Characterization of the structural integrity of cortex in adults who have undergone resection for epilepsy treatment has revealed persistent or even accelerated cortical atrophy in some cases, but, in other cases, the converse is evident, and atrophy can decelerate or even be reversed. Whether this variability applies to a pediatric population, for whom postoperative plasticity may be greater than in adulthood, remains to be determined. Furthermore, understanding the morphometrics of this patient population is important, as cognitive gains have been associated with the anatomical status of the preserved cortex post-resection. Here, we used high-resolution structural T1 magnetic resonance imaging data to compare the (1) gross anatomy, (2) cortical thickness, volume, and surface area for 34 cortical regions, and (3) volume for nine subcortical regions of 32 pediatric post-surgical cases and 51 healthy controls. We only analyze the metrics from the preserved hemisphere. Relative to controls, patients with either a preserved right hemisphere (RH) or left hemisphere (LH) had significantly lower total white matter volume and larger lateral ventricle size, as well as a reduction of the volume of select subcortical structures. However, relative to controls, only patients with a preserved RH had significantly lower total gray matter volume and lower thickness, volume, and surface area in multiple cortical regions, primarily in the frontal and temporal cortex. The differences in the preserved RH cortex of LH resection patients may relate to transfer of language function from the affected LH. Our findings lay the foundation for future studies probing associations of the morphometric differences in pediatric epilepsy surgery patients with neuropsychological outcomes.

Characterization of the structural integrity of cortex in adults who have undergone resection for epilepsy treatment has, in some cases, revealed persistent or even accelerated cortical atrophy but, in others, the converse is evident, and atrophy decelerates or even reverses. Whether this variability applies to a pediatric population, for whom postoperative plasticity may be greater than in adulthood, remains to be determined. Furthermore, understanding the morphometrics of this patient population is important, as cognitive gains have been associated with the anatomical status of preserved cortex post-resection. Here, we used high-resolution structural T1 magnetic resonance imaging data to compare the (1) gross anatomy, (2) cortical thickness, volume, and surface area for 34 cortical regions, and (3) volume for nine subcortical regions of 32 pediatric post-surgical cases and 51 healthy controls. Patients with either a preserved right hemisphere (RH) or left hemisphere (LH) had lower total white matter volume and select subcortical structures' volumes, relative to controls; lateral ventricle size of both preserved RH and LH patients was also significantly larger than that of controls. However, relative to controls, only patients with a preserved RH had significantly lower total gray matter volume and lower thickness, volume, and surface area in multiple cortical regions, primarily in frontal and temporal cortex. The differences in preserved RH cortex of LH resection patients may relate to transfer of language function from the resected LH. Our findings lay the foundation for future studies probing associations of the morphometric differences in pediatric epilepsy surgery patients with neuropsychological outcomes.

The topographic organization of category-selective responses in human ventral occipitotemporal cortex (VOTC) and its relationship to regions subserving language functions is remarkably uniform across individuals. This arrangement is thought to result from the clustering of neurons responding to similar inputs, constrained by intrinsic architecture and tuned by experience. We examine the malleability of this organization in individuals with unilateral resection of VOTC during childhood for the management of drug-resistant epilepsy. In cross-sectional and longitudinal functional imaging studies, we compare the topography and neural representations of 17 category-selective regions in individuals with a VOTC resection, a 'control patient' with a resection outside VOTC, and typically developing matched controls. We demonstrate both adherence to and deviation from the standard topography, particularly with respect to the hemispheric lateralization of category-selective regions, and uncover fine-grained competitive dynamics between word- and face-selectivity over time in the single, preserved VOTC. The findings elucidate the nature and extent of cortical plasticity and highlight the potential for remodeling of extrastriate architecture and function.

