Introduction: from image to inference
1
Taylor
John
Chris
Alex
Natalie
Samaneh
Roger
A brief history of Nobel prizes for MRI
1937 - Isidor I Rabi, a professor at Columbia University observed the quantum phenomenon dubbed nuclear magnetic resonance (NMR). He recognized that the atomic nuclei show their presence by absorbing or emitting radio waves when exposed to a sufficiently strong magnetic field.
1952 Felix Bloch and Edward Purcell win Nobel for nuclear magnetic resonance (NMR)
1973 Paul Lauterbur uses gradients to encode space, creating 2D MRI ex-vivo images
1970’s Sir Peter Mansfield develops phase and frequency encoding, pioneers echo planar imaging. Makes MRI viable.
A brief history of MRI
1977/1978 - Raymond Damadian builds the first human MRI scanner by hand.
1993 - Functional MR imaging of the brain is introduced.
Damadian with 1st human MRI: Indomitable
No wonder Dr. Freeman Cope, an NMR collaborator of Dr. Damadian's on other NMR studies, told Dr. Damadian, "Your cancer paper contains a second discovery. No one has ever reported a comparison study of the healthy tissues. There are major differences here as well."
Sir Peter Mansfield (with Lauterbur), 2003 Nobel Prize Development of MRI Obituary, Feb 9, 2017
MRI as Art
The Many Flavors of MRI
MRI in the Media
Scary examples from House, Grey’s Anatomy, Terminator Genesys, etc.
Modern neuroscience
9
Temporal resolution
good (millisecond)
poor (months)
good
(neuron)
poor
(whole brain)
scr
erp
fmri
pet
tms
nirs
lesions
eeg
iap
Spatial resolution
Brain Imaging Methods
Modern neuroscience techniques
Single Cell Recording (SCR)
11
fMRI signal sluggish
12
0 6 12 18 24
2
1
0
Time (seconds)
What is the fMRI signal?
13
Basal State
Stimulated State
fMRI Processing
Processing Steps
14
Let’s conduct a study
15
M1: movement
S1: sensation
Data Collection
16
Raw Data
17
Motion Correction
18
Spatial smoothing
19
Predicted fMRI signal
20
Predicted fMRI signal
=
Event Onset and
Neural Signal
HRF
Predicted fMRI signal
21
fMRI signal change is tiny, noise is high
22
Coordinates - normalization
23
Raw Images
Normalized Images
Why normalize?
24
Group analysis
Subject1
Subject2
Subject3
Subject4
Subject5
Goals for this course
25
Reporting findings
26
Ambiguous Coordinates
27
R
C
R
C
R
C
V
D
V
D
V
D
Rat
Human
Anatomy – Common Terms
28
Posterior <> Anterior
Posterior <> Anterior
Inferior <> Superior
lateral < medial > lateral
sagittal
coronal
axial
Oblique Slices
29
Ax
Cor
Oblique
Brain Coordinates
30
Coordinates - Talairach
31
Coordinates - Talairach
32
PC
AC
Y-
Y+
Z+
Z-
Recognizing the cortical lobes
33
The major sulci
34
Interhemispheric (Longitudinal) fissure
Sylvian (lateral) fissure
Major sulci
35
Gyri and sulci
36
Subcortical structures
37
www.mricro.com/anatomy/home.html
Image Center/Width
38
Pan
Zoom
Intensity Center/Width (Brightness/Contrast)
39
Pan
Zoom
Brain research prerequisites?
What skills do you need to do MRI research?
40
Viewing images with MRIcroGL
41
Click on the image to move crosshair position
Right-drag over region to adjust intensity range
File/OpenTemplates to view a different image.
Window/Render to see volume rendering.
View/FlipLR changes between radiological and neurological view
x1 Zoom Scale
Intensity range �>49=black >133=white
Crosshair at 43x15x16 Talairach: intensity of 109
L,A,S remind us of left, anterior and superior direction
Basic MRI Safety
Magnetism
Bioeffects
Specific Absorption Rate (SAR)
Forces in the MR Environment
MRI Safety - Projectiles
Items that can be Damaged by the magnet
Careful screening is a must!
What can you take into the magnet??
Noise
Pregnancy considerations
“MR imaging may be used in pregnant women if other non-ionizing forms of diagnostic imaging are inadequate or if the examination provides important information that would otherwise require exposure to ionizing radiation (e.g., fluoroscopy, CT, etc.). It is recommended that pregnant patients be informed that, to date, there has been no indication that the use of clinical MR during pregnancy has produced deleterious effects. However, as noted by the FDA, the safety of MR during pregnancy has not been proved.”
Tatoos
MRI Physics 1: Image Acquisition
53
Anatomy of an atom
54
Atomic Nuclei
55
4He
1H
3He
2H
3H
Nuclear Magnetic Resonance
56
Resonant Frequency of Nuclei
57
Field Strength (Tesla)
298
40
1.0
7.0
1H Larmor Frequency (MHz)
At 1.5T, f = 63.76 MHz
At 3.0T, f = 127.7 MHz
At 7.0T, f = 298.0 MHz
Radiofrequency Pulses
58
Electromagnetic Spectrum
59
Ionizing Radiation
Breaks Bonds
Non-Ionizing Radiation
Heating
Excites Electrons
Excites Nuclei
Making a spatial image
60
Slice Selection Gradient
61
127 Mhz
RF pulse
Larmor Freq
126 Mhz
127 Mhz
128 Mhz
Slice Selection Gradient
Gradual gradients select thick slices, steep gradients select thinner slices.
Position of gradient determines which 2D slice is selected.
