Biomedical subjects

Rafael Malach

Publications and source records attributed to Rafael Malach.

12 recordsLinked to original sources

PubMed2003

Face-selective activation in a congenital prosopagnosic subject.

Congenital prosopagnosia is a severe impairment in face identification manifested from early childhood in the absence of any evident brain lesion. In this study, we used fMRI to compare the brain activity elicited by faces in a congenital prosopagnosic subject (YT) relative to a control group of 12 subjects in an attempt to shed more light on the nature of the brain mechanisms subserving face identification. The face-related activation pattern of YT in the ventral occipito-temporal cortex was similar to that observed in the control group on several parameters: anatomical location, activation profiles, and hemispheric laterality. In addition, using a modified vase-face illusion, we found that YT's brain activity in the face-related regions manifested global grouping processes. However, subtle differences in the degree of selectivity between objects and faces were observed in the lateral occipital cortex. These data suggest that face-related activation in the ventral occipito-temporal cortex, although necessary, might not be sufficient by itself for normal face identification.

Adult↗

PubMed2003

Large-scale mirror-symmetry organization of human occipito-temporal object areas.

We have combined functional maps of retinotopy (eccentricity and meridian mapping), object category, and motion in a group of subjects to explore the large-scale topography of higher-order object areas. Our results reveal seven consistent category-related entities situated in the occipito-temporal cortex adjoining early visual areas. These include two face-related regions, three object-related regions, and two building-related regions. Interestingly, this complex category-related pattern is organized in a large-scale dorso-ventral mirror symmetry of object category. Furthermore, correlating this pattern to the map of visual field eccentricity, we found that the entire network of areas could be related to a single and unified eccentricity map. We hypothesize that this large-scale organization points to a possible development of high-order object areas through extension and specialization of a single proto-representation.

Brain Mapping↗

PubMed2003

Replacing the Amsler grid: a new method for monitoring patients with age-related macular degeneration.

PURPOSE: To investigate a method that uses hyperacuity, the Macular Computerized Psychophysical Test (MCPT), to evaluate the central macular visual field in patients with age-related macular degeneration (AMD). DESIGN: Prospective case-control study of a diagnostic test. PARTICIPANTS AND CONTROLS: One hundred eight eyes of 108 Patients with AMD and 51 eyes of 51 age-matched patients with no retinal disease. Patients with AMD included 32 (30%) patients with choroidal neovascularization (CNV), 23 (21%) with geographic atrophy (GA), 35 (32%) with AMD with high-risk characteristics (HRC), and 18 (17%) with early AMD with non-HRC. TESTING: Each subject underwent the MCPT, in which a virtual line composed of dots (white dots on a black background, maximal contrast) is flashed across different macular loci to a perifoveal radius of 7 degrees. Patients' responses were recorded and automatically analyzed using a specific algorithm developed before the onset of the study. All patients also underwent a supervised Amsler grid examination on the encounter before or after the MCPT in random order. MAIN OUTCOME MEASURES: Distortion, scotoma, or blurring perceived by the patient after a swift change of fixation was considered positive on the MCPT. Any perception of distortion, scotoma, or blurring was considered positive on the Amsler grid. RESULTS: Of the 32 patients with CNV, 30 (94%) were found positive on the MCPT and 11 (34%) were found positive on the Amsler grid. Of the 23 GA patients, 21 (91%) were found positive on the MCPT and 7 (30%) were found positive on the Amsler grid. Of the 35 HRC patients, 28 (80%) were found positive on the MCPT and 3 (9%) were found positive on the Amsler grid, and of the 18 early AMD with non-HRC patients, 8 (44%) were found positive on the MCPT and 3 (17%) were found positive on the Amsler grid. Of the 51 controls, 3 (6%) were positive on the MCPT and 1 (2%) was positive on the Amsler grid. CONCLUSIONS: The MCPT was superior to the Amsler grid in detecting AMD-related lesions in this cohort. Studies are underway to determine whether the MCPT is feasible for home monitoring to provide early detection of progression to CNV.

Aged↗

PubMed2003

Spatial vs. object specific attention in high-order visual areas.

