Abstract
Cognitive remediation involves task practice and may improve deficits in people suffering from schizophrenia, but little is known about underlying neurophysiological mechanisms. In people with schizophrenia and controls, we used magnetoencephalography (MEG) to examine accuracy and practice-related changes in parameters indexing neural network structure and activity, to determine whether these might be useful assays of the efficacy of cognitive remediation. Two MEG recordings were acquired during performance of a tone discrimination task used to improve the acuity of auditory processing, before and after ∼2.5 h of task practice. Accuracy before practice was negatively correlated with beta-band cost efficiency, a graph theoretical measure of network organization. Synthetic aperture magnetometry was used to localize brain oscillations with high spatial accuracy; results demonstrated sound and sensorimotor modulations of the beta band in temporo-parietal regions and the sensorimotor cortex respectively. High-gamma activity also correlated with sensorimotor processing during the task, with activation of auditory regions following sound stimulation, and activation of the left sensorimotor cortex preceding the button press. High-gamma power in the left frontal cortex was also found to correlate with accuracy. Following practice, sound-induced broad-band power in the left angular gyri increased. Accuracy improved and was found to correlate with increased mutual information (MI) between sensors in temporal–parietal regions in the beta band but not global cost efficiency. Based on these results, we conclude that hours of task practice can induce meso-scale changes such as increased power in relevant brain regions as well as changes in MI that correlate with improved accuracy.
Keywords: cognitive remediation, schizophrenia, magnetoencephalography, graph theory, synthetic aperture magnetometry, practice, beta band, high gamma
Introduction
Cognitive impairment is increasingly recognized as a critical component in schizophrenia and therefore an important treatment target (Huffaker et al., 2009; Dickinson et al., 2010a; Wykes, 2010). While a variety of cognitive remediation strategies have been developed, it is unclear which, if any, is effective (McGurk et al., 2009; Dickinson et al., 2010b; Keefe et al., 2010). One particularly promising strategy in the context of schizophrenia begins with training on simple auditory discrimination tasks and builds from this training to improve higher order verbal skills (Adcock et al., 2009; Fisher et al., 2009). A rationale for this approach is that patients with schizophrenia exhibit deficits in early stages of auditory processing that weaken the foundation for more complex cognitive processing (Javitt, 2009). However, these deficits may be ameliorated by practice (Fisher et al., 2009).
How practice influences brain function is as yet unclear. In healthy subjects, practice and improved performance on an auditory discrimination task correlate with an increase in the amplitude of auditory evoked responses (van Wassenhove and Nagarajan, 2007; Tong et al., 2009) likely due to synaptic plasticity (Buonomano and Merzenich, 1998; Tallal, 2004). However, the specific functional brain networks involved in auditory learning have yet to be fully elucidated and it is unclear how they are modified by practice. Current evidence from PET (Zatorre et al., 1994), fMRI (Ohnishi et al., 2001; Gaab et al., 2003, 2006; Temple et al., 2003; Warren and Griffiths, 2003; Rinne et al., 2009; Schulze et al., 2009), and magnetoencephalography (MEG) studies (van Wassenhove and Nagarajan, 2007) suggest that diverse temporo-parietal regions, as well as the left inferior frontal gyrus, and dorsal–lateral prefrontal cortex (DLPFC) contribute to auditory discrimination and working memory.
To characterize the functional brain networks involved in performance and practice of an auditory cognitive remediation task, we used MEG and measured mutual information (MI), a non-linear measure of coherence (David et al., 2004), between signals in the delta through high-gamma frequency bands between synthetic planar sensors. Coherence in fields recorded either intra- or extra-cranially is thought to be important for communication between brain areas (Bullock et al., 1995) and for cognitive performance (Bressler et al., 1993; Varela et al., 2001; Buschman and Miller, 2007; Cavanagh et al., 2009). Furthermore, coherence measurements provide information about the structure and plasticity of brain networks (Wang et al., 2010), that can be described by graph theoretical measures (Bullmore and Sporns, 2009). One such measure – cost efficiency, which quantifies the balance between network efficiency and the number of edges utilized in a graph (Figure 1) – is unique in that it reaches a maximum at a particular cost, thereby providing a non-arbitrary threshold for constructing unweighted graphs (Achard and Bullmore, 2007). This measure is particularly appropriate in our study because previous work has indicated that cost efficiency is positively correlated with performance in the visual N-back task in both controls and people with schizophrenia (Bassett et al., 2009).
In this work, we sought to identify the temporal and spatial characteristics of networks involved in the performance and practice of an auditory pitch discrimination task (Figure 2A) in samples of healthy individuals and patients with schizophrenia. Specifically, we tested whether accuracy in the task at baseline, after practice, and the difference (Δ) between the two, correlated with changes in univariate (signal power), bivariate (MI), and multivariate (cost efficiency) measurements of brain activity in delta through high-gamma bands estimated from MEG data acquired both before and after task practice. Signal power was measured in both sensor space and source space using sliding window synthetic aperture magnetometry (SAM; see Materials and Methods). Comparisons between the two recording sessions were used to determine practice-related changes in functional brain network organization.
Results
Task performance and practice
Task accuracy before practice did not differ between probands (n = 7) and controls (n = 10; Figure 2B, two tailed t-test, p = 0.639). Controls and probands completed an average of 2.96 ± 0.31 and 2.25 ± 0.12 h (mean ± SEM) of practice respectively, and all but one proband exhibited improved tone discrimination performance during practice (Figure 2C). One proband could not complete the practice due to medical illness and three of the control subjects dropped out of the study. Following practice, accuracy significantly increased 10.58 ± 0.3% among controls (n = 7, p < 0.01) and 11.52 ± 0.4% among probands (n = 6, p < 0.01); see Figure 2B.
