Nasser H. Kashou

Depth sensitivity analysis of functional near-infrared spectroscopy measurement using three-dimensional Monte Carlo modelling-based magnetic resonance imaging

Theoretical analysis of spatial distribution of near-infrared light propagation in head tissues is very important in brain function measurement, since it is impossible to measure the effective optical path length of the detected signal or the effect of optical fibre arrangement on the regions of measurement or its sensitivity. In this study a realistic head model generated from structure data from magnetic resonance imaging (MRI) was introduced into a three-dimensional Monte Carlo code and the sensitivity of functional near-infrared measurement was analysed. The effects of the distance between source and detector, and of the optical properties of the probed tissues, on the sensitivity of the optical measurement to deep layers of the adult head were investigated. The spatial sensitivity profiles of photons in the head, the so-called banana shape, and the partial mean optical path lengths in the skin-scalp and brain tissues were calculated, so that the contribution of different parts of the head to near-infrared spectroscopy signals could be examined. It was shown that the signal detected in brain function measurements was greatly affected by the heterogeneity of the head tissue and its scattering properties, particularly for the shorter interfibre distances.

Using FMRI and FNIRS for localization and monitoring of visual cortex activities

The purpose of this study was to design a near infrared spectroscopy (NIRS) sensor head to continuously monitor visual cortex activation. Visual cortex activation regions as a result of eye movements were localized using functional magnetic resonance imaging (FMRI). Once the region was determined we placed the NIRS sensor head on that region and emulated the same task performed in the FMRI experiment. The eye movement chosen for our current validation study was saccades. One subject was instructed to move their eyes in a saccadic fashion for 30 seconds then fixate for 30 seconds. We were able to see changes in oxyhemoglobin and deoxyhemoglin using the NIRS design. These preliminary results suggest that NIRS can be used as a monitoring tool, guided by FMRI in patients who may have visual disorders.

Relationship among fMRI, contrast sensitivity and visual acuity

The purpose of this study was to ascertain whether visual acuity or contrast sensitivity function (CSF) is proportional to visual cortical function based on fMRI volume and level of activation or Z-score. Forced choice procedures were utilized to measure the monocular log minimal angle of resolution (logMAR) visual acuity and CSF. The CSF data were collapsed into a single index by the use of weighted mean contrast sensitivity (WMCS), being defined as the mean of the products of each spatial frequency multiplied by its corresponding contrast sensitivity. fMRI data had been obtained with a 1.5 T GE Signa scanner with visual stimuli including 1.0 and 2.0 c/deg vertical sinusoidal gratings. Subjects consisted of eight normal adults and five amblyopic patients, with the amblyopic subjects added to gauge whether the outcome was due to a restricted range of scores or the small number of study participants. In normal subjects, the fMRI volume and level of activation exhibited no statistically significant correlation with visual acuity at P<0.05. Statistically significant correlations were obtained between WMCS and fMRI volume (R=0.765, P=0.027) and fMRI level of activation (R=0.645, P=0.007), with right eye stimulation using the 1.0 c/deg grating. On the whole, statistically significant correlations between WMCS and fMRI parameters were maintained when subject age was held constant and when data from the five amblyopic subjects were included to expand the range of values and increase the number of data sets for analysis. fMRI volume and Z-score were more closely associated with the CSF, as defined by WMCS, than visual acuity. The results suggest that the CSF reflects the underlying visual cortical cells responsible for fMRI volume and the level of activation.

A comparison of functional magnetic resonance imaging findings in children with and without a history of early exposure to general anesthesia

Functional magnetic resonance imaging (fMRI) has been used to evaluate the long‐term consequences of early exposure to neurotoxic agents. fMRI shows that different patterns of brain activation occur in ethanol‐exposed subjects performing a go/no‐go response inhibition task. Pharmacologically, ethanol and general anesthetics have similar receptor‐level activity in the brain. This study utilizes fMRI to examine brain activation patterns in children exposed to general anesthesia and surgery during early brain development.

Esophageal Reflexes Modulate Frontoparietal Response in Neonates: Novel Application of Concurrent NIRS and Provocative Esophageal Manometry

Central and peripheral neural regulation of swallowing and aerodigestive reflexes is unclear in human neonates. Functional near infrared spectroscopy (NIRS) is a noninvasive method to measure changes in oxyhemoglobin (HbO) and deoxyhemoglobin (HbD). Pharyngoesophageal manometry permits evaluation of aerodigestive reflexes. Modalities were combined to investigate feasibility and to test neonatal frontoparietal cortical changes during pharyngoesophageal (visceral) stimulation and/or swallowing. Ten neonates (45.6 ± 3.0 wk postmenstrual age, 4.1 ± 0.5 kg) underwent novel pharyngoesophageal manometry concurrent with NIRS. To examine esophagus-brain interactions, we analyzed cortical hemodynamic response (HDR) latency and durations during aerodigestive provocation and esophageal reflexes. Data are presented as means ± SE or percent. HDR rates were 8.84 times more likely with basal spontaneous deglutition compared with sham stimuli (P = 0.004). Of 182 visceral stimuli, 95% were analyzable for esophageal responses, 38% for HDR, and 36% for both. Of analyzable HDR (n = 70): 1) HbO concentration (μmol/l) baseline 1.5 ± 0.7 vs. 3.7 ± 0.7 poststimulus was significant (P = 0.02), 2) HbD concentration (μmol/l) between baseline 0.1 ± 0.4 vs. poststimulus -0.5 ± 0.4 was not significant (P = 0.73), and 3) hemispheric lateralization was 21% left only, 29% right only, and 50% bilateral. During concurrent esophageal and NIRS responses (n = 66): 1) peristaltic reflexes were present in 74% and HDR in 61% and 2) HDR was 4.75 times more likely with deglutition reflex vs. secondary peristaltic reflex (P = 0.016). Concurrent NIRS with visceral stimulation is feasible in neonates, and frontoparietal cortical activation is recognized. Deglutition contrasting with secondary peristalsis is related to cortical activation, thus implicating higher hierarchical aerodigestive protective functional neural networks.

