Early Identification Of Degenerative Dementia Syndromes
Funder
National Health and Medical Research Council
Funding Amount
$380,558.00
Summary
With the continuing ageing of the population, an increasing number of adults will experience signs of dementia. Knowledge of the clinical presentation, disease mechanisms and evolution of frontotemporal dementia, a syndrome as common as Alzheimer’s disease in the < 65 year-old group, remains suboptimal. This research project will combine clinical investigations and brain imaging to improve diagnostic accuracy of this disease. This will lead to better treatment and management interventions.
Quantifying The Neurocognitive Impact Of Cannabis Across The Life Span: The Evolution Of Memory Deficits.
Funder
National Health and Medical Research Council
Funding Amount
$516,572.00
Summary
Cannabis is the most widely used illicit substance, and its use is particularly prevalent during adolescence and young adulthood. Adolescence is also a period when the brain undergoes significant structural and functional change, and there is growing evidence that the brain may be particularly vulnerable to the effects of addictive substances during this developmental stage. There is increasing evidence that long term or heavy use of cannabis impairs learning and memory. It is thought that the c ....Cannabis is the most widely used illicit substance, and its use is particularly prevalent during adolescence and young adulthood. Adolescence is also a period when the brain undergoes significant structural and functional change, and there is growing evidence that the brain may be particularly vulnerable to the effects of addictive substances during this developmental stage. There is increasing evidence that long term or heavy use of cannabis impairs learning and memory. It is thought that the continued bombardment of the brain s own natural cannabis-like neurotransmitter system by the active chemicals within cannabis disrupts critical aspects of brain function. This research seeks to improve our understanding of the way that cannabis use affects memory and how these problems might develop or worsen from adolescence to adulthood. This project will investigate memory processes in cannabis users using functional brain imaging techniques. This will allow identification of regions of the brain that are not working efficiently when cannabis users attempt to memorise and recall words from a list and recognise patterns. The project will examine how different levels of cannabis use (long term vs. short term and heavy vs. light) may affect brain function during learning and memory, and determine if the observed memory problems depend upon the age at which cannabis use began and the gender of the user. The findings from this research will substantially contribute to our understanding of the ways in which cannabis use affects brain function and potentially triggers serious psychiatric disorders, such as schizophrenia. The findings will contribute to guidelines regarding hazardous levels of cannabis use within adolescent and adult populations, and will inform debate, policy, education and treatment.Read moreRead less
Diagnostic And Prognostic Evaluation Of Diffusion Tensor Imaging And Cognitive Function After Traumatic Brain Injury
Funder
National Health and Medical Research Council
Funding Amount
$874,404.00
Summary
Traumatic brain injuries (TBIs) are a common cause of brain damage, leading to a variety of disabling cognitive problems. This study will evaluate the ability of new brain imaging techniques and cognitive tests to detect previously undiagnosed brain damage and to predict patient outcome following TBI in order to improve the health care and treatment of these patients. It will also examine the contribution of other factors (eg. injury type, age, pre-injury cognitive ability) to outcome.
This study investigates how much an individual's genes and environment account for the wide variation in brain structure and function. Using MRI we will examine in what way a twin's brain is the same or different from that of their co-twin, and carry out analysis of their DNA to identify some of the many genes influencing the structure and function of the brain. The study will provide fundamental information on genetic mechanisms influencing variation in brain structure and function.
An Event Related Functional Magnetic Resonance Imaging (fMRI) Study Of Cognitive Deficits In Huntington's Disease
Funder
National Health and Medical Research Council
Funding Amount
$257,550.00
Summary
Huntington's disease (HD) is a progressive disorder clinically characterized by the onset of involuntary jerky movements, impaired voluntary movements, cognitive-attentional deterioration, and psychiatric symptoms. It is a consequence of progressive and selective brain degeneration. Over the last decade our research unit has made significant progress in describing the cognitive deficits in HD; however, we still don't know much about the parts of the brain that underlie these deficits. The aim of ....Huntington's disease (HD) is a progressive disorder clinically characterized by the onset of involuntary jerky movements, impaired voluntary movements, cognitive-attentional deterioration, and psychiatric symptoms. It is a consequence of progressive and selective brain degeneration. Over the last decade our research unit has made significant progress in describing the cognitive deficits in HD; however, we still don't know much about the parts of the brain that underlie these deficits. The aim of this project is to use event related functional magnetic resonance imaging (fMRI) to correlate structural and functional changes in the brain via the use of various cognitive behavioural measures. In this way we can elucidate what brain areas are responsible for various cognitive functions. In addition, we intend to ascertain how different brain areas decrement in function over time and to determine whether there is a relationship between rate of disease progression, age at onset and certain genetic characteristics. Understanding how the brain functions and how the disease progresses over time will be essential, from the point of view of patient management, when new drug treatments eventually permit prevention of the development, or slows further progress, of the disorder.Read moreRead less
