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Center for Brain, Biology, &
           Behavior




     Interdisciplinary Research Center

                Dennis L. Molfese, Ph.D.
         Mildred Francis Thompson Professor
    Director: Center for Brain, Biology & Behavior
Director: Big Ten/CIC Traumatic Brain Injury Research
                      Consortium
   Editor-In-Chief: Developmental Neuropsychology
      Director: Developmental Neuroscience Lab
            University of Nebraska -Lincoln
Acknowledgements

    –Cathryn Cortesa, BA
    –Nicole Earnest
    –Caitlin Hudac, MA
    –Kathleen Kelsey, MA
    –Srinivas Kota, Ph.D.
    –Christopher Rudasill, MFA
    –Nathan Petro, B.A.
    –Victoria Molfese, Ph.D.
Philosophy of The Center
Foster Interdisciplinary Collaborations.
Provide Assess to BOTH Equipment & Training.
Lead Paradigm Shift Within The Neurosciences:
 –- Move from “neural phrenology” to Understanding
 Brain’s Neural Spatial & Temporal Interconnectivty.
 –- Address Characteristics of Processing In and
 Between Brain Regions.
New Stadium Additions




Center for Brain, Biology,
& Behavior                   Health & Performance
                             Research Lab
Athletics/Academics Collaboration:
          An Unprecedented Initiative

• Informs:
   –Medical & Behavioral Science
   –Athletic & Academic Training & Competition
   –Safety
   –Innovations
BIG 10 - Ivy League
        Concussion Research
            Collaboration
•   Consortium of 13 University Research & Sport
    Programs with BIG 10 CIC + 8 Ivy League
    Schools
•   Coaches
•   Trainers
•   Behavior & Brain Imaging Researchers
•   Shared data base for images, behavior data, test
    procedures & programs
•   Increasing external grant funding.
Unprecedented New Information
 • Screen Athletes Before Season (baseline)
 • Track Performance, Neurocognition & Brain Measures
•Head Injured & Matched Controls
•Assess Impact of Multiple Concussion
•Shared Database Across Conferences
 • Design Interventions
 • Improve Equipment Design
 • Develop Concussion Awareness Programs
Facilities
1st Floor
2nd Floor
Reception
2nd Floor
Internal Stairway Connecting 2nd and 3rd Floors
3rd Floor
Science Work Group Areas for 2nd and 3rd Floors
Training Plan
Model for Training in Brain Imaging
             Techniques
1. Workshop Introduction to Theory, Methods,
   Literature, Analyses (2-days)
2. Consult on research design
3. Hands-on training with equipment for setup, data
   collection, data processing & analysis.
4. Assistance with:
    a. Data analyses
    b. Conference presentations
    c. Journal article drafts
4. Grant submissions
 GOAL: Establish Dominance in Mainstream Research
       Areas Through Research & Grant Activities.
CB3 Training To Date
         October 1, 2010 - August, 2012


•   8 Two-Day Workshop:         227 Faculty & Students
•   Advanced Imaging Training: 69 Faculty & Students
•   Current Research Studies:   12 Projects
•   Department Presentations: 38
Current Trainees = 26
        08-22-2012
Available Technologies
                  fMRI
    High Density Infant & Adult NIRS
        High-Density EEG/ERP
 Transcranial Magnetic Stimulation -TMS
         Behavior Science Labs
              Balance Labs
             Computer Labs
          Developmental Labs
              Endocrine Lab
           Eye Tracking Labs
              Genetics Lab
fMRI - functional Magnetic Resonance Imaging

                                Siemens 3 Tesla
                 Structure
                                         70 cm bore




           DTI

                                      Function
fMRI - functional Magnetic Resonance Imaging




                   QuickTime™ and a
                    decompressor
            are needed to see this picture.
Diffusion Tensor Imaging
Magnetic Resonance Spectroscopy
fMRI Imaging
  Attachment




 Dyslexia
Balance Lab
Videonystagmography (VNG)




Gait Testing
               Rotational Chair
Balance Function
Testing
    Subjective Visual Vertical



                                 Functional Evaluation of Vestibulo-Ocu
                                 Reflex (VOR)
NIRS - Near-Infrared Spectroscopy
TMS - Transcranial Magnetic Stimulation Machine
High-Density ERP/EEG
      Event-Related Potentials (ERP)




                                           QuickTime™ and a
         QuickTime™ and a
       Cinepak decompressor
  are needed to see this picture.
                                         H.263 decompressor
                                    are needed to see this picture.




