The brain How the digital revolution is transforming EU-funded brain research - June 2019 - mediaTUM

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The brain How the digital revolution is transforming EU-funded brain research - June 2019 - mediaTUM
ISSN 2599-8293

        CORDIS Results Pack on
                the brain
A thematic collection of innovative EU-funded research results

                                                                   June 2019

How the digital revolution
is transforming EU-funded
      brain research

                          Research and
                          Innovation
The brain How the digital revolution is transforming EU-funded brain research - June 2019 - mediaTUM
Editorial
Contents                                                   How the digital revolution is
                                                           transforming EU-funded brain research
                                                           As the world continues to be remodelled by the digital revolution,
3                             19                           we are seeing digital technologies embed themselves firmly
                                                           into all aspects of our lives, including into the mainstream
A digital disease             Shaping the ethical          of neurosciences research to help unravel the complexity of
classification system fit     direction of the HBP for     brain disorders. In this cross-cutting CORDIS Results Pack, we
for the modern medical        the public interest          highlight innovative projects from across the full spectrum
era                                                        of EU-funded research programmes that are helping science
                              21                           make sense of arguably the most complex and mysterious
5                             The Virtual Brain
                                                           machine in existence – the human brain.
Neuroimaging that helps       simulates the brain to
us fix our brains             reveal the origins of        Around 165 million Europeans are afflicted with a brain disorder and it is
                              disorders                    estimated that one in three people will suffer from a neurological and/or
7                                                          psychiatric disorder at some point in their lives. In 2011, the global cost to

Breaking through barriers
                              23                           European healthcare budgets was estimated to be around EUR 800 billion
                                                           per year and is set to only increase further as Europe’s population ages and
for a revolution in brain     A high-performance PET
                                                           becomes more susceptible to brain disorders.
scans                         scanner for integration
                              into current MRI systems
9                                                          Brain disorders come in many forms, from neurodegenerative diseases, with

EU-AIMS: Towards
                              25                           some of the most well-known being Alzheimer’s, dementia, schizophrenia
                                                           and Parkinson’s disease. However, other diseases and conditions that are
personalised approaches       Wearable devices to          also classed as brain disorders include epilepsy, depression, stroke, migraine,
for autistic people           help prevent sudden          sleep disorders, pain and addiction. Many brain disorders have no cure, such
                              unexpected death through     as Alzheimer’s and Parkinson’s. Others can be managed, but still have wide-
11                            epilepsy                     ranging effects on the quality of life of patients and their carers.

Combining neuroscience
and computing, the
                              27                           An EU research priority
Human Brain Project           ERC research lends an        Now the research focus on developing new treatment options for patients
reveals the brain’s secrets   ear to the voices heard by   with brain disorders has taken an inevitable digital turn – harnessing the
                              schizophrenia patients       power of digital technologies and the increasing clout of computing as a
13                                                         means to push forward the boundaries of brain research, cognitive

Collaborative data
                              29                           neuroscience and brain-inspired ICT advances. Alongside basic research,
                                                           technological advances are also lending themselves to new solutions that
underpins advancing           New research highlights      help patients better manage their conditions, thus leading to improvements
knowledge about the brain     biological similarities
                                                           in quality of life – wearable technology, for instance.
                              between psychiatric
15                            and neurodegenerative
                              disorders
                                                           This is why the European Commission has been supporting brain research
                                                           through successive research and innovation Framework Programmes:
Understanding how                                          EUR 3.1 billion in the previous programme, FP7 (2007-2014), and another
the brain’s structure
and functions generate
                              31                           EUR 3.2 billion so far through Horizon 2020.

consciousness                 Novel algorithms can         EU support for brain research spans across the various Commission funding
                              predict psychosis before     mechanisms, from Horizon 2020’s research focus on health (indeed
17                            it strikes                   one of the six specific Societal Challenges addressed through
                                                           Horizon 2020) and the industry co-supported Innovative Medicines
When virtual brain models
meet real and simulated
                              33                           Initiative (IMI), to the European Research Council (ERC), the dedicated
                                                           SME Instrument and the Future and Emerging Technologies (FET)
robot bodies                  Night-time seizure
                                                           programme. A selection of projects from all of these initiatives are featured
                              detector improves quality
                              of life for epileptic        together within this Results Pack.
                              patients and carers
                                                           Power to the projects
                                                           In total, this CORDIS Results Pack features 16 articles, with six dedicated
                                                           to the Human Brain Project (HBP), a EUR 1 billion Flagship foreseen to be
                                                           half-funded by the FET programme.
The brain How the digital revolution is transforming EU-funded brain research - June 2019 - mediaTUM
CORDIS Results Pack on the brain
                                                            How the digital revolution is transforming EU-funded brain research

                                      A digital disease
                                      classification system fit for
                                      the modern medical era
                                      Classifying diseases is a practice still stuck in the past. The Innovative Medicines
                                      Initiative AETIONOMY project brings it into the 21st century.
© Atthapon Raksthaput, Shutterstock

                                      The classification of diseases is still largely based on patient    project co-coordinator. “We are still following principles that go
                                      symptoms, an approach that dates back to an era when doctors        back way before we even knew what a ‘gene’ was.”
                                      relied on spoken information and visual cues.
                                                                                                          The EU and industry-funded AETIONOMY project therefore designed
                                      “You have to be aware that our current classification system for    a ‘mechanism-based taxonomy of disease’ with a particular focus
                                      diseases has its roots in the middle of the 19th century,” says     on neurodegenerative diseases: namely Alzheimer’s and Parkinson’s.
                                      Professor Dr Martin Hofmann-Apitius from the Fraunhofer Institute   The concept was based on an intriguing idea: “If we can classify
                                      for Algorithms and Scientific Computing SCAI, the AETIONOMY         patients according to their disease mechanisms, we are in the posi-
                                      (Organising Mechanistic Knowledge about Neurodegenerative           tion to predict with high accuracy whether they will benefit from
                                      Diseases for the Improvement of Drug Development and Therapy)       a drug that targets each mechanism,” says Dr Hofmann-Apitius.
                                                                                                                                                                                3
The brain How the digital revolution is transforming EU-funded brain research - June 2019 - mediaTUM
CORDIS Results Pack on the brain
                                    How the digital revolution is transforming EU-funded brain research

