Diagnostic And Prognostic Evaluation Of Diffusion Tensor Imaging And Cognitive Function After Traumatic Brain Injury
Funder
National Health and Medical Research Council
Funding Amount
$874,404.00
Summary
Traumatic brain injuries (TBIs) are a common cause of brain damage, leading to a variety of disabling cognitive problems. This study will evaluate the ability of new brain imaging techniques and cognitive tests to detect previously undiagnosed brain damage and to predict patient outcome following TBI in order to improve the health care and treatment of these patients. It will also examine the contribution of other factors (eg. injury type, age, pre-injury cognitive ability) to outcome.
Brain surgery for the treatment of epilepsy is associated with a risk of cognitive impairment. Avoidance of disabling post-operative impairments depends in large measure on our ability to predict and measure individual patterns of language lateralization prior to neurosurgical intervention. Typical patterns of lateralisation cannot be assumed in patients with epileptogenic lesions. There appears to be a consensus that atypical representation is more frequent in patients with epilepsy than it is ....Brain surgery for the treatment of epilepsy is associated with a risk of cognitive impairment. Avoidance of disabling post-operative impairments depends in large measure on our ability to predict and measure individual patterns of language lateralization prior to neurosurgical intervention. Typical patterns of lateralisation cannot be assumed in patients with epileptogenic lesions. There appears to be a consensus that atypical representation is more frequent in patients with epilepsy than it is in the normal population, and values above 20% are not unrepresentative Partial epilepsy arises from a region in the brain and spreads to involve other areas. This is contrasted with generalised epilepsy, which appears to arise all over the brain simultaneously. Partial epilepsy is often associated with lesions such as tumors or hippocampal sclerosis, and often seizures are intractable. Patients with partial epilepsy have a number of sources of brain damage in the language areas. Primary brain changes may be pre-existing, which means they pre-date the onset of habitual seizures. They may consist of a focal developmental abnormality (a malformation of cortical development) or may represent a general genetic predisposition to seizures. Therefore, partial epilepsy is not only associated with severe abnormalities in epileptogenic region but also with additional widespread abnormalities in both hemispheres. There is also evidence for a correlation of abnormalities with seizure frequency with some suggestion that the duration of epilepsy may also increase the degree of abnormality in the hemisphere. The neuronal conditions in language cortex that give rise to altered lateralisation in function are currently not known. The primary aim of this study is to understand reorganisation of the language system in epilepsy by using the current most sensitive non-invasive methods of assessing brain damage and brain function, using magnetic resonance imaging.Read moreRead less
Hyperpolarized Helium MRI To Quantify Regional Lung Damage And Ventilation For Improvement Of Recruitment Strategy.
Funder
National Health and Medical Research Council
Funding Amount
$455,160.00
Summary
Many lung injuries need mechanical ventilation to reopen collapsed lung airspaces and supply oxygen to the patient. This study uses two methods to monitor the lungs during ventilation: Hyperpolarised helium MRI to image the airspace, and electrical impedance tomography to measure lung volume. This information will allow adjustment of ventilator pressure to maximize oxygen transfer without increasing lung damage. Quicker repair of lung damage and patient recovery are the benefits of this study.
Improving The Assessment Of Brain Tumour Treatment Outcome Using 18F-FDOPA PET-MRI Fusion
Funder
National Health and Medical Research Council
Funding Amount
$660,666.00
Summary
The mortality rate within the first year of diagnosis for high-grade brain tumours is approximately 80%. A major factor contributing to poor outcome measures is the limitation of current neuroimaging techniques. In a novel approach we propose to combine the information available from MRI and PET images to better define the extent of the tumour and provide markers of early treatment response. This improved diagnostic information should improve survival rates.
The Rane And Spain Routes In The Brain: Functional Studies And Remediation In Dyslexia Subtypes.
