Mórocz István Akos, Janoos Firdaus, van Gelderen Peter, Manor David, Karni Avi, Breznitz Zvia, von Aster Michael, Kushnir Tammar, Shalev Ruth
Harvard Medical School, Brigham and Women's Hospital, Department of Radiology, 75 Francis Street, Boston, MA 02445, USA. tel: 617-732-9184.
Int J Imaging Syst Technol. 2012 Mar 1;22(1):81-96. doi: 10.1002/ima.22009.
The aim of this article is to report on the importance and challenges of a time-resolved and spatio-temporal analysis of fMRI data from complex cognitive processes and associated disorders using a study on developmental dyscalculia (DD). Participants underwent fMRI while judging the incorrectness of multiplication results, and the data were analyzed using a sequence of methods, each of which progressively provided more a detailed picture of the spatio-temporal aspect of this disease. Healthy subjects and subjects with DD performed alike behaviorally though they exhibited parietal disparities using traditional voxel-based group analyses. Further and more detailed differences, however, surfaced with a time-resolved examination of the neural responses during the experiment. While performing inter-group comparisons, a third group of subjects with dyslexia (DL) but with no arithmetic difficulties was included to test the specificity of the analysis and strengthen the statistical base with overall fifty-eight subjects. Surprisingly, the analysis showed a functional dissimilarity during an initial reading phase for the group of dyslexic but otherwise normal subjects, with respect to controls, even though only numerical digits and no alphabetic characters were presented. Thus our results suggest that time-resolved multi-variate analysis of complex experimental paradigms has the ability to yield powerful new clinical insights about abnormal brain function. Similarly, a detailed compilation of aberrations in the functional cascade may have much greater potential to delineate the core processing problems in mental disorders.
本文旨在通过一项关于发育性计算障碍(DD)的研究,报告对来自复杂认知过程及相关障碍的功能磁共振成像(fMRI)数据进行时间分辨和时空分析的重要性及挑战。参与者在判断乘法结果的错误性时接受功能磁共振成像扫描,数据使用一系列方法进行分析,每种方法都逐步提供了关于该疾病时空方面更详细的情况。健康受试者和患有发育性计算障碍的受试者在行为上表现相似,尽管使用传统的基于体素的组分析时,他们在顶叶区域存在差异。然而,在对实验期间神经反应进行时间分辨检查时,出现了更深入、更详细的差异。在进行组间比较时,纳入了第三组患有阅读障碍(DL)但无算术困难的受试者,以测试分析的特异性,并以总共58名受试者加强统计基础。令人惊讶的是,分析显示,对于阅读障碍但其他方面正常的受试者组,在初始阅读阶段与对照组相比存在功能差异,尽管呈现的只有数字而没有字母字符。因此,我们的结果表明,对复杂实验范式进行时间分辨多变量分析有能力产生关于异常脑功能的强大新临床见解。同样,对功能级联中的异常进行详细汇编可能有更大潜力来描绘精神障碍中的核心处理问题。