Charles Limb

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Charles Limb
Charles Limb3.jpg
Nationality United States
Citizenship United States
Alma mater Harvard College, Yale School of Medicine
Known forResearch on neural substrates of creativity and improvisation, as well as on cochlear implants and perception of music
Scientific career
Fields Neuroscience, music, otology, neurotology
Institutions University of California, San Francisco; Johns Hopkins University

Dr. Charles Limb is a surgeon, neuroscientist, and musician at the University of California, San Francisco (UCSF) who has carried out research on the neural basis of musical creativity and the impact of cochlear implants on music perception in hearing impaired individuals. As an otologic surgeon and otolaryngologist, he specializes in treatment of ear disorders.

Contents

In his research, he has focused on imaging the brains of jazz artists as they improvise in the fMRI. He has worked under the assumption that improvisation is important to creativity more generally, and creativity is vital to basic problem-solving, evolution, and survival. [1]

Academic background

Limb teaches at UCSF, where he is the Francis A. Sooy Professor of Otolaryngology–Head and Neck Surgery, and the Chief of the Division of Otology, Neurotology and Skull Base Surgery at UCSF. In addition, he holds a joint faculty appointment in the Department of Neurological Surgery and is the Director of the Douglas Grant Cochlear Implant Center. [2]

He earned his bachelor's degree at Harvard University, where he directed a jazz band. Later he attended the Yale University School of Medicine, where he played jazz in New Haven restaurants. After graduating from medical school in 1996, he completed a surgical internship in General Surgery, a residency in Otolaryngology–Head and Neck Surgery, and a subspecialty fellowship in Neurotology at Johns Hopkins Hospital in Baltimore. He also completed one postdoctoral research fellowship at the Center for Hearing Sciences at Johns Hopkins with Dr. David Ryugo, where he investigated the development of the auditory brainstem, and a second at the National Institutes of Health, where he used fMRI devices to image brain activity when jazz musicians improvise music. He joined the faculty of Johns Hopkins Hospital in 2003, where he remained until 2015, as Associate Professor of Otolaryngology–Head and Neck Surgery. During this time, he was also a Faculty Member at the Peabody Conservatory of Music and the Johns Hopkins University School of Education, as well as Scientific Advisor to the Baltimore Symphony Orchestra. [3]

Research

Limb has stated that he wants to know what went on in John Coltrane’s head when he improvised masterpieces on the saxophone. [4] He has researched creativity with jazz musicians because they can improvise on cue, even in the laboratory conditions of an fMRI. [5] In several experiments, he has captured moving pictures of their brain activity as they create.

In one, he found that improvising musicians showed: 1) deactivation of the dorsolateral prefrontal cortex, which among other functions acts as a kind of self-censor, and 2) greater activation of the medial prefrontal cortex, which connects to a brain system called the “default network.” The default network is associated with introspective tasks such as retrieving personal memories and daydreaming. [6] It has to do with one’s sense of self.

In another experiment, he and his team demonstrated that when two jazz musicians are “trading fours,” that is, having an interactive musical conversation, they utilize brain areas important in linguistic grammar and syntax. The finding suggests that these regions process auditory communication generally, rather than just for spoken language. [7]

Limb also investigated the relation of emotion to creativity. He asked jazz musicians in the fMRI to improvise music they felt corresponded to the emotions in photos of a sad, neutral, and happy woman. He found that when musicians responded to happy photos, the dorsolateral prefrontal cortex deactivated much more than in the other conditions. The study also asked why we feel pleasure in sad music, and found that while musicians showed more frontal deactivation and deeper flow states when responding to the happy photos, the creation of sad music elicited a stronger visceral experience and greater activity in the brain's reward centers. [8]

In addition, he has researched music perception in deaf individuals with cochlear implants. As a temporal bone surgeon, he places these devices in patients, and the implants let them hear speech well, but they have trouble perceiving elements of music such as harmony and timbre, as well as performing higher integration. He has recommended training programs and technological innovation to overcome this deficit. Limb has also examined the creativity of composers such as Beethoven and Smetana, who became deaf as adults yet continued to write great music, and he has written about the fact that Thomas Edison invented the phonograph despite his loss of hearing. [9]

Publications and editorships

Limb is the former Editor-in-Chief of Trends in Hearing (then called Trends in Amplification), the only journal focused on hearing aids and other auditory amplification devices, and an Editorial Board Member of the journals Otology & Neurotology and Music and Medicine . He has authored over 75 manuscripts, including magazine articles.

Speeches

He has given two TED talks. In the first, “Your Brain on Improv,” he showed how during jazz improvisation the brain deactivates the dorsolateral prefrontal cortex and activates the medial prefrontal cortex. In the second, “Building the Musical Muscle,” he described restoring music perception in the deaf and focused on the challenges faced by cochlear implant users when trying to process music. He has also been a featured panelist at the Sundance Film Festival, and he has spoken about his work internationally in Europe, Asia, Australia, and Canada.

