Quantitative perfusion imaging of neoplastic liver lesions: A multi-institution study.

We describe multi-institutional experience using free-breathing, 3D Spiral GRAPPA-based quantitative perfusion MRI in characterizing neoplastic liver masses. 45 patients (age: 48-72 years) were prospectively recruited at University Hospitals, Cleveland, USA on a 3 Tesla (T) MRI, and at Zhongshan Hospital, Shanghai, China on a 1.5 T MRI. Contrast-enhanced volumetric T1-weighted images were acquired and a dual-input single-compartment model used to derive arterial fraction (AF), distribution volume (DV) and mean transit time (MTT) for the lesions and normal parenchyma. The measurements were compared using two-tailed Student's t-test, with Bonferroni correction applied for multiple-comparison testing. 28 hepatocellular carcinoma (HCC) and 17 metastatic lesions were evaluated. No significant difference was noted in perfusion parameters of normal liver parenchyma and neoplastic masses at two centers (p = 0.62 for AF, 0.015 for DV, 0.42 for MTT for HCC, p = 0.13 for AF, 0.97 for DV, 0.78 for MTT for metastases). There was statistically significant difference in AF, DV, and MTT of metastases and AF and DV of HCC compared to normal liver parenchyma (p < 0.5/9 = 0.0055). A statistically significant difference was noted in the MTT of metastases compared to hepatocellular carcinoma (p < 0.001*10-5). In conclusion, 3D Spiral-GRAPPA enabled quantitative free-breathing perfusion MRI exam provides robust perfusion parameters.

Noninvasive amide proton transfer magnetic resonance imaging in evaluating the grading and cellularity of gliomas.

Using noninvasive magnetic resonance imaging techniques to accurately evaluate the grading and cellularity of gliomas is beneficial for improving the patient outcomes. Amide proton transfer imaging is a noninvasive molecular magnetic resonance imaging technique based on chemical exchange saturation transfer mechanism that detects endogenous mobile proteins and peptides in biological tissues. Between August 2012 and November 2015, a total number of 44 patients with pathologically proven gliomas were included in this study. We compared the capability of amide proton transfer magnetic resonance imaging with that of noninvasive diffusion-weighted imaging and noninvasive 3-dimensional pseudo-continuous arterial spin imaging in evaluating the grading and cellularity of gliomas. Our results reveal that amide proton transfer magnetic resonance imaging is a superior imaging technique to diffusion-weighted imaging and 3-dimensional pseudo-continuous arterial spin imaging in the grading of gliomas. In addition, our results showed that the Ki-67 index correlated better with the amide proton transfer-weighted signal intensity than with the apparent diffusion coefficient value or the cerebral blood flow value in the gliomas. Amide proton transfer magnetic resonance imaging is a promising method for predicting the grading and cellularity of gliomas.

Cortical mechanisms of visual context processing in singleton search.

When searching for a target object presented in a context of other, irrelevant objects, the dissimilarity between target and surrounding context elements as well as the similarity between context elements themselves affect search efficiency. The present functional imaging study explored the cortical mechanisms involved in processing the same target when surrounded by context arrangements of varying homogeneity. Results showed that brain activity increased in the precuneus, cingulate gyrus, and the middle temporal gyrus as context homogeneity and local feature contrast increased. Contexts with low homogeneity and local feature contrast, compared to contexts with high homogeneity and local feature contrast, increasingly involved areas near the corpus callosum and the medial frontal gyrus. The results support the assumption that contextual grouping and local target detection both contribute to perform the visual search task.

Distraction and target selection in the brain: an fMRI study.

To attend successfully, a specification of what is currently relevant is necessary, but not sufficient. Irrelevant stimuli that are also present in the environment must be recognized as such and filtered out at the same time. Using functional magnetic resonance imaging, we showed that posterior brain regions in parietal, occipital and temporal cortex are recruited in order to ignore distracting visual stimuli, while the specification and selection of relevant stimuli is associated with differential activity in frontal cortex and hippocampal areas instead. The results thus suggest that the selection of relevant objects can be anatomically dissociated from the handling of competing irrelevant objects. The dissociation between the increased involvement of parietal and occipital cortex in handling distraction on one hand, and that of frontal cortex in target specification on the other provides neurophysiological support for models of attention that make this functional distinction.

Shared and idiosyncratic cortical activation patterns in autism revealed under continuous real-life viewing conditions.

Although widespread alterations in cortical structure have been documented in individuals with autism, the functional implications of these alterations remain to be determined. Here, we adopted a novel inter-subject correlation (inter-SC) and intra-subject correlation (intra-SC) technique to quantify the reliability of the spatio-temporal responses of functional MR activity in adults with autism during free-viewing of a popular audio-visual movie. Whereas these complex stimuli evoke highly reliable shared response time courses in typical individuals, cortical activity was more variable across individuals with autism (low inter-SC). Interestingly, when we measured the responses within an autistic individual across repeated presentations of the movie, we observed a unique, idiosyncratic response time course that was reliably replicated within each individual (high intra-SC). Encouragingly, after filtering out the idiosyncratic responses from each individual time course, we were able to uncover a more typical response profile, which resembles the shared responses seen in the typical subjects. These findings indicate that, under conditions approximating real-life situations, the neural activity of individuals with autism is characterized by individualistic responses that, although reliable within an autistic individual, are both highly variable across autistic individuals and different from the responses observed within the typical subjects. These idiosyncratic responses may underlie the atypical behaviors observed in autism. At the same time, we are encouraged by the presence of the more typical activation pattern lurking beneath these idiosyncratic fluctuations. Taken together, these findings may pave the way to future research aimed at characterizing the idiosyncratic response profiles, which, in turn, might contribute to a better understanding of the heterogeneity of the autism spectrum and its diagnosis.