Modelling Traumatic Brain Injury Using Neuropsychological, Neurosurgical, Neurochemical, And Neuroradiological Measures
Funder
National Health and Medical Research Council
Funding Amount
$403,370.00
Summary
Post mortem and brain imaging studies of patients who have had a traumatic brain injury (TBI) indicate that they sustain both focal damage and widespread diffuse damage. This diffuse damage is more difficult to detect but has been found to occur even after mild injuries and in the absence of focal brain damage. Moreover, diffuse damage is thought to contribute both to changes in a patient's level of consciousness at the time of injury and to the long-term problems experienced by patients after a ....Post mortem and brain imaging studies of patients who have had a traumatic brain injury (TBI) indicate that they sustain both focal damage and widespread diffuse damage. This diffuse damage is more difficult to detect but has been found to occur even after mild injuries and in the absence of focal brain damage. Moreover, diffuse damage is thought to contribute both to changes in a patient's level of consciousness at the time of injury and to the long-term problems experienced by patients after a TBI, suggesting that diffuse damage may provide a valuable index of the amount of brain damage that has been sustained as a result of an injury. While clinicians presently assess many cognitive abilities, they do not target the cognitive problems that are thought to arise from diffuse damage. This is largely due to an absence of validated measures and a limited understanding of the effects of diffuse damage on cognitive functioning. Consequently, we do not have a clear understanding of the extent to which diffuse damage contributes to patient outcome after a TBI. The present study is designed to provide a model of the effects of TBI that will include neuropsychological, neurosurgical, neurochemical and neuroradiological variables. The cognitive effects of diffuse damage will be assessed and related to neurochemical and brain imaging indices of diffuse damage in order to examine the relationship between brain structure and function. This study will improve our understanding of the effects of diffuse damage on cognitive functioning and will lead to the development of measures that can be used to assess the consequences of diffuse damage. In doing so, this study will improve the accuracy with which we are able to diagnose the cognitive problems of patients who have suffered a TBI. This will, in turn, reduce the public health, insurance and litigation costs associated with this type of injury.Read moreRead less
Clinical And Biological Markers Of Disease Presentation And Progression In Early Frontotemporal Dementia
Funder
National Health and Medical Research Council
Funding Amount
$507,636.00
Summary
Frontotemporal dementia accounts for 12-20% of all dementia cases and is as common as Alzheimer's disease in the < 65 year olds. Our understanding of this disease remains limited. This project aims to better characterise the range and progression of deficits in early frontotemporal dementia using tests of brain function and magnetic resonance imaging. This will assist in better diagnosis of these patients and, ultimately, may be used to monitor the outcomes of therapeutic interventions.
Long Term Outcome From Early Childhood Brain Injury: 10 Year Follow Up
Funder
National Health and Medical Research Council
Funding Amount
$338,900.00
Summary
The primary aim of this project is to further improve our understanding of the long-term consequences of childhood traumatic brain injury (TBI). Over the past decade our research team has ascertained a sample of children sustaining TBI, and systematically followed their progress over a 5-year period. The project has an international reputation, and is unique in terms of length of follow-up, prospective design and representative, well-maintained sample. Our findings challenge the traditionally he ....The primary aim of this project is to further improve our understanding of the long-term consequences of childhood traumatic brain injury (TBI). Over the past decade our research team has ascertained a sample of children sustaining TBI, and systematically followed their progress over a 5-year period. The project has an international reputation, and is unique in terms of length of follow-up, prospective design and representative, well-maintained sample. Our findings challenge the traditionally held view that children are resilient and recover fully from early brain insult. Rather, we have shown that, up to 5 years post-TBI, many children experience impairments in physical, cognitive and behavioural function. These impairments result in educational, vocational, social and emotional problems, limiting the child's capacity to meet developmental expectations and achieve adequate quality of life. The implication is that these problems will lead to life-long disability, resulting in high levels of individual, family and community burden. However, with follow-up data limited to 5 years, there remains a possibility that ongoing developmental processes may support an extended recovery period in childhood TBI, in comparison to the 2-year period cited in adult models. The review of this sample, 10 years post-injury, provides an unprecedented opportunity to address this possibility and to document recovery-outcome as children move into adolescence and adulthood. Not all children experience problems post-injury. However, predicting individual outcome remains a significant challenge, with particular clinical relevance to treatment and follow-up. Thus, the second aim of the proposed study is to examine factors that contribute to recovery and outcome.Read moreRead less
Neurocognitive Studies Of Brain Plasticity Associated With Surgical Treatment Of Arteriovenous Malformations
Funder
National Health and Medical Research Council
Funding Amount
$701,922.00
Summary
We will use state-of-the-art brain imaging methods to test whether specific brain areas which have been chronically starved of adequate blood supply can regenerate, informing debate about limits on brain plasticity. Arteriovenous malformations (AVMs) are longstanding defects which can cause thinking skills to 'migrate' to other brain regions in childhood without noticeable impact. Surgical correction allows a test of what happens to the previously inactive area: Does the area 'start to think'?