Neuroscience
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Item Cross-Situational Statistical Learning of New Words Despite Bilateral Hippocampal Damage and Severe Amnesia(Frontiers in Human Neuroscience, 2020-01-14) Warren, David E.; Roembke, Tanja C.; Covington, Natalie, V; McMurray, Bob; Duff, Melissa C.Word learning requires learners to bind together arbitrarily-related phonological, visual, and conceptual information. Prior work suggests that this binding can be robustly achieved via incidental cross-situational statistical exposure to words and referents. When cross-situational statistical learning (CSSL) is tested in the laboratory, there is no information on any given trial to identify the referent of a novel word. However, by tracking which objects co-occur with each word across trials, learners may acquire mappings through statistical association. While CSSL behavior is well-characterized, its brain correlates are not. The arbitrary nature of CSSL mappings suggests hippocampal involvement, but the incremental, statistical nature of the learning raises the possibility of neocortical or procedural learning systems. Prior studies have shown that neurological patients with hippocampal pathology have word-learning impairments, but this has not been tested in a statistical learning paradigm. Here, we used a neuropsychological approach to test whether patients with bilateral hippocampal pathology (N = 3) could learn new words in a CSSL paradigm. In the task, patients and healthy comparison participants completed a CSSL word-learning task in which they acquired eight word/object mappings. During each trial of the CSSL task, participants saw two objects on a computer display, heard one novel word, and selected the most likely referent. Across trials, words were 100% likely to co-occur with their referent, but only 14.3% likely with non-referents. Two of three amnesic patients learned the associations between objects and word forms, although performance was impaired relative to healthy comparison participants. Our findings show that the hippocampus is not strictly necessary for CSSL for words, although it may facilitate such learning. This is consistent with a hybrid account of CSSL supported by implicit and explicit memory systems, and may have translational applications for remediation of (word-) learning deficits in neurological populations with hippocampal pathology.Item First Pass Effect in Patients Treated With the Trevo Stent-Retriever: A TRACK Registry Study Analysis(Frontiers in Neurology, 2020-02-18) Froehler, Michael T.Background and Objective: The first pass effect (FPE; achieving complete recanalization with a single thrombectomy device pass) has been shown to be associated with higher rates of good clinical outcomes in patients with acute ischemic stroke. Here, we investigate clinical and radiographic factors associated with FPE in a large U.S. post-marketing registry (TRACK, Trevo Stent-Retriever Acute Stroke). Methods: We analyzed the TRACK database (multicenter registry of 634 patients from 23 centers from March 2013 through August 2015), which 609 patients were included in the final analysis. FPE was defined as a single pass/use of device, TICI 2c/3 recanalization, and no use of rescue therapy. Analysis of individual patient data from TRACK were performed to analyze clinical and radiographic characteristics associated with FPE as well-compared clinical outcomes defined as modified Rankin Scale (mRS) score at 30 and 90 days from hospital discharge to the non-FPE group. Results: The rate of FPE in TRACK was 23% (140/609). There was no association between patient demographics and FPE, including age (p = 0.36), sex (p = 0.50), race (p = 0.50), location of occlusion (p = 0.26), baseline NIHSS (p = 0.62), or past medical history. There was no difference in the use of a balloon-guide catheter or general anesthesia (49 and 57% with FPE vs. 47 and 64%, p = 0.63 and p = 0.14, respectively). Clinical outcomes were significantly associated with FPE; 63 vs. 44% in non-FPE patients achieved mRS 0-2 at 90 days (p = 0.0004). Conclusion: Our study showed that achieving complete recanalization with a single thrombectomy pass using the Trevo device was highly beneficial. The most common clinical factors that are used to determine eligibility for endovascular therapy, such as NIHSS severity, location of occlusion or patient age were not predictive of the ability to achieve FPE.Item Manipulating the visibility of barriers to improve spatial navigation efficiency and cognitive mapping(Scientific Reports, 2019-08-08) He, Qiliang; McNamara, Timothy P.; Brown, Thackery I.Previous studies from psychology, neuroscience and geography showed that environmental barriers fragment the representation of the environment, reduce spatial navigation efficiency, distort distance estimation and make spatial updating difficult. Despite these negative effects, limited research has examined how to overcome barriers and if individual differences mediate their causes and potential interventions. We hypothesize that the reduced visibility caused by barriers plays a major role in accumulating error in spatial updating and encoding spatial relationships. We tested this using virtual navigation to grant participants 'X-ray' vision during environment encoding (i.e., barriers become translucent) and quantifying cognitive mapping benefits of counteracting fragmented visibility. We found that compared to the participants trained with naturalistic environment visibility, participants trained in the translucent environment had better performance in wayfinding and pointing tasks, which are theorized to measure navigation efficiency and cognitive mapping. Interestingly, these benefits were only observed in participants with high self-report sense of direction. Together, our results provide important insight into (1) how perceptual barrier effects manifest, even when physical fragmentation of space is held constant, (2) establish a novel intervention that can improve spatial learning, and (3) provide evidence that individual differences modulate perceptual barrier effects and the efficacy of such interventions.Item Probing axons using multi-compartmental diffusion in multiple sclerosis(Annals of Clinical and Translational Neurology, 2019-09) Bagnato, Francesca; Franco, Giulia; Li, Hua; Kaden, Enrico; Ye, Fei; Fan, Run; Chen, Amalie; Alexander, Daniel C.; Smith, Seth A.; Dortch, Richard; Xu, JunzhongObjects The diffusion-based spherical mean technique (SMT) provides a novel model to relate multi-b-value diffusion magnetic resonance imaging (MRI) data to features of tissue microstructure. We propose the first clinical application of SMT to image the brain of patients with multiple sclerosis (MS) and investigate clinical feasibility and translation. Methods Eighteen MS patients and nine age- and sex-matched healthy controls (HCs) underwent a 3.0 Tesla scan inclusive of clinical sequences and SMT images (isotropic resolution of 2 mm). Axial diffusivity (AD), apparent axonal volume fraction (V-ax), and effective neural diffusivity (D-ax) parametric maps were fitted. Differences in AD, V-ax, and D-ax between anatomically matched regions reflecting different tissues types were estimated using generalized linear mixed models for binary outcomes. Results Differences were seen in all SMT-derived parameters between chronic black holes (cBHs) and T2-lesions (P <= 0.0016), in V-ax and AD between T2-lesions and normal appearing white matter (NAWM) (P < 0.0001), but not between the NAWM and normal WM in HCs. Inverse correlations were seen between V-ax and AD in cBHs (r = -0.750, P = 0.02); in T2-lesions D-ax values were associated with V-ax (r = 0.824, P < 0.0001) and AD (r = 0.570, P = 0.014). Interpretations SMT-derived metrics are sensitive to pathological changes and hold potential for clinical application in MS patients.Item Research and Reviews in Parkinsonism relaunch(Research and Reviews in Parkinsonism, 2019) Hedera, Peter