Touch is an essential form of non-verbal communication. While language and its neural basis are widely studied, tactile communication is less well understood. We used fMRI and multivariate pattern analyses in pairs of emotionally close adults to examine the neural basis of human-to-human tactile communication. In each pair, a participant was designated either as sender or as receiver. The sender was instructed to communicate specific messages by touching only the arm of the receiver, who was inside the scanner. The receiver then identified the message based on the touch expression alone. We designed two multivariate decoder algorithms—one based on the sender's intent (sender-decoder), and another based on the receiver's response (receiver-decoder). We identified several brain areas that significantly predicted behavioural accuracy of the receiver. Regarding our a priori region of interest, the receiver's primary somatosensory cortex (S1), both decoders were able to accurately differentiate the messages based on neural activity patterns here. The receiver-decoder, which relied on the receivers' interpretations of the touch expressions, outperformed the sender-decoder, which relied on the sender's intent. Our results identified a network of brain areas involved in human-to-human tactile communication and supported the notion of non-sensory factors being represented in S1. This article is part of the theme issue ‘Sensing and feeling: an integrative approach to sensory processing and emotional experience’.

In the typically developing (TD) brain, neural representations for visual stimulus categories (e.g., faces, objects, and words) emerge in bilateral occipitotemporal cortex (OTC), albeit with weighted asymmetry; in parallel, recognition behavior continues to be refined. A fundamental question is whether two hemispheres are necessary or redundant for the emergence of neural representations and recognition behavior typically distributed across both hemispheres. The rare population of patients undergoing unilateral OTC resection in childhood offers a unique opportunity to evaluate whether neural computations for visual stimulus individuation suffice for recognition with only a single developing OTC. Here, using functional magnetic resonance imaging, we mapped category selectivity (CS) and neural representations for individual stimulus exemplars using repetition suppression (RS) in the non-resected hemisphere of pediatric OTC resection patients (n = 9) and control patients with resection outside of OTC (n = 12), as well as in both hemispheres of TD controls (n = 21). There were no univariate group differences in the magnitude of CS or RS or any multivariate differences (per representational similarity analysis) in neural activation to faces, objects, or words across groups. Notwithstanding their comparable neural profiles, accuracy of OTC resection patients on face and object recognition, but not word recognition, was statistically inferior to that of controls. The comparable neural signature of the OTC resection patients' preserved hemisphere and the other two groups highlights the resilience of the system following damage to the contralateral homologue. Critically, however, a single OTC does not suffice for normal behavior, and, thereby, implicates the necessity for two hemispheres.

Unmyelinated low-threshold mechanoreceptors (C-tactile, CT) in the human skin are important for signaling information about hedonic aspects of touch. We have previously reported that CT-targeted brush stroking by means of a robot reduces experimental mechanical pain. To improve the ecological validity of the stimulation, we developed standardized human–human touch gestures for signaling attention and calming. The attention gesture is characterized by tapping of the skin and is perceived as neither pleasant nor unpleasant, i.e., neutral. The calming gesture is characterized by slow stroking of the skin and is perceived as moderately to very pleasant. Furthermore, the attention (tapping) gesture is ineffective, whereas the calming (stroking) gesture is effective in activating CT-afferents. We conducted an fMRI study (n = 32) and capitalized on the previous development of touch gestures. We also developed an MR compatible stimulator for high-precision mechanical pain stimulation of the thenar region of the hand. Skin-to-skin touching (stroking or tapping) was applied and was followed by low and high pain. When the stroking gesture preceded pain, the pain was rated as less intense. When the tapping gesture preceded the pain, the pain was rated as more intense. Individual pain perception related to insula activation, but the activation was not higher for stroking than for tapping in any brain area during the stimulation period. However, during the evaluation period, stronger activation in the periaqueductal gray matter was observed after calming touch compared to after tapping touch. This finding invites speculation that human–human gentle skin stroking, effective in activating CT-afferents, reduced pain through neural processes involving CT-afferents and the descending pain pathway.

