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Norihiko Fujita

Publications and source records attributed to Norihiko Fujita.

9 recordsLinked to original sources

Spatially filtered magnetoencephalographic analysis of cortical oscillatory changes in basic brain rhythms during the Japanese 'Shiritori' Word Generation Task.

BACKGROUND: 'Shiritori' (capping verses) is a traditional Japanese word generation game, and is very familiar to native Japanese speakers. The shiritori task is expected to more strongly activate temporal language-related regions than conventional word generation to letters because of its characteristic way to make cue letters. OBJECTIVES: The aim of this study was to examine the cortical oscillatory changes in basic brain rhythms during silently performing a shiritori task. METHODS: Using synthetic aperture magnetometry (SAM) analysis of magnetoencephalography, we estimated the tomographic distributions of the statistically significant differences of the power in the alpha and beta frequency bands between the resting and the task periods. RESULTS: Significant event-related desynchronization (ERD) in the 8- to 25-Hz band, thought to reflect neural activation, was localized within task-related cortical regions with left-side dominance. The significant ERDs were estimated in both the frontal and temporal language-related regions encompassing Broca's and Wernicke's areas, although previous neuroimaging studies using word generation to letters showed neural activation predominantly in frontal regions. CONCLUSIONS: Our results show the potential of SAM analysis for reliable brain mapping of language processing, and suggest that the shiritori task might be more suitable for examining the language-related network in the brain than conventional word generation to letters.

Adult↗

Quantitative study of changes in oxidative metabolism during visual stimulation using absolute relaxation rates.

In the context of quantitative functional MRI (fMRI), deoxyhemoglobin (dHb) content is the essential physiological parameter for calibrating the blood oxygenation level-dependent (BOLD) signal. In studies on humans, the baseline dHb content or its equivalent has been evaluated indirectly by means of carbon dioxide breathing as a physiological reference condition. In this study with normal volunteers, quantitative mapping of baseline dHb content was performed in a direct manner by measuring the reversible contribution of the effective transverse relaxation rate. The BOLD signal change in the visual cortex during 8 Hz flicker visual stimulation was calibrated based on the quantitative map of baseline dHb content. The calibrated relaxation rate change that represents the stimulation-induced fractional change of dHb content decreased by 14% within the activated visual cortex. Simultaneous measurement of cerebral blood flow (CBF) with BOLD showed an increase of 59%. From the calibrated relaxation rate and CBF changes, the cerebral metabolic rate of oxygen (CMRO2) was calculated to increase by 19-28% within the activated visual cortex. The ratio of the CBF increase to the CMRO2 increase was 2-3:1, which agreed well with results of similar quantitative fMRI studies for humans. The method proposed here for quantitative evaluation of the BOLD signal may be applicable not only to fMRI for normal human subjects, but also to physiologically altered or diseased states, because it requires no physiological perturbation.

Adult↗

Information processing flow and neural activations in the dorsolateral prefrontal cortex in the Stroop task in schizophrenic patients. A spatially filtered MEG analysis with high temporal and spatial resolution.

Using a spatially filtered magnetoencephalography analysis (synthetic aperture magnetometry), we estimated neural activations in the Stroop task in nearly real time for schizophrenic patients with/without auditory hallucinations and for normal control subjects. In addition, auditory hallucinations were examined through the information processing flow of the brain neural network, including the frontal regions. One hundred unaveraged magnetoencephalography signals during the incongruent stimulus responses were analyzed with a time window of 200 ms in steps of 50 ms. In the 25-60-Hz band, cortical regions that showed significant current source density changes were examined for each time window. The three groups showed significantly decreased current source density, corresponding to neural activation, with temporal overlap along the fundamental cognitive information processing flow: sensory input system, executive control system, motor output system. Transient neural activations in the dorsolateral prefrontal cortex were bilateral with left-side dominancy for normal controls, left-lateralized for nonhallucinators and right-lateralized for hallucinators. Our results suggest that the dysfunction in the left dorsolateral prefrontal cortex was related to auditory hallucinations, while the information processing flow was unaffected in the schizophrenic subjects in the Stroop task.

