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Biomedical subjects

Tomohisa Okada

Publications and source records attributed to Tomohisa Okada.

At least 19 recordsLinked to original sources

Clinical value of manual fusion of PET and CT images in patients with suspected recurrent colorectal cancer.

OBJECTIVE: The purpose of this study was to compare the diagnostic performance of manually fused PET images obtained using 18F-FDG and CT images with that of CT alone, PET alone, and conventional side-by-side review of PET images and CT images (hereafter referred to as "PET + CT") in patients with suspected recurrent colorectal cancer. MATERIALS AND METHODS: Ethics committee approval and informed consent were obtained. Sixty-three patients with suspected recurrent colorectal cancer underwent whole-body 18F-FDG PET followed by diagnostic CT. The acquired PET and CT images were merged on a workstation on a pixel-to-pixel basis. CT, PET, PET + CT, and fused images were evaluated separately in terms of the presence or absence of recurrence, new metastases, or both using a 5-point grading scale (0 = definitely negative, 1 = probably negative, 2 = equivocal, 3 = probably positive, and 4 = definitely positive). Lesions determined to be grade 3 or 4 were considered positive, and diagnostic accuracy and certainty were evaluated with statistical analysis using the chi-square test for independence. RESULTS: Of 119 pathologically or clinically confirmed lesions in 36 patients, evaluation of CT, PET, PET + CT, and fused images resulted in the detection of 75 (63%), 84 (71%), 91 (76%), and 111 (93%) lesions, respectively (p < 0.01) with the number of grade 4 lesions detected being 59 (50%), 72 (61%), 84 (71%), and 108 (91%), respectively (p < 0.01). Overall, the diagnostic accuracy of CT, PET, PET + CT, and fused images according to patient were 78%, 79%, 84%, and 92%, respectively (p = 0.13). CONCLUSION: Interpreting fused images provided more accurate diagnoses than interpreting CT, PET, or PET + CT images. This method of manually fusing separately obtained PET and CT images increased the diagnostic certainty for detecting colorectal cancer recurrence and decreased the number of equivocal cases.

Adult↗

Practice makes perfect: the neural substrates of tactile discrimination by Mah-Jong experts include the primary visual cortex.

BACKGROUND: It has yet to be determined whether visual-tactile cross-modal plasticity due to visual deprivation, particularly in the primary visual cortex (V1), is solely due to visual deprivation or if it is a result of long-term tactile training. Here we conducted an fMRI study with normally-sighted participants who had undergone long-term training on the tactile shape discrimination of the two dimensional (2D) shapes on Mah-Jong tiles (Mah-Jong experts). Eight Mah-Jong experts and twelve healthy volunteers who were naïve to Mah-Jong performed a tactile shape matching task using Mah-Jong tiles with no visual input. Furthermore, seven out of eight experts performed a tactile shape matching task with unfamiliar 2D Braille characters. RESULTS: When participants performed tactile discrimination of Mah-Jong tiles, the left lateral occipital cortex (LO) and V1 were activated in the well-trained subjects. In the naïve subjects, the LO was activated but V1 was not activated. Both the LO and V1 of the well-trained subjects were activated during Braille tactile discrimination tasks. CONCLUSION: The activation of V1 in subjects trained in tactile discrimination may represent altered cross-modal responses as a result of long-term training.

Adult↗

Volume of left amygdala subregion predicted temperamental trait of harm avoidance in female young subjects. A voxel-based morphometry study.

