Simultaneous EEG-fMRI: from acquisition to application. Karen Mullinger Sir Peter Mansfield Magnetic Resonance Centre, School of Physics and Astronomy University of Nottingham Overview • Introduction • Aspects of getting good quality data • Optimising experimental set-up ‒ General pointers ‒ Facilitating good: gradient artefact correction pulse artefact correction ‒ Summary • Application ‒ Neurovascular coupling. ‒ Latest results (food for thought) Why Simultaneous EEG –fMRI? • Very powerful spatiotemporal tool • Same experimental environment • Same attention and awareness • Same brain activity Necessary when brain activity can’t be predicted fMRI O1 100 µV EEG Gradie -20 Voltage, µV EEG Artefact Sources Slice Phase Readout B 2000 1000 0 -1000 Artefact (GA): Switching of the 1. Gradient -2000 gradient fields, causes large changes in magnetic flux 47 Voltage µV µV Gradient mT Strength,Voltage C inducing electrical signals within the EEG. 46 A 45 EPI Block 20 44 D 200 0 Slice Phase Readout 100 -20 0 Voltage µV Voltage, µV 1 EPI cycle, 540s Average slice Artefact 2000 200 1000 B E 0 100 -1000 -2000 0 470 20 40 Time, ms 60 80 100 C EEG Artefact Sources 2. Pulse Artefact (PA): Precise source unclear but linked to the cardiac cycle. 1) Pulsatile blood flow effects (Hall effect). 2) Small head nod 3) Scalp expansion The Result! 200µV O1 200 µV O2 200 µV F7 200 µV F8 200 µV T7 200 µV T8 200 µV P7 200 µV P8 200 µV RWAV S128 RWAV RWAV S128 RWAV RWAV S128 RWAV RWAV S128 RWAV RWAV S128 RWAV Good quality EEG data Two aspects to EEG-fMRI: ‒ Experimental set-up and data collection ‒ Best post-processing methods Good quality EEG data Experimental set-up and data collection O1 100 µV General advice ‒ Low impedances of EEG channels Less noisy EEG signals ‒ Subject comfort and padding Minimise movement → reduced artefacts General advice: Motion Aim: • To investigate effect of motion artefacts on EEGBOLD correlates Method: • 4 subjects • Standard 32 channel EEG recording. • EEG data were recorded during Dual Echo EPI: • 40 slices, 84×84 matrix, 3×3×4 mm3 voxels • TR=3s TE1/TE2 =20/48ms • Episodic memory task: required to move a cursor with a roller-ball to respond. Jansen, M. et al, NeuroImage 59, 261-270 (2012) General advice: Motion Analysis: • EEG – – – – Gradient (AAS) and Pulse (OBS) artefact correction ICA to remove residual artefacts Noisy channels removed Filtered 4-8Hz (Theta band) • fMRI – Motion and physiological correction – Echoes combined – Regressors: 1. 2. 3. Continuous theta regressor Head motion (from motion parameters) Artefacts remaining after correction (from visual inspection) Jansen, M. et al, NeuroImage 59, 261-270 (2012) General advice: Motion Not convolved with HRF Convolved with HRF Jansen, M. et al, NeuroImage 59, 261-270 (2012) General advice: Motion Task: Foot motion Not convolved with HRF Convolved with HRF CAREFUL how you interpret results! Jansen, M. et al, NeuroImage 59, 261-270 (2012) General advice ‒ Low impedances of EEG channels Less noisy EEG signals ‒ Subject comfort and padding Minimise movement → reduced artefacts ‒ Isolate amplifiers/cables from scanner bed Minimise vibration of equipment General advice 80 Voltage density (V/Hz) Voltage density (V/Hz) 100 80 7T, no scanning 60 40 20 60 0 0 10 20 30 40 Amplifier suspended. 