Other media appearances

Among the media outlets and organizations that have featured his work are the New York Times, CNN, PBS, National Geographic, Scientific American, the BBC, the Smithsonian Institution, National Public Radio, the Library of Congress, the American Museum of Natural History, the Kennedy Center, the Baltimore Symphony Orchestra, and the Canadian Broadcasting Company. [10]

Awards and honors

Limb won the 2004 Resident Teaching Award at Johns Hopkins Hospital, has been named one of the "Top Doctors in Baltimore" in 2007 in Baltimore magazine, and has had the American flag flown over the U.S. Embassy in Baghdad in 2011 in his honor, in recognition of his war efforts. Most recently, in 2016, he won the UCSF Department of Otolaryngology–Head and Neck Surgery Resident Teaching Award.

Related Research Articles

Cochlear implant

A cochlear implant (CI) is a surgically implanted neuroprosthesis that provides a person who has bilateral moderate-to-profound sensorineural hearing loss with sound perception and an opportunity with therapy for improved speech understanding in both quiet and noisy environments. A CI bypasses acoustic hearing by direct electrical stimulation of the auditory nerve. Through everyday listening and auditory training, cochlear implants allow both children and adults to learn to interpret those signals as speech and sound.

Auditory cortex Part of the temporal lobe of the brain

The auditory cortex is the part of the temporal lobe that processes auditory information in humans and many other vertebrates. It is a part of the auditory system, performing basic and higher functions in hearing, such as possible relations to language switching. It is located bilaterally, roughly at the upper sides of the temporal lobes – in humans, curving down and onto the medial surface, on the superior temporal plane, within the lateral sulcus and comprising parts of the transverse temporal gyri, and the superior temporal gyrus, including the planum polare and planum temporale.

Unilateral hearing loss (UHL) is a type of hearing impairment where there is normal hearing in one ear and impaired hearing in the other ear.

Otology

Otology is a branch of medicine which studies normal and pathological anatomy and physiology of the ear as well as their diseases, diagnosis and treatment. Otologic surgery generally refers to surgery of the middle ear and mastoid related to chronic otitis media, such as tympanoplasty, or ear drum surgery, ossiculoplasty, or surgery of the hearing bones, and mastoidectomy. Otology also includes surgical treatment of conductive hearing loss, such as stapedectomy surgery for otosclerosis.

Neuroprosthetics is a discipline related to neuroscience and biomedical engineering concerned with developing neural prostheses. They are sometimes contrasted with a brain–computer interface, which connects the brain to a computer rather than a device meant to replace missing biological functionality.

Graeme Clark (doctor)

Graeme Milbourne Clark AC is an Australian Professor of Otolaryngology at the University of Melbourne. His work in ENT surgery, electronics and speech science contributed towards the development of the multiple-channel cochlear implant. and his invention was later produced and sold by Cochlear Limited.

The House Institute Foundation

The House Institute Foundation (HIF), formerly the House Ear Institute, is a non-profit 501(c)(3) organization, based in Los Angeles, California, and dedicated to advancing hearing science through research, education, and global hearing health to improve quality of life.

Michael Matthias Merzenich is a professor emeritus neuroscientist at the University of California, San Francisco. His contributions to the field are numerous. He took the sensory cortex maps developed by his predecessors and refined them using dense micro-electrode mapping techniques. Using this, he definitively showed there to be multiple somatotopic maps of the body in the postcentral sulcus, and multiple tonotopic maps of the acoustic inputs in the superior temporal plane.

Dorsolateral prefrontal cortex Area of the prefrontal cortex of primates

The dorsolateral prefrontal cortex is an area in the prefrontal cortex of the brain of humans and other primates. It is one of the most recently derived parts of the human brain. It undergoes a prolonged period of maturation which lasts until adulthood. The DLPFC is not an anatomical structure, but rather a functional one. It lies in the middle frontal gyrus of humans. In macaque monkeys, it is around the principal sulcus. Other sources consider that DLPFC is attributed anatomically to BA 9 and 46 and BA 8, 9 and 10.

A mastoidectomy is a procedure performed to remove the mastoid air cells, air bubbles in the skull, near the inner ears. This can be done as part of treatment for mastoiditis, chronic suppurative otitis media or cholesteatoma. In addition, it is sometimes performed as part of other procedures or for access to the middle ear. There are classically 5 different types of mastoidectomy:

Neurotology or neuro-otology is a subspecialty of otolaryngology—head and neck surgery, also known as ENT medicine. Neuro-otology is closely related to otology, clinical neurology and neurosurgery.

William F. House

William Fouts House was an American otologist, physician and medical researcher who developed and invented the cochlear implant. The cochlear implant is considered to be the first invention to restore not just the sense of hearing, but any of the absent five senses in humans. Dr. House also pioneered approaches to the lateral skull base for removal of tumors, and is considered "the Father of Neurotology."

