Articles in PresS. J Neurophysiol (March 12, 2014). doi:10.1152/jn.00308.2013 1 2 3 4 5 6 7 8 9 10 11 12 13 14 Decoupling motor plans from perceptual decisions to investigate when and whether decisions are embodied Neuro Forum to Filimon et al. on The Journal of Neuroscience, Jan 30; 33(5): 2121- 2136. Stefano Sandrone 1 NATBRAINLAB - Neuroanatomy and Tractography Brain Laboratory, Department of Forensic and Neurodevelopmental Sciences, Institute of Psychiatry, King’s College, SE5 8AF London, UK. 15 Total number of words (text): 2455. 16 Total number of references: 17. *Address correspondence to: Stefano Sandrone NATBRAINLAB Institute of Psychiatry 16 De Crepsigny Park London SE5 8AF United Kingdom 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 Email: [email protected] Running Title: Motor plans and perceptual decisions Keywords: Decision-making Motor plans Perceptual decisions Embodied cognition Acknowledgments: Many thanks to Richard Hahnloser, David Bontrager and Henrietta Howells for their comments on a previous version of the manuscript. Decision-making is a crucial part of our life: we sense information from the Copyright © 2014 by the American Physiological Society. 43 environment and perform our motor response. However, ‘whether’ and ‘when’ 44 decisions are embodied still needs to be fully elucidated. Neuroimaging data obtained 45 by the disentanglement of perceptual decision from motor preparation revealed an 46 increase in connectivity between inferior frontal cortex and sensory regions, and the 47 important role played by intraparietal sulcus in motor decisions. The results obtained 48 as well as the new research questions prompted by this work are carefully discussed 49 herein. 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 Every day, from the moment the alarm clock sounds (and we are of two minds 73 about getting out of the bed or postponing for a couple of minutes) until night 74 when we choose whether to set it again or not, we make a huge number of 75 decisions, with a plethora of deeply intermingled cognitive, emotional, motor, 76 spatial, and temporal aspects. In a paper recently published in The Journal of 77 Neuroscience, Filimon et al. addressed the challenging topic of decision-making 78 using event-related functional magnetic resonance imaging (fMRI) and a well- 79 designed experimental strategy (Filimon et al., 2013). They disentangled motor 80 preparation from perceptual decision-making to investigate whether the 81 sensorimotor system implements perceptual choices. 82 Previous research on this topic had been confounded by motor planning due to 83 pre-assigned sensorimotor mappings (Shapiro, 2011), leaving the question open 84 of whether and when these decisions are embodied in brain circuits. Preceding 85 neurophysiological studies on monkeys postulated the existence of a “decisional 86 threshold” that can be reached by the accumulation of sensory information, with 87 greater firing rates for perceptual decisions based on high sensory evidence, than 88 those based on low evidence. However, increased firing patterns in frontal eye 89 fields (FEF) and the lateral intraparietal area (LIP) (see for example Kim and 90 Shadlen, 1999) are misleading, since they could be correlated to motor plan 91 preparation rather than to perceptual decisions or sensory integration. Evidence 92 of the fact that prior expectation can modulate the interaction between sensory 93 and prefrontal regions in the human brain has already been found (Rahnev et 94 al., 2011), but the contribution of effector-specific sensorimotor regions to 95 perceptual decisions is not so clear, given that effector-nonspecific areas also 96 contribute to eye and hand movement planning. This scenario is further 97 complicated by the fact that the human decisional threshold acts in multiple 98 ways, e.g. with sustained activity vs. non-sustained activity modalities. 99 In the light of that, Filimon et al. avoided a priori assumptions on the decisional 100 threshold. From an epistemological point of view, this bottom-up experimental 101 approach is probably the best solution when different theoretical frameworks 102 are available and none of which can be identified as ultimately correct. They 103 analysed the increase in effective connectivity between sensory evidence areas 104 and higher-level regions. In the process, they revealed target locations and the 105 effector type to the experimental subjects only after the decision stage. After a 106 training period, nineteen people undertook a task in which they had to decide 107 repeatedly whether greyscale noisy stimuli represented a face or a house, 108 individually adjusted for each subject and presenting high or low levels of 109 sensory evidence (i.e. with low or high levels of noise). All stimulus images had 110 the same spatial