Left Lateral Occipital Cortex Research Articles

The specificity of action knowledge in sensory and motor systems.

Neuroimaging studies have found that sensorimotor systems are engaged when participants observe actions or comprehend action language. However, most of these studies have asked the binary question of whether action concepts are embodied or not, rather than whether sensory and motor areas of the brain contain graded amounts of information during putative action simulations. To address this question, we used repetition suppression (RS) functional magnetic resonance imaging to determine if functionally-localized motor movement and visual motion regions-of-interest (ROI) and two anatomical ROIs (inferior frontal gyrus, IFG; left posterior middle temporal gyrus, pMTG) were sensitive to changes in the exemplar (e.g., two different people “kicking”) or representational format (e.g., photograph or schematic drawing of someone “kicking”) within pairs of action images. We also investigated whether concrete versus more symbolic depictions of actions (i.e., photographs or schematic drawings) yielded different patterns of activation throughout the brain. We found that during a conceptual task, sensory and motor systems represent actions at different levels of specificity. While the visual motion ROI did not exhibit RS to different exemplars of the same action or to the same action depicted by different formats, the motor movement ROI did. These effects are consistent with “person-specific” action simulations: if the motor system is recruited for action understanding, it does so by activating one's own motor program for an action. We also observed significant repetition enhancement within the IFG ROI to different exemplars or formats of the same action, a result that may indicate additional cognitive processing on these trials. Finally, we found that the recruitment of posterior brain regions by action concepts depends on the format of the input: left lateral occipital cortex and right supramarginal gyrus responded more strongly to symbolic depictions of actions than concrete ones.

Short-term plasticity of visuo-haptic object recognition.

Functional magnetic resonance imaging (fMRI) studies have provided ample evidence for the involvement of the lateral occipital cortex (LO), fusiform gyrus (FG), and intraparietal sulcus (IPS) in visuo-haptic object integration. Here we applied 30 min of sham (non-effective) or real offline 1 Hz repetitive transcranial magnetic stimulation (rTMS) to perturb neural processing in left LO immediately before subjects performed a visuo-haptic delayed-match-to-sample task during fMRI. In this task, subjects had to match sample (S1) and target (S2) objects presented sequentially within or across vision and/or haptics in both directions (visual-haptic or haptic-visual) and decide whether or not S1 and S2 were the same objects. Real rTMS transiently decreased activity at the site of stimulation and remote regions such as the right LO and bilateral FG during haptic S1 processing. Without affecting behavior, the same stimulation gave rise to relative increases in activation during S2 processing in the right LO, left FG, bilateral IPS, and other regions previously associated with object recognition. Critically, the modality of S2 determined which regions were recruited after rTMS. Relative to sham rTMS, real rTMS induced increased activations during crossmodal congruent matching in the left FG for haptic S2 and the temporal pole for visual S2. In addition, we found stronger activations for incongruent than congruent matching in the right anterior parahippocampus and middle frontal gyrus for crossmodal matching of haptic S2 and in the left FG and bilateral IPS for unimodal matching of visual S2, only after real but not sham rTMS. The results imply that a focal perturbation of the left LO triggers modality-specific interactions between the stimulated left LO and other key regions of object processing possibly to maintain unimpaired object recognition. This suggests that visual and haptic processing engage partially distinct brain networks during visuo-haptic object matching.

Spatiotemporal cortical activation underlies the Müller–Lyer illusion

Event-related brain potentials (ERPs) were used to examine the electrophysiological correlates of the visual illusion effect in the Müller-Lyer illusion tasks. The participants were presented with the context of a horizontal line with two symmetric inward-pointing arrowheads or outward-pointing arrowheads, and then, they were asked to indicate whether they perceived an increase or a decrease in the line length. The behavioral results showed that there were significant differences among the four types of tasks, which meant that participants could understand different mean illusion magnitudes. The ERP results showed that both the illusion-45 and the illusion-135 elicited a more negative ERP deflection (N180-280) than did the illusion-225 and illusion-315 between 180 and 280 ms. In addition, the strong illusion stimuli elicited a more positive ERP deflection (P280-450) than did the weak illusion stimuli between 280 and 450 ms after the onset of the stimuli. Dipole source analysis of the difference wave (illusion-135-illusion-225) indicated that one generator localized in the left lateral occipital cortex and the difference wave (illusion-45-illusion-135) indicated that one generator localized in the left lingual gyrus. Our results led us to conclude that the ERP deflection in the different illusory strength might be related to the theory of attention resource distribution or because of the inverse optics problem. Then, the early visual areas lateral occipital cortex and the lingual gyrus near to the visual cortex could contribute to integrated processing in the illusory contours and top-down control processing because of the visual experiences.

