Functional connectivity measured with magnetoencephalography identifies persons with HIV disease

There is need for a valid and reliable biomarker for HIV Associated Neurocognitive Disorder (HAND). The purpose of the present study was to provide preliminary evidence of the potential utility of neuronal functional connectivity measures obtained using magnetoencephalography (MEG) to identify HIV-associated changes in brain function. Resting state, eyes closed, MEG data from 10 HIV-infected individuals and 8 seronegative controls were analyzed using mutual information (MI) between all pairs of MEG sensors to ...

Optimisation of algorithms to compute information theoretic indexes

Analysis of big amount of data is a field with many years of research. It is centred in getting significant values, to make it easier to understand and interpret data. Being the analysis of interdependence between time series an important field of research, mainly as a result of advances in the characterization of dynamical systems from the signals they produce. In the medicine sphere, it is easy to find many researches that try to understand the brain behaviour, its operation mode and its internal connections. The human brain comprises approximately 1011 neurons, each of which makes about 103 synaptic connections. This huge number of connections between individual processing elements provides the fundamental substrate for neuronal ensembles to become transiently synchronized or functionally connected. A similar complex network configuration and dynamics can also be found at the macroscopic scales of systems neuroscience and brain imaging. The emergence of dynamically coupled cell assemblies represents the neurophysiological substrate for cognitive function such as perception, learning, thinking. Understanding the complex network organization of the brain on the basis of neuroimaging data represents one of the most impervious challenges for systems neuroscience. Brain connectivity is an elusive concept that refers to diferent interrelated aspects of brain organization: structural, functional connectivity (FC) and efective connectivity (EC). Structural connectivity refers to a network of physical connections linking sets of neurons, it is the anatomical structur of brain networks. However, FC refers to the statistical dependence between the signals stemming from two distinct units within a nervous system, while EC refers to the causal interactions between them. This research opens the door to try to resolve diseases related with the brain, like Parkinson’s disease, senile dementia, mild cognitive impairment, etc. One of the most important project associated with Alzheimer’s research and other diseases are enclosed in the European project called Blue Brain. The center for Biomedical Technology (CTB) of Universidad Politecnica de Madrid (UPM) forms part of the project. The CTB researches have developed a magnetoencephalography (MEG) data processing tool that allow to visualise and analyse data in an intuitive way. This tool receives the name of HERMES, and it is presented in this document. Analysis of big amount of data is a field with many years of research. It is centred in getting significant values, to make it easier to understand and interpret data. Being the analysis of interdependence between time series an important field of research, mainly as a result of advances in the characterization of dynamical systems from the signals they produce. In the medicine sphere, it is easy to find many researches that try to understand the brain behaviour, its operation mode and its internal connections. The human brain comprises approximately 1011 neurons, each of which makes about 103 synaptic connections. This huge number of connections between individual processing elements provides the fundamental substrate for neuronal ensembles to become transiently synchronized or functionally connected. A similar complex network configuration and dynamics can also be found at the macroscopic scales of systems neuroscience and brain imaging. The emergence of dynamically coupled cell assemblies represents the neurophysiological substrate for cognitive function such as perception, learning, thinking. Understanding the complex network organization of the brain on the basis of neuroimaging data represents one of the most impervious challenges for systems neuroscience. Brain connectivity is an elusive concept that refers to diferent interrelated aspects of brain organization: structural, functional connectivity (FC) and efective connectivity (EC). Structural connectivity refers to a network of physical connections linking sets of neurons, it is the anatomical structur of brain networks. However, FC refers to the statistical dependence between the signals stemming from two distinct units within a nervous system, while EC refers to the causal interactions between them. This research opens the door to try to resolve diseases related with the brain, like Parkinson’s disease, senile dementia, mild cognitive impairment, etc. One of the most important project associated with Alzheimer’s research and other diseases are enclosed in the European project called Blue Brain. The center for Biomedical Technology (CTB) of Universidad Politecnica de Madrid (UPM) forms part of the project. The CTB researches have developed a magnetoencephalography (MEG) data processing tool that allow to visualise and analyse data in an intuitive way. This tool receives the name of HERMES, and it is presented in this document.

Dysfunctional 3D model based on structural and neuropsychological information

Acquired brain injury (ABI) 1-2 refers to any brain damage occurring after birth. It usually causes certain damage to portions of the brain. ABI may result in a significant impairment of an individuals physical, cognitive and/or psychosocial functioning. The main causes are traumatic brain injury (TBI), cerebrovascular accident (CVA) and brain tumors. The main consequence of ABI is a dramatic change in the individuals daily life. This change involves a disruption of the family, a loss of future income capacity and an increase of lifetime cost. One of the main challenges in neurorehabilitation is to obtain a dysfunctional profile of each patient in order to personalize the treatment. This paper proposes a system to generate a patient s dysfunctional profile by integrating theoretical, structural and neuropsychological information on a 3D brain imaging-based model. The main goal of this dysfunctional profile is to help therapists design the most suitable treatment for each patient. At the same time, the results obtained are a source of clinical evidence to improve the accuracy and quality of our rehabilitation system. Figure 1 shows the diagram of the system. This system is composed of four main modules: image-based extraction of parameters, theoretical modeling, classification and co-registration and visualization module.

