This dissertation is comprised of four studies investigating the hypothesis that adults and children who stutter differ from their same-age fluent peers in the neuroanatomy and neurophysiology underlying auditory speech processing. It has been consistently reported that adults who stutter demonstrate unique functional neural activation patterns during speech production, including reduced auditory activation, relative to nonstutterers. The extent to which these functional differences are accompanied by abnormal morphology of the brain in stutterers is unclear. The first study in this dissertation examined the neuroanatomical differences in speech-related cortex between adults who do and do not stutter using magnetic resonance imaging and voxel-based morphometry analyses. Adults who stutter were found to have localized grey matter volume increases in auditory and motor speech related cortex. The second study extended this line of research to children who stutter, who were found to have localized grey matter volume decreases in motor speech related cortex. Together, these studies suggest an abnormal trajectory of regional grey matter development in motor speech cortex of people who stutter. The last two studies investigated the mechanism underlying the repeated findings of reduced auditory activation during speech in people who stutter in more detail. Magnetoencephalography was used to investigate the hypothesis that people who stutter have increased speech induced suppression of early evoked auditory responses. Adults and children who stutter demonstrated typical levels of speech induced suppression relative to fluent peers. However, adults and children who stutter showed differences from peers in the timing of cortical auditory responses. Taken together, the studies demonstrate structural and functional abnormalities in brain regions related to auditory processing and point to the possibility that people who stutter have difficulty forming the neural representations of speech sounds necessary for fluent speech production.

The primate visual system is organised and wired in a topological manner. From the eye well into extrastriate visual cortex, a preserved spatial representation of the vi- sual world is maintained across many levels of processing. Diffusion-weighted imaging (DWI), together with probabilistic tractography, is a non-invasive technique for map- ping connectivity within the brain. In this thesis I probed the sensitivity and accuracy of DWI and probabilistic tractography by quantifying its capacity to detect topolog- ical connectivity in the post mortem macaque brain, between the lateral geniculate nucleus (LGN) and primary visual cortex (V1). The results were validated against electrophysiological and histological data from previous studies. Using the methodol- ogy developed in this thesis, it was possible to segment the LGN reliably into distinct subregions based on its structural connectivity to different parts of the visual field represented in V1. Quantitative differences in connectivity from magno- and parvo- cellular subcomponents of the LGN to different parts of V1 could be replicated with this method in post mortem brains. The topological corticocortical connectivity be- tween extrastriate visual area V5/MT and V1 could also be mapped in the post mortem macaque. In vivo DWI scans previously obtained from the same brains have lower resolution and signal-to-noise because of the shorter scan times. Nevertheless, in many cases, these yielded topological maps similar to the post mortem maps. These results indicate that the preserved topology of connection between LGN to V1, and V5/MT to V1, can be revealed using non-invasive measures of diffusion-weighted imaging and tractography in vivo. In a preliminary investigation using Human Connectome data obtained in vivo, I was not able to segment the retinotopic map in LGN based on con- nections to V1. This may be because information about the topological connectivity is not carried in the much lower resolution human diffusion data, or because of other methodological limitations. I also investigated the mechanisms of perceptual learning by developing a novel task-irrelevant perceptual learning paradigm designed to adapt neuronal elements early on in visual processing in a certain region of the visual field. There is evidence, although not clear-cut, to suggest that the paradigm elicits task- irrelevant perceptual learning, but that these effects only emerge when practice-related effects are accounted for. When orientation and location specific effects on perceptual performance are examined, the largest improvement occurs at the trained location, however, there is also significant improvement at one other 'untrained' location, and there is also a significant improvement in performance for a control group that did not receive any training at any location. The work highlights inherent difficulties in inves- tigating perceptual learning, which relate to the fact that learning likely takes place at both lower and higher levels of processing, however, the paradigm provides a good starting point for comprehensively investigating the complex mechanisms underlying perceptual learning.