Prestimulus Oscillatory Phase at 7 Hz Gates Cortical Information Flow and Visual Perception

Although we have the impression that visual information flows continuously from our sensory channels, recent studies indicate that this is likely not the case. Rather, we sample visual stimuli rhythmically, oscillating at 5-10 Hz. Electroencephalography (EEG) studies have demonstrated that this rhythmicity is reflected by the phase of ongoing brain oscillations in the same frequency. Theoretically, brain oscillations could underlie the rhythmic nature of perception by providing transient time windows for information exchange, but this question has not yet been systematically addressed. We recorded simultaneous EEG-fMRI while human participants performed a contour integration task and show that ongoing brain oscillations prior to stimulus onset predict functional connectivity between higher and lower level visual processing regions. Specifically, our results demonstrate that the phase of a 7 Hz oscillation prior to stimulus onset predicts perceptual performance and the bidirectional information flow between the left lateral occipital cortex and right intraparietal sulcus, as indicated by psychophysiological interaction and dynamic causal modeling. These findings suggest that human brain oscillations periodically gate visual perception at around 7 Hz by providing transient time windows for long-distance cortical information transfer. Such gating might be a general mechanism underlying the rhythmic nature of human perception.

141. Audiovisual integration effect in lateral occipital cortex during an object recognition task: A TMS study

Perceptual events occur in multiple sensory modalities. Recent neuroimaging data challenge the traditional models arguing for sensory integration to occur in higher-order association cortices and support the hypothesis of a multisensory interplay at low-level sensory-specific cortex. We used an on-line interference approach by rTMS to investigate the role of the left lateral occipital cortex (LOC) in audio-visual (AV) object recognition process. Fifteen healthy volunteers performed a visual identification task of degraded pictures (living and non-living) presented alone (V) or simultaneously to coherent (c-AV) or non-coherent (nc-AV) sounds. Focal 10-Hz rTMS at an intensity of 100% resting motor threshold was delivered simultaneously to the picture (500 ms). Two blocks of 60 pictures were randomly displayed in two different experimental conditions: rTMS of the left LOC and over Cz (cortical control area). Accuracy and reaction time of identification were analyzed. rTMS of the left LOC produced a worsening of the accuracy compared to rTMS over Cz specifically in the c-AV condition. Interestingly, the effect was significant for stimuli belonging to the living semantic category. These data support the view that audiovisual interaction effect may occur at early stage of recognition processing.

P 151. The right (but not the left) lateral occipital complex is causally implicated in visual mirror symmetry detection: An fMRI-guided TMS study

Despite the fact that bilateral mirror symmetry is an important characteristic of the visual world, few studies have investigated its neural basis. Here we addressed this issue by investigating whether the object-selective lateral occipital cortex (LO), a key brain region in object and shape processing, is causally involved in this kind of symmetry detection. Participants were asked to discriminate between symmetric and asymmetric dot patterns, while fMRI-guided repetitive TMS was delivered online over either the left LO, the right LO or two control sites in the occipital cortex. We found that the application of TMS over the right LO slowed down symmetry judgments, whereas stimulation of the left LO, or of two control sites, had no impact. Our results thus indicate that the right (but not the left) LO is causally implicated in symmetry detection. This finding may relate to the previously reported right-hemisphere lateralization of holistic processing of stimuli, including faces for which symmetry is a critical cue.

