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临床试验/NCT06072378
NCT06072378招募中不适用

The Computational and Neural Mechanisms Linking Decision-making and Memory in Humans

Rutgers, The State University of New Jersey2 个研究点 分布在 1 个国家目标入组 50 人开始时间: 2023年10月31日最近更新:
适应症

试验速览

阶段
不适用
状态
招募中
入组人数
50
试验地点
2
主要终点
Firing rate changes

研究概览

简要总结

Learning to make good decisions in the present, and accurately recalling events and information from the past, are critical aspects of human cognition that are often impaired in many psychiatric disorders. This project aims to identify the how the choices individuals make influence what, and how, people remember by combining disparate techniques in computational modeling and direct brain recordings in human subjects. The researcher developed a dual-task paradigm, probing how decisions in one task affect immediate recognition memory. To examine the neural mechanisms underlying model-free RL's influence on memory, the researcher will record local field potential (LFP) and single neuron activity in various brain regions as epilepsy patients perform the proposed task. The results of this project will identify specific neurocomputational mechanisms unifying decision-making and memory processes.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Basic Science
盲法
None

入排标准

年龄范围
18 Years 至 65 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Has seizure activity which is deemed non-responsive to standard pharmacological intervention(s), as determined by treating Neurologist and established clinical practices
  • Has elected to receive clinically indicated intracranial EEG (electrocorticography (ECoG), stereoelectroencephalography (SEEG)) and/or temporal responsive neurostimulation (RNS) for medication-refractory epilepsy outside of this research study, as determined by treating clinician(s) and per current clinical practice
  • Capacity to provide written informed consent
  • Language proficiency in English or Spanish
  • Willing and able to comply with all study-related procedures

排除标准

  • History of psychosis, such as in the context of depressive or manic episode.
  • Active suicidal ideation with intent, suicide attempt within the last six months, or other serious suicide risk
  • Inability to provide informed consent or reliably participate in study assessments, as per the Montreal Cognitive Assessment (MOCA; score < 26) or in the opinion of the evaluating neuropsychologist.
  • Individuals unwilling or unable to undergo electrode implantation procedures
  • Medical contraindications to neurosurgery or for general anesthesia, neurosurgery, or an MRI scan (required for electrode implantation)
  • Neurological disorder other than epilepsy or other significant brain pathology, if contraindicated in the opinion of implanting neurosurgeon.
  • Women who are pregnant

结局指标

主要结局

Firing rate changes

时间窗: During task participation, approx. 30-45 min in the first 2 weeks of hospital stay

Single-neuron activity recorded from the hippocampus, amygdala, and frontal cortex. Single-neuron activity refers the micro-scale changes in single-neuron action potentials recorded by microelectrodes implanted in subcortical regions. Firing rate changes (measured as difference in spikes/seconds \[Hz\]) will be reported for neurons as a function of how behavior changes when the value of choices is altered.

Local-field potentials changes

时间窗: During task participation, approx. 30-45 min in the first 2 weeks of hospital stay

Detection of local-field potentials (LFPs) in the various regions (hippocampus, amygdala, and frontal cortex). Local field potentials are the biological voltages recorded by macroelectrodes implanted in participant's subcortical regions as part of their treatment for epilepsy. LFP changes (measured as increases or decreases in voltage) as a function of participant behavior will be recorded, and in response to the task manipulation of the value of choices during the decision-making task

次要结局

  • Number of hit rates for Memory performance(During task participation, approx. 30-45 min in the first 2 weeks of hospital stay)
  • Number of hit rates for decision-making(During task participation, approx. 30-45 min in the first 2 weeks of hospital stay)
  • Reaction time(During task participation, approx. 30-45 min in the first 2 weeks of hospital stay)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Salman Ehtesham Qasim, Ph.D.

Assistant Professor

Rutgers, The State University of New Jersey

研究点 (2)

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