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The Less BOLD, the Wiser: Support for the latent resource hypothesis after traumatic brain injury
Journal article   Open access   Peer reviewed

The Less BOLD, the Wiser: Support for the latent resource hypothesis after traumatic brain injury

John D. Medaglia, Kathy S. Chiou, Julia Slocomb, Neal M. Fitzpatrick, Britney M. Wardecker, Deepa Ramanathan, Jeffrey Vesek, David C. Good and Frank G. Hillary
Human brain mapping, v 33(4), pp 979-993
17 May 2011
PMID: 21591026
url
https://doi.org/10.1002/hbm.21264View
Published, Version of Record (VoR)Open Access (License Unspecified) Open

Abstract

cognitive control functional MRI reorganization traumatic brain injury working memory
Previous studies of the BOLD response in the injured brain have revealed neural recruitment relative to controls during working memory tasks in several brain regions, most consistently the right prefrontal cortex and anterior cingulate cortices. We previously proposed that the recruitment observed in this literature represents auxiliary support resources, and that recruitment of PFC is not abnormal or injury specific and should reduce as novelty and challenge decrease. The current study directly tests this hypothesis in the context of practice of a working memory task. It was hypothesized that individuals with brain injury would demonstrate recruitment of previously indicated regions, behavioral improvement following task practice, and a reduction in the BOLD signal in recruited regions after practice. Individuals with traumatic brain injury and healthy controls performed the n ‐back during fMRI acquisition, practiced each task out of the scanner, and returned to the scanner for additional fMRI n ‐back acquisition. Statistical parametric maps demonstrated a number of regions of recruitment in the 1‐back in individuals with brain injury and a number of corresponding regions of reduced activation in individuals with brain injury following practice in both the 1‐back and 2‐back. Regions of interest demonstrated reduced activation following practice, including the anterior cingulate and right prefrontal cortices. Individuals with brain injury demonstrated modest behavioral improvements following practice. These findings suggest that neural recruitment in brain injury does not represent reorganization but a natural extension of latent mechanisms that engage transiently and are contingent upon cerebral challenge. Hum Brain Mapp, 2012. © 2011 Wiley Periodicals, Inc.

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Web of Science research areas
Neuroimaging
Neurosciences
Radiology, Nuclear Medicine & Medical Imaging
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