Prefrontal lobe structural integrity and trail making test, part B: converging findings from surface-based cortical thickness and voxel-based lesion symptom analyses.

Surface-based cortical thickness (CT) analyses are increasingly being used to investigate variations in brain morphology across the spectrum of brain health, from neurotypical to neuropathological. An outstanding question is whether individual differences in cortical morphology, such as regionally i...

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Publicado en:Brain Imaging & Behavior Vol. 10; no. 3; pp. 675 - 686
Autores principales: Miskin, Nityanand, Thesen, Thomas, Barr, William, Butler, Tracy, Wang, Xiuyuan, Dugan, Patricia, Kuzniecky, Ruben, Doyle, Werner, Devinsky, Orrin, Blackmon, Karen, Barr, William B
Formato: research Journal Article
Publicado: Springer Nature Sep2016
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Prefrontal lobe structural integrity and trail making test, part B: converging findings from surface-based cortical thickness and voxel-based lesion symptom analyses.
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          Miskin, Nityanand
          Thesen, Thomas
          Barr, William
          Butler, Tracy
          Wang, Xiuyuan
          Dugan, Patricia
          Kuzniecky, Ruben
          Doyle, Werner
          Devinsky, Orrin
          Blackmon, Karen
          Barr, William B
        affil: Department of Neurology, Comprehensive Epilepsy Center , New York University School of Medicine , 145 East 32nd Street, #216 New York 10016 USA
      sug:
        subj:
          Brain Diseases Psychosocial Factors
          Brain Diseases
          Mental Processes
          Frontal Lobe
          Tomography, X-Ray Computed
          Adult
          Male
          Young Adult
          Middle Age
          Aged
          Female
          Body Weights and Measures
          Magnetic Resonance Imaging
          Neuropsychological Tests
          Funding Source
          Human
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Surface-based cortical thickness (CT) analyses are increasingly being used to investigate variations in brain morphology across the spectrum of brain health, from neurotypical to neuropathological. An outstanding question is whether individual differences in cortical morphology, such as regionally increased or decreased CT, are associated with domain-specific performance deficits in healthy adults. Since CT studies are correlational, they cannot establish causality between brain morphology and cognitive performance. A direct comparison with classic lesion methods is needed to determine whether the regional specificity of CT-cognition correlations is similar to that observed in patients with brain lesions. We address this question by comparing the neuroanatomical overlap of effects when 1) whole brain vertex-wise CT is tested as a correlate of performance variability on a commonly used neuropsychological test of executive function, Trailmaking Test Part B (TMT-B), in healthy adults and 2) voxel-based lesion-symptom mapping (VBLSM) is used to map lesion location to performance decrements on the same task in patients with frontal lobe lesions. We found that reduced performance on the TMT-B was associated with increased CT in bilateral prefrontal regions in healthy adults and that results spatially overlapped in the left dorsomedial prefrontal cortex with findings from the VBLSM analysis in patients with frontal brain lesions. Findings indicate that variations in the structural integrity of the left dorsomedial prefrontal lobe, ranging from individual CT differences in healthy adults to structural lesions in patients with neurological disorders, are associated with poor performance on the TMT-B. These converging results suggest that the left dorsomedial prefrontal region houses a critical region for the complex processing demands of TMT-B, which include visuomotor tracking, sequencing, and cognitive flexibility.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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