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Advancing epileptic seizure recognition through bidirectional LSTM networks. 通过双向LSTM网络推进癫痫发作识别。
IF 2.3 4区 医学 Q2 MATHEMATICAL & COMPUTATIONAL BIOLOGY Pub Date : 2025-10-17 eCollection Date: 2025-01-01 DOI: 10.3389/fncom.2025.1668358
Sanaa Al-Marzouki

Seizure detection in a timely and accurate manner remains a primary challenge in clinical neurology, affecting diagnosis planning and patient management. Most of the traditional methods rely on feature extraction and traditional machine learning techniques, which are not efficient in capturing the dynamic characteristics of neural signals. It is the aim of this study to address such limitations by designing a deep learning model from bidirectional Long Short-Term Memory (BiLSTM) networks in a bid to enhance epileptic seizure identification reliability and accuracy. The dataset used, drawn from Kaggle's Epileptic Seizure Recognition challenge, consists of 11,500 samples with 179 features per sample corresponding to different electroencephalogram (EEG) readings. Data preprocessing was utilized to normalize and structure the input to the deep learning model. The proposed BiLSTM model employs sophisticated architecture to leverage temporal dependency and bidirectional data flows. It incorporates multiple dense and dropout layers alongside batch normalization to enhance the capability of the model in learning from the EEG data in an efficient manner. It supports end-to-end feature learning from the raw EEG signals without the need for intensive preprocessing and feature engineering. BiLSTM model performed better than others with 98.70% accuracy on the validation set and surpassed traditional techniques. The F1-score and other statistical metrics also validated the performance of the model as the confusion matrix achieved high values for recall and precision. The results confirm the capability of bidirectional LSTM networks to better identify seizures with significant improvements over conventional practices. Apart from facilitating seizure detection in a reliable fashion, the method improves the overall field of biomedical signal processing and can also be used in real-time observation and intervention protocols.

及时、准确地检测癫痫发作仍然是临床神经病学的主要挑战,影响诊断计划和患者管理。传统的方法大多依赖于特征提取和传统的机器学习技术,这些技术在捕获神经信号的动态特征方面效率不高。本研究的目的是通过设计双向长短期记忆(BiLSTM)网络的深度学习模型来解决这些限制,以提高癫痫发作识别的可靠性和准确性。使用的数据集来自Kaggle的癫痫发作识别挑战,由11,500个样本组成,每个样本对应不同的脑电图(EEG)读数,每个样本有179个特征。利用数据预处理对深度学习模型的输入进行规范化和结构化。提出的BiLSTM模型采用复杂的体系结构来利用时间依赖性和双向数据流。该方法结合多个密集层和dropout层以及批处理归一化,提高了模型从脑电数据中高效学习的能力。它支持从原始EEG信号中进行端到端特征学习,而无需进行密集的预处理和特征工程。BiLSTM模型在验证集上的准确率达到98.70%,优于其他模型。f1分数和其他统计指标也验证了模型的性能,因为混淆矩阵在召回率和精度方面达到了很高的值。结果证实了双向LSTM网络能够更好地识别癫痫发作,比传统方法有了显著的改进。除了以可靠的方式促进癫痫检测外,该方法还改善了整个生物医学信号处理领域,也可用于实时观察和干预方案。
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引用次数: 0
Neuron synchronization analyzed through spatial-temporal attention. 时空注意分析神经元同步。
IF 2.3 4区 医学 Q2 MATHEMATICAL & COMPUTATIONAL BIOLOGY Pub Date : 2025-10-16 eCollection Date: 2025-01-01 DOI: 10.3389/fncom.2025.1655462
Haoming Yang, Pramod Kc, Panyu Chen, Hong Lei, Simon Sponberg, Vahid Tarokh, Jeffrey A Riffell