Time scales in cognitive neuroscience

Cognitive neuroscience boils down to describing the ways in which cognitive function results from brain activity. In turn, brain activity shows complex fluctuations, with structure at many spatio-temporal scales. Exactly how cognitive function inherits the physical dimensions of neural activity, though, is highly non-trivial, and so are generally the corresponding dimensions of cognitive phenomena. As for any physical phenomenon, when studying cognitive function, the first conceptual step should be that of establishing its dimensions. Here, we provide a systematic presentation of the temporal aspects of task-related brain activity, from the smallest scale of the brain imaging technique's resolution, to the observation time of a given experiment, through the characteristic time scales of the process under study. We first review some standard assumptions on the temporal scales of cognitive function. In spite of their general use, these assumptions hold true to a high degree of approximation for many cognitive (viz. fast perceptual) processes, but have their limitations for other ones (e.g., thinking or reasoning). We define in a rigorous way the temporal quantifiers of cognition at all scales, and illustrate how they qualitatively vary as a function of the properties of the cognitive process under study. We propose that each phenomenon should be approached with its own set of theoretical, methodological and analytical tools. In particular, we show that when treating cognitive processes such as thinking or reasoning, complex properties of ongoing brain activity, which can be drastically simplified when considering fast (e.g., perceptual) processes, start playing a major role, and not only characterize the temporal properties of task-related brain activity, but also determine the conditions for proper observation of the phenomena. Finally, some implications on the design of experiments, data analyses, and the choice of recording parameters are discussed.

Análisis de la actividad neuronal y cerebral mediante técnicas de redes complejas

