric mapping we quantified the spatial extent of BOLD contrast signal changes as a function of voxel size and demonstrate that sacrificing spatial resolution and readout bandwidth improves the detection of signal changes in real time. Further increases in BOLD contrast sensitivity were obtained by using real-time multi-echo EPI. Real-time image analysis was performed using our previously described Functional Imaging in REal time (FIRE) software package, which features real-time motion compensation, sliding window correlation analysis, and automatic reference vector optimization. This new fMRI methodology was validated using single-block design paradigms of standard visual, motor, and auditory tasks. Further, we demonstrate the sensitivity of this method for online detection of higher cognitive functions during a language task using single-block design paradigms. Finally, we used single-event fMRI to characterize the variability of the hemodynamic impulse response in primary and supplementary motor cortex in consecutive trials using single movements. Real-time fMRI can improve reliability of clinical and research studies and offers new opportunities for studying higher cognitive functions.

Evaluation of motion and realignment for functional magnetic resonance imaging in real time.

Functional magnetic resonance imaging in real time is an emerging tool for the assessment of dynamic changes in brain activation. The short response latency (tens of seconds) renders the technique more sensitive to motion artifacts. Motion correction in real time requires computationally efficient algorithms which can be executed on a complete 3D data set within a single time of repetition cycle. In this study, a method to evaluate motion and realign functional images in real time implemented on standard imaging hardware is introduced. The detection of activity in correlation maps is improved, and artifactual edge enhancements are reduced. As the estimation of large movements is stable, this algorithm is attractive for clinical studies with uncooperative patients. Magn Reson Med 45:167-171, 2001.

Encoding of temporal speech features (formant transients) during binaural and dichotic stimulus application: a whole-head magnetencephalography study.

Spoken-word recognition depends upon the encoding of relevant 'information bearing elements' of the acoustic speech signal. For example, relatively rapid shifts of spectral energy distribution (formant transients) cue the perception of stop consonant-vowel (CV) syllables such as /ba/, /ga/, and /da/. A variety of data indicate left-hemisphere superiority with respect to the processing of formant transients. To further delineate the underlying neurophysiological mechanisms, evoked cortical fields in response to CV syllables (oddball design; frequent stimulus=binaural /ga/; four deviant constellations: Binaural /ba/, binaural /da/, left /da/ (left ear deviant)-right /ga/, right /da/ (right ear deviant)-left /ga/) were recorded by means of whole-head magnetencephalography (MEG; 151 channels) under two different conditions of attentional demands (visual distraction versus reaction to prespecified stimuli). (a) During binaural stimulus presentation attention toward target events resulted in a significantly enhanced mismatch field (MMNm, magnetic analogue to the mismatch negativity) over the left as compared to the right hemisphere. In contrast, preattentive processing of the CV syllables failed MMNm lateralization effects. (b) Dichotic application of /da/ elicited a larger contralateral MMNm amplitude in subjects with right ear advantage (REA) at behavioral testing. In addition, right ear deviants yielded a stronger ipsilateral response than the left ear cognates. Taken together, these data indicate bilateral preattentive processing and subsequent attention-related predominant left-hemisphere encoding of formant transients at the level of the supratemporal plane. Furthermore, REA during dichotic application of CV syllables seems to be linked to functional dissociation of the two hemispheres during auditory processing.

Stroboscopic articulography using fast magnetic resonance imaging.

A method to display dynamic aspects of vocal tract configuration during speech production by means of fast magnetic resonance imaging is presented. Data acquisition during repetitive movement relies on a stroboscopy-like procedure. The time resolution achieved is 120 images s-1 in a selected plane. As compared with other techniques of kinematic measurements of speech motor processes, this procedure allows for visualization of the temporal and spatial coordination of all relevant articulators, e.g. the entire tongue, the velum and the lower vocal tract. As an example, the method was applied to repetitions of stop consonant-vowel-nasal syllables.

Differential impact of periodic and aperiodic speech-like acoustic signals on magnetic M50/M100 fields.

Voiced and unvoiced sounds, characterized by a periodic or aperiodic acoustic structure, respectively, represent two basic information-bearing elements of the speech signal. Using whole-head magnetencephalography (MEG), magnetic fields (M50/M100) in response to synthetic vowel-like as well as noise-like signals matched in spectral envelope were recorded in 20 subjects. Aperiodic events gave rise to increased M50 concomitant with reduced M100 activity as compared to their periodic cognates. Attention toward the auditory channel enhanced the effects of signal periodicity. These data provide first evidence that speech-relevant acoustic features differentially affect evoked magnetic fields as early as the M50 component. Conceivably, the M50 field reflects an ongoing monitoring process whereas the M100 component is bound to more specific operations such as detection of signal periodicity.

