Biomedical subjects

Yu-Te Wu

Publications and source records attributed to Yu-Te Wu.

14 recordsLinked to original sources

PubMed2007

Classification of spatiotemporal hemodynamics from brain perfusion MR images using expectation-maximization estimation with finite mixture of multivariate gaussian distributions.

The ability to cluster different perfusion compartments in the brain is critical for analyzing brain perfusion. This study presents a method based on a mixture of multivariate Gaussians (MoMG) and the expectation-maximization (EM) algorithm to dissect various perfusion compartments from dynamic susceptibility contrast (DSC) MR images so that each compartment comprises pixels of similar signal-time curves. This EM-based method provides an objective way to 1) delineate an area to serve as the in-plane arterial input function (AIF) of the feeding artery for adjacent tissues to better quantify the relative cerebral blood volume (rCBV), relative cerebral blood flow (rCBF), and mean transit time (MTT); 2) demarcate regions with abnormal perfusion derangement to facilitate diagnosis; and 3) obtain parametric maps with supplementary information, such as temporal scenarios and recirculation of contrast agent. Results from normal subjects show that perfusion cascade manifests (in order of appearance) the arteries, gray matter (GM), white matter (WM), veins and sinuses, and choroid plexus mixed with cerebrospinal fluid (CSF). The averaged rCBV, rCBF, and MTT ratios between GM and WM are in good agreement with those in the literature. Results from a patient with cerebral arteriovenous malformation (CAVM) showed distinct spatiotemporal characteristics between perfusion patterns, which allowed differentiation between pathological and nonpathological areas.

Adolescent↗

PubMed2006

The brain computer interface using flash visual evoked potential and independent component analysis.

In this study flashing stimuli, such as digits or letters, are displayed on a LCD screen to induce flash visual evoked potentials (FVEPs). The aim of the proposed interface is to generate desired strings while one stares at target stimulus one after one. To effectively extract visually-induced neural activities with superior signal-to-noise ratio, independent component analysis (ICA) is employed to decompose the measured EEG and task-related components are subsequently selected for data reconstruction. In addition, all the flickering sequences are designed to be mutually independent in order to remove the contamination induced by surrounding non-target stimuli from the ICA-recovered signals. Since FVEPs are time-locked and phase-locked to flash onsets of gazed stimulus, segmented epochs from ICA-recovered signals based on flash onsets of gazed stimulus will be sharpen after averaging whereas those based on flash onsets of non-gazed stimuli will be suppressed after averaging. The stimulus inducing the largest averaged FVEPs is identified as the gazed target and corresponding digit or letter is sent out. Five subjects were asked to gaze at each stimulus. The mean detection accuracy resulted from averaging 15 epochs was 99.7%. Another experiment was to generate a specified string '0287513694E'. The mean accuracy and information transfer rates were 83% and 23.06 bits/min, respectively.

Adult↗

PubMed2006

Dimensional complexity of neuromagnetic activity reduced during finger movement of greater difficulty.

OBJECTIVE: We investigated the variation in dimensionality (D2) of neuromagnetic activity over the primary sensorimotor cortex (SM1) in healthy adults performing motor tasks of different difficulty. METHODS: Magnetoencephalography (MEG) was used to record neuromagnetic activity during self-paced, brisk unimanual finger extension at a rate of 1 and 2 Hz using the index finger of the dominant and non-dominant hands in 16 healthy subjects. Motor task difficulty was rated by the relative difference in time measurement between 1 and 2 Hz finger movements of both hands. The relative difference in dimensionality of SM1 activity was calculated by subtracting the D2 value in 2 Hz movement from that in 1 Hz one within subjects. RESULTS: Simple regression analyses show a significantly negative relationship between the relative dimensional complexity and the relative motor task difficulty in the contralateral SM1 for the left- (p<0.05), but not the right- (p=0.447) hand movement. CONCLUSIONS: The present data suggest that a motor task of greater difficulty may engender a reduction of simultaneously active quasi-independent neuronal generators in the contralateral SM1 underpinned by stronger neuronal connectivity of a relatively low dimensionality. SIGNIFICANCE: The decrease in dimensional complexity of MEG activity associated with a motor task of greater difficulty gives new insights to motor control strategy.

Adult↗

PubMed2005

Riluzole augmentation in treatment-resistant obsessive-compulsive disorder: an open-label trial.

