Abstract
Neural dedifferentiation refers to an age-related phenomenon whereby brain functions that are localized to specific, distinct, and differentiated brain areas in young adults become less so as people reach more advanced age. Older adults tend to exhibit greater spread of cortical activation on fMRI during cognitive processing compared to younger adults, with evidence that this occurs during visuoperceptual processing. Some age-related functional changes are considered compensatory, but whether dedifferentiation is compensatory is not clearly understood. The current study assessed dedifferentiation and visual discrimination performance during simultaneous match-to-sample tasks from the Visual Assessment Battery (VAB) among 40 healthy middle-aged and older adults using fMRI. Task-relevant regions of interest (ROIs) were created in the dorsal stream for discrimination of spatial location, the ventral stream for shape, and an area encompassing V5 for velocity. Dedifferentiation, or less specificity in functional activation, was associated with greater discrimination accuracy and more years of education. Secondary analyses showed that reduced functional activation in task-relevant ROIs was associated with faster discrimination speed. Age was unassociated with functional activation. Results suggest that dedifferentiation is compensatory. Lack of age effects suggest that other factors beyond age, such as cognitive or brain reserve, may better predict performance when considering cognitive skills that are relatively stable as adults age, such as visual discrimination.
Introduction
Advanced age is associated with loss of brain volume, particularly in frontal regions, as well as a reduction in white matter integrity (; ). Functional changes have also been reported, such as neural dedifferentiation. This refers to an age-related phenomenon whereby brain functions that are localized to specific, distinct, and differentiated brain areas in young adults become less so as people reach more advanced age. For example, functional activation patterns that are more clearly differentiated in younger adults (e.g., processing of faces generally occurs using the lingual and fusiform gyri, and processing of places preferentially recruits the parahippocampal place area) are less differentiated in older adults (; ; ; ). Not only do older adults activate more “face” regions when viewing places and more “place” regions when viewing faces (compared to younger adults), but there is increased functional activation in each of those areas in response to a greater variety of visual stimuli in older adults than in younger adults. Thus, functional activity in the older brain is less specialized.
Dedifferentiation may help older adults compensate for brain changes (). Consistent with this idea is evidence from stroke patients, who recruit brain areas adjacent to the damaged tissue as well as areas analogous to the damaged tissue in the undamaged hemisphere when engaged in a task that would otherwise utilize the damaged region (; ; ). Another piece of evidence consistent with the compensation hypothesis came from a study of transcranial magnetic stimulation (TMS), which can reduce function in the area to which it is applied. In a visual memory task on which older and younger adults performed comparably at baseline, TMS only interfered with performance in younger adults when applied to the right hemisphere, but it impacted performance in older adults regardless of which hemisphere received the TMS. This suggested that performance in older adults is substantially more dependent on both hemispheres to perform as well as younger adults (). However, dedifferentiation has also been associated with reductions in performance in visual tasks (). Overall, there is limited research examining dedifferentiation as it relates to performance in older adults to determine whether this activation change is, in fact, compensatory.
In a previous study, we demonstrated that greater age was associated with greater anterior functional activation, especially in the bilateral middle frontal gyri, during visual discrimination among cognitively healthy middle-aged and older adults (). There were age-related declines in processing speed but not accuracy. Yet, it remains to be seen how visual discrimination performance and neural activity were related. The current study examined whether age-associated dedifferentiation existed during visual discrimination tasks, and whether functional activation was related to performance. Three discrimination tasks were derived from the Visual Assessment Battery (VAB) (), which employs a simultaneous match-to-sample paradigm in which tasks differ based on whether perceptual discrimination of shape, location, or velocity is required, with three levels of difficulty for each task. VAB tasks were selected to activate three different processing streams: the superior “where” pathway, the inferior “what” pathway, and a motion-sensitive visual region containing V5/MT (). Measures of accuracy and response time (RT) were obtained and analyzed relative to the specificity of neural activation on fMRI in task-associated regions of interest (ROIs) to determine whether dedifferentiation occurred as a function of age and whether it corresponded with perceptual performance.
