|
|
|
|
| HISTORY |
| A number of functional
brain mapping techniques have been developed in recent years. One
of these techniques is optical imaging of intrinsic signals (OIS).
Optical imaging of intrinsic signals maps the brain by measuring
intrinsic activity-related changes in tissue reflectance. Functional
physiological changes, such as increases in blood volume, hemoglobin
oxymetry changes, and light scattering changes, result in intrinsic
tissue reflectance changes that are exploited to map functional
brain activity. OIS offers a distinct advantage over extrinsic signal
imaging, such as dye imaging, which may cause phototoxicity, especially
in in vivo preparations, and thereby alter the normal physiology
of the sample. By not requiring any contact with the tissue of interest
whatsoever, optical imaging of intrinsic signals is ideally suited
to studying chronic preparations, in which an investigator may wish
to image a sample over a period of days, weeks, or months, and for
intraoperative mapping of the human cortex during neurosurgery.
Although activity-related intrinsic changes in tissue reflectance
associated with electrical activity or metabolism were first observed
over 50 years, it was not until the 1980s that these intrinsic
optical changes were used to map cortical activity in vivo. The
increasing popularity of optical imaging is largely because this
technique offers both high spatial and high temporal resolution
simultaneously. The spatial resolution of intrinsic imaging is
unparalleled among in vivo imaging techniques making it ideal
for studying the fine functional organization of sensory cortices
as well as the physiology of neurovascular coupling at the level
of the arteriole, venule, and even capillaries. Because of these
advantages, the number of studies using optical imaging has been
growing rapidly. |
| |
| SPECIES
STUDIED |
Optical imaging of
intrinsic signals is done in a variety of species, including rodent,
cat, nonhuman primates, and humans.
In the rodent model, the somatosensory cortex is organized somatotopically
as a ratunculus. The posteromedial barrel subfield of the rodent
somatosensory cortex has cytoarchitecturally and functionally discrete
groups of cells called “barrels”, each representing
a contralateral whisker. Electrophysiology and autoradiography confirm
that functional somatotopy is tightly coupled with cytoarchitecture,
making this system ideal for investigating the coupling of neuronal
activity and perfusion-related and metabolic responses.
Intraoperative mapping in humans provides an unparalleled opportunity
to examine the basic physiology and organization of the functioning
human brain. The opportunity exists to study questions that are
impossible in other species, such as language organization and higher
cognitive functions.
|
 |
| CURRENT
RESEARCH |
Based
on the specific advantages that optical imaging offers, including
ease of implementation, high spatial and temporal resolution, relatively
noninvasive imaging, the opportunity to image a single subject chronically,
and the ability to determine the time course of underlying functional
changes, four areas of application have emerged:
- functional architecture of sensory cortices,
- investigating patterns of functional perfusion and neurovascular
physiology,
- imaging development and plasticity, and
- characterizing the dynamic profile of disease processes.
Macknik and Haglund employed optical imaging to characterize
the primate visual cortex. In their study they sought to characterize
the functional architecture of the cortex. They were interested
in finding out whether physical visual scene or the perception
of the visual scene was the stimulus for visual system activation.
In this study using optical imaging techniques, they determined
that the visual system does not respond to the entire physical
visual stimulus, but rather the visual perception. This type of
study demonstrates the versatility and the diverse array of questions
that can be answered using optical imaging of intrinsic signals.
- Characterizing functional perfusion
and neurovascular physiology
Intrinsic optical signals have multiple sources, including perfusion-
and metabolism-related etiologies, making it a suitable modality
for characterizing functional perfusion and neurovascular physiology.
Optical imaging studies have been critical for describing the
time course of functional perfusion-related changes, including
changes in blood volume and hemoglobin concentration changes.
In addition to characterizing the time course of functional
signals, optical imaging has been used to determine the parameters
which influence the magnitude of functional signals, including
the absolute number of stimuli as well as the frequency of stimulation.
- Chronic imaging to characterize
both developmental and plasticity-related changes
In recent years several groups of researchers have used optical
imaging forchronic imaging to characterize both developmental
and plasticity-related changes in functional architecture and
perfusion-related signals. The development of orientation domains
has been characterized in ferret visual cortex, from the time
that they are first observed to the time at which they are fully
developed. The researchers showed that during this time (which
is the peak of the critical period) the structure of the maps
is remarkably stable.
- Imaging disease
Optical imaging of intrinsic signals has recently been
applied to imaging disease. One group of researchers reported
imaging epileptiform afterdischarges following direct cortical
stimulation of the human neocortex. They reported that activation
patterns were dependent on the intensity and duration of the
afterdischarge activity often found a pattern of alternating
increased and decreased reflection, that they hypothesized to
represent a central area of activation surrounded by areas of
cortical inhibition or decreased activity.
|
| |
| RESEARCH
AT LONI |
| Research in the OIS
lab at LONI encompasses basic science questions as well as their
clinical applications. Because of the tradeoffs inherent to various
brain imaging and monitoring techniques, we employ a multi-modality
approach that combines their advantages. |
| Neurovascular
coupling and etiology of perfusion-based mapping signals |
| Increases in neuronal
activity lead to local changes in blood flow, as the vasculature
increases blood supply to metabolically active regions. Many functional
brain imaging techniques, including PET, fMRI, and OIS, measure
this perfusion-related response rather than actual neuronal activity.