            A 21st century model                                                     AETIONOMY has prepared the ground for a computational
                                                                                     approach that drives subsequent experimental work in labs. But
          AETIONOMY systematically captures and represents knowledge                 there is a long way to go to develop better, more efficient and
          on neurodegenerative diseases in a computable format, as a                 cheaper drugs based on the insights and principles worked out
          graph model that represents causes and effects and that can be             during the project.
          analysed using algorithms. It was designed to take into account
          molecular biomarkers (e.g. proteins), recognising the role of per-         The project also developed the concept of ‘Virtual Patient Cohorts’:
          sonalised genomes with their individual genetic variations and             synthetic data sets that give a new way of sharing patient-level
                                  including various other underlying fea-            data without compromising the privacy of any real person on
                                  tures that have only been feasible to              Earth. The team also gained new insights into misfolded proteins
                                  measure in the past few years: using               as a potential new mechanism for the ‘spreading’ of disease in
    Our current                   neuro-imaging, for example.                        the human brain.
    classification system
                                       “The real challenge, however, in this field   The AETIONOMY concept was quite revolutionary and a bit unusual
    for diseases has its
                                       is: nobody knows what mechanism(s)            to many experimental clinical researchers and biologists, explains
    roots in the middle of             are responsible for these neurodegen-         Dr Hofmann-Apitius, and there were several competing ideas about
    the 19th century.                  erative diseases,” says Dr Hofmann-           how a mechanism-based taxonomy could and should be constructed.
                                       Apitius. “This is why they are called ‘idi-
            opathic’, to indicate that their aetiology [the cause or underlying      “At some point, we had to change the strategy, but finally the
            causes of a disease or condition] is unknown.”                           project – and that includes the entire consortium with all its part-
                                                                                     ners – delivered on the promise,” he says.
            The challenge was substantial, explains Dr Hofmann-Apitius,
            especially because the pharmaceutical industry partners who
            initiated the call wanted the new taxonomy to be validated in
            a clinical study, meaning demonstrating its stratifying and clas-            P R OJ E C T
            sification potential.                                                        AETIONOMY – Organising Mechanistic Knowledge
                                                                                         about Neurodegenerative Diseases for the
            As Dr Hofmann-Apitius says, the project’s goal was to explore                Improvement of Drug Development and Therapy
            if it was possible to identify patient-subgroups in Alzheimer’s or
            Parkinson’s disease based on disease mechanisms. “The good                   C O O R D I N AT E D B Y
            news is: we could demonstrate exactly that,” he reveals.                     UCB Biopharma SPRL in Belgium

                                                                                         FUNDED UNDER
            A wider response                                                             FP7-HEALTH-IMI1

            Because of the project, scientists are stepping back and starting to         C O R D I S FA C T S H E E T
            re-think neurodegeneration again, says Dr Hofmann-Apitius. “I am             cordis.europa.eu/project/id/115568
            convinced: AETIONOMY has paved the way for future strategies
            in drug discovery and drug development in neurodegeneration                  P R OJ E C T W E B S I T E
            research.”                                                                   aetionomy.eu

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The brain How the digital revolution is transforming EU-funded brain research - June 2019 - mediaTUM
CORDIS Results Pack on the brain
                                               How the digital revolution is transforming EU-funded brain research

                       Neuroimaging that helps
                       us fix our brains
                       In most people’s minds, the purpose of medical imaging technologies is to diagnose diseases
                       or detect them before the first symptoms occur. The BRAINTRAIN project takes another
                       course by using functional magnetic resonance imaging (fMRI) to help patients with
                       neurodegenerative diseases and mental illnesses in regulating their own brain.
                       The BRAINTRAIN (Integrative neuroscience school on brain function        the only techniques allowing us access to the function of the human
                       and disease) concept is built around that of neurofeedback train-        brain in vivo. It is therefore a unique window into the human mind.
                       ing: patients can follow their brain’s activity on a screen, test spe-
                       cific strategies to regulate it, and see the results for themselves.     This window can be used to improve our understanding of the
                                                                                                neural mechanisms behind psychiatric symptoms, for example
                       Professor David Linden, project coordinator and Head of Cardiff          hallucinations or drug craving, as well as to evaluate the neural
                       University’s neuropsychiatric imaging group, believes that this          effects of (psychological or pharmacological) therapies. Finally, and
                       solution could help patients affected with the likes of alcohol          most importantly in the context of BRAINTRAIN, they can be used
                       dependency, autism, post-traumatic stress disorder or even               for new treatment methods, especially neurofeedback.
                       Parkinson’s disease.
                                                                                                What would you say makes such use of
                       What makes you think that neuroimaging                                   neuroimaging innovative?
                       can be a key weapon in the fight against
                       mental disorders?                                                        BRAINTRAIN brings together leading experts in real-time fMRI – a
                                                                                                functional imaging technique that allows for tracking the activity
                       Neuroimaging and non-invasive neurophysiology – electro-                 of specific brain regions and networks at high (millimetre) spatial
                       encephalography, magnetoencephalography, etc. – are presently            resolution and temporal resolution in the second range.
© GrAl, Shutterstock

                                                                                                                                                                        5
The brain How the digital revolution is transforming EU-funded brain research - June 2019 - mediaTUM
CORDIS Results Pack on the brain
                             How the digital revolution is transforming EU-funded brain research

    Prof. Nikolaus Weiskopf from the Max Planck Institute of Cogni-           and childhood anxiety. In other projects, we have also piloted
    tive Neuroscience in Leipzig is an expert in ultrafast MRI, while         neurofeedback for neurorehabilitation (Parkinson’s disease).
    Prof. Rainer Goebel from Braininnovation is an expert in real-time
    MRI data analysis. By combining these methods, we can acquire             How do you plan to bring this to patients?
    and analyse fMRI data in the sub-second range and display the
    signal back to the participant, which is the basis of self-regulation     Because of the non-invasive nature of neurofeedback, there are
    training. The idea is that patients can use these signals, following      few obstacles to bringing this technique to patients once efficacy
    specific protocols, to change their brain activity, which in turn can     has been demonstrated. Of course, the availability and cost of MRI
    have a positive impact on their mental health. This would be the          facilities constitute a constraint, but most of the protocols that
    first therapeutic application of neuroimaging.                            we test only use a small number of sessions (1-6), which keeps
                                                                              costs at a reasonable level.
    Can you tell us more about the process
    involved in the treatment of a patient?                                   What has been the feedback from
                                                                              practitioners so far?
    Patients are in the MRI scanner and receive feedback about their
    brain activity through the projection of a computer screen (it could      Practitioners were grateful for the opportunity to mention our tri-
    also be auditory feedback). This computer screen could just visu-         als to their patients. There is generally a dearth of clinical trials in
    alise the height of activation with a thermometer or similar dis-         psychiatry, and most patients are keen to explore new non-invasive
    play, or the feedback could be provided through the change of a           treatment avenues, especially for disorders that are otherwise
    disease-relevant stimulus or scene, for example a food or alcohol         difficult to treat (e.g. alcohol dependence or autism).
    cue as in a BRAINTRAIN study we’ve done on food craving.
                                                                              Because neurofeedback involves very active collaboration of the
    Participants/patients are then requested to change the brain activ-       patients who have to develop their own personalised strategies for
    ity in a desired direction (e.g. up- or downregulate it), and they will   successful self-regulation, it leads to an active learning process,
    see whether they are successful from the changes in the stimulus,         and practitioners told us that they would be interested in sharing
    which could see for instance the food picture become smaller.             this with their patients and receiving more information about the
    Learning can occur in a trial-and-error procedure, but many studies       strategies that they used. We are currently thinking about ways
    also provide some suggestions for potential strategies.                   of capturing these strategies and incorporating them into the
                                                                              therapeutic process.
    What kind of impact do you expect on
    patients?