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Introdução: Pacientes que sobrevivem ao traumatismo crânio-encefálico (TCE) apresentam declínio cognitivo e sinais indiretos de atrofia cerebral maiores que o esperado para a população normal. Dentro do universo das lesões englobadas sob o termo TCE há diferentes tipos de lesões, que podem ser divididas entre focais e difusas. A lesão axonial difusa (LAD), está presente em quase todos os pacientes com TCE moderado e grave. Não há estudos que descrevam longitudinalmente o que ocorre nos exames de imagem após o TCE em um grupo com diagnóstico clínico e radiológico de LAD sem lesões focais significativas. Este estudo tem como objetivo avaliar a carga de lesões da LAD através de uma contagem sistematizada, avaliar a taxa de atrofia de diferentes compartimentos do encéfalo de forma longitudinal, e verificar se o número de lesões mostra correlação com tais taxas de atrofia e ou com testes neuropsicológicos que avaliam desempenho executivo e de memória. Método: Foram selecionados 24 pacientes com diagnóstico clínico-radiológico de LAD e realizados exames de RM nos meses 2 (fase 1), 6 (fase 2) e 12 (fase 3) após o TCE. Nas fases 2 e 3 foi realizada avaliação neuropsicológica. Foi realizada contagem de lesões segundo a Microbleed Anatomical and Rating Scale (MARS). Nos definidos momentos foi realizada avaliação do volume do encéfalo através do software FreeSurfer. Foram avaliados a capacidade executiva através dos testes Trail Making Test (TMT) A e B, e a capacidade de recordação através do teste Hopkins Verbal Learning Test (HLVT) em seus componente de recordação imediata (HVLT-RI), tardia (RVLT-RT) e reconhecimento (HVLT-R). Foi testada correlação da carga lesional com a redução de volume dos compartimentos substância branca (VSB), substância cinzenta cortical (VCC), substância cinzenta subcortical (VCS) volume cerebral total (VCT). Foram ainda realizados testes de correlação da carga lesional total e por sítio anatômico com os testes TMT e HVLT e de correlação do grau de atrofia do VSB, VCC, VCS e VCT com os testes HVLT e TMT. Foram considerados positivos os resultados com p<0,05. Resultados: O VSB foi significativamente diferente entre as fases 2 e 3 e entre as fases 1 e 3, com redução de volume de 4,0% no intervalo total do estudo. O VCT foi significativamente diferente entre as fases 2 e 3 meses e entre as fases 1 e 3, com redução de volume de 1,9% no intervalo total do estudo. O VCC não foi significativamente diferente nas 3 fases. O VCS foi significativamente diferente entre as fases 1 e 2; fases 2 e 3 e entre as fases 1 e 3, com redução de volume de 3,7%. O número médio de lesões pela tabela MARS foi de 128 (DP 95), e mostrou correlação positiva e significativa com a redução do VSB, e não demonstrou correlação com a redução de volume dos demais compartimentos. Houve diferença significativa nos resultados dos testes TMT-A e TMT-B entre as fases 2 e 3, com maior rapidez na execução do teste na fase 3. Houve diferença significativa entre os resultados do teste HVLT-RI as fases 2 e 3, com maior número de palavras recordada na fase 3. Não houve diferença significativa nos resultados dos testes HVLT-RT e HVLT-R nas 2 fases. Houve correlação entre o resultado dos testes TMT-B nas fases 2 e 3 com a redução do VCT e entre os resultados do teste TMT-A na fase 3 com a redução do VSB. Não foi encontrada qualquer correlação entre o número de lesões segundo o sítio anatômico da tabela MARS com o desempenho nos testes TMT-A ou TMT-B. Não foi encontrada correlação entre os testes HVLT-RI, HVLT-RT ou HVLT-R com a redução dos volumes de VCT, VSB ou VCC. Discussão e Conclusões: Houve redução significativa do VCT, VSB e VCC ao longo do intervalo entre as fases 1 e 3 do estudo, e simultaneamente houve melhora no desempenho dos testes executivos TMT-A e TMT-B. Tais achados podem ser interpretados como uma resultante daquilo que modelos animais têm demonstrado na evolução do TCE: existe um processo contínuo no tecido cerebral após o TCE, que inclui o clareamento dos debris celulares irremediavelmente lesados e reparação de parte do tecido neural que sofreu lesões reversíveis no momento do trauma, tudo isso contribuindo para uma melhora no desempenho cognitivo, ao mesmo tempo em que ocorre redução do volume dos compartimentos encefálicos. A avaliação da carga lesional mostrou-se de valor prognóstico, pois manteve correlação com o grau de atrofia do VSB no intervalo do estudo / Introduction: Patients who survive traumatic brain injury (TBI) present cognitive decline and indirect signs of brain atrophy greater than expected for the normal population. Within the universe of injuries encompassed