Sensor space analysis: Parameter associations with task accuracy
The first component of our analysis was in sensor space after the data was denoised using signal space separation. We treated the 273 MEG sensors as nodes of a graph, we calculated multivariate (cost efficiency, characteristic clustering coefficient, mean path length, small worldness), bivariate (MI), and univariate (power) measures. All measures were calculated across a range of frequency bands and correlations with task performance were determined before (Table 1) and after (Table 2) task practice.
Table 1.
Cost eff. | High γ | γ | β | α | θ | δ | δ − 1 |
---|---|---|---|---|---|---|---|
60–150 Hz | 30–60 Hz | 15–30 Hz | 30–60 Hz | 3.7–7.5 Hz | 2–3.7 Hz | 1–2 Hz | |
Controls F | 1.440 | 7.783 | 6.881 | 2.129 | 10.411 | 5.015 | 0.145 |
p Value | 0.2327 | 0.006 | 0.010 | 0.148 | 0.002 | 0.028 | 0.704 |
Slope | −0.0035 | −2.1E-03 | −3.0E-03 | −1.4E-03 | −2.5E-03 | −3.5E-03 | −1.3E-03 |
Probands F | 25.835 | 0.011 | 11.225 | 0.440 | 9.287 | 10.930 | 37.978 |
p Value | 3.78E-06 | 0.918 | 0.001 | 0.510 | 0.003 | 0.002 | 6.2E-08 |
Slope | 0.012 | −2.3E-04 | −3.4E-03 | −1.4E-03 | 4.0E-03 | 4.5E-03 | 8.2E-03 |
Combined F | 2.817 | 2.605 | 18.486 | 2.248 | 1.396 | 0.795 | 8.229 |
p Value | 0.095 | 0.109 | 0.00003 | 0.136 | 0.239 | 0.374 | 0.005 |
Slope | 0.0034 | −0.0011 | −0.0032 | −0.0013 | 0.0012 | 0.0008 | 0.0038 |
MI | |||||||
Controls F | 1.7408 | 8.208 | 9.598 | 1.916 | 6.304 | 4.520 | 0.653 |
p Value | 0.1905 | 0.005 | 0.003 | 0.170 | 0.014 | 0.036 | 0.421 |
Slope | 1.7E-04 | 1.2E-04 | 2.1E-04 | 1.4E-04 | 3.3E-04 | 1.3E-03 | 1.6E-03 |
Probands F | 7.6523 | 11.765 | 3.896 | 3.104 | 10.378 | 8.096 | 27.356 |
p Value | 0.0075 | 0.001 | 0.053 | 0.083 | 0.002 | 0.006 | 2.2E-06 |
Slope | −1.4E-04 | −4.0E-04 | −1.5E-04 | −5.3E-04 | −2.0E-03 | −2.9E-03 | −7.7E-03 |
Combined F | 0.1437 | 3.287 | 0.159 | 1.290 | 6.433 | 2.956 | 11.480 |
p Value | 0.7052 | 0.072 | 0.690 | 0.258 | 0.012 | 0.088 | 0.001 |
Slope | 2.9E-06 | −1.8E-04 | −1.8E-06 | −2.6E-04 | −1.0E-03 | −1.1E-03 | −3.5E-03 |
POWER (Z-SCORE) | |||||||
Controls F | 3.051 | 14.637 | 7.633 | 5.574 | 9.477 | 18.510 | 9.441 |
p Value | 0.0842 | 0.0002 | 0.007 | 0.020 | 0.003 | 0.00004 | 0.003 |
Slope | 0.1037 | 0.286 | 0.219 | 0.141 | 0.151 | 0.276 | 0.230 |
Probands F | 11.757 | 0.496 | 7.982 | 0.009 | 5.190 | 7.082 | 8.511 |
p Value | 0.0011 | 0.484 | 0.006 | 0.927 | 0.026 | 0.010 | 0.005 |
Slope | −0.218 | 0.0435 | 0.1477 | 0.0413 | −0.0643 | −0.0458 | −0.0197 |
Combined F | 1.2076 | 11.598 | 14.574 | 3.912 | 2.206 | 5.053 | 6.150 |
p Value | 0.2736 | 0.001 | 0.0002 | 0.050 | 0.140 | 0.026 | 0.014 |
Slope | −0.0056 | 0.132 | 0.144 | 0.050 | −0.048 | −0.036 | −0.015 |
Table 2.