frequency, contrast, and luminance. After a variable delay of up 111 to 9 seconds, subjects were given a specific motor preparation instruction on how 112 to indicate their decision. Starting from a fixation point, they were given an 113 additional 1.5 seconds in which to respond either by saccading to the 114 remembered target location (up, down, left or right) or by pressing the 115 corresponding button on a diamond-shaped response pad (hand trials). Eight 116 possible motor plans were thus decoupled from perceptual decisions. During 117 each motor preparation period, a star or a square, respectively representing a 118 face or a house, appeared as a target at one of the aforementioned locations, and 119 subjects responded without receiving any feedback. 120 The first finding of the experiment was that the subjects recognised faces and 121 houses with high levels of accuracy, and even more so for increased sensory 122 evidence, as witnessed by behavioural analysis and cerebral activations for 123 presented stimuli. Faces activated face dominant regions in occipital and ventral 124 temporal cortices significantly more than did houses, which in turn mainly 125 activated the parahippocampal gyrus, thus confirming previous reports 126 (Kanwisher and Yovel, 2006). However, the variability among subjects on 127 cerebral shape and size and individual differences in ear canals as well as in 128 lateral ventricles produced different field distortion in ventral temporal cortex in 129 each subject. Therefore, registration of individual run to a standard space was 130 imprecise, and could to some extent smear out the activations in the fusiform and 131 parahippocampal gyri. Because of that, regions of interest were selected at the 132 single-subject level. Regardless of the sensory evidence level, all stimuli led to 133 widespread BOLD activations that involved, inter alia, the prefrontal cortex, 134 FEF, the orbitofrontal region, intraparietal and parietal areas, the precuneus, 135 the cingulate cortex, and subcortical structures. These activations probably 136 reflected other mental processes and factors involved in this paradigm, such as 137 attention, memory, difficulties and other inter-individual differences. 138 The second finding was that psychophysiological interaction (PPI) analysis 139 allowed the authors to identify the specific decision-making network and thus 140 satisfied a requirement for increased effective connectivity with faces and house 141 areas during the perceptual decisions. The combination of a PPI analysis with 142 the comparison of the total amount of BOLD activation for High- versus Low- 143 evidence conditions could be viewed as the fMRI equivalent of the postulated 144 sensory evidence comparator process and the accumulation to threshold (see also 145 Gold and Shadlen, 2007). The authors hypothesised and empirically confirmed 146 that, during the phase of sensory evidence integration, perceptual decision- 147 making regions should systematically display higher connectivity with the 148 absolute difference between time series from face- and house-dominant sensory 149 regions over the perceptual decision period than during the rest of the trial, 150 when motor planning is underway. 151 However, even with this approach, the aforementioned factors could still account 152 for an increase in connectivity. The authors accordingly set three further 153 stringent criteria: (i) that perceptual areas involved in sensory integration should 154 also be modulated by the amount of sensory evidence available during the 155 perceptual decision; (ii) that said areas should show greater activation during the 156 decision stage than the post-decision stage, and (iii) that they should be activated 157 above baseline. At the face/house decision stage, the effective connectivity 158 increased substantially in several regions, but the inferior frontal sulcus (IFS) 159 was the only region to meet the established criteria for sensory integration. The 160 IFS responded to the sensory evidence independently of effector-specific motor 161 preparation and reached a perceptual decision in the absence of a motor plan, 162 without the need for the decision to be embodied. Motor plans cannot be formed 163 in putative LIP. Although sensory evidence modulation over the perceptual 164 decision in the parietal PPI areas was predictable (and possibly too weak to be 165 detected with fMRI techniques), such modulation was recorded in prefrontal but 166 not in parietal cortices, whose neurons enshrined a finer representation of very 167 specific stimuli (Quiroga, 2012). A re-analysis of the data on the basis of this 168 specific point confirmed previous reports, therefore revealing a greater motor 169 preparatory activity for oculomotor decisions with a greater putative LIP 170 High>Low modulation (Tosoni et al., 2008). This motor IPS region, interestingly 171 also not overlapping with the PPI areas when a less stringent liberal threshold 172 was applied, was indeed involved in motor and eye movement decisions between 173 possible targets to be reached with a saccade, probably through its connectivity 174 with middle temporal regions. The final observation of this study was that of 175 higher IFS activation for low- than for high-evidence decisions. In contrast, LIP 176 displayed a High>Low pattern during motor decisions, which suggested for the 177 first time that different regions and types of decisions have different neural 178 signatures. 