62
Field Strength
Z Position
Field Strength
Z Position
Field Strength
Z Position
Field Strength
Z Position
❶
❷
❶
❷
Phase encoding gradient
63
Frequency encoding gradient
64
RF emission
Reconstruction
65
Reconstruction
MRI scanner anatomy
66
Magnet
Body Coil
Gradients
Permanent Shims (16)
MRI terminology
67
Axial Orientation
64x64 Matrix
192x192mm FOV
3x3mm Resolution
Sagittal Orientation
256x256 Matrix
256x256mm FOV
1x1mm Resolution
Volumes
68
1mm Gap
2mm Thick
3mm
EPI
69
EPI
Multishot
n.b. 4x4 matrix shown
Signal to Noise
Signal = V√N
70
Signal to Noise: Antennas
71
Head coil
Surface coil
Parallel Imaging (SENSE, iPat)
72
8-channel
array
Parallel Imaging (SENSE, iPat)
73
Effects of SENSE factor (R) on EPI
R=1
R=2
R=3
Signal and Field Strength
74
Outside magnetic field
In magnetic field:
Signal and Field Strength
75
Magnetic attraction
76
MRI Physics 2: Contrasts and Protocols
77
www.fmrib.ox.ac.uk/~karla/
www.hull.ac.uk/mri/lectures/gpl_page.html
www.cis.rit.edu/htbooks/mri/chap-8/chap-8.htm
www.e-mri.org/cours/Module_7_Sequences/gre6_en.html
Contrast in XRays
78
Analogy: overhead projector ~ Xray
CT: reconstructed from series of Xrays
MR Contrast – a definition
79
T1
T2
Anatomy of an MRI scan
Time
TR
TE
T1 and T2 definitions
81
Contrast: T1 and T2 Effects
82
CSF: Long T2
Blood: Medium T2
CSF: Long T1
Blood: Short T1
Magnetization
TR (ms)
Signal
TE (ms)
T1 1.5T
T2 1.5T
Gray Matter: Short T2
GM: Medium T1
TR and T1: saturation
83
T1 effects explain why we discard the first few fMRI scans: the signal has not saturated, so these scans show more T1 than subsequent images.
Before first pulse:�1H in all tissue �strongly magnetized.
CSF
Fat
After several rapid pulses: CSF has little net magnetization, so these tissue will not generate much signal.
T2 Relaxation
84
TE and T2 contrast
85
Optimal GM/WM contrast
Optimal contrast
86
Signal
TE (s)
0
.2
T2: Dephasing
87
Time
CSF
Fat
…
T1 and T2 contrasts
88
T1
T2
T2 vs T2*
89
0.2
Signal
TE (s)
0
0
1
T2
T2*
Susceptibility artifacts
90
Field Strength
Field strength increases near some tissues, decreases around others
Tissue Susceptibility
91
Field Inhomogeneity Artifacts
92
Fieldmap showing
inhomogeneity
fMRI image
Spin Echo Sequence
93
Signal
Time
0
1
T2
T2*
0.5 TE
0.5 TE
Actual Signal
Analogy for Spin Echo
94
Minute hand rotation
0
160º
20min
20min
BOLD effect
95
Fera et al. (2004) J MRI 19, 19-26
0.2
TE (s)
0
Optimal fMRI scans
96
Diffusion Imaging
97
water diffuses faster in unconstrained ventricles than in white matter
Gadolinium Enhancement
98
Arterial Spin Labelling
99
White matter = low perfusion
Gray matter = high perfusion
Time of Flight
100
Saturated Spins
Unsaturated Spins
SLICE
Flow
Advanced Physics Notes
101
T1(ms) | Gray | White | CSF | Blood | Fat |
1.5T | 1000 | 710 | 4000 | 1435 | 300 |
3.0T | 1331 | 832 | 4000 | 15840 | 380 |
T2(ms) | Gray | White | CSF | Blood | Fat |
1.5T | 100 | 80 | 2200 | 150 | 165 |
3.0T | 85 | 70 | 2200 | 80 | 133 |
From Atlas ISBN-10: 0781720362
Advanced Physics Notes
102
Figure shows optimal flip angles for TI=1400ms, which is a good choice for the brain at 3T (Mark Cohen)
For fMRI see PMID 21073963
Advanced Physics Notes
1.5T Scanner
3.0T Scanner
Signal
TE (s)
0
.2
Magnetization
0
6
TR (s)
100%
100%
T2
T1
Designing a behavioral experiment
104
The BOLD timecourse
Hemodynamic response function
105
0 6 12 18 24
Image Brightness
Time (seconds)
BOLD effects are additive
106
Assumed (linear) responses
Temporal Properties of fMRI Signal
107
Convolved Response
=
Neural Signal
HRF
Comparing predictable HRF
Consider 3 paradigms:
108
Block Designs
109
Block design limitations
110
Block designs
111
Estimation
Detection
Event related designs
112
Permuted Blocks
113
Block after 10 permutations
Jittered Inter-Stimulus Interval
114
1 condition, fixed ISI = little variability
1 condition, exponential ISI = more variability
Should you use variable ISIs?
115
Tips
116
TR divisible by ISI
TR not divisible by ISI
Generate your own experiments…
117
Response Suppression Designs
118
Sparse fMRI
119
Time (sec)
0
10
Continuous
Time (sec)
0
10
Sparse
General guidelines (Nichols et al)
120
Statistics – Modelling Your Data
121
Calculating statistics
122
General Linear Model
123
Observed Data
Amplitude (solve for)
Design Model
Noise (Error, unexplained variance)
Y = αM + ε
cf Boynton et al., 1996
What is your model?
124
Intensity
FSL/SPM display of model
125
Intensity
Time
Statistical Contrasts
126
Statistical Contrasts
127
How many regressors?
128
=?
Meaningful regressors decrease error
129
Meaningful regressors decrease error
130
Correlated regressors decrease signal
131
Single factor…
132
Explained Variance�Unexplained Variance
t =
Small t-score
height only weakly predicts weight
High t-score
height strongly predicts weight
Weight
Height
Adding a second factor…
133
Increased t
Waist explains portion of weight not predicted by height.
Decreased t
Waist explains portion of weight predicted by height.
Weight
Height
Waist
Regressors and statistics
134
Signal�Noise
t =
Summary
135
Group Analysis
136
Group analysis
Subject1
Subject2
Subject3
Subject4
Subject5
Statistical thresholding example
137
hematocrit
30%
50%
If we set the threshold too low, we will accuse innocent people (high rate of false alarms).
