Roxane Licandro, Mark Olchanyi, Luiz F. Ferraz da Silva, Andre van der Kouwe, Camilo Jaimes, Nathan X. Ngo, William Kelley, Rebecca Folkerth, Robin L. Haynes, Brian L. Edlow, Hannah C. Kinney, Lilla Zöllei
Human arousal is essential to survival and mediated by the ascending arousal network (AAN) and its connections. It spans from the brainstem to the diencephalon, basal forebrain, and cerebral cortex. Despite advances in mapping the AAN in adults, it is unexplored in fetal and early infant life, especially with high-resolution magnetic resonance imaging techniques. In this study, we conducted—for the first time—high-resolution ex vivo diffusion MRI-based analysis of the AAN in seven fetal, infant, and adult brains, incorporating probabilistic tractography and quantifying connectivity using graph theory. We observed that AAN structural connectivity becomes increasingly integrated during development, progressively reaching rostrally during the first postconceptional year. We quantitatively identified the dorsal raphe (DR) nucleus and ventral tegmental area (VTA) as AAN connectivity hubs already in the fetus persisting into adulthood. The DR appears to form a local hub of short-range connectivities, while the VTA evolves as a long-range global hub. The identified connectivity maps advance our understanding of AAN architecture changes due to normative human brain development, as well as disorders of arousal, such as coma and sudden infant death syndrome.
{"title":"High Resolution Postmortem MRI Discovers Developing Structural Connectivity in the Human Ascending Arousal Network","authors":"Roxane Licandro, Mark Olchanyi, Luiz F. Ferraz da Silva, Andre van der Kouwe, Camilo Jaimes, Nathan X. Ngo, William Kelley, Rebecca Folkerth, Robin L. Haynes, Brian L. Edlow, Hannah C. Kinney, Lilla Zöllei","doi":"10.1002/hbm.70422","DOIUrl":"10.1002/hbm.70422","url":null,"abstract":"<p>Human arousal is essential to survival and mediated by the ascending arousal network (AAN) and its connections. It spans from the brainstem to the diencephalon, basal forebrain, and cerebral cortex. Despite advances in mapping the AAN in adults, it is unexplored in fetal and early infant life, especially with high-resolution magnetic resonance imaging techniques. In this study, we conducted—for the first time—high-resolution ex vivo diffusion MRI-based analysis of the AAN in seven fetal, infant, and adult brains, incorporating probabilistic tractography and quantifying connectivity using graph theory. We observed that AAN structural connectivity becomes increasingly integrated during development, progressively reaching rostrally during the first postconceptional year. We quantitatively identified the dorsal raphe (DR) nucleus and ventral tegmental area (VTA) as AAN connectivity hubs already in the fetus persisting into adulthood. The DR appears to form a local hub of short-range connectivities, while the VTA evolves as a long-range global hub. The identified connectivity maps advance our understanding of AAN architecture changes due to normative human brain development, as well as disorders of arousal, such as coma and sudden infant death syndrome.</p>","PeriodicalId":13019,"journal":{"name":"Human Brain Mapping","volume":"46 17","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12665045/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145632773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ilya Demchenko, Huda F. Al-Shamali, Alice Rueda, Ishaan Tailor, Reinhard Janssen-Aguilar, Tom A. Schweizer, Katharine Dunlop, Simon J. Graham, Venkat Bhat
Transcranial magnetic stimulation (TMS) guided by magnetic resonance imaging (MRI) has significantly advanced the treatment of mood disorders by enabling precise targeting of brain circuits implicated in their pathophysiology. The integration of neuronavigation systems, which utilize real-time MRI-based coil positioning, has improved spatial targeting accuracy, individualization, and therapeutic outcomes. Despite these advancements, achieving optimal stimulation efficacy requires careful consideration of MRI techniques, including anatomical imaging, functional MRI (fMRI), and connectivity-based methods. Anatomical MRI provides a reliable structural foundation for neuronavigation but lacks specificity regarding functional neural networks implicated in mood disorders. In contrast, fMRI, through task-based and resting-state paradigms, enhances target selection precision by identifying patient-specific neural activity and functional connectivity patterns, although this approach is vulnerable to variability and imaging artifacts. Connectivity-based MRI neuronavigation represents a promising advancement by explicitly targeting disrupted neural networks. This review critically examines recent technological and methodological progress in MRI-guided neuronavigation for TMS, addressing current challenges such as image acquisition quality, co-registration accuracy, artifact mitigation, and practical constraints in clinical settings. Finally, it discusses emerging opportunities and innovations poised to enhance neuronavigation precision, foster wider clinical adoption, and ultimately improve therapeutic outcomes in interventional psychiatry for mood disorders.
{"title":"Magnetic Resonance Imaging-Guided Neuronavigation for Transcranial Magnetic Stimulation in Mood Disorders: Technical Foundation, Advances, and Emerging Tools","authors":"Ilya Demchenko, Huda F. Al-Shamali, Alice Rueda, Ishaan Tailor, Reinhard Janssen-Aguilar, Tom A. Schweizer, Katharine Dunlop, Simon J. Graham, Venkat Bhat","doi":"10.1002/hbm.70424","DOIUrl":"https://doi.org/10.1002/hbm.70424","url":null,"abstract":"<p>Transcranial magnetic stimulation (TMS) guided by magnetic resonance imaging (MRI) has significantly advanced the treatment of mood disorders by enabling precise targeting of brain circuits implicated in their pathophysiology. The integration of neuronavigation systems, which utilize real-time MRI-based coil positioning, has improved spatial targeting accuracy, individualization, and therapeutic outcomes. Despite these advancements, achieving optimal stimulation efficacy requires careful consideration of MRI techniques, including anatomical imaging, functional MRI (fMRI), and connectivity-based methods. Anatomical MRI provides a reliable structural foundation for neuronavigation but lacks specificity regarding functional neural networks implicated in mood disorders. In contrast, fMRI, through task-based and resting-state paradigms, enhances target selection precision by identifying patient-specific neural activity and functional connectivity patterns, although this approach is vulnerable to variability and imaging artifacts. Connectivity-based MRI neuronavigation represents a promising advancement by explicitly targeting disrupted neural networks. This review critically examines recent technological and methodological progress in MRI-guided neuronavigation for TMS, addressing current challenges such as image acquisition quality, co-registration accuracy, artifact mitigation, and practical constraints in clinical settings. Finally, it discusses emerging opportunities and innovations poised to enhance neuronavigation precision, foster wider clinical adoption, and ultimately improve therapeutic outcomes in interventional psychiatry for mood disorders.</p>","PeriodicalId":13019,"journal":{"name":"Human Brain Mapping","volume":"46 17","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hbm.70424","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145618840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Patrick M. Fisher, Kristian Larsen, Pontus Plavén-Sigray, Gitte M. Knudsen, Brice Ozenne
<p>It has become increasingly common to probe correlations between human brain imaging measures of receptor/protein binding and function using population-level brain maps, typically drawn from independent cohorts to estimate correlations across regions. This strategy raises issues of interpretation that we highlight here with both an empirical multimodal brain imaging dataset and simulation studies. Twenty-four healthy participants completed neuroimaging with both [11C]Cimbi-36 positron emission tomography and magnetic resonance imaging scans to estimate receptor binding potential (BP) and cerebral blood flow (CBF), respectively, in 18 cortical/subcortical regions. Correlations between BP and CBF were estimated in four ways: (1) Pearson correlation across regions of mean regional BP and CBF from a single or separate cohorts (<span></span><math>