El cerebro humano es probablemente uno de los sistemas más complejos a los que nos enfrentamos en la actualidad, si bien es también uno de los más fascinantes. Sin embargo, la compresión de cómo el cerebro organiza su actividad para llevar a cabo tareas complejas es un problema plagado de restos y obstáculos. En sus inicios la neuroimagen y la electrofisiología tenían como objetivo la identificación de regiones asociadas a activaciones relacionadas con tareas especificas, o con patrones locales que variaban en el tiempo dada cierta actividad. Sin embargo, actualmente existe un consenso acerca de que la actividad cerebral tiene un carácter temporal multiescala y espacialmente extendido, lo que lleva a considerar el cerebro como una gran red de áreas cerebrales coordinadas, cuyas conexiones funcionales son continuamente creadas y destruidas. Hasta hace poco, el énfasis de los estudios de la actividad cerebral funcional se han centrado en la identidad de los nodos particulares que forman estas redes, y en la caracterización de métricas de conectividad entre ellos: la hipótesis subyacente es que cada nodo, que es una representación mas bien aproximada de una región cerebral dada, ofrece a una única contribución al total de la red. Por tanto, la neuroimagen funcional integra los dos ingredientes básicos de la neuropsicología: la localización de la función cognitiva en módulos cerebrales especializados y el rol de las fibras de conexión en la integración de dichos módulos. Sin embargo, recientemente, la estructura y la función cerebral han empezado a ser investigadas mediante la Ciencia de la Redes, una interpretación mecánico-estadística de una antigua rama de las matemáticas: La teoría de grafos. La Ciencia de las Redes permite dotar a las redes funcionales de una gran cantidad de propiedades cuantitativas (robustez, centralidad, eficiencia, ...), y así enriquecer el conjunto de elementos que describen objetivamente la estructura y la función cerebral a disposición de los neurocientíficos. La conexión entre la Ciencia de las Redes y la Neurociencia ha aportado nuevos puntos de vista en la comprensión de la intrincada anatomía del cerebro, y de cómo las patrones de actividad cerebral se pueden sincronizar para generar las denominadas redes funcionales cerebrales, el principal objeto de estudio de esta Tesis Doctoral. Dentro de este contexto, la complejidad emerge como el puente entre las propiedades topológicas y dinámicas de los sistemas biológicos y, específicamente, en la relación entre la organización y la dinámica de las redes funcionales cerebrales. Esta Tesis Doctoral es, en términos generales, un estudio de cómo la actividad cerebral puede ser entendida como el resultado de una red de un sistema dinámico íntimamente relacionado con los procesos que ocurren en el cerebro. Con este fin, he realizado cinco estudios que tienen en cuenta ambos aspectos de dichas redes funcionales: el topológico y el dinámico. De esta manera, la Tesis está dividida en tres grandes partes: Introducción, Resultados y Discusión. En la primera parte, que comprende los Capítulos 1, 2 y 3, se hace un resumen de los conceptos más importantes de la Ciencia de las Redes relacionados al análisis de imágenes cerebrales. Concretamente, el Capitulo 1 está dedicado a introducir al lector en el mundo de la complejidad, en especial, a la complejidad topológica y dinámica de sistemas acoplados en red. El Capítulo 2 tiene como objetivo desarrollar los fundamentos biológicos, estructurales y funcionales del cerebro, cuando éste es interpretado como una red compleja. En el Capítulo 3, se resumen los objetivos esenciales y tareas que serán desarrolladas a lo largo de la segunda parte de la Tesis. La segunda parte es el núcleo de la Tesis, ya que contiene los resultados obtenidos a lo largo de los últimos cuatro años. Esta parte está dividida en cinco Capítulos, que contienen una versión detallada de las publicaciones llevadas a cabo durante esta Tesis. El Capítulo 4 está relacionado con la topología de las redes funcionales y, específicamente, con la detección y cuantificación de los nodos mas importantes: aquellos denominados “hubs” de la red. En el Capítulo 5 se muestra como las redes funcionales cerebrales pueden ser vistas no como una única red, sino más bien como una red-de-redes donde sus componentes tienen que coexistir en una situación de balance funcional. De esta forma, se investiga cómo los hemisferios cerebrales compiten para adquirir centralidad en la red-de-redes, y cómo esta interacción se mantiene (o no) cuando se introducen fallos deliberadamente en la red funcional. El Capítulo 6 va un paso mas allá al considerar las redes funcionales como sistemas vivos. En este Capítulo se muestra cómo al analizar la evolución de la topología de las redes, en vez de tratarlas como si estas fueran un sistema estático, podemos caracterizar mejor su estructura. Este hecho es especialmente relevante cuando se quiere tratar de encontrar diferencias entre grupos que desempeñan una tarea de memoria, en la que las redes funcionales tienen fuertes fluctuaciones. En el Capítulo 7 defino cómo crear redes parenclíticas a partir de bases de datos de actividad cerebral. Este nuevo tipo de redes, recientemente introducido para estudiar las anormalidades entre grupos de control y grupos anómalos, no ha sido implementado nunca en datos cerebrales y, en este Capítulo explico cómo hacerlo cuando se quiere evaluar la consistencia de la dinámica cerebral. Para concluir esta parte de la Tesis, el Capítulo 8 se centra en la relación entre las propiedades topológicas de los nodos dentro de una red y sus características dinámicas. Como mostraré más adelante, existe una relación entre ellas que revela que la posición de un nodo dentro una red está íntimamente correlacionada con sus propiedades dinámicas. Finalmente, la última parte de esta Tesis Doctoral está compuesta únicamente por el Capítulo 9, el cual contiene las conclusiones y perspectivas futuras que pueden surgir de los trabajos expuestos. En vista de todo lo anterior, espero que esta Tesis aporte una perspectiva complementaria sobre uno de los más extraordinarios sistemas complejos frente a los que nos encontramos: El cerebro humano. ABSTRACT The human brain is probably one of the most complex systems we are facing, thus being a timely and fascinating object of study. Characterizing how the brain organizes its activity to carry out complex tasks is highly non-trivial. While early neuroimaging and electrophysiological studies typically aimed at identifying patches of task-specific activations or local time-varying patterns of activity, there has now been consensus that task-related brain activity has a temporally multiscale, spatially extended character, as networks of coordinated brain areas are continuously formed and destroyed. Up until recently, though, the emphasis of functional brain activity studies has been on the identity of the particular nodes forming these networks, and on the characterization of connectivity metrics between them, the underlying covert hypothesis being that each node, constituting a coarse-grained representation of a given brain region, provides a unique contribution to the whole. Thus, functional neuroimaging initially integrated the two basic ingredients of early neuropsychology: localization of cognitive function into specialized brain modules and the role of connection fibres in the integration of various modules. Lately, brain structure and function have started being investigated using Network Science, a statistical mechanics understanding of an old branch of pure mathematics: graph theory. Network Science allows endowing networks with a great number of quantitative properties, thus vastly enriching the set of objective descriptors of brain structure and function at neuroscientists’ disposal. The link between Network Science and Neuroscience has shed light about how the entangled anatomy of the brain is, and how cortical activations may synchronize to generate the so-called functional brain networks, the principal object under study along this PhD Thesis. Within this context, complexity appears to be the bridge between the topological and dynamical properties of biological systems and, more specifically, the interplay between the organization and dynamics of functional brain networks. This PhD Thesis is, in general terms, a study of how cortical activations can be understood as the output of a network of dynamical systems that are intimately related with the processes occurring in the brain. In order to do that, I performed five studies that encompass both the topological and the dynamical aspects of such functional brain networks. In this way, the Thesis is divided into three major parts: Introduction, Results and Discussion. In the first part, comprising Chapters 1, 2 and 3, I make an overview of the main concepts of Network Science related to the analysis of brain imaging. More specifically, Chapter 1 is devoted to introducing the reader to the world of complexity, specially to the topological and dynamical complexity of networked systems. Chapter 2 aims to develop the biological, topological and functional fundamentals of the brain when it is seen as a complex network. Next, Chapter 3 summarizes the main objectives and tasks that will be developed along the forthcoming Chapters. The second part of the Thesis is, in turn, its core, since it contains the results obtained along these last four years. This part is divided into five Chapters, containing a detailed version of the publications carried out during the Thesis. Chapter 4 is related to the topology of functional networks and, more specifically, to the detection and quantification of the leading nodes of the network: the hubs. In Chapter 5 I will show that functional brain networks can be viewed not as a single network, but as a network-of-networks, where its components have to co-exist in a trade-off situation. In this way, I investigate how the brain hemispheres compete for acquiring the centrality of the network-of-networks and how this interplay is maintained (or not) when failures are introduced in the functional network. Chapter 6 goes one step beyond by considering functional networks as living systems. In this Chapter I show how analyzing the evolution of the network topology instead of treating it as a static system allows to better characterize functional networks. This fact is especially relevant when trying to find differences between groups performing certain memory tasks, where functional networks have strong fluctuations. In Chapter 7 I define how to create parenclitic networks from brain imaging datasets. This new kind of networks, recently introduced to study abnormalities between control and anomalous groups, have not been implemented with brain datasets and I explain in this Chapter how to do it when evaluating the consistency of brain dynamics. To conclude with this part of the Thesis, Chapter 8 is devoted to the interplay between the topological properties of the nodes within a network and their dynamical features. As I will show, there is an interplay between them which reveals that the position of a node in a network is intimately related with its dynamical properties. Finally, the last part of this PhD Thesis is composed only by Chapter 9, which contains the conclusions and future perspectives that may arise from the exposed results. In view of all, I hope that reading this Thesis will give a complementary perspective of one of the most extraordinary complex systems: The human brain.