A detailed understanding of neurovascular coupling is therefore
essential for the design and interpretation of studies using these
imaging modalities. We use a variety of techniques, including OIS
imaging and spectroscopy, electrophyiology, laser Doppler imaging,
and histochemical staining to study the temporal and spatial characteristics
of perfusion-based brain mapping signals and their relationship
to underlying neuronal activity. OIS is ideally suited to investigate
neurovascular coupling, as it allows imaging of perfusion-related
responses with simultaneous monitoring of electrophysiological
activity. We combine OIS imaging and spectroscopy with extracellular
field potential recordings in rodent primary somatosensory cortex
to investigate this interaction. Our results indicate that early
deoxygenation changes in active cortex, related to the “initial
dip” observed by some fMRI studies, correlate weakly with
changes in the magnitude of underlying neuronal activity. Changes
in cerebral blood volume (CBV), on the other hand, correlate robustly
with changes in evoked neuronal activity. This difference may
be partially attributable to the increased contrast-to-noise ratio
(CNR) of the CBV response (~10x) relative to that of the early
deoxygenation. Increased CNR also allows reliable mapping with
less trial averaging, thereby reducing imaging time and motion-related
noise contamination, especially in awake subjects.
Ideal functional mapping signals should not only correlate in
magnitude with the degree of neuronal activity, they should also
localize to activated cortical columns with high spatial specificity.
The stereotypical organization of the rat whisker barrel cortex
provides a convenient model system to study this question. We
found that the CBV response localizes well to individual barrels,
as visualized by cytochrome oxidase staining. Appropriate thresholding
techniques, including a novel ANOVA-based approach we developed,
provide high quality CBV-based maps with sub-millimeter columnar
resolution.
|
| Cortical
spreading depression (CSD) |
| A related line of study
examines the effect of pathophysiological events such as cortical
spreading depression (CSD) on neurovascular coupling. CSD is an
important disease model for migraine and has been shown to play
an important role in the pathophysiology of stroke, trauma, and
cerebral ischemia. Spreading depression can be induced experimentally
by mechanical (cortical pinprick), electrical (via stimulating microelectrodes)
or chemical (KCl or glutamate) stimulation. Electrophysiologically,
it is characterized by EEG depression and a DC potential shift that
spreads across the cortex at a rate of 3–5 mm/min. The negative
deflection of the DC potential lasts approximately 1–2 min
while evoked potentials and EEG remain attenuated for a significantly
longer period. Closely following the depolarizing wave is an increase
in blood flow lasting from 1-2 minutes immediately followed by a
long-lasting flow reduction that can last from 1-2 hours. These
flow changes have been observed in migraine patients using fMRI
and PET. Despite the relatively sizeable body of CSD literature,
little is known regarding the effect of CSD on functional perfusion
signals and their coupling to evoked neuronal activity. Current
projects involve combining multi-modal imaging with simultaneous
electrophysiological measurements to assess changes in functional
cerebral blood flow, volume, and oxygenation following CSD. The
imaging techniques we utilize include multi-wavelength optical
imaging, laser Doppler flowmetry, 2D laser Doppler imaging, and
optical spectroscopy. Electrophysiological changes are monitored
by recording evoked potentials with depth microelectrodes. Recent
data suggest global blood flow and volume are depressed for1-2
hours following CSD induction. During this period, functional
perfusion signals also show a significant attenuation reaching
a relative minima at approximately 20 minutes post-induction followed
by a gradual return to baseline. Evoked potentials show a much
smaller attenuation and significantly faster recovery suggesting
CSD produces a short-term (1-2 hrs) mismatch between changes in
neuronal activity and functional vascular signals. In the future,
we plan to examine the effect of age on recovery of neurovascular
coupling following CSD. We also plan to extend out current paradigm
to investigate neurovascular coupling stability following seizure.
|
| Cortical
working memory |
| We combine near-infrared
spectroscopic (NIRS) data with local field potential (LFP) recordings
in a primate model to characterize the changes in the activity of
neuronal cell populations and the associated vascular response during
working memory. This newly developed model allows us to (1) examine
neurovascular coupling in the awake, behaving brain and (2) combine
electrophysiological and perfusion-based data to gain insight into
the hierarchical organization of cortical networks involved in working
memory. Recently, in data collected in parietal cortex we observed
that NIRS signals show a strong correlation to LFP responses in
several different tasks of working memory. Interestingly, subtle
differences in task performance apparent in the LFP data appear
to be reflected in the NIRS signal. Future plans include making
simultaneous measurements (NIRS and LFP) from multiple cortical
sites to gain a better understanding of the interaction between
different cortical areas during working memory.
|
| Cortical
development and plasticity |
| It is well known that
changes in cortical connectivity take place during development.
