Biology subjects

Yoshida, W.

Publications and source records attributed to Yoshida, W..

3 recordsLinked to original sources

bioRxiv2018

Endogenous controllability of closed-loop brain-machine interfaces for pain.

The ultimate aim of closed-loop brain-machine systems for pain is to directly titrate the ongoing level of an intervention to pain-related neural activity. However pain is highly susceptible to endogenous modulation, raising the possibility that active or passive changes in neural activity provoked by the operation of the system could enhance or interfere with the signals upon which it is based. We studied healthy subjects receiving intermittent pain stimuli in a real-time fMRI-based closed-loop feedback-stimulation task. We showed that multi-voxel pattern decoding of pain intensity could be used to train a control algorithm to learn to deliver less painful stimuli (adaptive decoded neurofeedback). However, the system engaged two types of endogenous processes in the brain. First, despite the inherent incentive for subjects to enhance the neural decodability of pain, decodability was either reduced or unchanged in classic pain-processing regions, including insula, dorsolateral prefrontal, and somatosensory cortices. However, increased decodability was observed in a putative pain modulatory region - the pregenual anterior cingulate cortex (pgACC). Second, we found that pain perception itself was modulated by an endogenous computational uncertainty signal engaged as subjects learned the success rate of the system in reducing pain - an effect that also correlated with pgACC responses. The results illustrate how regionally and computationally specific co-adaptive brain-machine learning influences the efficacy of closed-loop systems for pain, and shows that pgACC acts as a key hub in the endogenous controllability of pain.

neuroscience↗

bioRxiv2017

Classification and characterisation of brain network changes in chronic back pain: a multicenter study.

Chronic pain is a common and often disabling condition, and is thought to involve a combination of peripheral and central neurobiological factors. However, the extent and nature of changes in the brain is poorly understood. Here, we investigated brain network architecture using resting state fMRI data collected from chronic back pain patients in UK and Japan (41 patients, 56 controls). Using a machine learning approach (support vector machine), we found that brain network patterns reliably classified chronic pain patients in a third, independent open data set with an accuracy of 63%, whilst 68% was attained in cross validation of all data. We then developed a deep learning classifier using a conditional variational autoencoder, which also yield yielded 63% generalisation and 68% cross-validation accuracy. Given the existence of reliable network changes, we next studied the graph topology of the network, and found consistent evidence of hub disruption based on clustering and betweenness centrality of brain nodes in pain patients. To examine this in more detail, we developed a multislice modularity algorithm to identify a consensus pattern of modular reorganisation of brain nodes across the entire data set. This revealed evidence of significant changes in the modular identity of several brain regions, most notably including broad regions of bilateral sensorimotor cortex, subregions of which also contributed to classifier performance. These results provide evidence of consistent and characteristic brain network changes in chronic pain, and highlight extensive reorganisaton of the network architecture of sensorimotor cortex.

neuroscience↗

bioRxiv2017

The Control of Tonic Pain by Active Relief Learning

Tonic pain after injury characterises a behavioural state that prioritises recovery. Although generally suppressing cognition and attention, tonic pain needs to allow effective relief learning so that the cause of the pain can be reduced if possible. Here, we describe a central learning circuit that supports learning of relief and concurrently suppresses the level of ongoing pain. We used computational modelling of behavioural, physiological and neuroimaging data in two experiments in which subjects learned to terminate tonic pain in static and dynamic escape-learning paradigms. In both studies, we show that active relief-seeking involves a reinforcement learning process manifest by error signals observed in the dorsal putamen. Critically, this system also uses an uncertainty ( associability) signal detected in pregenual anterior cingulate cortex that both controls the relief learning rate, and endogenously and parametrically modulates the level of tonic pain. The results define a self-organising learning circuit that allows reduction of ongoing pain when learning about potential relief.

neuroscience↗