Action Concepts in the Brain: An Activation Likelihood Estimation Meta-analysis

Many recent neuroimaging studies have investigated the representation of semantic memory for actions in the brain. We used activation likelihood estimation (ALE) meta-analyses to answer two outstanding questions about the neural basis of action concepts. First, on an "embodied" view of semantic memory, evidence to date is unclear regarding whether visual motion or motor systems are more consistently engaged by action concepts. Second, few studies have directly investigated the possibility that action concepts accessed verbally or nonverbally recruit different areas of the brain. Because our meta-analyses did not include studies requiring the perception of dynamic depictions of actions or action execution, we were able to determine whether conceptual processing alone recruits visual motion and motor systems. Significant concordance in brain regions within or adjacent to visual motion areas emerged in all meta-analyses. By contrast, we did not observe significant concordance in motor or premotor cortices in any analysis. Neural differences between action images and action verbs followed a gradient of abstraction among representations derived from visual motion information in the left lateral temporal and occipital cortex. The consistent involvement of visual motion but not motor brain regions in representing action concepts may reflect differences in the variability of experience across individuals with perceiving versus performing actions.

Extended Remediation of Sleep Deprived-Induced Working Memory Deficits Using fMRI-guided Transcranial Magnetic Stimulation

We attempted to prevent the development of working memory (WM) impairments caused by sleep deprivation using fMRI-guided repetitive transcranial magnetic stimulation (rTMS). Novel aspects of our fMRI-guided rTMS paradigm included the use of sophisticated covariance methods to identify functional networks in imaging data, and the use of fMRI-targeted rTMS concurrent with task performance to modulate plasticity effects over a longer term. Between-groups mixed model. TMS, MRI, and sleep laboratory study. 27 subjects (13 receiving Active rTMS, and 14 Sham) completed the sleep deprivation protocol, with another 21 (10 Active, 11 Sham) non-sleep deprived subjects run in a second experiment. Our previous covariance analysis had identified a network, including occipital cortex, which demonstrated individual differences in resilience to the deleterious effects of sleep deprivation on WM performance. Five Hz rTMS was applied to left lateral occipital cortex while subjects performed a WM task during 4 sessions over the course of 2 days of total sleep deprivation. At the end of the sleep deprivation period, Sham sleep deprived subjects exhibited degraded performance in the WM task. In contrast, those receiving Active rTMS did not show the slowing and lapsing typical in sleep deprivation, and instead performed similarly to non- sleep deprived subjects. Importantly, the Active sleep deprivation group showed rTMS-induced facilitation of WM performance a full 18 hours after the last rTMS session. Over the course of sleep deprivation, these results indicate that rTMS applied concurrently with WM task performance affected neural circuitry involved in WM to prevent its full impact.

An Exploratory Study on the Spatial Relationship Between Regional Cortical Volume Changes and White Matter Integrity in Multiple Sclerosis

Multiple sclerosis (MS) is a chronic inflammatory central nervous system disorder with a neurodegenerative component. While in the past, MS has been predominantly viewed as a white matter (WM) disease, gray matter (GM) pathology receives increasing attention in MS research. In this study, we tested hypothesis-free for a possible spatial relationship between cortical volume changes and disturbed integrity of projecting WM tracts. We used voxel-based morphometry (VBM), lesion probability maps (LPM), and probabilistic tractography to compare brain magnetic resonance imaging (MRI) scans obtained at 3 Tesla of 15 low disabled MS patients with 15 matched healthy controls (HCs). Areas of decreased cortical volume in the patients identified by VBM were used as seeds for tractography. Volume in two cortical areas in the left inferior frontal gyrus (IFG) and the left lateral occipital cortex (LOC) was reduced in patients compared to HCs. Starting from the IFG-region, tractography suggested impaired connections between left and right portions of the frontal lobe in the patients. Using the LOC as a seed, in patients, the left inferior longitudinal and fronto-occipital pathways appeared disintegrated compared to HCs. Swapping the seeds to homologous contralateral areas showed similar results for frontal, but different results for occipital brain areas. This at least partly could be explained by differential interference with WM lesions. These findings suggest a regional dependence between cortical GM and WM tract alterations in MS patients. While confirmation in larger and more heterogenic samples is needed, this study indicates that combining several MRI methods (VBM, LPM, and Probabilistic Tractography) may provide important insights into interacting processes related to the fiber tract and GM changes in MS.

