Brain Areas Involved in Sound and Spoken Word Memory
| Status: | Terminated |
|---|---|
| Conditions: | Healthy Studies, Neurology |
| Therapuetic Areas: | Neurology, Other |
| Healthy: | No |
| Age Range: | 18 - 40 |
| Updated: | 4/21/2017 |
| Start Date: | May 26, 2011 |
| End Date: | October 30, 2015 |
The Role of the Inferior Frontal Gyrus in Long-Term Auditory Memory a rTMS Study
Background:
- Studies have shown that animals such as monkeys and dogs have excellent sight and touch
memory but perform poorly on sound memory tasks. Human brains have certain areas that are
important for speaking and understanding language. These areas may be involved in sound and
spoken word memory. Researchers want to study these areas of the brain to find out if the
memory for sounds requires brain structures that are usually associated with language
learning and are unique to humans.
Objectives:
- To use magnetic resonance imaging to study areas of the brain involved in sound memory.
Eligibility:
- Healthy right-handed volunteers between 18 and 50 years of age. They must be native
English speakers and have completed high school.
Design:
- The study requires a screening visit and 1 or 2 study visits to the National Institutes
of Health Clinical Center.
- At the screening visit, volunteers will have a medical history taken. They will also
have physical and neurological exams, and complete a questionnaire. Women of
childbearing age will give a urine sample. Participants who have not had a magnetic
resonance imaging (MRI) scan in the past year will have one at this visit.
- At the second visit, participants will have tests of sound memory. They will listen to
a set of nonsense words spoken through earphones and memorize the words. Then they will
listen to the words again to judge if the words were part of the earlier list.
Participants will have a 1 hour break, then do the sound memory test again. During the
second test they will have repetitive transcranial magnetic stimulation (rTMS), which
stimulates different regions of the brain.
- If the group results from the testing sessions are positive, there will be a third
visit. At this visit, participants will have a sound perception test. They will listen
to words spoken through earphones and judge whether the words in the pair are the same
or different. Participants will have rTMS during these tests as well.
- Studies have shown that animals such as monkeys and dogs have excellent sight and touch
memory but perform poorly on sound memory tasks. Human brains have certain areas that are
important for speaking and understanding language. These areas may be involved in sound and
spoken word memory. Researchers want to study these areas of the brain to find out if the
memory for sounds requires brain structures that are usually associated with language
learning and are unique to humans.
Objectives:
- To use magnetic resonance imaging to study areas of the brain involved in sound memory.
Eligibility:
- Healthy right-handed volunteers between 18 and 50 years of age. They must be native
English speakers and have completed high school.
Design:
- The study requires a screening visit and 1 or 2 study visits to the National Institutes
of Health Clinical Center.
- At the screening visit, volunteers will have a medical history taken. They will also
have physical and neurological exams, and complete a questionnaire. Women of
childbearing age will give a urine sample. Participants who have not had a magnetic
resonance imaging (MRI) scan in the past year will have one at this visit.
- At the second visit, participants will have tests of sound memory. They will listen to
a set of nonsense words spoken through earphones and memorize the words. Then they will
listen to the words again to judge if the words were part of the earlier list.
Participants will have a 1 hour break, then do the sound memory test again. During the
second test they will have repetitive transcranial magnetic stimulation (rTMS), which
stimulates different regions of the brain.
- If the group results from the testing sessions are positive, there will be a third
visit. At this visit, participants will have a sound perception test. They will listen
to words spoken through earphones and judge whether the words in the pair are the same
or different. Participants will have rTMS during these tests as well.
Objective:
Humans are the only animals that use language to communicate with each other. Among many
other requirements, humans need excellent auditory long-term memory to be able to master the
complicated task of learning a language. It is still not completely understood which brain
regions are involved in transferring auditory stimuli into long-term memory. The goal of
this research proposal is to examine whether brain structures that are known to be essential
in language production also play an important role in encoding auditory stimuli into
long-term memory.
Study population:
We propose using repetitive transcranial magnetic stimulation (rTMS) to examine the role of
frontal and temporo-parietal cortical areas in the storage of auditory stimuli in long-term
memory. The whole study will comprise three experiments. Each of the three experiments will
consist of one to three sessions. Sessions 1 and 2 will be compulsory in every experiment.
Session 3 will only be required if positive results are obtained in session 2. Every
participant can only participate in one of the three planned experiments.