20 0 Amplifier on the scanner bore 0 50 100 150 Frequency, (Hz) 200 250 Mullinger, K.J. et al, MRI 26(7), 968-977 (2008) General advice ‒ Low impedances of EEG channels Less noisy EEG signals ‒ Subject comfort and padding Minimise movement → reduced artefacts ‒ Isolate amplifiers/cables from scanner bed Minimise vibration of equipment ‒ Turn cyrocooler compression pumps off Minimise noise sources General advice 50 15 7T, no scanning Voltage density (V/Hz) 10 40 5 30 0 Everything on 0 50 100 150 Cryopumps off.. 20 10 0 0 50 100 150 Frequency, (Hz) 200 250 ...and room lights, gradient and patient airflow Mullinger, K.J. et al, MRI 26(7), 968-977 (2008) Gradient artefact Average Artefact Subtraction (AAS) Fp1 2000 µV Fp2 Fp1 2000 µV 2000 µV O1 Fp2 2000 µV 2000 µV O2 O1 2000 µV 2000 µV T7 O2 2000 µV 2000 µV T8 T7 2000 µV R128 RWAV S 59 RWAV R128 RWAV RWAV RWAV R128 RWAV RWAV R128RWAV 2000 µV RWAV R128 RWAV T8 Allen, P.J. et al. NeuroImage 12, 230-239 (2000) 2000 µV R128 RWAV S 59 RWAV R128 RWAV RWAV RWAV R128 RWAV RWAV R128RWAV RWAV R128 RWAV Artefact Correction requirements AAS Requires: – Artefact to be highly repeatable across cycles – Precisely recording the artefact waveform and the beginning of each volume. – These requirements must be closely adhered to as the unfiltered GA is at least 10,000 times larger than an evoked response Residual artefacts are problematic Precise sampling –Acquire EEG data at 5kHz –Ensure your slice TR is a multiple of the scanner clock period (i.e. 200μs) WARNING: –TR entered into console is not always the TR outputted due to rounding issues!! –Philips System for equidistant EPI: TR *Need clinical science agreement for this Calculator* Precise sampling – Synchronise the MR Scanner and EEG clocks using the output from the MR scanner. Philips system: use the 10MHz output from the MR scanner clock to drive the EEG clock Mandelkow, H. et al, NeuroImage 32(3)1120-1126 (2006) Mullinger, K.J. et al, JMRI 27(3): p. 607-616 (2008) Grad Phase Readout -20 B EPI Block 1 EPI cycle, 540s Voltage µV 0 Slice Phase Readout Average slice artifact B 1000 0 -1000 -2000 47 Voltage µV 180 dynamics, 20 slices, 3 subjects 46 45 TR = 2s, synchronised D 200 100 TR = 2s, not synchronised 0 C 46 Results from electrode F7 for a 45 single subject 44 Standard Deviation associated with average slice artifact C 44 Voltage µV 2000 1000 0 47 20 -20 2000 -1000 -2000 Mullinger, K.J. et al, JMRI 27(3): 607-616 (2008)D Voltage µV Voltage, µV Gradient Strength, mT A Voltage, µV Experimental Results E 200 100 TR = 2.0001s, synchronised 0 0 20 40 Time, ms 60 80 100 Minimising GA amplitude • Why? – Prevent channel saturation – Allow higher EEG recording bandwidth – Improve artefact correction • How? – Position subjects 4cm in foot direction (naision at isocentre = 0cm). Approximately at Fp1&2. Yan, W.X., et al. NeuroImage 46(2):459-471. (2009) Mullinger, K.J. et al, NeuroImage, 54(3):1942-1950 (2011) Optimal Position: standard fMRI Aim: • Compare GA produced by a multi-slice EPI sequence at standard and optimal subject positions. Method: • 6 subjects • Experiments were carried out with the nasion at: iso-centre optimal (+4 cm) z-offset • Standard 32 channel EEG recording, 250 Hz low pass filter. • EEG data were recorded