Physical insult from a mild Traumatic Brain Injury (mTBI) leads to changes in blood flow in the brain and measurable changes in white matter, suggesting a physiological basis for chronic symptom presentation. Post-traumatic headache (PTH) is frequently reported by persons after an mTBI that may persist beyond the acute period (>3 months). It remains unclear whether ongoing inflammation may contribute to the clinical trajectory of PTH. We recruited a cohort of pediatric subjects with PTH who had an acute or a persistent clinical trajectory, each around the 3-month post-injury time point, as well as a group of age and sex-matched healthy controls. We collected salivary markers of mRNA expression as well as brain imaging and psychological testing. The persistent PTH group showed the highest levels of psychological burden and pain symptom reporting. Our data suggest that the acute and persistent PTH cohort had elevated levels of complement factors relative to healthy controls. The greatest change in mRNA expression was found in the acute-PTH cohort wherein the complement cascade and markers of vascular health showed a prominent role for C1Q in PTH pathophysiology. These findings (1) underscore a prolonged engagement of what is normally a healthy response and (2) show that a persistent PTH symptom trajectory may parallel a poorly regulated inflammatory response.

The visual word form area (VWFA), typically located in the left ventral occipitotemporal cortex (VOTC), emerges during reading acquisition and interfaces between high-level vision and language. Small lesions in the VWFA in adults result in pure alexia, indicating that this area is necessary for word reading. Paradoxically, large cortical resections in children which include the left VOTC, undertaken for the treatment for pharmaco-resistant epilepsy, do not necessarily lead to reading impairments. To understand the neural and behavioral consequences and the ensuing plasticity of resections encompassing the left or right, anterior or posterior, VOTC, we mapped category-selective activations (face, scene, object, and word) in four right-handed pediatric patients and 26 age-matched controls, and tested their intermediate and high-level vision. We report evidence of VWFA-related plasticity in two patients (SN: M, 12y; TC: F, 13-15y) with cortical resections encompassing the left VOTC: word activations were identified in the right VWFA, right inferior frontal and superior temporal gyrus in both patients . These findings contrast with the topography of left-lateralized word-processing network in two other longitudinal patients with resections in the left anterior VOTC (OT: M, 14y-18y) or in the right posterior VOTC (UD: M, 7-10y) and age-matched controls. Parallel to their functional reorganization of the word-processing network, we uncovered atypical representational structure of the category-selective organization in patients SN and TC. Furthermore, in longitudinal comparisons, competition between face and word representations was observed in the left VOTC in patient UD and in the right VOTC in patient TC. Finally, normal intermediate and higher-order perception was evident in all four patients, attesting to functional plasticity in visual cortex. Together, these findings reveal the sufficiency and reorganization of preserved cortex for normal word processing and provide insights into dynamic functional changes in extrastriate cortical architecture.

The nucleus tractus solitarius (NTS) is a key brainstem structure relaying interoceptive peripheral information to the interrelated brain centres for eliciting rapid autonomic responses and for shaping longer-term neuroendocrine and motor patterns. Structural and functional NTS' connectivity has been extensively investigated in laboratory animals. But there is limited information about NTS' connectome in humans. Using MRI, we examined diffusion and resting state data from 20 healthy participants in the Human Connectome Project. The regions within the brainstem ( n  = 8), subcortical ( n  = 6), cerebellar ( n  = 2) and cortical ( n  = 5) parts of the brain were selected via a systematic review of the literature and their white matter NTS connections were evaluated via probabilistic tractography along with functional and directional (i.e. Granger causality) analyses. The underlying study confirms previous results from animal models and provides novel aspects on NTS integration in humans. Two key findings can be summarized: (1) the NTS predominantly processes afferent input and (2) a lateralization towards a predominantly left-sided NTS processing. Our results lay the foundations for future investigations into the NTS' tripartite role composed of interoreceptors' input integration, the resultant neurochemical outflow and cognitive/affective processing. The implications of these data add to the understanding of NTS' role in specific aspects of autonomic functions.