under the term TBI there are different types of injuries, which can be divided between focal and diffuse. Diffuse axonal injury (DAI) is present in almost all patients with moderate and severe TBI. There are no longitudinal studies describing imaging findings after TBI in a group with clinical and radiological diagnosis of DAI without significant focal lesions. This study aims to evaluate the DAI lesion load through a systematic counting approach, to evaluate longitudinally the atrophy rate of various brain compartments and to verify correlations between the lesion load and atrophy rates and their correlation with neuropsychological tests evaluating executive and memory performances. Method: 24 patients with clinical and radiological diagnosis of DAI were selected and they were submitted to MRI scans in 2, 6 and 12 months after TBI, as defined as the phase 1, phase 2, and phase 3 of the study. In phases 2 and 3 neuropsychological assessment was performed. Lesion load was quantified according to Microbleed Anatomical and Rating Scale (MARS). In all the 3 phases brain volume assessment was performed by FreeSurfer software. The executive capacity was evaluated by the Trail Making Test (TMT) A and B, and the memory capacity by the Hopkins Verbal Learning Test (HLVT) in its immediate recall component (HVLT-IR), late recall (RVLT-LR) and recognition (HVLT-R). The lesional load was correlated to the reduction in white matter volume (WMV), cortical gray matter volume (CGV), and subcortical gray matter (SGV) and total brain volume (TBV). Correlation of the total lesion load and anatomical site were correlated to TMT and HVLT tests. It was also performed correlation between degree of atrophy of the WMV, CGV, SGV and TGV with HVLT and TMT tests. Positive results were considered with p < 0.05. Results: The WMV was significantly different between phases 2 and 3 and between phases 1 and 3, with volume reduction of 4.0% in the total study interval. TBV was significantly different between the phases 2 and 3 and between phases 1 and 3, with volume reduction of 1.9% in the total study interval. The CGV was not significantly different in any of the 3 phases. The SGV was significantly different between phases 1 and 2, phases 2 and 3 and between phases 1 and 3, with 3.7% volume reduction in the total study interval. The mean lesion load assessment by MARS was 128 (SD 95) and showed a positive and significant correlation with the reduction in the WMV, and no correlation with the volume reduction of the other evaluated compartments. There were significant differences in the results of the TMT-A and TMT-B tests between phases 2 and 3, with faster execution of the test in phase 3. There were significant differences between the HVLT-IR results phases 2 and 3, with the largest number of words recalled in phase 3. There were no significant differences in the results of HVLT-LR tests and HVLT-R in 2 phases. There were correlations between the result of TMT-B test at phases 2 and 3 to the reduction of the TBV and the results of the TMT at phase 3 to the WMV reduction. There were no correlations between the anatomical site lesion load with the performance in the TMT-A and TMT-B. No correlations were found between HVLT-IR, HVLT-LR or HVLT-R with volume reduction of TBV, WMV or CGM. Discussion and Conclusions: There was a significant volume reduction in TBV, WMV and SGV during the study interval, while there was an improvement the executive tests TMT-A and TMT-B performance. These findings can be interpreted as a result of what animal models have shown the evolution of the ECT: there is a continuous process in the brain tissue after TBI, including clearing irreparably damaged cell debris and repair of the neural tissue components that suffered reversible injuries at the moment of trauma. Those processes contribute to an improvement in cognitive performance, while reduction of the volume of the encephalic compartments occurs at the same time. The lesion evaluation has proven its prognostic value as it showed correlation with the degree of WMV reduction