If threshold set too high, we fail to detect dopers (high rate of misses).
hematocrit
30%
50%
Statistical thresholding
138
Z>0.5
Z>1
Z>2
Z>4
Z>8
Fewer peaks survive as we apply a more stringent threshold.
Liberal, conservative, power
139
Type II error
Correct rejection
Accept Ho
Hit (‘Power’)
Type I error
Reject Ho
Ho false
Ho true
Decision
Reality
Concrete Example
140
Type II error
Correct rejection
Accept Ho
Hit (‘Power’)
Type I error
Reject Ho
Ho false
Ho true
Decision
Reality
1.) Alpha and Power
141
Power
Type I Error
α
Control Condition (e.g. non-dopers)
Experimental Condition (e.g. dopers)
Hits (dopers expelled)
False alarms (innocent athletes expelled)
2.) Effect Size and Power
142
3.) Variability and Power
143
4.) Sample Size
144
Multiple Comparison Problem
145
Bonferroni Correction
146
Random Field Theory
147
Permutation Thresholding
148
Max T
Percentile
0 100
0
5
5%
T= 3.9
Permutation Thresholding
149
Group 1
Group 2
...
1000. Permutation 1000, max T = 3.1
…
…
H1 : Young (solid) participants have more gray matter than old (dotted).
H0 : Label (young versus old) does not influence gray matter.
Permutation Thresholding
150
False Discovery Rate
151
Hematocrit Z-Scores: normal distribution
Hematocrit Z-Scores: bimodal/skewed distribution
Controlling for multiple comparisons
152
Alternatives to voxelwise analysis
153
SVC
ROI
Voxels
Example: how many comparisons on this slice?
ROI analysis
154
M1: movement
S1: sensation
Inference from fMRI statistics
155
Spatial Processing
156
Why spatially register data?
157
Spatial Registration
We use spatial registration to align images
158
Within-subject registration
159
Motion correction
Coregistration
Registration of the fMRI scans (across time)
Registration across modality (e.g. T2* and T1 image)
Rigid Body Transforms
160
Translation
Rotation
Motion Correction
161
Motion correction cost function
162
Image 1
Image 2
Difference
Difference²
|Difference|
Local Minima
163
Value of Cost Function
Local Minimum
Global Minimum
Translation in X (mm)
Starting Estimate
0
10
Coregistration
164
Affine Transforms (aka linear, geometric)
165
Translation
Rotation
Zoom
Shear
12 Parameters: translation, rotation, zoom and shear each in 3 dimensions.
166
Translation
Rotation
Zoom
Shear
Coregistration
167
Coregistration
168
T1 reference
Aligned T2
Between-subject: Normalization
169
Subject 2
Subject 1
Template
Average activation
Normalization
Why normalize?
170
Group analysis
Subject1
Subject2
Subject3
Subject4
Subject5
Normalization
171
Popular MNI Template�based on T1-weighted scans �from 152 individuals.
Common templates
172
T1 T2* PET
Templates
173
Affine Transforms
174
Spatial Processing
175
Nonlinear functions and normalization
Linear Only
176
Linear + Nonlinear
Scans from 5 people: nonlinear helps alignment
Regularization
177
Medium Regularization
Heavy Regularization
Light Regularization
Regularization
178
http://www.fmri.ox.ac.uk/fsl/fnirt/
Medium Regularization
Little Regularization
Affect of Regularization on Normalization
Advanced Normalization
180
www.fil.ion.ucl.ac.uk/spm/course/
www.pubmed.com/19195496/
Affine
template
DARTEL
template
Advanced Normalization
181
An example from AFNI
182
Alternatives
183
Probability (%) of region being Brodmann Area 44 based on histology. Note that the location of this brain region varies across people.
Sulcal matching
184
Copyright Pierre Fillard, INRIA http://www-sop.inria.fr/asclepios/projects/UCLA/
The Brain with No Folds
Alternatives
186
Individual Sulci Image
Individual Sulci Map
Sulcal maps of group following standard normalization
Sulcal maps of group following using sulci as cost function
No perfect solution
187
Interpolation
Each lower image rotated 12º.
Left looks jagged, right looks smooth.
Different reslicing interpolation.
188
1D Interpolation
189
❶
❷
❸
Weather analogy: it was 25º at 9am, and 31º at 12am, what would you estimate the temperature was at 10am?
2D Interpolation
190
❶
❷
❸
Nearest Neighbor Interpolation
191
1D Box Interpolation
Nearest sample
2D Box Interpolation
Nearest sample
3D Box Interpolation
Nearest sample
Linear Interpolation
192
1D Linear Interpolation
Weighted mean of 2 samples
2D Bilinear Interpolation
Weighted mean of 4 samples
3D Trilinear Interpolation
Weighted mean of 8 samples
Sinc Interpolation
193
Windowed 2D Sinc Function
Asymmetric
1D Sinc Function
Symmetric
Resampling
194
Source
1x10°
2x10°
Nearest Neighbor
36x10°
Linear
Sinc�(Lanczos)
Palette indexed images
195
Source
Zoomed �(Linear Interpolation)
Continuous
Palette
n.b. errors at edges
Interpolation summary
196
1D kernels
2D kernels
Nearest Neighbor
Linear
Sinc
Interpolation versus smoothing
197
Interpolation
Smoothing
Kernel
Observations
Spatial Smoothing
198
=
Gaussian Smoothing
How much to smooth - FWHM
199
Dispersion Differs
Smoothing Limits Inference
200
2D
1D
Example: note that after smoothing broad low contrast looks line looks like focused high contrast line.
None 10pixel 20pixel
Smoothing Amount
Smoothing Alternatives
201
Gaussian
Median Filter
Gaussian Noise
Gaussian Smooth
Spike Noise
FSL SUSAN: preserve edges, reduce noise
Spatial unwarping
203
Intensity unwarping
204
Above: motion related image intensity changes.