Recently we reported that the topographic organization of visual field eccentricity in human visual cortex extends into high-order, ventral occipitotemporal (VOT) cortex. Within this cortex, regions that respond preferentially to faces and buildings have specific eccentricity biases, suggesting that this category-eccentricity association may reflect differential needs of recognition processes. However, it is still not clear to what extent this center/periphery differentiation within high-order occipitotemporal cortex depends on immediate, moment-to-moment, task demands. Previous attention studies were confined either to exploring the visual field topography (spatial attention) or to object identity (object-based attention). Here, we combined the investigation of these two different attentional mechanisms in the same study. We found that the main source of attentional modulation in occipitotemporal cortex was object-based attention. Shifting attention to different object categories (buildings, faces, and arrows) substantially modulated the object-related activations. The differential activation to each object category in occipitotemporal object areas was maintained, albeit at a reduced level, even when attention was focused on different spatial locations. A slight eccentricity-related attentional differentiation was observed in the more dorsal lateral occipital region, but not in the VOT cortex. These results argue against the possibility that the source of the eccentricity differentiation in VOT cortex is due solely to moment-to-moment shifts in spatial attention mechanism and supports the notion that the eccentricity-biased maps found in this region are due to built-in shape selectivity established over long-term processes.

Adult↗

PubMed2003

Sensing the invisible: differential sensitivity of visual cortex and amygdala to traumatic context.

To what extent does emotional traumatic context affect sensory processing in the brain? A striking example of emotional impact on sensation is manifested in posttraumatic stress disorder (PTSD), in which a severe emotional trauma produces recurrent and vivid unpleasant sensory recollections. Here we report on an fMRI study exploring the sensory processing of trauma-related pictures in the visual cortex and amygdala in respect to PTSD. The impact of traumatic experience on brain responses was tested in relation to stimuli content and its level of recognition in a parametric factorial design. Twenty combat veterans, 10 with and 10 without PTSD, viewed backward-masked images of combat and noncombat content, presented at below, near, and above recognition thresholds. The response to combat content evoked more activation in the visual cortex in PTSD subjects than in non-PTSD subjects, only when images were presented at below recognition threshold. By contrast, the amygdala demonstrated increased activation in PTSD subjects irrespective of content and recognition threshold of the images. These intriguing findings are compatible with the notion that in PTSD, emotional traumatic experience could modify visual processing already at the preattentive level. On the other hand, lack of content specificity in the amygdala point to a possible predisposed mechanism for pathological processing of traumatic experience. The differential sensitivity of the amygdala and visual cortex to traumatic context implies distinct roles of limbic and sensory regions in the registration and recollection of emotional experience in the brain.

Adult↗

PubMed2003

Early 'visual' cortex activation correlates with superior verbal memory performance in the blind.

The visual cortex may be more modifiable than previously considered. Using functional magnetic resonance imaging (fMRI) in ten congenitally blind human participants, we found robust occipital activation during a verbal-memory task (in the absence of any sensory input), as well as during verb generation and Braille reading. We also found evidence for reorganization and specialization of the occipital cortex, along the anterior-posterior axis. Whereas anterior regions showed preference for Braille, posterior regions (including V1) showed preference for verbal-memory and verb generation (which both require memory of verbal material). No such occipital activation was found in sighted subjects. This difference between the groups was mirrored by superior performance of the blind in various verbal-memory tasks. Moreover, the magnitude of V1 activation during the verbal-memory condition was highly correlated with the blind individual's abilities in a variety of verbal-memory tests, suggesting that the additional occipital activation may have a functional role.

Acoustic Stimulation↗

PubMed2002

Analysis of the neuronal selectivity underlying low fMRI signals.

BACKGROUND: A prevailing assumption in neuroimaging studies is that relatively low fMRI signals are due to weak neuronal activation, and, therefore, they are commonly ignored. However, lower fMRI signals may also result from intense activation by highly selective, albeit small, subsets of neurons in the imaged voxel. We report on an approach that could form a basis for resolving this ambiguity imposed by the low (mm range) spatial resolution of fMRI. Our approach employs fMR-adaptation as an indicator for highly active neuronal populations even when the measured fMRI signal is low. RESULTS: In this study, we first showed that fMRI-adaptation is diminished when overall neuronal activity is lowered substantially by reducing image contrast. We then applied the same adaptation paradigm, but this time we lowered the fMRI signal by changing object shape. While the overall fMRI signal in category-related regions such as the face-related pFs was drastically reduced for non-face stimuli, the adaptation level obtained for these stimuli remained high. We hypothesize that the relatively greater adaptation level following exposure to "nonoptimal" object shapes is indicative of small subsets of neurons responding vigorously to these "nonoptimal" objects even when the overall fMRI activity is low. CONCLUSIONS: Our results show that fMR-adaptation can be used to differentiate between neuronal activation patterns that appear similar in the overall fMRI signal. The results suggest that it may be possible to employ fMR-adaptation to reveal functionally heterogeneous islands of activity, which are too small to image using conventional imaging methods.

Adult↗

PubMed2002

Eccentricity bias as an organizing principle for human high-order object areas.