We investigated the relationship between temperamental predisposition and brain structure by using a standard questionnaire and high-resolution T1-weighted magnetic resonance image (MRI) in normal young volunteers. Fifty-six subjects completed the Japanese version of the Temperament and Character Inventory (TCI, 125 items) and underwent an MRI acquisition of the brain. The gray matter (GM) was extracted from the whole brain image of the subjects and normalized to the standard brain template using statistical parametric mapping and the optimized voxel-based morphometry (VBM) method. When the score on the harm avoidance (HA) subscale was used as a dependent variable, the multiple regression analysis revealed that the HA score positively correlated with the volume of the part of left amygdala. The region-of-interest analysis showed that the correlation was significant in the female subjects but not in the male subjects. The correlation was significant even after the effects of age, depression score, and total GM volume were taken into account. The differential correlation between the sexes may be caused by differences in hormonal condition and the vulnerability of women to socio-psychological stress. In addition, the novelty seeking (NS) score positively correlated with the GM of the left middle frontal gyrus. The volume of the tail of the right caudate nucleus positively correlated with the reward dependence (RD) score. With regard to the NS and RD scores, no significant sex difference was observed in the correlation. These results indicate that the temperamental traits measured using the questionnaire may have a morphological basis in the human brain.

Adult↗

The unusual micelle micropolarity of partially fluorinated gemini surfactants sensed by pyrene fluorescence.

New gemini surfactants having two fluorocarbon chains were prepared by refluxing partially fluorinated alkyl bromide with N,N,N',N'-tetramethyl-1,6-diaminohexane in acetonitrile. The partially fluorinated gemini surfactants containing a six-methylene spacer chain are easily soluble in water. The critical micelle concentrations (cmc's) were determined by various fluorescent probe methods. The hydrophobicity of a CF2 group was estimated to be 1.5 times that of a CH2 group according to the cmc values. The micelle micropolarity of a fluorocarbon gemini sensed by pyrene fluorescence was unusually high, suggesting an apparent iceberg-like environment in the location of pyrene. The significantly small micelle aggregation numbers of fluorinated gemini surfactants were ascertained by the pyrene fluorescence quenching method. The micelle ionization degree estimated by fluorescence quenching of 6-methoxy-N-(3-sulfopropyl)quinolinium (SPQ) gave tendencies similar to those of the corresponding hydrocarbon geminis.

Journal Article↗

Reduced responsiveness is an essential feature of chronic fatigue syndrome: a fMRI study.

BACKGROUND: Although the neural mechanism of chronic fatigue syndrome has been investigated by a number of researchers, it remains poorly understood. METHODS: Using functional magnetic resonance imaging, we studied brain responsiveness in 6 male chronic fatigue syndrome patients and in 7 age-matched male healthy volunteers. Responsiveness of auditory cortices to transient, short-lived, noise reduction was measured while subjects performed a fatigue-inducing continual visual search task. RESULTS: Responsiveness of the task-dependent brain regions was decreased after the fatigue-inducing task in the normal and chronic fatigue syndrome subjects and the decrement of the responsiveness was equivalent between the 2 groups. In contrast, during the fatigue-inducing period, although responsiveness of auditory cortices remained constant in the normal subjects, it was attenuated in the chronic fatigue syndrome patients. In addition, the rate of this attenuation was positively correlated with the subjective sensation of fatigue as measured using a fatigue visual analogue scale, immediately before the magnetic resonance imaging session. CONCLUSION: Chronic fatigue syndrome may be characterised by attenuation of the responsiveness to stimuli not directly related to the fatigue-inducing task.

Adult↗

Hemodynamic and electrophysiological relationship involved in human face processing: evidence from a combined fMRI-ERP study.

Functional magnetic resonance imaging (fMRI) and event-related potential (ERP) experiments were conducted in the same group of subjects and with an identical task paradigm to investigate a possible relationship between hemodynamic and electrophysiological responses within the brain. The subjects were instructed to judge whether visually presented stimuli were faces or houses and then press the corresponding button. Functional MRI identified face- and house-related regions in the lateral and medial part of the fusiform gyrus, respectively, while ERP showed significantly greater N170 negativity for face than for house stimuli in the temporo-occipital electrodes. Correlation analysis between the BOLD signal in the fusiform gyrus and ERP parameters demonstrated a close relationship between the signal and both latency and amplitude of N170 across the subjects. These correlations may indicate that the variation in cognitive demand and hemodynamic responses during the face/house discrimination task is coupled with the variation of N170 peak latency/amplitude across the subjects. Thus, integrative analysis of spatial and temporal information obtained from the two experimental modalities may help in studying neural correlates involved in a particular cognitive task.

