The living brain Flashcards
Who were the early anatomists and their respective views of the brain?
> Aristoteles (384-322 BCE): brain = secondary organ
> Galen (2nd century): brain = siege of the mind
> Da Vinci (14th-17th century): early form of structural brain imaging
- revived interest in anatomy studies
What were lesion studies (e.g. Phineas Gage)?
Study of functional deficits after brain damage
-> understand brain-behaviour relationship
What was the main drawback of lesion studies?
Information for precise location of lesion only available after patient’s death
Who was the pioneer of functional brain imaging?
Angelo Mosso (19th century)
- italian physiologist
- linked blood flow to cognition
- linked brain pulsations to brain activity: in fontanels of newborns and exposed brain of patients with deficits
What was Angelo Mosso’s 1882 machine?
What was his idea with this machine?
Weighing brain activity with the balance
- idea: increased blood flow to the brain linked to cognitive functions will tilt the balance
-> similarity to modern MRI scanner
Who realised the first medical X-ray?
Wilhelm Röntgen (German physicist)
What was the main drawback in X-rays used for medical diagnostics?
Lack of X-ray contrast within the skull
Who invented the X-ray derived techniques - answering the lack of X-ray contrast within the skull?
Walter Dandy (American neurosurgeon - 1919):
- Ventriculography
- Pneumoencephalography
What were the techniques of ventriculography and pneumoencephalography invented by Walter Dandy (1919)?
> Ventriculography:
generating contrast to remove ventricular cerebral spinal fluid (CSF) through a hole in the skull
> Pneumoencephalography:
same but for lumbar puncture
What were the issues with Walter Dandy’s ventriculography and pneumoencephalography (1919)?
> Risky procedures: triggered significant side effects (e.g. death)… still in use until 1970s
-> replaced by modern modalities (e.g. CT scanning)
What made measuring brain functioning in real time possible in the 20th century - invented by who?
Electroencephalography
- Hans Berger: German psychiatrist and physiologist
- First human EEG published in 1924
What are two early milestones of EEG history?
> First measure of epileptic spikes (1934)
> Characterisation of the several stages of sleep (1953)
What is the main use of EEG in a clinical setting?
Detect and characterise epileptic seizures
- combined with fMRI: used to identify the whole network of brain regions involved
Who developed the first commercial CT scanner (1967)?
Godfrey Hounsfield
- English electrical engineer
What does CT stand for? How is it also called?
Computed tomography
- X-ray CT
- computerised axial tomography (CAT)
When was developed the world’s first whole-body CT scanner?
1973
How does a CT work?
Combine X-rays from many directions to reconstruct the volume of interest in slices
What is a PET scan?
1970s: Positron Emission Tomography
How does a PET scan work?
PET = nuclear medicine technique
- tagging an active molecule with short-lived radioactive tracer
- injecting the tracer in the body
- Tissue tracer concentration and location computed by detecting the GAMMA rays emitted as byproduct of the decay of the radioactive tracer
What is the disadvantage of PET?
Radioactive tracers decay quickly -> need to be produced onsite in a cyclotron
=> PET is the most expensive neuroimaging technique