brain imaging & imagining final
DESCRIPTION
Neuroimaging review as therapeutic application for use in assessing interventions to relearn from traumatic memoriesTRANSCRIPT
Brain Imaging & Imagining
James M. DeCarli, MPH, MPA, CHES
Overview
• Background– Review brain imaging
techniques– Strengths & weaknesses of
each
• Neural Foundations of Imagery
• Key Imaging Study– Evidence that seeing and
imagining are the same to the brain
• Additional Supportive Imagery Studies
Background
• Brief Review of Imaging Techniques
– Structural Imaging• X-Ray• Computerized Tomography (CT) Scan• Magnetic Resonance Imaging (MRI ) Scan
– Functional Imaging• Positron Emission Tomography (PET)• Functional Magnetic Resonance Imaging (fMRI)• Single Photon Emission Computerized Tomography ( SPECT)
Positron Emission Tomography (PET)
• PET measures emissions from radioactively labeled chemicals that have been injected into the bloodstream
• Uses this data to produce two- or three-dimensional images of the distribution of the chemicals throughout the brain and body.
Positron Emission Tomography (PET)
Strengths
• Moderate accuracy of localization
• Provides image of brain activity
• Chemical specificity• Not subject to magnetic
artifacts• Quiet -- verbal responses
allowed, motion not as devastating to analysis
Weaknesses
• Expensive to use• Radioactive material used• Invasive• Low time resolution (>1-
minute)
Magnetic Resonance Imaging (MRI)
• MRI uses magnetic fields and radio waves to produce high-quality two- or three dimensional images of brain structures without injecting radioactive tracers
Magnetic Resonance Imaging (MRI)
Strengths
• No X-rays or radioactive material is used
• Provides detailed view of the brain in different dimensions
• Safe, painless, non-invasive• No special preparation is
required from the patient (except the removal of all metal objects)
• Patients can eat or drink anything before the procedure
Weaknesses
• Expensive to use• Cannot be used in patients
with metallic devices, like pacemakers
• Cannot be used with uncooperative patients because the patient must lie still
• Cannot be used with patients who are claustrophobic (afraid of small places). However, new MRI systems with a more open design are now available
Functional MRI (fMRI)
• Functional magnetic resonance imaging (fMRI) uses magnetic resonance imaging to measure the quick, tiny metabolic changes that take place in an active part of the brain
Functional MRI (fMRI)
Strengths• Cheaper, more accessible• Better spatial and
temporal resolution• Noninvasive• Does not require
injections of radioactive isotopes
• Imaging of oxygen
Weaknesses• Low time resolution
(around 8-seconds) • Poor anatomical definition• Movement sensitive
Neural Foundations of Imagery
• Stephen Kosslyn (Key researcher on Imagery)– Defines Imagery as a basic form of cognition– Plays a central role in numerous human activities
• Problem solving• Navigation to memory
– Imagery occurs when perceptual information is retrieved from long-term memory• Results in subjective impression of “seeing with the mind’s
eye” (Kosslyn, 2004)
Neural Foundations of Imagery
• Neuroimaging techniques (PET, MRI, fMRI, etc.) provide effective methods:
• Test theory of imagery on humans• Imaging studies suggest
– Mental imagery draw on the same neural functions as perception
– Engages similar mechanisms used in memory, motor control and emotion
Imagery Study
• Kosslyn, et al (2004)
• Assessed the degree of shared neural processing in visual mental imagery and visual perception
Imagery StudyMethodology
• Subjects:– 20 volunteers
• 8 male• 12 female• Mean age 21 years
– Normal or corrected-to-normal vision
– Right handed– No history of
neurological disease
• Scanning Procedures:– Standard fMRI
• Stimuli– 96 line drawings of
common objects– Two sets
• Imagery Scans• Perception Scans
Imagery StudyImagery Scan
• Subjects asked to close eyes
• Room lights off• Subjects presented by
auditory probe, with a name of a picture– Asked to generate the
corresponding visual mental image
Imagery StudyPerception Scan
• Subjects asked to keep eyes open
• Room lights on• Subjects presented
auditory probe with a line drawing of the named object shown on a screen after the auditory probe
Imagery StudyPerformance Results
• Subjects pressed one of two keys in response to the probe, then asked not to press the key if not understood
• No responses– 20.6% imagery missed– 5.2% perception missed
• Responses– 96.2 imagery– 97.3 perception
