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The cerebellum modulates non-linear behavior of motor planning areas in variable grip-force visuomotor task
Roberta Maria Lorenzi1, Gokce Korkmaz1, Adnan Alahmadi2, Letizia Casiraghi3, Anita Monteverdi4, Egidio D'Angelo1,4, Fulvia Palesi1, and Claudia A.M. Gandini Wheeler Kingshott1,4,5
1Department of Brain and Behavioral sciences, Università di Pavia, Pavia, Italy, 2Department of Diagnostic Radiology, College of Applied medical sciences, King Abdulaziz University, Jeddah, Saudi Arabia, 3Department of Mental Health and Dependence, ASST, Pavia, Italy, 4Brain Connectivity Center, IRCCS Mondino Foundation, Pavia, Italy, 5Department of Neuroinflammation, UCL Queen Square Institute of Neurology, NMR Research Unit, Queen Square Multiple Sclerosis Centre, London, United Kingdom

Synopsis

Keywords: Brain Connectivity, fMRI (task based), Cerebellum

The hemodynamic response to neuronal stimuli can be both linear and nonlinear with the applied grip-force of a “squeeze-ball” task, controlled by a visual cue. Dynamic Causal Modelling was applied here to understand the causal effective between-region connectivity shaping the hemodynamic response recorded by functional-MRI. Effective connectivity resulted non-symmetric, with strong excitation from visual to motor areas. Results indicated primary visual cortex linear modulation of the cerebellar response, which exerted nonlinear influence on cortical motor planning, suggesting activation hierarchy in the motor circuit with prominent cerebellar role. This result may have important implications for understanding pathological changes affecting neural mechanisms.

Introduction

Task-based functional MRI (fMRI) studies based on a “squeeze-ball” task controlled by a visual cue have highlighted the influence of different levels of applied grip-force (GF) in modulating the Blood Oxygen Level Dependent (BOLD) signal. Polynomial expansion of BOLD-GF signals has been used to fit the hemodynamic response (non)linearity and define the subtending visuomotor network1,2.
What is still unknown is the causal relation driving these responses between regions. Dynamic Causal Modelling (DCM) is a framework widely used to establish causal relationships between temporal events by estimating the direct influences (i.e., effective connectivity) between interconnected regions3,4.
We applied DCM to investigate the direct causal influences amongst the regions embedded in the cerebro-cerebellar network activated during a previously published visuomotor task. The selected regions were related to the applied task and included the bilateral Primary Visual Cortex (V1), left Primary Motor Cortex (M1), left Supplementary Motor Area and left Premotor Cortex (SMA-PMC), left Cingulate Cortex (CC), left Superior Parietal Lobule (SPL), and right Cerebellum (CRBL).
For the first time, visuomotor effective connectivity and GF linear and nonlinear modulations in visuo-to-plan pathways (V1 - CRBL - SMA-PMC) were quantified, providing an insight on the causal influences at the origin of nonlinear responses recorded in the investigated network.

Methods

Subjects and MRI acquisition: 21 right-handed healthy volunteers were analyzed (22±4years, 9males). A 3DT1 MPRAGE volume (TR/TE/TI=6.9/3.1/824ms, flip angle=8°, 1x1x1mm3) and three T2*-weighted GE-EPI fMRI series (TR/TE=2500/35ms, flip angle=90°, 3x3x3mm3 200 volumes) were acquired on a 3T Philips Achieva scanner1,2.
fMRI paradigm: An event-related visuomotor paradigm was implemented using 75 active trials equally divided among 5 different GFs (20%,30%,40%,50%,60%) of each subject's maximum voluntary contraction)1,2.
Regions-specific time-series extraction: fMRI images were pre-processed (SPM12). For each subject, a geometrical mask was defined for brain regions embedded in the network by using anatomical (i) and functional (ii) constraints (Figure1A). (i) Anatomical parcellation was computed by merging Brodmann5 and SUIT6 atlases. (ii) Second-level analysis was performed to compute the group activation peak. Then, time-series were extracted from a subject-specific geometrical mask including significantly-activated voxels restricted to anatomical and functional constraints (Figure1B).
DCM Analysis: DCM models were defined to test the visuomotor network effective connectivity (H1, Figure2) and GF modulatory effects in the visuo-to-plan pathway (H2, Figure3).
(H1): According to the task nature, V1 was defined as the driving region. Based on prior knowledge7–12, four hypotheses on the inward and outward connections were defined to quantify the effective connectivity (H1-models in Figure2). First-level analysis estimated all H1-models with Bayesian model inversion, quantifying the effective connectivity strength [Hz] of each pair of regions. Second-level bayesian model selection with Fixed Effects (BMS-FFX)13 estimated the posterior probabilities resulting from first-level analysis to identify the H1-winning-model, i.e. the model maximizing the likelihood with experimental fMRI time-series.
(H2): The H1-winning-model was used to set the effective connectivity. First and second order polynomial expansions of the BOLD-GF relationship were tested as modulatory effects on V1 - CRBL - SMA-PMC path. Different configurations were specified (H2-models in Figure3) to investigate how visual input drives the CRBL response (from V1 to CRBL) and how this affects the cerebellar-cortical motor planning initiation (from CRBL to SMA-PMC). A second-level Bayesian model selection was performed to determine the H2-winning-model, with random effects (BMS-RFX)13 integrating the inter subject variability in the shape of region-specific BOLD responses.