There are potential functional implications based on whether there is highly specific correspondence between performance and functional activation in task-specific ROIs. If greater spread of activation, to cortical areas that extend beyond the primary task-associated ROI, is associated with stronger discrimination performance, it would provide evidence for dedifferentiation being a beneficial compensatory response. If the opposite relationship were found, with greater spread of activation associated with poorer performance, then the results would suggest that dedifferentiation is not beneficial or indicative of effective compensation. The authors hypothesized that greater dedifferentiation would be associated with better performance, suggesting that it is compensatory. In studies comparing older to younger adults (; ; ), dedifferentiation increases with age, but given the relatively restricted age range of the study sample, large age effects were not expected.
Materials and Methods
Participants
Forty healthy adults ages 51–91 were recruited from a larger dataset of community-dwelling adults enrolled in the Active Brain study, a University of Florida (UF) neuroimaging study aimed at investigating brain activity in healthy older adults. The sample size was chosen based on study group size in similar fMRI research showing significant findings (). Inclusion and exclusion criteria are listed in Table 1. Participant characteristics are listed in Table 2. Ten participants were gathered for age decades 50–59, 60–69, 70–79, and 80+. They were college educated, on average, 55% female, and predominantly Caucasian (N = 38/40). Participants were free from pre-existing dementia or other neurological disease, major psychiatric disorders, history of head injury with loss of consciousness greater than 15 min, and major visual impairments. Exclusionary criteria were verified via medical history questionnaires, interview, and testing of cognitive and visual function. All participants had or were corrected to 20/40 vision or better. Participants were also free of conditions or implants for which MRI is contraindicated, including claustrophobia. Participants were given information about the study and, if they were interested in participating, provided verbal and written informed consent to participate.
TABLE 1
| Inclusion | Exclusion |
| Age 50+ | Neurological disease including dementia |
| Normal or corrected-to-normal vision | Major psychiatric disorder |
| MRI compatible | History of head injury (LOC > 15 min) |
| Enrolled in Active Brain study | Diseases heavily affecting vision |
Inclusion and exclusion criteria.
TABLE 2
| Mean (SD) | Range | |
| Age (years) | 69.9 (11.7) | 51–91 |
| Education (years) | 15.8 (2.5) | 12–20 |
| MoCA | 26.6 (2.2) | 21–30 |
| % Male | 45 | |
| % Caucasian | 95 |
Participant characteristics.
SD, Standard deviation.
Stimuli
Visual stimuli were created using E-Prime 2.0 software based on a subset of those used by , which we described previously (). Participants were presented with simultaneous matching paradigms requiring perceptual judgments of either spatial location, shape, or velocity (Figure 1). For each task, three stimuli were presented, with two located side-by-side below the horizontal midline of the display and one located above the horizontal midline and centered on the vertical midline. The upper stimulus (target) was identical to one of the lower (sample) stimuli, and participants were asked to indicate which of the sample items was identical to the target via button press. The tasks varied over three levels of difficulty (easy, medium, and hard). For Location, the task was to decide which sample box below had a dot in the same location as the target box above. Boxes were 6.65-cm squares, and difficulty was based on how far the dot in the sample item was located from the dot in the target item, either 1.27, 0.79, or 0.48 cm from the target location. For Shape, the task was to decide which sample design below was identical to the target design above. Difficulty was based on judgment RTs, which were highly correlated to difficulty ratings, obtained during a pilot study. For Velocity, the task was to decide which sample set of lines below were moving at the same speed as the target set of lines above. Difficulty was based on the speed differences between the sample and target items, which differed by a factor of the just noticeable difference (JND) for that velocity (either nine, six, or three JNDs).
FIGURE 1
Procedure
fMRI scanning took place at the UF McKnight Brain Institute (MBI) Advanced Magnetic Resonance Imaging and Spectroscopy (AMRIS) facility and lasted approximately 1 h. Prior to entering the scanner, participants were screened using the MRI safety screening form for research participants. They were given a clear and detailed explanation regarding the MR procedure and trained on the experimental paradigm. Those requiring glasses received MRI-compatible lenses to correct vision, with glasses prescription measured by lensometer. During scanning, participants were positioned supine, with cushioning surrounding their heads to reduce movement artifact. Structural imaging was acquired first, during which participants were instructed to be still and relax. This was followed by functional imaging, during which they completed the cognitive task.