The correlation between white-matter microstructure and the complexity of spontaneous brain activity: A difussion tensor imaging-MEG study

The advent of new signal processing methods, such as non-linear analysis techniques, represents a new perspective which adds further value to brain signals' analysis. Particularly, Lempel–Ziv's Complexity (LZC) has proven to be useful in exploring the complexity of the brain electromagnetic activity. However, an important problem is the lack of knowledge about the physiological determinants of these measures. Although acorrelation between complexity and connectivity has been proposed, this hypothesis was never tested in vivo. Thus, the correlation between the microstructure of the anatomic connectivity and the functional complexity of the brain needs to be inspected. In this study we analyzed the correlation between LZC and fractional anisotropy (FA), a scalar quantity derived from diffusion tensors that is particularly useful as an estimate of the functional integrity of myelinated axonal fibers, in a group of sixteen healthy adults (all female, mean age 65.56 ± 6.06 years, intervals 58–82). Our results showed a positive correlation between FA and LZC scores in regions including clusters in the splenium of the corpus callosum, cingulum, parahipocampal regions and the sagittal stratum. This study supports the notion of a positive correlation between the functional complexity of the brain and the microstructure of its anatomical connectivity. Our investigation proved that a combination of neuroanatomical and neurophysiological techniques may shed some light on the underlying physiological determinants of brain's oscillations

Classical segmentation methods on novel MR imaging: a study of brain tissue segmentation of MP2RAGE vs MPRAGE

MP2RAGE has proven to be a bias-free MR acquisition with excellent contrast between grey and white matter. We investigated the ability of three state-of-the-art algorithms to automatically extract white matter (WM), grey matter (GM) and cerebrospinal fluid (CSF) from MPRAGE and MP2RAGE images: unified Segmentation (S) in SPM82 , its extension New Segment (NS), and an in-house Expectation-Maximization Markov Random Field tissue classification3 (EM-MRF) with Graph Cut (GC) optimization4 . Our goal is to quantify the differences between MPRAGE and MP2RAGE-based brain tissue probability maps.

Automated detection and classification of brain injury lesions on structural magnetic resonance imaging