The dorsal nexus is an area within the dorsal medial prefrontal cortex that serves as an intersection point for multiple brain networks. Research suggests it plays a role in the maintenance and manipulation of information, as well as supporting the control of cognitive functions such as behavior, memory, and conflict resolution. Abnormally increased connectivity between these networks through the Dorsal Nexus has been associated with certain types of depression. The activity generated by this abnormally high level of connectivity during a depressive state can be identified through Magnetic resonance imaging (MRI) and Positron emission tomography (PET).

Milind Vasant Kirtane is an Indian otorhinolaryngologist, reported to have performed the first cochlear implant surgery in Mumbai. The Government of India honoured him, in 2014, with the award of Padma Shri, the fourth highest civilian award, for his contributions to the field of medicine.

Thomas J. Balkany, M.D. is an American ear surgeon, otolaryngologist and neurotologist specializing in cochlear implantation. He is the Hotchkiss Endowment Distinguished Professor and Chairman Emeritus in the Department of Otolaryngology and Professor of Neurological Surgery and Pediatrics at the University of Miami Miller School of Medicine. Additionally, he is a fellow of the American Academy of Otolaryngology–Head and Neck Surgery, the American College of Surgeons and the American Academy of Pediatrics.

Mohan Kameswaran Indian otorhinolaryngologist and medical academic

Mohan Kameswaran is an Indian otorhinolaryngologist, medical academic and the founder of MERF Institute of Speech and Hearing, a Chennai-based institution providing advanced training in audiology and speech-language pathology. He is one of the pioneers of cochlear implant surgery in India and a visiting professor at Rajah Muthiah Medical College of the Annamalai University and Sri Ramachandra Medical College and Research Institute, Chennai. He has many firsts to his credit such as the performance of the first auditory brain stem implantation surgery in South and South East Asia, the first pediatric brain stem implantation surgery in Asia, the first totally implantable hearing device surgery in Asia Pacific region, and the first to introduce KTP/532 laser-assisted ENT surgery in India. The Government of India awarded him the fourth highest civilian honour of the Padma Shri, in 2006, for his contributions to Indian medicine.

A cortical implant is a subset of neuroprosthetics that is in direct connection with the cerebral cortex of the brain. By directly interfacing with different regions of the cortex, the cortical implant can provide stimulation to an immediate area and provide different benefits, depending on its design and placement. A typical cortical implant is an implantable microelectrode array, which is a small device through which a neural signal can be received or transmitted.

John K. Niparko was an American surgeon, scientist and otolaryngologist who specialized in cochlear implants. Niparko edited and wrote several chapters of Cochlear Implants: Principles & Practices.

Neuromorality is an emerging field of neuroscience that studies the connection between morality and neuronal function. Scientists use fMRI and psychological assessment together to investigate the neural basis of moral cognition and behavior. Evidence shows that the central hub of morality is the prefrontal cortex guiding activity to other nodes of the neuromoral network. A spectrum of functional characteristics within this network to give rise to both altruistic and psychopathological behavior. Evidence from the investigation of neuromorality has applications in both clinical neuropsychiatry and forensic neuropsychiatry.

fMRI lie detection is a field of lie detection using Functional magnetic resonance imaging (fMRI). fMRI looks to the central nervous system to compare time and topography of activity in the brain for lie detection. While a polygraph detects anxiety-induced changes in activity in the peripheral nervous system, fMRI purportedly measures blood flow to areas of the brain involved in deception.

References

  1. Mary Carole McCauley, "Hopkins Scientist Finds Link Between Neurobiology of Music, Language," The Baltimore Sun, March 4, 2013.
  2. “Charles Limb, MD“ Otolyrangology | Head and Neck Surgery, UCSF.
  3. “Charles Limb, MD“ Otolyrangology | Head and Neck Surgery, UCSF.
  4. Alicia Anstead, “Charles J. Limb: Inner Sparks.” Scientific American, December 2013, pp. 36-39.
  5. Malinda McPherson and Charles J. Limb, “Difficulties in the Neuroscience of Creativity: Jazz Improvisation and the Scientific Method.” Annals of the New York Academy of Sciences, 2013, pp. 1-4.
  6. Charles J. Limb and Allen R. Braun, “Neural Substrates of Spontaneous Musical Performance: An fMRI Study of Jazz Improvisation.” PLoS ONE, vol. 3, issue 2, February 2008.
  7. Gabriel F. Donnay, Summer K. Rankin, Monica Lopez-Gonzalez, Patpong Jiradejvong, and Charles J. Limb, “Neural Substrates of Interactive Musical Improvisation: An fMRI Study of ‘Trading Fours’ in Jazz.” PLoS ONE, vol. 9, issue 2, February 2014.
  8. Malinda J. McPherson, Frederick S. Barrett, Monica Lopez-Gonzalez, Patpong Jiradejvong, and Charles J. Limb, ”Emotional Intent Modulates the Neural Substrates Of Creativity: An fMRI Study of Emotionally Targeted Improvisation in Jazz Musicians.” Nature, January 4, 2016, pp. 1-14.
  9. Nick Zagorski, “The Science of Improv,“ Peabody Magazine, Fall 2008.
  10. “Charles Limb, MD“ Otolyrangology | Head and Neck Surgery, UCSF.