Neuronal synchronization refers to the temporal coordination of activity across populations of neurons, a process that underlies coherent information processing, supports the encoding of diverse sensory stimuli, and facilitates adaptive behavior in dynamic environments. Previous studies of synchronization have predominantly emphasized rate coding and pairwise interactions between neurons, which have provided valuable insights into emergent network phenomena but remain insufficient for capturing the full complexity of temporal dynamics in spike trains, particularly the interspike interval. To address this limitation, we performed in vivo neural ensemble recording in the primary olfactory center-the antennal lobe (AL) of the hawk moth Manduca sexta-by stimulating with floral odor blends and systematically varying the concentration of an individual odorant within one of the mixtures. We then applied machine learning methods integrating modern attention mechanisms and generative normalizing flows, enabling the extraction of semi-interpretable attention weights that characterize dynamic neuronal interactions. These learned weights not only recapitulated the established principles of neuronal synchronization but also facilitated the functional classification of two major cell types in the antennal lobe (AL) [local interneurons (LNs) and projection neurons (PNs)]. Furthermore, by experimentally manipulating the excitation/inhibition balance within the circuit, our approach revealed the relationships between synchronization strength and odorant composition, providing new insight into the principles by which olfactory networks encode and integrate complex sensory inputs.

神经元同步是指神经元群间活动的时间协调,这一过程是连贯信息处理的基础,支持多种感觉刺激的编码,并促进动态环境中的适应性行为。先前的同步研究主要强调速率编码和神经元之间的成对相互作用,这为紧急网络现象提供了有价值的见解,但仍然不足以捕捉峰列,特别是峰间间隔的时间动态的全部复杂性。为了解决这一限制,我们通过用花香混合物刺激和系统地改变混合物中单个气味的浓度,在主要嗅觉中心——鹰蛾的触角叶(AL)进行了活体神经集合记录。然后,我们应用集成现代注意机制和生成归一化流的机器学习方法,能够提取表征动态神经元相互作用的半可解释的注意权重。这些学习到的权重不仅概括了神经元同步的既定原则,而且促进了天线叶(AL)中两种主要细胞类型[局部中间神经元(LNs)和投射神经元(PNs)]的功能分类。此外,通过实验操纵回路内的兴奋/抑制平衡,我们的方法揭示了同步强度和气味成分之间的关系,为嗅觉网络编码和整合复杂感官输入的原理提供了新的见解。
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引用次数: 0
Modeling cognition through adaptive neural synchronization: a multimodal framework using EEG, fMRI, and reinforcement learning. 通过自适应神经同步建模认知:使用EEG, fMRI和强化学习的多模态框架。
IF 2.3 4区 医学 Q2 MATHEMATICAL & COMPUTATIONAL BIOLOGY Pub Date : 2025-10-16 eCollection Date: 2025-01-01 DOI: 10.3389/fncom.2025.1616472
Rashad Hall, Maury Jackson, Maryam Maleki, Horace T Crogman

Introduction: Understanding the cognitive process of thinking as a neural phenomenon remains a central challenge in neuroscience and computational modeling. This study addresses this challenge by presenting a biologically grounded framework that simulates adaptive decision making across cognitive states.

Methods: The model integrates neuronal synchronization, metabolic energy consumption, and reinforcement learning. Neural synchronization is simulated using Kuramoto oscillators, while energy dynamics are constrained by multimodal activity profiles. Reinforcement learning agents-Q-learning and Deep Q-Network (DQN)-modulate external inputs to maintain optimal synchrony with minimal energy cost. The model is validated using real EEG and fMRI data, comparing simulated and empirical outputs across spectral power, phase synchrony, and BOLD activity.

Results: The DQN agent achieved rapid convergence, stabilizing cumulative rewards within 200 episodes and reducing mean synchronization error by over 40%, outperforming Q-learning in speed and generalization. The model successfully reproduced canonical brain states-focused attention, multitasking, and rest. Simulated EEG showed dominant alpha-band power (3.2 × 10-4 a.u.), while real EEG exhibited beta-dominance (3.2 × 10-4 a.u.), indicating accurate modeling of resting states and tunability for active tasks. Phase Locking Value (PLV) ranged from 0.9806 to 0.9926, with the focused condition yielding the lowest circular variance (0.0456) and a near significant phase shift compared to rest (t = -2.15, p = 0.075). Cross-modal validation revealed moderate correlation between simulated and real BOLD signals (r = 0.30, resting condition), with delayed inputs improving temporal alignment. General Linear Model (GLM) analysis of simulated BOLD data showed high region-specific prediction accuracy (R 2 = 0.973-0.993, p < 0.001), particularly in prefrontal, parietal, and anterior cingulate cortices. Voxel-wise correlation and ICA decomposition confirmed structured network dynamics.

