Abstract

Like other neuroimaging techniques assessing cerebral blood oxygenation, near-infrared spectroscopy (NIRS) has been applied in many neurocognitive studies. With NIRS, neural activation can be explored indirectly via hemodynamic changes in the imaged region. In studies of aging, changes in baseline physiology and brain anatomy confound NIRS measures seeking to investigate age-related changes in neuronal activity. The field is thus hampered by the complexity of the aging process itself, and statistical inferences from functional data acquired by optical imaging techniques must be interpreted with care. Multimodal integration of NIRS with both structural and baseline physiological assessments is crucial to avoid misinterpreting neuroimaging signals. In this study, a combination of two different optical techniques, anatomical MRI and Arterial Spin Labeling (ASL), was used to investigate age-related changes in activation during a lexical-semantic processing task. Quantitative analysis revealed decreased baseline oxyhemoglobin and cerebral blood flow in the older adults. Using baseline physiology measures as regressors in the investigation of functional concentration changes when doing analyses of variance, we found significant changes in task-induced areas of activity. In the right hemisphere, more significant age-related activity was observed around the junction of the inferior frontal gyrus and inferior precentral sulcus, along with engagement of Wernicke’s area. In the left hemisphere, the degree and extent of frontal activation, including the dorsolateral prefrontal cortex and inferior frontal gyrus, differed between age groups. Measuring background physiological differences and using their values as regressors in statistical analyses allowed a more appropriate, age-corrected understanding of the functional differentiations between age groups. Age-corrected baselines are thus essential to investigate which components of the NIRS signal are altered by aging.

Highlights

  • Given the growing proportion of elderly adults in the population due to increased longevity, studies investigating and promoting healthy cognitive aging are of the utmost importance

  • The goal of this study was to evaluate the validity of the assumption that, when different age groups are compared, the hemodynamic response is a direct indicator of neuronal activity in response to a cognitive stimulus

  • The present study supports the reliability of single-word processing studies using functional near-infrared spectroscopy (fNIRS) while urging caution in the interpretation of functional signals

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Summary

Introduction

Given the growing proportion of elderly adults in the population due to increased longevity, studies investigating and promoting healthy cognitive aging are of the utmost importance. By 2050, the number of elderly individuals will be 16% higher than the number of children and adolescents under 15 years [1] In this context, the number of dementia cases in the aging population is expected to grow exponentially. Prevalence studies in all world regions estimate that 24.3 million people currently have dementia and predict that the number of persons with Alzheimer’s disease will double every 20 years, rising to 81.1 million by 2040 [2]. This trend supports the importance of characterizing the mechanisms underlying healthy cognitive aging in order to optimize healthy aging and possibly contribute to delaying the manifestations of dementia. These anatomical changes are associated with widening sulci and synaptic loss, but negligible neural loss has been observed

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