179 These results are striking, and some interesting and stimulating issues can be 180 raised. We are still far from having ultimately mapped the LIP areas in monkeys 181 and the equivalent ones in humans, and future investigations will have to fill this 182 conceptual 183 (cytoarchitectonic) and functional (connectivity) perspectives. Also, modifying 184 the paradigm so as to increase the number of the training trials would have 185 made this study even more analogous to those performed in monkeys, allowing 186 more meaningful comparison. Given that the experimental paradigm requires a 187 saccadic movement, the authors correctly decided to use an eye-tracker inside 188 the fMRI. This tool is very useful when used to quantify the movements of the 189 subjects before the final decision, to measure the point of gaze and the motion of 190 an eye related to the head and to analyse whether specific eye movements are 191 linked to specific (i.e. correct vs incorrect) decisional outcomes. 192 Thanks to the study by Filimon and colleagues, we have learnt that abstract 193 decisions in the absence of sensorimotor mappings are not embodied, but that 194 sensorimotor networks do contribute to motor decisions. Interestingly, some 195 variants of the experimental strategy used by Filimon et al. could be really useful 196 to gain further insights. The first of them could rely on the exploitation of visual 197 lexical choice. Only tangentially discussed by the authors, a psycholinguistic 198 version of their paradigm would enable modulation of the ambiguity inherent to 199 the material presented, and it would facilitate a focus on the perceptual decision 200 that involves the dichotomy between abstract and concrete (more embodied) 201 stimuli. With these modifications, in fact, it would be possible to assess the 202 contrast between eye-, hand- and also mouth-movements (Cappa and 203 Pulvermüller, 2012). Also, the use of multi-modal and cross-sensorial responses gap by properly addressing it from both structural 204 (e.g. audio-visual object responses) could expand the range of perceptual 205 decisions here considered. 206 Crucial insights could be also gained by modifying the experimental design with 207 the introduction of new factors as regressors. For example, the modulation of the 208 response movement can be achieved by means of pointing or bimanual responses 209 (Madlon-Kay et al., 2013) rather than of the less demanding button pressing. 210 Conversely, exclusion of the high- and low-response targets could reduce the 211 combinations of motor plans, and thus simplify the task. 212 Designing a well-controlled experiment where scientists can properly manipulate 213 individual variables is a fundamental methodological issue, and Filimon and 214 colleagues have elegantly done this. At the same time, however, we live in a 215 dynamic and lively world where static stimuli are extremely rare. Therefore, one 216 of the next challenging steps could be the use of a visual motion discrimination 217 task instead of recognition, which could further reduce the gap between the 218 experimental setting and our daily decision-making process. Moreover, 219 displaying coloured stimuli, in spite of a slight difficulty in individual 220 adjustment, would make the task even more ecological. 221 There are many different kinds of decisions, and to obtain a complete picture we 222 need to insert processes that are pivotal in our everyday decision-making, such 223 as punishment and reward. In the original paradigm used by Filimon and 224 colleagues, subjects responded without receiving any positive or negative 225 feedback. On one hand, the punishment level for incorrect responses could have 226 been parametrically manipulated across blocks of trials (as in Blank et al., 2013). 227 On the other hand, a tiny modification in the paradigm (i.e. visual signal on the 228 screen or auditory pleasant stimulus when the correct answer is given) can allow 229 the researchers to gain insights from the influence of positive rewards on the 230 decisional outcome. These results provide a mechanism of how prior 231 expectations may affect perceptual decision making, namely by changing neural 232 activity in, and sensory drive to, prefrontal areas. 