Vanessa Troiani

Hearing Loss in Older Adults Affects Neural Systems Supporting Speech Comprehension

Hearing loss is one of the most common complaints in adults over the age of 60 and a major contributor to difficulties in speech comprehension. To examine the effects of hearing ability on the neural processes supporting spoken language processing in humans, we used functional magnetic resonance imaging to monitor brain activity while older adults with age-normal hearing listened to sentences that varied in their linguistic demands. Individual differences in hearing ability predicted the degree of language-driven neural recruitment during auditory sentence comprehension in bilateral superior temporal gyri (including primary auditory cortex), thalamus, and brainstem. In a second experiment, we examined the relationship of hearing ability to cortical structural integrity using voxel-based morphometry, demonstrating a significant linear relationship between hearing ability and gray matter volume in primary auditory cortex. Together, these results suggest that even moderate declines in peripheral auditory acuity lead to a systematic downregulation of neural activity during the processing of higher-level aspects of speech, and may also contribute to loss of gray matter volume in primary auditory cortex. More generally, these findings support a resource-allocation framework in which individual differences in sensory ability help define the degree to which brain regions are recruited in service of a particular task.

Oops! Resolving social dilemmas in frontotemporal dementia

Objectives: Our social cognition model posits that social knowledge and executive resources guide interpersonal decision making. We investigated this model by examining the resolution of standardised social dilemmas in patients with a social and executive disorder (SOC/EXEC) caused by frontotemporal dementia (FTD). Methods: Patients with SOC/EXEC (n = 12) and those with progressive aphasia (APH, n = 14) completed measures requiring resolution of social dilemmas (Guilford’s Cartoon Predictions Test), social cognition (theory of mind false belief vignettes and a behavioural rating measure of empathy) and executive measures of cognitive flexibility (Visual Verbal Test). Regression analysis related judgments of social dilemmas to cortical volume using voxel based morphometry of high resolution structural MRI. Results: Patients with SOC/EXEC were impaired in judgments of social dilemmas as well as theory of mind, self-awareness of empathy and cognitive flexibility. Patients with APH were much less impaired in the social and cognitive measures. There were strong correlations among social dilemma, theory of mind and mental flexibility measures in patients with SOC/EXEC, and stepwise regression showed that mental flexibility was most predictive of social dilemma judgments. Social dilemma impairments in the SOC/EXEC sample correlated with cortical atrophy in the orbital frontal, superior temporal, visual association and posterior cingulate regions of the right hemisphere. Conclusions: Deficits in patients with SOC/EXEC in resolving social dilemmas are related to depleted executive resources and social knowledge that appear to arise from disease that interrupts a right frontal–temporal neural network crucial for mediating social cognition.

Social ‘wanting’ dysfunction in autism: neurobiological underpinnings and treatment implications

Most behavioral training regimens in autism spectrum disorders (ASD) rely on reward-based reinforcement strategies. Although proven to significantly increase both cognitive and social outcomes and successfully reduce aberrant behaviors, this approach fails to benefit a substantial number of affected individuals. Given the enormous amount of clinical and financial resources devoted to behavioral interventions, there is a surprisingly large gap in our knowledge of the basic reward mechanisms of learning in ASD. Understanding the mechanisms for reward responsiveness and reinforcement-based learning is urgently needed to better inform modifications that might improve current treatments. The fundamental goal of this review is to present a fine-grained literature analysis of reward function in ASD with reference to a validated neurobiological model of reward: the ‘wanting’/’liking’ framework. Despite some inconsistencies within the available literature, the evaluation across three converging sets of neurobiological data (neuroimaging, electrophysiological recordings, and neurochemical measures) reveals good evidence for disrupted reward-seeking tendencies in ASD, particularly in social contexts. This is most likely caused by dysfunction of the dopaminergic–oxytocinergic ‘wanting’ circuitry, including the ventral striatum, amygdala, and ventromedial prefrontal cortex. Such a conclusion is consistent with predictions derived from diagnostic criteria concerning the core social phenotype of ASD, which emphasize difficulties with spontaneous self-initiated seeking of social encounters (that is, social motivation). Existing studies suggest that social ‘wanting’ tendencies vary considerably between individuals with ASD, and that the degree of social motivation is both malleable and predictive of intervention response. Although the topic of reward responsiveness in ASD is very new, with much research still needed, the current data clearly point towards problems with incentive-based motivation and learning, with clear and important implications for treatment. Given the reliance of behavioral interventions on reinforcement-based learning principles, we believe that a systematic focus on the integrity of the reward system in ASD promises to yield many important clues, both to the underlying mechanisms causing ASD and to enhancing the efficacy of existing and new interventions.