Discussion: These findings demonstrate that the framework captures both electrophysiological and spatial aspects of brain activity, respects neuroenergetic constraints, and adaptively regulates brain-like states through reinforcement learning. The model offers a scalable platform for simulating cognition and developing biologically inspired neuroadaptive systems.

Conclusion: This work provides a novel and testable approach to modeling thinking as a biologically constrained control problem and lays the groundwork for future applications in cognitive modeling and brain-computer interfaces.

将思维的认知过程理解为一种神经现象仍然是神经科学和计算建模的核心挑战。本研究通过提出一个基于生物学的框架来解决这一挑战,该框架模拟了跨认知状态的适应性决策。方法:该模型集成了神经元同步、代谢能量消耗和强化学习。神经同步是用Kuramoto振荡器模拟的,而能量动力学受到多模态活动剖面的约束。强化学习代理- q -learning和Deep Q-Network (DQN)-调节外部输入以最小的能量成本保持最佳同步。使用真实的EEG和fMRI数据验证了该模型,比较了模拟和经验输出的频谱功率、相位同步和BOLD活动。结果:DQN智能体实现了快速收敛,在200集内稳定了累积奖励,平均同步误差降低了40%以上,在速度和泛化方面优于Q-learning。该模型成功地再现了典型的大脑状态——集中注意力、多任务处理和休息。模拟EEG显示优势α波段功率(3.2 × 10-4 a.u),而真实EEG显示优势β波段功率(3.2 × 10-4 a.u),表明静息状态的准确建模和活动任务的可调性。锁相值(PLV)范围从0.9806到0.9926,与静止状态相比,聚焦状态产生最小的圆方差(0.0456)和接近显著的相移(t = -2.15,p = 0.075)。跨模态验证显示模拟和真实BOLD信号之间存在适度的相关性(r = 0.30,静息条件),延迟输入改善了时间序列。对模拟BOLD数据的一般线性模型(GLM)分析显示出较高的区域特异性预测精度(r2 = 0.973-0.993,p )。讨论:这些发现表明,该框架捕获了脑活动的电生理和空间方面,尊重神经能量约束,并通过强化学习自适应调节类脑状态。该模型为模拟认知和开发受生物学启发的神经适应系统提供了一个可扩展的平台。结论:本研究提供了一种新颖且可测试的方法来将思维建模为生物约束控制问题,并为未来在认知建模和脑机接口方面的应用奠定了基础。
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引用次数: 0
CRISP: a correlation-filtered recursive feature elimination and integration of SMOTE pipeline for gait-based Parkinson's disease screening. CRISP:一种相关滤波递归特征消除和SMOTE管道集成,用于基于步态的帕金森病筛查。
IF 2.3 4区 医学 Q2 MATHEMATICAL & COMPUTATIONAL BIOLOGY Pub Date : 2025-10-10 eCollection Date: 2025-01-01 DOI: 10.3389/fncom.2025.1660963
Namra Afzal, Javaid Iqbal, Asim Waris, Muhammad Jawad Khan, Fawwaz Hazzazi, Hasnain Ali, Muhammad Adeel Ijaz, Syed Omer Gilani

Introduction: Parkinson's disease (PD) is the fastest-growing neurodegenerative disorder, with subtle gait changes such as reduced vertical ground-reaction forces (VGRF) often preceding motor symptoms. These gait abnormalities, measurable via wearable VGRF sensors, offer a non-invasive means for early PD detection. However, current computational approaches often suffer from redundant features and class imbalance, limiting both accuracy and generalizability.

Methods: We propose CRISP (Correlation-filtered Recursive Feature Elimination and Integration of SMOTE Pipeline for Gait-Based Parkinson's Disease Screening), a lightweight multistage framework that sequentially applies correlation-based feature pruning, recursive feature elimination (RFE), and Synthetic Minority Oversampling Technique (SMOTE) based class balancing. To ensure clinically meaningful evaluation, a novel subject-wise protocol was also introduced that assigns one prediction per individual enhancing patient-level variability capture and better aligning with diagnostic workflows. Using 306 VGRF recordings (93 PD, 76 controls), five classifiers, i.e., k-Nearest Neighbours (KNN), Decision Tree (DT), Random Forest (RF), Gradient boosting (GB), and Extreme Gradient Boosting (XGBoost) were evaluated for both binary PD detection and multiclass severity grading.