Cost eff. | High γ | γ | β | α | θ | δ | δ 1 |
---|---|---|---|---|---|---|---|
60–150 Hz | 30–60 Hz | 15–30 Hz | 30–60 Hz | 3.7–7.5 Hz | 2–3.7 Hz | 1–2 Hz | |
Controls F | 0.064 | 1.695 | 6.538 | 6.598 | 7.208 | 4.214 | 7.306 |
p Value | 0.801 | 0.198 | 0.013 | 0.013 | 0.009 | 0.044 | 0.009 |
Slope | −0.002 | −0.002 | −0.003 | −0.003 | −0.003 | −0.004 | −0.007 |
Probands F | 0.255 | 0.524 | 0.892 | 1.362 | 0.083 | 0.697 | 0.027 |
p Value | 0.615 | 0.472 | 0.349 | 0.249 | 0.774 | 0.407 | 0.869 |
Slope | 7.6E-04 | −9.4E-04 | −1.3E-03 | −3.9E-04 | 1.3E-03 | 2.1E-04 | 7.6E-04 |
Combined F | 1.372 | 0.059 | 4.734 | 5.453 | 2.335 | 0.673 | 4.022 |
p Value | 0.2438 | 0.808 | 0.032 | 0.021 | 0.129 | 0.414 | 0.047 |
Slope | −0.003 | 0.000 | −0.002 | −0.002 | −0.001 | −0.001 | −0.003 |
MI | |||||||
Controls F | 0.155 | 6.551 | 4.241 | 0.966 | 1.524 | 3.371 | 6.787 |
p Value | 0.695 | 0.013 | 0.044 | 0.330 | 0.222 | 0.071 | 0.012 |
Slope | 8.4E-05 | 2.1E-04 | 3.4E-04 | 3.9E-04 | 4.0E-04 | 1.1E-03 | 3.0E-03 |
Probands F | 0.0654 | 0.035 | 0.002 | 0.073 | 0.026 | 0.266 | 0.006 |
p Value | 0.799 | 0.853 | 0.963 | 0.788 | 0.873 | 0.608 | 0.936 |
Slope | 8.4E-05 | 2.1E-04 | 3.4E-04 | 3.9E-04 | 4.0E-04 | 1.1E-03 | 3.0E-03 |
Combined F | 0.331 | 1.038 | 0.427 | 0.577 | 0.222 | 0.002 | 1.059 |
p Value | 0.566 | 0.310 | 0.515 | 0.449 | 0.639 | 0.965 | 0.305 |
Slope | 8.4E-05 | 7.1E-05 | 1.2E-04 | 2.1E-04 | 2.1E-04 | 3.4E-05 | 1.2E-03 |
POWER (Z-SCORE) | |||||||
Controls F | 0.193 | 16.916 | 7.836 | 4.829 | 1.402 | 4.579 | 14.096 |
p Value | 0.662 | 1.2E-04 | 0.007 | 0.032 | 0.241 | 0.036 | 3.9E-04 |
Slope | 0.083 | 0.422 | 0.310 | 0.250 | 0.135 | 0.239 | 0.399 |
Probands F | 5.8E-04 | 0.085 | 0.579 | 0.510 | 0.001 | 0.016 | 0.019 |
p Value | 0.981 | 0.772 | 0.450 | 0.478 | 0.975 | 0.899 | 0.890 |
Slope | −0.002 | −0.029 | 0.072 | 0.057 | −0.002 | −0.010 | −0.010 |
Combined F | 1.000 | 1.797 | 2.142 | 1.201 | 0.003 | 0.030 | 0.035 |
p Value | 0.319 | 0.183 | 0.146 | 0.275 | 0.956 | 0.863 | 0.853 |
Slope | 0.054 | 0.098 | 0.107 | 0.081 | −0.004 | −0.013 | −0.014 |
Correlations with pre-practice accuracy
Cost efficiency
Previous results in working memory performance have indicated that beta-band cost efficiency can be related to task accuracy (Bassett et al., 2009). We therefore began by determining whether cost-efficiency across the six frequency bands was correlated with task accuracy. In the present study, we indeed found that accuracy before practice was correlated negatively with global cost efficiency in the beta band for the combined subjects (p = 3.0E-5, Bonferroni corrected; Figure 3A; Table 1), indicating that subjects with less cost efficient network organization performed better on this auditory processing task. Cost efficiency was also positively correlated with accuracy for the combined subjects in the low delta band (p = 0.005).
Cost efficiency is a relatively new graph measure, and we therefore asked whether the relationship with accuracy extended to other more classical measures of network organization including the characteristic clustering coefficient (γ, a measure of local connectivity), path length (λ, a measure of global integration), and small worldness (σ, a combined measure of segregation and integration). We did not observe a correlation between accuracy and σ (p = 0.88), γ (p = 0.95), or λ (p = 0.76) in the beta band for the combined subjects (Latora and Marchiori, 2001; Watts and Strogatz, 1998), suggesting that cost-efficiency measures an independent property of brain function.
After confirming global relationships between cost efficiency and accuracy, we sought to characterize the regional specificity of these results. We focused on the beta band since global beta-band cost efficiency was highly negatively correlated with performance in the combined subjects. A negative correlation between accuracy and local beta-band cost efficiency was identified for a contiguous region of right temporo-parietal sensors, and a similar but less contiguous region of left temporo-parietal sensors (Figure 3B).
Mutual information
While graph theoretical measures provide insight into the broad patterns of connectivity, simpler measurements can be made of the strength of connectivity by examining the bivariate pairwise MI at the sensor level. In the beta band, improved accuracy with practice correlated with increased MI between sensors primarily in temporo-parietal areas (Figure 3C1). We also observed negative correlations between accuracy and MI between sensors distributed across the scalp, with network hubs evident in the left inferior frontal region (Figure 3C2). Sensor pairs that exhibited a negative correlation between MI and accuracy were separated by a mean distance of 15.832 ± 0.25 cm, whereas sensor pairs that exhibited a positive correlation between MI and accuracy were separated by a mean distance of 4.321 ± 0.15 cm (p < 0.001; Figure 3D) and less were inter-hemispheric (Figure 3E).
Power
While graph theoretical diagnostics and MI measure characteristics of connectivity, the univariate power provides insight into the strength of the activity itself. We therefore extended our examination to the univariate level where we asked whether power in sensor and source space was correlated with task performance and accuracy in the pre-practice dataset.
Focusing first on the beta band, in sensor space we observed a positive correlation between task accuracy and global beta-band power in the combined subjects (p = 2.0 10−4). The sensors involved were likely close to left sensorimotor cortex (Figure 4A). A positive correlation between gamma power and accuracy was also evident (p = 0.001), and the sensors involved were in the temporo-parietal region bilaterally (Figure 4B).
Correlations with post-practice accuracy
Following practice, accuracy no longer correlated with global cost efficiency, MI, or power across any bands (Table 2).