Combined structural and functional imaging reveals cortical deactivations in grapheme-color synaesthesia

Synaesthesia is a heritable condition in which particular stimuli generate specific and consistent sensory percepts or associations in another modality or processing stream. Functional neuroimaging studies have identified potential correlates of these experiences, including, in some but not all cases, the hyperactivation of visuotemporal areas and of parietal areas thought to be involved in perceptual binding. Structural studies have identified a similarly variable spectrum of differences between synaesthetes and controls. However, it remains unclear the extent to which these neural correlates reflect the synaesthetic experience itself or additional phenotypes associated with the condition. Here, we acquired both structural and functional neuroimaging data comparing thirteen grapheme-color synaesthetes with eleven non-synaesthetes. Using voxel-based morphometry and diffusion tensor imaging, we identify a number of clusters of increased volume of gray matter, of white matter or of increased fractional anisotropy in synaesthetes vs. controls. To assess the possible involvement of these areas in the synaesthetic experience, we used nine areas of increased gray matter volume as regions of interest in an fMRI experiment that characterized the contrast in response to stimuli which induced synaesthesia (i.e., letters) vs. those which did not (non-meaningful symbols). Four of these areas showed sensitivity to this contrast in synaesthetes but not controls. Unexpectedly, in two of them, in left lateral occipital cortex and in postcentral gyrus, the letter stimuli produced a strong negative BOLD signal in synaesthetes. An additional whole-brain fMRI analysis identified 14 areas, three of which were driven mainly by a negative BOLD response to letters in synaesthetes. Our findings suggest that cortical deactivations may be involved in the conscious experience of internally generated synaesthetic percepts.

Age-related vulnerability in the neural systems supporting semantic processing

Our ability to form abstract representations of objects in semantic memory is crucial to language and thought. The utility of this information relies both on the representations of sensory-motor feature knowledge stored in long-term memory and the executive processes required to retrieve, manipulate, and evaluate this semantic knowledge in a task-relevant manner. These complementary components of semantic memory can be differentially impacted by aging. We investigated semantic processing in normal aging using functional magnetic resonance imaging (fMRI). Young and older adults were asked to judge whether two printed object names match on a particular feature (for example, whether a tomato and strawberry have the same color). The task thus required both retrieval of relevant visual feature knowledge of object concepts and evaluating this information. Objects were drawn from either natural kinds or manufactured objects, and were queried on either color or shape in a factorial design. Behaviorally, all subjects performed well, but older adults could be divided into those whose performance matched that of young adults (better performers) and those whose performance was worse (poorer performers). All subjects activated several cortical regions while performing this task, including bilateral inferior and lateral temporal cortex and left frontal and prefrontal cortex. Better performing older adults showed increased overall activity in bilateral premotor cortex and left lateral occipital cortex compared to young adults, and increased activity in these brain regions relative to poorer performing older adults who also showed gray matter atrophy in premotor cortex. These findings highlight the contribution of domain-general executive processing brain regions to semantic memory, and illustrate differences in how these regions are recruited in healthy older adults.

Cortex Morphology in First-Episode Psychosis Patients With Neurological Soft Signs

Schizophrenia is a complex brain disorder associated with numerous etiological factors and pathophysiological pathways leading to multiple clinical outcomes. Compelling evidence suggests that deviations in neurodevelopmental processes are a major risk factor of schizophrenia. The identification of patients with high neurodevelopmental deviance is an important issue as it could help to identify homogeneous subgroups of patients with similar pathophysiological pathways, a key step to decipher the etiology of this complex condition. Several clinical arguments suggest that schizophrenia patients with Neurological Soft Signs (NSS)--ie, observable defects in motor coordination, motor integration, and sensory integration--would have high neurodevelopmental deviance. Based on the analysis of magnetic resonance imaging of 44 first-episode psychosis patients, we compared the cortex morphology, a marker of brain development, in patients with NSS vs patients with nonsignificant NSS. The cortex morphology was automatically assessed from three-dimensional global sulcal index (g-SI, the ratio between total sulcal area and outer cortex area) and regional sulcal indexes (r-SI, the ratio between the area of pooled labeled sulci and the total outer cortex area). Patients with NSS were found to have a lower g-SI in both hemispheres and a lower r-SI in left dorsolateral prefrontal and right lateral occipital cortices. Exploratory analyses revealed correlations between NSS dimensions and r-SI in distinct cortical areas, including dorsolateral and medial prefrontal cortices, lateral temporal, occipital, superior parietal, and medial parieto-occipital cortices. These findings provide evidence of distinct neurodevelopmental pathways in patients with NSS as compared with patients with nonsignificant NSS.