Primary visual cortex reflects behavioral performance in the attentional blink.

When two masked targets are presented in a rapid sequence, attentional limitations are reflected in reduced identification accuracy for the second target (T2). We used functional magnetic resonance imaging to disentangle the distinct neural substrates of T2 processing during this attentional blink phenomenon. Spatially separating the two targets allows the retinotopic localization of the different stimuli's encoding sites in primary visual cortex (V1) and thus enables activation elicited by each target to be differentially measured in V1. The encoding location of the second target mirrored T2 identification accuracy in a retinotopically specific manner. These results are the first evidence for effects of behavioral performance on hemodynamic responses in V1 under conditions of the attentional blink.

A hierarchy of temporal receptive windows in human cortex.

Real-world events unfold at different time scales and, therefore, cognitive and neuronal processes must likewise occur at different time scales. We present a novel procedure that identifies brain regions responsive to sensory information accumulated over different time scales. We measured functional magnetic resonance imaging activity while observers viewed silent films presented forward, backward, or piecewise-scrambled in time. Early visual areas (e.g., primary visual cortex and the motion-sensitive area MT+) exhibited high response reliability regardless of disruptions in temporal structure. In contrast, the reliability of responses in several higher brain areas, including the superior temporal sulcus (STS), precuneus, posterior lateral sulcus (LS), temporal parietal junction (TPJ), and frontal eye field (FEF), was affected by information accumulated over longer time scales. These regions showed highly reproducible responses for repeated forward, but not for backward or piecewise-scrambled presentations. Moreover, these regions exhibited marked differences in temporal characteristics, with LS, TPJ, and FEF responses depending on information accumulated over longer durations (approximately 36 s) than STS and precuneus (approximately 12 s). We conclude that, similar to the known cortical hierarchy of spatial receptive fields, there is a hierarchy of progressively longer temporal receptive windows in the human brain.

Saccadic suppression of retinotopically localized blood oxygen level-dependent responses in human primary visual area V1.

Saccadic eye movements are responsible for bringing relevant parts of the visual field onto the fovea for detailed analysis. Because the retina is physiologically unable to deliver sharp images at very high transsaccadic speeds, the visual system minimizes the repercussion of the blurry images we would otherwise perceive during transsaccadic vision by reducing general visual sensitivity and increasing the detection threshold for visual stimuli. Ruling out a pure retinal origin, the effects of saccadic suppression can be already observed some 75 ms before the onset of a saccadic eye movement and are maximal at the onset of motion. The perception of a briefly presented stimulus immediately before the onset of any retinal motion is thus impaired despite the fact that this stimulus is projected onto the stationary retina and is, therefore, physically identical to that presented when no saccadic programming is in course. In this functional magnetic resonance imaging event-related study, we flashed Gabor patches at different times before the onset of a horizontal saccade and measured blood oxygen level-dependent responses at their encoding regions in primary visual cortex (V1) while subjects judged the relative orientation of the stimuli. Closely matching the significant reduction in behavioral performance, the amplitude of the responses in V1 consistently decreased as the stimuli were presented closer to the saccadic onset. These results demonstrate that the neural processes underlying saccade programming transiently modulate cortical responses to briefly presented visual stimuli in areas as early a V1, providing additional evidence for the existence of an active saccadic suppression mechanism in humans.

Effects of nonspatial selective and divided visual attention on fMRI BOLD responses.

Using an uncertainty paradigm and functional magnetic resonance imaging (fMRI) we studied the effect of nonspatial selective and divided visual attention on the activity of specific areas of human extrastriate visual cortex. The stimuli were single ovals that differed from an implicit standard oval in either colour or width. The subjects' task was to classify the current stimulus as one of two possible alternatives per stimulus dimension. Three different experimental conditions were conducted: "colour-certainty", "shape-certainty" and "uncertainty". In all experimental conditions, the stimulus differed in only one stimulus dimension per trial. In the two certainty conditions, the subjects knew in advance which dimension this would be. During the uncertainty condition they had no such previous knowledge and had to monitor both dimensions simultaneously. Statistical analysis of the fMRI data (with SPM2) revealed a modest effect of the attended stimulus dimension on the neural activity in colour sensitive area V4 (more activity during attention to colour) and in shape sensitive area LOC (more activity during attention to shape). Furthermore, cortical areas known to be related to attention and working memory processes (e.g., lateral prefrontal and posterior parietal cortex) exhibit higher activity during the condition of divided attention ("uncertainty") than during that of selective attention ("certainty").