La mémoire de travail et le contrôle cognitif sont des construits proches ; on suppose généralement qu'une forte capacité en mémoire de travail est associée à un contrôle cognitif efficace. Cette hypothèse a des implications importantes pour la cognition humaine et apporte une explication élégante à la corrélation fréquemment reportée entre mémoire de travail et intelligence fluide. En revanche, les difficultés d'opérationnalisation et de mesure du contrôle cognitif rendent l'hypothèse difficile à tester. Un modèle récent du contrôle cognitif, le modèle à Deux Mécanismes de Contrôle (DMC), offre une solution à ce problème : ce modèle propose l'existence de deux mécanismes de contrôle cognitif distincts et permet de les opérationnaliser de façon efficace. La littérature prédit que l'un de ces deux mécanismes, le contrôle proactif, devrait être lié à la mémoire de travail. L'objectif de cette thèse était de tester l'existence d'une relation entre les différences inter-individuelles en mémoire de travail et la tendance à mettre en place un mécanisme de contrôle proactif. Cette relation a été testée sous quatre axes de travail : 1) en utilisant de nouveaux paradigmes expérimentaux pour mesurer la tendance à utiliser le contrôle proactif, 2) grâce à des tâches classiques de contrôle cognitif choisies pour leur sensibilité au contrôle proactif, 3) à travers une approche par imagerie cérébrale incluant électro-encéphalographie et imagerie par résonance magnétique fonctionnelle, et 4) en tant que facteur explicatif de la relation entre mémoire de travail et intelligence fluide. Dans l'ensemble, nos résultats n'ont pas permis de soutenir l'idée que la capacité en mémoire de travail est directement liée à la tendance à utiliser un mécanisme de contrôle proactif ; les données suggèrent plutôt un avantage général en faveur des participants à forte capacité en mémoire de travail dans toutes les situations. / The constructs of working memory and cognitive control are conceptually close; a high working memory capacity is hypothesized to be associated with an efficient cognitive control. This hypothetical association has large implications for human cognition and provides an elegant explanation for the frequently reported relationship between working memory capacity and fluid intelligence. However, the difficulty in operationalizing and measuring cognitive control makes this hypothesis hard to test. One model of cognitive control, the Dual Mechanisms of Control (DMC) framework, constitutes a possible solution to this problem: the model proposes two distinct mechanisms of cognitive control which can be efficiently operationalized and studied. There is reason to believe that one of these two mechanisms, proactive control, is specifically related to working memory capacity. The objective of the present research work was to assess the relationship between individual differences in working memory capacity and the tendency to use proactive control. This relationship was tested in four steps: 1) by using innovative measures of the tendency to use proactive control, based on newly developed paradigms, 2) with classic cognitive control tasks sensitive to proactive control, 3) with a neuroimaging approach using electro-encephalography and functional magnetic resonance imaging, and 4) by testing whether the use of proactive control explains the relationship between working memory and fluid intelligence. Overall, our results did not support the idea that working memory capacity is uniquely related to the tendency to use proactive control; the data were more consistent with a general advantage of participants with a high working memory capacity in all situations.

INTRODUÇAO: Recentes achados experimentais sugerem que a cocaína na forma crack é mais neurotóxica quando comparada à cocaína inalada. Estes estudos são congruentes com os achados clínicos de que pacientes com transtorno por uso da cocaína e usuários de crack têm pior prognóstico e mais consequências adversas para à saúde. OBJETIVO: Investigar alterações diferenciais em substância cinzenta cerebral (SC) e prejuízos neurocognitivos entre usuários de crack (CRACK), cocaína inalada (COC) e controles. MÉTODOS: 78 indivíduos adultos foram avaliados neste estudo (16 CRACK, 26 COC e 36 controles). Todos indivíduos realizaram uma bateria abrangente de testes neurocognitivos. Dados estruturais do cérebro foram analisados através de um protocolo de morfometria baseada em voxels (VBM) e do Statistical Parametric Mapping (SPM) 12. Diferenças em volume de substância cinzenta entre os três grupos foram avaliadas através de um modelo fatorial tendo idade e escolaridade como covariáveis. Foram realizados testes de correlação entre variáveis de uso da cocaína e volume de substância cinzenta. RESULTADOS: Participantes do grupo CRACK apresentaram volumes menores de SC no córtex orbitofrontal esquerdo (p < 0,001), cingulado anterior bilateral (p < 0,001), córtex precentral direito e córtex temporal medial (p < 0,05) em relação aos controles. Em comparação aos indivíduos do grupo COC, os indivíduos do grupo CRACK tiveram volumes menores de SC no córtex orbitofrontal esquerdo (p < 0,001), cingulado anterior direito (p < 0,05) e giro parietal superior esquerdo (p < 0,001). A idade de início de uso da