We seek to understand how these changes affect perfusion-based mapping
signals. We found that while electrophysiological responses, as
measured by evoked potentials, were unchanged after 3 weeks of age,
optical responses to whisker stimulation at 610 nm and 850 nm continued
to evolve and change through the age of 12 weeks. Optical responses
at 550 nm, however, were unaffected across all ages studied. We
also found that optical responses in 2-week-old rodents were significantly
different than that of older subjects: responses were extremely
inconsistent and delayed. The observed changes in perfusion- and
metabolism-related responses, as measured by OIS, in the absence
of detectable changes in evoked potentials, suggests that factors
other than cortical electrophysiological properties may regulate
response characteristics.
Although many studies have investigated experience-dependent
electrophysiologic, metabolic, and anatomic changes in the rodent
barrel cortex, experience-dependent changes in functional perfusion
have not been well characterized. Characterizing these changes
is important because perfusion-related responses are used extensively
to map brain function. Using a spared-whisker rodent model and
OIS, we characterized the timecourse and spatial extent of experience-dependent
changes in perfusion-related responses at different ages (2, 4,
and 6 weeks). Imaging 1, 2 and 4 weeks after initial whisker plucking
indicated that optical responses to spared whisker stimulation
are subject to experience-dependent modulation, but that increases
relative to age-matched controls do not occur until two weeks
after initial whisker plucking in any age group. These changes
are later than previous reports of electrophysiologic and metabolic
changes in the spared barrel using the same model. We also found
that experience-dependent changes in optical responses are reversible
suggesting that perfusion-related responses are continuously modified
by sensory experience. Furthermore, we report that the spatial
extent of optical responses to stimulation of the spared whisker
is similar to that for simultaneous stimulation of all whiskers
in controls. These results have implications for studies of plasticity
using perfusion-based functional neuroimaging techniques.
|
| Intraoperative
imaging and surgical guidance |
| Neurosurgical resection
of cerebral pathologies, such as neoplasms and arteriovenous malformations
(AVMs), near eloquent cortices can result in iatrogenic damage,
such as paralysis and language deficits. The proximity of AVMs to
eloquent cortices is consequently one of the three major factors
used to predict surgical risk. Electrocortical stimulation mapping
(ESM) is currently the gold standard of intraoperative functional
cortical mapping because it has been shown to be a good predictor
of the effects of resection. In order to maximize resection of pathological
tissue, spare eloquent cortices, and reduce surgical risk, other
functional mapping procedures have been applied, including preoperative
functional magnetic resonance imaging (fMRI), and intraoperative
OIS. The validity of perfusion-based mapping signals like fMRI and
OIS for surgical planning has yet to be fully validated, especially
in patients who have underlying vascular disease, such as vascular
malformations. We conduct both pre- and intra-operative brain
mapping experiments in order to answers questions about the basic
neurovascular phsyiology of the human brain and in order to create
better mapping tools for neurosurgical guidance. We use a multi-modality
approach, comparing different brain mapping signals with the gold
standard and with postoperative neuropschological testing also
to better understand the functional organization of the human
brain.
To investigate the similarities in etiology between BOLD fMRI
signals and 610 nm optical imaging, we compared the spatial and
temporal characteristics of the two responses in human patients
during tongue activation. Several fMRI studies cite OIS findings
to explain the etiology of fMRI signals, but few studies have
been conducted using both modalities in the same subjects. Optical
responses (measured intraoperatively) generally colocalized with
BOLD fMRI responses (measured preoperatively), and were consistent
with locations identified by intraoperative electrical stimulation
mapping. We found that whereas fMRI activations were centered
on and emphasized sulci (most likely because of the major contribution
of large venous structures to the fMRI signal), OIS activation
were more gyral. The timecourse of OIS activations were very similar
to those observed for BOLD signals, appearing shortly after task
onset and peaking approximately 6–8 s after task onset.
A regression analysis of the timecourse data showed a significant
linear correlation between the two signals.
We also determined the utility of preoperative fMRI to localize
cortical areas subserving language function in neurosurgical patients.
We found that the sensitivity and specificity of fMRI for mapping
language areas depended upon both the task (expression or comprehension)
and lobe (frontal, temporal, and parietal). Specifically, we found
that the sensitivity and specificity of fMRI during expressive
linguistic tasks was up to 100 and 66.7%, respectively, in the
frontal lobe, and during comprehension linguistic tasks up to
96.2 and 69.8%, respectively, in the temporal and parietal lobes.
|
| |
 |
|
 |
|
|
| IN THIS SECTION: |
 |
|
|
|
|
|