To ensure that each participant understood the nature of the task and were comfortable performing it in the scanner, they completed a practice block in the MRI with nine trials, consisting of one trial for each of the three levels of difficulty within each of the three tasks. All stimuli were projected onto an LCD screen (BOLDScreen 32, Cambridge Research Systems) behind the scanner and were viewed via a mirror positioned above participants’ heads. Participants were instructed to indicate which of the two lower sample stimuli was identical to the upper target stimulus (Figure 1) by pressing one of two buttons on a response box, using their right middle and index fingers. They were asked to respond as quickly and as accurately as possible, but not to sacrifice accuracy for speed. They were given 3 s to respond. Accuracy and RT were recorded. Prior to each stimulus, a centrally located fixation cross was presented to direct attention the center of the screen.
fMRI Data Acquisition
fMRI data was acquired on a 3T Philips Achieva scanner (Philips Healthcare, Best, Netherlands) at the UF-MBI AMRIS facility using a 32-channel sensitivity encoding (SENSE) head coil. Anatomical images were acquired using a whole-brain high-resolution 3D MP-RAGE sequence: 176 1 mm thick sagittal slices, TR = 7 ms, TE = 3.2 mc, FA = 8°, matrix = 256 × 256, FOV = 256 mm. Functional images were acquired in the axial-oblique plane using a Phillips 3T scanner: 36 slices, TR = 2 s, TE = 30 ms, FA = 80°, FOV = 224 mm × 224 mm, acquisition matrix 64 × 64, isotropic voxels of 3.5 × 3.5 × 3.5 mm3. Prior to the collection of each run, a number of dummy scans were collected and discarded to allow for the signal to stabilize.
Data were collected over three functional scans using a mixed block/event-related design (Figure 2) to allow for analysis in either a block- or event-related fashion. Scans began with a 17-s fixation cross presented in the middle of the screen, followed by a 2-s instruction screen that informed participants as to the type of discrimination task to follow (Location, Shape, or Velocity). Following the instruction screen, a block of seven stimuli was presented. Each stimulus displaying a simultaneous match-to-sample task was on the screen for 3 s. Responses were recorded during either this time or the fixation time that immediately followed. Fixation time between stimulus events (inter-stimulus intervals) was randomly jittered with a minimum of 1000 ms and an average of 2500 ms to increase the temporal resolution of the estimated hemodynamic response. Blocks of activity were separated by 17-s fixation periods. Another fixation period of 17 s was presented at the end of the block. The first two scan runs had 14 full blocks and ran a total time of 824 s, while the third scan run had 14 blocks, three of which only had five stimuli instead of seven, and it ran for a total of 792 s. Task types were evenly divided between blocks, so there were 14 blocks for each VAB task (Location, Shape, and Velocity). Scan order, block order, and stimulus presentation within the block were randomized. Each block contained a mix of task type and difficulty levels. There were 288 stimuli total, 32 stimuli for each of the nine conditions (three tasks with three levels of difficulty each).
FIGURE 2
fMRI Data Analysis
fMRI data pre-processing and analyses were performed using Statistical Parametric Mapping (SPM12) software1. Slice timing correction was used to correct differences in image acquisition time between slices using the middle slice as a reference. Motion correction in functional data was addressed via SPM realign, using a least squares approach and a six-parameter (rigid-body) spatial transformation; a two-pass procedure registered the images to the mean of the images after the first realignment. Realignment parameters were used to exclude runs that had substantial motion artifacts based on researcher consensus, and motion regressors were included in the first level to account for movement. Functional data were co-registered to the subject’s anatomical image using a rigid-body model. Anatomical data were segmented, bias-corrected, and spatially normalized to a standard Montreal Neurological Institute (MNI) template. These transformations were applied to the functional data, normalizing them to MNI space. Data were then spatially smoothed with a Gaussian kernel of 8 mm to suppress noise and effects due to residual differences in functional and structural anatomy during inter-subject averaging.