during standard EPI: • 32 slices, 84×84 matrix, 3×3×4 mm3 voxels • TR=2.5s TE =40ms; slice repetition frequency = 12.8 Hz • Cued foot movement: 5s every 30s (total: 8 minutes): cumulative head movements of <1 mm. Optimal position: Results RMS of average artefact before correction Voltage (V) 2000 1500 • 40% average reduction in RMS over all channels 1000 500 Voltage (V) 0 0 150 10 20 30 40 Time(ms) 50 60 70 80 STD across slices after correction 100 50 Isocentre 0 0 10 20 30 40 Time(ms) Optimal position 50 60 70 80 • 36% reduction in RMS at slice harmonics after correction Pulse artefact Pulse Artefact Correction ‒ Many methods of PA correction • Average artefact subtraction (AAS)1 • Optimal basis sets (OBS)2 • Independent component analysis (ICA)3 ‒ Varying levels of success reported ‒ Most require correctly identifying the QRS complex within the ECG trace. ECG [1] Allen, P.J. et al, NeuroImage 8(3), 229-239 (1998) [2] Srivastava, G. et al, NeuroImage 24, 50-60 (2005) [3] Niazy, R.K. et al, NeuroImage 28, 720-737 (2005) Pulse Artifact 20000 A 10000 5000 0 -5000 -10000 -15000 0 2.5 5 800 B Voltage µV 600 400 200 0 -200 -400 -600 -800 (a.u.) Problems: • ECG is affected by gradients as well. • Sometimes hard to get a good ECG trace. • Trace is sometimes saturated. Voltage µV 15000 3500 3000 2500 2000 1500 0.0 2.5 5.0 C 20000 A Voltage µV 15000 10000 5000 0 -5000 -10000 Solution on a Philips system*: -15000 0 2.5 5 800 B 600 400 Voltage µV • Use vector cardiogram (VCG) from MR Scanner which is unaffected by gradients1. 200 0 -200 -400 -800 Voltage (a.u.) • R peak markers are also placed automatically in the physlog file2 which can be used for pulse artefact correction directly. -600 3500 3000 2500 2000 1500 1000 500 0 -500 -1000 -1500 0.0 [2] Fischer et al. MRM, 42:361-370 (1999) 5.0 C 0.0 [1] Chia et al. JMRI, 12:678-688 (2000) 2.5 2.5 Time (s) *Need research login to access physlog file 5.0 Results • EEG trace from Tp10 averaged over all cardiac cycles in 2 minute period. Voltage, µV 50 0 -50 -100 -150 No correction 100 B Voltage, µV • Data gradient-corrected and low-pass filtered at 70 Hz A 100 50 0 -50 Using ECG markers -100 C 40 Voltage, µV • 0 time=R peak marker from VCG 20 0 -20 -40 Mean Standard Deviation Using VCG markers 0 0.25 0.5 Time, s 0.75 Pulse Artefact • Precise source unclear but linked to the cardiac cycle. • Variation between cardiac cycles makes correction of difficult • Problems increase with field strength • Need a greater understanding of pulse artefact Average pulse artefact 1) Pulsatile R-peak T7 blood flow effects 2) Small head T7 300 T7 200 300 100 200 0 100 -100 0 -200 nod -100 3) Scalp expansion -300 -200 -100 -300 Debener, S. et al, Int. J. Psychophys, 2008, 67(3), p.189-199 0 100 200 300 400 500 Measuring the PA constituents • 6 subjects • Recorded EEG data in 3T MR scanner • 4 conditions: 1. 2. 3. 4. Relaxed Bite Bar and vacuum cushion (stop head nod) Swimming cap (stop Hall effect) 2&3 (left with scalp expansion). Yan, W.X., et al., HBM, 2010. 