fMRI study of episodic memory in relapsing-remitting MS: correlation with T2 lesion volume.

OBJECTIVE: To determine whether memory loss in patients with multiple sclerosis (MS) results from faulty encoding or retrieval, we correlated extent of T2-weighted lesion involvement with brain activation patterns on fMRI scans obtained while patients performed a verbal episodic memory task. METHODS: We performed a neurologic examination, neuropsychological testing, and an event-related fMRI scan on 36 patients with relapsing-remitting MS. In addition, we obtained T2-weighted structural MRI scans to measure lesion volume. We performed a regression analysis to examine the association between lesion volume and regional brain activation. RESULTS: Increasing lesion volume correlated with increasing magnitude of brain activation, primarily in the left frontal and parietal association cortices. Significant correlations of function with lesion volume were primarily observed during the memory retrieval phase of the task. CONCLUSIONS: These results extend previous fMRI studies in multiple sclerosis (MS) by demonstrating an association between greater disease burden and increased neural recruitment during episodic memory. In addition, the stronger correlations observed between lesion volume and brain activation during retrieval than encoding would suggest that retrieval processes are more affected by MS-related cerebral pathology.

From preparation to online control: reappraisal of neural circuitry mediating internally generated and externally guided actions.

Action plans internally generated (IG) from memory are thought to be regulated by the supplementary motor area (SMA), whereas plans externally guided (EG) online using sensory cues are believed to be controlled by the premotor cortex. This theory was investigated in an event-related fMRI study that separated the time course of activation before and during movement to distinguish advance planning from online control. In contrast to prevailing theory, the SMA was not more important for online control of IG actions. EG movement was distinguished from IG movement by greater activation in a more distributed right hemisphere parietal-frontal network than previously reported. Comparisons between premovement and movement periods showed that frontostriatal networks are central for preparing actions before movement onset. However, unlike cortical and cerebellar regions, the basal ganglia exhibited planning-related activity before, but not during, movement. These findings indicate that the basal ganglia mediate planning and online control processes in different ways and suggest a specific role for the striatum in internally planning sequences of actions before they are implemented.

Visual attention and the apprehension of spatial relations: the case of depth.

Several studies have shown that targets defined on the basis of the spatial relations between objects yield highly inefficient visual search performance (e.g., Logan, 1994; Palmer, 1994), suggesting that the apprehension of spatial relations may require the selective allocation of attention within the scene. In the present study, we tested the hypothesis that depth relations might be different in this regard and might support efficient visual search. This hypothesis was based, in part, on the fact that many perceptual organization processes that are believed to occur early and in parallel, such as figure-ground segregation and perceptual completion, seem to depend on the assignment of depth relations. Despite this, however, using increasingly salient cues to depth (Experiments 2-4) and including a separate test of the sufficiency of the most salient depth cue used (Experiment 5), no evidence was found to indicate that search for a target defined by depth relations is any different than search for a target defined by other types of spatial relations, with regard to efficiency of search. These findings are discussed within the context of the larger literature on early processing of three-dimensional characteristics of visual scenes.

Timing and reaction time.

Because reaction time (RT) tasks are generally repetitive and temporally regular, participants may use timing strategies that affect response speed and accuracy. This hypothesis was tested in 3 serial choice RT experiments in which participants were presented with stimuli that sometimes arrived earlier or later than normal. RTs increased and errors decreased when stimuli came earlier than normal, and RTs decreased and errors increased when stimuli came later than normal. The results were consistent with an elaboration of R. Ratcliff's diffusion model (R. Ratcliff, 1978; R. Ratcliff & J. N. Rouder, 1998; R. Ratcliff, T. Van Zandt, & G. McKoon, 1999), supplemented by a hypothesis developed by D. Laming (1979a, 1979b), according to which participants initiate stimulus sampling before the onset of the stimulus at a time governed by an internal timekeeper. The success of this model suggests that timing is used in the service of decision making.

Approaching grasping from different perspectives.

The hypothesis introduced by Smeets and Brenner concerning the perpendicular approach of the thumb and index finger during grasping has heuristic value, but it also has limitations. Among the limitations are the following: (a) the approach parameter is not directly testable and it is unclear how the values of deceleration at contact and movement time are set theoretically; (b) it is questionable that motion of the thumb and index finger are independent; (c) reliance on the minimum-jerk account ignores critiques of that account; and (d) the model begs the question of how the effectors proximal to the index finger and thumb are controlled. We briefly review an alternative model that can handle these challenges.