cocaína mais precoce foi associada a volumes menores de SC no córtex temporal superior esquerdo (p < 0,05) e lóbulo paracentral direito (p < 0,05) no grupo total de usuários e CRACK. Anos de uso da cocaína foram associados negativamente ao volume de SC no polo temporal medial direito (p < 0,05) no grupo CRACK. O uso da droga no último mês foi associado a volumes menores de SC em córtex parahipocampal e hipocampo direito (p < 0,05) no grupo total de usuários e CRACK e cíngulo anterior direito apenas no grupo CRACK (p < 0,05). CRACK e COC desempenharam pior que os controles em funções executivas globais e impulsividade. CONCLUSÕES: Nossos resultados sugerem que usuários de crack apresentam alterações mais graves em região pré-frontal e prejuízos em funções cognitivas como auto-monitorização e funções executivas quando comparados a usuários de cocaína inalada. Variáveis como idade de início da cocaína, anos de uso e dias de uso da droga no último mês foram associadas a volumes menores de SC em regiões corticais relacionadas ao funcionamento executivo e controle inibitório. Em conclusão, usuários de crack apresentaram mais prejuízos em região pré-frontal do cérebro e novos estudos longitudinais poderão contribuir para uma melhor compreensão de como tais alterações podem impactar negativamente o curso clínico e resultados no tratamento / BACKGROUND: Recent experimental studies have shown that smoked crack is more neurotoxic when compared with intranasal cocaine. These reports are congruent with clinical findings that crack-addicted patients have a worse prognosis and more severe health consequences. AIM: To examine differential gray matter (GM) alterations and neurocognitive impairments in crack-addicted patients (CRACK) compared with intrasanal cocaine-addicted patients (COC) and controls. METHODS: 78 adult male subjects were evaluated in this study (16 CRACK, 26 COC and 36 controls). Subjects were submitted to an extensive battery of neurocognitive tests. Structural brain data were analyzed using a voxel-based morphometry (VBM) protocol and the Statistical Parametric Mapping (SPM) 12. Differences in gray matter volume among the three groups were investigated with a full-factorial model controlling for age and years of education. We have performed a correlation analysis between variables of cocaine use and gray matter volume. RESULTS: CRACK presented significantly reduced GM volume in left orbitofrontal (p < .001), bilateral anterior cingulate (p < .001), right precentral gyrus (p < .05), and right medial temporal cortex (p < .05) compared with controls. When directly compared with COC, CRACK had reduced GM volume in left orbitofrontal (p < .001), right anterior cingulate (p < .05), and left superior parietal gyrus (p < .001). Age at first cocaine use was positively associated with GM volume in the left superior temporal cortex (p < .05) and paracentral lobe (p < .05) in the total sample and CRACK. Years of cocaine use were negatively associated with GM volume in the right medial temporal pole (p < .05) in CRACK. Past-30 days cocaine use was associated with reduced GM in the parahippocampal and hippocampus (p < .05) in the total sample and reduced right anterior cingulus in CRACK (p < .05). Both CRACK and COC participants performed worse than controls in global measures of executive functioning and impulsivity. CONCLUSION: Our results suggest that participants with cocaine use disorder who use crack present more severe prefrontal cortex abnormalities and self-monitoring/executive alterations when compared with intrasanal cocaine users. Age of first cocaine use, years of cocaine exposure, and past-30 days cocaine use were associated with GM reductions in cortical areas implicated in executive functioning and inhibitory control. In conclusion, crack users presented more alterations in the prefrontal cortex and further longitudinal studies are warranted to a better comprehension of how such alterations may impact negatively treatment outcomes