Results

The H1-winning-model (posterior probability>90%, Figure4A) showed highly non-symmetric excitatory(red) and inhibitory(blue) influences as positive and negative effective connectivity, respectively. The V1 driving activity highly excited CRBL, SMA-PMC and M1, remarkably influencing motor planning and execution (Figure4B). The H2-winning-model (Figure5A) revealed linear positive V1 modulation to CRBL, which in turns, originated nonlinearities in SMA-PMC activity (Figure5B).

Discussion and Conclusion

For the first time, DCM was used to understand the causal relations at the basis of different hemodynamic responses to a visuomotor task.
The effective connectivity matrix was highly non-symmetric both in terms of inward/outward connections and their excitatory/inhibitory nature, supporting the evidence of a visuomotor network hierarchical activation. Effective connectivity resulted in a feedback/feedforward cerebro-cerebellar loop, confirming the mutual influences of cerebro-cerebellar activations. V1 influenced motor planning areas (CRBL and SMA-PMC) with similar strength to that of M1 on CRBL. Interestingly, this result is consistent with the fact that the task used a visual stimulus for starting the motor plan, and also to give feedback on its execution; in this context, the CRBL may have been the key integrator of motor prediction with error detection in plan execution.
Analysis of GF modulation on the BOLD signal of the visuo-to-plan pathway disentangled the GF shaping of BOLD in driving path (from V1 to CRBL) and motor planning initiation (from CRBL to SMA-PMC). CRBL modulated the complex activation in SMA-PMC, suggesting a hierarchical organization of motor planning activity with the cerebellum driving cortical motor planning.
Here we focused on the visuo-to-plan path of the H1-winning-model to understand signal propagation from visual input to motor planning. Further analyses should add other paths of the model, such as V1 to SMA-PMC, to compare visuo-cerebellar with visuo-cortical driving paths. Moreover it will be interesting to include the highly-nonlinear behavior of CC and SPL, which might provide an insight on the causal influences driving action selection and visual attention, respectively8,9.

Acknowledgements

ED and FP receive funding from H2020 Research and Innovation Action Grants Human Brain Project (#785907, SGA2 and #945539, SGA3). ED receives funding from the MNL Project “Local Neuronal Microcircuits” of the Centro Fermi (Rome, Italy). CGWK receives funding from Horizon2020 (#945539), BRC (#BRC704/CAP/CGW), MRC (#MR/S026088/1), Ataxia UK, MS Society (#77), Wings for Life (#169111). CGWK is a shareholder in Queen Square Analytics Ltd.

References

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[9] Keisker B, Hepp-Reymond MC, Blickenstorfer A, et al. Differential force scaling of fine-graded power grip force in the sensorimotor network. Hum. Brain Mapp. 2009;30(8):2453–2465.

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Figures

Figure 1) Time-series extraction pipeline and technical details. (A1) For each region of visuomotor network, anatomical mask is extracted from an ad-hoc atlas (Brodmann/SUIT), and (A2) group activation peak is computed. Subject-specific time-series were extracted by defining a geometrical mask according to region morphology within the anatomical and functional constraints (A3). (B) Technical details of each region. Voxels included exceed the significance threshold.

Figure 2) Effective connectivity hypothesis. Tested models are all driven by V1 given the visuomotor task. A-D) Different effective connectivity models are based on literature review of structural connectivity and functional activation for similar tasks. External connection directionalities are modeled to explore different configurations of network causal relations. Self-connections are set to investigate the intrinsic activity of a region compared to the influence from the others. The strength of each effective connection is quantified in Hz by Bayesian model inversion.

Figure 3) Modulation hypothesis. Grip force linear and nonlinear effects on effective connectivity of forward vision-to-plan circuit (V1 - CRBL - SMA-PMC). A) V1 linearly drives CRBL activity while non linearities are restricted to cerebellar-cortical planning. B) V1 nonlinearly drives CRBL activity and cerebellar-cortical planning is linearly modulated by CRBL. C) Forward vision-to-plan circuit is nonlinear.

Figure 4) Outcomes of effective connectivity analysis. A) Bayesian Model selection with fixed effects identifying Model H1.4 as the “winning” with (posterior probability>90%). B) Effective connectivity strength [Hz], with positive (red) values for excitatory connections, and negative (blue) values for inhibitions. Strongest causal influence is from SMA-PMC to M1 and to CRBL, from CC and V1 to SMA-PMC (excitatory), and from M1 to SMA-PMC and self SMA-PMC (inhibitory).

Figure 5) Outcomes of modulations analysis. H2-winning-model is selected with Random Effects Bayesian Model selection assuming different underlying models with a normal distribution to explain subject observed response. H2-winning-model explains CRBL linearities modulated by V1 and the complex signal measured in SMA-PMC modulated by CRBL anticipating cortical motor planning. Both linear and nonlinear modulations increase the effective connectivity.

Proc. Intl. Soc. Mag. Reson. Med. 31 (2023)
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DOI: https://doi.org/10.58530/2023/1026