El daño cerebral adquirido (DCA) es un problema social y sanitario grave, de magnitud creciente y de una gran complejidad diagnóstica y terapéutica. Su elevada incidencia, junto con el aumento de la supervivencia de los pacientes, una vez superada la fase aguda, lo convierten también en un problema de alta prevalencia. En concreto, según la Organización Mundial de la Salud (OMS) el DCA estará entre las 10 causas más comunes de discapacidad en el año 2020. La neurorrehabilitación permite mejorar el déficit tanto cognitivo como funcional y aumentar la autonomía de las personas con DCA. Con la incorporación de nuevas soluciones tecnológicas al proceso de neurorrehabilitación se pretende alcanzar un nuevo paradigma donde se puedan diseñar tratamientos que sean intensivos, personalizados, monitorizados y basados en la evidencia. Ya que son estas cuatro características las que aseguran que los tratamientos son eficaces. A diferencia de la mayor parte de las disciplinas médicas, no existen asociaciones de síntomas y signos de la alteración cognitiva que faciliten la orientación terapéutica. Actualmente, los tratamientos de neurorrehabilitación se diseñan en base a los resultados obtenidos en una batería de evaluación neuropsicológica que evalúa el nivel de afectación de cada una de las funciones cognitivas (memoria, atención, funciones ejecutivas, etc.). La línea de investigación en la que se enmarca este trabajo de investigación pretende diseñar y desarrollar un perfil cognitivo basado no sólo en el resultado obtenido en esa batería de test, sino también en información teórica que engloba tanto estructuras anatómicas como relaciones funcionales e información anatómica obtenida de los estudios de imagen. De esta forma, el perfil cognitivo utilizado para diseñar los tratamientos integra información personalizada y basada en la evidencia. Las técnicas de neuroimagen representan una herramienta fundamental en la identificación de lesiones para la generación de estos perfiles cognitivos. La aproximación clásica utilizada en la identificación de lesiones consiste en delinear manualmente regiones anatómicas cerebrales. Esta aproximación presenta diversos problemas relacionados con inconsistencias de criterio entre distintos clínicos, reproducibilidad y tiempo. Por tanto, la automatización de este procedimiento es fundamental para asegurar una extracción objetiva de información. La delineación automática de regiones anatómicas se realiza mediante el registro tanto contra atlas como contra otros estudios de imagen de distintos sujetos. Sin embargo, los cambios patológicos asociados al DCA están siempre asociados a anormalidades de intensidad y/o cambios en la localización de las estructuras. Este hecho provoca que los algoritmos de registro tradicionales basados en intensidad no funcionen correctamente y requieran la intervención del clínico para seleccionar ciertos puntos (que en esta tesis hemos denominado puntos singulares). Además estos algoritmos tampoco permiten que se produzcan deformaciones grandes deslocalizadas. Hecho que también puede ocurrir ante la presencia de lesiones provocadas por un accidente cerebrovascular (ACV) o un traumatismo craneoencefálico (TCE). Esta tesis se centra en el diseño, desarrollo e implementación de una metodología para la detección automática de estructuras lesionadas que integra algoritmos cuyo objetivo principal es generar resultados que puedan ser reproducibles y objetivos. Esta metodología se divide en cuatro etapas: pre-procesado, identificación de puntos singulares, registro y detección de lesiones. Los trabajos y resultados alcanzados en esta tesis son los siguientes: Pre-procesado. En esta primera etapa el objetivo es homogeneizar todos los datos de entrada con el objetivo de poder extraer conclusiones válidas de los resultados obtenidos. Esta etapa, por tanto, tiene un gran impacto en los resultados finales. Se compone de tres operaciones: eliminación del cráneo, normalización en intensidad y normalización espacial. Identificación de puntos singulares. El objetivo de esta etapa es automatizar la identificación de puntos anatómicos (puntos singulares). Esta etapa equivale a la identificación manual de puntos anatómicos por parte del clínico, permitiendo: identificar un mayor número de puntos lo que se traduce en mayor información; eliminar el factor asociado a la variabilidad inter-sujeto, por tanto, los resultados son reproducibles y objetivos; y elimina el tiempo invertido en el marcado manual de puntos. Este trabajo de investigación propone un algoritmo de identificación de puntos singulares (descriptor) basado en una solución multi-detector y que contiene información multi-paramétrica: espacial y asociada a la intensidad. Este algoritmo ha sido contrastado con otros algoritmos similares encontrados en el estado del arte. Registro. En esta etapa se pretenden poner en concordancia espacial dos estudios de imagen de sujetos/pacientes distintos. El algoritmo propuesto en este trabajo de investigación está basado en descriptores y su principal objetivo es el cálculo de un campo vectorial que permita introducir deformaciones deslocalizadas en la imagen (en distintas regiones de la imagen) y tan grandes como indique el vector de deformación asociado. El algoritmo propuesto ha sido comparado con otros algoritmos de registro utilizados en aplicaciones de neuroimagen que se utilizan con estudios de sujetos control. Los resultados obtenidos son prometedores y representan un nuevo contexto para la identificación automática de estructuras. Identificación de lesiones. En esta última etapa se identifican aquellas estructuras cuyas características asociadas a la localización espacial y al área o volumen han sido modificadas con respecto a una situación de normalidad. Para ello se realiza un estudio estadístico del atlas que se vaya a utilizar y se establecen los parámetros estadísticos de normalidad asociados a la localización y al área. En función de las estructuras delineadas en el atlas, se podrán identificar más o menos estructuras anatómicas, siendo nuestra metodología independiente del atlas seleccionado. En general, esta tesis doctoral corrobora las hipótesis de investigación postuladas relativas a la identificación automática de lesiones utilizando estudios de imagen médica estructural, concretamente estudios de resonancia magnética. Basándose en estos cimientos, se han abrir nuevos campos de investigación que contribuyan a la mejora en la detección de lesiones. ABSTRACT Brain injury constitutes a serious social and health problem of increasing magnitude and of great diagnostic and therapeutic complexity. Its high incidence and survival rate, after the initial critical phases, makes it a prevalent problem that needs to be addressed. In particular, according to the World Health Organization (WHO), brain injury will be among the 10 most common causes of disability by 2020. Neurorehabilitation improves both cognitive and functional deficits and increases the autonomy of brain injury patients. The incorporation of new technologies to the neurorehabilitation tries to reach a new paradigm focused on designing intensive, personalized, monitored and evidence-based treatments. Since these four characteristics ensure the effectivity of treatments. Contrary to most medical disciplines, it is not possible to link symptoms and cognitive disorder syndromes, to assist the therapist. Currently, neurorehabilitation treatments are planned considering the results obtained from a neuropsychological assessment battery, which evaluates the functional impairment of each cognitive function (memory, attention, executive functions, etc.). The research line, on which this PhD falls under, aims to design and develop a cognitive profile based not only on the results obtained in the assessment battery, but also on theoretical information that includes both anatomical structures and functional relationships and anatomical information obtained from medical imaging studies, such as magnetic resonance. Therefore, the cognitive profile used to design these treatments integrates information personalized and evidence-based. Neuroimaging techniques represent an essential tool to identify lesions and generate this type of cognitive dysfunctional profiles. Manual delineation of brain anatomical regions is the classical approach to identify brain anatomical regions. Manual approaches present several problems related to inconsistencies across different clinicians, time and repeatability. Automated delineation is done by registering brains to one another or to a template. However, when imaging studies contain lesions, there are several intensity abnormalities and location alterations that reduce the performance of most of the registration algorithms based on intensity parameters. Thus, specialists may have to manually interact with imaging studies to select landmarks (called singular points in this PhD) or identify regions of interest. These two solutions have the same inconvenient than manual approaches, mentioned before. Moreover, these registration algorithms do not allow large and distributed deformations. This type of deformations may also appear when a stroke or a traumatic brain injury (TBI) occur. This PhD is focused on the design, development and implementation of a new methodology to automatically identify lesions in anatomical structures. This methodology integrates algorithms whose main objective is to generate objective and reproducible results. It is divided into four stages: pre-processing, singular points identification, registration and lesion detection. Pre-processing stage. In this first stage, the aim is to standardize all input data in order to be able to draw valid conclusions from the results. Therefore, this stage has a direct impact on the final results. It consists of three steps: skull-stripping, spatial and intensity normalization. Singular points identification. This stage aims to automatize the identification of anatomical points (singular points). It involves the manual identification of anatomical points by the clinician. This automatic identification allows to identify a greater number of points which results in more information; to remove the factor associated to inter-subject variability and thus, the results are reproducible and objective; and to eliminate the time spent on manual marking. This PhD proposed an algorithm to automatically identify singular points (descriptor) based on a multi-detector approach. This algorithm contains multi-parametric (spatial and intensity) information. This algorithm has been compared with other similar algorithms found on the state of the art. Registration. The goal of this stage is to put in spatial correspondence two imaging studies of different subjects/patients. The algorithm proposed in this PhD is based on descriptors. Its main objective is to compute a vector field to introduce distributed deformations (changes in different imaging regions), as large as the deformation vector indicates. The proposed algorithm has been compared with other registration algorithms used on different neuroimaging applications which are used with control subjects. The obtained results are promising and they represent a new context for the automatic identification of anatomical structures. Lesion identification. This final stage aims to identify those anatomical structures whose characteristics associated to spatial location and area or volume has been modified with respect to a normal state. A statistical study of the atlas to be used is performed to establish which are the statistical parameters associated to the normal state. The anatomical structures that may be identified depend on the selected anatomical structures identified on the atlas. The proposed methodology is independent from the selected atlas. Overall, this PhD corroborates the investigated research hypotheses regarding the automatic identification of lesions based on structural medical imaging studies (resonance magnetic studies). Based on these foundations, new research fields to improve the automatic identification of lesions in brain injury can be proposed.

