医学影像诊断中的辩证思维

辩证思维是最普遍适用、最重要的科学思维方法之一,医学影像诊断的各个方面均适用及应用着辩证思维。运用辩证思维能帮助分析疾病繁杂的外在表现,从而深刻认识疾病的本质,使影像诊断的结论更为准确和合理。     

句法加工的脑机制

语言理解中,句法加工至关重要,它把各个意义单元以不同的方式整合起来,从而形成整体的意义表征。句法加工的脑机制是心理语言学比较关注的问题,目前由于ERP技术和功能成像技术的进步,使对这一机制的探讨成为可能。该文对有关句法加工的脑机制的研究进行了回顾与总结,并针对目前该领域存在的问题与争论进行了讨论     

Are errors differentiable from deceptive responses when feigning memory impairment? An fMRI study

Previous neuroimaging studies have suggested that the neural activity associated with truthful recall, with false memory, and with feigned memory impairment are different from one another. Here, we report a functional magnetic resonance imaging (fMRI) study that addressed an important but yet unanswered question: Is the neural activity associated with intentional faked responses and with errors differentiable? Using a word list learning recognition paradigm, the findings of this mixed event-related fMRI study clearly indicated that the brain activity associated with intentional faked responses was different to the activity associated with errors committed unintentionally. For intentional faked responses, significant activation was found in the ventrolateral prefrontal cortex, the posterior cingulate region, and the precuneus. However, no significant activation was observed for unintentional errors. The results suggest that deception, in terms of feigning memory impairment, is not only more cognitively demanding than making unintentional errors but also utilizes different cognitive processes.     

Moving hands, moving entities

In this study we investigated with a priming paradigm whether uni and bimanual actions presented as primes differently affected language processing. Animals’ (self-moving entities) and plants’ (not self-moving entities) names were used as targets. As prime we used grasping hands, presented both as static images and videos. The results showed an interference effect with unimanual action primes (both static and moving) with plants’ names. No modulation of responses for animals’ names was found. We argue that in the present task plants elicit information on unimanual grasping actions they support, while the lack of effect for animals could be due to them being better characterized as active agents.     

捡了西瓜，就该丢掉芝麻吗——浅谈医源性Wernicke脑病

探讨医源性Wernicke脑病（WE）的病因、临床及磁共振图像特点,回顾性分析6例医源性WE病例。医源性WE病前均有禁食史,其临床表现多样。磁共振图像为中脑导水管周围T2WI及Flair高信号。大部分病例补充维生素B1后可好转。提示医源性禁食导致体内维生素B1耗竭是医源性WE的病因,及时补充维生素B1是预防及治疗本病的关键。     

Media Violence and Social Neuroscience: New Questions and New Opportunities

ABSTRACT— Decades of research have demonstrated that exposure to violence on television can cause increases in aggression. The recent emergence of violent video games has raised new questions regarding the effects of violent media. The General Aggression Model (GAM) predicts that exposure to violent media increases aggressive behavior through one of three primary pathways (arousal, cognitions, and affect). Past psychophysiological research has supported GAM but has been limited to examining arousal-related variables. Recent advances in social neuroscience have opened the door to investigations of exposure to violent media on cognitive and affective components and their neurocognitive underpinnings. Neuroscience tools have the potential to provide answers to the new questions posed by recent advances in media technology.     

Etiologic Subtypes of Attention-Deficit/Hyperactivity Disorder: Brain Imaging, Molecular Genetic and Environmental Factors and the Dopamine Hypothesis

Multiple theories of Attention-Deficit/Hyper- activity Disorder (ADHD) have been proposed, but one that has stood the test of time is the dopamine deficit theory. We review the narrow literature from recent brain imaging and molecular genetic studies that has improved our understanding of the role of dopamine in manifestation of symptoms of ADHD, performance deficits on neuropsychological tasks, and response to stimulant medication that constitutes the most common treatment of this disorder. First, we consider evidence of the presence of dopamine deficits based on the recent literature that (1) confirms abnormalities in dopamine-modulated frontal-striatal circuits, reflected by size (smaller-than-average components) and function (hypoactivation); (2) clarifies the agonist effects of stimulant medication on dopaminergic mechanisms at the synaptic and circuit level of analysis; and (3) challenges the most-widely accepted ADHD-related neural abnormality in the dopamine system (higher-than-normal dopamine transporter [DAT] density). Second, we discuss possible genetic etiologies of dopamine deficits based on recent molecular genetic literature, including (1) multiple replications that confirm the association of ADHD with candidate genes related to the dopamine receptor D4 (DRD4) and the DAT; (2) replication of differences in performance of neuropsychological tasks as a function of the DRD4 genotype; and (3) multiple genome-wide linkage scans that demonstrate the limitations of this method when applied to complex disorders but implicate additional genes that may contribute to the genetic basis of ADHD. Third, we review possible environmental etiologies of dopamine deficits based on recent studies of (1) toxic substances that may affect the dopamine system in early development and contribute substantially to the etiology of ADHD; (2) fetal adaptations in dopamine systems in response to stress that may alter early development with lasting effects, as proposed by the developmental origins of health and disease hypothesis; and (3) gene-environment interactions that may moderate selective damage or adaptation of dopamine neurons. Based on these reviews, we identify critical issues about etiologic subtypes of ADHD that may involve dopamine, discuss methods that could be used to address these issues, and review old and new theories that may direct research in this area in the future.     

Parametrically Dissociating Speech and Nonspeech Perception in the Brain Using fMRI

Candidate brain regions constituting a neural network for preattentive phonetic perception were identified with fMRI and multivariate multiple regression of imaging data. Stimuli contrasted along speech/nonspeech, acoustic, or phonetic complexity (three levels each) and natural/synthetic dimensions. Seven distributed brain regions' activity correlated with speech and speech complexity dimensions, including five left-sided foci [posterior superior temporal gyrus (STG), angular gyrus, ventral occipitotemporal cortex, inferior/posterior supramarginal gyrus, and middle frontal gyrus (MFG)] and two right-sided foci (posterior STG and anterior insula). Only the left MFG discriminated natural and synthetic speech. The data also supported a parallel rather than serial model of auditory speech and nonspeech perception.     

艺术设计中创造性思维的fMRI研究：一项基于智能CAD的探索

本项工作尝试将人类思维的神经生物学基础研究与人工智能的研究成果相结合, 利用类比生成模型的原理, 开发了一个计算机辅助设计系统“多源类比人脸生成系统”, 并运用此平台开展了fMRI实验, 对人类大脑创造性思维的神经生物学机制进行了探索。实验采用open-ends模式下的“design task”和problem solving模式下的“control task”作为对照, 共采得15名健康成人被试的有效数据。数据结果显示design task与control task相比更为显著地激活了内侧前额叶、额中回、右侧颞上回、前扣带回、双侧海马、楔前叶这些脑区。综合以往研究推测, 内侧前额叶可能更多地与即兴自由创作中对自我信息的表征有关, 颞叶可能与不断产生和输出新颖性的观点有关, 边缘系统则可能主要与创造性活动中的动力驱动作用有关。总的来说, 创造性思维是多个脑区同时参与的高度分布式加工的结果。