Correlations with practice-related change in accuracy
Our primary findings were derived by directly comparing the pre- and post-training datasets to identify changes associated with practice. A correlation between Δaccuracy and Δglobal cost efficiency was not evident (Table 3). However, Δaccuracy positively correlated with beta-band ΔMI (Figure 5A1) between sensors located primarily in temporo-parietal regions (Figure 5A2). Also, Δaccuracy positively correlated with Δglobal power in the low delta band (p = 0.008). In the beta and gamma bands of interest there was a positive correlation between Δaccuracy and Δlocal power at left temporo-parietal sensors (Figure 5B).
Table 3.
Cost eff. | High γ | γ | β | α | θ | δ | δ 1 |
---|---|---|---|---|---|---|---|
60–150 Hz | 30–60 Hz | 15–30 Hz | 30–60 Hz | 3.7–7.5 Hz | 2–3.7 Hz | 1–2 Hz | |
Controls F | 0.064 | 0.234 | 1.642 | 1.759 | 6.555 | 3.892 | 0.239 |
p Value | 0.801 | 0.630 | 0.205 | 0.190 | 0.013 | 0.053 | 0.627 |
Slope | −0.002 | 0.000 | −0.001 | −0.001 | −0.003 | −0.005 | −0.002 |
Probands F | 0.255 | 2.388 | 0.002 | 0.026 | 6.646 | 3.639 | 24.784 |
p Value | 0.615 | 0.128 | 0.966 | 0.872 | 0.013 | 0.062 | 7.4E-06 |
Slope | −9.5E-4 | 0.002 | 5.0E-05 | −2.8E-04 | 0.004 | 0.003 | 0.006 |
Combined F | 1.372 | 1.146 | 0.527 | 0.456 | 0.557 | 0.234 | 2.271 |
p Value | 0.2438 | 0.287 | 0.469 | 0.501 | 0.457 | 0.630 | 0.135 |
Slope | −0.003 | 0.001 | −0.001 | −0.001 | 0.001 | −0.001 | 0.003 |
MI | |||||||
Controls F | 0.155 | 0.335 | 0.421 | 0.030 | 1.932 | 4.125 | 0.999 |
p Value | 0.695 | 0.565 | 0.519 | 0.864 | 0.170 | 0.047 | 0.321 |
Slope | 8.4E-05 | 3.8E-05 | 6.3E-05 | −4.1E-05 | 3.3E-04 | 1.5E-03 | 1.6E-03 |
Probands F | 0.0654 | 1.678 | 1.612 | 0.205 | 1.571 | 0.563 | 10.302 |
p Value | 0.799 | 0.201 | 0.210 | 0.652 | 0.216 | 0.456 | 0.002 |
Slope | 8.4E-05 | −2.1E-04 | 3.2E-04 | −2.2E-04 | −1.1E-03 | −9.6E-04 | −4.8E-03 |
Combined F | 0.331 | 1.209 | 2.228 | 0.293 | 0.970 | 0.047 | 2.437 |
p Value | 0.566 | 0.274 | 0.138 | 0.590 | 0.327 | 0.828 | 0.121 |
Slope | 8.4E-05 | −9.5E-05 | 2.0E-04 | −1.5E-04 | −4.4E-04 | 1.6E-04 | −1.8E-03 |
POWER (Z-SCORE) | |||||||
Controls F | 0.193 | 6.326 | 10.612 | 7.726 | 14.217 | 14.991 | 2.978 |
p Value | 0.662 | 1.45E-02 | 1.84E-03 | 7.23E-03 | 3.70E-04 | 2.66E-04 | 0.089 |
Slope | 0.083 | 0.194 | 0.127 | 0.122 | 0.189 | 0.329 | 0.178 |
Probands F | 5.8E-04 | 0.143 | 0.819 | 3.766 | 2.627 | 4.125 | 6.394 |
p Value | 0.981 | 0.707 | 0.370 | 0.058 | 0.111 | 0.047 | 0.015 |
Slope | −0.002 | 0.022 | 0.055 | 0.190 | 0.158 | 0.196 | 0.238 |
Combined F | 1.000 | 4.081 | 4.718 | 7.290 | 3.531 | 4.941 | 7.271 |
p Value | 0.319 | 0.046 | 0.032 | 0.008 | 0.063 | 0.028 | 0.008 |
Slope | 0.054 | 0.093 | 0.075 | 0.140 | 0.130 | 0.157 | 0.189 |
Differences between probands and controls in parameter associations with task accuracy
Despite the small size of our patient and control cohorts, we also examined the differences between the two groups with respect to parameter associations with task accuracy before and after practice. These are preliminary results and should be interpreted as exploratory. Before practice, in the control subjects the correlation between accuracy and beta-band cost efficiency was not significant after correction for multiple comparisons (p = 0.01), but the correlation was significant in the probands alone (p = 0.001). Only controls exhibited a negative correlation between accuracy and gamma (p = 0.006), as well as theta (p = 0.002), band cost efficiency. In contrast, in probands we observed a positive correlation between accuracy and cost efficiency in the high-gamma- (p = 3.76E-6), theta- (p = 0.003), high delta- (p = 0.002), and low delta- (p = 6.2E-8), bands (Table 1).
In the pre-practice recordings, accuracy correlated with global beta-band power in both controls (p = 0.007) and probands (p = 0.006). In the gamma band we observed a strong correlation between accuracy and global power in controls (p = 2 10−4), but not in probands (p = 0.48; Table 1). We also observed significant correlations between delta band power and accuracy, but in opposing directions in controls and probands (Table 1).