Diffusion Tensor Imaging in Alzheimer's disease

Attentional control and Information processing speed are central concepts in cognitive psychology and neuropsychology. Functional neuroimaging and neuropsychological assessment have depicted theoretical models considering attention as a complex and non-unitary process. One of its component processes, Attentional set-shifting ability, is commonly assessed using the Trail Making Test (TMT). Performance in the TMT decreases with increasing age in adults, Mild Cognitive Impairment (MCI) and Alzheimer’s Disease (AD). Besides, speed of information processing (SIP) seems to modulate attentional performance. While neural correlates of attentional control have been widely studied, there are few evidences about the neural substrates of SIP in these groups of patients. Different authors have suggested that it could be a property of cerebral white matter, thus, deterioration of the white matter tracts that connect brain regions related to set-shifting may underlie the age-related, MCI and AD decrease in performance. The aim of this study was to study the anatomical dissociation of attentional and speed mechanisms. Diffusion tensor imaging (DTI) provides a unique insight into the cellular integrity of the brain, offering an in vivo view into the microarchitecture of cerebral white matter. At the same time, the study of ageing, characterized by white matter decline, provides the opportunity to study the anatomical substrates speeded or slowed information processing. We hypothesized that FA values would be inversely correlated with time to completion on Parts A and B of the TMT, but not the derived scores B/A and B-A.

