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Dimensional Brain-Behavior Relationships in Children with Attention-Deficit/Hyperactivity Disorder

Chabernaud C; Mennes M; Kelly C; Nooner K; Di Martino A; Castellanos FX; Milham MP
BACKGROUND: Emerging neuroscientific and genetic findings emphasize the dimensional rather than the categorical aspects of psychiatric disorders. However, the integration of dimensional approaches within the current categorical diagnostic framework remains unclear. Here, we used resting state functional magnetic resonance imaging to examine whether dimensional measures of psychiatric symptomatology capture brain-behavior relationships unaccounted for by categorical diagnoses. Additionally, we examined whether dimensional brain-behavior relationships are modified by the presence of a categorically defined illness, attention-deficit/hyperactivity disorder (ADHD). METHODS: Resting state functional magnetic resonance imaging scans were collected from 37 typically developing children (aged 10.2 +/- 2; 21 female subjects) and 37 children meeting DSM-IV Text Revision criteria for ADHD (9.7 +/- 2; 11 female subjects). Parent-rated Child Behavior Checklist Externalizing and Internalizing scores served as dimensional measures in our analyses of default network (DN) resting state functional connectivity (RSFC). RESULTS: Regardless of diagnosis, we observed several significant relationships between DN RSFC and both internalizing and externalizing scores. Increased internalizing scores were associated with stronger positive intra-DN RSFC, while increased externalizing scores were associated with reduced negative RSFC between DN and task-positive regions such as dorsal anterior cingulate cortex. Several of these brain-behavior relationships differed depending on the categorical presence of ADHD. CONCLUSIONS: Our findings suggest that while categorical diagnostic boundaries provide an inadequate basis for understanding the pathophysiology of psychiatric disorders, psychiatric illness cannot be viewed simply as an extreme of typical neural or behavioral function. Efforts to understand the neural underpinnings of psychiatric illness should incorporate both categorical and dimensional clinical assessments
PMCID:3568534
PMID: 21974788
ISSN: 1873-2402
CID: 138046

A versatile flow phantom for intravoxel incoherent motion MRI

Cho GY; Kim S; Jensen JH; Storey P; Sodickson DK; Sigmund EE
Although there have been many advancements in cancer research, much is still unknown about the heterogeneous tumor microenvironment. Diffusion-weighted MRI has proven to be a viable and versatile microstructural probe. Diffusion-weighted sequences specifically sensitive to intravoxel incoherent motion (IVIM) have seen a recent resurgence of interest as they promise to provide a valuable window on the vascular microenvironment. To understand, test, and optimize IVIM-sensitive approaches, a complex flow phantom was constructed to mimic certain characteristics of the tumor microenvironment such as tortuous microvasculature, heterogeneous vascular permeability, and interstitial fluid pressure buildup. Results using this phantom on a clinical scanner platform confirmed IVIM sensitivity to microscopic flow effects. Biexponential fitting of signal decay curves enabled quantitative extraction of perfusion fraction, IVIM-related pseudodiffusivity, and tissue diffusivity. Parametric maps were also generated, illustrating the potential utility of IVIM-sensitive imaging in clinical settings. The flow phantom proved to be an effective test-bed for validating and optimizing the IVIM-MRI technique to provide surrogate markers for microvascular properties. Magn Reson Med, 2011. (c) 2011 Wiley Periodicals, Inc
PMID: 22114007
ISSN: 1522-2594
CID: 149836

System and SAR characterization in parallel RF transmission

Zhu Y; Alon L; Deniz CM; Brown R; Sodickson DK
The markedly increased degrees of freedom introduced by parallel radiofrequency transmission presents both opportunities and challenges for specific absorption rate (SAR) management. On one hand they enable E-field tailoring and SAR reduction while facilitating excitation profile control. On other hand they increase the complexity of SAR behavior and the risk of inadvertently exacerbating SAR by improper design or playout of radiofrequency pulses. The substantial subject-dependency of SAR in high field magnetic resonance can be a compounding factor. Building upon a linear system concept and a calibration scheme involving a finite number of in situ measurements, this work establishes a clinically applicable method for characterizing global SAR behavior as well as channel-by-channel power transmission. The method offers a unique capability of predicting, for any excitation, the SAR and power consequences that are specific to the subject to be scanned and the MRI hardware. The method was validated in simulation and experimental studies, showing promise as the foundation to a prospective paradigm where power and SAR are not only monitored but, through prediction-guided optimization, proactively managed. Magn Reson Med, 2011. (c) 2011 Wiley Periodicals, Inc
PMCID:3299876
PMID: 22139808
ISSN: 1522-2594
CID: 149834