    A recent study from Cardiff showed substantial improvement                    P R OJ E C T
    in symptoms of depression among patients who trained in the                   BRAINTRAIN – Taking imaging into the
    upregulation of areas responsive to positive affective stimuli – and          therapeutic domain: Self-regulation of brain
    also in a control group training in the upregulation of a visual area.        systems for mental disorders

    Another study by our partners at the University of Coimbra tested             C O O R D I N AT E D B Y
    the feasibility of a social attention training programme for patients         Cardiff University in the United Kingdom
    with autism, using real-time processing and feedback of EEG signals
    to track patients’ attention. This protocol trained social interaction        FUNDED UNDER
    in several contexts that are relevant to the everyday functioning of          FP7-HEALTH
    patients with autism, such as ordering a drink in a bar or talking to a
    teacher. Although the training programme did not produce attention            C O R D I S FA C T S H E E T
    improvements, it led to improvements in several clinical secondary            cordis.europa.eu/project/id/602186
    outcome measures, especially in the domain of depression.
                                                                                  P R OJ E C T W E B S I T E
    Can you provide other examples of disorders                                   braintrainproject.eu
    that could be alleviated with this method?

    In addition to the examples above (depression and autism), we
    are looking at post-traumatic stress disorder, alcohol dependence

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The brain How the digital revolution is transforming EU-funded brain research - June 2019 - mediaTUM
CORDIS Results Pack on the brain
                                                 How the digital revolution is transforming EU-funded brain research

                         Breaking through barriers
                         for a revolution in brain
                         scans
                         Current brain scanning techniques have some critical limitations. The EU-funded
                         BREAKBEN project broke through these barriers, promising better and more
                         detailed brain scans.
© Semnic, Shutterstock

                         Brain disorders cause a great deal of suffering and a major eco-         sensitive magnetometers – devices used to detect and measure
                         nomic burden to society. The annual cost in Europe alone has been        extremely subtle magnetic fields. The innovative array has been
                         estimated at EUR 800 billion. Now, a European team aims to put           designed to pick up and combine high quality signals for two
                         Europe at the forefront of a revolution in the scanning and meas-        principal scanning techniques for the human brain: MEG (mag-
                         urement of the human nervous system, to improve the accuracy of          netoencephalography) and ULF MRI (ultra-low-field magnetic
                         current techniques that characterise electrical activity in the brain.   resonance imaging).

                         The BREAKBEN (Breaking the Nonuniqueness Barrier in Electro-             MEG measures ultra-ultra-weak magnetic fields generated by
                         magnetic Neuroimaging) project has designed and built highly             the brain, a non-invasive method used to inform clinicians about
                                                                                                                                                                     7
The brain How the digital revolution is transforming EU-funded brain research - June 2019 - mediaTUM
CORDIS Results Pack on the brain
                             How the digital revolution is transforming EU-funded brain research

    neuronal function. MRI maps the tissue-dependent behaviour                a qualitative technology jump with ULF MRI, its applications and
    of spinning nuclei in water molecules, giving structural images           combinations,” says Ilmoniemi. “This will revolutionise the way
    of the brain.                                                             we do magnetism-based measurements of the nervous system.”

    ULF MRI was first demonstrated in 2004 by the team of Professor           The technique could help with
    John Clarke at Berkeley University, using just one sensor – known         the mapping of epileptic brain
    as SQUID. BREAKBEN took the idea to the next step. “We have               activity, and ULF MRI may help             We believe that we are at
    developed the first large SQUID sensor arrays that measure both           perhaps even in cancer diag-                the edge of a qualitative
    MEG and ULF MRI signals with the same sensors,” explains project          nostics. The MEG-MRI device
                                                                                                                        technology jump with ULF
    coordinator Professor Risto Ilmoniemi, Head of Neuroscience and           will also open up brain imag-
    Biomedical Engineering at Aalto University School of Science.             ing for new patient groups, such
                                                                                                                          MRI, its applications and
                                                                              as those with metal implants.                             combinations.
                                                                              Improved workflow and more
    Breaking old barriers                                                     accurate diagnostics will likely shorten hospital stays and optimise
                                                                              treatment – thus saving on costs, too.
    The German physician Hermann von Helmholtz showed in the 1850s
    that it is impossible to uniquely determine the electric current dis-     The BREAKBEN team at Aalto University has received Innovation
    tribution (in this case, neuronal currents) inside a conductor (in this   Launchpad funding from the EU to work towards commercialisa-
    case, the head) – even if both the electric and magnetic fields out-      tion of the technique. “We are applying for further funding from
    side the conductor are perfectly known. This translated into a major      Business Finland to prepare the prototype and to demonstrate its
    future problem for scientists using MEG to measure neuronal cur-          benefits in patient studies,” concludes Ilmoniemi.
    rents in the brain, a limitation known as the non-uniqueness barrier.

    “We can never be sure on the basis of MEG alone which parts of
    the brain are active in a subject or patient,” explains Ilmoniemi.            P R OJ E C T
    BREAKBEN’s innovation is to combine these two scanning tech-                  BREAKBEN – Breaking the Nonuniqueness
    niques to help avoid this problem, thus breaking through the barrier.         Barrier in Electromagnetic Neuroimaging

    Simultaneous ULF MRI provides accurate knowledge of the loca-                 C O O R D I N AT E D B Y
    tion of the head and the details of the cortical shape. This allows           Aalto University in Finland
    a priori information – such as that the source current is only in
    the brain cortex – to be added reliably into the data analysis. This          FUNDED UNDER
    makes the scanning far more reliable.                                         H2020-FET

                                                                                  C O R D I S FA C T S H E E T
    Future applications                                                           cordis.europa.eu/project/id/686865

    BREAKBEN’s breakthrough opens completely different work-                      P R OJ E C T W E B S I T E
    flows for brain imaging. “We believe that we are at the edge of               aalto.fi/en

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The brain How the digital revolution is transforming EU-funded brain research - June 2019 - mediaTUM
CORDIS Results Pack on the brain
                                                 How the digital revolution is transforming EU-funded brain research

                         EU-AIMS: Towards
                         personalised approaches
                         for autistic people
                         The Innovative Medicines Initiative-funded EU-AIMS project has helped to signal a
                         new era for effective therapies acknowledging the individual needs of autistic people. Its
                         work has considerably advanced our knowledge of the variability within the biology of
                         autistic people, identified areas for medical intervention and successfully demonstrated
                         that compounds can modulate biological differences associated with autism.