P4‐375: Alzheimer's disease and mild cognitive impairment weaken connections within the default‐mode network: A multimodal study with resting‐state fMRI, diffusion MRI and FDG‐PET

A multi-modal imaging approach was applied to understand alterations in the default-mode network from normal aging to mild cognitive impairment (MCI) and Alzheimer's disease (AD). Participants included 10 probable AD, 11 amnestic MCI, and 12 age and education-matched normal control (NC) subjects. Whole-brain resting-state functional, diffusion tensor and volumetric MRI as well as FDG-PET data were acquired. Cognitive assessment on all subjects included St. Louis University test of Mental Status (SLUMS) and Wechsler Memory Scale III Logical Memory delayed recall (LM-dr) test. With the right and left isthmi of cingulate cortex (ICCs) as seed regions, functional correlation and fiber tracking connectivity distribution to all other voxels of the brain were calculated. Between-group t tests were carried. Correlation analyses were obtained between the functional connectivity of default-mode network components and (1) pons-normalized PET signal, (2) cortical thickness/volume and (3) cognitive performance. Whole-brain group analyses showed significant functional connectivity differences (NC > AD) from the right and left ICCs to medial frontal gyrus /anterior cingulate cortex and surrounding regions. There was a general trend of NC > MCI > AD on both functional and structural connectivity from the right and left ICCs to these frontal regions (Fig. 1). Significant correlations were found between PET signal in the right and left ICCs, right and left hippocampi and left ICC-right hippocampus functional connectivity (Table 1, Fig. 2). Significant correlations between PET signal and cortical thickness/volume were also found (Table 1). Significant correlations were found between the left ICC-right hippocampus functional connectivity and SLUMS score (r = 0.459, p = 0.0082) as well as LM-dr score (r = 0.375, p = 0.0347). There is a clear reduction of structural and functional connectivity within the default-mode network in AD, consistent with the reduction of metabolic activity and cortical atrophy in this network. The multi-modal correlation analyses suggest that neuronal damage in the left ICC is associated with declines in metabolic activity in this region, functional connectivity to this region and cognitive performance. Overall, the default-mode network continues to serve as a key region to understanding brain alterations due to AD. The integrated visualization of the functional and structural connections for normal, MCI and AD subjects (left to right) with the seed regions at the (a) right isthmus of cingulate cortex (ICC), (b) left ICC and (c) left lateral occipital cortex (LOC) and associated white matter regions. Thresholds: The mean correlation of > 0.2 for functional connectivity and mean connectivity distribution of > 1000 for structural connectivity. Green: functional connection only. Orange: structural connection only. Red: coexistence of both connections. GM: gray matter. WM: white matter. R = right. L = left. MeFG = medial frontal gyrus. With all subjects included, the significant correlations were shown between the left ICC-right hippocampus functional connection (the Fisher's Z-transformed values of the correlations) and the normalized PET signals in (a) left ICC and (b) right hippocampus. R = right, L = left and ICC= isthmus of cingulate cortex.

Resting-state functional connectivity abnormalities in limbic and salience networks in social anxiety disorder without comorbidity

The neurobiology of social anxiety disorder (SAD) is not yet fully understood. Structural and functional neuroimaging studies in SAD have identified abnormalities in various brain areas, particularly the amygdala and elements of the salience network. This study is the first to examine resting-state functional brain connectivity in a drug-naive sample of SAD patients without psychiatric comorbidity and healthy controls, using seed regions of interest in bilateral amygdala, in bilateral dorsal anterior cingulate cortex for the salience network, and in bilateral posterior cingulate cortex for the default mode network. Twelve drug-naive SAD patients and pair-wise matched healthy controls, all drawn from the Netherlands Study of Depression and Anxiety sample, underwent resting-state fMRI. Group differences were assessed with voxel-wise gray matter density as nuisance regressor. All results were cluster corrected for multiple comparisons (Z>2.3, p<.05). Relative to control subjects, drug-naive SAD patients demonstrated increased negative right amygdala connectivity with the left middle temporal gyrus, left supramarginal gyrus and left lateral occipital cortex. In the salience network patients showed increased positive bilateral dorsal anterior cingulate connectivity with the left precuneus and left lateral occipital cortex. Default mode network connectivity was not different between groups. These data demonstrate that drug-naive SAD patients without comorbidity show differences in functional connectivity of the amygdala, and of areas involved in self-awareness, some of which have not been implicated in SAD before.