Adult↗

Neural correlates of the spontaneous phase transition during bimanual coordination.

Repetitive bimanual finger-tapping movements tend toward mirror symmetry: There is a spontaneous transition from less stable asymmetrical movement patterns to more stable symmetrical ones under frequency stress but not vice versa. During this phase transition, the interaction between the signals controlling each hand (cross talk) is expected to be prominent. To depict the regions of the brain in which cortical cross talk occurs during bimanual coordination, we conducted event-related functional magnetic resonance imaging using a bimanual repetitive-tapping task. Transition-related activity was found in the following areas: the bilateral ventral premotor cortex, inferior frontal gyrus, middle frontal gyrus, inferior parietal lobule, insula, and thalamus; the right rostral portion of the dorsal premotor cortex and midbrain; the left cerebellum; and the presupplementary motor area, rostral cingulate zone, and corpus callosum. These regions were discrete from those activated by bimanual movement execution. The phase-transition-related activation was right lateralized in the prefrontal, premotor, and parietal regions. These findings suggest that the cortical neural cross talk occurs in the distributed networks upstream of the primary motor cortex through asymmetric interhemispheric interaction.

Action Potentials↗

The representation of the human oral area in the somatosensory cortex: a functional MRI study.

The tactile sensation of the teeth is involved in various oral functions, such as mastication and speech. Using functional magnetic resonance imaging, we investigated the cortical sensory representation of the oral area, including the teeth. First, we identified the somatotopic representation of the lips, teeth and tongue in the postcentral gyrus (GpoC). Tactile stimuli were applied to the lower lip, tongue and teeth. The foci activated by each stimulus were characterized by the center of gravity (COG) of activated areas. Secondly, we examined the rostro-caudal changes in the somatotopic organization in the GPoC in terms of the overlap between each sensory representation. In the rostral portion of the GPoC, the COG of the representation of teeth was located significantly superior to that of the tongue and inferior to that of the lip, consistent with the classical 'sensory homunculus' proposed by Penfield; however, this somatotopic representation became unclear in the middle and caudal portions of the GPoC. The overlap between each representation in the middle and caudal portions of the GPoC was significantly greater than that in the rostral portion of the GPoC. These findings support the theory that the input from oral structures converges hierarchically across the primary somatosensory cortex.

Adult↗

Hemispheric asymmetry emerges at distinct parts of the occipitotemporal cortex for objects, logograms and phonograms: a functional MRI study.

Behavioral and neuropsychological studies have suggested that the right hemisphere has a special advantage in the visual recognition of logograms. While this long-standing 'right hemisphere hypothesis' has never been investigated systematically by previous neuroimaging studies, a candidate neural substrate of such asymmetry might be found within the occipitotemporal cortex that is known to exhibit lateralized response to a certain class of stimuli, such as letters and faces. The present study examined the hemispheric specialization of brain activation during naming of objects, logograms and phonograms using functional magnetic resonance imaging. The three types of stimuli overall produced left-predominant activation of the perisylvian and inferior parietal regions relative to the resting baseline. This inter-hemispheric difference was significant irrespective of the stimuli type. In the occipitotemporal cortex, six subregions showing lateralized response were identified. That is, the three stimuli commonly produced left-lateralized response in the posterior fusiform and superior temporal gyri and right-lateralized response in the extrastriate cortex. Only logograms and objects produced a distinct cluster showing right-lateralized activation in the medial anterior fusiform gyrus associated with semantic knowledge, whereas only phonograms produced a left-lateralized activation in the posterior middle temporal cortex close to the site associated with visual perception of alphabetical letters. These findings suggest that while these stimuli similarly recruit the left perisylvian language area as a common neural component for naming, processing of objects and logograms becomes left-lateralized only in the downstream of the occipitotemporal cortex. By contrast, visual processing of phonograms is specialized to the left hemisphere in earlier stages of the area. The present data provide further evidence suggesting that both the left-right and anterior-posterior axes of the occipitotemporal cortex are differentially tuned according to the specific features of visual stimuli.