Newborn Infant                                   Adult
Front of Head
 NEWBORN




Left Side          QuickTime™ and a           Right Side
                 Video decompressor
            are needed to see this picture.




    +

    -
               Back of Head
Front of Head
        Adult




Left Side                       Right Side




    +

    -
                Back of Head
Learning alters brain organization for acquisition
               of new information

                                                                        Same
        Shape Matching Task

                                                                    Different


                 Low GRTR                                                     High GRTR
                [GRTR less than 11]                                          [GRTR more than 11]




                            QuickTime™ and a                                             QuickTime™ and a
                          Video decompressor                                           Video decompressor
                     are needed to see this picture.                              are needed to see this picture.




                                                       Molfese et al, 2008
Eye Tracker




Eye Tracker + ERP net   Eye Tracking Information
Intervention
ERPs in 2 to 4-Year-Old Preschool SLI Children Predict Subsequent
         Language Gains Following 4 Month Intervention

                         Ability to discriminate /da/ from /ga/




                                                    Yoder, Molfese & Camarata, In Press
Concussion Intervention
                                     T
    Training Task          Results




Additional Benefits
Concussion
Issues in Assessing Sports Concussion
•   1. Little information on brain & behavior prior to concussion.

•   2. Little long-term follow-up following concussion using
    standardized testing.

•   3. Tests not comprehensive (e.g., ImPACT not effective in
    measuring attention, working memory).

•   4. Little information available regarding prior head injuries.

•   5. Falsification of pre-season tests by athletes.

•   6. Pressure to resume play following possible head injury.

•   7. No research-based information regarding when players can
    be safely returned to play.
Brain Deformation Following Side “Hit”


                                 Direction
                                __
Top View
                               <    of
                                  Force


                                 Direction
                               __
Side View
                               <    of
                                  Force


Pellman et al., 2006
Brain Deformation Following Side “Hit”


                                 Direction
                                __
Top View
                               <    of
                                  Force


                                 Direction
                               __
Side View
                               <    of
                                  Force
                                 Force can
                                  produce
Pellman et al., 2006              shearing
Vestibular Tests May Help to Identify
        and Manage Concussion




Julie Honaker, Ph.D.
Sports Concussion
Working Memory: 2-back
                Match   Nonmatch




                Match   Nonmatch
  N2




       N400
Self-reported symptoms & N2
                     No history of persistent   History of persistent   2.5 nA
                       headache (n=16)           headache (n=19)




                                                                        .01 nA




          Match
 N2




          Nonmatch
20-40% with TBI experience vision-disorders

  Normal Visual World     World at an Angle



                                   QuickTime™ and a
                                   GIF decompressor
                            are needed to see this picture.




                         Post-Trauma Vision Syndrome
                         Visual Midline Shift Syndrome



                                                 Hudac et al, 2011
QuickTime™ and a
 MPEG-4 Video decompressor
are needed to see this picture.
Future Possibilities

•   Use brain imaging procedures to identify distortions
    produced by brain injury.

•   Identify intervention that can produce more normal
    neural processing.

•   Use the successful intervention to enable individual
    to perceive and interact with the world in more
    normal fashion.
Questions ???




©2012 The Board of Regents of the University of Nebraska. All rights reserved.
fMRI - functional Magnetic Resonance Imaging
High-Density ERP/EEG:
   Newborn Infant



                QuickTime™ and a
              Cinepak decompressor
         are needed to see this picture.




 Event-Related Potentials (ERP)
High-Density ERP/EEG: Adult



          QuickTime™ and a
        H.263 decompressor
   are needed to see this picture.
Function
      fMRI
      Tracks
      Blood
      Flow in
      Brain
                   DTI
                                      QuickTime™ and a
                                Photo - JPEG decompres s or
                               are needed to see this pic ture.