Neural mechanisms of touch are typically studied in laboratory settings using robotic or other types of well-controlled devices. Such stimuli are very different from highly complex naturalistic human-to-human touch interactions. The lack of scientifically useful naturalistic stimuli hampers progress, particularly in social touch research. Vision science, on the other hand, has benefitted from inventions such as virtual reality systems that have provided researchers with precision control of naturalistic stimuli. In the field of touch research, producing and manipulating stimuli is particularly challenging due to the complexity of skin mechanics. Here, we review the history of touch neuroscience focusing on the contrast between strictly controlled and naturalistic stimuli, and compare the field to vision science. We discuss new methods that may overcome obstacles with precision-controlled tactile stimuli, and recent successes in naturalistic texture production. In social touch research, precise tracking and measurement of naturalistic human-to-human touch interactions offer exciting new possibilities.

Despite the critical role of occipitotemporal cortex (OTC) in visual recognition, children undergoing cortical resection of OTC show remarkably intact post-operative visual recognition behaviors. In fact, the profile of neural selectivity for visual categories has been shown to be comparable in pediatric OTC resection patients and healthy age-matched controls. This suggests potential underlying neuroplasticity, but it remains unclear whether the integrity of neural representations within a category-selective region is fully intact following resection. With functional magnetic resonance imaging (fMRI), the hemodynamic response is typically suppressed upon repeated presentation of the same stimulus exemplar, a phenomenon termed repetition suppression (RS). RS can thus be used as an inferential measure of the neural computations underlying stimulus individuation. If pediatric OTC resection patients were to evince typical RS patterns in preserved cortex, this would support the claim of post-operative plasticity of higher-level vision. To test this, pediatric patients post-surgery, which did or did not include OTC, and healthy age-matched controls participated in an fMRI study. In the adaptation/RS paradigm, in separate functional runs, participants viewed blocks of either the same visual exemplar presented 12 times (“same” condition) or 12 unique exemplars (“different” condition), each for faces, objects, and words (and an intermediate condition as well). In addition, participants completed an independent functional localizer study to define regions of interest (ROI) for face-, object-, and word-selectivity. RS was approximated as the difference in the average beta weight for the different and same conditions, within each ROI as well as in whole-brain analysis. Across stimulus categories and ROIs, patients (OTC and non-OTC) exhibited RS profiles within the control distribution (confirmed with Crawford statistics for neuropsychological single-subject case studies). These findings suggest that post-resection, residual cortex can fulfill the necessary computations for visual exemplar individuation, potentially explaining the patients’ post-operative behavioral compensations.

Chronic pain and depression are two frequently co-occurring and debilitating conditions. Even though the former is treated as a physical affliction, and the latter as a mental illness, both disorders closely share neural substrates. Here, we review the association of pain with depression, especially when symptoms are lateralized on either side of the body. We also explore the overlapping regions in the forebrain implicated in these conditions. Finally, we synthesize these findings into a model, which addresses gaps in our understanding of comorbid pain and depression. Our lateralized pain-depression dyad model suggests that individuals diagnosed with depression should be closely monitored for pain symptoms in the left hemibody. Conversely, for patients in pain, with the exception of acute pain with a known source, referrals in today’s pain centers for psychological evaluation should be part of standard practice, within the framework of an interdisciplinary approach to pain treatment.

Despite the relative successes in the surgical treatment of pharmacoresistant epilepsy, there is rather little research on the neural (re)organization that potentially subserves behavioral compensation. Here, we examined the post-surgical functional connectivity (FC) in children and adolescents who have undergone unilateral cortical resection and, yet, display remarkably normal behavior. Conventionally, FC has been investigated in terms of the mean correlation of the BOLD time courses extracted from different brain regions. Here, we demonstrated the value of segregating the voxel-wise relationships into mutually exclusive populations that were either positively or negatively correlated. While, relative to controls, the positive correlations were largely normal, negative correlations among networks were increased. Together, our results point to reorganization in the contralesional hemisphere, possibly suggesting competition for cortical territory due to the demand for representation of function. Conceivably, the ubiquitous negative correlations enable the differentiation of function in the reduced cortical volume following a unilateral resection.