Results: CRISP consistently improved performance across all models under 5-fold cross-validation. XGBoost achieved the highest performance, increasing subject-wise PD detection accuracy from 96.1 ± 0.8% to 98.3 ± 0.8%, and severity grading accuracy from 96.2 ± 0.7% to 99.3 ± 0.5%.

Conclusion: CRISP is the first VGRF-based pipeline to combine correlation-filtered feature pruning, recursive feature elimination, and SMOTE to enhance PD detection performance, while also introducing a subject-wise evaluation protocol that captures patient-level variability for truly personalized diagnostics. These twin novelties deliver clinically significant gains and lay the foundation for real-time, on-device PD detection and severity monitoring.

帕金森氏病(PD)是发展最快的神经退行性疾病,在运动症状出现之前,通常会出现轻微的步态变化,如垂直地面反作用力(VGRF)降低。这些步态异常可通过可穿戴式VGRF传感器测量,为早期PD检测提供了非侵入性手段。然而,目前的计算方法经常受到冗余特征和类不平衡的影响,限制了准确性和泛化性。方法:我们提出了CRISP (correlation filtering Recursive Feature Elimination and Integration of SMOTE Pipeline for Gait-Based Parkinson's Disease Screening),这是一个轻量级的多阶段框架,它依次应用基于相关性的特征修剪、递归特征消除(RFE)和基于类平衡的合成少数过采样技术(SMOTE)。为了确保有临床意义的评估,还引入了一种新的受试者明智的方案,该方案为每个个体分配一个预测,增强了患者水平的可变性捕获,并更好地与诊断工作流程保持一致。使用306个VGRF记录(93个PD, 76个对照组),评估了五个分类器,即k-Nearest邻居(KNN),决策树(DT),随机森林(RF),梯度增强(GB)和极端梯度增强(XGBoost),用于二元PD检测和多类严重程度分级。结果:CRISP在5倍交叉验证下持续提高了所有模型的性能。XGBoost实现了最高的性能,将被测对象PD检测精度从96.1 ± 0.8%提高到98.3 ± 0.8%,将严重程度分级精度从96.2 ± 0.7%提高到99.3 ± 0.5%。结论:CRISP是第一个基于vgrf的管道,它结合了相关滤波特征裁剪、递归特征消除和SMOTE来增强PD检测性能,同时还引入了一种基于受试者的评估协议,可以捕获患者层面的可变性,从而实现真正的个性化诊断。这两项创新为临床带来了显著的收益,并为实时、设备上的PD检测和严重程度监测奠定了基础。
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引用次数: 0
Circuit-level modeling of prediction error computation of multi-dimensional features in voluntary actions. 自主行为中多维特征预测误差计算的电路级建模。
IF 2.3 4区 医学 Q2 MATHEMATICAL & COMPUTATIONAL BIOLOGY Pub Date : 2025-09-29 eCollection Date: 2025-01-01 DOI: 10.3389/fncom.2025.1551555
Yishuang Huang, Yiling Li

Introduction: Predictive processing posits that the brain minimizes discrepancies between internal predictions and sensory inputs, offering a unifying account of perception, cognition, and action. In voluntary actions, it is thought to suppress self-generated sensory outcomes. Although sensory mismatch signals have been extensively investigated and modeled, mechanistic insights into the neural computation of predictive processing in voluntary actions remain limited.

Methods: We developed a computational model comprising two-compartment excitatory pyramidal cells (PCs) and three major types of inhibitory interneurons with biologically realistic connectivity. The model incorporates experience-dependent inhibitory plasticity and feature selectivity to shape excitation-inhibition (E/I) balance. We then extended it to a two-dimensional prediction-error (PE) circuit in which each PC has two segregated, top-down modulated dendrites-each bell-tuned to a distinct feature-enabling combination selectivity.

Results: The model reveals that top-down predictions can selectively suppress PCs with matching feature selectivity via experience-dependent inhibitory plasticity. This suppression depends on the response selectivity of inhibitory interneurons and on balanced excitation and inhibition across multiple pathways. The framework also accommodates predictions involving two independent features.

Discussion: By combining biological connectivity data with computational modeling, this study provides insights into the neural circuits and computations underlying the active suppression of sensory responses in voluntary actions. These findings contribute to understanding how the brain generates and processes predictions to guide behavior.