TMS to the Lateral Occipital Cortex Disrupts Object Processing but Facilitates Scene Processing

The study of brain-damaged patients and advancements in neuroimaging have lead to the discovery of discrete brain regions that process visual image categories, such as objects and scenes. However, how these visual image categories interact remains unclear. For example, is scene perception simply an extension of object perception, or can global scene "gist" be processed independently of its component objects? Specifically, when recognizing a scene such as an "office," does one need to first recognize its individual objects, such as the desk, chair, lamp, pens, and paper to build up the representation of an "office" scene? Here, we show that temporary interruption of object processing through repetitive TMS to the left lateral occipital cortex (LO), an area known to selectively process objects, impairs object categorization but surprisingly facilitates scene categorization. This result was replicated in a second experiment, which assessed the temporal dynamics of this disruption and facilitation. We further showed that repetitive TMS to left LO significantly disrupted object processing but facilitated scene processing when stimulation was administered during the first 180 msec of the task. This demonstrates that the visual system retains the ability to process scenes during disruption to object processing. Moreover, the facilitation of scene processing indicates disinhibition of areas involved in global scene processing, likely caused by disrupting inhibitory contributions from the LO. These findings indicate separate but interactive pathways for object and scene processing and further reveal a network of inhibitory connections between these visual brain regions.

Regional grey and white matter volumetric changes in myalgic encephalomyelitis (chronic fatigue syndrome): a voxel-based morphometry 3 T MRI study

It is not established whether myalgic encephalomyelitis/chronic fatigue syndrome (CFS) is associated with structural brain changes. The aim of this study was to investigate this by conducting the largest voxel-based morphometry study to date in CFS. High-resolution structural 3 T cerebral MRI scanning was carried out in 26 patients with CFS and 26 age- and gender-matched healthy volunteers. Voxel-wise generalised linear modelling was applied to the processed MR data using permutation-based non-parametric testing, forming clusters at t>2.3 and testing clusters for significance at p<0.05, corrected for multiple comparisons across space. Significant voxels (p<0.05, corrected for multiple comparisons) depicting reduced grey matter volume in the CFS group were noted in the occipital lobes (right and left occipital poles; left lateral occipital cortex, superior division; and left supracalcrine cortex), the right angular gyrus and the posterior division of the left parahippocampal gyrus. Significant voxels (p<0.05, corrected for multiple comparisons) depicting reduced white matter volume in the CFS group were also noted in the left occipital lobe. These data support the hypothesis that significant neuroanatomical changes occur in CFS, and are consistent with the complaint of impaired memory that is common in this illness; they also suggest that subtle abnormalities in visual processing, and discrepancies between intended actions and consequent movements, may occur in CFS.

Large scale brain activations predict reasoning profiles

Deduction is the ability to draw necessary conclusions from previous knowledge. Here we propose a novel approach to understanding the neural basis of deduction, which exploits fine-grained inter-participant variability in such tasks. Participants solved deductive problems and were grouped by the behavioral strategies employed, i.e., whether they were sensitive to the logical form of syllogistic premises, whether the problems were solved correctly, and whether heuristic strategies were employed. Differential profiles of neural activity can predict membership of the first two of these groups. The predictive power of activity profiles is distributed non-uniformly across the brain areas activated by deduction. Activation in left ventro-lateral frontal (BA47) and lateral occipital (BA19) cortices predicts whether logically valid solutions are sought. Activation of left inferior lateral frontal (BA44/45) and superior medial frontal (BA6/8) cortices predicts sensitivity to the logical structure of problems. No specific pattern of activation was associated with the use of a non-logical heuristic strategy. Not only do these findings corroborate the hypothesis that left BA47, BA44/45 and BA6/8 are critical for making syllogistic deductions, but they also imply that they have different functional roles as components of a dedicated network. We propose that BA44/45 and BA6/8 are involved in the extraction and representation of the formal structure of a problem, while BA47 is involved in the selection and application of relevant inferential rules. Finally, our findings suggest that deductive reasoning can be best described as a cascade of cognitive processes requiring the concerted operation of several, functionally distinct, brain areas.

