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Lesion-symptom mapping
inferring the function of a brain area by observing the behavioral consequences of damage to that area.
Double dissociation
technique to determine whether 2 cognitive functions are independent (when lesions have converse effects on 2 distinct cognitive functions) Brain lesion area A: disruption cognitive function A but not B | Brain lesion area B: disruption cognitive function B but not A
Voxel-based lesion-symptom mapping VLSM advantages over prior lesion study approaches
directly comparable to fMRI and PET findings common stereotactic space. Behavioral data can be continuous, no biased patient groups (with arbitrary cut-off) and has a wide range of lesion size and location possible, no need to predefine regions of interest. Nuisance variables (lesion size, age) age covariates Observe lesion effects on multiple regions at once. But damage may extend beyond the area of apparent injury as seen on structural scans (white matter damage may have broad ramifications outside the lesions area of necrosis and can thus lead to remote dysfunction of apparently intact cortical tissue)
Network-based lesion-symptom mapping NLSM
Examines statistical relationship between network injury and behavioral performance. Can provide more systematic assessment by evaluating brain damage as a combination of necrosis as well as disconnection
General lesion studies limitations
necessarily largely data-driven (study determined by the patient population one happens to have access to to) Differential vulnerability: some areas of cortex are more likely to be damaged | Damage often follows structural boundaries (e.g. vascularization) rather than functional boundaries
Injecting tracers into localized areas and study transport along axons
(Introductory concept for pathways tracking)
Anterograde tracers
label pathway from cell body to termination site of axons
Retrograde tracers: label pathway from termination site to cell body
Tracers: monosynaptic connections (projections to first synapse)
Viruses: polysynaptic tracers, chains of connections (transmitted across synapses)
Why animals instead of humans?
Info which the 6 cortical layers receives or sends the connection (level of detail not possible in humans)
Permanent lesions
aspiration, electrolytic and excitotoxic/neurotoxic:
Aspiration
remove tissue by suction through glass pipette, visually-guided, only surface areas and causes fiber destruction
Electrolytic
pass current through electrode to head exposed tip and destroy adjacent tissue. Also areas at depth but also causes fiber destruction)
Excitotoxic/neurotoxic
selectively destroy cells (or neurotransmitters) and spare fibers by infusion of chemical through a cannula, also deep subcortical structures, difficult to ensure precise extend of the lesion
Reversible lesions
pharmacological interventions, cryogenic inactivation, genetic-based approaches (optogenetics, chemogenetics)
pharmacological interventions: infusion of non-neurotoxic chemical to temporarily change neurotransmission (re-uptake, synthesis, break-down), any brain region can be targeted while sparing fibers of passage, but difficult to assess spread and efficacy of drug, typically 10-20 min to take full effects and wears off after a few hours
cryogenic inactivation
transient cooling prevents synaptic transmission, requires direct access to tissue, no well-suited for deep and subcortical structures. Synapse numbers decline on cooling and recover on rewarming
genetic-based approaches: use of viral vectors to make cells express specific proteins, proteins are selectively activated to alter cell function (e.g. by light: optogenetics; by drugs: chemogenetics), high spatial resolution (target individual structures, cell types or pathways), and high temporal resolution (especially optogenetics): precise control over timing of lesion (less reorganization)
optogenetics
combination of genetic and optical methods to achieve gain or loss of function of well-defined events in specific cells of living tissue with millisecond precision
chemogenetics
combination of genetic and drug-based methods to achieve gain or loss of function of well-defend evens in specific cells of living tissue for minutes to hours
DREADDS
designer receptor exclusively activated by designer drugs
Imaging genetics
combines imaging and genetics to identify and characterize genetic variants, associated with inter-individual variation in brain structure and function to relate this to behavioral traits to gain insight into genetic regulation of the human brain