Scan runs with less than 68% accuracy (i.e., performances approaching chance) were excluded to avoid measuring functional activity during poor effort or attention. One participant was excluded entirely (not included in the N = 40 described above), three participants had one scan run excluded, and two had two runs excluded. One participant had only two scan runs collected due to mechanical difficulties that stopped the MRI during the third scan. Data was analyzed in an event-related fashion to allow for examination of each difficulty level.
Regions of interest were created using the MarsBaR toolbox for SPM 8, and analyses were conducted in a MATLAB environment (Math-works, Natick, MA, United States). Spherical ROIs were designed based on prior research. Figure 3 depicts the ROIs, and Table 3 lists the MNI coordinates on which they are centered and radii. The Location ROI was designed to be in the dorsal processing stream based on established findings (; ). MNI coordinates for the posterior parietal cortex (PPC) were extracted from a study that required participants to judge the distance between a dot and a line across two panels and respond as to whether the distances were the same or different (). PPC activation compared to a control task (slide matching without distance estimation) centered at MNI coordinates −25 −60 49 with a radius of 9.2 mm for the left hemisphere and 22 −61 50 with a radius of 10.6 mm for the right hemisphere. Shape tasks consistently activate the lateral occipital region (; ; ; ); thus, the Shape ROI was located there. Coordinates were extracted from a study that subtracted activation during viewing of scrambled car images from activation during viewing of car images (). The left hemisphere ROI was centered at MNI coordinates −43 −78 −10 with a radius of 4 mm, and the right hemisphere ROI was centered at MNI coordinates 48 −75 −11 with a radius of 4 mm. The Velocity ROI was designed to be in V5/MT based on established findings (; ), but the coordinates and radii for the spherical ROIs created were based on a study of retinotopic organization of that area (). The left hemisphere ROI was centered at −48 −75 8 and had a 4-mm radius, and the right hemisphere ROI was centered at 22 −61 50 and had a 4.6-mm radius. The larger right vs. left hemisphere ROI was consistent with our findings that the velocity task uniquely elicited more right than left hemisphere activity ().
FIGURE 3
TABLE 3
| ROI | Left hemisphere | Right hemisphere | ||||||
| X | Y | Z | Radius | X | Y | Z | Radius | |
| Location | −25 | −60 | 49 | 9.2 mm | 22 | −61 | 50 | 10.6 mm |
| Shape | −43 | −78 | −10 | 4 mm | 22 | −61 | 50 | 4.6 mm |
| Velocity | −48 | −75 | 8 | 4 mm | 46 | −78 | 6 | 4.6 mm |
MNI coordinates of the center of regions of interest in the left and right hemispheres and radii in millimeters.
Montreal Neurological Institute (MNI) coordinates x (left-right) y (anterior–posterior) z (inferior-superior). ROI, region of interest.
Statistical Analysis
To test whether there was age-related dedifferentiation, a differentiation index was created as a measure of discriminability. The measure is calculated by subtracting the mean functional activation for the non-preferred tasks in the task-associated ROI from that of the preferred task in that ROI and dividing by a measure of the mean variability of activation for all tasks within that ROI. This method has been described by , and the formula used was reproduced from their paper (Figure 4). In effect, the differentiation index measures the degree to which an ROI is differentially activated during the task that is theoretically specialized to that region vs. other similar tasks. A bivariate correlation compared age with the differentiation indices for each of the three tasks (Location, Shape, and Velocity).