                         Autistic people say that there is no one-size-fits-all approach         interaction, but not at the expense of positive aspects of autism.
                         to helping them. Some say their autism does not need treating           Some prioritise treatment of conditions such as epilepsy, which
                         because they value it as a key part of their identity. Others want      they experience alongside autism.
                         treatment for specific aspects such as sensory difficulties or social
© Dubova, Shutterstock

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The brain How the digital revolution is transforming EU-funded brain research - June 2019 - mediaTUM
CORDIS Results Pack on the brain
                                How the digital revolution is transforming EU-funded brain research

         EU-AIMS changes the playing                                           pluripotent stem cells, were used to trace causal links from genes
                                                                               and environmental factors to molecular changes and biological
         field                                                                 pathways. Researchers also tested whether certain compounds
                                                                               were effective in rodent and cellular models, thereby identifying
        The EU-AIMS (European Autism Interventions – A Multicentre Study       potential new treatments based on an improved understanding of
        for Developing New Medications) team has changed the playing           underlying biological mechanisms. A key task was then to ‘trans-
        field by showing there is no single characteristic shared by all       late’ findings from animal models to humans by finding measures
                                                  autistic people at either    that can be safely used in humans – even babies – such as high-
                                                  the behavioural, cogni-      tech magnetic resonance spectroscopy, electroencephalogram
                                                  tive, neurobiological or     (EEG), and respectively structural and functional MRI (sMRI/fMRI).
                                                  genetic levels. Instead,
 We started by improving
                                                  researchers began to         Another EU-AIMS focus was the identification of biomarkers. These
 knowledge of the biological                      identify individual neu-     are any objective measure, such as genes, patterns of brain activity
 diversity of autism, translated                  rocognitive profiles and     or a test score, that predicts how a person may develop or respond
 results of rodent studies to make                link them to patterns        to interventions. Biomarkers could be used in autism diagnosis
 them relevant to humans,                         of autism progression.       to predict whether symptoms will change during development,
 demonstrated that certain                        EU-AIMS focused on           and to select the best interventions, support or treatment for
                                                  developing effective         any given person. There were three studies with a total of over
 compounds could affect the
                                                  treatments matched           1 200 participants, and they were assessed at a scale and in-
 biological differences seen in                   to individual needs and      depth level unprecedented in Europe. EU-AIMS was also the first
 autism – including in autistic adults biological profiles and                 academic/industry group to obtain ‘qualification advice’ from the
 – and searched for biomarkers that overcoming a number                        European Medicines Agency (EMA). This crucial step improved
 could enhance clinical trials.                   of research obstacles,       understanding between regulatory authorities, academics and
                                                  including: Traditional       industry, and played a key role in developing new EMA guidelines
        approaches attempted to treat symptoms without understand-             on drug testing.
        ing underlying causes or mechanisms; most prior studies only
        included 15-30 autistic people, which is insufficient to identify      Next, the consortium successfully launched AIMS-2-TRIALS to
        ‘subgroups’; research into the biology of autism has lacked reli-      continue its work, adding a programme of education and engage-
        able methodologies; and clinical trials have usually included small    ment, particularly for early career researchers, and a group of
        numbers of diverse participants, limiting likelihood of success        Autism Representatives to ensure engagement of autistic people
        because treatments may only work effectively in some subgroups.        in research.

         The EU-AIMS project took an unprecedented multi-faceted
         approach. Declan Murphy, Project Lead and Professor at Kings
         College London (KCL) says: “We started by improving knowledge             P R OJ E C T
         of the biological diversity of autism, translated results of rodent       EU-AIMS – European Autism Interventions
         studies to make them relevant to humans, demonstrated that                – A Multicentre Study for Developing New
         certain compounds could affect the biological differences seen in         Medications
         autism – including in autistic adults – and searched for biomarkers
         that could enhance clinical trials.”                                      C O O R D I N AT E D B Y
                                                                                   F. Hoffmann-La Roche AG in Switzerland

         New treatment targets through                                             FUNDED UNDER
                                                                                   FP7-HEALTH-IMI1
         genes and biomarkers
                                                                                   C O R D I S FA C T S H E E T
         One way to identify new treatment targets is to start with genes          cordis.europa.eu/project/id/115300
         associated with some forms of autism and ask what are their
         effects on the development of nerve cells and communication               P R OJ E C T W E B S I T E
         between them? This impacts a child’s brain development and, in            eu-aims.eu
         turn, social, cognitive and emotional development. In EU-AIMS,
         animal models and new non-invasive techniques, such as induced

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CORDIS Results Pack on the brain
                                                                          How the digital revolution is transforming EU-funded brain research

                                                   Combining neuroscience
                                                   and computing, the Human
                                                   Brain Project reveals the
                                                   brain’s secrets
                                                   As a European Flagship Programme, the Human Brain Project (HBP) embraces ICT
                                                   advances and pools distributed neuroscience and neuromedicine resources and
                                                   competences. This more unified view of the brain will benefit both people and technology.

                                                   Despite many years of research, the human brain remains one           The HBP was set up to build a unique European technology plat-
                                                   of nature’s greatest secrets, partly as labs have typically studied   form for neuroscience, medicine and advanced information and
                                                   different aspects of it independent of each other.                    communication technologies (ICT). By linking research areas on an
© Axer & Amunts, INM-1, Forschungszentrum Jülich

                                                                                                                                                                                             11
CORDIS Results Pack on the brain
                               How the digital revolution is transforming EU-funded brain research

       unprecedented scale, it seeks to unlock synergies and accelerate        and the responsible use of new technologies, the HBP adheres to
       progress.                                                               Responsible Research and Innovation (RRI) principles through its
                                                                               ethics and society research area.

       One of the EU’s most
                                                                               Tackling brain disorders, while
       ambitious projects
                                                                               developing competitive ICT
       The project’s twofold vision is mutually reinforcing: To utilise
       advanced ICT in neuroscience to better understand the brain and         The HBP has already developed a number of new approaches for
       its diseases, while drawing inspiration from biology to improve ICT.    technology-driven neuromedicine.

       With more than 500 scientists from 120 European partner insti-          One example is a new personalised brain avatar that has been
       tutions across 19 Member States, the HBP is one of the largest          developed to improve epilepsy surgery, soon to be tested in a
       projects ever funded by the EU. The project has an initial run of       400-patient clinical trial. Another is the creation of the most com-
       10 years (2013-2023) during which it will create a permanent            prehensive 3D human brain atlas to date.
       European neuroscience research infrastructure.
                                                                               Two of the world’s leading neuromorphic (brain-inspired) comput-
       “To meet emerging challenges, we’ve seen a shift from single            ing systems, SpiNNaker and BrainScaleS, have been developed
       specialised labs to larger interdisciplinary initiatives,” says Prof.   under the HBP. The project has also established the FENIX infra-
       Katrin Amunts, the Scientific Research Director of the project.         structure, a Europe-wide network of supercomputing centres for
       “This is partly due to computer-intensive simulations and the data      the exchange of large-scale data.
                                       quantities involved, terabytes to
                                       petabytes, beyond the capacity of       “We are laying the foundations now with a broad external user
                                       a single research institution.”         community for the integrated European research infrastructure.
 Brain complexity is                                                           This means building not only hardware and software, but also a
 breath-taking as it                   To enable a comprehensive under-        culture of usage,” says Prof. Amunts.
                                       standing of brain complexity and
 encompasses vastly
                                       apply it to neuromedicine, comput-      The six platforms, first made available to the public in 2016,
 different spatial and                 ing, robotics and AI innovations,       already allow scientists access to a range of resources, including
 temporal scales, from the             data sharing according to FAIR          different brain models and atlases. External users can access the
 molecular level of                    principles plays a pivotal role in      research infrastructure from anywhere in the world via a com-
 synapses, cells and nerve             the HBP.                                mon web portal. For all users, a High Level Support Team is on
 fibres to connections                                                         standby. Scientists can also upload their own data with help from
                                        The HBP approach integrates            a curation team.
 between whole brain
                                        the experimental investigation of
 areas, and from                        mouse and human brain organisa-
 milliseconds to whole life             tion, along with cognitive and theo-
 spans.                                 retical neuroscience. These benefit        P R OJ E C T
                                        six technology-driven platforms in         Human Brain Project Flagship
       the fields of: neuroinformatics, simulation, high-performance ana-
       lytics and computing, neuromorphic computing, neurorobotics and             C O O R D I N AT E D B Y
       medical informatics.                                                        EPFL in Switzerland