Evaluation of interpolation effects on upsampling and accuracy of cost functions-based optimized automatic image registration

Interpolation has become a default operation in image processing and medical imaging and is one of the important factors in the success of an intensity-based registration method. Interpolation is needed if the fractional unit of motion is not matched and located on the high resolution (HR) grid. The purpose of this work is to present a systematic evaluation of eight standard interpolation techniques (trilinear, nearest neighbor, cubic Lagrangian, quintic Lagrangian, hepatic Lagrangian, windowed Sinc, B-spline 3rd order, and B-spline 4th order) and to compare the effect of cost functions (least squares (LS), normalized mutual information (NMI), normalized cross correlation (NCC), and correlation ratio (CR)) for optimized automatic image registration (OAIR) on 3D spoiled gradient recalled (SPGR) magnetic resonance images (MRI) of the brain acquired using a 3T GE MR scanner. Subsampling was performed in the axial, sagittal, and coronal directions to emulate three low resolution datasets. Afterwards, the low resolution datasets were upsampled using different interpolation methods, and they were then compared to the high resolution data. The mean squared error, peak signal to noise, joint entropy, and cost functions were computed for quantitative assessment of the method. Magnetic resonance image scans and joint histogram were used for qualitative assessment of the method.

New Window on Optical Brain Imaging; Medical Development, Simulations and Applications

Chemseddine Mansouri1 and Nasser H. Kashou2,3,4 1CRAN UMR 7039 CNRS-UHP-INPL, Nancy University Vandoeuvre-les-Nancy, 2Department of Radiology, Children’s Radiological Institute, Nationwide Children’s Hospital 3Department of Radiology, Department of Ophthalmology, The Ohio State University Medical Center 4Department of Biomedical, Industrial and Human Factors Engineering, Wright State University, 1France 2,3,4USA

Hand-Grasping and Finger Tapping Induced Similar Functional Near-Infrared Spectroscopy Cortical Responses

Abstract. Despite promising advantages such as low cost and portability of functional near-infrared spectroscopy (fNIRS), it has yet to be widely implemented outside of basic research. Specifically, fNIRS has yet to be proven as a standalone tool within a clinical setting. The objective of this study was to assess hemodynamic concentration changes at the primary and premotor motor cortices as a result of simple whole-hand grasping and sequential finger-opposition (tapping) tasks. These tasks were repeated over 3 days in a randomized manner. Ten healthy young adults (23.8±4.8  years) participated in the study. Quantitatively, no statistically significant differences were discovered between the levels of activation for the two motor tasks (p>0.05). Overall, the signals were consistent across all 3 days. The findings show that both finger-opposition and hand grasping can be used interchangeably in fNIRS for assessment of motor function which would be useful in further advancing techniques for clinical implementation.

Nonlinear neural network for hemodynamic model state and input estimation using fMRI data

Abstract Originally inspired by biological neural networks, artificial neural networks (ANNs) are powerful mathematical tools that can solve complex nonlinear problems such as filtering, classification, prediction and more. This paper demonstrates the first successful implementation of ANN, specifically nonlinear autoregressive with exogenous input (NARX) networks, to estimate the hemodynamic states and neural activity from simulated and measured real blood oxygenation level dependent (BOLD) signals. Blocked and event-related BOLD data are used to test the algorithm on real experiments. The proposed method is accurate and robust even in the presence of signal noise and it does not depend on sampling interval. Moreover, the structure of the NARX networks is optimized to yield the best estimate with minimal network architecture. The results of the estimated neural activity are also discussed in terms of their potential use.

Somatic stimulation causes frontoparietal cortical changes in neonates: a functional near-infrared spectroscopy study.

Abstract. Palmar and plantar grasp are the foremost primitive neonatal reflexes and functions. Persistence of these reflexes in infancy is a sign of evolving cerebral palsy. Our aims were to establish measurement feasibility in a clinical setting and to characterize changes in oxyhemoglobin (HbO) and deoxyhemoglobin (HbD) concentration in the bilateral frontoparietal cortex in unsedated neonates at the crib-side using functional near-infrared spectroscopy (fNIRS). We hypothesized that bilateral concentration changes will occur upon somatic central and peripheral somatic stimulation. Thirteen preterm neonates (five males) underwent time 1, and six (two males) returned for time 2 (mean PMA=41.6 and 47.0 weeks, respectively). Signals from a total of 162 somatic stimuli responses were measured. Response amplitude, duration, and latency were log-transformed and compared between palmar, plantar, and oromotor stimuli using linear mixed models, adjusted for cap, electroencephalogram abnormality, time (1 versus 2), and Sarnat score, if necessary. The oromotor stimulus resulted in a 50% greater response than the palmar or plantar stimuli for HbO left and right hemisphere duration (p<0.0001). There were no other statistically significant differences between stimuli for any other outcome (p>0.05). Utilizing fNIRS in conjunction with occupational and physical therapy maneuvers is efficacious to study modifiable and restorative neurophysiological mechanisms.