Brain tissue segmentation on Diffusion Weighted Magnetic Resonance data

Introduction Diffusion weighted Imaging (DWI) techniques are able to measure, in vivo and non-invasively, the diffusivity of water molecules inside the human brain. DWI has been applied on cerebral ischemia, brain maturation, epilepsy, multiple sclerosis, etc. [1]. Nowadays, there is a very high availability of these images. DWI allows the identification of brain tissues, so its accurate segmentation is a common initial step for the referred applications. Materials and Methods We present a validation study on automated segmentation of DWI based on the Gaussian mixture and hidden Markov random field models. This methodology is widely solved with iterative conditional modes algorithm, but some studies suggest [2] that graph-cuts (GC) algorithms improve the results when initialization is not close to the final solution. We implemented a segmentation tool integrating ITK with a GC algorithm [3], and a validation software using fuzzy overlap measures [4]. Results Segmentation accuracy of each tool is tested against a gold-standard segmentation obtained from a T1 MPRAGE magnetic resonance image of the same subject, registered to the DWI space. The proposed software shows meaningful improvements by using the GC energy minimization approach on DTI and DSI (Diffusion Spectrum Imaging) data. Conclusions The brain tissues segmentation on DWI is a fundamental step on many applications. Accuracy and robustness improvements are achieved with the proposed software, with high impact on the application’s final result.

Brain structures identification based on feature descriptor

Traumatic Brain Injury -TBI- -1- is defined as an acute event that causes certain damage to areas of the brain. TBI may result in a significant impairment of an individuals physical, cognitive and psychosocial functioning. The main consequence of TBI is a dramatic change in the individuals daily life involving a profound disruption of the family, a loss of future income capacity and an increase of lifetime cost. One of the main challenges of TBI Neuroimaging is to develop robust automated image analysis methods to detect signatures of TBI, such as: hyper-intensity areas, changes in image contrast and in brain shape. The final goal of this research is to develop a method to identify the altered brain structures by automatically detecting landmarks on the image where signal changes and to provide comprehensive information to the clinician about them. These landmarks identify injured structures by co-registering the patient?s image with an atlas where landmarks have been previously detected. The research work has been initiated by identifying brain structures on healthy subjects to validate the proposed method. Later, this method will be used to identify modified structures on TBI imaging studies.

Automated processing of zebrafish imaging data: a survey

Due to the relative transparency of its embryos and larvae, the zebrafish is an ideal model organism for bioimaging approaches in vertebrates. Novel microscope technologies allow the imaging of developmental processes in unprecedented detail, and they enable the use of complex image-based read-outs for high-throughput/high-content screening. Such applications can easily generate Terabytes of image data, the handling and analysis of which becomes a major bottleneck in extracting the targeted information. Here, we describe the current state of the art in computational image analysis in the zebrafish system. We discuss the challenges encountered when handling high-content image data, especially with regard to data quality, annotation, and storage. We survey methods for preprocessing image data for further analysis, and describe selected examples of automated image analysis, including the tracking of cells during embryogenesis, heartbeat detection, identification of dead embryos, recognition of tissues and anatomical landmarks, and quantification of behavioral patterns of adult fish. We review recent examples for applications using such methods, such as the comprehensive analysis of cell lineages during early development, the generation of a three-dimensional brain atlas of zebrafish larvae, and high-throughput drug screens based on movement patterns. Finally, we identify future challenges for the zebrafish image analysis community, notably those concerning the compatibility of algorithms and data formats for the assembly of modular analysis pipelines.

White matter damage disorganizes brain functional networks in amnestic mild cognitive impairment

Although progressive functional brain network disruption has been one of the hallmarks of Alzheimer?s Dis- ease, little is known about the origin of this functional impairment that underlies cognitive symptoms. We in- vestigated how the loss of white matter (WM) integrity disrupts the organization of the functional networks at different frequency bands. The analyses were performed in a sample of healthy elders and mild cognitive im- pairment (MCI) subjects. Spontaneous brain magnetic activity (measured with magnetoencephalography) was characterized with phase synchronization analysis, and graph theory was applied to the functional networks. We identified WM areas (using diffusion weighted magnetic resonance imaging) that showed a statistical de- pendence between the fractional anisotropy and the graph metrics. These regions are part of an episodic mem- ory network and were also related to cognitive functions. Our data support the hypothesis that disruption of the anatomical networks influences the organization at the functional level resulting in the prodromal dementia syndrome of MCI.

Multimodal integration of functional and structural brain connectivity. An application to the characterization of Mild Cognitive Impairment

