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Perinatal brain injury is a significant contributor to cerebral palsy, epilepsy, and other neurological disorders, occurring from 20 weeks’ gestation to 28 days postnatally. Approximately 40% of cases are associated with premature birth, whereas 11% result from acute intrapartum hypoxia–ischemia (HI). Despite improvements in neonatal care, the incidence remains stable, underscoring the need for better early detection methods. There is a critical “window of opportunity” for therapeutic intervention postinsult, with therapeutic hypothermia being the only established neuroprotective therapy for term infants. However, its efficacy is limited, as many infants continue to suffer disabilities despite treatment. The development of robust biomarkers is essential to identify infants at risk for significant brain injury and to evaluate the effectiveness of treatments. This chapter explores existing and novel biomarkers for assessing injury, determining treatability, and predicting long-term outcomes after HI, ultimately aiming to enhance management strategies for affected infants and improve prognostic abilities in clinical practice.
This chapter focuses on the different types of intracranial hemorrhage that affect preterm and full-term infants. The most common type of intracranial hemorrhage in preterm infants is germinal matrix hemorrhage–intraventricular hemorrhage, whereas full-term infants are more likely to suffer from choroid plexus hemorrhage, subpial hemorrhage, and extra-axial hemorrhages. Advances in neonatal brain imaging, from the limited use of cranial ultrasound (cUS) and computed tomography (CT) in the early 1980s to the widespread application of magnetic resonance imaging (MRI) nowadays, have enabled a more precise diagnosis of smaller and subtler hemorrhagic lesions, as well as white matter injury and punctate cerebellar hemorrhages that are more prevalent in very preterm infants. This chapter also discusses the incidence, risk factors, and management of intracranial hemorrhage, including preventive strategies.
Neuroimaging research in autism often excludes individuals with co-occurring intellectual impairment or minimally verbal status, limiting the generalisability of findings. Understanding magnetic resonance imaging (MRI) scan success predictors in a representative autistic sample is crucial for equitable research.
Aims
This study identified factors predicting successful brain MRI acquisition and data quality in diverse autistic individuals, focusing on including those with intellectual impairment or minimally verbal status.
Method
A total of 122 participants (83 autistic individuals (27 with intellectual impairment, 19 with minimally verbal status) and 39 typically developing controls) received multi-modal brain MRI scans (including structural, resting-state functional and diffusion MRI). Scan success, assessed using both binary criteria and quantitative data-quality metrics, was related to participant characteristics.
Results
Although overall scan success was high, specific factors differentiated success within subgroups. Key factors contributing to scan success included age, non-verbal intelligence and attention-deficit hyperactivity disorder (ADHD) symptoms. Older participants, those with fewer ADHD symptoms and those with higher non-verbal intelligence were more likely to achieve successful scans, regardless of autism diagnosis. Higher data quality, particularly in structural and functional MRI, was associated with higher intelligence, better adaptive functioning, fewer autistic and ADHD symptoms, and fewer behavioural problems.
Conclusions
Identifying these factors is key to designing more inclusive and effective neuroimaging protocols. This work paves the way for more comprehensive research into the neurobiology of the full autism spectrum, and offers insights for improving the clinical MRI experience for autistic individuals with diverse support needs. Individualised strategies may also be useful in clinical settings, helping to improve the experience of MRI scanning for autistic individuals.
Disciplines grow at their boundaries. The interdisciplinary topics considered here fall into three groups. One is mainly concerned with liquids: paramagnetic liquids, ferrofluids, magnetic levitation and confinement, and magnetoelectrochemistry. The second relates to life sciences: magnetism in biology and medicine, magnetic imaging and magnetically aided diagnostics. Finally there is planetary and stellar magnetism, covering the magnetism of rocks and the Earth’s magnetic field, as well as and those of other planets, the Sun and stars.
Chapter 4 examines magnetic resonance imaging (MRI) as a cornerstone technology for visualizing brain structure with remarkable precision. The chapter traces MRI’s development from Wolfgang Pauli’s discovery of nuclear spin properties through Nobel Prize-winning innovations by Bloch, Purcell, Lauterbur, and Mansfield that enabled spatial encoding of magnetic resonance signals. It explains the physical principles underlying MRI and how powerful magnetic fields align hydrogen atoms in tissue, followed by precisely tuned radiofrequency pulses that excite these atoms, resulting in detectable signals that vary by tissue composition. The text explores technical considerations essential for high-quality image acquisition, including magnetic field strength, head coil design, and pulse sequence parameters that determine tissue contrast in T1, T2, and FLAIR imaging. Considerable attention is given to image processing methods, distortion correction, registration, normalization, segmentation, and smoothing that prepare brain images for meaningful analysis. By assessing MRI’s comparative advantages over other structural imaging modalities, including its non-ionizing radiation profile and superior tissue differentiation, alongside practical considerations of safety protocols and experimental design, the chapter discusses MRI’s foundational role in modern neuroimaging while acknowledging the tradeoffs between spatial resolution, acquisition time, and signal quality that researchers must navigate when designing studies.