BACKGROUND: Most patients with obsessive-compulsive disorder (OCD) show only partial reduction of symptoms with standard therapy. Recent imaging data suggests glutamatergic dysfunction in the corticostriatal pathway in OCD. We investigated the efficacy of augmentation therapy with riluzole, a glutamate-modulating agent, in treatment-resistant OCD. METHODS: Thirteen patients aged between 18 and 65 years with a primary diagnosis of OCD that had proven resistant to standard treatment were treated with the addition of riluzole to their existing pharmacotherapy. Yale-Brown Obsessive Compulsive Scale (Y-BOCS), Hamilton Depression Inventory (HAM-D), and Hamilton Anxiety Inventory (HAM-A) scores were obtained weekly. RESULTS: Thirteen treatment-resistant OCD patients received riluzole 50 mg twice a day. Y-BOCS scores improved significantly over time. Of 13 patients, 7 (54%) demonstrated a >35% reduction in Y-BOCS scores, and 5 (39%) were categorized as treatment responders. HAM-D and HAM-A scores for the group also significantly improved over time. Riluzole was well tolerated with no serious adverse effects noted. CONCLUSIONS: Riluzole appears to have significant antiobsessional, antidepressant, and antianxiety properties. The addition of this agent may be of practical clinical benefit in patients with OCD.

Adult↗

PubMed2005

Spatiotemporal brain dynamics in response to muscle stimulation.

The objective of the present study was to assess the spatiotemporal scenario of brain activity associated with sensory stimulation of the abductor pollicis brevis muscle. Spatiotemporal dipole models, using realistic individual boundary element head models, were built from somatosensory evoked potentials (SEPs; 64 Ch. EEG) to nonpainful and painful intramuscular electrostimulation (IMES) as well as to cutaneous electrostimulation delivered to the distal phalanx of the thumb. Nonpainful and painful muscle stimuli resulted in activation of the same brain regions. In temporal order, these were: the contralateral primary sensorimotor cortex, contralateral dorso-lateral premotor area (PM), bilateral operculo-insular cortices, caudal cingulate motor area (CMA), and posterior cingulate cortex/precuneus. Brain processing induced by muscle sensory input showed a characteristic pattern in contrast to cutaneous sensory input, namely: (1) no early SEP components to IMES; (2) an initial IMES component likely generated by proprioceptive input is not present for digit stimulation; (3) one source was located in the PM only for IMES. This source was unmasked by the lower stimulus intensity; (4) a source for IMES was located in the contralateral caudal CMA rather than being located in the cingulate gyrus. Cerebral sensory processing of input from the muscle involved several sensory and motor areas and likely occurs in two parallel streams subserving higher order somatosensory processing as well as sensory-motor integration. The two streams might on one hand involve sensory discrimination via SI and SII and on the other hand integration of sensory feedback for further motor processing via MI, lateral PM area, and caudal CMA.

Adult↗

PubMed2005

Recognition of motor imagery electroencephalography using independent component analysis and machine classifiers.

Motor imagery electroencephalography (EEG), which embodies cortical potentials during mental simulation of left or right finger lifting tasks, can be used to provide neural input signals to activate a brain computer interface (BCI). The effectiveness of such an EEG-based BCI system relies on two indispensable components: distinguishable patterns of brain signals and accurate classifiers. This work aims to extract two reliable neural features, termed contralateral and ipsilateral rebound maps, by removing artifacts from motor imagery EEG based on independent component analysis (ICA), and to employ four classifiers to investigate the efficacy of rebound maps. Results demonstrate that, with the use of ICA, recognition rates for four classifiers (fisher linear discriminant (FLD), back-propagation neural network (BP-NN), radial-basis function neural network (RBF-NN), and support vector machine (SVM)) improved significantly, from 54%, 54%, 57% and 55% to 70.5%, 75.5%, 76.5% and 77.3%, respectively. In addition, the areas under the receiver operating characteristics (ROC) curve, which assess the quality of classification over a wide range of misclassification costs, also improved from .65, .60, .62, and .64 to .74, .76, .80 and .81, respectively.

Adult↗

PubMed2004

Subtype-specific alterations of gamma-aminobutyric acid and glutamate in patients with major depression.

BACKGROUND: Measurement of cortical gamma-aminobutyric acid (GABA) and glutamate concentrations is possible using proton magnetic resonance spectroscopy. An initial report, using this technique, suggested that occipital cortex GABA concentrations are reduced in patients with major depressive disorder (MDD) relative to healthy comparison subjects. OBJECTIVES: To replicate the GABA findings in a larger sample of MDD patients, to examine the clinical correlates of the GABA reductions in these subjects, and to examine other critical metabolite levels. DESIGN: Study for association. SETTING: Academic clinical research program. PARTICIPANTS: The GABA measurements were made on 38 healthy control subjects and 33 depressed subjects. INTERVENTIONS: Occipital cortex metabolite levels were measured using proton magnetic resonance spectroscopy. MAIN OUTCOME MEASURES: The levels of occipital cortex GABA, glutamate, N-acetylaspartate, aspartate, creatine, and choline-containing compounds, along with several measures of tissue composition, were compared between the 2 groups. RESULTS: Depressed subjects had significantly lower occipital cortex GABA concentrations compared with healthy controls (P =.01). In addition, mean glutamate levels were significantly increased in depressed subjects compared with healthy controls (P<.001). Significant reductions in the percentage of solid tissue (P =.009) and the percentage of white matter (P =.04) in the voxel were also observed. An examination of a combined database including subjects from the original study suggests that GABA and glutamate concentrations differ among MDD subtypes. CONCLUSIONS: The study replicates the findings of decreased GABA concentrations in the occipital cortex of subjects with MDD. It also demonstrates that there is a change in the ratio of excitatory-inhibitory neurotransmitter levels in the cortex of depressed subjects that may be related to altered brain function. Last, the combined data set suggests that magnetic resonance spectroscopy GABA measures may serve as a biological marker for a subtype of MDD.