FIGURE 4
Behavioral performance was based on median RT for a task, used instead of mean because of the tendency of RTs to be positively skewed (
Results
The differentiation index reflects the specificity of functional activation on each task (i.e., larger value indicates greater functional specificity, or differentiation, while smaller values indicate greater dedifferentiation). The differentiation index ranged from close to 0, which indicates complete dedifferentiation, to higher values that suggest greater activation in the preferred vs. non-preferred ROI. Age was unrelated to differentiation. Discrimination performance was negatively associated with magnitude of the differentiation index for the Location and Velocity tasks. Stronger performance on the Location task was associated with a smaller differentiation index (i.e., greater dedifferentiation: r = −0.476, p = 0.002) (Figure 5A). Stronger performance on the Velocity task was also associated with a smaller differentiation index (r = −0.365, p = 0.021) (Figure 5B). For Shape discrimination, the relationship between the discrimination index and performance was not statistically significant (r = −0.219, p = 0.175). Yet, the small effect suggests a similar negative relationship between performance and the extent of functional activation differentiation across ROIs.
FIGURE 5

Differentiation was negatively associated with (A) Location performance, (B) Velocity performance, and (C) Education (during location discrimination only). Performance is a composite z-score of response time and accuracy.
Follow-up analyses were conducted in attempts to further explain our findings. Given that education is widely used as a proxy measure of cognitive reserve, which may impact how the brain compensates for age-related changes (
Follow-up analyses also revealed that RT and accuracy performance differed in their relationship to discrimination indices. Smaller differentiation index values (greater indices of dedifferentiation) were associated with greater Location accuracy (r = −0.426, p = 0.006) and greater Velocity accuracy (r = −0.322, p = 0.043). The differentiation index was not significantly associated with RT on any of the discrimination tasks. Thus, accuracy appeared to account for the relationship between better performance and greater dedifferentiation.
Functional activation in task-specific regions was then examined relative to age and performance. Age was unassociated with posterior activation in the specific ROIs, so it was not included as a covariate. Bivariate correlations were conducted between task performance composite scores and percent signal change in task-relevant ROIs. Results are displayed in Figure 6. Performance was negatively correlated with activation magnitude for Shape (r = −0.305, p = 0.055) and Velocity (r = −0.319, p = 0.045); greater activation was associated with worse performance. A negative association existed for Location as well, though this relationship did not approach significance (r = −0.131, p = 0.422).
FIGURE 6

Performance and posterior activity. (A) Location task performance and activity in the Location ROI. (B) Shape task performance was negatively related to activity in the Shape ROI. (C) Velocity task performance was negatively related to activity in the Velocity ROI. Performance is a composite z-score of response time and accuracy. ROI, region of interest.
When examining the individual contributions of RT and accuracy to the performance-activation relationship, RT appeared to be driving the relationship, as there were no significant associations between accuracy and posterior ROI recruitment for any of the tasks. In contrast, Velocity RT was positively correlated with the amplitude of activation in Velocity ROI (r = 0.355, p = 0.02); greater activation was associated with slower performances.
In sum, greater dedifferentiation of functional activation was associated with stronger perceptual discrimination performance, particularly greater discrimination accuracy, and more education. Reduced magnitude of activation in task-relevant ROIs was associated with better performance, specifically faster discrimination speed. Age was unassociated with activation patterns.
Discussion
The overarching goal of this study was to achieve greater understanding of age-associated differences in the functional response of cortical areas that play essential roles in visual perception. We previously demonstrated cortical areas with greatest functional activation during match-to-sample visual discrimination varied as a function of the primary perceptual demands of the task (
Though maximum functional activation was evident in the primary cortical task-related ROI, depending on whether the ROI was involved in shape, location, or velocity perception, the two other visual cortical areas tended to activate as well. Some participants demonstrated considerable differentiation, using brain regions that were specialized to a particular task far more than using other visual processing streams, while other participants exhibited dedifferentiation, with greater cortical distribution of activation across visual areas. While causality cannot be inferred from correlations, the direct comparison of magnitude of dedifferentiation to the quality of visual discrimination performance provided a means of determining whether functional recruitment of additional cortical areas of the visual system was beneficial or detrimental. In every analysis in which a significant correlation between functional activation and performance was observed, greater dedifferentiation was associated with stronger discrimination performance. In other words, activation beyond the core task-related cortical area was not indicative of inefficient or impaired performance. To the contrary, individuals with less specificity of activation primarily in the task-related cortical area (i.e., those with greater dedifferentiation) tended to perform better. There has been considerable debate over the past decade around the functional significance of the recruitment of cortical areas beyond the region known to have functional anatomic relevance for a cognitive process (