ERP

       Structure
                         54
Key et al., In press

                       55

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CB3 Facilities and Agenda

  • 1. Center for Brain, Biology, & Behavior Interdisciplinary Research Center Dennis L. Molfese, Ph.D. Mildred Francis Thompson Professor Director: Center for Brain, Biology & Behavior Director: Big Ten/CIC Traumatic Brain Injury Research Consortium Editor-In-Chief: Developmental Neuropsychology Director: Developmental Neuroscience Lab University of Nebraska -Lincoln
  • 2. Acknowledgements –Cathryn Cortesa, BA –Nicole Earnest –Caitlin Hudac, MA –Kathleen Kelsey, MA –Srinivas Kota, Ph.D. –Christopher Rudasill, MFA –Nathan Petro, B.A. –Victoria Molfese, Ph.D.
  • 3. Philosophy of The Center Foster Interdisciplinary Collaborations. Provide Assess to BOTH Equipment & Training. Lead Paradigm Shift Within The Neurosciences: –- Move from “neural phrenology” to Understanding Brain’s Neural Spatial & Temporal Interconnectivty. –- Address Characteristics of Processing In and Between Brain Regions.
  • 4. New Stadium Additions Center for Brain, Biology, & Behavior Health & Performance Research Lab
  • 5. Athletics/Academics Collaboration: An Unprecedented Initiative • Informs: –Medical & Behavioral Science –Athletic & Academic Training & Competition –Safety –Innovations
  • 6. BIG 10 - Ivy League Concussion Research Collaboration • Consortium of 13 University Research & Sport Programs with BIG 10 CIC + 8 Ivy League Schools • Coaches • Trainers • Behavior & Brain Imaging Researchers • Shared data base for images, behavior data, test procedures & programs • Increasing external grant funding.
  • 7. Unprecedented New Information • Screen Athletes Before Season (baseline) • Track Performance, Neurocognition & Brain Measures •Head Injured & Matched Controls •Assess Impact of Multiple Concussion •Shared Database Across Conferences • Design Interventions • Improve Equipment Design • Develop Concussion Awareness Programs
  • 9.
  • 13. Internal Stairway Connecting 2nd and 3rd Floors
  • 15. Science Work Group Areas for 2nd and 3rd Floors
  • 17. Model for Training in Brain Imaging Techniques 1. Workshop Introduction to Theory, Methods, Literature, Analyses (2-days) 2. Consult on research design 3. Hands-on training with equipment for setup, data collection, data processing & analysis. 4. Assistance with: a. Data analyses b. Conference presentations c. Journal article drafts 4. Grant submissions GOAL: Establish Dominance in Mainstream Research Areas Through Research & Grant Activities.
  • 18. CB3 Training To Date October 1, 2010 - August, 2012 • 8 Two-Day Workshop: 227 Faculty & Students • Advanced Imaging Training: 69 Faculty & Students • Current Research Studies: 12 Projects • Department Presentations: 38
  • 19. Current Trainees = 26 08-22-2012
  • 20. Available Technologies fMRI High Density Infant & Adult NIRS High-Density EEG/ERP Transcranial Magnetic Stimulation -TMS Behavior Science Labs Balance Labs Computer Labs Developmental Labs Endocrine Lab Eye Tracking Labs Genetics Lab
  • 21. fMRI - functional Magnetic Resonance Imaging Siemens 3 Tesla Structure 70 cm bore DTI Function
  • 22. fMRI - functional Magnetic Resonance Imaging QuickTime™ and a decompressor are needed to see this picture.
  • 25. fMRI Imaging Attachment Dyslexia
  • 28. Balance Function Testing Subjective Visual Vertical Functional Evaluation of Vestibulo-Ocu Reflex (VOR)
  • 29. NIRS - Near-Infrared Spectroscopy
  • 30. TMS - Transcranial Magnetic Stimulation Machine
  • 31. High-Density ERP/EEG Event-Related Potentials (ERP) QuickTime™ and a QuickTime™ and a Cinepak decompressor are needed to see this picture. H.263 decompressor are needed to see this picture. Newborn Infant Adult
  • 32. Front of Head NEWBORN Left Side QuickTime™ and a Right Side Video decompressor are needed to see this picture. + - Back of Head
  • 33. Front of Head Adult Left Side Right Side + - Back of Head