A simple isotropic phantom for diffusional kurtosis imaging

Fieremans E; Pires A; Jensen JH
Dairy cream is shown to be a simple, inexpensive, isotropic phantom useful for testing diffusional kurtosis imaging data acquisition and postprocessing. The MR-visible protons of cream exhibit slow and fast diffusion components, attributed to the fat and water protons, respectively, which give rise to a diffusion coefficient of 1.1 mum(2) /ms and a diffusional kurtosis of 1.2. These parameter values are similar to those observed in vivo for human brain. Heating the cream is found to increase the T(2) -relaxation time of the fat protons, which facilitates the evaluation of typical diffusional kurtosis imaging protocols used in clinical settings. The diffusion coefficient and diffusional kurtosis can both be measured directly and predicted based on the corresponding diffusion parameters of the individual water and fat components, which are independently measurable due to chemical shift misregistration, thus providing an important consistency check. This phantom is proposed as a convenient calibration standard for multicenter diffusional kurtosis imaging studies. Magn Reson Med, 2012. (c) 2011 Wiley Periodicals, Inc
PMID: 22161496
ISSN: 1522-2594
CID: 149036

Cytosolic calcium coordinates mitochondrial energy metabolism with presynaptic activity

Chouhan, Amit K; Ivannikov, Maxim V; Lu, Zhongmin; Sugimori, Mutsuyuki; Llinas, Rodolfo R; Macleod, Gregory T
Most neurons fire in bursts, imposing episodic energy demands, but how these demands are coordinated with oxidative phosphorylation is still unknown. Here, using fluorescence imaging techniques on presynaptic termini of Drosophila motor neurons (MNs), we show that mitochondrial matrix pH (pH(m)), inner membrane potential (Deltapsi(m)), and NAD(P)H levels ([NAD(P)H](m)) increase within seconds of nerve stimulation. The elevations of pH(m), Deltapsi(m), and [NAD(P)H](m) indicate an increased capacity for ATP production. Elevations in pH(m) were blocked by manipulations that blocked mitochondrial Ca(2+) uptake, including replacement of extracellular Ca(2+) with Sr(2+) and application of either tetraphenylphosphonium chloride or KB-R7943, indicating that it is Ca(2+) that stimulates presynaptic mitochondrial energy metabolism. To place this phenomenon within the context of endogenous neuronal activity, the firing rates of a number of individually identified MNs were determined during fictive locomotion. Surprisingly, although endogenous firing rates are significantly different, there was little difference in presynaptic cytosolic Ca(2+) levels ([Ca(2+)](c)) between MNs when each fires at its endogenous rate. The average [Ca(2+)](c) level (329 +/- 11 nm) was slightly above the average Ca(2+) affinity of the mitochondria (281 +/- 13 nm). In summary, we show that when MNs fire at endogenous rates, [Ca(2+)](c) is driven into a range where mitochondria rapidly acquire Ca(2+). As we also show that Ca(2+) stimulates presynaptic mitochondrial energy metabolism, we conclude that [Ca(2+)](c) levels play an integral role in coordinating mitochondrial energy metabolism with presynaptic activity in Drosophila MNs
PMCID:3531998
PMID: 22279208
ISSN: 1529-2401
CID: 150578

Longitudinal inter- and intra-individual human brain metabolic quantification over 3 years with proton MR spectroscopy at 3 T

Kirov, Ivan I; George, Ilena C; Jayawickrama, Nikhil; Babb, James S; Perry, Nissa N; Gonen, Oded
The longitudinal repeatability of proton MR spectroscopy ((1) H-MRS) in the healthy human brain at high fields over long periods is not established. Therefore, we assessed the inter- and intra-subject repeatability of (1) H-MRS in an approach suited for diffuse pathologies in 10 individuals, at 3T, annually for 3 years. Spectra from 480 voxels over 360 cm(3) ( approximately 30%) of the brain, were individually phased, frequency-aligned, and summed into one average spectrum. This dramatically increases metabolites' signal-to-noise-ratios while maintaining narrow linewidths that improve quantification precision. The resulting concentrations of the N-acetylaspartate, creatine, choline, and myo-inositol are: 8.9 +/- 0.8, 5.9 +/- 0.6, 1.4 +/- 0.1, and 4.5 +/- 0.5 mM (mean +/- standard-deviation). the inter-subject coefficients of variation are 8.7%, 10.2%, 10.7%, and 11.8%; and the longitudinal (intra-subject) coefficients of variation are lower still: 6.6%, 6.8%, 6.8%, and 10%, much better than the 35%, 44%, 55%, and 62% intra-voxel coefficients of variation. The biological and nonbiological components of the summed spectra coefficients of variation had similar contributions to the overall variance. Magn Reson Med, 2011. (c) 2011 Wiley-Liss, Inc
PMCID:3170690
PMID: 21656555
ISSN: 1522-2594
CID: 147677

Evidence for an all-or-none perceptual response: single-trial analyses of magnetoencephalography signals indicate an abrupt transition between visual perception and its absence