Image Matrices
205
Example NIfTI Affine transform viewed with MRIcron.
Vectors
206
1, 0
0, 1
1, 2
2D Rotation matrix
207
1, 0
0, 1
1, 0
0, 2
.7,-.7
.7, .7
Original
Zoom: ‘Scale’
Rotation
1, 0
1, 1
Shear
-1, 0
0, 1
-Zoom: ‘Flip’
2D Transformation matrix
n.b. for computations we use 9 values, final row is always 0 0 1 (must have as many rows as columns).
208
1, 0, 0
0, 1, 0
0, 0, 1
Original
1, 0, 1
0, 1, 0
0, 0, 1
2, 0, .2
0, 1, .2
0, 0, 1
Translated+Zoom
Translated
All affine transforms can be combined into a single matrix
3D Matrices are 4x4
fx = (x*i)+(y*j)+(z*k)+l
fy = (x*m)+(y*n)+(z*o)+p
fz = (x*q)+(y*r)+(z*s)+t
209
i
j
k
m
n
o
l
p
q
r
s
t
0
0
0
1
Matrices and 3D space
210
Transform Matrix and Filtering Demo
211
Select your operation: shear, zoom, rotate and translate.
Order crucial: e.g. 30° rotate: X shear 1.2: -30 ° rotate: X shear -1.2 does not return to source
Add up to 8 successive transforms
Choose an interpolation or smoothing filter.
Filter Kernel
Transformation Matrix
Settings for Current Transform
Source Image
Transformed Image
Specify Additional Transforms
212
Transformed
Source
Amount
Function
Select function: gaussian blur, perspective, intensity gradient, gaussian noise, median filter, fisheye.
‘Combine’ overlays two images (mean, difference, absolute difference, difference2).
Select amount, e.g. blur with 10-pixel FWHM.
Save results to create new source images.
E.G. save gaussian noise, clean up with blur.
E.G. Save blur, use combine for difference with source – result is edge map (unsharp mask)
‘Rotation’ illustrates consequence of successive reslicing (e.g. linear vs sinc filter).
Transformed 2D image and 1D cross-section shown in the right column
Temporal Processing
213
Slice Timing Problem
214
Slice 4
Slice 3
Slice 2
Slice 1
Time
Slice 4
Slice 3
Slice 2
Slice 1
Slice 4
Slice 3
Slice 2
Slice 1
Slice 4
Slice 3
Slice 2
Slice 1
Slice 4
Slice 3
Slice 2
Slice 1
TR
The slice timing problem
215
Why slice time correct?
216
Statistics assume all slices are seen simultaneously…
Time
Time
Slice timing correction
217
Timef
Should we slice time correct?
218
With long TRs, STC can be inaccurate – e.g. miss HRF peak
Creating 3D volumes from 2D EPI
219
…
…
Sequential
Interleaved
Time
Time
Possible Slice Ordering
220
Reference Slice Example
221
Slice 4
Slice 3
Slice 2
Slice 1
Slice 4
Slice 3
Slice 2
Slice 1
Slice 4
Slice 3
Slice 2
Slice 1
Slice 4
Slice 3
Slice 2
Slice 1
Event Onset Time
Apparent Onset Time
ScreenEvent
Reference Slice
222
Time
Slice 4
Slice 3
Slice 2
Slice 1
Slice 4
Slice 3
Slice 2
Slice 1
Slice 4
Slice 3
Slice 2
Slice 1
Slice 4
Slice 3
Slice 2
Slice 1
ScreenEvent
Event Onset Time
Sequential vs Interleaved Volumes
223
Slice 4
Slice 3
Slice 2
Slice 1
Slice 4
Slice 3
Slice 2
Slice 1
Slice 4
Slice 3
Slice 2
Slice 1
Still
Head Motion
Sequential
Interleaved
Still
Head Motion
imaging.mrc-cbu.cam.ac.uk/imaging/CommonArtefacts#spinhistory
Autocorrelated Data
224
Signal Intensity Drift
225
Data with drift – images get brighter
Corrected with global scaling
see NeuroImage 13, 1193–1206 (2001)
Spectral power of fMRI signal
226
High Pass Filter
227
High Pass Filter
Low Pass Filter
228
Low Pass Filter
Temporal Filtering
229
c
Example: Sample exactly once per cycle, and signal appears constant
Example: Sample 1.5 times per cycle, and you will infer a lower frequency (aliasing)
Physiological Noise
230
Hemodynamic Response Function (HRF)
231
HRF variability
232
Time (seconds)
Image Brightness
Temporal Derivative
233
Time (sec)
0 5 10 15
-TD
How does the TD work?
234
Alternatives to TD
235
Temporal Filter Demo
236
Note filters have roll-off, e.g. 12 Hz low pass will only partially attenuate 20 Hz signal.
Use left sliders to define input frequencies.
E.G. 3, 59 and 4 Hz
Right slider sets filter threshold
E.G. 12 Hz
Select filter type: low pass, high pass, notch or band pass.
Detecting Subtle Changes in Structure
Many images inspired or created by Christian Gaser.
237
Voxel Based Morphometry
238
Morphometry
239
Voxel Based Morphometry
240
VBM disadvantages
241
Segmentation
242
Partitioning Tissue Types
243
T1
white matter
gray matter
CSF
Intensity based segmentation
244
Partial Volume Effects
245
Segmentation I: Image Intensity
First pass limitations:
246
Air
WM
GM
CSF
Image brightness
frequency
Initial estimate for GM
Based on image brightness
p=0.95
p=0.05
Homogeneity correction crucial
247
no
correction
T1
WM
GM
Estimate
Segmentation II: Voxel location
248
T1
white
gray
CSF
Segmentation overview
249
Intensity based estimate for GM
p=0.95
p=0.95
p=0.90
p=0.01
Final result
a priori GM map
p=0.95
p=0.01
Source Image
Normalization is crucial
250
Two step segmentation
251
segmentation II
customized template
MNI template
segmentation I
norma-
lization
segmentation II
Step I:
Creation of customized template
segmentation I
norma-
lization
Step II:
Optimized segmentation
averaging
Image cleanup
252
segmented
mask
masked
T1
Heuristic: Gray matter always thick band near white matter. Dilate (inflate) white matter for mask.