       “Brain complexity is breath-taking as it encompasses vastly dif-            FUNDED UNDER
       ferent spatial and temporal scales, from the molecular level of             H2020-FET
       synapses, cells and nerve fibres to connections between whole
       brain areas, and from milliseconds to whole life spans,” says Prof.         C O R D I S FA C T S H E E T
       Amunts.                                                                     cordis.europa.eu/project/id/785907

       As advances in neuroscience and computing can be such emo-                  P R OJ E C T W E B S I T E
       tive topics, prompting philosophical questions about the ‘self’             humanbrainproject.eu

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CORDIS Results Pack on the brain
                                                                           How the digital revolution is transforming EU-funded brain research

                                                   Collaborative data
                                                   underpins advancing
                                                   knowledge about the brain
                                                   The HBP’s data ‘ecosystem’ comprises software solutions for information collection,
                                                   organisation, analysis and sharing, enabling models and simulations to be built. These
                                                   depend on the brain’s structure and functions being mapped, from molecular to the
                                                   whole brain level.
© Axer & Amunts, INM-1, Forschungszentrum Jülich

                                                   Talking of ‘mapping’ the human brain doesn’t really do the endeav-      Given the scale and scope of the Human Brain Project's (HBP)
                                                   our justice. Unlike say the liver – which contains fewer cell types,    ambition, a unique characteristic is the broad range of expertise
                                                   organised similarly across the organ – the brain is very inhomo-        available. This is critical, since outputs rely on productive interac-
                                                   geneous and tremendously more complicated. This makes not               tions among these very different communities of researchers and
                                                   only description and location vital, but also capturing interactions.   developers, impossible to achieve working in isolation.
                                                                                                                                                                                                    13
CORDIS Results Pack on the brain
                              How the digital revolution is transforming EU-funded brain research

       “These interactions do present challenges on a scale possibly         work together (basic science), to translate this to better diagno-
       not seen by any other European project,” says Prof. Jan Bjaalie.      ses and treatments of brain disease (applied science for health),
       “There are barriers created by different practices, with everyone     and also to use this understanding to develop new brain-inspired
       bringing traditions from their own fields, and there are termi-       technologies (technology).
       nology barriers. These barriers actually explain the rationale for
       the HBP, while highlighting the importance of getting the data        Within these broad goals researchers are guided by some over-
       infrastructure right.”                                                arching research targets. Dementia, in particular Alzheimer’s dis-
                                                                             ease, has been chosen as an area to demonstrate the Medical
                                                                             Informatics Platform’s functionality, installed at hospitals across
       Developing a generic data                                             Europe. Combining this anonymised clinical data facilitates more
                                                                             efficient analysis.
       system
                                                                             Another example is the use of personalised brain models and
       Neuroscience has typically not managed and shared data at the         atlases, navigable in 3D, for different applications like better plan-
       large scale of the HBP, partly as the focus has previously been       ning for epilepsy surgery or deep brain stimulation in Parkinson’s.
       on the publication of papers which interpret collected data. For      Identification and resection of a small portion of the brain where
       the HBP to capitalise on research synergies across all areas of       epileptic seizures originate requires a deep understanding of the
       neuroscience, the project’s data has to be collaborative.             seizure’s organisation. To improve these procedures, the HBP com-
                                                                             bines a new multi-scale modelling and simulation environment
                                      The data is stored alongside           with the project’s brain atlases and other data analysis tools.
                                      metadata tags and is searchable
 Infrastructure                       through a web browser. Specific        Critical to achieving the goals of the HBP is that it makes its
                                      features within particular groups      systems openly available to the wider research community. Forth-
 developments go hand in
                                      of data can be extracted for incor-    coming this year will be a new online portal providing access to a
 hand with the science,               poration into computational mod-       series of user-centric services. “While some of the information is
 enabling researchers to              els and these can be used to per-      already available it is not so visible or easy to navigate. The new
 find and access relevant             form simulations, with the results     portal will make it easy for the outside community to find and use
 data, use it in clearly              compared to data from real brain       the tools and services delivered by the HBP,” says Prof. Bjaalie.
 defined conditions, share            experiments.
 the results, and cite the
                                       “Infrastructure developments go
 work of the original data             hand in hand with the science,            P R OJ E C T
 providers.                            enabling researchers to find and          Human Brain Project Flagship
                                       access relevant data, use it in
       clearly defined conditions, share the results, and cite the work of       C O O R D I N AT E D B Y
       the original data providers,” says Prof. Bjaalie.                         EPFL in Switzerland

       Given the quantities of data involved, these efforts are only pos-        FUNDED UNDER
       sible thanks to the use of high performance computing.                    H2020-FET

                                                                                 C O R D I S FA C T S H E E T
       New technologies and clinical                                             cordis.europa.eu/project/id/785907

       applications                                                              P R OJ E C T W E B S I T E
                                                                                 humanbrainproject.eu
       The three primary goals of the HBP are: to better understand how
       the different elements of the human brain’s organisation fit and

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CORDIS Results Pack on the brain
                                           How the digital revolution is transforming EU-funded brain research

                            Understanding how
                            the brain’s structure
                            and functions generate
                            consciousness
                            Definitions and understandings of consciousness have been hotly contested down the
                            centuries, engaging philosophers and more recently neuroscientists. To make further
                            sense of it all, the HBP models both the neurological ‘wood and the trees’
                            simultaneously.
© cherezoff, Shutterstock

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CORDIS Results Pack on the brain
                               How the digital revolution is transforming EU-funded brain research