We have recently proposed a center-periphery organization based on resolution needs, in which objects engaging in recognition processes requiring central-vision (e.g., face-related) are associated with center-biased representations, while objects requiring large-scale feature integration (e.g., buildings) are associated with periphery-biased representations. Here we tested this hypothesis by comparing the center-periphery organization with activations to five object categories: faces, buildings, tools, letter strings, and words. We found that faces, letter strings, and words were mapped preferentially within the center-biased representation. Faces showed a hemispheric lateralization opposite to that of letter strings and words. In contrast, buildings were mapped mainly to the periphery-biased representation, while tools activated both central and peripheral representations. The results are compatible with the notion that center-periphery organization allows the optimal allocation of cortical magnification to the specific requirements of various recognition processes.

Adult↗

PubMed2002

The topography of high-order human object areas.

Cortical topography is one of the most fundamental organizing principles of cortical areas. One such topography - eccentricity mapping - is present even in high-order, ventral stream visual areas. Within these areas, different object categories have specific eccentricity biases. In particular, faces, letters and words appear to be associated with central visual-field bias, whereas buildings are associated with a peripheral one. We propose that resolution needs are an important factor in organizing object representations: objects whose recognition depends on analysis of fine detail will be associated with central-biased representations, whereas objects whose recognition entails large-scale integration will be more peripherally biased.

Journal Article↗

PubMed2002

Shape-selective stereo processing in human object-related visual areas.

Object related areas in the human ventral stream were previously shown to be activated, in a shape-selective manner, by luminance, motion, and texture cues. We report on the preferential activation of these areas by stereo cues defining shape. To assess the relationship of this activation to object recognition, we employed a perceptual stereo effect, which profoundly affects object recognition. The stimuli consisted of stereo-defined line drawings of objects that either protruded in front of a flat background ("front"), or were sunk into the background ("back"). Despite the similarity in the local feature structure of the two conditions, object recognition was superior in the "front" compared to the "back" configuration. We measured both recognition rates and fMRI signal from the human visual cortex while subjects viewed these stimuli. The results reveal shape selective activation from images of objects defined purely by stereoscopic cues in the human ventral stream. Furthermore, they show a significant correlation between recognition and fMRI signal in the object-related occipito-temporal cortex (lateral occipital complex).

Adult↗

PubMed2002

Convergence of visual and tactile shape processing in the human lateral occipital complex.

We have recently demonstrated using fMRI that a region within the human lateral occipital complex (LOC) is activated by objects when either seen or touched. We term this cortical region LOtv for the lateral occipital tactile-visual region. We report here that LOtv voxels tend to be located in sub-regions of LOC that show preference for graspable visual objects over faces or houses. We further examine the nature of object representation in LOtv by studying its response to stimuli in three modalities: auditory, somatosensory and visual. If objects activate LOtv, irrespective of the modality used, the activation is likely to reflect a highly abstract representation. In contrast, activation specific to vision and touch may reflect common and exclusive attributes shared by these senses. We show here that while object activation is robust in both the visual and the somatosensory modalities, auditory signals do not evoke substantial responses in this region. The lack of auditory activation in LOtv cannot be explained by differences in task performance or by an ineffective auditory stimulation. Unlike vision and touch, auditory information contributes little to the recovery of the precise shape of objects. We therefore suggest that LOtv is involved in recovering the geometrical shape of objects.

Acoustic Stimulation↗

PubMed2002

Contrast sensitivity in human visual areas and its relationship to object recognition.

An important characteristic of visual perception is the fact that object recognition is largely immune to changes in viewing conditions. This invariance is obtained within a sequence of ventral stream visual areas beginning in area V1 and ending in high order occipito-temporal object areas (the lateral occipital complex, LOC). Here we studied whether this transformation could be observed in the contrast response of these areas. Subjects were presented with line drawings of common objects and faces in five different contrast levels (0, 4, 6, 10, and 100%). Our results show that indeed there was a gradual trend of increasing contrast invariance moving from area V1, which manifested high sensitivity to contrast changes, to the LOC, which showed a significantly higher degree of invariance at suprathreshold contrasts (from 10 to 100%). The trend toward increased invariance could be observed for both face and object images; however, it was more complete for the face images, while object images still manifested substantial sensitivity to contrast changes. Control experiments ruled out the involvement of attention effects or hemodynamic "ceiling" in producing the contrast invariance. The transition from V1 to LOC was gradual with areas along the ventral stream becoming increasingly contrast-invariant. These results further stress the hierarchical and gradual nature of the transition from early retinotopic areas to high order ones, in the build-up of abstract object representations.

Adult↗