SPM5+ segmentation
253
40 iterations
segmentation
40 iterations
bias correction
20 iterations
warping
no significant change of estimate
significant change of estimate
SPM8 new segmentation
254
Building a better template: data
255
T1
T2
Building a better template: normalization
256
Subj1
Subj2
Mean
Building a better template: segmentation
257
TPM : CSF
Building a better template: results
258
Single subject segmentation
Voxel Based Morphometry
259
Epilepsy
Segmentation Problem
260
Normalization will squish this region
Normalization will stretch this region
Image Modulation
261
Source
Template
Modulated
Without modulation
Image Modulation
262
Modulation: size vs shape
263
Modulation is optional and controversial
264
Example showing danger of modulation. This image comes from an elderly participant, with relatively large ventricles. Normalization adjusts ventricle size, but the deformations are spatially smooth, so tissue near the ventricles (e.g. caudate) are also being spatially compressed.
[Deformations exaggerated for exposition]
DBM
265
VBM and developmental syndromes
266
Eckert et al. 2006
Control WS
Modulation and shape
267
Eckert et al., 2006
Cortical Thickness
268
Modulated VBM
Freesurfer
Age-related declines in
gray matter volume and cortical thickness
VBM comments
269
Diffusion Weighted Imaging
270
T2
DW
Core clinical tool: Stroke does not appear on T1 and T2 scans for the day, but does on DWI
Diffusion Tensor Imaging (DTI)
271
Unconstrained
(fast)
Constrained
(slow)
DTI
272
MD differs
FA differs
What is a tensor?
273
Sphere: V1=V2=V3
Football:
V1>V2
V1>V3
V3 = V2
???:
V1>V2>V3
Diffusion Tensor Imaging
274
DTI
MD
275
FA
Principle Tensor Vector
Red: left/right
Green: posterior/anterior
Blue: inferior/superior
Tractography
276
DTI limitations
277
Deterministic Tractography
278
Diffusion Spatial Distortion
All EPI scans are spatially distorted. We can acquire data where some volumes have reversed phase encoding: all volumes distorted same magnitude, but opposite direction. TOPUP can infer undistorted shape.
Gradient Vector Direction
Diffusion Image Undistortion
Probabilistic Tractography
281
Probabilistic Tractography
282
Catastrophic structural changes
“George Miller coined the term ‘cognitive neuroscience’…we already knew that neuropsychology was not what we had in mind…the bankruptcy and intellectual impoverishment of that idea seemed self evident.”
-Michael S. Gazzaniga, 2000
283
Thought experiment
284
Thought experiment
Mapping Lesions
286
The problem with overlay plots
287
Value of control data
288
Statistical plots
289
Catastrophic change across time
290
“Bathtub curve”: e.g. birth/manufacturing defects, vs worn out.
Obesity epidemic and changes in smoking, blood pressure, etc. are changing this a bit...
Lesion symptom mapping
291
Lesion mapping
Disadvantages:
292
Acute vs chronic lesion mapping
293
Diaschisis
Diaschisis is a sudden loss (or change) of function in a portion of the brain connected to a distant, but damaged, brain area. The site of the originally damaged area and of the diaschisis are connected to each other by neurons.
Lesion mapping
Advantages:
295
Stroke location not random
Watershed Regions →
Watershed Regions →
CT versus MRI scans
297
Conventional MRI scans
298
T2
Air
T1
T2
T1
CSF
Bone
Air
CSF
WM
GM
GM
WM
Fat
edema
Air
Lesion mapping: T1 vs T2
T1
299
T2
FLAIR
Imaging acute stroke
www.strokecenter.org/education/ct-mri_criteria/
300
www.med.harvard.edu/AANLIB/
T2
acute
+3days
CT
Imaging Hyperacute Stroke
T1/T2 scans do not show acute injury.
Diffusion and Perfusion weighted scans show acute injury:
301
T2
DW
Perfusion imaging
Allows us to measure perfusion
302
DTI in stroke
303
v
DTI - stroke
Healthy
fMRI in stroke
304
Summary
305
Lesion analysis
306
Map lesion
307
Normalization
308
Normalization Transforms
309
Shear
Translation
Rotation
Zoom
Linear
Non-linear
When combined, Can have relatively local influence
Global influence
Lesions disrupt normalization
Image Template Variance
310
nonlinear normalization can ‘shrink’ lesion volume.
Lesions disrupt Normalization
Normalizing Stroke Scans
Lesion analysis
Two classes of analysis:
313
Binomial Data
314
Deficit
Control
Statistics
12 people w. cancellation deficit
315
Statistical
12 people w/o cancellation deficit
T-test lesion analysis.