In the post-practice recordings, a negative trend between accuracy and global beta-band cost efficiency was evident in the control subjects but did not reach significance with Bonferroni correction (p = 0.013). Among the control subjects, local cost efficiency in the beta-band correlated with performance in several contiguous nodes, which also correlated with accuracy before practice (Figure 6A). After practice, MI was positively correlated with accuracy between sensors primarily in temporo-parietal regions (Figure 6B). The density of connections was markedly decreased compared with the network derived from the pre-practice dataset. No correlations between accuracy and beta-band cost efficiency or MI were evident in the probands post-practice dataset.
With regards to power, in the control subjects after practice, global power was also found to correlate positively with performance in the gamma (p = 1.2 10−4), beta (p = 0.007), and low delta bands (p = 2 10−4). The local distribution of sensors exhibiting this correlation in the beta-band partially overlapped before and after practice, but after practice involved more temporal sensors (Figure 6C). In the probands, no correlations between accuracy and power were evident in the post-practice dataset.
Control subjects also exhibited different correlations with practice-related changes in accuracy then the probands. In control subjects, we identified a positive correlation between Δaccuracy and Δglobal power in beta (p = 0.0018), alpha (p = 0.0072), theta (p = 0.0004), and high delta (p = 0.0003) bands. In the beta and gamma bands, Δaccuracy correlated with Δlocal power in the beta and gamma bands at temporo-parietal nodes bilaterally (Figure 6D). In the control subjects, there was a negative correlation between Δaccuracy and Δlocal-cost efficiency in the beta band for several contiguous temporal–parietal nodes (Figure 6E1). In addition, Δaccuracy correlated with beta-band ΔMI (Figure 6E2) in control subjects between bilateral sensors located primarily in temporo-parietal regions. Probands exhibited a positive correlation between Δaccuracy and Δglobal cost efficiency in the low delta band, but did not exhibit correlations between Δaccuracy and local cost efficiency or power in the beta, or gamma bands.
Source space analysis: Improved localization in bands of interest
For the second component of our analysis, we analyzed the raw data using sliding window SAM to reconstruct the sources of power for the bands of interest (beta and gamma) in space and time during task execution.
Pre-practice source space analysis
We found that during the first stimulus presentation, the most significant beta-band power increases occurred in the anterior cingulate cortex, the left middle temporal lobe, and the left angular gyrus (Figure 7A). Approximately 300 ms following the first stimulus presentation, there was a decrease in stimulus beta-band power in left sensorimotor cortex that persisted even after the button press at 1895 ± 372 ms (Figure 7B; Movies S1 and S2 in Supplementary Material) for the 800 inter-stimulus-interval (ISI) trials. Also, around the time of the button press, increased beta-band power was evident in the occipital and rostroventral prefrontal regions.
We next examined whether response latency influenced the timing of the beta-band decrease seen during task performance. Recordings from trials using an 800, 400, and 200 ms ISI were separated and we calculated the time course and magnitude of the beta band in the left motor cortex. We choose the left motor cortex in part because around the mean response time decreases in beta were most significant in this region (Figure 7C). In trials with an ISI of 200 ms, response latency was reduced relative to the trials with an ISI of 800 ms. Consequently the beta decrease recovered faster in the 200-ms ISI trials relative to the 400 ms (p = 0.0076), and 800 ms ISI trials (p = 0.0029) at the end of the first 2 s of the trial (Figure 7C) indicating that response latency is correlated with the decrease in beta power in the motor cortex.
Sliding window SAM analysis in the combined subjects also showed diffuse gamma activation after the first stimulus, followed by a decrease in activity in the left sensorimotor region that persisted until the button press (Movies S3 and S4 in Supplementary Material).
In the high-gamma band, SAM demonstrated sequential activation of different brain areas appropriate to task performance (Figure 8A; Movies S5 and S6 in Supplementary Material). Approximately 100 ms after the onset of the first sound stimulus, we observed increased high-gamma power diffusely in the right and left superior temporal gyrus and sulcus (Figure 8B), and in the right precuneus, left motor, middle, and inferior frontal gyri (Figure 8C). Approximately 275 ms after stimulus termination we observed a return back to prestimulus levels (Figures 8A,B). Before the second stimulus and approximately 500 ms after the first stimulus there was a decrease in high-gamma power in the left DLPFC and temporal pole that persisted throughout the trial (Figure 8A). Next, 80 ms after the second sound stimulus, we observed increased high-gamma power in the right superior temporal gyrus and sulcus lasting 250 ms after stimulus termination (Figure 8B). Finally, 575 ms after the onset of the second sound we observed an increase in high-gamma power in the left sensorimotor cortex presumably in the representation of the right hand; the button press occurred an average of 390 ms later (Figure 8A). Accuracy positively correlated with mean high-gamma power in a cluster encompassing portions of the motor cortex and the middle and inferior frontal gyri (R = 0.85, F = 56.97, p = 1.95E-05; Figure 8C).
In addition to single band power we performed sliding window SAM analysis of broad-band power during task performance. Broadband power demonstrated diffuse increases in temporo-parietal regions during the first stimulus, followed by a decrease in activity in parietal regions and an increase in activity in frontal regions that persisted until the button press (Movies S7 and S8 in Supplementary Material).
Source space comparisons between pre- and post-practice
Using a SAM analysis, we identified a significant increase in broad-band power following practice in the left angular gyrus (Figure 9A1) during and after presentation of the second stimulus (Figure 9A2; p = 2.92E-5, at 1.53 s after onset of the first sound). However, we did not observe statistically significant changes in any sub-bands. To determine if the increase in broadband power after practice was due to an increase in stimulus evoked power alone we used event-related SAM (erSAM). erSAM detected power increases around the first (0–400) and second (800–1200) sound in the right auditory cortex (Figure 9B1). When we compared power in the right auditory cortex before and after training, we found no change for the 0–400 ms (p = 0.45) and 800–1200 ms intervals (p = 0.30); see Figure 9B2.
