Evidence of Change in Brain Activity among Childhood Cancer Survivors Participating in a Cognitive Remediation Program

Autor: Yimei Li, Raymond K. Mulhern, Robert J. Ogg, Robert W. Butler, Heather M. Conklin, Ping Zou
Rok vydání: 2012
Předmět:
Zdroj: Archives of Clinical Neuropsychology. 27:915-929
ISSN: 1873-5843
0887-6177
DOI: 10.1093/arclin/acs095
Popis: Increased understanding of the underlying mechanisms of cognitive remediation is needed to facilitate development of intervention strategies for childhood cancer survivors experiencing cognitive late effects. Accordingly, a pilot functional magnetic resonance imaging (fMRI) study was conducted with 14 cancer survivors (12.02 ± 0.09 years old), who participated in a cognitive remediation clinical trial, and 28 healthy children (12.7 ± 0.6 years old). The ventral visual areas, cerebellum, supplementary motor area, and left inferior frontal cortex were significantly activated in the healthy participants during a continuous performance task. In survivors, brain activation in these regions was diminished at baseline, and increased upon completion of remediation and at a 6-month follow-up. The fMRI activation index for each region of interest was inversely associated with the Conners' Clinical Competence Index (p
Databáze: OpenAIRE