316
Neuropsychological Data
317
Performance
Advanced VLSM statistics
318
Problems with lesion-behavior inference
319
Behavior A
Impaired
Intact
Impaired
Intact
Behavior B
Statistical thresholding
320
VLSM applied to surgery
321
Improving neurosurgery
322
Overlay: regions typically removed
323
1
33
-11
-27
-21
324
-15
-30
-20
0
3.66
Statistics - hippocampus and entorhinal cortex is crucial
Resting State MRI
(Grigori Yourganov)
Protocol of resting-state fMRI scanning
Resting-state functional connectivity
Example: correlations and anticorrelations during resting state
Seed: posterior cingulate cortex (PCC)
Fox et al., PNAS, 2005
Anticorrelated networks: default mode network and task-positive network
Resting-state connectivity with Independent Component Analysis (ICA)
Correspondence between networks during resting state and task
Default mode
Auditory perception
Cognition /
memory
Pain
Smith et al., PNAS, 2009
Left: resting-state network
Right: task network
Preprocessing of resting-state fMRI data
Parcellation according to AICHA atlas
384 grey-matter ROIs
Joliot et al., Journal of Neuroscience Methods, 2015
Graph theory
Functional connectivity
Resting-state connectivity and hubs
van den Heuvel & Sporns, Trends in cognitive sciences, 2013
Functional connectivity in stroke
Associations between functional connections and post-stroke speech/language impairment
Auditory comprehension
Speech Fluency
Yourganov et al., Neuroimage, 2018
Effect of left-hemisphere stroke on right-hemisphere functional connectivity
Effect of left-hemisphere stroke on right-hemisphere functional connectivity
GUEST LECTURE:
White Matter Hyperintensities
GUEST LECTURE:
Brain Stimulation
Transcranial Magnetic Stimulation:� �Noninvasively Assaying and Affecting the Function of the Human Brain��Roger D. Newman-Norlund, Ph.D., Chip Epstein, Ph.D. and Christopher Rorden, Ph.D.�Department of Psychology,University of South Carolina
43 AD – Scribonious Largus
From: Alvaro Pascual-Leone and Timothy Wagner, 2007
TMS Background
1755 – Leroy
1804 – Aldini
When Aldini applied conducting rods, connected to a large battery, to Forster's face, "the jaw began to quiver, the adjoining muscles were horribly contorted, and the left eye actually opened". The climax of the performance came as Aldini probed Forster's rectum, causing his clenched fist to punch the air, as if in fury, his legs to kick and his back to arch violently."
From: Alvaro Pascual-Leone and Timothy Wagner, 2007
TMS Background
Williamsburg, VA, circa 1840
From: Alvaro Pascual-Leone and Timothy Wagner, 2007
TMS Background
TMS Background
Perception of magnetophosphenes (retina or Olobe) via ‘head stimulation’
1910
1974
First TMS system (1985) for focused stimulation of the brain.
TMS Background
TMS : Anatomy of the System
Stimulating Coil
Multi-DOF Arm
Cooling System
MagPro X100
MagStim
Control Panel
TMS : Anatomy of the System
TMS : Let’s Accessorize
TMS : Let’s Accessorize
Mark George, MD (MUSC).
� Biophysics of TMS (1)��An electric field E is induced by a changing magnetic field B, according to �� E ~ dB/dt��The magnetic field passes through tissue, but the induced electric field does the work.
TMS Biophysics
Biophysics of TMS (2)��The induced electric field is strongly constrained to an orientation parallel with the brain surface.��The neural elements most easily activated by TMS are myelinated axons:��— usually belonging to interneurons�— probably at branch points and bends�—at a level near the gray-white junction
TMS Biophysics
TMS Biophysics
Electric and Magnetic Fields with Figure 8 TMS Coil
TMS Biophysics
Area of Induced E-field Beneath a Figure-8 Coil
TMS Biophysics
The intersection of the curves is the only depth at which the same electric field magnitude is associated with the same effect (motor threshold.)
The site of stimulation appears to be close to the the level of the gray-white matter junction for superficial gyri.
The fundamental TMS circuit.
TMS Biophysics
TMS Biophysics
TMS coil current
8kA
Magnetic field pulse
2.5T
Rate of change of
magnetic field
30kT/s
Induced tissue current
15mA/cm2
Induced electric field
500v/m
TMS Biophysics
TMS Efficiency and Pulse Shape:�Monophasic designs tend to waste energy at the end of�the pulse. �Biphasic waveforms can reduce energy requirements by almost 2:1, with further gains from charge recovery.�
TMS Biophysics
Biphasic pulses stimulate cortex in two directions, a fraction of a ms apart.�
TMS Biophysics
��
TMS Biophysics
Typical magnetic stimulators produce pulses of up to 8000 Amperes & up to 3000 Volts.��That’s 20,000,000 Watts for .0001 sec.��Doing this 10 times a second, things tend to heat up!��(And less than 1/1,000,000 of this energy gets into the brain. . .)
How much dB/dT do you need?
��
TMS and Neural Activity
Frequency and strength dictate effects
Low frequency stimulation (1-5 pulses per second) depress brain activity
Higher frequency stimulation (25 or more pulses per second) increases excitability.
Single pulse simply interferes with processing in a given area.
Sub-threshold stimulation does not lead to MEP whereas suber-threshold stimulation does.
Video
TMS “Unlocking the brain”:
Designing experiments for TMS
Design considerations
Choosing a type of TMS
On-line stimulation occurs while the subject performs a task and the effects last for approximately the duration of stimulation.
Eg: Virtual lesions
Chronometrics
Functional connectivity
Off-line stimulation occurs without a task and the length of effect is typically measured in minutes.
Eg: 1Hz stimulation
Theta burst
Repetitive or chronometric?
Repetitive stimulation typically involves trains of three or more pulses (e.g 10Hz for 500msec)
Chronometric studies use either single or paired-pulses to examine the processing time course in a region
Design considerations
Control site: Vertex
Choosing another control site
Control task(s)
Sham TMS…
…is a sham
Design considerations
fMRI-guided TMS
vOTC
LOC
Identifying corresponding positions on the subject and subject’s
MRI scan for registration
Frameless stereotaxy
Functionally localize w/ TMS
Rostral site
Task: Same category?
potato
+
turnip
Caudal site
Task: Rhyme?
vein
+
pane
41 ms*
52 ms*
Scalp coordinates
Rostral: -52, 35, -7 4 × 6cm
Caudal: -52, 15, 8 2 × 3cm
⇒ Mean distance in cortex of 2.3cm apart
⇒ Sites on scalp separated by 3.5cm, on average
MNI coordinates
Relative to C-T line
Design considerations
Choosing parameters
Design considerations: MT
How do we set the Dial (Power Output):
Motor Threshold = Gauge
Design considerations: MT
Resting Motor Threshold
🡪 Typically ook for visible motor twitch 3/5 times
🡪 Custom program to find motor threshold (MUSC)
Design considerations: MT
Active Motor Threshold
The AMT is defined as the lowest stimulation intensity able to produce at least 5/10 MEPs greater than or equal to a 200 µV amplitude (above baseline).