Multiple Object Properties Drive Scene-Selective Regions

Neuroimaging studies have identified brain regions that respond preferentially to specific stimulus categories, including 3 areas that activate maximally during viewing of real-world scenes: The parahippocampal place area (PPA), retrosplenial complex (RSC), and transverse occipital sulcus (TOS). Although these findings suggest the existence of regions specialized for scene processing, this interpretation is challenged by recent reports that activity in scene-preferring regions is modulated by properties of isolated single objects. To understand the mechanisms underlying these object-related responses, we collected functional magnetic resonance imaging data while subjects viewed objects rated along 7 dimensions, shown both in isolation and on a scenic background. Consistent with previous reports, we find that scene-preferring regions are sensitive to multiple object properties; however, results of an item analysis suggested just 2 independent factors--visual size and the landmark suitability of the objects--sufficed to explain most of the response. This object-based modulation was found in PPA and RSC irrespective of the presence or absence of a scenic background, but was only observed in TOS for isolated objects. We hypothesize that scene-preferring regions might process both visual qualities unique to scenes and spatial qualities that can appertain to either scenes or objects.

Resolving sentence ambiguity with planning and working memory resources: Evidence from fMRI

We used functional magnetic resonance imaging (fMRI) to test competing claims about the role of executive resources during the disambiguation of a sentence featuring a temporary structural ambiguity. Written sentences with a direct object (DO) structure or a sentential complement (SC) structure were shown to 19 healthy, right-handed, young adults in a phrase-by-phrase manner. These sentences contained a main verb that is statistically more likely to be associated with a DO structure or an SC structure. Half of each type of sentence also contained an extra phrase strategically located to stress working memory prior to disambiguating the sentence. We found that sentences featuring a less consistent verb-structure mapping recruit greater dorsolateral prefrontal cortex (dlPFC) activation than sentences with a more consistent verb-structure mapping, implicating strategic on-line planning during resolution of a temporary structural ambiguity. By comparison, we observed left inferior parietal cortex (IPC) activation in sentences with an increased working memory demand compared to sentences with a low working memory load. These findings are consistent with a large-scale neural network for sentence processing that recruits distinct planning and working memory processing resources as needed to support the comprehension of sentences.

The role of ventral medial prefrontal cortex in social decisions: Converging evidence from fMRI and frontotemporal lobar degeneration

The ventral medial prefrontal cortex (vmPFC) has been implicated in social and affectively influenced decision-making. Disease in this region may have clinical consequences for social judgments in patients with frontotemporal lobar degeneration (FTLD). To test this hypothesis, regional cortical activation was monitored with fMRI while healthy adults judged the acceptability of brief social scenarios such as cutting into a movie ticket line or going through a red light at 2 AM. The scenarios described: (i) a socially neutral condition, (ii) a variant of each scenario containing a negatively valenced feature, and (iii) a variant containing a positively valenced feature. Results revealed that healthy adults activated vmPFC during judgments of negatively valenced scenarios relative to positive scenarios and neutral scenarios. In a comparative behavioral study, the same social decision-making paradigm was administered to patients with a social disorder due to FTLD. Patients differed significantly from healthy controls, specifically showing less sensitivity to negatively valenced features. Comparative anatomical analysis revealed considerable overlap of vmPFC activation in healthy adults and vmPFC cortical atrophy in FTLD patients. These converging results support the role of vmPFC in social decision-making where potentially negative consequences must be considered.

Narrative speech production: An fMRI study using continuous arterial spin labeling☆☆☆

Functional magnetic resonance imaging (fMRI) with continuous arterial spin labeling (CASL) was employed to monitor brain activation during narrative production of a semi-structured speech sample in healthy young adults. Subjects were asked to describe a wordless childrens picture story. Significant activations were found in bilateral prefrontal and left temporal-parietal regions during narrative production relative to description of a single picture and relative to viewing the wordless picture story while producing a nonsense word. We conclude that inferior frontal cortex serves as a top-down organizational resource for narrative production and demonstrate the feasibility of collecting extended speech samples using CASL perfusion fMRI.