Adolescent↗

Determination of transverse relaxation rate for estimating iron deposits in central nervous system.

To determine the amount of iron deposits in the basal ganglia, we examined 13 healthy volunteers with a 1.5 T MRI system using three transverse relaxation rates measured with two sequences. The transverse relaxation rates comprise the reversible contribution (R2') and irreversible contribution (R2) to a phase-reversal 180 degrees -pulse sequence. The transverse relaxation rates with the estimated iron indicated that both R2 and R2' had a robust relationship with brain iron level as determined from published post mortem data. This was the case only when the analyses are limited to the subcortical gray matter regions, however. R2' was affected by macroscopic magnetic field inhomogeneity arising from the skull bases, so that it was less robust for estimating the amount of iron deposits in the basal ganglia.

Adult↗

Interictal spikes in the fusiform and inferior temporal gyri of an epileptic patient with colored elementary visual auras: a 5-year longitudinal MEG ECD study.

Using equivalent current dipole (ECD) analysis of magnetoencephalography (MEG), we examined the locations of interictal spikes for 5 years in an epileptic patient who had experienced colored elementary visual auras that gradually disappeared with medication. During the period that the patient frequently experienced colored elementary visual auras, six of nine spikes occurred in the right fusiform and inferior temporal gyri. As the frequency of the visual auras decreased, the spikes were widely distributed in the right hemisphere, but were not localized to these areas. After the visual auras ceased, six of seven spikes occurred in the right transverse gyrus of Heschl. These results suggest that colored elementary visual auras of epileptic-positive symptoms originate in the fusiform and inferior temporal gyri and that these regions are involved in human color processing. This is the first MEG study suggesting that the fusiform gyrus and the inferior temporal cortex are related to human color processing.

Adult↗

Quantitative mapping of cerebral deoxyhemoglobin content using MR imaging.

In this study, we present a magnetic resonance imaging (MRI) method for quantifying cerebral deoxyhemoglobin content that is based on a measurement of the reversible contribution (R'2) of the transverse relaxation rate under the assumption of a quantitative relationship between R'2 and deoxyhemoglobin content. A numerical simulation was performed assuming a specific pulse sequence conventionally employed for R'2 measurement. The results showed a near linear relationship between R'2 and deoxyhemoglobin content in the physiological range of oxygen extraction for almost all sized vessels, although a large diffusion effect for capillary sized vessels compromised the relationship. Concerning the methodology for R'2 measurement, a theoretical analysis showed that multiexponential transverse signal decay of brain parenchyma may result in a considerable underestimation or overestimation of R'2, if a conventional method is employed for R'2 quantification. A modified method for correcting the effect of multiexponential signal decay was employed for R'2 measurement of the brain in normal volunteers. The results showed a high level of agreement between the R'2 values measured in our study and those estimated from physiological parameters obtained using other modalities such as PET. In the context of BOLD contrast-based functional MRI, the method proposed provides a quantitative mapping of baseline cerebral deoxyhemoglobin content, which is the essential physiological parameter for calibrating the stimulation-induced BOLD signal change and mapping neuronal activity in a quantitative manner by functional MRI.

Adult↗

Origin of high signal intensity in the cavernous sinus in MR angiographic source images: correlation between MR and conventional angiography.

OBJECTIVE: To investigate the origin of a high signal intensity in a cavernous sinus on magnetic resonance (MR) angiography. METHODS: Time-of-flight MR angiography was performed in 20 patients scheduled for conventional angiography for disease not related to carotid cavernous fistula. Venous drainage pattern was assessed, and flow rate to a cavernous sinus was semiquantitatively evaluated on conventional angiography. RESULTS: Two sinuses showed high signal intensity in the anterior portion. These were associated with direct venous drainage to the anterosuperior aspect of the cavernous sinus from the superficial middle cerebral vein, and their flow rates were among the 10% of the sides with the highest flow rates. Two other sinuses showed high signal intensity in the posterior portion. Their flow rates from the superficial petrosal sinus were also among the 10% of the sides with the highest flow rates. CONCLUSION: High signal intensity in the anterior or posterior portions of the cavernous sinus is probably a result of inflow from the superficial middle cerebral vein and the superior petrosal sinus, respectively.