Adult↗

A variant C178T in the regulatory region of the serotonin receptor gene HTR3A modulates neural activation in the human amygdala.

Converging evidence in neurophysiological and neuroimaging studies has suggested that the limbic and prefrontal systems play important roles in emotion and cognition. These structures are activated when we see a human face, assuming that we automatically evaluate the biological significance of the stimuli. The serotonin (5-HT) system within the brain has been tied to various behaviors such as mood and anxiety and to the biology of neuropsychiatric disorders. To investigate the link between the 5-HT system and limbic/prefrontal activity, normal subjects (n = 26) who underwent functional magnetic resonance imaging and faced recognition tasks were genotyped for the single nucleotide polymorphism C178T in the regulatory region of the serotonin receptor type 3 gene (HTR3A). We found that the subjects with C/C alleles had greater activity in the amygdala and dorsal and medial prefrontal cortices than those with C/T alleles. The C/C group also showed a faster reaction time during the task than the C/T group. The temperamental predisposition of the subjects had a significant correlation with brain activity in the C/C group. The genotype effect in the right amygdala and prefrontal cortex was largest during the first run of the experiment. These results indicate that the C178T variation in the HTR3A has a critical influence on the amygdaloid activity and on human face processing, probably through regulation of the receptor expression. The present study may contribute to elucidating a possible link among genes, the brain, and behavior in normal populations and may help reveal the biological basis of neuropsychiatric disorders.

Adult↗

Removing the effects of task-related motion using independent-component analysis.

Task-related motion is a major source of noise in functional magnetic-resonance imaging (fMRI) time series. The motion effect usually persists even after perfect spatial realignment is achieved. Here, we propose a new method to remove a certain type of task-related motion effect that persists after realignment. The procedure consists of the following: the decomposition of the realigned time-series data into spatially-independent components using independent-component analysis (ICA); the automatic classification and rejection of the ICs of the task-related residual motion effects; and finally, a reconstruction without them. To classify the ICs, we utilized the associated task-related changes in signal intensity and variance. The effectiveness of the method was verified using an fMRI experiment that explicitly included head motion as a main effect. The results indicate that our ICA-based method removed the task-related motion effects more effectively than the conventional voxel-wise regression-based method.

Algorithms↗

The pituitary gland: changes on MR images during the 1st year after delivery.

PURPOSE: To longitudinally and prospectively investigate changes in the volume and signal intensity on T1-weighted magnetic resonance (MR) images of the pituitary gland up to 1 year after delivery and evaluate whether termination of lactation has an effect on these parameters. MATERIALS AND METHODS: All participants provided informed consent for participation in the study, which was approved by the institutional review board. Thirteen volunteers (mean age, 28 years; age range, 26-32 years) underwent MR imaging 2 and 4 weeks after delivery and then at intervals of 0.5-2.0 months until 1 year after delivery. Eight participants terminated lactation during the study period. Sagittal and coronal T1-weighted images were obtained. Signal intensities of the anterior and posterior lobes of the pituitary were calculated relative to that of the pons. The volume of the pituitary was also calculated. Two-tailed paired Student t tests and separate simple linear regression analyses were used to test for statistically significant differences. RESULTS: The mean pituitary volume was 544 mm3 at 2 weeks, 523 mm3 at 4 months, 512 mm3 at 8 months, and 511 mm3 at 12 months after delivery, with significant differences between 2 weeks and 4 months (P = .002) and between 4 and 8 months (P = .003) after delivery. The mean ratio of the signal intensity of the anterior lobe of the pituitary to the signal intensity of the pons was 1.11 at 2 weeks, 1.07 at 4 months, 1.03 at 8 months, and 1.00 at 12 months after delivery, with significant differences between 2 weeks and 4 months (P = .004) and between 4 and 8 months (P = .0001) after delivery. Termination of lactation had no statistically significant effect on pituitary volume or the ratio of the signal intensity of the anterior or posterior lobe of the pituitary to the signal intensity of the pons. CONCLUSION: The volume of the pituitary gland decreases up to 8 months after delivery, and the T1-weighted signal intensity of the anterior lobe of the pituitary decreases; termination of lactation has no statistically significant effect on these parameters.