Symptomatologie, pathologischanatomische Grundlagen und Pathomechanismen zentraler Horstorungen (reine Worttaubheit, auditive Agnosie, Rindentaubheit). Eine Literaturubersicht.

Pure word deafness (auditory verbal agnosia) is characterized by an impairment of auditory comprehension, repetition of verbal material and writing to dictation whereas spontaneous speech production and reading largely remain unaffected. Sometimes, this syndrome is preceded by complete deafness (cortical deafness) of varying duration. Perception of vowels and suprasegmental features of verbal utterances (e.g., intonation contours) seems to be less disrupted than the processing of consonants and, therefore, might mediate residual auditory functions. Often, lip reading and/or slowing of speaking rate allow within some limits to compensate for speech comprehension deficits. Apart from a few exceptions, the available reports of pure word deafness documented a bilateral temporal lesion. In these instances, as a rule, identification of nonverbal (environmental) sounds, perception of music, temporal resolution of sequential auditory cues and/or spatial localization of acoustic events were compromised as well. The observed variable constellation of auditory signs and symptoms in central hearing disorders following bilateral temporal disorders, most probably, reflects the multitude of functional maps at the level of the auditory cortices subserving, as documented in a variety of non-human species, the encoding of specific stimulus parameters each. Thus, verbal/nonverbal auditory agnosia may be considered a paradigm of distorted "auditory scene analysis" (Bregman 1990) affecting both primitive and schema-based perceptual processes. It cannot be excluded, however, that disconnection of the Wernicke-area from auditory input (Geschwind 1965) and/or an impairment of suggested "phonetic module" (Liberman 1996) contribute to the observed deficits as well. Conceivably, these latter mechanisms underly the rare cases of pure word deafness following a lesion restricted to the dominant hemisphere. Only few instances of a rather isolated disruption of the discrimination/identification of nonverbal sound sources, in the presence of uncompromised speech comprehension, have been reported so far (nonverbal auditory agnosia). As a rule, unilateral right-sided damage has been found to be the relevant lesion.

Preattentive processing of consonant vowel syllables at the level of the supratemporal plane: a whole-head magnetencephalography study.

A variety of clinical and experimental data indicate superiority of the left hemisphere with respect to the encoding of dynamic aspects of the acoustic speech signal such as formant transients, i.e., fast changes of spectral energy distribution across a few tens of milliseconds, which cue the perception of stop consonant vowel syllables. Using an oddball design, the present study recorded auditory evoked magnetic fields by means of a whole-head device in response to vowels as well as syllable-like structures. Both the N1m component (=the magnetic equivalent to the N1 response of the electroencephalogram (EEG)) and various difference waves between the magnetic fields to standard and respective rare events (MMNm=magnetic mismatch negativity) were calculated. (a) Vowel mismatch (/a/ against /e/) resulted in an enlarged N1m amplitude reflecting, most presumably, peripheral adaptation processes. (b) As concerns lateralized responses to syllable-like structures, only the shortest transient duration (=10 ms) elicited a significantly enhanced MMNm at the left side. Conceivably, the observed hemispheric difference contributes to prelexical parsing of the auditory signal rather than the encoding of linguistic categories.

Enhancement of BOLD-contrast sensitivity by single-shot multi-echo functional MR imaging.

Improved data acquisition and processing strategies for blood oxygenation level-dependent (BOLD)-contrast functional magnetic resonance imaging (fMRI), which enhance the functional contrast-to-noise ratio (CNR) by sampling multiple echo times in a single shot, are described. The dependence of the CNR on T2*, the image encoding time, and the number of sampled echo times are investigated for exponential fitting, echo summation, weighted echo summation, and averaging of correlation maps obtained at different echo times. The method is validated in vivo using visual stimulation and turbo proton echoplanar spectroscopic imaging (turbo-PEPSI), a new single-shot multi-slice MR spectroscopic imaging technique, which acquires up to 12 consecutive echoplanar images with echo times ranging from 12 to 213 msec. Quantitative T2*-mapping significantly increases the measured extent of activation and the mean correlation coefficient compared with conventional echoplanar imaging. The sensitivity gain with echo summation, which is computationally efficient provides similar sensitivity as fitting. For all data processing methods sensitivity is optimum when echo times up to 3.2 T2* are sampled. This methodology has implications for comparing functional sensitivity at different magnetic field strengths and between brain regions with different magnetic field inhomogeneities.