预测处理假设大脑将内部预测和感觉输入之间的差异最小化,提供感知、认知和行动的统一描述。在自愿行为中,它被认为抑制了自我产生的感觉结果。尽管感官失配信号已被广泛研究和建模,但对自愿行为中预测处理的神经计算的机制见解仍然有限。方法:我们建立了一个计算模型,包括双室兴奋性锥体细胞(PCs)和三种主要类型的具有生物学现实连接的抑制性中间神经元。该模型结合了经验依赖的抑制可塑性和特征选择性来形成兴奋-抑制(E/I)平衡。然后,我们将其扩展到二维预测误差(PE)电路,其中每个PC都有两个分离的,自上而下调制的树突-每个钟调到一个不同的特征-实现组合选择性。结果:自上而下的预测可以通过经验依赖的抑制可塑性,选择性地抑制具有匹配特征选择性的pc。这种抑制依赖于抑制性中间神经元的反应选择性和跨多种途径的平衡兴奋和抑制。该框架还支持涉及两个独立特征的预测。讨论:通过将生物连接数据与计算建模相结合,本研究提供了对自愿行为中主动抑制感觉反应的神经回路和计算的见解。这些发现有助于理解大脑如何产生和处理预测来指导行为。
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引用次数: 0
Effects of AC induced electric fields on neuronal firing sensitivity and activity patterns. 交流感应电场对神经元放电敏感性和活动模式的影响。
IF 2.3 4区 医学 Q2 MATHEMATICAL & COMPUTATIONAL BIOLOGY Pub Date : 2025-09-18 eCollection Date: 2025-01-01 DOI: 10.3389/fncom.2025.1612314
Chunhua Yuan, Rupei Chen, Xiangyu Li, Yueyang Zhao

Introduction: Understanding how neurons respond to time-varying electric fields is essential for both basic neuroscience and the development of neuromodulation strategies. However, the mechanisms by which alternating-current induced electric fields (AC-IEF) influence neuronal sensitivity and firing remain unclear.

Methods: We developed a modified two-compartment Pinsky-Rinzel (PR) neuron model incorporating AC-IEF stimulation. Using systematic simulations, we examined firing responses across a wide range of field frequencies, amplitudes, and intrinsic membrane parameters, including inter-compartmental conductance and potassium reversal potential.

Results: Neurons exhibited no firing or sensitivity when the field amplitude was less than twice the baseline membrane potential, regardless of conductance or reversal potential. Sensitivity increased markedly with amplitude: for example, when the amplitude exceeded 0.5 mV/cm, maximum firing rates rose by up to 45% and the sensitivity frequency range extended to 10-50 Hz. Phase-locking phenomena (1:1 and 2:1) were observed, with bandwidths widening as amplitude increased. For amplitudes below 30 mV, firing pattern transitions depended strongly on inter-compartmental conductance, whereas amplitudes ≥30 mV produced a consistent progression ending in subthreshold oscillations. Similar parameter-dependent transitions occurred for different potassium reversal potentials, converging at high amplitudes.

Discussion: These results reveal a parameter-dependent mechanism by which AC-IEF modulate neuronal excitability. The findings provide qualitative rather than strictly quantitative insights into how external electromagnetic environments can shape neural activity, offering new directions for targeted neuromodulation in both health and disease.

了解神经元对时变电场的反应是基础神经科学和神经调节策略发展的必要条件。然而,交流感应电场(AC-IEF)影响神经元敏感性和放电的机制尚不清楚。方法:采用AC-IEF刺激建立改进的双室Pinsky-Rinzel (PR)神经元模型。通过系统模拟,研究人员在广泛的场频率、振幅和固有膜参数(包括室间电导和钾逆转电位)范围内检测了放电响应。结果:当电场振幅小于基线膜电位的两倍时,无论电导或反转电位如何,神经元均不表现出放电或敏感性。灵敏度随振幅的增加而显著增加:例如,当振幅超过0.5 mV/cm时,最大发射速率提高了45%,灵敏度频率范围扩大到10-50 Hz。锁相现象(1:1和2:1),带宽随着振幅的增加而变宽。对于低于30mv的振幅,放电模式转变强烈依赖于室间电导,而≥30mv的振幅产生一致的进展,以阈下振荡结束。类似的参数依赖性转变发生在不同的钾反转电位上,并在高振幅处收敛。讨论:这些结果揭示了AC-IEF调节神经元兴奋性的参数依赖机制。这些发现对外部电磁环境如何影响神经活动提供了定性而非严格定量的见解,为健康和疾病中的靶向神经调节提供了新的方向。
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引用次数: 0
Intrinsic calcium resonance and its modulation: insights from computational modeling. 内在钙共振及其调制:从计算模型的见解。
IF 2.3 4区 医学 Q2 MATHEMATICAL & COMPUTATIONAL BIOLOGY Pub Date : 2025-09-18 eCollection Date: 2025-01-01 DOI: 10.3389/fncom.2025.1669841
Rahul Kumar Rathour, Hanoch Kaphzan