Target Force
Design considerations: MT
Problem: Motor threshold is not ideal for calculating necessary stimulator output in other areas (i.e. PFC, IFG, Occ, etc.) (Kozel et al., 2000)
Luckily, MT technique overestimates necessary stimulation (not as sensitive as AMT), so researchers almost always ‘hit’ something…
Design considerations
Practical Aspects of TMS Studies, Safety:�
What are the possible negative effects of TMS:
🡪 Headache, general Discomfort
🡪 Temporary hearing loss (140 dB sound)
🡪 Structural brain changes (inconsistent)
🡪 Histotoxicity (inconsistent)
🡪 Biologically transient effects (changes in TSH and blood lactate levels?)
Practical Aspects of TMS Studies, Safety:�
Suicide
🡪 This fear grew out of the depression literature, seems to just be coincidence.
Siezures
🡪 Out of 3000 studies in past 10 years, only 17 have reported seizures (12 had protocols that exceed safety guidelines, 4 neurological impairments, 1 jetlag?).
🡪 No recurring seizure disorder following Tx.
🡪 Scalp burns (occasionally with rTMS)
Practical Aspects of TMS Studies, Safety:�
Single Pulse vs multi-pulse TMS vs…
Practical Aspects of TMS Studies, Safety:�
Ethics of TMS
Although the risk is small, it is always present, so there is an obligation on the experimenter to always consider the value of a given experiment
Practical Aspects of TMS Studies, Safety:�
Ethics of TMS Article Break
A Highly-Eclectic Set of Examples from Different Areas of Neuroscience.
Estrogen level and MEP threshold (late follicular phase)�--courtesy of Eric Wassermann, NINCDS*
30
35
40
45
50
55
60
65
70
0
50
100
150
200
250
300
350
Estradiol concentration
MEP threshold
Effects of Endogenous Steroids:
Effects of Anticonvulsants on TMS Motor Responses
Sodium channel blockers raise the threshold to stimulation (depolarization gets harder):
Phenytoin, carbamazepine, valproate, lamotrigine
GABA augmenters increase intracortical inhibition: benzodiazepines, barbiturates, vigabatrin, baclofen, ethanol
Mean TMS motor thresholds for patients with primary generalized epilepsy before and after valproate Rx. Adapted from Reutens et al, Neurology 1993.
TMS can work where drugs don’t (Epilepsy, Depression, ??):
TMS Measuring Plasticity
TMS Hand Motor Cortex
Measure Thumb Movement
Train for 30 minutes…
Re-measure TMS evoked
Movements…
Change
Default
Thumb
Mvmt.
Dir.
Pascual-Leone et al., 1995:
Participants learn 5-finger piano exercise over 5 days
Motor Imagery 🡪 Leads to comparable (but non-equivalent) changes in
MI representations. (Pascual-Leon, 1995)
Liepert et al., 1999:
Paired repeated movement of thumb and foot
Enhancing Plasticity
Trans-cranial Magnetic Stimulation: Role of LTP/LDP in Plasticity
The Role of Connections Intrinsic to M1 on Plasticity
Huerta and Volpe, 2009
Intracortical Inhibition of Motor Cortex: A Closer Look
Priming
Stimulation
Intra-cortical
Inhibition
Intra-cortical
Disinhibition
Plasticity of M1: Intracortical Inhibition
Paired-Pulse and ICI/ICF
In humans, paired-pulse transcranial magnetic stimulation
(TMS) provides a noninvasive means of studying intracortical (cortico-cortical) excitability.
When a suprathreshold magnetic test stimulus is preceded by a subthreshold magnetic conditioning stimulus, the resulting motor evoked potential (MEP) may be inhibited or facilitated, depending on the interstimulus interval (ISI) (Kujirai et al. 1993). Generally, short ISIs (1–5 ms) produce inhibition of the test MEP, while longer ISIs (10–15 ms) produce facilitation of the test MEP (Kujirai et al. 1993; Chen et al. 1998).
SICI = Short interval intracotrical inhibition
LICI = Long interval intracorical inhibition ) (2 suprathreshold, 100 ms aart)
Paired-Pulse and ICI/ICF
Intracortical inhibition is fundamental in modulating motor cortex output during fine movements (Liepert et al., 1998; Stinear and Byblow, 2004), and excessive intracortical inhibition following stroke is believed to limit recovery by reducing dexterity (Butefisch et al., 2003; Butefisch et al., 2006).
Additionally, an abnormal balance between inhibitory and excitatory mechanisms has been implicated in neurodegenerative diseases that manifest with disordered movement (Ridding et al., 1995a; Hanajima et al., 1996; Hanajima and Ugawa, 2000).
Accordingly, it is probable that the age-associated changes in cortical excitability results in functional consequences, but further work is needed to better understand the specific implications of these the neurophysiologic changes.
***Plasticity consistently in direction of least ICI.
Light Box – Most ICI
Dark Box – Least ICI
Can we “lead” the plasticity in
Order to optimize functional
Recovery?
Plasticity of M1: Intracortical Inhibition
TMS Causality & Troublemaking (i.e. disruption)
Lateralized Speech Disruption�by rTMS�(See videos at http://sites.google.com/site/chipstein/videos )
The areas where TMS produces muscle contraction and speech disruption are plotted on a grid, along with their centers of gravity.
The grid is projected onto anatomic MRI.
H = hand area, F = face area, S = specch arrest area
Conclusion: The easiest site for magnetic speech arrest is at or near the motor cortex.��Although TMS speech effects have also been reported (once) at a more anterior site, possibly compatible with Broca’s area, they were substantially more difficult to obtain.
The McGurk Effect
Tools:
•Neuronavigation to area of fMRI BOLD activation
•Single-Pulse TMS (more elegant, more tolerable, and less regulated than fast repetitive TMS (rTMS).
There is a tight linkage between sensory (auditory) and motor . Especially during music processing (i.e. learning).
TMS Studies – single pulse vs paired-pulse
TMS in Rodents:
Luft et al., 2001
TMS in Rodents:
cTMS vs iTMS(TBS)
Intermittent better for learning, results in neural changes.