When processing speed and accuracy were considered separately, only discrimination accuracy was significantly associated with the differentiation index. Greater dedifferentiation was associated with better accuracy in performance, but not faster responding. Behavioral results showed age-related reductions in processing speed, but not accuracy, on the VAB (
Typically, greater functional activation in primary sensory regions is considered healthier, which contrasts with the current findings. Faster RTs have been associated with greater, not less, occipital activation (
Dedifferentiation and Aging
Dedifferentiation of visuospatial abilities was first demonstrated on behavioral tests. Young adults had very differentiated perceptual and spatial abilities (
Age was unrelated to the extent of neural recruitment in the current study, a finding that differs from the findings of
The differentiation index employed in the current study was previously employed by
Limitations and Future Directions
That there were not stronger age effects may reflect the restricted age range of this dataset, since no younger adults were included. Many studies show that older adults have more variability in functional activation than do younger adults (
While comparing an older to a younger group may be useful, the current focus on middle-aged and older adults suggests that there are not substantial age effects on differentiation. Future research should not only compare the current data with those from younger adults, but studies may also continue to examine performance effects among older adults, as variability in aging may cause differences in recruitment for those who perform well and those who perform poorly. As described, an ideal way to determine whether functional activation is compensatory is to directly compare performance to activity. However, regions activated may vary substantially based on experimental conditions. As such, it may be more comprehensive to characterize cognitive abilities by examining performance on a battery of cognitive tests, or to use a composite score to divide high and low performers (
Conclusion
The current study provides evidence that greater dedifferentiation of activation across cortical areas involved in visual perception is associated with stronger visual discrimination performance, a finding that has implications with respect to both the functional significance of cortical dedifferentiation as well as age-associated changes in visual perception. That advanced age was not associated with major declines in discrimination accuracy, nor with differences in dedifferentiation, suggests that middle-aged and older adults are a heterogeneous group in which age becomes a less important predictor of changes in crystalized cognitive functions. Instead, performance and functional activation varied as a function of each other, with age as a non-significant variable. Our findings are consistent with prior research suggesting that primary visual perception is relatively stable as adults reach middle and older ages, though there are declines in processing speed. As such, other factors (e.g., cognitive reserve) may have more of an influence on functional activation and perceptual accuracy than age itself.
Statements
Author’s note
The content of this manuscript has previously appeared online as a thesis and can be found in the University of Florida digital collections of academic dissertations.
Data availability statement
The raw data supporting the conclusions of this article will be made available by the authors, without undue reservation.
Ethics statement
The studies involving human participants were reviewed and approved by University of Florida Institutional Review Board. The patients/participants provided their written informed consent to participate in this study.
Author contributions
TS conducted the research it describes. RC, AW, and EP aided in the development of the study. EP and AW were integral in the implementation of the study, including designing the fMRI protocol. RC was instrumental in writing and editing the manuscript. All authors contributed to the article and approved the submitted version.
Funding
Research was supported by the National Institutes of Health (Grant 5 T32 AG020499-12) and the McKnight Brain Research Foundation, and CAM-CTRP.
Conflict of interest
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Footnotes
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Summary
Keywords
dedifferentiation, compensation, visual discrimination, fMRI, age, PASA, visual assessment battery
Citation
Seider TR, Porges EC, Woods AJ and Cohen RA (2021) Dedifferentiation of Functional Brain Activation Associated With Greater Visual Discrimination Accuracy in Middle-Aged and Older Adults. Front. Aging Neurosci. 13:651284. doi: 10.3389/fnagi.2021.651284
Received
09 January 2021
Accepted
17 June 2021
Published
12 July 2021
Volume
13 - 2021
Edited by
Lutz Jäncke, University of Zurich, Switzerland
Reviewed by
Talitha Best, Central Queensland University, Australia; Vincent Koppelmans, The University of Utah, United States
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© 2021 Seider, Porges, Woods and Cohen.
This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
*Correspondence: Talia R. Seider, taliaseider@gmail.com
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