Despite the relative successes in the surgical treatment of pharmacoresistant epilepsy, there is rather little research on the neural (re)organization that potentially subserves behavioral compensation. Here, we examined the post-surgical functional connectivity (FC) in children and adolescents who have undergone unilateral cortical resection and, yet, display remarkably normal behavior. Conventionally, FC has been investigated in terms of the mean correlation of the BOLD time courses extracted from different brain regions. Here, we demonstrated the value of segregating the voxel-wise relationships into mutually exclusive populations that were either positively or negatively correlated. While, relative to controls, the positive correlations were largely normal, negative correlations among networks were increased. Together, our results point to reorganization in the contralesional hemisphere, possibly suggesting competition for cortical territory due to the demand for representation of function. Conceivably, the ubiquitous negative correlations enable the differentiation of function in the reduced cortical volume following a unilateral resection.

Children with unilateral resections of ventral occipito-temporal cortex (VOTC) typically do not evince visual perceptual impairments, even when relatively large swathes of VOTC are resected. In search of possible explanations for this behavioral competence, we evaluated white matter microstructure and connectivity in eight pediatric epilepsy patients following unilateral cortical resection and 15 age-matched controls. To uncover both local and broader resection-induced effects, we analyzed tractography data using two complementary approaches. First, the microstructural properties were measured in the inferior longitudinal and the inferior fronto-occipital fasciculi, the major VOTC association tracts. Group differences were only evident in the ipsilesional, and not in the contralesional, hemisphere, and single-subject analyses revealed that these differences were limited to the site of the resection. Second, graph theory was used to characterize the connectivity of the contralesional occipito-temporal regions. There were no changes to the network properties in patients with left VOTC resections nor in patients with resections outside the VOTC, but altered network efficiency was observed in two cases with right VOTC resections. These results suggest that, in many, although perhaps not all, cases of unilateral VOTC resections in childhood, the white matter profile in the preserved contralesional hemisphere along with residual neural activity might be sufficient for normal visual perception.

A technique for fringe analysis using variance of directly fringe-shifted shearograms is demonstrated experimentally. Statistical variations in each of the fringe-shifted shearograms are calculated to obtain a contrast map which is then used to characterize sub-surface defects and mechanical loading points. The technique offers reduced computational load compared to Fourier transform-based fringe processing algorithms. The technique is implemented using both phase difference maps and interferograms. The latter allows the extension of the technique to physical (i.e., non-reconstructed) interferograms for the analysis of dynamic systems.

We demonstrate experimentally a technique for the numerical correction of an optical vortex with a unitary topological charge. A developed algorithm based on the axial behavior of a reconstructed wavefront is used in the detection of the optical vortex. Optimizations of the number of axial phase maps and the window size used in the algorithm yield the precise coordinates of the vortex eye. The obtained coordinates and vortex handedness are used in designing a proper filter, facilitating numerical correction of the vortex phase map. The developed algorithm can be applied to absolute phase and phase difference maps obtained through any reconstruction method.

Speckle intensity measurements utilized for phase retrieval (PR) are sequentially taken with a digital camera, which introduces quantization error that diminishes the signal quality. Influences of quantization on the speckle intensity distribution and PR are investigated numerically and experimentally in the static wavefront sensing setup. Results show that 3 to 4 bits are adequate to represent the speckle intensities and yield acceptable reconstructions at relatively fast convergence rates. Computer memory requirements may be eased down by 2.4 times if a 4 bit instead of an 8 bit camera is used. This may facilitate rapid speckle data acquisition for dynamic wavefront sensing.

A novel method for the characterization of phase-only objects using a polarimetric speckle-based phase retrieval technique is demonstrated experimentally. Phase errors stemming from the illumination beam curvature which appear as material defects are evaluated and corrected numerically. The retrieved phase maps are used in the comparison and recognition of test objects through a phase correlation technique. The proposed method offers enhanced discrimination capability in phase object recognition owing to the use of polarization information and affords a simple setup since no holographic reference beam is used.