Cutting-edge computational tools like artificial intelligence, data scraping, and online experiments are leading to new discoveries about the human mind. However, these new methods can be intimidating. This textbook demonstrates how Big Data is transforming the field of psychology, in an approachable and engaging way that is geared toward undergraduate students without any computational training. Each chapter covers a hot topic, such as social networks, smart devices, mobile apps, and computational linguistics. Students are introduced to the types of Big Data one can collect, the methods for analyzing such data, and the psychological theories we can address. Each chapter also includes discussion of real-world applications and ethical issues. Supplementary resources include an instructor manual with assignment questions and sample answers, figures and tables, and varied resources for students such as interactive class exercises, experiment demos, articles, and tools.
As we think and act, the brain is constantly producing Big Data in the firing of its neurons and in the connections that are strengthened and weakened. This chapter discusses how we can study the brain and the Big Data that it creates. First, we discuss how clever behavioral tasks, looking at development and other species, and natural variation across people are our first tools for understanding the brain. Next, we delve into describing several popular brain imaging methods – direct recording, electroencephalography, magnetoencephalography, magnetic resonance imaging, and a few others. We discuss how to interpret the Big Data shown by brain maps, and some Big Data methods like multiple comparisons correction to consider when viewing this data. Finally, we end the chapter discussing the ethical question of whether such neuroimaging allows mindreading.
Edited by
Allan Young, Institute of Psychiatry, King's College London,Marsal Sanches, Baylor College of Medicine, Texas,Jair C. Soares, McGovern Medical School, The University of Texas,Mario Juruena, King's College London
This chapter focuses on how recent advances in neuroimaging methods have increased our understanding of a key treatment for bipolar disorder, lithium. Structural magnetic resonance imaging (sMRI) studies suggest that lithium normalises both global and regional reductions in grey matter volume associated with bipolar disorder, while diffusion-weighted imaging (dMRI) studies have shed light on lithium’s potential to rectify abnormalities in white matter integrity. We describe the advent of direct imaging of lithium distribution in the brain using multinuclear MRI techniques (7Li-MRI) which is the first report of noninvasive imaging of a psychoactive drug in its target organ. The spatially heterogenous distribution of the 7Li-MR signal may suggest that lithium directly influences brain structure and function based on lithium tissue concentrations and initial work combining 7Li-MRI and dMRI support this hypothesis. Future directions of research are discussed, including harnessing the potential of multi-modal imaging and longitudinal study designs to develop combined biomarkers or biosignatures of response to treatment. Using lithium as an example, technological and scientific advances in brain imaging can facilitate treatment development and a personalised medicine approach in bipolar disorder.
A growing body of evidence suggests a strong link between how individuals maintain an enriched social network and their brain health. Both the quantity and quality of social networks provide abundant social connections. Through persistent social interactions, individuals’ neurocognitive health appears to benefit from cognitively stimulating activity as well as social support. By utilizing various neuroimaging methods, researchers have found that maintaining an enriched social network is likely to lead to better neural functioning that could delay or counter the effects of neuropathological progression in late life. This chapter reviews studies examining the relationship between social network characteristics and neurocognitive health. The studies highlight that social connectedness and brain functioning have reciprocal effects. It also discusses whether larger and cohesively connected social networks lead to a healthier brain and better cognitive function, as well as the moderators of this association.
This paper presents a miniaturized, tunable, high-power, eight-port hybrid coupler, based on a lumped element hybrid coupler topology. The 90° hybrid couplers are ubiquitous elements used for feeding RF coils in quadrature in magnetic resonance imaging (MRI) systems. Due to the low Larmor frequency (64 MHz) of 1.5 T MRI, distributed elements are too large for practical circuits to drive multi-port RF coils. Thus, miniaturization with MRI-compatible, non-magnetic, and high-power components is necessary. First, a miniaturized hybrid coupler is proposed for MRI systems with non-magnetic variable capacitors. Afterwards, the miniaturization methodology is applied to develop an eight-port coupler, capable of supporting both a transmit and a receive quadrature RF coil system. The high-power (up to 1 kilowatt) extended coupler measures 10 cm × 6 cm. Test results show that each port has a return loss of more than 16 dB, each input-isolated port is isolated by more than 24 dB, and each output has an insertion loss of less than 2.5 dB and output phases of 0.0°, 90.8°, 182.1°, and 278.7°.