Discussion
We used MEG to investigate whether practicing a computer-based auditory cognitive remediation task would influence functional brain networks operating in the low delta through high-gamma frequency bands in healthy volunteers and patients with schizophrenia. We hypothesized that cost efficiency, a graph theoretical measure based on MI between MEG sensors, would correlate with task accuracy and thereby characterize the functional network involved in pitch discrimination before and after practice. Indeed, cost efficiency of the beta-band network was negatively correlated with task accuracy for probands and controls before practice, and a similar trend was also found among control subjects when the experiment was repeated following practice. Since our sample size was small and we did not observe task performance differences between probands and controls, we did not focus our analysis on characterizing differences between groups. When we compared the before and after practice data sets for all subjects, we found that improved accuracy after practice correlated with increased MI in the beta-band between sensors in temporo-parietal regions. Also, among control subjects improved accuracy correlated with decreased local cost efficiency in the beta band. Therefore, our results support the notion that practice-induced improvements in accuracy in pitch discrimination correlate with changes in the MI between brain signals recorded by temporal–parietal sensors in the beta band, but not changes in global network structure.
To further understand the significance of functional brain network structure, we supplemented our MI-based analysis with SAM analysis, which provides greater spatial accuracy. SAM analysis of beta power showed increases in brain regions important in auditory processing (Haenschel et al., 2000), and decreases in region important for sensorimotor integration (Engel and Fries, 2010). One possible interpretation of these findings is that network structure, which correlates with accuracy, regulates the integration of segregated beta-band mediated processes in different brain areas (Bassett et al., 2009). It is important to be aware in utilizing this methodological analysis, that a field produced by a single source spreads to multiple sensors, and therefore it is possible for coherence (i.e., MI data) to be contaminated by artifact. Yet, artifact is unlikely to completely explain the reported changes in connectivity that correlate with accuracy because sources associated with field spread may be constant across variations in accuracy (Schoffelen and Gross, 2009).
A role for the beta band in a pitch discrimination task is not surprising in light of the diverse functional roles of the beta band, including maintaining the status quo for sensorimotor integration (Engel and Fries, 2010), top-down attentional processing (Buschman and Miller, 2007), and working memory processing (Bassett et al., 2009; Palva et al., 2010). Increased working memory load has been shown to increase clustering of functional networks in the beta band (Palva et al., 2010), and performance on the visual N-back task was shown to correlate with increased global cost efficiency (Bassett et al., 2009), potentially due to the global network maintaining a more metabolically efficient state. We found that pitch discrimination task accuracy negatively correlated with beta-band cost efficiency for the combined subjects before practice. The direction of this relationship is in contrast to Bassett et al. (2009), who reported that increased cost efficiency correlated with optimal performance on the N-back task. However, task demands in the two studies differed dramatically. First, N-back engages visuo-spatial working memory systems while the auditory discrimination task engages the phonological system (Baddeley, 2003). Second, the N-back paradigm requires maintenance of information and resistance to distraction across items, while each auditory discrimination task item is discrete.
Our results suggest that prior to practice, pitch discrimination accuracy is optimized with dense short-range connections within bilateral temporo-parietal regions associated with auditory processing, but not between discrete components of the complete network. These short-range connections may be based on neuronal synchrony originating in local cytoarchitecture and monosynaptic circuits (Varela et al., 2001). Such circuits may be at least in part localized to the planum temporale and execute computations critical to pitch discrimination and memory (Griffiths and Warren, 2002). Also, complementary long-range connections between the left frontal gyrus and frontal–temporal regions correlated negatively with performance in the beta band. Importantly, such long-range connections likely rely on cortico–cortico and cortico-thalamic polysynaptic pathways, which may become less active when phonological rehearsal (Baddeley, 2003; Schulze et al., 2009) becomes less essential for task performance.
While our MI-based analysis of pitch discrimination is unique, SAM may prove advantageous in future studies as its spatial accuracy approaches that of fMRI (Rinne et al., 2009), yet its temporal resolution is much greater. Furthermore by combining sensor-space-based correlations between power and task accuracy with SAM analysis we can speculate that before practice there is a positive correlation between accuracy and beta-band power in sensors closest to the left sensorimotor cortex. One possible explanation for this correlation is that accuracy is related to response uncertainty, which in a prior study that utilized a visually cued reaching task was found to correlate with the magnitude of beta-band desynchronization (Tzagarakis et al., 2010).
Also, in the high-gamma band we found that power changes closely correlated with the informational demands of the task (Jerbi et al., 2009; Hinkley et al., 2010a; Uhlhaas et al., 2010), for example the power increased in auditory regions following each stimulus (Edwards et al., 2005; Steinschneider et al., 2008; Griffiths et al., 2010), and in the left motor cortex during the button press (Crone et al., 1998). However, in the case of the power increase in the auditory cortex, it is unclear if it is exclusively event related. Furthermore, the high correlation between pre-practice task performance and high-gamma activity in a region encompassing the right motor cortex, as well as the middle, and the inferior frontal gyri suggests that these regions may play an integrative role in pitch processing.
After practice we observed a scarcity of correlations between accuracy and parameters. We did not identify a correlation between accuracy and cost efficiency across any bands. One possible reason for the marked difference with respect to the pre-practice dataset may be that a majority of the practice-related reconfigurations of the functional brain networks were independent of task performance. Our methodology was not able to directly detect such reconfigurations. Another potential reason for a loss of correlations may be that a number of subjects had near-perfect performance across all blocks of trials after practice. However, in control subjects, we did still observe a trend between accuracy and beta-band cost efficiency. In addition, the MI network structure that was correlated with post-practice accuracy in control subjects exhibited hubs in temporo-parietal regions similar to the pre-practice dataset.