31(4): p. 604-620. Mullinger, K.J. et al, #667 WTh HBM 2011. Quebec. PA Experimental Results 100 Relax 60 40 0 0.2 0.4 0.6 C 80 Voltage (V) 80 100 Insulated 60 40 0 60 0 0.2 0.4 0.6 Time(s) Restrained & D insulated 0 0.2 0.4 Time(s) Average RMS 0.6 EEGA 0 40 30 20 10 0 Relaxed 40 20 20 std 50 0 Time(s) Voltage (V) Mean RMS 40 20 0 B 60 20 100 Restrained 80 Voltage (V) Voltage (V) 80 Amplitude (uV) (µV) Amplitude 100 Restrained Insulated Condition 0 0.2 0.4 Time(s) Subject RMS 0.6 Insulated & Restrained Summary ‒ SNR of EEG data inside the MR scanner still lower than outside. ‒ Higher MR fields → increasing EEG artefact problems. ‒ Experimental set-up is important. Data Acquisition Summary ‒ To improve gradient artefact correction: Chose TR and number of slices wisely Synchronise scanner clocks Optimally position the subject ‒ To improve pulse artefact correction: Use VCG to monitor cardiac trace Application Investigating origin of Negative BOLD • Negative BOLD Response (NBR): Regions where there is a stimulus related decrease in BOLD signal. • Reported in visual1, motor2 and somatosensory3 cortices. From: [2] Stefanovic et al. Neuroimage 22;2004. [1] Shmuel et al. Neuron 36(6);2002. [3] Kastrup et al. Neuroimage 41(4);2008. Negative BOLD • NBR origin unclear: – Neuronal basis – Haemodynamic artefact (blood steal) • Invasive recordings in monkeys show a decrease in local field potentials (LFP) and spiking activity in regions of NBR, and suggest at least 60% of NBR is neuronal in origin1. Clarification in humans is needed. [1] Shmuel et al. Nat Neurosci. 9(4);2006. Aim To use simultaneous measurements of BOLD, ASL and EEG to investigate the relationship between natural fluctuations in the NBR and somatosensory evoked potentials (SEPs) during median nerve stimulation (MNS)1 [1] Mullinger et al Proc. ISMRM #109; 2011 Method Simultaneous EEG-fMRI: – Philips Achieva 3T MR scanner; 8 channel SENSE head coil. – 64 channel Brain Products EEG system. Localiser: GE-EPI BOLD sequence used for planning. Experiment: – FAIR Double Acquisition Background Suppression1 sequence used for simultaneous BOLD and background suppressed ASL data acquisition (TR=2.6s, TE=13/33ms (ASL/BOLD), label delay=1400ms, 3x3x5mm3 voxels, 212mm FOV, SENSE factor 2; background suppression TI1/TI2=340ms/560ms). – Cardiac and respiration monitored. – MR and EEG scanner clocks synchronised. • EEG electrode positions digitised (Polhemus system, Isotrack). [1] Wesolowski et al. Proc. ISMRM, #6132;2009. Paradigm • 13 right handed subjects (8 males, 26±3 yrs) • Stimulate median nerve of right wrist • Amplitude: just above motor threshold to cause thumb distension • 2 Hz stimulation, 0.5ms pulses (Digitimer DS7A) 20 pulses per block 10s 20s 40 blocks 10s Analysis EEG pre-processing • Gradient and pulse artefact correction using average artefact subtraction (Brain Vision Analyzer2) • Data inspection: – 3 subjects excluded due to gross (>3mm) or stimulus-locked movement. – Noisy channels and/or blocks rejected • Down-sampled: 600Hz • Re-referenced: Average of non-noisy channels • Filtered: 2-40 Hz Analysis EEG Beamformer1 Fitted2 basis set to SEP for each block to find peak-to-peak P100-N140 amplitude T-stat map: active window: 0.01-0.16s passive window: 0.3-0.45s VE timecourse for single block VE amplitude (nAm) 500 Averaged over 20 responses in a block 0 -500 0 5 10 15 Time (s) 20 25 VE amplitude amplitude (nAm) VE 100 50 0 -50 30 [1] Brookes et al. NeuroImage 40(3);2008 [2] Mayhew et al. Clin. Neurophysiol. 