 How is it that the same               If we take a broad definition of       whole brain. Incorporating both high-level, large-scale models
 anatomical structure, our             consciousness as experience of         that replicate global brain dynamics (top-down) and detailed,
                                       ourselves and the outside world, it    biophysical models of realistic neuronal functioning (bottom-up)
 brain’s intricate network
                                       can be said to come and go. During     will be a key step.
 called the ‘connectome’,              dreamless sleep it seems absent,
 can at times host the                 seemingly reappears during vivid
 complexity of                         dreaming, before more definitively     Medical implications and
 consciousness and at                  reappearing on awakening. But
 other times exist                     how the brain transitions between      beyond
                                       these states is poorly understood.
 seemingly as dull matter?
                                                                              The project’s results, combined with others from the HBP, are
 This is one of the greatest           Acknowledging that answers may         forming a more coherent picture. For example, empirical research
 mysteries of biology, or              lie within neuroscience, one of the    with rodents has identified a key neuronal mechanism for the
 even physics.                         objectives of the Human Brain          conscious perception of sensory stimuli. This process, known as
                                       Project (HBP) is to develop a com-     ‘apical dendritic amplification’, was also detected in the visual
       plex model characterised by realistic connectivity, detailed neural    system of humans and can be replicated in computer simulations
       dynamics and learning rules; one undertakes multiple cognitive         as well as in neuromorphic chips to improve image recognition.
       tasks by integrating different cortical areas.
                                                                              In parallel, these activities have elucidated the mechanisms by which
                                                                              recurrent, complex cortical interactions are disrupted upon falling
       Replicating basic activity and                                         asleep, whereby neurons cannot keep track of the inputs they receive.

       cognitive tasks                                                        “Thanks to our common infrastructure, two lines of research may
                                                                              soon incorporate a unifying mechanism, accounting for both sen-
       The ‘Network models for consciousness’ programme within the            sory perception of specific content and global brain state transi-
       HBP set out to better understand the relationship between struc-       tions,” says Prof. Massimini.
       ture and function in the brain, to explain the emergence of the
       complex network dynamics which enable perception, prediction,          This work has significant medical implications for assessing patient
       goal directed behaviour and other higher-end cognitive functions.      consciousness and treating disorders, contributing to bedside obser-
                                                                              vation during loss and recovery of consciousness in sleep, anaesthe-
       “How is it that the same anatomical structure, our brain’s intri-      sia, coma and related states. Currently, there is a lack of clear brain-
       cate network called the ‘connectome’, can at times host the com-       based behavioural guidelines; crucial in intensive care medicine.
       plexity of consciousness and at other times exist seemingly as
       dull matter? This is one of the greatest mysteries of biology, or      The results are also of relevance for brain-machine interfaces such
       even physics,” project researcher, Prof. Marcello Massimini, says.     as those for sensory function restoration, as well as for future AI
                                                                              architectures.
       One of the challenges of building a realistic, data-driven, multi-
       tasking consciousness model is that of getting the right structural
       and functional modelling parameters to replicate the emergence
       of balanced, complex patterns of activity. “Existing models repli-         P R OJ E C T
       cate either specific cognitive functions or global brain states, but       Human Brain Project Flagship
       can’t cope with both. This balance between differentiation and
       unity is what makes the brain special with respect to conscious-           C O O R D I N AT E D B Y
       ness,” says Prof. Massimini.                                               EPFL in Switzerland

       The programme benefits from the unique range of HBP exper-                 FUNDED UNDER
       tise to build a model using a common infrastructure assembled              H2020-FET
       from several assets including: atlases, neuroinformatics, brain
       simulation, high-performance analytics and computing, medical              C O R D I S FA C T S H E E T
       informatics and neuromorphic computing.                                    cordis.europa.eu/project/id/785907

       This ‘backbone’ collects, curates and integrates structural and            P R OJ E C T W E B S I T E
       functional data on a scale ranging from single neurons to the              humanbrainproject.eu

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CORDIS Results Pack on the brain
                                                 How the digital revolution is transforming EU-funded brain research

                          When virtual brain models
                          meet real and simulated
                          robot bodies
                          A crucial part of what gives the brain its power is its ability to learn from the
                          interactions of the body under its control with the world. Neurorobotics research offers
                          a unique opportunity to understand how this action-perception loop works, and to use
                          this knowledge to build the next generation of robotic systems.
© maxuser, Shutterstock

                          The Human Brain Project's (HBP) Neurorobotics Platform (NRP), is      This provides researchers with new tools to study topics such as
                          a set of tools to connect and simulate brain and body together        neural control of movement or learning mechanisms in the context
                          (‘embodiment’). It supports virtual experiments in physically real-   of interactions with the environment. Eventually, the knowledge
                          istic simulated environments through which neuroscientists can        derived from these studies will fundamentally change the way
                          evaluate functional performance of brain models in the context        robots are designed.
                          of behavioural tasks, and so compare or refine them iteratively.
                                                                                                                                                                   17
CORDIS Results Pack on the brain
                                 How the digital revolution is transforming EU-funded brain research

         Better understanding brain                                              the means to build better robots, increasing their effectiveness in
                                                                                 areas where the current state-of-the-art is found lacking, such as
         structure, function and                                                 with situational awareness.

         dynamics                                                                Additionally, the NRP provides all the simulation tools required to
                                                                                 train robotic systems in simulation: not only does this minimise
        The first step for embodied simulation is to define a task to be per-    the risk of damage to expensive hardware, it also opens up the
        formed and establish the relevant virtual and robotic setup. Next,       possibility of using massively parallel training algorithms.
                                       a control architecture (brain) for the
                                       simulation is selected, alongside         “Using High Performance Computing will greatly reduce the time
                                       the relevant learning paradigms           needed to train robotic systems. Additionally, virtual prototyping
                                       and experimental scenarios. The           of robotic platforms should reduce development costs and deliver
 Virtualisation of                     NRP supports users at every step          better designed, more robust products,” says Prof. Dr. Alois Knoll,
 neuroscience is the                   of this process.                          project leader for the NRP.
 natural next step, where
                                          The closed-loop experiments then       Some HBP partners are now investigating whether brain-inspired
 the limits are those
                                          afford neuroscientists a unique        cognitive architectures may be useful as control systems for indus-
 imposed by computation                   opportunity to explore the rela-       trial robotic arms operating in collaboration scenarios (cobots).
 power. In other words:                   tionship between brain structure,      They also extend these research efforts to mechanically-compliant
 the sky is the limit!                    function and neural dynamics in        robots, which could provide ‘safety by design’ where robots must
                                          specific behavioural contexts. For     operate around humans – in factories for example.
         example, several HBP partners are jointly investigating how ocu-
         lomotor activity, visual processing and dexterous motor control         The NRP is public, online and available for researchers who want
         work together in tasks that involve grasping moving objects. Others     to test their brain models or to build the brain-inspired robots of
         are creating a virtual mouse for the NRP, complete with a highly-       the future. “Virtualisation of neuroscience is the natural next step,
         detailed musculoskeletal system; the objective is to create a virtual   where the limits are those imposed by computation power. In other
         model that is as close as possible to its biological counterpart,       words: the sky is the limit!” concludes Prof. Dr. Knoll.
         so that some animal experiments can be reproduced and carried
         out virtually.