Amygdala, pulvinar, and inferior parietal cortex contribute to early processing of faces without awareness.

The goals of the present study were 2-fold. First, we wished to investigate the neural correlates of stimulus-driven processing of stimuli strongly suppressed from awareness and in the absence of top-down influences. We accomplished this using a novel approach in which participants performed an orthogonal task atop a flash suppression noise image to prevent top-down search. Second, we wished to investigate the extent to which amygdala responses differentiate between suppressed stimuli (fearful faces and houses) based on their motivational relevance. Using continuous flash suppression (CFS) in conjunction with fMRI, we presented fearful faces, houses, and a no stimulus control to one eye while participants performed an orthogonal task that appeared atop the flashing Mondrian image presented to the opposite eye. In 29 adolescents, we show activation in subcortical regions, including the superior colliculus, amygdala, thalamus, and hippocampus for suppressed objects (fearful faces and houses) compared to a no stimulus control. Suppressed stimuli showed less activation compared to a no stimulus control in early visual cortex (EVC), indicating that object information was being suppressed from this region. Additionally, we find no activation in regions associated with conscious processing of these percepts (fusiform gyrus and/or parahippocampal cortex) as assessed by mean activations and multi-voxel patterns. A psychophysiological interaction analysis (PPI) that seeded the amygdala showed task-specific (fearful faces greater than houses) modulation of right pulvinar and left inferior parietal cortex. Taken together, our results support a role for the amygdala in stimulus-driven attentional guidance toward objects of relevance and a potential mechanism for successful suppression of rivalrous stimuli.

Unseen fearful faces promote amygdala guidance of attention

Little is known about the network of brain regions activated prior to explicit awareness of emotionally salient social stimuli. We investigated this in a functional magnetic resonance imaging study using a technique that combined elements of binocular rivalry and motion flash suppression in order to prevent awareness of fearful faces and houses. We found increased left amygdala and fusiform gyrus activation for fearful faces compared to houses, despite suppression from awareness. Psychophysiological interaction analyses showed that amygdala activation was associated with task-specific (fearful faces greater than houses) modulation of an attention network, including bilateral pulvinar, bilateral insula, left frontal eye fields, left intraparietal sulcus and early visual cortex. Furthermore, we report an unexpected main effect of increased left parietal cortex activation associated with suppressed fearful faces compared to suppressed houses. This parietal finding is the first report of increased dorsal stream activation for a social object despite suppression, which suggests that information can reach parietal cortex for a class of emotionally salient social objects, even in the absence of awareness.

Single‐word semantic judgements in semantic dementia: Do phonology and grammatical class count?

Background: Listeners make active use of phonological regularities such as word length to facilitate higher‐level syntactic and semantic processing. For example, nouns are longer than verbs, and abstract words are longer than concrete words. Patients with semantic dementia (SD) experience conceptual loss with preserved syntax and phonology. The extent to which patients with SD exploit phonological regularities to support language processing remains unclear. Aims: We examined the ability of patients with SD (1) to perceive subtle acoustic–phonetic distinctions in English, and (2) to bootstrap their accuracy of lexical‐semantic and syntactic judgements from regularities in the phonological forms of English nouns and verbs. Methods and Procedures: Four patients with SD made minimal pair judgements (same/different) for auditorily presented stimuli selectively varied by voice, place, or manner of the initial consonant (e.g., pa –ba). In Experiment 2 patients made forced‐choice semantic judgements (abstract or concrete) for single words varied by (1) concreteness (abstract or concrete); (2) grammatical class (noun or verb); and (3) word length (one‐ or three‐syllable words). Outcomes and Results: The most semantically impaired patients paradoxically showed the highest accuracy of minimal pair phonologic discrimination. Judgements of word concreteness were less accurate for verbs than nouns. Among verbs, accuracy was worse for concrete than abstract items (e.g., eat was worse than think). Patients were more likely to misclassify longer concrete words (e.g., professor) as abstract, demonstrating sensitivity to an underlying phonologically mediated semantic property in English. Conclusions: Single‐word semantic judgements were sensitive to both grammatical class and phonological properties of the words being evaluated. Theoretical and clinical implications are addressed in the context of an anatomically constrained model of SD that assumes increasing reliance on phonology as lexical‐semantic knowledge degrades.