Introdução: A Esclerose Lateral Amiotrófica (ELA) é uma doença degenerativa e progressiva que afeta neurônios motores da medula espinhal, tronco cerebral e/ ou córtex motor. Sua manifestação clínica é bastante variada, sua etiologia desconhecida e a progressão, fatal. Não existe ainda um tratamento curativo para a ELA, porém alguns medicamentos e a realização de fisioterapia podem auxiliar, fornecendo ao paciente uma melhor qualidade de vida. Objetivos: Testar a hipótese de que técnicas quantitativas de Ressonância Magnética (RM) são eficazes para detectar a lesão neuronal no encéfalo de pacientes com ELA no estágio inicial da doença e, verificar se existe correlação entre a lesão encefálica e a perda funcional do paciente. Dessa forma, pretende-se estabelecer um protocolo capaz de contribuir para o diagnóstico precoce da ELA. Metodologia: Quinze pacientes com diagnóstico de ELA definida ou provável (12 homens e três mulheres), com idade entre 37 e 79 anos e seus respectivos controles foram submetidos a um protocolo de avaliação por RM, que incluiu um estudo estrutural volumétrico e quantitativo do dano neuronal e mielínico por razão de sequências ponderadas em T1 e FLAIR, da Transferência de Magnetização (MT), Relaxometria, Anisotropia Fracionada (FA) e Difusão (DTI), além da Espectroscopia de prótons. Alguns dos sujeitos foram submetidos também à uma avaliação física de força muscular, de funcionalidade através da Amyotrophic Lateral Sclerosis Functional Rating Scale Revised (ALSFRS-R), de qualidade de vida através da Amyotrophic Lateral Sclerosis Assessment Questionnaire (ALSAQ-40) e de quantificação da fadiga pela Fadigue Severity Scale (FSS). Os dados da RM dos dois grupos foram comparados através da análise de variância multi e univariada e submetidos à correção de múltiplas comparações de Bonferroni. Nas variáveis com diferença significante entre os grupos, foi estudada a validade preditiva da medida, calculando-se a área sob a curva ROC e estabelecidos os valores de sensibilidade, especificidade e acurácia. Os dados das escalas foram comparados pelo teste de Mann-Whitney e correlacionados entre si e com as estruturas através da correlação de Spearman. Resultados: As várias técnicas da RM, com exceção da MT, identificaram pelo menos uma estrutura com diferença significante entre os dois grupos, totalizando 11 estruturas mais a razão dos metabólitos NAA/Cre. Os valores de sensibilidade, especificidade e acurácia foram satisfatórios variando entre 0,60 e 1,00 , com destaque para o Volume do Giro Superior Frontal Direito e Giro Superior Frontal Esquerdo que apresentaram valores 1,00 , 0,93 e 0,97 , respectivamente. As escalas ALSFRS-R e ALSAQ-40 apresentaram diferença significativa entre os dois grupos, mas a FSS não apresentou. As escalas apresentaram correlação significativa entre si em quase todos os escores totais e domínios. Já a correlação das escalas com as estruturas foi significativa apenas para o Volume. Conclusões: Técnicas como DTI, FA, Relaxometria e Volume se mostraram mais eficazes no diagnóstico precoce de pacientes com ELA do que as outras. A redução de volume de substância cinzenta se correlacionou positivamente com a ALSFRS-R. Por fim, propomos um protocolo para avaliação de pacientes com ELA, que inclua imagem volumétrica de alta resolução para cálculo da Volumetria e DTI. / Introduction: Amyotrophic Lateral Sclerosis (ALS) is a progressive and degenerative disease that affects motor neurons in the spinal cord, brain stem and/ or motor cortex. Their clinical presentation is varied, its unknown etiology and fatal progression. There isnt still a curative treatment for ALS, but some medications and physical therapy can help by providing the patient a better quality of life. Objectives: To test the hypothesis that quantitative techniques of magnetic resonance imaging (MRI) are effective to detect neuronal damage in the brain of patients with ALS at the inicial stage of the disease and see if there is a correlation between brain injury and functional loss of the patient. Thus, we intend to establish a protocol can to contribute to early diagnosis of ALS. Methods: Fifteen patients with definite or probable ALS (12 men and three women) aged between 37 and 79 and their respective controls underwent an MRI evaluation protocol, including a volumetric and quantitative structural study of damage neuronal and myelin by reason of T1-weighted sequences and FLAIR , Magnetization Transfer (MT), Relaxometry, Fractional Anisotropy (FA), Diffusion (DTI) and Proton magnetic resonance spectroscopy. Some of the subjects also underwent a physical assessment of muscle strength, functionality by Amyotrophic Lateral Sclerosis Functional Rating Scale Revised (ALSFRS-R), quality of life through the Amyotrophic Lateral Sclerosis Assessment Questionnaire (ALSAQ-40) and quantification of fatigue by Fadigue Severity Scale (FSS). The MRI data of the two groups were compared using analysis of variance multivariate and univariate and submitted to correction for multiple comparisons of Bonferroni. In the variables with significant differences between groups, we studied the predictive validity of the measure, by calculating the area under the ROC curve and set the sensitivity, specificity and accuracy. The data of the scales were compared using Mann-Whitney test and correlated with each other and with the structures