In Experiment 1, we will investigate the potential role of Broca s area in auditory memory.
If we find that rTMS in Broca s area interferes with performance on the memory task, we will
conduct a control (session 3) to determine whether or not the impairment was actually due to
interference with stimulus perception rather than with memory, per se. We will conduct
Experiment 2 to investigate the possible role of Wernicke s region in auditory memory. We
will conduct Experiment 3 to investigate the role of the ventral premotor cortex (PMv) in
auditory memory.
In experiment 2 and 3 we will also conduct the same control session 3, as in Experiment 1 if
the rTMS impairs performance on the auditory memory task. All experiments will consist of
two sessions and an additional, third session if rTMS-induced impairment is found. In that
case all participants will be called back for the control experiment. During session 1, a
neurological examination will be performed and a clinical, anatomical, and functional MRI
(Magnetic Resonance Imaging) will be taken (functional MRI for second repeat of experiment 1
and for experiment 3). In session 2, rTMS will be used in an attempt to temporarily disrupt
the function of Broca s area (experiment 1), the TPJ (experiment 2) or PMv (experiment 3)
while participants are performing an auditory recognition memory task. By temporarily
disrupting cortical functioning in those localized regions, we will be able to determine
whether or not their function is crucial for encoding auditory stimuli into long-term
memory. In the control session, to be conducted only if the experimental task yields a
positive result (i.e., impairment), we will test auditory perception by asking participants
to make same/different judgments on stimulus pairs (similar to those used in session 2)
presented with a very short delay while using the same rTMS routine as in session 2.
By amendment, we wish to expand session 1 to include functional MRI (fMRI) imaging designed
to identify and refine the targets for disruption by rTMS in the subsequent session: Broca s
area (experiment 1), and PMv (experiment 3). Specifically, we intend to (1) repeat
Experiment 1 of the approved protocol using fMRI localization in an additional 15 subjects,
and (2) proceed with Experiment 3 as described in the original protocol, also with the
addition of fMRI localization. Initial results in experiment 1 (Broca s area) fell just
short of significance, possibly because anatomical landmarks are inconsistent between
subjects (e.g., Amunts et al., 1999); an fMRI localizer in each subject could reduce this
variability. Unlike in the previous protocol, session 1 can not be skipped if the subject
has had a neurological exam and MRI in the past year (the exam may be skipped, but all
subjects will need the fMRI). The maximum number of sessions per experiment will remain
unchanged at three: 1) intake exam and anatomical/functional MRI, 2) rTMS, and 3) a control
session only if a significant effect of rTMS is observed.
By amendment, we also wish to consider the three experiments to be independent, rather than
each contingent on the outcome of the previous experiment(s). As outlined below (sections
2.3-2.5), experimental evidence implicates all three regions in the auditory-motor network
under study. Preliminary evidence indicates a positive effect in experiment 2 (the TPJ), but
this does not render experiment 3 moot. Therefore we wish to apply fMRI-targeted rTMS to
Broca s area, and PMv, in independent experiments.
Outcome measures:
In session 2, the primary outcome measure will be the number of correctly remembered
auditory stimuli. Secondary output will be reaction time during the recognition phase of the
experiment.
In the control experiment (if conducted) the primary outcome measure will be the number of
correct same/different judgments and, again, reaction time will be the secondary measure.
Humans are the only animals that use language to communicate with each other. Among many
other requirements, humans need excellent auditory long-term memory to be able to master the
complicated task of learning a language. It is still not completely understood which brain
regions are involved in transferring auditory stimuli into long-term memory. The goal of
this research proposal is to examine whether brain structures that are known to be essential
in language production also play an important role in encoding auditory stimuli into
long-term memory.
Study population:
We propose using repetitive transcranial magnetic stimulation (rTMS) to examine the role of
frontal and temporo-parietal cortical areas in the storage of auditory stimuli in long-term
memory. The whole study will comprise three experiments. Each of the three experiments will
consist of one to three sessions. Sessions 1 and 2 will be compulsory in every experiment.
Session 3 will only be required if positive results are obtained in session 2. Every
participant can only participate in one of the three planned experiments.
In Experiment 1, we will investigate the potential role of Broca s area in auditory memory.