Adult↗

Evaluating frequency-wise directed connectivity of BOLD signals applying relative power contribution with the linear multivariate time-series models.

In this article, we propose a statistical method to evaluate directed interactions of functional magnetic-resonance imaging (fMRI) data. The multivariate autoregressive (MAR) model was combined with the relative power contribution (RPC) in this analysis. The MAR model was fitted to the data to specify the direction of connections, and the RPC quantifies the strength of connections. As the RPC is computed in the frequency domain, we can evaluate the connectivity for each frequency component. From this, we can establish whether the specified connections represent low- or high-frequency connectivity, which cannot be examined solely using the estimated MAR coefficients. We applied this analysis method to fMRI data obtained during visual motion tasks, confirming previous reports of bottom-up connectivity around the frequency corresponding to the block experimental design. Furthermore, we used the MAR model with exogenous variables (MARX) to extend our understanding of these data, and to show how the input to V1 transfers to higher cortical areas.

Cerebral Cortex↗

Cross-modal binding and activated attentional networks during audio-visual speech integration: a functional MRI study.

We evaluated the neural substrates of cross-modal binding and divided attention during audio-visual speech integration using functional magnetic resonance imaging. The subjects (n = 17) were exposed to phonemically concordant or discordant auditory and visual speech stimuli. Three different matching tasks were performed: auditory-auditory (AA), visual-visual (VV) and auditory-visual (AV). Subjects were asked whether the prompted pair were congruent or not. We defined the neural substrates for the within-modal matching tasks by VV-AA and AA-VV. We defined the cross-modal area as the intersection of the loci defined by AV-AA and AV-VV. The auditory task activated the bilateral anterior superior temporal gyrus and superior temporal sulcus, the left planum temporale and left lingual gyrus. The visual task activated the bilateral middle and inferior frontal gyrus, right occipito-temporal junction, intraparietal sulcus and left cerebellum. The bilateral dorsal premotor cortex, posterior parietal cortex (including the bilateral superior parietal lobule and the left intraparietal sulcus) and right cerebellum showed more prominent activation during AV compared with AA and VV. Within these areas, the posterior parietal cortex showed more activation during concordant than discordant stimuli, and hence was related to cross-modal binding. Our results indicate a close relationship between cross-modal attentional control and cross-modal binding during speech reading.

Adult↗

Linking semantic priming effect in functional MRI and event-related potentials.

The aim of this study is to examine the neural substrates involved in semantic priming using a combined event-related functional magnetic resonance imaging (fMRI) and event-related potentials (ERP) study. Twelve subjects were instructed to judge whether the presented target word was a real word or a nonword. Under the related condition, target words were preceded by a semantically related prime word. On the other hand, under the unrelated condition, prime words did not have semantic relatedness with the target word. The reaction time for reaching a judgment was longer under the unrelated condition than under the related condition, indicating that the recognition of target words is promoted by semantic priming under the related condition. In the fMRI results, we found reduced activity in the dorsal and ventral left inferior frontal gyrus, the anterior cingulate, and left superior temporal cortex for related versus unrelated conditions (i.e., the repetition suppression effect). ERP analysis revealed that the amplitude of the N400 component was reduced under the related condition compared with the unrelated condition (i.e., the N400 priming effect). Correlation analysis between the BOLD repetition suppression effect and the N400 priming effect decomposed by independent component analysis (ICA) across subjects showed significant correlation in the left superior temporal gyrus. This finding is consistent with the recent MEG data suggesting that the source of N400 is judged to be the bilateral superior temporal lobe. We discussed this finding herein in relation to the modulation of access to the phonological representation caused by semantic priming.

Adult↗

Magnetic field strength increase yields significantly greater contrast-to-noise ratio increase: Measured using BOLD contrast in the primary visual area.