Funder
National Health and Medical Research Council
Funding Amount
$374,426.00
Summary
According to a recent DEST report a disturbingly high number of Australian school children are failing to meet a minimum acceptable standard in literacy . Failure to reach these standards is associated with poorer outcomes in mental health and socioeconomic status, greater representation among the prison population and with failure to achieve to true ability. Further, failure to correct these problems may well result in transmission of the problems associated with failed literacy into the next g ....According to a recent DEST report a disturbingly high number of Australian school children are failing to meet a minimum acceptable standard in literacy . Failure to reach these standards is associated with poorer outcomes in mental health and socioeconomic status, greater representation among the prison population and with failure to achieve to true ability. Further, failure to correct these problems may well result in transmission of the problems associated with failed literacy into the next generation. Despite the obvious immense social and personal ramifications and cost, literacy instruction for adults continues to lack a theoretical and research based approach . It is plain that improving population literacy would have significant benefits and it is also plain that early detection, intervention and remediation is desirable. This project brings to bear on these important aims current expertise in the nature of reading, how children learn to read and why some have so much difficulty in doing so, and techniques for determining the neural substrates of the mechanisms involved in reading and learning to read. We will subdivide child readers on the basis of their ability to read words using the letter to sound route or dictionary look-up route. We will use magnetic resonance imaging and spectroscopy to examine which parts of the brain are disrupted and-or disconnected when ability to read in either of these two routes is poor. We will then remediate these poor readers using targetted remediation therapy and re-image them to see whether remediation has altered the way the brain reads.Read moreRead less
Aspirin For The Prevention Of Cognitive Decline In The Elderly: A Neuro-Vascular Imaging Study (ENVIS-ion) From ASPREE
Funder
National Health and Medical Research Council
Funding Amount
$1,341,232.00
Summary
The ENVIS-ion trial will examine whether Aspirin is effective in delaying the onset of worsening of thinking and memory abilities in healthy older adults. Magnetic resonance imaging (MRI) of brain structure will detect markers of early worsening of thinking and memory abilities. Blood vessels in the back of the eye (retina) share many features with vessels in the brain. We will compare whether aspirin lessens changes over time of features shown with brain MRI and retinal photography.
What Drives Abnormal Cerebral Activity In Secondary Generalised Epilepsy
Funder
National Health and Medical Research Council
Funding Amount
$565,809.00
Summary
Secondary Generalised epilepsy (2GE) is a severe, disabling epilepsy syndrome characterised by childhood onset frequent, treatment resistant seizures and developmental delay. Although one of the four major categories of epilepsy, it is poorly understood. This project uses combined EEG (brainwave testing) and MRI to reveal which brain areas are involved in the epileptic activity of 2GE. Advanced analysis techniques will explore which brain regions initiate 2GE epileptic activity.
Brain Adaptation Associated With Spontaneous And Training-induced Recovery Of Touch Sensation Post-stroke.
Funder
National Health and Medical Research Council
Funding Amount
$339,950.00
Summary
Brain networks may reorganize to optimise stroke recovery. However, little is known about brain mechanisms underlying natural and training-induced recovery after stroke, particularly following loss of body sensations. Knowledge of the experiences that may facilitate brain reorganisation is a prerequisite for the development and evaluation of optimal stroke rehabilitation strategies. We aim to provide novel information on the potential benefits of specific training in facilitating reorganisation ....Brain networks may reorganize to optimise stroke recovery. However, little is known about brain mechanisms underlying natural and training-induced recovery after stroke, particularly following loss of body sensations. Knowledge of the experiences that may facilitate brain reorganisation is a prerequisite for the development and evaluation of optimal stroke rehabilitation strategies. We aim to provide novel information on the potential benefits of specific training in facilitating reorganisation of the brain after stroke. Specifically we will: (i) locate areas of brain activity associated with natural and training-induced recovery of touch sensation following stroke and (ii) investigate the relationship between brain activation, sensory recovery and intervening experience. Site and extent of brain activation associated with recovery of touch sensation will be investigated over time using serial functional magnetic resonance imaging (fMRI), a controlled sensory task and clinical measures of recovery. Thirty stroke patients with impaired touch sensation of the upper limb will be studied at 2-6 weeks and 6 months post-stroke to investigate changes in brain activation associated with natural recovery (Study 1). Ten healthy controls will also be studied over 6 months. Those patients who still have sensory loss at 6 months will then receive specific sensory training or placebo intervention to study the effect of training-induced recovery on brain activity (Study 2). The whole brain will be studied and activation sites will be interpreted relative to individual and standard brain maps. We expect that the findings will advance our knowledge of the relationship between clinical recovery, training and neural plastic changes in the brain. This information will provide direction for the development of scientifically based treatments designed to maximise recovery and help identify patients who are likely to show natural recovery and-or benefit from training.Read moreRead less
A Population-based Study Of Cerebrovascular Mechanisms Underyling Gait, Balance And Cognition In Older People
Funder
National Health and Medical Research Council
Funding Amount
$528,330.00
Summary
Mobility problems, falls and dementia are among the major problems affecting older Australians with significant consequent disability. Treatment of such disorders carries an estimated annual cost of around 4 billion dollars. This study will examine the role of age-related brain changes in causing problems with walking, balance and cognitive abilities in the general community. The clarification of the role of the ageing brain in causing such disorders will guide efforts directed at preventing the ....Mobility problems, falls and dementia are among the major problems affecting older Australians with significant consequent disability. Treatment of such disorders carries an estimated annual cost of around 4 billion dollars. This study will examine the role of age-related brain changes in causing problems with walking, balance and cognitive abilities in the general community. The clarification of the role of the ageing brain in causing such disorders will guide efforts directed at preventing the occurrence of falls and dementia.Read moreRead less