117(6);2006 -100 -100 -50 -50 00 50 50 100 100 150 150 200 200 250 250 300 300 350 350 400 400 Time (ms) Time (ms) Analysis fMRI pre-processing • Motion corrected (FLIRT, FSL) • BOLD data physiologically corrected (RETROICOR) • Interpolated to effective TR=2.6s • ASL: perfusion weighted image: Tag-Control • BOLD image pairs averaged • Normalised to MNI template • Smoothed: 5mm FWHM kernel Analysis fMRI General Linear Models 0.06 0.05 Boxcar: 0.04 0.03 SEP amplitude modulator: 0.02 0.01 0 -0.01 0 20 40 60 80 100 120 • 2nd level fixed effects analysis on BOLD and ASL data Timecourse for each region & subject obtained; averaged over subjects & blocks Group ROI defined for positive and negative correlation. 5 7.22 7.2 BOLD: P<0.05 FWE ASL: P<0.001 uncorr BOLD signal 7.18 7.16 7.14 7.12 7.1 7.08 x 10 Results BOLD ASL Positively correlated with Boxcar Negatively correlated with Boxcar Negatively correlated with SEP amplitude MNI peak co-ordinates (-42,-20,50) Positive (34,-16,46) Negative (36,-18,50) SEP • No positive correlation amplitude of SEP and fMRI in S1. Results Solid line = BOLD, Dashed line= ASL Results 1 Isocontours of CMRO2 (Davis Model2) 20 15 %BOLD 0.5 Constants: M = 7.2%1, α = 0.38, β = 1.2 R = 0.9704, P<0.1*10-4 Gradient = 0.42 0 Coupling ratio agrees with Stefanovic3 -0.5 %CMRO2 2 10 5 0 -5 -10 0 20 [1] Kastrup et-20 al., Neuroimage 41(4);2008. %CBF-15 [1] Davis Kastrup Neuroimage [2] et et al.,al., PNAS, 95;1998 41(4);2008. [3] Stefanovic et al., NeuroImage [2] Davis et al., PNAS, 95;1998 22;2004 40 -20 0 20 %CBF 40 Discussion • No positive correlation of fMRI and evoked potentials in S11. • Ipsilateral NBR cannot be explained by blood steal2 as bilateral S1 regions are fed from different vascular territories. • CMRO2 shown in NBR region - suggests a neuronal origin of the response. [1] Klingner et al. Neuroimage 53(1); 2010 [2] Wade et al. Neuron 36(6);2002 Discussion • Show for first time correlation between ipsilateral S1 NBR and amplitude of concurrent EEG evoked response from contralateral S1/M1. Agrees with area identified by Klingner where NBR is modulated by intensity of MNS1. • Suggest that NBR-SEP relationship arises because NBR results from inhibition of task irrelevant processing in ipsilateral S1, with corresponding increase in excitability of contralateral S1, as indexed by increasing SEP amplitude. [1] Klingner et al. Neuroimage 53(1); 2010 Why simultaneous recordings.... • Trial by trial natural fluctuations in the evoked response → simultaneous recordings are essential. • Can also study changes in oscillatory activity and correlations with BOLD1 and also CBF........ Positively correlated with Boxcar Negatively correlated with Boxcar Negatively correlated with Mu amplitude p<0.05, FWE [1] Mayhew et al, Proc ISMRM #1560, 2011 Why Simultaneous recordings....food for thought • Differences in oscillatory activity: providing evidence of a neuronal origin of the poststimulus undershoot... Acknowledgments Colleagues Professor Richard Bowtell Dr Susan Francis Winston Yan Jade Havenhand Dr Thomas White Dr Marjie Jansen Dr Elizabeth Liddle Prof Peter Liddle Birmingham University Dr Stephen Mayhew Dr Andrew Bagshaw Industry Robert Stormer (Brain Products) Dr Matthew Clemence (Philips) Funding MRC EPSRC Mansfield Fellowships