RATIONALE AND OBJECTIVE: The advantage of a higher static magnetic field for functional MRI has been advocated; however, the observed advantage varies. The aim of this study was to evaluate the effect of increasing static magnetic field strength on the task-related increase in blood oxygenation level-dependent (BOLD) signal and residual noise with visual stimuli of different frequencies, which may enable better comparisons of results of different MRI scanners. MATERIALS AND METHODS: Eight right-handed healthy volunteers were presented checkerboard stimuli flickering at 5 different frequencies up to 8 Hz. Field strengths of 3 T or 1.5 T were used to measure frequency-dependent signal changes in the primary visual area. Regression analysis was performed for the signal increase and the "noise," which was defined by the root mean of squares of the residual signal fluctuation. These values were compared and their relationship was analyzed. Imaging parameters were identical except for the use of a 25% shorter echo time using 3 T. RESULTS: The frequency-dependent increase in BOLD signal using 3 T was twice that using 1.5 T. In contrast, the ratio of noise values that reflect time-course signal fluctuation (3 T/1.5 T) was only 0.88. There was large individual variance in these values, but the slope and noise values were linearly related using either field strength. The contrast-to-noise ratio using 3 T was 2.3 times higher than that using 1.5 T. CONCLUSION: There was a greater-than-linear increase in the contrast-to-noise ratio compared with the increase of field strength, demonstrating an advantage of using higher field strengths in fMRI studies.

Adult↗

Accuracy of image fusion using a fixation device for whole-body cancer imaging.

OBJECTIVE: The purpose of this study was to evaluate the clinical feasibility of a simple image fusion technique with PET and CT images acquired separately using a vacuum cushion as a fixation device. SUBJECTS AND METHODS: Forty-four patients underwent whole-body PET using 18F-fluoro-2-deoxy-D-glucose (FDG) followed by CT with IV contrast material. The patients were carefully fixed in an individually molded cushion to provide the same positioning for both examinations. The PET and CT images were fused on a workstation by using the lower margin of the urinary bladder as a reference. The degree of misregistration was evaluated for the physiologic uptake of the liver and kidneys and for the pathologic uptake of lesions. RESULTS: The average deviation of the center point of the liver between the two images was 6.6 +/- 8.7 (SD) mm in the craniocaudal direction, 1.9 +/- 5.1 mm in the anteroposterior direction, and 2.3 +/- 7.0 mm in the right-left direction. This value in the craniocaudal direction was 4.7 +/- 8.7 mm in the right kidney and 4.0 +/- 8.8 mm in the left kidney. Above the diaphragm, the deviations of the center point of movable and static lesions were 11.7 +/- 3.4 mm and 10.4 +/- 5.3 mm, respectively. Below the diaphragm, those of movable and static lesions were 9.7 +/- 2.5 mm and 6.9 +/- 2.9 mm, respectively. CONCLUSION: Our preliminary data indicate that this technique is a simple and practical method for manual image fusion that may be acceptable in clinical settings.

Feasibility Studies↗

Tactile estimation of the roughness of gratings yields a graded response in the human brain: an fMRI study.

Human subjects can tactually estimate the magnitude of surface roughness. Although many psychophysical and neurophysiological experiments have elucidated the peripheral neural mechanisms that underlie tactile roughness estimation, the associated cortical mechanisms are not well understood. To identify the brain regions responsible for the tactile estimation of surface roughness, we used functional magnetic resonance imaging (fMRI). We utilized a combination of categorical (subtraction) and parametric factorial approaches wherein roughness was varied during both the task and its control. Fourteen human subjects performed a tactile roughness-estimation task and received the identical tactile stimulation without estimation (no-estimation task). The bilateral parietal operculum (PO), insula and right lateral prefrontal cortex showed roughness-related activation. The bilateral PO and insula showed activation during the no-estimation task, and hence might represent the sensory-based processing during roughness estimation. By contrast, the right prefrontal cortex is more related to the cognitive processing, as there was activation during the estimation task compared with the no-estimation task, but little activation was observed during the no-estimation task in comparison with rest. The lateral prefrontal area might play an important cognitive role in tactile estimation of surface roughness, whereas the PO and insula might be involved in the sensory processing that is important for estimating surface roughness.

Adult↗