With regards to changes in correlations between accuracy and power after practice among control subjects, correlations with beta occurred in a similar spatial distribution in sensor space as in the pre-practice dataset. However correlations in sensors overlying temporal regions were increasingly evident after practice.
In comparing the post- and pre-practice data sets, broadband power was increased in the left angular gyri. This region has been previously implicated in auditory memory in pitch processing (Rinne et al., 2009; Schulze et al., 2009). It has been previously reported that the auditory evoked potential magnitude increases following hours of practice (van Wassenhove and Nagarajan, 2007; Tong et al., 2009). However, our erSAM analysis indicates that in our experiment, the auditory evoked potential did not involve the angular gyrus and did not change following practice. One possible reason we did not observe an increase in the evoked potential in our study is that the delay between practice and testing was variable and in some cases substantial. In sensor space we found that increased power in gamma- and beta-bands in left temporo-parietal sensors correlated with improved performance suggesting that increased power in the angular gyrus may be behaviorally relevant to practice and improvement.
Improved performance after practice correlated with increased connectivity in the beta-band between sensors primarily in temporo-parietal regions. We did not observe a correlation between improved performance and decreased global beta-band cost efficiency. Perhaps more extensive practice would have extended functional reconfigurations beyond the local networks, to the global network architecture.
In prior studies, auditory (Penolazzi et al., 2010) and somatosensory (Liu and Ioannides, 2004) practice have been previously shown to produce changes in power in the beta and gamma band. Also, increased beta coherence was found to be associated with cognitive recovery in acquired brain injury (Castellanos et al., 2010). It is reasonable to hypothesize that practice-induced synaptic plasticity underlies these meso-scale changes. Further work will seek additional evidence that changes in power and coherence in the beta and gamma band are associated with improved performance after practice and could provide a foundation for the development of cognitive remediation strategies that specifically target and counteract defined behavioral and neurophysiological deficits (Edwards et al., 2010; Hinkley et al., 2010b). However, in the present work, we did not identify behavioral deficits in our probands.
Analyzing MEG data across dimensions by examining power in sensor, and source space, as well as MI between sensors, and graph metrics effectively demonstrated how global and local networks contribute to accurate auditory discrimination. With the use of SAM, we were able to obtain an improved spatial and temporal understanding of this network. A possible future application of our integrative approach is identifying differences in functional brain networks during auditory task performance among large samples of healthy volunteers and patients with schizophrenia. With regards to this study, our data lends additional evidence to the notion that coherence-based graph metrics such as cost efficiency are relevant to behavior (Bassett et al., 2009), and that local functional brain networks based on MI between brain regions might adapt with practice.
Materials and Methods
Ten healthy volunteers and seven people with schizophrenia (diagnosed according to the Diagnostic and Statistical Manual of Mental Disorders IV criteria) were recruited as part of the Clinical Brain Disorders Branch/National Institute of Mental Health Genetic Study of Schizophrenia. Healthy volunteers had no structural MRI abnormalities or history of psychiatric illness, depression, or loss of consciousness. All patients were receiving antipsychotic drugs and other medication at the time of the study; none of the healthy volunteers were taking psychoactive medication. Three patients had changes in medication during the study. One patient was prescribed lithium, another patient was prescribed a reduced clozapine dose, and the third patient was prescribed a reduced venlafaxine dose. The mean WAIS estimated Full Scale IQ was 81.4 ± 3.82 for the probands (n = 5), and 108.43 ± 2.89 for the control subjects (n = 7).
The participants gave informed consent in writing, pursuant to protocols approved by the National Institute of Mental Health Institutional Review Board. We included patients specifically because we hoped to investigate cognitive remediation in this target population. MEG data were acquired at the National Institute of Mental Health using a 275-channel CTF MEG system (VSM MedTech) with a sampling rate of 600 Hz and third order gradient active noise cancelation.
The experimental paradigm was derived from the “High or Low” task, a component of the Brain Fitness Program (Posit Science, San Francisco, CA, USA), consisting of two 125 ms frequency modulated tones with a base frequency of approximately 500, 1000, or 2000 Hz, with a peak intensity of 87–93 dB that either increased or decreased in frequency (Fisher et al., 2009). The ISI between the stimuli was varied by experimental block. Following stimulus presentation the subject had 4 s to make two selections using a hand held controller with two buttons corresponding to increasing and decreasing frequency, respectively. A response was only considered correct if the subject classified both stimuli. Nine blocks of trials were performed for each subject. Each block consisted of stimuli with a consistent base frequency. For example, blocks 1–3 consisted of stimuli with base frequencies of 500, 1000, and 2000 Hz, respectively, and this was also the case for blocks 4–6, and 7–9. Furthermore, blocks 1–3, 4–6, and 7–9 had ISIs of 800, 400, and 200 ms, respectively. The purpose of altering the stimuli and ISIs by block was to match the stimulus set each subject would encounter during practice. Each block consisted of nine trials. Across the nine blocks, which varied with respect to the ISI and the frequency of the stimuli, we found no differences in accuracy (1D ANOVA, F = 0.280, p = 0.972, df = 8). Measurements were therefore pooled across blocks for subsequent analysis.
Following the first MEG recording, patients and controls were instructed on how to practice the “High or Low” task using the Brain Fitness Program. The sounds in the program were identical in frequency to those used during the MEG recording but in some cases differed in duration. The “High or Low” task uses an algorithm in which task difficulty is adaptively modulated following an initial diagnostic session and then on the basis of the subject's performance. The program provides arbitrary progress bars to indicate improvements through practice: more progress bars indicated a shorter duration of both the stimuli and the ISIs. Inpatients were supervised and monitored during practice sessions lasting for 30 min to 1-h. In contrast, volunteers practiced the task unsupervised and self-reported both practice time and progress. All subjects were asked to train for four to six consecutive days between MEG recording sessions. Six of the 7 patients completed practice, whereas only 7 out of 10 control subjects completed practice.