233 Given the neural differences between young adults and elder people in decisional 234 processing (Crone and Ridderinkhof, 2011) and the relatively low age of the 235 experimental subjects tested by Filimon and colleagues (24.9 years, and a rather 236 dispersed range of 20 to 32 years), these results need to be replicated in an older, 237 bigger, and more clustered representative population sample. It would also be 238 productive to extend this study to adolescents, and thus to intercept motor plans 239 and perceptual decision throughout their evolutive trajectories (Koolschijn et al., 240 2011). 241 Considering the social nature of decision-making, the introduction of a trial-by- 242 trial feedback to the experimental subjects could also be used to model real or 243 fictitious social interactions by making the subject consider the presence of a 244 potential competitor who plays the same paradigm, but with decisional outcomes 245 that should be independent for every subject. This further modification coupled 246 with the experimental timing used by Filimon et al. would also be useful to 247 monitor the performance of the subjects, and it will result in an increase in 248 response accuracy, mirroring an increase in their motivation aimed at making 249 the right decision trial by trial, and intercepting the social side of decisional 250 processes. 251 In real life, we are supposed to make decisions quickly and, quite often, in a 252 stressful social environment, different from the non-stressful experimental 253 timing context used by Filimon et al. Therefore, in order to further complete this 254 scenario, future research on decision-making will also have to take advantage of 255 the recent findings from the emerging research field of psychoneuroimmunology 256 (see Eisenberger, 2012). In this case, to further study the link between social 257 relationships and physical health while performing decision-making tasks, the 258 level of pro inflammatory cytokines IL-6 and the soluble receptor for tumor 259 necrosis factor-α (sTNFαRII) that are usually increased in competitive social 260 interactions (Chiang et al., 2012) can be assessed. Finally, this level of analysis 261 should be coupled with a more specific investigation of the oscillatory activity in 262 the motor cortex at different frequency ranges during the decision-making 263 process, in order to further exploit the dynamics of perceptual choice, and also 264 those relating to expectation, a crucial component in our daily decisions (de 265 Lange et al., 2013). 266 The accomplishment of a very detailed neurophysiological understanding of the 267 decision-making process is possible only with a stimulating convergence of 268 several levels of studies, with multiple experimental strategies linked to an 269 interplay between studies on monkeys and on humans as well as a tight coupling 270 of hypothesis-driven and bottom-up approaches. With the aim of depicting new 271 theories of decision- making, future research will not only have to record 272 neurophysiological correlates of decision-making and the interactions between 273 cerebral areas, but also the modulations underpinning neural circuitry and 274 oscillatory activity with magnetoencephalography (MEG) and transcranial 275 stimulation tools (i.e. TMS), putting hypotheses on functional brain architecture 276 models, including the brain deep nuclei (Ding and Gold, 2013), to the test. 277 In conclusion, real life decisions mix perceptual, social, and reward-based 278 decision processes. Remarkable works such as this by Filimon and colleagues, 279 through carefully studying specific elements of the bigger picture, are 280 incrementally extending the boundaries of our knowledge in this area. To 281 properly intercept the complexity of this topic, we need to multiply the 282 perspectives from which we can study decision-making, before integrating all the 283 newly acquired pieces of evidence into novel theories on this subject. Intriguing 284 research avenues stand in front of us: it is time for neuroscientists to make 285 challenging decisions on decision-making. 286 287 288 289 290 291 292 References 293 294 Blank H, Biele G, Heekeren HR, Philiastides MG. Temporal characteristics of 295 the influence of punishment on perceptual decision making in the human brain. 296 J Neurosci 33: 3939–3952, 2013. 297 298 Cappa SF, Pulvermüller F. Cortex special issue: language and the motor system. 299 Cortex 48: 785–787, 2012. 300 301 Chiang JJ, Eisenberger NI, Seeman TE, Taylor SE. Negative and competitive 302 social interactions are related to heightened proinflammatory cytokine activity. 303 Proc Natl Acad Sci U S A 109: 1878-82, 2012. 304 305 Crone EA, Ridderinkhof KR. 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