The prenatal period represents a critical time for brain growth and development. These rapid neurological advances render the fetus susceptible to various influences with life-long implications for mental health. Maternal distress signals are a dominant early life influence, contributing to birth outcomes and risk for offspring psychopathology. This prospective longitudinal study evaluated the association between prenatal maternal distress and infant white matter microstructure. Participants included a racially and socioeconomically diverse sample of 85 mother–infant dyads. Prenatal distress was assessed at 17 and 29 weeks’ gestational age (GA). Infant structural data were collected via diffusion tensor imaging (DTI) at 42–45 weeks’ postconceptional age. Findings demonstrated that higher prenatal maternal distress at 29 weeks’ GA was associated with increased fractional anisotropy, b = .283, t(64) = 2.319, p = .024, and with increased axial diffusivity, b = .254, t(64) = 2.067, p = .043, within the right anterior cingulate white matter tract. No other significant associations were found with prenatal distress exposure and tract fractional anisotropy or axial diffusivity at 29 weeks’ GA, or earlier in gestation.
MRI-derived cortical folding measures are an indicator of largely genetically driven early developmental processes. However, the effects of genetic risk for major mental disorders on early brain development are not well understood.
Methods
We extracted cortical complexity values from structural MRI data of 580 healthy participants using the CAT12 toolbox. Polygenic risk scores (PRS) for schizophrenia, bipolar disorder, major depression, and cross-disorder (incorporating cumulative genetic risk for depression, schizophrenia, bipolar disorder, autism spectrum disorder, and attention-deficit hyperactivity disorder) were computed and used in separate general linear models with cortical complexity as the regressand. In brain regions that showed a significant association between polygenic risk for mental disorders and cortical complexity, volume of interest (VOI)/region of interest (ROI) analyses were conducted to investigate additional changes in their volume and cortical thickness.
Results
The PRS for depression was associated with cortical complexity in the right orbitofrontal cortex (right hemisphere: p = 0.006). A subsequent VOI/ROI analysis showed no association between polygenic risk for depression and either grey matter volume or cortical thickness. We found no associations between cortical complexity and polygenic risk for either schizophrenia, bipolar disorder or psychiatric cross-disorder when correcting for multiple testing.
Conclusions
Changes in cortical complexity associated with polygenic risk for depression might facilitate well-established volume changes in orbitofrontal cortices in depression. Despite the absence of psychopathology, changed cortical complexity that parallels polygenic risk for depression might also change reward systems, which are also structurally affected in patients with depressive syndrome.
Trying to assess the way sex differences in behavior are reflected in the brain, neuroscience reports produced diverse results triggering hot discussions on whether such differences exist and/or are worth considering in further studies. This chapter summarizes recent progress in the study of sex/gender effect on the brain as viewed from the perspective of (1) anatomy, which is based on the description of various global and local morphometric features of male and female brain structures; and (2) connections, which conceptualizes the brain as a large-scale network of structures interconnected within the human connectome which subserves the transmission and integration of information at both global and local levels. It is argued that the key to understanding the behavioral differentiation of the two sexes might lie in the differences in the architecture of their networks rather than in morphometric measures of particular structures and tissues.
Neuroimaging visualizes and quantifies age-related changes in brain structure, function, cerebral blood flow, and cerebral metabolic health. MRI studies show reductions in both overall and regional brain volumes, but to a lesser extent than in Alzheimer’s disease. Those aging non-pathologically tend to have relative preservation of mesial temporal and enthorhinal brain areas. White matter changes are also common as shown by hyperintensities on fluid attenuated inversion recovery and other T2 MRI images, presumably as a result of co-morbities that increasingly occur with age. Diffusion tensor imaging shows reductions in white matter integrity, including white matter fiber counts and overall white matter volume, beginning in mid- to late life. The neural response during both rest and task performance also shows reduced activation of core task-related networks but expansion to include other region activation. Reduced cerebral blood volume and flow also occur, likely reflecting alterations in hemodynamic function due to cerebrovascular and cardiovascular changes. Cerebral metabolic changes on MR spectroscopy occur with reduced concentrations of GABA and other neurotransmitters, as well as markers of neuronal integrity. Myoinositol, a marker of glial activation, may be elevated, indicating neuroinflammation, though this effect is likely not ubiquitous in successful aging.
Although numerous studies have used functional neuroimaging to identify executive dysfunction in patients with bipolar disorder (BD), the findings are not consistent. The aim of this meta-analysis is to identify the most reliable functional anomalies in BD patients during performance of Executive Function (EF) tasks.