         These advances may eventually provide significant benefits for              P R OJ E C T
         medical science. For example, members of the HBP team are                   Human Brain Project Flagship
         modelling the neural circuitry of the spinal cord and simulating it
         in order to understand how spinal stimulation can be optimised              C O O R D I N AT E D B Y
         and/or personalised. One of the principal aims is to assist patients        EPFL in Switzerland
         with spinal cord injuries in recovering some capacity for locomo-
         tion, and neurorobotic developments could prove invaluable here.            FUNDED UNDER
                                                                                     H2020-FET

         Building better robots                                                      C O R D I S FA C T S H E E T
                                                                                     cordis.europa.eu/project/id/785907
         Other experiments aim to unlock the secret of the biological
         processes that enable the brain to adapt behaviour to changing              P R OJ E C T W E B S I T E
         environmental conditions. This would provide researchers with               humanbrainproject.eu

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CORDIS Results Pack on the brain
                                                    How the digital revolution is transforming EU-funded brain research

                             Shaping the ethical
                             direction of the HBP for
                             the public interest
                             Better understanding the human brain offers insights into what it means to be human,
                             the causes of brain-related diseases – alongside improved diagnosis and treatment –
                             while holding out the prospect of advances in artificial intelligence technologies. But at
                             what ethical cost?
© whiteMocca, Shutterstock

                             Sensitive to the ethical questions emanating from the research       By engaging with external stakeholders, including citizens, the RRI
                             methodologies, results and potential applications at the interface   programme studies specific research consequences, while continu-
                             of neuroscience and technology, the Human Brain Project (HBP)        ing to address traditional ethical concerns surrounding issues such
                             incorporated a programme of Responsible Research and Innova-         as animal or human experimentation. The work contributes to the
                             tion (RRI).                                                          governance of the HBP as a whole, for example by developing
                                                                                                  standard operating procedures. It also ensures ethical issues can
                                                                                                                                                                        19
CORDIS Results Pack on the brain
                                 How the digital revolution is transforming EU-funded brain research

         be identified, raised and responded to, through formal and informal    Danish Board of Technology. The programme also conducts empiri-
         channels, including an independent Ethics Advisory Board (EAB).        cal investigations through interviews, surveys and public engage-
                                                                                ment exercises.

         Ethics without borders
                                                                                The practical and the profound
         Ethics touch almost all aspects of most research projects, but the
         scale and ambition of the HBP make ethical implications more           The HBP research will benefit science, ICT and medicine in innu-
         pronounced. Taking data governance, and questions about which          merable ways, with important implications for citizens. Novel
         data can be used for what purpose and by whom, generates a             neuroscience-inspired technologies, such as neuromorphic com-
         range of legal as well as ethical concerns. With the HBP, exchang-     puting and neurorobotics could fundamentally alter the physical
         ing data across national borders adds a further layer of complexity.   and cognitive capabilities of humans.

         In response, the HBP Ethics and Society research programme led         Perhaps the biggest, but most challenging, impact will come with
         by Prof. Kathinka Evers has established a working group which          the development of better ways of understanding, diagnosing
         collates all data-related policies and regulations. “This is a large   and treating brain-related diseases. On a more philosophical
         and multi-faceted problem that all large data-intensive projects       level, better brain understanding may affect the way we
         share. Our work in this field is seminal, with potential to shape      think about ourselves, exerting a profound influence on social
         how future international collaborations work,” says HBP’s Ethics       structures and relations.
         Director Prof. Bernd Stahl.
                                                                                Forewarning that those implications are likely to be both negative
        Another crucial area of work relates to policy and regulatory           and positive, means that the right questions can be asked, in time,
        compliance. In some cases, pre-existing EU regulations make             by the right people.
                                    the rules clear. “With biomedical
                                    research for example, EU rules              However, as Prof. Stahl says, “in most cases there is not one single,
                                    about animal protection, along              simple answer to ethical questions and there is no final ethical
                                    with means of enforcement, are              arbiter. We encourage open, inclusive and transparent commu-
 In most cases there is not         well established,” says Prof. Stahl.        nication to reach consensus about how to best move forward.”
 one single, simple answer          “In other less defined areas of
 to ethical questions and           research, the EU has a clear role
 there is no final ethical          to lead a broader social debate.”
 arbiter. We encourage                                                              P R OJ E C T
                                       One such area is that of artificial          Human Brain Project Flagship
 open, inclusive and
                                       intelligence (AI). While the HBP’s
 transparent                           neuromorphic research may hold               C O O R D I N AT E D B Y
 communication to reach                the key to developing stronger AI,           EPFL in Switzerland
 consensus about how to                the roll out of ever-increasing AI
 best move forward.                    capabilities could prove socially            FUNDED UNDER
                                       problematic. Within the field of             H2020-FET
         employment alone it has the potential to create unemployment
         in some sectors, while also increasing workplace discrimination            C O R D I S FA C T S H E E T
         and bias.                                                                  cordis.europa.eu/project/id/785907

         The ethics and society programme contributes to these social               P R OJ E C T W E B S I T E
         debates with its own public engagement activities, led by The              humanbrainproject.eu

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CORDIS Results Pack on the brain
                                  How the digital revolution is transforming EU-funded brain research

                   The Virtual Brain
                   simulates the brain to
                   reveal the origins of
                   disorders
                   The human ability to use a ‘tool’ (our brain), to build another tool to explain the
                   workings of the first tool, is an evolutionary gift that distinguishes us from other
                   animals. Powerful simulation engines like ‘The Virtual Brain’ exemplify both this gift, as
                   well as its unwrapping.
© Jessica Palmer

                                                                                                                21
CORDIS Results Pack on the brain
                             How the digital revolution is transforming EU-funded brain research

