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Schnur, T. T.

Publications and source records attributed to Schnur, T. T..

5 recordsLinked to original sources

Longitudinal changes in functional connectivity networks in the first year following stroke

The functional organization of the brain consists of multiple subsystems, or modules, with dense functional communication within modules (i.e., visual, attention) and relatively sparse but vital communications between them. The two hemispheres also have strong functional communications, which presumably supports hemispheric lateralization and specialization. Subsequent to stroke, the functional organization undergoes neuroplastic changes over time. However, empirical longitudinal studies of human subjects are lacking. Here we analyzed three large-scale, whole-brain resting-state functional MRI connectivity measures: modularity, hemispheric symmetry (based on system segregation), and homotopic connectivity in a group of 17 participants at 1-month, 3-months, and 12-months after a single left-hemisphere stroke. These measures were also compared to a group of 13 age-matched healthy controls. The three measures exhibited different trajectories of change: (1) modularity steadily decreased across the 12-month period and became statistically inferior to control values at 12 months, indicating a less modular organization; (2) hemispheric symmetry values were abnormally low at 1-month and then increased significantly in the first 6 months, leveling off at levels not significantly below control levels by 12 months, suggesting that the two hemispheres diverged initially after the unilateral damage, but improved over time; and (3) homotopic connectivity exhibited a U-shaped function with a significant decrease from 1-6 months and then an increase from 6-12 months, to levels that were not significantly different from controls. The results revealed a complex picture of the dynamic changes the brain undergoes as it responds to abrupt onset damage.

neuroscience↗

Recovery of Verbal Working Memory Depends on Left Hemisphere White Matter Tracts

Researchers propose that the recovery of language function following stroke depends on the recruitment of perilesional regions in the left hemisphere and/or homologous regions in the right hemisphere (Kiran, 2012). Many investigations of recovery focus on changes in gray matter regions (e.g., Turkeltaub et al., 2011), whereas relatively few examine white matter tracts (e.g., Schlaug et al., 2009) and none address the role of these tracts in the recovery of verbal working memory (WM). The present study addressed these gaps, examining the role of left vs. right hemisphere tracts in the longitudinal recovery of phonological and semantic WM. For 24 individuals with left hemisphere stroke, we assessed WM performance within one week of stroke (acute timepoint) and at more than six months after stroke (chronic timepoint). To address whether recovery depends on the recruitment of left or right hemisphere tracts, we assessed whether changes in WM were related to the integrity of five white matter tracts in the left hemisphere which had been implicated previously in verbal WM and their right hemisphere analogues. Behavioral results showed significant improvement in semantic but not phonological WM from the acute to chronic timepoints. Improvements in semantic WM significantly correlated with tract integrity as measured by functional anisotropy in the left direct segment of the arcuate fasciculus, inferior fronto-occipital fasciculus and inferior longitudinal fasciculus. The results confirm the role of white matter tracts in language recovery and support the involvement of the left rather than right hemisphere in the recovery of semantic WM.

neuroscience↗

Using predictive validity to compare associations between brain damage and behavior

Lesion-behavior mapping (LBM) provides a statistical map of the association between voxel-wise brain damage and individual differences in behavior. To understand whether two behaviors are mediated by damage to distinct regions, researchers often compare LBM weight outputs by either the Overlap method or the Correlation method. However, these methods lack statistical criteria to determine whether two LBM are distinct vs. the same and are disconnected from a major goal of LBMs: predicting behavior from brain damage. Without such criteria, researchers may draw conclusions from numeric differences between LBMs that are irrelevant to predicting behavior. We developed and validated a Predictive Validity Comparison method (PVC) that establishes a statistical criterion for comparing two LBMs using predictive accuracy: two LBMs are distinct if and only if they provide unique predictive power for the behaviors being assessed. We applied PVC to two lesion-behavior stroke data sets, demonstrating its utility for determining when behaviors arise from the same vs. different lesion patterns. Using region-of-interest based simulations derived from proportion damage from a large data set (n = 131), PVC accurately detected when behaviors were mediated by different regions (high sensitivity) vs. the same region (high specificity). Both the Overlap method and Correlation method performed poorly on the simulated data. By objectively determining whether two behavioral deficits can be explained by a single vs. distinct patterns of brain damage, PVC provides a critical advance in establishing the brain bases of behavior. We have developed and released a GUI-driven web app to encourage widespread adoption.

neuroscience↗

Dissociation between Frontal and Temporal-Parietal Contributions to Connected Speech in Acute Stroke

Humans are uniquely able to retrieve and combine words into syntactic structure to produce connected speech. Previous identification of focal brain regions necessary for production focused primarily on associations with the content produced by speakers with chronic stroke, where function may have shifted to other regions after reorganization occurred. Here, we relate patterns of brain damage with deficits to the content and structure of spontaneous connected speech in 52 speakers during the acute stage of a left hemisphere stroke. Multivariate lesion behavior mapping demonstrated that damage to temporal-parietal regions impacted the ability to retrieve words and produce them within increasingly complex combinations. Damage primarily to inferior frontal cortex affected the production of syntactically accurate structure. In contrast to previous work, functional-anatomical dissociations did not depend on lesion size likely because acute lesions were smaller than typically found in chronic stroke. These results are consistent with predictions from theoretical models based primarily on evidence from language comprehension and highlight the importance of investigating individual differences in brain-language relationships in speakers with acute stroke.

neuroscience↗

Neural and linguistic differences explain priming and interference during naming

When naming an object, humans are faster to produce the name ("cat") if immediately having named a related object ("dog") but paradoxically slower to name the same object ("cat") if there are intervening speech acts (Wei and Schnur 2019). This dependence of behavior on prior experience is ubiquitous in other domains, often termed "priming" (if behavior is speeded) or "interference" (if behavior is slower). However, it is unknown the changes in the language system (conceptual, lexical, and/or connections between representations) and corresponding brain mechanisms which create these paradoxical effects on the same speech act. Using fMRI during simple picture naming, we observed distinct brain regions and different connections associated with priming and interference. Greater priming was associated with increased activation in the ventral occipitotemporal cortex, while greater interference was associated with decreased functional connectivity between the left posterior temporal and angular gyri. To provide neural evidence of where in the language system priming and interference in naming occur, we assayed the response of different brain areas to conceptual or lexical aspects of speech. The brain and language systems adapt to prior naming experience by modulating conceptual representations during priming, but modulating conceptual, lexical and the mapping between representations during interference.

neuroscience↗