For coherence and graph theoretical analysis, eye blinks were removed from the raw data recorded by an automated process involving demarcation using a threshold detection function, followed by a principal components analysis based signal space separation. The data was then filtered to attenuate background low-frequency artifact and line noise at 60 Hz by using a 0.3-Hz-width filter, a low-pass filter with a cutoff of 150 Hz, and a high pass filter with a cutoff of 0.15 Hz. The MEG data preprocessing was performed using CTF (VSM MedTech) and FieldTrip software (F. C. Donders Centre for Cognitive Neuroimaging, Nijmegen, The Netherlands). To improve localization specificity, data was transformed into planar space by using FieldTrip software. The time series were then resampled to 120 Hz, and truncated to 34.133 s to constrain the frequency bands of the wavelet transform to conform to the classical EEG frequency bands of interest. A discrete wavelet transform using the Daubechies (4) wavelet was applied to each time series, with further analysis being performed only on wavelet coefficients at levels 1–6, corresponding approximately to classical EEG frequency bands from gamma to low delta (see Table S1 in Supplementary Material). For the high-gamma band, the raw time series was passed through a low-pass filter with a cutoff of 150 Hz before applying the planar transform and was not filtered further. Next, we estimated the MI of the wavelet coefficients of each pair of sensors at each frequency interval in each of the nine blocks of trials and normalized the pairwise MI according to Strehl and Joydeep, 2002. This resulted in a set of normalized MI (association) matrices representing the frequency-band specific functional connectivities between all pairs of sensors for each subject and recording block. The average MI of a network was defined as the average MI over all possible pairs of sensors, N. By applying a range of binary thresholds, each MI association matrix was then converted to a series of adjacency matrices, or graphs, G, with variable connection density or cost, C, (Bassett et al., 2006, 2009; Deuker et al., 2009) where:
(1) |
and N is the number of nodes. For each cost interval of size 0.01 in the range 0.01 < C < 1.0, the regional efficiency E(i) was computed for each node in the graph.
(2) |
where N indicates the index region, j ≠ i denotes a node connected to i, and Li,j is the minimum path length between nodes i and j. In other words, regional efficiency is inversely related to minimum path length: a region with high efficiency will have short minimum path length to all other nodes in the graph. The regional cost efficiency was calculated as the maximum of the function [E(i) − k], where k is the degree or number of edges connecting the ith region to the rest of the network (Latora and Marchiori, 2001; Achard and Bullmore, 2007). The global cost efficiency was calculated as the mean regional cost efficiency across all nodes.
Small worldness σ was calculated as (σ = γ/λ) where γ = E(i)/E(i)_random and λ = E(G)/E(G)_random, where the global efficiency E(G) (Latora and Marchiori, 2001) was computed for each graph as:
(3) |
For the computation of E(i)_random and E(G)_random, we calculated 100 random networks with the same degree distribution as the real cortical networks using the Brain Connectivity Toolbox (Rubinov and Sporns, 2010).
All statistical comparisons and computations were performed in Matlab (MathWorks Inc., www.mathworks.com/). Statistical tests performed on all sensors and on the MI association matrix (Hemmelmann et al., 2005) were reported for three levels of stringency: FDR as defined by Benjamini and Hochberg (1995), a more stringent false positive correction p < 1/N, and the Holm–Bonferroni correction.
SAM analysis
In order to estimate task-related source activity we used a SAM beamforming technique (Vrba and Robinson, 2001). More specifically, we used a sliding window dual-state SAM analysis in different frequency ranges (Cornwell et al., 2008). One proband could not be used for SAM analysis because of technical problems with the head tracking coils. The frequency ranges of interest were beta (15–30 Hz), gamma (30–60 Hz), high gamma (60–150 Hz), and broadband (0.9–150 Hz). In single window SAM, a pseudo-F ratio is calculated to estimate the source strength in the active window compared to the control window. This calculation is performed for each of the 5.0-mm voxels in each participant's brain. For the sliding SAM analysis used here, a small active window of some size was shifted by a fixed time (10 ms) over the whole duration of the time window of interest (2 s following the first tone), and the SAM analysis was performed repeatedly for each active window. The control window was fixed to the same-sized time segment immediately preceding the first active window. The resulting SAM images were then concatenated to produce a time series.
More specifically, for the high-gamma band for example, the control window was from −0.225 to −0.075 s relative to the stimulus onset. The first active window was from −0.075 to 0.075 s, and the last active window was from 1.925 to 2.075 s relative to the stimulus onset. The window sizes were adjusted to 200, 300, and 400 ms, for the gamma, beta, and broadband frequency ranges, respectively. Unless otherwise noted, the first block – with an ISI of 800 ms – was used for this sliding SAM analysis, as these trials were the longest in duration, and thus offered the cleanest separation of brain activations.
In order to examine the source of evoked fields, erSAM was used, in which each subject's trials are averaged before the pseudo-F ratio is calculated.
For all group analyses, the activation images were normalized to produce a z-score. AFNI (Cox, 1996) was used to view the images, perform group analyses, and construct the ROIs used to extract the time series.
Conflict of Interest Statement
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Supplementary Material
The Movies 1–8 for this article can be found online at http://www.frontiersin.org/human_neuroscience/10.3389/fnhum.2011.00081/abstract/
Footnotes
1This research was supported by the Intramural Research Program of the NIMH.
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