Hippocampal neurons generate membrane potential resonance due to specific voltage-gated ion channels, known as resonating conductances, which play crucial physiological roles. However, it is not known whether this phenomenon of resonance is limited to membrane voltage or whether it propagates through molecular signaling components such as calcium dynamics. To test this, we first utilized a single-compartment model neuron to study the oscillatory intrinsic calcium response dynamics of hippocampal model neurons, and the effects of T-type calcium channel kinetics on the voltage and calcium resonance. We found that in the presence of T-type calcium channels, our model neuron sustained a strong calcium resonance compared to voltage resonance. Unlike voltage resonance, calcium resonance frequency was largely independent of conductance magnitude, and the two types of resonance were dissociated, meaning independent of each other. In addition, we studied the effects of A-type K+-channels and h-channels in conjunction with T-type calcium channels on calcium resonance, and showed that these two types of channels differentially affect calcium resonance. Finally, using a multi-compartmental morphologically realistic neuron model, we studied calcium resonance along the somato-apical dendritic axis. Using this model, we found that calcium resonance frequency remains almost constant along the somato-apical trunk for the most part, and only toward its terminal end, the calcium resonance frequency was increased. Nonetheless, this increase was lesser compared to the increase in voltage resonance frequency. Our study opens new horizons in the field of molecular resonance, and deepen our understanding concerning the effects of frequency-based neurostimulation therapies, such as transcranial alternating current stimulation (tACS).

海马神经元由于特定的电压门控离子通道而产生膜电位共振,即共振电导,在生理上起着至关重要的作用。然而,尚不清楚这种共振现象是否仅限于膜电压,还是通过钙动力学等分子信号传导成分传播。为了验证这一点,我们首先利用单室模型神经元研究海马模型神经元的振荡本征钙响应动力学,以及t型钙通道动力学对电压和钙共振的影响。我们发现,在t型钙通道存在的情况下,我们的模型神经元维持了较强的钙共振,而不是电压共振。与电压共振不同,钙共振频率在很大程度上与电导大小无关,两种共振是游离的,即相互独立。此外,我们研究了a型K+通道和h型通道结合t型钙通道对钙共振的影响,并表明这两种通道对钙共振的影响是不同的。最后,利用多室神经元模型,我们研究了沿体顶树突轴的钙共振。利用该模型,我们发现沿躯体顶端主干的大部分钙共振频率基本保持不变,仅沿其末端,钙共振频率增加。尽管如此,与电压谐振频率的增加相比,这种增加较小。我们的研究在分子共振领域开辟了新的视野,并加深了我们对基于频率的神经刺激疗法,如经颅交流电刺激(tACS)的作用的理解。
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引用次数: 0
Editorial: Advancements in smart diagnostics for understanding neurological behaviors and biosensing applications. 社论:智能诊断在理解神经行为和生物传感应用方面的进展。
IF 2.3 4区 医学 Q2 MATHEMATICAL & COMPUTATIONAL BIOLOGY Pub Date : 2025-09-16 eCollection Date: 2025-01-01 DOI: 10.3389/fncom.2025.1693327
Saad Arif, Muhammad Zia Ur Rehman, Zohaib Mushtaq
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引用次数: 0
Editorial: AI and inverse methods for building digital twins in neuroscience. 社论:人工智能和逆向方法在神经科学中构建数字双胞胎。
IF 2.3 4区 医学 Q2 MATHEMATICAL & COMPUTATIONAL BIOLOGY Pub Date : 2025-09-08 eCollection Date: 2025-01-01 DOI: 10.3389/fncom.2025.1684335
Alain Nogaret, Ana Mirallave-Pescador, Maik Kschischo
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引用次数: 0
Individualized connectomic tACS immediately improves oscillatory network with language facilitation in post-stroke aphasia: a feasibility study of a dysfunctome-based targeting approach. 个体化连接组tACS可立即改善脑卒中后失语症的振荡网络和语言促进:一项基于功能障碍组靶向方法的可行性研究。
IF 2.3 4区 医学 Q2 MATHEMATICAL & COMPUTATIONAL BIOLOGY Pub Date : 2025-09-04 eCollection Date: 2025-01-01 DOI: 10.3389/fncom.2025.1635497
Chester Yee-Nok Cheung, Anthony Pak-Hin Kong, Mehdi Bakhtiar