Adult↗

PubMed2004

Neuronal correlates of consistency and frequency effects on Chinese character naming: an event-related fMRI study.

This event-related functional magnetic resonance imaging (efMRI) study aims to investigate the central representations of Chinese orthography-to-phonology transformation (OPT) by simultaneously manipulating character frequency and consistency. Bilateral inferior frontal cortices (including Broca's area and insula), the left temporoparietal region (superior parietal gyrus and supramarginal gyrus), and the left temporal-occipital junction showed greater activation, especially in low-frequency conditions, when naming inconsistent characters as compared to consistent ones. These findings suggest that these regions are involved in the sublexical conversion of orthographic input into phonological codes in naming Chinese. The similar activation pattern found in these three regions suggests a distributed process, rather than separate neural routes, for lexical and sublexical OPT. In addition, the regions involved in Chinese OPT are congruent with the findings for reading alphabetic scripts and indicate that the neuronal mechanisms for orthography-to-phonology transformation is domain universal across different writing systems.

Adult↗

PubMed2004

The psychotomimetic effects of intravenous delta-9-tetrahydrocannabinol in healthy individuals: implications for psychosis.

Recent advances in the understanding of brain cannabinoid receptor function have renewed interest in the association between cannabinoid compounds and psychosis. In a 3-day, double-blind, randomized, and counterbalanced study, the behavioral, cognitive, and endocrine effects of 0, 2.5, and 5 mg intravenous delta-9-tetrahydrocannabinol (Delta-9-THC) were characterized in 22 healthy individuals, who had been exposed to cannabis but had never been diagnosed with a cannabis abuse disorder. Prospective safety data at 1, 3, and 6 months poststudy was also collected. Delta-9-THC (1) produced schizophrenia-like positive and negative symptoms; (2) altered perception; (3) increased anxiety; (4) produced euphoria; (5) disrupted immediate and delayed word recall, sparing recognition recall; (6) impaired performance on tests of distractibility, verbal fluency, and working memory (7) did not impair orientation; (8) increased plasma cortisol. These data indicate that Delta-9-THC produces a broad range of transient symptoms, behaviors, and cognitive deficits in healthy individuals that resemble some aspects of endogenous psychoses. These data warrant further study of whether brain cannabinoid receptor function contributes to the pathophysiology of psychotic disorders.

Adult↗

PubMed2003

Hemodynamic segmentation of MR brain perfusion images using independent component analysis, thresholding, and Bayesian estimation.

Dynamic-susceptibility-contrast MR perfusion imaging is a widely used imaging tool for in vivo study of cerebral blood perfusion. However, visualization of different hemodynamic compartments is less investigated. In this work, independent component analysis, thresholding, and Bayesian estimation were used to concurrently segment different tissues, i.e., artery, gray matter, white matter, vein and sinus, choroid plexus, and cerebral spinal fluid, with corresponding signal-time curves on perfusion images of five normal volunteers. Based on the spatiotemporal hemodynamics, sequential passages and microcirculation of contrast-agent particles in these tissues were decomposed and analyzed. Late and multiphasic perfusion, indicating the presence of contrast agents, was observed in the choroid plexus and the cerebral spinal fluid. An arterial input function was modeled using the concentration-time curve of the arterial area on the same slice, rather than remote slices, for the deconvolution calculation of relative cerebral blood flow.

Adolescent↗

PubMed2003

ICA-based spatiotemporal approach for single-trial analysis of postmovement MEG beta synchronization.

