Application of pharmacological fMRI to developmental psychiatric disorders

Functional magnetic resonance imaging of neural activity induced by pharmacological stimulation (phMRI) is a promising technique for revealing pathophysiology and etiology of developmental psychiatric disorders. Recent investigations of the dopaminergic system have made possible the use of phMRI as a non‐invasive assay for neurotransmitter function. This paper explores applications of phMRI for identification of neurophysiological trait‐dependent and clinical state‐dependent mechanisms that can define biologically valid diagnostic criteria for developmental psychiatric disorders. Further, applications of phMRI for investigations of neurochemical changes induced by long‐term drug exposure, alternative therapies and normal brain maturation are discussed. The paper ends by highlighting methodological challenges posed by experimental control of pharmacological stimulation that is essential for valid interpretation of phMRI results.     

Toward a perceptual theory of transparency

Theories of perceptual transparency have typically been developed within the context of a physical model that generates the percept of transparency (F. Metelli's episcotister model, 1974b). Here 2 fundamental questions are investigated: (a) When does the visual system initiate the percept of one surface seen through another? (b) How does it assign surface properties to a transparent layer? Results reveal systematic deviations from the predictions of Metelli's model, both for initiating image decomposition into multiple surfaces and for assigning surface attributes. Specifically, results demonstrate that the visual system uses Michelson contrast as a critical image variable to initiate percepts of transparency and to assign transmittance to transparent surfaces. Findings are discussed in relation to previous theories of transparency, lightness, brightness, and contrast-contrast.     

The Role of Patient Religiosity in the Evaluation and Treatment Outcomes for Chronic HCV Infection

To determine the influence of patient religiosity on the outcome of treatment of hepatitis C infection, a prospective, blinded, cohort study was performed on hepatitis C-infected patients categorized as ‘higher religiosity’ and ‘lower religiosity’ based on responses to a religiosity questionnaire. Comparisons were made between high and low religiosity patients on demographics, pre-treatment laboratory values, and response to treatment. Eighty-seven patients with complete questionnaires were placed in either higher (38) or lower (49) religiosity cohort. The patients (60% female) were ethnically diverse: African-American 39%; Hispanic 31%; white 29%. African-American race (P = 0.001) and female gender (P = 0.026) were associated with higher religiosity. The frequency of being offered treatment, accepting treatment, and completing treatment was similar in both religiosity cohorts (P = 0.234, 0.809, 0.367). Fifty-six patients completed the 24- or 48-week treatment with peginterferon and ribavirin. Depression was more frequent in the low religiosity group (38.2% vs. 4.6%, P = 0.005). Sustained viral response rate at 3–6-month post-therapy was similar in the higher (50%) and lower (57.6%) religiosity cohorts (P = 0.580; n = 55). Logistic regression modeling revealed that males having higher religiosity gave greater odds of SVR than those with lower religiosity (OR 21.3; 95% CI 1.1–403.9). The level of religiosity did not affect the decision to begin treatment for chronic HCV infection and was not associated with a better treatment outcome. A higher level of religiosity was associated with less depression among patients.     

Strength of default mode resting-state connectivity relates to white matter integrity in children

A default mode network of brain regions is known to demonstrate coordinated activity during the resting state. While the default mode network is well characterized in adults, few investigations have focused upon its development. We scanned 9-13-year-old children with diffusion tensor imaging and resting-state functional magnetic resonance imaging. We identified resting-state networks using Independent Component Analysis and tested whether the functional connectivity between the medial prefrontal cortex (mPFC) and posterior cingulate cortex (PCC) depends upon the maturation of the underlying cingulum white matter tract. To determine the generalizability of this relationship, we also tested whether functional connectivity depends on white matter maturity between bilateral lateral prefrontal cortex (lateral PFC) within the executive control network. We found a positive relationship between mPFC-PCC connectivity and fractional anisotropy of the cingulum bundle; this positive relationship was moderated by the age of the subjects such that it was stronger in older children. By contrast, no such structure-function relationship emerged between right and left lateral PFC. However, functional and structural connectivity of this tract related positively with cognitive speed, fluency, and set-switching neuropsychological measures.     

Choral reading with filtered speech: effect on stuttering

This study investigated use of choral reading with filtered components of speech and whispered speech on the frequency of stuttering. Three passages read by a normal adult male were lowpass filtered with kneepoint frequencies at 100 Hz (approximate glottal source), 500 Hz (source and first formant), and 1 kHz (source and the first two formants). Along with a whispered passage, a normal passage, and a control condition, these stimuli were used in a repeated-measures design with 12 adult stutterers as they read passages while listening to one of the stimuli. Frequencies of stuttering in each condition were analyzed. The choral speech, the 500-Hz, the 1-kHz, and the whispered speech conditions all decreased the frequency of stuttering while the 100-Hz stimuli did not. It is suggested that articulatory events, chiefly the encoded speech output from the vocal tract, create effective cues and may induce fluent speech in people who stutter.