Sekar K; Findley WM; Llinas RR
Whether consciousness is an all-or-none or graded phenomenon is an area of inquiry that has received considerable interest in neuroscience and is as of yet, still debated. In this magnetoencephalography (MEG) study we used a single stimulus paradigm with sub-threshold, threshold and supra-threshold duration inputs to assess whether stimulus perception is continuous with or abruptly differentiated from unconscious stimulus processing in the brain. By grouping epochs according to stimulus identification accuracy and exposure duration, we were able to investigate whether a high-amplitude perception-related cortical event was (1) only evoked for conditions where perception was most probable, (2) had invariant amplitude once evoked and (3) was largely absent for conditions where perception was least probable (criteria satisfying an all-on-none hypothesis). We found that averaged evoked responses showed a gradual increase in amplitude with increasing perceptual strength. However, single-trial analyses demonstrated that stimulus perception was correlated with an all-or-none response, the temporal precision of which increased systematically as perception transitioned from ambiguous to robust states. Due to poor signal-to-noise resolution of single-trial data, whether perception-related responses, whenever present, were invariant in amplitude could not be unambiguously demonstrated. However, our findings strongly suggest that visual perception of simple stimuli is associated with an all-or-none cortical-evoked response the temporal precision of which varies as a function of perceptual strength
PMCID:4077720
PMID: 22020091
ISSN: 1873-7544
CID: 145694

Optimization of b-value sampling for diffusion-weighted imaging of the kidney

Zhang JL; Sigmund EE; Rusinek H; Chandarana H; Storey P; Chen Q; Lee VS
Diffusion-weighted imaging (DWI) involves data acquisitions at multiple b values. In this paper, we presented a method of selecting the b values that maximize estimation precision of the biexponential analysis of renal DWI data. We developed an error propagation factor for the biexponential model, and proposed to optimize the b-value samplings by minimizing the error propagation factor. A prospective study of four healthy human subjects (eight kidneys) was done to verify the feasibility of the proposed protocol and to assess the validity of predicted precision for DWI measures, followed by Monte Carlo simulations of DWI signals based on acquired data from renal lesions of 16 subjects. In healthy subjects, the proposed methods improved precision (P = 0.003) and accuracy (P < 0.001) significantly in region-of-interest based biexponential analysis. In Monte Carlo simulation of renal lesions, the b-sampling optimization lowered estimation error by at least 20-30% compared with uniformly distributed b values, and improved the differentiation between malignant and benign lesions significantly. In conclusion, the proposed method has the potential of maximizing the precision and accuracy of the biexponential analysis of renal DWI. Magn Reson Med, 2011. (c) 2011 Wiley-Liss, Inc
PMCID:5088264
PMID: 21702062
ISSN: 1522-2594
CID: 135366

Executive Summary from the First Annual Heart Rhythm Society Research Forum: A Vision for Our Research Future, "Dream, Discover, Develop, Deliver" [Editorial]

Albert, C M; Chen, P -S; Anderson, M E; Cain, M E; Fishman, G I; Narayan, S M; Olgin, J E; Spooner, P M; Stevenson, W G; Van, Wagoner D R; Packer, D L
EMBASE:2010069517
ISSN: 1556-3871
CID: 4710922

Perfluorinated compounds in human blood, water, edible freshwater fish, and seafood in China: daily intake and regional differences in human exposures

Zhang, Tao; Sun, Hongwen; Lin, Yan; Wang, Lei; Zhang, Xianzhong; Liu, Ya; Geng, Xia; Zhao, Lijie; Li, Fasong; Kannan, Kurunthachalam
Despite the growing public interest in perfluorinated compounds (PFCs), very few studies have reported the sources and pathways of human exposure to these compounds in China. In this study, concentrations of 10 PFCs were measured in human blood, water (tap water and surface water), freshwater fish, and seafood samples collected from China. On the basis of the data, we calculated daily intakes of PFCs, regional differences in human exposures, and potential risks associated with ingestion of PFCs from diet, drinking water, and indoor dust for the Chinese population. Perfluorooctane sulfonate (PFOS) was the most predominant PFC found with a mean concentration of 12.5 ng/mL in human blood from Tianjin and 0.92 ng/g wet wt in freshwater fish and seafood; perfluorooctanoic acid (PFOA) was the major PFC found in drinking water at a concentration range of 0.10 to 0.92 ng/L. The estimated daily intake of PFOS and PFOA via fish and seafood consumption (EDI(fish&seafood)) ranged from 0.10 to 2.51 and 0.13 to 0.38 ng/kg bw/day, respectively, for different age groups (i.e., toddlers, adolescents and children, and adults) from selected locations (i.e., Tianjin, Nanchang, Wuhan, and Shenyang). The EDI(fish&seafood) of PFCs decreased (p < 0.05) with age. The estimated daily intake of PFOS and PFOA via drinking water consumption (EDI(drinking water)) ranged from 0.006 to 0.014 and 0.010 to 0.159 ng/kg bw/day, respectively. Comparison of EDI(fish&seafood) and EDI(drinking water) values with those of the modeled total dietary intake (TDI) of PFCs by adults from Tianjin, Nanchang, Wuhan, and Shenyang showed that contributions of fish and seafood to TDI of PFOS varied depending on the location. Fish and seafood accounted for 7%, 24%, 80%, and 84% of PFOS intake in Nanchang, Shenyang, Wuhan, and Tianjin, respectively, suggesting regional differences in human exposure to PFOS. Drinking water was a minor source of PFOS (<1%) exposure in adults from all the study locations.
PMID: 21928843
ISSN: 1520-5118
CID: 4288792