     A cognitive irony is that the human brain’s very complexity makes        The open source Virtual Brain is freely available for download and
     it difficult to theorise about its workings, using thought alone.        even modification.
     However, computer models can simulate the consequences of
     theories, identifying problems and formulating new theories for
     neuroscience testing.                                                    The hope of the ‘virtual
     Within the Human Brain Project (HBP), large-scale brain simulation,      human’
     and specifically the included Virtual Brain, affords a better under-
     standing of the emergence of so-called resting-state networks.           Neurodegenerative disorders are one of the most pressing problems
     Electroencephalography (EEG) and magnetic resonance imaging              facing modern societies. In addition to the individual burden, with
     (MRI) show that brains are active even when not engaged in spe-          14 million people across Europe predicted to have dementia in 2030
     cific activities. Brain simulations explain these rhythmic networks      alone, the cost is predicted to surpass EUR 250 billion by that year.
     as spontaneously emerging from the interaction of large groups
     of nerve cells via the brain’s white matter.                             Additionally, mental health conditions such as bipolar disorder,
                                                                              schizophrenia, depression, anxiety, PTSD, ADHD, alcohol and drug
                                                                              use disorders currently affect one in six people across the EU, and
     Looking for emergent patterns                                            this percentage is rising. The cost of healthcare, social security
                                                                              and decreased employment/pro-
     The brain is on average made up of approximately 86 billion nerve        ductivity is EUR 620 billion annu-
     cells and 1 quadrillion connections between them. Nerve cells and        ally. Existing treatments for these
     connections are in turn made up of even smaller elements, such           conditions usually rely on medica-
     as ion channels and spines, with a range of functional properties.       tion, which suppresses symptoms
                                                                                                                               We are interested in
     Simulating the brain down to this level would require the measure-       rather than cures illness.                        high-level cognitive
     ment of all the subtle properties of these components.                                                            functions like intelligence,
                                                                              While the underlying mecha-              decision-making, memory
     But computer processing power is still too limited to perform            nisms of these disorders remain           and learning, to work out
     these calculations in a practical amount of time. On HBP’s Brain         unclear, evidence increasingly
                                                                                                                       the cause of impairments
     Simulation Platform (BSP), teams work with simulation engines on         points to complex system-
     different levels of abstraction – from modelling smaller volumes         atic physiological connections,
                                                                                                                                  and to map out
     to a high level of detail to more coarse-grained, but still full-brain   which are hard to study with               improvement strategies.
     simulations of brain dynamics. One of the latter is The Virtual Brain,   experimental methods alone.
     “So, we are not trying to accurately simulate the brain, but rather      “With full-brain simulation, and in the future full-body simu-
     reveal the large-scale patterns that emerge from the interaction         lation, we will better understand the whole human system.
     of these elements, like those that emerge in a flock of birds,” says     ‘Virtual humans’ would allow us to develop customised inter-
     Prof. Petra Ritter, leading the work on the Virtual Brain Project and    ventions targeting the combination of genetic, metabolic
     connecting it to more detailed simulators on the BSP.                    and neuronal factors responsible for brain disorders,” concludes
                                                                              Prof. Ritter.
     Dividing the entire brain into areas, the researchers formulate
     theories testable by computer modelling. As many details are little
     understood or only vaguely specified, they use EEG and fMRI brain
     imaging to constrain the models. These simulations enable the                P R OJ E C T
     team to estimate the connectivity between brain areas yielding               Human Brain Project Flagship
     so-called connectomes (strengths of interaction between different
     brain areas) and so accurately predict brain activity.                       C O O R D I N AT E D B Y
                                                                                  EPFL in Switzerland
     “We are interested in high-level cognitive functions like intelli-
     gence, decision-making, memory and learning, to work out the                 FUNDED UNDER
     cause of impairments and to map out improvement strategies,”                 H2020-FET
     says Prof. Ritter.
                                                                                  C O R D I S FA C T S H E E T
     So far, amongst other findings, the project has increased under-             cordis.europa.eu/project/id/785907
     standing about: recovery after stroke, the prediction and charac-
     terisation of epileptic seizures, the progress of Alzheimer’s and            P R OJ E C T W E B S I T E
     the functional implications of brain tumours.                                humanbrainproject.eu

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CORDIS Results Pack on the brain
                                          How the digital revolution is transforming EU-funded brain research

                           A high-performance PET
                           scanner for integration
                           into current MRI systems
                           Although it’s mostly known for its key role in detecting cancer and monitoring its
                           evolution during treatment, PET imaging actually has a multitude of other clinical
                           applications. Neurology is one of these. The MINDView project recently tapped into its
                           potential by developing a compact brain PET imager that can be combined with
                           existing MRI systems to better diagnose schizophrenia.
© kckate16, Shutterstock

                                                                                                                    23
CORDIS Results Pack on the brain
                                  How the digital revolution is transforming EU-funded brain research

         Besides its high resolution and efficiency, the main advantages of        Such design also brings cost down considerably, as tasks such as
         MINDView’s (Multimodal Imaging of Neurological Disorders) new             cutting, polishing, painting and gluing thousands of pixels back into
         PET imager are its significantly reduced cost, its size and the fact      a single block are avoided. This is a major incentive for hospitals
         that it allows for conducting both Positron Emission Tomography           which generally must pay between EUR 4 and 7 million for com-
         (PET) and Magnetic Resonance Imager Radio Frequency (MRI RF)              mercial PET/MRI systems. Smaller clinics that cannot afford a new
         imaging at the same time.                                                 whole-body PET/MRI system might even be able to finally acquire
                                                                                   this powerful technology.
       “MRI and PET provide complementary information,” explains Prof.
       Jose Maria Benlloch Baviera, coordinator of the project and Director        Last but not least, the new design allows for a portable system
       of the CSIC’s Institute for Instrumentation in Molecular Imaging            that can easily be removed when it’s not needed for a particular
       (I3M). “MRI provides high quality and resolution images on the mor-         MRI examination. As Prof. Benlloch Baviera points out, this repre-
       phology of the soft tissue, which is very useful in localising lesions      sents a major technical breakthrough since the mutual interfer-
                                        in the body. On the other hand, PET        ence of MRI and PET imaging modalities, in particular when being
                                        images provide information on the          physically so close to each other, would normally be substantial.
                                        physiologic processes occurring in
                                        different organs and substructures.        “For instance, the high field (3 Tesla) produced by the main mag-
 Smaller clinics that cannot The two technologies potentiate                       net of the MRI may completely degrade the performance of the
 afford a new whole-body                each other: For instance, MRI infor-       photo-sensors and electronics of the PET scanner. Special photo-
 PET/MRI system might                   mation can be used to better posi-         sensors based on silicon technology have been developed and
 even be able to finally                tion physiologic information from          non-paramagnetic electronics and connections have been used
 acquire this powerful                  PET within the brain.”                     in order to avoid that effect,” he explains. “Furthermore, innovative
                                                                                   shielding of the PET modules and the RF coil have been designed
 technology.
                                         The potential for the precise and         to avoid eddy currents that will distort the high homogeneity of
                                         early diagnosis of mental disorders       the magnetic field required for a top-quality MRI image.”
         such as schizophrenia and severe depression is tremendous. Neu-
         rotransmitter pathways-specific PET radiopharmaceuticals – such           The device is currently being tested on patients with Alzheimer’s
         as glutamatergic, serotonergic or dopaminergic – can be imaged,           disease (AD).
         while areas of the brain activated by performing a task are tracked
         with functional MRI. According to Prof. Benlloch Baviera, this might
         eventually lead to precise and quantitative diagnosis of mental
         disorders that would be impossible to obtain with currently avail-
         able techniques.
                                                                                       P R OJ E C T
         MINDView’s PET system also stands out through its design. Com-                MINDVIEW – Multimodal Imaging of
         pared to current devices made of thousands of small crystal pixels            Neurological Disorders
         coupled to an array of photo-sensors, this one includes only 60
         large monolithic crystal blocks coupled in one side to a matrix               C O O R D I N AT E D B Y
         plane of silicon photo-sensors. “This design has several perfor-              Spanish National Research Council in Spain
         mance advantages. Since the same amount of light is emitted in
         all directions, we can determine the depth of gamma ray inter-                FUNDED UNDER
         actions by measuring the width of the light distribution. In other            FP7-HEALTH
         words, we can find the 3D position of the gamma ray impact. This
         is a critical feature to avoid image blurring when using scanners             C O R D I S FA C T S H E E T
         that are close to the organ. Besides, light is directly detected by the       cordis.europa.eu/project/id/603002
         sensors instead of bouncing back and forth in the pixel. This allows
         in principle for better energy and timing resolution, which in turn           P R OJ E C T W E B S I T E
         reduces signal noise at the image,” Prof. Benlloch Baviera explains.          mindview.i3m.upv.es

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