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No Response Response
Imagery
Perception
Imagery StudyfMRI Results
• Various brain regions activated– visual perception– visual imagery
• Pattern of activation in both imagery and perception were similar– However similarity was not uniform across brain regions
• Similarity– Greatest
• Frontal & parietal cortex– Smallest
• Occipital cortex
Imagery StudyImagery & Perceptual Activation Results
in Frontal Cortex
Reliable Activation (Positive Changes)
Negative Activation (Negative Changes)
Overlap
•Inferior frontal gyrus•Middle frontal gyrus•Superior frontal gyrus•Medial frontal gyrus•Insular cortex•Precentral gyrus•Anterior cingulate gyrus
•Medial frontal cortex•Superior frontal cortex•Anterior cingulate
•In all frontal areas
Sagital View: Illustrates position of each section
Grey area:(Z score)Significant overlap
Activation Map:
Coronal sections of the brain
Imagery StudyImagery & Perceptual Activation Results
in Parietal CortexReliable Activation (Positive Changes)
Negative Activation (Negative Changes)
Overlap
•Left angular gyrus•Supramarginal gyrus
–Inferior parietal lobule
•Superior parietal lobule•Precuneus•Postcentral gyrus•Middle cingulate•Posterior cingulate
•Right supramarginal gyrus
• Precuneus•Left angular gyrus•Supramarginal gyrus•Inferior parietal lobule•Superior parietal lobule•Postcentral gyrus
Sagital View: Illustrates position of each section
Grey area:(Z score)Significant overlap
Activation Map:
Pattern of similarity in parietal
& temporal regions
Imagery StudyImagery & Perceptual Activation Results
in Temporal CortexReliable Activation (Positive Changes)
Negative Activation (Negative Changes)
Overlap
•Fusiform gyrus•Parahippocampal gyrus•Inferior temporal gyrus •Middle temporal gyrus•Superior temporal gyrus•Transverse temporal gyrus
•Right middle temporal gyrus•Right superior temporal gyrus
• Transverse temporal gyrus•Superior temporal gyrus•Left middle temporal gyrus
Sagital View: Illustrates position of each section
Activation Map:
Pattern of similarity in parietal & occipital regions
Grey area:(Z score)Significant overlap
Kosslyn’s Conclusion
• Results suggest that visual images & visual perception draw on similar neural regions
• Overlap is not uniform:– “Visual imagery & visual perception appear to
engage frontal and parietal regions” more similarly than occipital and temporal regions• Indicates that “cognitive control processes function
similarly in both imagery and perception”
Additional Brain Imaging & Imagery Studies
• Preston, et al (2002)
• Investigated neural substrates of cognitive empathy by using emotional imagery paradigm
• Subjects: 11
• Procedure: PET
• Stimuli: Subjects imagined an emotional experience (fear of anger) from their past or a hypothetical situation form another subject
• Results: Similar brain activation between personal and hypothetical imagery
Additional Brain Imaging & Imagery Studies
• O’Craven & Kanwisher (2000)
• Tested if specific regions of the extrastriate cortex activated during mental imagery depend on the content of the image
• Subjects: 8
• Procedure: fMRI
• Stimuli: Photographs of faces and familiar places via imagery & perception scans
• Results:– Imagery and perception share common processing neural
mechanisms– Specific brain regions activated during mental imagery depend on
the content of visual image
Additional Brain Imaging & Imagery Studies
• Downs, et al (1999)
• Examined neural mechanisms involved in imagined self-rotation in a task that involved spatially updating the positions of objects
• Subjects: 10
• Procedure: fMRI
• Stimuli: – Before scanning: Memorize positions of 4-objects– During scan:
• 1) no visual input, • 2) test question-“rotate 90?, what’s on the right?” • 3) Control question-“rotate 0?, what’s on the right”
• Results: Imagined self-movement involves many of the same brain areas as physical-movement
Summary
• Function imaging techniques, such as PET and fMRI have made it possible to demonstrate that specific brain regions are activated similarly between:– Visual imagery & visual perception– Fear & hypothetical emotions– Imagined rotations of self & objects
• Application– While Stephen Kosslyn studies find that 90% of the brain
regions used for imagining visual images are the same ones used in actually seeing them:• Therapeutic application (due to many psychological
approaches integrating visualization as a way of healing):– Relearning from traumatic memories– Flooding to heal phobias