Adult↗

Operating data and unsolved problems of the DICOM modality worklist: an indispensable tool in an electronic archiving environment.

PURPOSE: We evaluated the efficacy of DICOM worklist software for radiological modalities from the viewpoint of risk management, to reduce mislabeled image data in an electronic archiving environment. We focused on the following five points: 1) the effectiveness of the DICOM modality worklist, 2) problems involving incorrect patient and image data, 3) the presence of incorrect profiles despite the transfer of patient profiles online via the DICOM worklist, 4) ways to eliminate entry failure, and 5) further examination even if data entry were correct. MATERIALS AND METHODS: Retrospective data of patient profiles with image data were evaluated both before and after installation of DICOM modality worklist management software at Sakai Municipal Hospital. All radiology modalities were connected to RIS terminals in which DICOM modality worklist software was installed. Patient profiles were transferred online from RIS terminals to the modalities. It was not necessary for technologists to type patient profiles in usual examinations. RESULTS: Before installing the DICOM modality worklist software, the number of data entry errors was 31 and the rate was 6.4% of 487 examinations. After installation, manual data entry occurred in 80 of 1,994 examinations. The number of data entry errors for patient profiles was two, and the rate was 0.1% of the total examinations (p < 0.0001). Before installing the DICOM modality worklist, two wrong patient IDs that corresponded to other existing patient IDs were typed into the modality. No patient IDs were mixed up after installation of the DICOM modality worklist (p = 0.0385). CONCLUSION: The DICOM worklist was indispensable to electronic archiving because it decreased incorrect patient profiles that corresponded to image data loss. This was effective in decreasing patient mix-ups that could lead to serious malpractice. Despite the DICOM worklist, however, some incorrect patient profiles remained as a result of manual typing errors. The reasons for manual typing included emergency examinations, paper-based operations, and system shutdown. Furthermore, the risk of patient mix-ups remained even if the patient profile was correct. To eliminate or decrease medical accidents, determining why accidents happen and ensuring better data confirmation are necessary.

Archives↗

Effect of stage 1 sleep on auditory cortex during pure tone stimulation: evaluation by functional magnetic resonance imaging with simultaneous EEG monitoring.

BACKGROUND AND PURPOSE: Responses of the auditory cortex to sound during sleep have been explored with somewhat discrepant results. The purpose of this study was to investigate the effect of stage 1 sleep on signal intensity changes in the auditory cortex in response to pure tone stimulus measured by functional MR imaging. METHODS: Six sleep-deprived subjects were exposed to a series of echo-planar images for 30-40 minutes. No medication was used to help the subjects go to sleep. A long repetition time of 12 seconds and a 1.9-second clustered multisection acquisition were used to minimize the effect of imager acoustic noise from the preceding acquisition and to make it possible to obtain electroencephalographs between image acquisitions. A pure tone stimulus (beep, 1,000-Hz sine waves, 30-millisecond duration, five beeps per second) was alternated with the baseline every 36 seconds. RESULTS: All subjects fell asleep. The effect of habituation evaluated by comparing the percentage of signal intensity change between the first and second half was not significant. The percentage of signal intensity changes in the right and left transverse temporal gyri were 0.49% and 0.43% during wakefulness and 0.05% and 0.07% during stage 1 sleep. The differences between wakefulness and stage 1 sleep were significant. CONCLUSION: Transition to stage 1 sleep coincides with a decrease in functional MR imaging-determined signal intensity changes in the auditory cortex in response to pure tone stimulus. The limited response of the brain at this stage may protect the brain from sound and facilitate deepening of the sleep stage.

Acoustic Stimulation↗