Rapid, Cost-effective, Diagnosis And Monitoring Of Multiple Sclerosis By Novel Multifocal Evoked Potential Methods
Funder
National Health and Medical Research Council
Funding Amount
$152,463.00
Summary
A new technology for concurrently stimulating both eyes, and recording thousands of responses from the brain, will be tested for its effectiveness in diagnosing and tracking progression in Multiple Sclerosis (MS), and the degree to which it complements Magnetic Resonance Imaging (MRI). Our understanding of MS has changed in recent years. It is now recognised to have two phases: an initial inflammatory phase, and a secondary progressive phase. The progressive phase produces the inexorable increas ....A new technology for concurrently stimulating both eyes, and recording thousands of responses from the brain, will be tested for its effectiveness in diagnosing and tracking progression in Multiple Sclerosis (MS), and the degree to which it complements Magnetic Resonance Imaging (MRI). Our understanding of MS has changed in recent years. It is now recognised to have two phases: an initial inflammatory phase, and a secondary progressive phase. The progressive phase produces the inexorable increasing disability of MS. MS only affects about 0.04% of Australians but the early onset of MS, the high cost of medication, and the prolonged period of disability, mean that the cost to Australia is about $2 billion pa. MRI quantifies the inflammatory phase well but is poorly correlated with the debilitating secondary progression. The common treatments for MS target the inflammatory phase but not the causes of secondary progression, which are unknown. Current diagnostic methods mean diagnosis can take years, meaning that patients can be denied treatment for some time. The applicants have published experiments on 50 MS patients and 27 normal subjects using a variant of the new method. Not only has it shown high diagnostic accuracy, but the new method seems to provide data on the progressive phase, suggesting strongly that it is complementary to MRI. The new method is also much cheaper to set up and run than MRI and so could provide cost-effective means for monitoring patient condition and testing new drugs that are effective against the progressive phase. The applicants have considerable experience commercialising diagnostic technologies, and are currently working with an Australian company developing new diagnostic hardware. That hardware has been adapted to perform the presently proposed experiments. Overall it is reasonable to assume that positive outcomes will be translated into economic and health benefits for Australians.Read moreRead less
Hypoxia-induced Suppression Of Respiratory Sensations And Reflexes
Funder
National Health and Medical Research Council
Funding Amount
$276,750.00
Summary
Many diseases that effect the respiratory system have their primary effect on the lungs and airway themselves but in some conditions, such as obstructive sleep apnea (OSA) and asthma, increased breathing load can induce periods of low blood oxygen which could further contribute to morbidity in these diseases. OSA is a disorder associated with snoring. Patients experience periods of sleep fragmentation and oxygen deprivation due to obstruction of the floppy portion of the upper airway (pharynx) d ....Many diseases that effect the respiratory system have their primary effect on the lungs and airway themselves but in some conditions, such as obstructive sleep apnea (OSA) and asthma, increased breathing load can induce periods of low blood oxygen which could further contribute to morbidity in these diseases. OSA is a disorder associated with snoring. Patients experience periods of sleep fragmentation and oxygen deprivation due to obstruction of the floppy portion of the upper airway (pharynx) during sleep. It affects 4% of men and 2% of women and causes excessive daytime sleepiness leading to increased risk of accidents, high blood pressure and premature cardiovascular disease. Asthma produces airway inflamation and narrowing and affects a wide range of people. Both OSA and asthma are associated with episodes of impaired breathing and reduced levels of oxygen in the blood. Low levels of oxygen in the blood (hypoxia) is well known to impair functioning of the central nervous system. We have recently found that hypoxia blunts sensations of increased breathing load in healthy people and in asthmatics. Hypoxia might therefore contribute to worsening of attacks in these diseases. This study aims to investigate how changes in blood oxygen levels affect brain processing of respiratory signals, how this translates to perception of sensations and the physiological adaptations that people make to cope with increased breathing load. We will also investigate whether the inhibitory effects of hypoxia on central nervous system function extend to other vital protective respiratory reflexes such as cough, awakening from sleep to increased breathing load and upper airway reflexes that are important for maintaining an open airway.Read moreRead less
The Impact Of Faulty Relevance Filtering In Schizophrenia.
Funder
National Health and Medical Research Council
Funding Amount
$303,194.00
Summary
In schizophrenia ability to maintaining focused attention is impaired. We explore how problems in “next state” prediction contribute to problems in attention. The brain constantly predicts what state of activation it will be in next. When events match these predictions we can easily ignore them but if predictions are wrong a prediction–error can trigger attention interruptions. We will test whether problems in prediction-errors make persons with schizophrenia more susceptible to distraction.
Assessment Of Vestibular Function And Balance In Humans
Funder
National Health and Medical Research Council
Funding Amount
$205,500.00
Summary
This proposal focuses upon the function of the vestibular apparatus and the related problem of impaired balance. The vestibular apparatus contains receptors which help us to maintain balance. Their clinical assessment is difficult because they are small and lie deep within the skull. With previous NH and MRC support, I have been able to develop a series of new tests to assess the function of the vestibular apparatus and these are having significant clincal impact. Amongst the findings has been a ....This proposal focuses upon the function of the vestibular apparatus and the related problem of impaired balance. The vestibular apparatus contains receptors which help us to maintain balance. Their clinical assessment is difficult because they are small and lie deep within the skull. With previous NH and MRC support, I have been able to develop a series of new tests to assess the function of the vestibular apparatus and these are having significant clincal impact. Amongst the findings has been a clear demonstration that vestibular function declines with age, starting relatively early. This proposal builds upon the findings of the previous application. Two main types of investigations are planned. In one a new technique of activating the vestibular apparatus (localised skull vibration) will be used to study the brain areas that receive its signals (evoked potentials). This will be the first time that it has been possible to study the connections between the balance organs and the cortex of the brain in intact humans. I will apply the technique to patients with disturbed vestibular function to improve our knowledge of how the brain adapts to disease of these organs. In the second part of this study, a series of recordings will be done measuring sway under a variety of conditions both in normal volunteers and in patients with some common disease states affecting balance. This should reveal new information about both the factors that affect normal balance function and why balance is disturbed in these diseases.Read moreRead less