La investigación para el conocimiento del cerebro es una ciencia joven, su inicio se remonta a Santiago Ramón y Cajal en 1888. Desde esta fecha a nuestro tiempo la neurociencia ha avanzado mucho en el desarrollo de técnicas que permiten su estudio. Desde la neurociencia cognitiva hoy se explican muchos modelos que nos permiten acercar a nuestro entendimiento a capacidades cognitivas complejas. Aun así hablamos de una ciencia casi en pañales que tiene un lago recorrido por delante. Una de las claves del éxito en los estudios de la función cerebral ha sido convertirse en una disciplina que combina conocimientos de diversas áreas: de la física, de las matemáticas, de la estadística y de la psicología. Esta es la razón por la que a lo largo de este trabajo se entremezclan conceptos de diferentes campos con el objetivo de avanzar en el conocimiento de un tema tan complejo como el que nos ocupa: el entendimiento de la mente humana. Concretamente, esta tesis ha estado dirigida a la integración multimodal de la magnetoencefalografía (MEG) y la resonancia magnética ponderada en difusión (dMRI). Estas técnicas son sensibles, respectivamente, a los campos magnéticos emitidos por las corrientes neuronales, y a la microestructura de la materia blanca cerebral. A lo largo de este trabajo hemos visto que la combinación de estas técnicas permiten descubrir sinergias estructurofuncionales en el procesamiento de la información en el cerebro sano y en el curso de patologías neurológicas. Más específicamente en este trabajo se ha estudiado la relación entre la conectividad funcional y estructural y en cómo fusionarlas. Para ello, se ha cuantificado la conectividad funcional mediante el estudio de la sincronización de fase o la correlación de amplitudes entre series temporales, de esta forma se ha conseguido un índice que mide la similitud entre grupos neuronales o regiones cerebrales. Adicionalmente, la cuantificación de la conectividad estructural a partir de imágenes de resonancia magnética ponderadas en difusión, ha permitido hallar índices de la integridad de materia blanca o de la fuerza de las conexiones estructurales entre regiones. Estas medidas fueron combinadas en los capítulos 3, 4 y 5 de este trabajo siguiendo tres aproximaciones que iban desde el nivel más bajo al más alto de integración. Finalmente se utilizó la información fusionada de MEG y dMRI para la caracterización de grupos de sujetos con deterioro cognitivo leve, la detección de esta patología resulta relevante en la identificación precoz de la enfermedad de Alzheimer. Esta tesis está dividida en seis capítulos. En el capítulos 1 se establece un contexto para la introducción de la connectómica dentro de los campos de la neuroimagen y la neurociencia. Posteriormente en este capítulo se describen los objetivos de la tesis, y los objetivos específicos de cada una de las publicaciones científicas que resultaron de este trabajo. En el capítulo 2 se describen los métodos para cada técnica que fue empleada: conectividad estructural, conectividad funcional en resting state, redes cerebrales complejas y teoría de grafos y finalmente se describe la condición de deterioro cognitivo leve y el estado actual en la búsqueda de nuevos biomarcadores diagnósticos. En los capítulos 3, 4 y 5 se han incluido los artículos científicos que fueron producidos a lo largo de esta tesis. Estos han sido incluidos en el formato de la revista en que fueron publicados, estando divididos en introducción, materiales y métodos, resultados y discusión. Todos los métodos que fueron empleados en los artículos están descritos en el capítulo 2 de la tesis. Finalmente, en el capítulo 6 se concluyen los resultados generales de la tesis y se discuten de forma específica los resultados de cada artículo. ABSTRACT In this thesis I apply concepts from mathematics, physics and statistics to the neurosciences. This field benefits from the collaborative work of multidisciplinary teams where physicians, psychologists, engineers and other specialists fight for a common well: the understanding of the brain. Research on this field is still in its early years, being its birth attributed to the neuronal theory of Santiago Ramo´n y Cajal in 1888. In more than one hundred years only a very little percentage of the brain functioning has been discovered, and still much more needs to be explored. Isolated techniques aim at unraveling the system that supports our cognition, nevertheless in order to provide solid evidence in such a field multimodal techniques have arisen, with them we will be able to improve current knowledge about human cognition. Here we focus on the multimodal integration of magnetoencephalography (MEG) and diffusion weighted magnetic resonance imaging. These techniques are sensitive to the magnetic fields emitted by the neuronal currents and to the white matter microstructure, respectively. The combination of such techniques could bring up evidences about structural-functional synergies in the brain information processing and which part of this synergy fails in specific neurological pathologies. In particular, we are interested in the relationship between functional and structural connectivity, and how two integrate this information. We quantify the functional connectivity by studying the phase synchronization or the amplitude correlation between time series obtained by MEG, and so we get an index indicating similarity between neuronal entities, i.e. brain regions. In addition we quantify structural connectivity by performing diffusion tensor estimation from the diffusion weighted images, thus obtaining an indicator of the integrity of the white matter or, if preferred, the strength of the structural connections between regions. These quantifications are then combined following three different approaches, from the lowest to the highest level of integration, in chapters 3, 4 and 5. We finally apply the fused information to the characterization or prediction of mild cognitive impairment, a clinical entity which is considered as an early step in the continuum pathological process of dementia. The dissertation is divided in six chapters. In chapter 1 I introduce connectomics within the fields of neuroimaging and neuroscience. Later in this chapter we describe the objectives of this thesis, and the specific objectives of each of the scientific publications that were produced as result of this work. In chapter 2 I describe the methods for each of the techniques that were employed, namely structural connectivity, resting state functional connectivity, complex brain networks and graph theory, and finally, I describe the clinical condition of mild cognitive impairment and the current state of the art in the search for early biomarkers. In chapters 3, 4 and 5 I have included the scientific publications that were generated along this work. They have been included in in their original format and they contain introduction, materials and methods, results and discussion. All methods that were employed in these papers have been described in chapter 2. Finally, in chapter 6 I summarize all the results from this thesis, both locally for each of the scientific publications and globally for the whole work.