If we find that rTMS in Broca s area interferes with performance on the memory task, we will
conduct a control (session 3) to determine whether or not the impairment was actually due to
interference with stimulus perception rather than with memory, per se. We will conduct
Experiment 2 to investigate the possible role of Wernicke s region in auditory memory. We
will conduct Experiment 3 to investigate the role of the ventral premotor cortex (PMv) in
auditory memory.
In experiment 2 and 3 we will also conduct the same control session 3, as in Experiment 1 if
the rTMS impairs performance on the auditory memory task. All experiments will consist of
two sessions and an additional, third session if rTMS-induced impairment is found. In that
case all participants will be called back for the control experiment. During session 1, a
neurological examination will be performed and a clinical, anatomical, and functional MRI
(Magnetic Resonance Imaging) will be taken (functional MRI for second repeat of experiment 1
and for experiment 3). In session 2, rTMS will be used in an attempt to temporarily disrupt
the function of Broca s area (experiment 1), the TPJ (experiment 2) or PMv (experiment 3)
while participants are performing an auditory recognition memory task. By temporarily
disrupting cortical functioning in those localized regions, we will be able to determine
whether or not their function is crucial for encoding auditory stimuli into long-term
memory. In the control session, to be conducted only if the experimental task yields a
positive result (i.e., impairment), we will test auditory perception by asking participants
to make same/different judgments on stimulus pairs (similar to those used in session 2)
presented with a very short delay while using the same rTMS routine as in session 2.
By amendment, we wish to expand session 1 to include functional MRI (fMRI) imaging designed
to identify and refine the targets for disruption by rTMS in the subsequent session: Broca s
area (experiment 1), and PMv (experiment 3). Specifically, we intend to (1) repeat
Experiment 1 of the approved protocol using fMRI localization in an additional 15 subjects,
and (2) proceed with Experiment 3 as described in the original protocol, also with the
addition of fMRI localization. Initial results in experiment 1 (Broca s area) fell just
short of significance, possibly because anatomical landmarks are inconsistent between
subjects (e.g., Amunts et al., 1999); an fMRI localizer in each subject could reduce this
variability. Unlike in the previous protocol, session 1 can not be skipped if the subject
has had a neurological exam and MRI in the past year (the exam may be skipped, but all
subjects will need the fMRI). The maximum number of sessions per experiment will remain
unchanged at three: 1) intake exam and anatomical/functional MRI, 2) rTMS, and 3) a control
session only if a significant effect of rTMS is observed.
By amendment, we also wish to consider the three experiments to be independent, rather than
each contingent on the outcome of the previous experiment(s). As outlined below (sections
2.3-2.5), experimental evidence implicates all three regions in the auditory-motor network
under study. Preliminary evidence indicates a positive effect in experiment 2 (the TPJ), but
this does not render experiment 3 moot. Therefore we wish to apply fMRI-targeted rTMS to
Broca s area, and PMv, in independent experiments.
Outcome measures:
In session 2, the primary outcome measure will be the number of correctly remembered
auditory stimuli. Secondary output will be reaction time during the recognition phase of the
experiment.
In the control experiment (if conducted) the primary outcome measure will be the number of
correct same/different judgments and, again, reaction time will be the secondary measure.
- INCLUSION CRITERIA:
To be eligible for this research study participants must:
Be between the ages of 18 and 50 years of age
Be free of any neurologic condition that might affect performance of the tasks in these
experiments
Be right handed
Be native English speakers
Have a finished high-school education or equivalent, such as GED
EXCLUSION CRITERIA:
Participants will be excluded from this research study if they:
Are taking medications that include antidepressants, anxiolytics, anticonvulsants,
antipsychotics, antiparkinson, hypnotics, stimulants, and/or antihistamines
Have a diagnosed neurologic or psychiatric condition
Have a history of seizure disorder
Have implanted devices such as pacemakers, medication pumps, or defibrillators, metal in
the cranium except the mouth, intracardiac lines, history of shrapnel injury or any other
condition/device that may contraindicate or preclude the acquisition of MRI
Have severe back pain or any other condition which might prevent them from lying flat for
up to 1 hour
Have Claustrophobia (a fear of tight spaces), which prevents them from lying still in a
tight or small space for up to 1 hour
Are currently pregnant
Have known hearing loss
Have an alcohol or substance abuse problem as determined by the screening we will do
We found this trial at
1
site
9000 Rockville Pike
Bethesda, Maryland 20892
Bethesda, Maryland 20892
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