Brain mechanisms for processing direct and averted gaze in individuals with autism.

Prior studies have indicated brain abnormalities underlying social processing in autism, but no fMRI study has specifically addressed the differential processing of direct and averted gaze, a critical social cue. Fifteen adolescents and adults with autism and 14 typically developing comparison participants viewed dynamic virtual-reality videos depicting a simple but realistic social scenario, in which an approaching male figure maintained either direct or averted gaze. Significant group by condition interactions reflecting differential responses to direct versus averted gaze in people with autism relative to typically developing individuals were identified in the right temporoparietal junction, right anterior insula, left lateral occipital cortex, and left dorsolateral prefrontal cortex. Our results provide initial evidence regarding brain mechanisms underlying the processing of gaze direction during simple social encounters, providing new insight into the social deficits in individuals with autism.

Decreased activation of lateral orbitofrontal cortex during risky choices under uncertainty is associated with disadvantageous decision-making and suicidal behavior

Decision-making impairment has been linked to orbitofrontal cortex lesions and to different disorders including substance abuse, aggression and suicidal behavior. Understanding the neurocognitive mechanisms of these impairments could facilitate the development of effective treatments. In the current study, we aimed to explore the neural and cognitive basis of poor decision-making ability associated with the vulnerability to suicidal behavior, a public health issue in most western countries. Twenty-five not currently depressed male patients, 13 of whom had a history of suicidal acts (suicide attempters) and 12 of whom had none (affective controls), performed an adapted version of the Iowa Gambling Task during functional Magnetic Resonance Imaging. Task-related functional Regions-of-Interest were independently defined in 15 male healthy controls performing the same task (Lawrence et al., 2009). In comparison to affective controls, suicide attempters showed 1) poorer performance on the gambling task 2) decreased activation during risky relative to safe choices in left lateral orbitofrontal and occipital cortices 3) no difference for the contrast between wins and losses. Altered processing of risk under conditions of uncertainty, associated with left lateral orbitofrontal cortex dysfunction, could explain the decision-making deficits observed in suicide attempters. These impaired cognitive and neural processes may represent future predictive markers and therapeutic targets in a field where identification of those at risk is poor and specific treatments are lacking. These results also add to our growing understanding of the role of the orbitofrontal cortex in decision-making and psychopathology.

Audiovisual Functional Magnetic Resonance Imaging Adaptation Reveals Multisensory Integration Effects in Object-Related Sensory Cortices

Information integration across different sensory modalities contributes to object recognition, the generation of associations and long-term memory representations. Here, we used functional magnetic resonance imaging adaptation to investigate the presence of sensory integrative effects at cortical levels as early as nonprimary auditory and extrastriate visual cortices, which are implicated in intermediate stages of object processing. Stimulation consisted of an adapting audiovisual stimulus S(1) and a subsequent stimulus S(2) from the same basic-level category (e.g., cat). The stimuli were carefully balanced with respect to stimulus complexity and semantic congruency and presented in four experimental conditions: (1) the same image and vocalization for S(1) and S(2), (2) the same image and a different vocalization, (3) different images and the same vocalization, or (4) different images and vocalizations. This two-by-two factorial design allowed us to assess the contributions of auditory and visual stimulus repetitions and changes in a statistically orthogonal manner. Responses in visual regions of right fusiform gyrus and right lateral occipital cortex were reduced for repeated visual stimuli (repetition suppression). Surprisingly, left lateral occipital cortex showed stronger responses to repeated auditory stimuli (repetition enhancement). Similarly, auditory regions of interest of the right middle superior temporal gyrus and sulcus exhibited repetition suppression to auditory repetitions and repetition enhancement to visual repetitions. Our findings of crossmodal repetition-related effects in cortices of the respective other sensory modality add to the emerging view that in human subjects sensory integrative mechanisms operate on earlier cortical processing levels than previously assumed.