Deep brain stimulation (DBS) is an effective technique for treating Parkinson's disease (PD) in the middle and advanced stages. The subthalamic nucleus (STN) is the most common target for clinical treatment usi...Deep brain stimulation (DBS) is an effective technique for treating Parkinson's disease (PD) in the middle and advanced stages. The subthalamic nucleus (STN) is the most common target for clinical treatment using DBS. While STN-DBS can significantly improve motor symptoms in PD patients, adverse cognitive effects have also been reported. The specific effects of STN-DBS on cognitive function and the related mechanisms remain unclear. Thus, it is imperative to identify the influence of STN-DBS on cognition and investigate the potential mechanisms to provide a clearer view of the various cognitive sequelae in PD patients. For this review, a literature search was performed using the following inclusion criteria: (1) at least 10 patients followed for a mean of at least 6 months after surgery since the year 2006; (2) pre- and postoperative cognitive data using at least one standardized neuropsychological scale; and (3) adequate reporting of study results using means and standard deviations. Of -170 clinical studies identified, 25 cohort studies (including 15 self-controlled studies, nine intergroup controlled studies, and one multi-center, randomized control experiment) and one meta- analysis were eligible for inclusion. The results suggest that the precise mechanism of the changes in cognitive function after STN-DBS remains obscure, but STN-DBS certainly has effects on cognition. In particular, a progressive decrease in verbal fluency after STN-DBS is consistently reported and although executive function is unchanged in the intermediate stage postoperatively, it tends to decline in the early and later stages. However, these changes do not affect the improvements in quality of life. STN-DBS seems to be safe with respect to cognitive effects in carefully-selected patients during a follow-up period from 6 months to 9 years.展开更多
Cross-modal semantic mapping and cross-media retrieval are key problems of the multimedia search engine.This study analyzes the hierarchy,the functionality,and the structure in the visual and auditory sensations of co...Cross-modal semantic mapping and cross-media retrieval are key problems of the multimedia search engine.This study analyzes the hierarchy,the functionality,and the structure in the visual and auditory sensations of cognitive system,and establishes a brain-like cross-modal semantic mapping framework based on cognitive computing of visual and auditory sensations.The mechanism of visual-auditory multisensory integration,selective attention in thalamo-cortical,emotional control in limbic system and the memory-enhancing in hippocampal were considered in the framework.Then,the algorithms of cross-modal semantic mapping were given.Experimental results show that the framework can be effectively applied to the cross-modal semantic mapping,and also provides an important significance for brain-like computing of non-von Neumann structure.展开更多
基金supported by National Natural Science Foundation of China(81071065)
文摘Deep brain stimulation (DBS) is an effective technique for treating Parkinson's disease (PD) in the middle and advanced stages. The subthalamic nucleus (STN) is the most common target for clinical treatment using DBS. While STN-DBS can significantly improve motor symptoms in PD patients, adverse cognitive effects have also been reported. The specific effects of STN-DBS on cognitive function and the related mechanisms remain unclear. Thus, it is imperative to identify the influence of STN-DBS on cognition and investigate the potential mechanisms to provide a clearer view of the various cognitive sequelae in PD patients. For this review, a literature search was performed using the following inclusion criteria: (1) at least 10 patients followed for a mean of at least 6 months after surgery since the year 2006; (2) pre- and postoperative cognitive data using at least one standardized neuropsychological scale; and (3) adequate reporting of study results using means and standard deviations. Of -170 clinical studies identified, 25 cohort studies (including 15 self-controlled studies, nine intergroup controlled studies, and one multi-center, randomized control experiment) and one meta- analysis were eligible for inclusion. The results suggest that the precise mechanism of the changes in cognitive function after STN-DBS remains obscure, but STN-DBS certainly has effects on cognition. In particular, a progressive decrease in verbal fluency after STN-DBS is consistently reported and although executive function is unchanged in the intermediate stage postoperatively, it tends to decline in the early and later stages. However, these changes do not affect the improvements in quality of life. STN-DBS seems to be safe with respect to cognitive effects in carefully-selected patients during a follow-up period from 6 months to 9 years.
基金Supported by the National Natural Science Foundation of China(No.61305042,61202098)Projects of Center for Remote Sensing Mission Study of China National Space Administration(No.2012A03A0939)Science and Technological Research of Key Projects of Education Department of Henan Province of China(No.13A520071)
文摘Cross-modal semantic mapping and cross-media retrieval are key problems of the multimedia search engine.This study analyzes the hierarchy,the functionality,and the structure in the visual and auditory sensations of cognitive system,and establishes a brain-like cross-modal semantic mapping framework based on cognitive computing of visual and auditory sensations.The mechanism of visual-auditory multisensory integration,selective attention in thalamo-cortical,emotional control in limbic system and the memory-enhancing in hippocampal were considered in the framework.Then,the algorithms of cross-modal semantic mapping were given.Experimental results show that the framework can be effectively applied to the cross-modal semantic mapping,and also provides an important significance for brain-like computing of non-von Neumann structure.