TMS in Rodents:
…reduction in paired-pulse inhibition seen normally with short (15 msec) interpulse intervals and an increase in paired-pulse potentiation seen with longer interpulse intervals. (net result is increase in excitability)
…reduction in paired-pulse inhibition seen normally with short (15 msec) interpulse intervals and an increase in paired-pulse potentiation seen with longer interpulse intervals. (net result is decrease in excitability)
7 Day treatment regimen…
1960 - Bindman
tDCS Background
Demonstrates that 0.25 microamp/mm^2 applied via surface electrodes could influence spontaneous activity in the evoked response of neurons for hours following just minutes of stimulation (in rats)
tDCS Anatomy of a System
Transcranial Direct Current Stimulation (tDCS)
(1mA Electric Currents)
Reduction in Resting Membrane Potential
(Anode Stimulation)
OR
Increase in Resting Membrane Potential
(cathode Stimulation)
Our tDCS units
436
Common aspects of these treatments
DCS
Cortical DC-stimulation of the rat: effects during stimulation …
Bindman et al. 1964
Baseline
cathodal
anodal
…and after-effects
After-effects are protein synthesis-dependent
Gartside 1968
cycloheximide
tetracycline
…and accompanied by specific biochemical alterations
dark neurones
3 h stimulation
30 min
Islam et al. 1995,
Hattori
et al. 1990
50% of transcranially applied direct currents reach the brain
- calculations on realistic head models, validation in animal experiments (Rush & Driscoll 1968)
- validation in humans (Dymond et al. 1975)
Polarity-dependent excitability-modulation during tDCS
Nitsche & Paulus 2000
m-
cS
kS
prm
m
pom
oc
Electrode positions
:
m = motor
cortex
;
prm
=
premotor
cortex
;
pom
= post-motor
cortex
;
oc
=
occipital
; cS = contralateral
forehead
; cm =
kontralateral
motor
cortex
cm
0.5
0.75
1.0
1.25
1.5
MEP-Amplitude
with
/
without
tDCS
*
*
anodal
stimulation
cathodal
stimulation
Enhanced motor cortico-spinal excitability after anodal stimulation
Nitsche & Paulus 2001
13 min
5 min
0.9
1.1
1.3
1.5
1.7
1
5
10
15
20
25
30
35
40
45
50
55
60
90
120
150 min
9 min
7 min
11 min
Stimulation
duration
MEP
size
after
current stmulation
/
baseline
Time after
current
stimulation
Reduced motor cortico-spinal excitability after cathodal tDCS
0.4
0.6
0.8
1.2
1
5
10
15
20
25
30
35
40
45
50
55
60
90
120 min
1.0
Nitsche et al. 2003
Time after
current
stimulation
MEP
size
after
current stmulation
/
baseline
tDCS How it Works: Neural Effects / Changes
High Definition tDCS and Tissue Modeling:�
Bikson, CUNY New York
High Definition tDCS and Tissue Modeling:�
Bikson, CUNY New York
High Definition tDCS and Tissue Modeling:�
Bikson, CUNY New York
High Definition tDCS and Tissue Modeling:�
Bikson, CUNY New York
High Definition tDCS and Tissue Modeling:�
Bikson, CUNY New York
High Definition tDCS and Tissue Modeling:�
Bikson, CUNY New York
High Definition tDCS and Tissue Modeling:�
Bikson, CUNY New York
High Definition tDCS and Tissue Modeling:�
Bikson, CUNY New York
High Definition tDCS and Tissue Modeling:�
Bikson, CUNY New York
High Definition tDCS and Tissue Modeling:�
Bikson, CUNY New York
High Definition tDCS and Tissue Modeling:�
Bikson, CUNY New York
High Definition tDCS and Tissue Modeling:�
Bikson, CUNY New York
High Definition tDCS and Tissue Modeling:�
Bikson, CUNY New York
High Definition tDCS and Tissue Modeling:�
Bikson, CUNY New York
High Definition tDCS and Tissue Modeling:�
Bikson, CUNY New York
High Definition tDCS and Tissue Modeling:�
Bikson, CUNY New York
High Definition tDCS and Tissue Modeling:�
Bikson, CUNY New York
High Definition tDCS and Tissue Modeling:�
Bikson, CUNY New York
High Definition tDCS and Tissue Modeling:�
Bikson, CUNY New York
High Definition tDCS and Tissue Modeling:�
Bikson, CUNY New York
High Definition tDCS and Tissue Modeling:�
Bikson, CUNY New York
High Definition tDCS and Tissue Modeling:�
Bikson, CUNY New York
High Definition tDCS and Tissue Modeling:�
Bikson, CUNY New York
High Definition tDCS and Tissue Modeling:�
Bikson, CUNY New York
Typical design
Dockery et al. (2009)
Theoretical safety concerns
472
Practical safety concerns
tDCS vs TMS
474
tDCS vs TMS
475
tDCS vs TENS
476
Combining TMS and TDCS: Differing Plastic Mechanisms
tDCS of the parietal cortex did not change the excitability of the motor cortex at rest, ipsi- and contralaterally to its application.
Such a lack of effects may be due to a state-dependent factor of the parieto-motor network: … its susceptibility to neuromodulatory effects of tDCS, may emerge only for specific processes such as motor imagery and, to a lesser extent, action observation, which definitely engage this area.
New functional architecture (EARLY)
New functional architecture (LATE)
NORMALIZE as much as possible
Enhanced Plasticity
Modulate Plasticity
PT
+/-
+/-
Dendritic branching
Synaptogenesis
hyperexcitability
PT
Motor Learning and Functional Recovery
Rehabilitation and Brain Plasticity Enhancing Interventions
10 days 17 days 24 days 31 days 90 days
Normal
Functional recovery is accompanied by changes in Brain activity which can be measured using fMRI.
Motor Learning and Functional Recovery
GUEST LECTURE:
Artificial Intelligence in Neuroimaging
Questions?