by Spearman correlation. Results: The various MRI techniques, with the exception of MT, identified at least one structure with a significant difference between the two groups, a total of 11 structures over the reason for the metabolites NAA/Cre. The sensitivity, specificity and accuracy were satisfactory ranging from 0.60 to 1.00 , with emphasis on Volume of Gyros Superior Frontal Right and Gyros Superior Frontal Left that averaged 1.00 , 0.93 and 0,97 , respectively. The ALSFRS-R and ALSAQ-40 scales showed significant differences between the two groups, but the FSS did not. The scales were significantly correlated with each other in almost all domains and total scores. The correlation with the structures of the scales was significant only for the Volume. Conclusions: Techniques such as DTI, FA, Relaxometry and Volume are more effective in early diagnosis of ALS patients than others. The decrease in gray matter volume was positively correlated with the ALSFRS-R. Finally, we propose a protocol for evaluation patients with ALS, including high-resolution volumetric image to calculate the Volume and DTI.

Orientador: Roberto Jose Maria Covolan / Tese (doutorado) - Universidade Estadual de Campinas, Instituto de Fisica Gleb Wataghin / Made available in DSpace on 2018-08-12T12:47:40Z (GMT). No. of bitstreams: 1 Mesquita_RicksonCoelho_D.pdf: 22300712 bytes, checksum: 11bd3fc16a125afc1c2cd8b4d18bc2e2 (MD5) Previous issue date: 2009 / Resumo: A atividade neuronal relacionada a um determinado estímulo ou tarefa induz uma cadeia de complexos eventos biológicos no cérebro. O aumento no consumo de energia induz um acréscimo na demanda por glicose e oxigênio no tecido extravascular. Fatores bioquímicos e neuronais induzem variações nos vasos sanguíneos que resultam em alterações de uxo sanguíneo, volume e oxigenação. Embora extensivamente investigada, esta cascata de eventos ainda é pouco compreendida. Neste projeto, procuramos descrever o acoplamento entre os níveis celular, metabólico e vascular associado à ativação funcional do cérebro. Usando medidas eletro fisiológicas, modelamos os sistemas neuro-vascular e neuro-metabólico para descrever a hemodinâmica cerebral medida através de técnicas ópticas. Resultados obtidos em ratos durante a estimulação de um fio de bigode mostraram que a determinação de uma função resposta para cada sistema, assumido como linear, descreve bem o comportamento hemodinâmico e possibilita o estudo dos estados vascular e metabólico caracterizados pelos parâmetros medidos. A partir de experimentos multimodais de NIRS e fMRI, desenvolvemos metodologias inovadoras para a determinação de imagens metabólicas, capazes de prever variações do consumo de oxigênio com boa resolução espacial e temporal. Por fim, analisamos a in u^encia de parâmetros fisiológicos no sinal óptico, mostrando a contribuição importante da pressão sanguínea na composição deste. Medidas de correlação temporal foram projetadas para gerar mapas de correlação vascular que podem ser aplicados ao estudo da conectividade vascular cerebral, tanto em indivíduos normais como em pacientes com patologias cerebrais. / Abstract: Task-associated neuronal activity leads to a complex chain of biological events within the brain. The increased energetics gives rise to elevated glucose and oxygen consumption in the tissue. Biochemical and neuronal factors induce changes in blood vessels and variations in blood ow, volume and oxygenation. Although it has been extensively investigated, this cascade of events is still poorly understood and highly debated. In this project, the aim was to describe the coupling among the cellular, metabolic and vascular levels associated to functional brain activation. Using electrophysiological measurements, we modeled the neuro-vascular and neuro-metabolic systems in order to describe cerebral hemodynamics as seen through optical techniques. Results obtained in rats during whisker-barrel stimulation showed that the determination of a response function for each system, assumed as linear, can describe the hemodynamic behavior and allow the study of the vascular and metabolic states characterized by the measurements. From multimodal experiments of NIRS and fMRI, we developed unique methods to the determination of metabolic images, which can predict changes in oxygen consumption with good temporal and spatial resolution. Finally, we analyzed the in uence of the physiology in the optical signal, and showed the importance of taking into account blood pressure oscillations into this signal. Measurements of temporal correlation were projected to generate vascular correlation maps that may be useful to the study of cerebral vascular connectivity, both in normal subjects and in patients with cerebral pathologies. / Doutorado / Metodos Oticos de Analise / Doutor em Ciências

