HC 10 Flashcards
What is rationale in lesion studies?
If a brain region is damaged and a particular behavioral deficit occurs, then that brain region plays critical role in that particular behavior in a normal healthy brain.
Assumptions:
-Modularity or localization: discrete anatomical modules deal with different cognitive functions. This is not met most of the time.
-Universality: brain regions subserve the same processes across individuals. Also sometimes not the case, because of the plasticity of an individual person.
What is double dissociation?
Determine whether 2 cognitive functions are independent. When lesions have converse effects on 2 distinct cognitive functions:
Brain lesion area A => disruption cognitive function A, but not B
Brain lesion area B => disruption cognitve function B, but not A
The area of Broca and Wernicke is an example. They should work independently.
What is lesion-symptom mapping?
Inferring the function of a brain area by observing the behavioral consequences of damage to that area.
fMRI: Does activity in the brain correlate with the task? All regions are associated, no dissociation.
LSM: Is the brain area necessary for a task? Only the critical regions.
What is voxel-based lesion-symptom mapping?
It is a neuroimaging analysis technique used to identify the relationship between brain lesions and behavioral or cognitive deficits. It involves statistically analyzing the brain imaging data of patients with brain lesions to determine which specific brain regions (voxels) are associated with particular symptoms or deficits.
What are the advantages of VLSM over prior lesion studies?
-Directly comparable to fMRI and PET findings. Common stereotactic space.
-Behavioral data can be continuous. No biased patient groups
-Wide range of lesion size and location possible. No need to predefine regions of interest
-Nuisance variables (lesion, size, age, etc.) as covariates
-Observe lesion effects on multiple regions at once
What is the limitation of VLSM?
Damage may extend beyond the area of apparent injury as seen on structural scans. We cannot always see all the damage.
White matter damage (disconnection) may have broad ramifications outside the lesioned area of necrosis and can thus lead to remote dysfunction of apparently intact cortical tissue.
What is the alternative to VLSM?
Network-based lesion symptom mapping. Examines statistical relationship between network injury and behavioral performance.
Example, why are some patients with lesions outside of ‘decision-making network’ impaired on decision-making tasks? Lesioned areas are connected to areas important for emotion-guided decision-making.
Can provide more systematic assessment by evaluating brain damage as a combination of necrosis as well as disconnection.
What are some limitations on lesion studies?
Necessarily largely data-driven. The questions that one can investigate are completely determined by the patient population one happens to have access to.
There is differential vulnerabilty, which means some areas of the cortex are more likely to be damaged.
Damage often follows structural boundaries rather than functional boundaries.
What are pharmacological interventions?
It involves the use of medications to prevent, treat or manage diseases and health conditions.
What are on- vs off-medication conditions?
-Test de novo patients before and after their first medication. This allows for clean off-medication condition. A problem is the order-effect.
-Aks patients to do a day without their medication. This is to control for order effects.
This is mostly restricted to dopamine-related manipulations in Parkinson patients. Most other medications has too complicated widespread multivariate effects on neurotransmitter functions.
What is the difference between anterograde- and retrograde tracers?
Tracers are injected in a specific region. Then see if it gets transported. Tracers go along monosynaptic connections (projections to the first synapse).
Anterograde: Label pathway from cell body to termination site of axons
Retrograde tracers: Label pathway from termination to cell body
What are viruses?
They are polysynaptic tracers and follow a chain of connections. They are transmitted across synapses.
Why is it unethical to use tracers in animals?
It gets injected in the region itself.
Why should we use animals instead of humans?
-We get information on which of the 6 cortical layers receives or sends the connection. This level of detail is not possible in the human brain.
-Localization of the area to which tracers are transported is possible in humans, but the problem is the injection of tracers, which is unethical in human subjects.
-Possible to place lesion in a single cytoarchitoctonic area
-Possible to remove grey area matter while leaving underlying white matter undisturbed
-Possible to place exactly the same lesion in several animals, so reliability results
-Possible to assess cognitive function both before and immediately after lesion is induced
-Possible to record/induce activity in any area
-Possible to record/induce activity in a brain that is not abnormal
-Possible to test each cell in a variety of conditions
What purpose do lesions and pharmacological manipulations have?
Allows for causal conclusions regarding the function of a region or neurotransmitter system.