Methods
A web-based search was performed on publication databases to identify functional magnetic resonance imaging studies of BD patients performing EF tasks and a voxel-based meta-analytic method known as anisotropic Effect Size Signed Differential Mapping (ES-SDM) was used to identify brain regions which showed anomalous activity in BD patients compared with healthy controls (HC).
Results
Twenty datasets consisting of 463 BD patients and 484 HC were included. Compared with HC, BD patients showed significant hypo-activation or failure of activation in the left striatum (p = 0.00007), supplementary motor area (BA 6, p = 0.00037), precentral gyrus (BA 6, p = 0.0014) and cerebellum (BA 37, p = 0.0019), and hyper-activation in the left gyrus rectus (BA 11, p ≈ 0) and right middle temporal gyrus (BA 22, p = 0.00031) during performance of EF tasks. Sensitivity and subgroup analyses showed that the anomaly of left striatum is consistent across studies and present in both euthymic and BD I patients.
Conclusions
Patients with BD consistently showed abnormal activation in the cortico-striatal system during performance of EF tasks compared with HC. Failure of activation of the striatum may be a reliable marker for impairment in performance of especially inhibition tasks by patients with BD.
A diagnosis of dissociative identity disorder (DID) is controversial and prone to under- and misdiagnosis. From the moment of seeking treatment for symptoms to the time of an accurate diagnosis of DID individuals received an average of four prior other diagnoses and spent 7 years, with reports of up to 12 years, in mental health services.
Aim
To investigate whether data-driven pattern recognition methodologies applied to structural brain images can provide biomarkers to aid DID diagnosis.
Method
Structural brain images of 75 participants were included: 32 female individuals with DID and 43 matched healthy controls. Individuals with DID were recruited from psychiatry and psychotherapy out-patient clinics. Probabilistic pattern classifiers were trained to discriminate cohorts based on measures of brain morphology.
Results
The pattern classifiers were able to accurately discriminate between individuals with DID and healthy controls with high sensitivity (72%) and specificity (74%) on the basis of brain structure. These findings provide evidence for a biological basis for distinguishing between DID-affected and healthy individuals.
Conclusions
We propose a pattern of neuroimaging biomarkers that could be used to inform the identification of individuals with DID from healthy controls at the individual level. This is important and clinically relevant because the DID diagnosis is controversial and individuals with DID are often misdiagnosed. Ultimately, the application of pattern recognition methodologies could prevent unnecessary suffering of individuals with DID because of an earlier accurate diagnosis, which will facilitate faster and targeted interventions.
Declaration of interest
The authors declare no competing financial interests.
High order total variation (TV2) and ℓ1 based (TV2L1) model has its advantage over the TVL1 for its ability in avoiding the staircase; and a constrained model has the advantage over its unconstrained counterpart for simplicity in estimating the parameters. In this paper, we consider solving the TV2L1 based magnetic resonance imaging (MRI) signal reconstruction problem by an efficient alternating direction method of multipliers. By sufficiently utilizing the problem's special structure, we manage to make all subproblems either possess closed-form solutions or can be solved via Fast Fourier Transforms, which makes the cost per iteration very low. Experimental results for MRI reconstruction are presented to illustrate the effectiveness of the new model and algorithm. Comparisons with its recent unconstrained counterpart are also reported.
Despite of their limited availability and potential for significant variation between and within each modality, this is the first study to prospectively measure the clinical utility of MRI and/or SPECT brain scanning in addition to the routine diagnostic workup of patients presenting to memory clinic.
Methods:
A single center study was conducted over a convenience of 12-month sampling period. For each patient referred for MRI and/or SPECT scanning, the primary geriatrician or psychogeriatrician was asked to assign an initial diagnosis. The initial diagnosis was then compared with the final consensus diagnosis after any scans or neuropsychology testing had been completed.
Results:
During the 12-month study period, 66 patients (26%) were referred for scans out of a total of 253 patients included in the study. There were 16/44 (36%) positive MRI outcomes and 13/35 (37%) positive SPECT outcomes. The diagnosis changed consistent with the MRI scan findings in 11/44 (25%) and changed consistent with the SPECT scan findings in 9/35 (26%). Potentially reversible pathology was identified in a single patient, 1/50 (2%), via an MRI scan that suggested normal pressure hydrocephalus. The number needed to test for one positive outcome was 3.8 (95% CI 2.0–23.3), 6.0 (95% CI NA), and 1.7 (95% CI 1.3–2.5) for MRI only, SPECT only, and MRI and SPECT together, respectively.
Conclusions:
The clinical utility of MRI and/or SPECT scanning in this study may be broadly superior to the available international evidence, and further research is needed to identify predictors of positive scan outcomes.