The extraction of event-related oscillatory neuromagnetic activities from single-trial measurement is challenging due to the non-phase-locked nature and variability from trial to trial. The present study presents a method based on independent component analysis (ICA) and the use of a template-based correlation approach to extract Rolandic beta rhythm from magnetoencephalographic (MEG) measurements of right finger lifting. A single trial recording was decomposed into a set of coupled temporal independent components and corresponding spatial maps using ICA and the reactive beta frequency band for each trial identified using a two-spectrum comparison between the postmovement interval and a reference period. Task-related components survived dual criteria of high correlation with both the temporal and the spatial templates with an acceptance rate of about 80%. Phase and amplitude information for noise-free MEG beta activities were preserved not only for optimal calculation of beta rebound (event-related synchronization) but also for profound penetration into subtle dynamics across trials. Given the high signal-to-noise ratio (SNR) of this method, various methods of source estimation were used on reconstructed single-trial data and the source loci coherently anchored in the vicinity of the primary motor area. This method promises the possibility of a window into the intricate brain dynamics of motor control mechanisms and the cortical pathophysiology of movement disorder on a trial-by-trial basis.

Adult↗

PubMed2002

Loss of interhemispheric inhibition on the ipsilateral primary sensorimotor cortex in patients with brachial plexus injury: fMRI study.

This functional magnetic resonance imaging study verified an antagonistic pattern in which a concomitant deactivation of ipsilateral primary sensorimotor (SM1) was coupled to the contralateral SM1 activation in healthy controls during unimanual hand grasping. Of note, dramatic reduction of ipsilateral SM1 deactivation (loss of antagonistic pattern) was observed during movement of intact hands by patients with unilateral brachial plexus injury. We propose that the disappearance of the antagonistic pattern of SM1 activities in the patients with brachial plexus injury reflects a reduction of interhemispheric inhibition, which may mirror an adaptive mechanism to functional status.

Adult↗

PubMed2002

Event-related functional MRI study on central representation of acute muscle pain induced by electrical stimulation.

Although pathological muscle pain involves a significantly larger population than any other pain condition, the central mechanisms are less explored than those of cutaneous pain. The aims of the study were to establish the pain matrix for muscle pain in the full head volume and, further, to explore the possibility of a functional segregation to nonpainful and painful stimuli within the area of the parasylvian cortex corresponding to the secondary somatosensory area. Additionally, we speculate that a randomization of nonpainful and painful stimuli may target specific structures related to stimulus salience. We used event-related functional magnetic resonance imaging (MRI) and the high sensitivity of the 3-T MRI scanner to study the central processing of acute muscle pain induced by intramuscular electrostimulation. Brief nonpainful and painful stimuli (1-ms duration, interstimulus interval = 12 s) were randomly applied to the left abductor pollicis brevis of 10 subjects. The data disclose a pain matrix for muscle pain similar to that for cutaneous pain. Individual analysis suggests separate representations within the area bounded by the upper bank of the Sylvian fissure (SF) and the circular sulcus of insula (CSI). Nonpainful stimulation activated the superficial parietal operculum adjoining the SF, while the painful condition additionally targeted the deeper parietal operculum bordering the CSI. Randomization of stimuli of different intensities likely introduces cognitive components that engage neural substrates servicing the appreciation of stimulus salience in the context of affect-laden pain imposition.

Acute Disease↗

PubMedDate not supplied

Toward normal perfusion after radiosurgery: perfusion MR Imaging with independent component analysis of brain arteriovenous malformations.

BACKGROUND AND PURPOSE: Brain perfusion is disturbed by cerebral arteriovenous malformations (AVMs). Our study was conducted to determine the radiosurgical effects on this disturbed perfusion. METHODS: MR perfusion imaging with independent component analysis was performed in five healthy subjects and 19 patients with AVM before and after radiosurgery (every 6 months up to 2 years). Perfusion map relative cerebral blood volume (rCBV), cerebral blood flow (rCBF), and mean transient time (rMTT) were assessed. Regions of interest (ROIs) on AVM target sections were defined as follows: N, AVM nidus; H, the rest of the ipsilateral hemisphere; P, immediately posterior to the nidus; A, immediately anterior to the nidus; Ar, anterior remote; Pr, posterior remote. Similar ROIs in the contralateral hemisphere (N1, H1, P1, A1, Pr1, and Ar1) served as internal references. Perfusion ratios of ROI-ROI1 were defined. Nonparameteric Mann-Whitney U tests and generalized linear models were used for statistical analysis. RESULTS: Before radiosurgery, patients' H/H1 rCBV and rCBF ratios were significantly higher than those of healthy subjects (P < .005), indicating AVM steal. Three types of perilesional perfusion disturbance were observed. From the first postradiosurgical follow-up at 6 months, N/N1 rCBV and rCBF ratios gradually decreased to 1.0 (both P < .001), whereas rMTT ratios gradually increased to 1.0 (P < .015); H/H1, A/A1, and P/P1 rCBV and rCBF ratios decreased after radiosurgery (P < .005), indicating reversal of steal toward normal perfusion. CONCLUSION: Initial high transnidal flow and perinidal perfusion disturbances were demonstrated. They gradually changed toward normal perfusion after radiosurgery. This explains, in part, the pathophysiologic factors of AVM and therapeutic effects.

Adult↗