‣ Essential in clinical care. ‣ Radiologists perform qualitative “lightbox” reads. ‣ Most psychiatric and neurological disorders are invisible to reading radiologists. Structural MRI
Aging of the brain 20s 80s with mild Alzheimer’s 80s aging gracefully
Brain volume declines with age Marcus et al., 2007
Advanced structural methods Van Essen et al., 2006 Csernansky et al., 2005
fMRI depends on functional localization
The sad tale of Phineas Gage “[P]ossessed a well-balanced mind, and was looked upon by those who knew him as a shrewd, smart businessman, very energetic and persistent” “fitful, irreverent, indulging at times in the grossest profanity (which was not previously his custom), manifesting but little deference for his fellows, impatient of restraint or advice when it conflicts with his desires, at times pertinaciously obstinate, yet capricious and vacillating...” Harlow, J.M. (1868)
Natural History Museum, London
Another sad tale “A preexisting strong interest in pornography dating back to adolescence...” “An increasing interest in pornography... acquired an expanding collection of pornographic magazines and increasingly frequented Internet pornography sites.” “Much of this prurient material emphasized children and adolescents and was specifically targeted to purveyors of child pornography. He also solicited prostitution, which he had not previously done.” “Despite his strong desire to avoid prison, he could not restrain himself from soliciting sexual favors from staff at the rehabilitation center. ” Burns and Swerdlow, 2003
Another sad tale
Anatomy of an fMRI study Buckner & Wheeler, 2001 Study Test (in scanner)
Anatomy of an fMRI study Buckner & Wheeler, = OldNew
Applications of fMRI ‣ Discovery of basic brain function ‣ Discovery of brain dysfunction in disease ‣ Evaluation of treatment efficacy ‣ Sketchy things
“This is your brain on politics”, NY Times, Nov. 11, 2007
1.Voters sense both peril and promise in party brands. 2.Emotions about Hillary Clinton are mixed. 3.The gender gap may be closing. 4.Mitt Romney shows potential. 5.In Rudy Giuliani versus Fred Thompson, the latter evokes more empathy. 6.John Edwards has promise — and a problem. 7.Barack Obama and John McCain have work to do.
Where are the language areas? Where are the motor areas?
With fMRI, patients must perform an action, which is unreliable in clinic.
Functional connectivity MRI (fcMRI) requires NO task. Highly reliable.
Functional connectivity MRI (fcMRI) requires NO task.
Emerging technology: digital lab on the cloud Input: Raw MRI scans Output: Quantitative reports
Emerging technology: Patient-driven care Microsoft HealthVault
Google Health (prototype) Emerging technology: Patient-driven care
Brain imaging for hackers ‣ Get yourself some brain images ‣ Get yourself some brain analysis tools ‣ Discover something, invent something
Get your own brain scanned ‣ Buy a scanner and install it in your basement
Get your own brain scanned ‣ Buy a scanner and install it in your basement ‣ Inflict severe brain injury
Get your own brain scanned ‣ Buy a scanner and install it in your basement ‣ Inflict severe brain injury ‣ Volunteer for a study -Contact local research centers -Ask for your scans (“I’ve brought a blank CD with me. Will you please copy the DICOM files of my scans onto it?”)
Use open access data ‣ Neuron: Neuron Yale Sense Lab ‣ Gene expression: Allen Brain Atlas ‣ Structural MRI: Open Access Structural Imaging Series (OASIS), mBIRN Data Repository ‣ Functional MRI: fMRI Data Center, fBIRN Data Repository ‣ Functional connectivity MRI: Brainscape
Neuron Network Whole brain Genesis Neuron Slicer, Caret, AFNI, Freesurfer, SPM, FSL, ImageJ Get yourself some tools See also NITRC (http://www.nitrc.org/)http://www.nitrc.org/ Ed Boyden, Thursday 11:50 “Synthetic Neurobiology: Towards Engineering Brain Circuits for Health and Human Augmentation”
Some unsolved problems ‣ Automated brain extraction ‣ How many networks are in the brain ‣ Methods for distinguishing differences between populations ‣ Predicting disease and aptitude ‣ Data sharing ‣ Individual differences in performance (“gifted”, “savant”) ‣ Neuroethics ‣ “Deidentifying” images ‣ Bridging the spatial divide ‣ Security and privacy ‣ Data mining
Brain imaging: gene expression Lein et al. Nature (2007)
Veber den Kreislauf des Blutes in Menschlichen Gehirn (Concerning the circulation of the blood in the human brain) Verlag von Viet & Company: Leipzig, 1881 Functional Brain Imaging and Brain Blood Flow Angelo Mosso
Resting quietly Forearm Brain Arrow: room clock strikes 12 noon and of church bells heard Brain Forearm Arrow: Mosso asked Bertino if the Ave Maria should have been said Brain Forearm Arrow: “What is 8 x 12?” ω: response Brain Forearm Monday noon, September 23, 1878 From: Angelo Mosso (1881)