  • 34. Learning alters brain organization for acquisition of new information Same Shape Matching Task Different Low GRTR High GRTR [GRTR less than 11] [GRTR more than 11] QuickTime™ and a QuickTime™ and a Video decompressor Video decompressor are needed to see this picture. are needed to see this picture. Molfese et al, 2008
  • 35. Eye Tracker Eye Tracker + ERP net Eye Tracking Information
  • 37. ERPs in 2 to 4-Year-Old Preschool SLI Children Predict Subsequent Language Gains Following 4 Month Intervention Ability to discriminate /da/ from /ga/ Yoder, Molfese & Camarata, In Press
  • 38. Concussion Intervention T Training Task Results Additional Benefits
  • 40. Issues in Assessing Sports Concussion • 1. Little information on brain & behavior prior to concussion. • 2. Little long-term follow-up following concussion using standardized testing. • 3. Tests not comprehensive (e.g., ImPACT not effective in measuring attention, working memory). • 4. Little information available regarding prior head injuries. • 5. Falsification of pre-season tests by athletes. • 6. Pressure to resume play following possible head injury. • 7. No research-based information regarding when players can be safely returned to play.
  • 41. Brain Deformation Following Side “Hit” Direction __ Top View < of Force Direction __ Side View < of Force Pellman et al., 2006
  • 42. Brain Deformation Following Side “Hit” Direction __ Top View < of Force Direction __ Side View < of Force Force can produce Pellman et al., 2006 shearing
  • 43. Vestibular Tests May Help to Identify and Manage Concussion Julie Honaker, Ph.D.
  • 44. Sports Concussion Working Memory: 2-back Match Nonmatch Match Nonmatch N2 N400
  • 45. Self-reported symptoms & N2 No history of persistent History of persistent 2.5 nA headache (n=16) headache (n=19) .01 nA Match N2 Nonmatch
  • 46. 20-40% with TBI experience vision-disorders Normal Visual World World at an Angle QuickTime™ and a GIF decompressor are needed to see this picture. Post-Trauma Vision Syndrome Visual Midline Shift Syndrome Hudac et al, 2011
  • 47. QuickTime™ and a MPEG-4 Video decompressor are needed to see this picture.
  • 48.
  • 49. Future Possibilities • Use brain imaging procedures to identify distortions produced by brain injury. • Identify intervention that can produce more normal neural processing. • Use the successful intervention to enable individual to perceive and interact with the world in more normal fashion.
  • 50. Questions ??? ©2012 The Board of Regents of the University of Nebraska. All rights reserved.
  • 51. fMRI - functional Magnetic Resonance Imaging
  • 52. High-Density ERP/EEG: Newborn Infant QuickTime™ and a Cinepak decompressor are needed to see this picture. Event-Related Potentials (ERP)
  • 53. High-Density ERP/EEG: Adult QuickTime™ and a H.263 decompressor are needed to see this picture.
  • 54. Function fMRI Tracks Blood Flow in Brain DTI QuickTime™ and a Photo - JPEG decompres s or are needed to see this pic ture. ERP Structure 54
  • 55. Key et al., In press 55

Editor's Notes

  1. 46 lab rooms Dooug Granger &amp; Brandon Rigoni Sherri Jones Department of Special Education and Speech ... ‎
  2. Julie Honacker Department of Special Education and Speech ... ‎:
  3. An athlete’s ability to keep his/her eye on the ball (aka gaze stability) depends on a healthy balance system. Preliminary analysis of Dr. Honaker’s work suggests that vestibular testing can identify athletes with a previous concussion. Adding objective testing into the concussion evaluation and management protocol may be able to better identify and management the effects of concussion. Further evaluation of this finding is the aim of future work in her lab within the CB3, with more sophisticated vestibular and balance function tests. Figure: ROC analysis indicates that a vestibular test called Gaze stabilization is a useful measure for identifying athletes with a history of concussion
  4. Kick Some Serious Neuro Butt