Introduction: People with post-stroke aphasia (PSA) exhibit significant interindividual variability attributed to distinctive network disruption patterns across individuals. This complexity limits the effectiveness of conventional one-size-fits-all brain stimulation approaches, but to date no individualized tACS targeting on functional network was studied in PSA. This two-phase study aimed to investigate the immediate network-modulation and language-facilitation effects of dual-site in-phase tACS utilizing a novel individualized targeting method based on individual's EEG dysfunctome.

Methods: In the first phase, network-based linear regression was used to identify aphasia-severity-predictive dysfunctome from the speech-production EEG data of 15 Cantonese-speaking people with aphasia (PWA). Individualized stimulation targets were determined using two targeting principles. Restoration-based targeting aims to restore a target edge which is centralized within the target dysfunctome but weakly-connected in the individual, whereas enhancement-based targeting selects a strongly-connected target edge. The second phase involved a single-session double-blinded sham-controlled trial with the same group to evaluate the immediate effects of dual-site 7-Hz 1-mA tACS under four conditions: Restoration In-phase (RI), Enhancement In-phase (EI), Enhancement Anti-phase (EA), and Sham (SH).

Results: In the first phase, we explored a range of frequency bands and EEG tasks and identified a left frontal-temporal theta network under divergent naming task that significantly predicted aphasia severity. The single-session clinical trial in the second phase demonstrated that RI condition produced increases in the target node strength, global network properties, and divergent naming performance, which were absent in sham and the other two real stimulation conditions.

Discussion: This was the first-of-its-kind dysfunctome-based data-driven individualized tACS demonstrated immediate neuromodulatory effects in PSA. The findings suggest that EEG dysfunctome can help pinpointing effective individualized targets for tACS to promote clinically-beneficial functional reorganization. Despite limited generalizability due to the small sample, this methodology holds significant potential for application in longer-term treatment and other network-based disorders.

脑卒中后失语症(PSA)患者表现出显著的个体差异,这是由于个体之间独特的网络中断模式。这种复杂性限制了传统的一刀切脑刺激方法的有效性,但迄今为止还没有针对PSA功能网络的个体化tACS研究。本研究采用一种基于个体脑电图功能障碍的新型个体化靶向方法,旨在研究双位点同相tACS的即时网络调节和语言促进效应。方法:第一阶段采用基于网络的线性回归方法,从15例广东语失语症患者的言语产生脑电数据中识别失语症严重程度预测功能障碍组。采用两种靶向原则确定个体化刺激目标。基于恢复的目标定位旨在恢复集中在目标功能障碍组内但在个体中弱连接的目标边缘,而基于增强的目标定位则选择强连接的目标边缘。第二阶段涉及同一组的单期双盲假对照试验,以评估双位点7-Hz 1-mA tACS在四种情况下的即时效果:恢复期(RI),增强期(EI),增强反期(EA)和假手术(SH)。结果:在第一阶段,我们探索了一系列频带和EEG任务,并发现了发散命名任务下的左侧额颞叶θ网络对失语症严重程度的显著预测。第二阶段的单阶段临床试验表明,RI条件产生了目标节点强度、整体网络特性和发散命名性能的增加,这在假刺激和其他两种真实刺激条件下没有。讨论:这是第一个基于功能障碍组的数据驱动的个体化tACS在PSA中显示出即时的神经调节作用。研究结果表明,脑电图功能障碍组可以帮助确定tACS的有效个体化靶点,以促进临床有益的功能重组。尽管由于样本量小,可推广性有限,但该方法在长期治疗和其他基于网络的疾病方面具有重要的应用潜力。
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Frontiers in Computational Neuroscience
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