Predicting who will benefit from what in the treatment of psychiatric disorders is incremental to future development of psychological treatments. In the current study functional magnetic resonance imaging (fMRI) data from participants with social anxiety disorder (SAD) was used to elucidate whether neural responses to negative evaluation could predict treatment response in SAD. Nine weeks prior to Internet- delivered Cognitive Behaviour Therapy (ICBT) onset, participants viewed negative social stimuli directed either at themselves or an significant other during fMRI scanning. Regression analyses including the differential activations for other-referential criticism in contrast to self-referential criticism in the posterior mid cingulate cortex (pMCC) and the lingual gyrus (LG) predicted 34% of treatment change as measured by residual gain scores on the Liebowitz Social Anxiety Scale Self-Report (LSAS-SR) in our sample. The final regression model, combining these measures with behavioural measures, which by themselves explained 27% of the variance, resulted in a model explaining 50% of the variance regarding treatment response. This lends additional support to the notion that further elucidating the neurobiological underpinnings of core processes in SAD, as well as the neural correlates of treatment response to CBT, would be of great value in predicting treatment outcome.

L’apprentissage inter-sujet consiste à fournir des prédictions sur des données d'un sujet humain non présent dans la base d’apprentissage, comme dans l’aide au diagnostic où un ordinateur doit prédire si un sujet inconnu est sain ou malade. Dans cette thèse, nous défendons le point de vue que ce problème doit être formalisé dans le cadre multi-source, où chaque sujet d’apprentissage fournit une source de données. Nous présentons ensuite trois contributions destinées à des applications en neuroimagerie.La première est une méthode de prédiction inter-sujet pour données d'IRM fonctionnelle. La variabilité inter-sujet fait que les espaces d’entrée sont tous différents. Nous construisons un espace commun à l'aide de graphes et d'un noyau de graphe, qui projette ces données dans un espace de hilbert à noyau reproduisant. Nous démontrons l’efficacité de cette approche sur des données de tonotopie enregistrées dans le cortex auditif.La deuxième est une méthode de morphométrie corticale. Nous construisons des graphes à partir des extrema de profondeur du cortex, que nous projetons dans un espace commun grâce à un noyau de graphe. Une méthode d’inférence spatiale permet l’identification des zones du cortex qui présentent des différences entre populations. Nous étudions avec cette méthode les asymétries corticales et les différences inter-sexe.La troisième est une méthode d’adaptation de domaine multi-source. Nous décrivons une extension du kernel mean matching au cas où l’ensemble d’apprentissage se compose de plusieurs sources de données et des résultats préliminaires sur une tâche de classification inter-sujet dans une expérience de magnéto-encéphalographie. / Inter-subject learning consists in giving predictions on data from a subject not present in the training database, as with computer-aided diagnosis where the computer has to guess wether an unknown individual is healthy or sick. In this thesis, we argue that inter-subject learning should be handled in the multi-source framework where each subject is a different source of data. We then introduce three original contributions for neuroimaging applications.The first one is a method for inter-subject predictions of fMRI data. Because of the inter-subject variability, the original feature spaces are all different. Using graphs and a graph kernel, the input patterns are implicitly projected into a common reproducing kernel hilbert space. We show the effectiveness of this method on tonotopy data recorded in the auditory cortex.The second one is a cortical morphometry method. We design graphs from the deepest points of cortical sulci, and we project them into a common space using a graph kernel. A spatial inference method is then proposed to perform the detection of cortical zones where populations are different. Using this method, we study cortical asymmetries and gender differences.The third contribution of this thesis is a multi-source domain adaptation technique. Our method is an extension of the kernel mean matching for the multi-source case. We present preliminary results on a inter-subject prediction task used to analyse data from a magneto-encephalography experiment.