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Imagined movement modulates cardiac-cortico-cortical and cardiac-cortico-cerebellar oscillatory networks 想象运动调节心脏-皮质-皮质和心脏-皮质-小脑振荡网络。
IF 4.5 2区 医学 Q1 NEUROIMAGING Pub Date : 2026-03-01 Epub Date: 2026-02-12 DOI: 10.1016/j.neuroimage.2026.121804
Diego Candia-Rivera, Mario Chavez, Fabrizio De Vico Fallani, Marie-Constance Corsi
Understanding the mechanisms of motor imagery, the mental simulation of movement without execution, is key for the development of neurotechnologies, including understanding inter-individual variability in motor imagery performance. For instance, for detecting covert motor intent in noncommunicative patients or refining motor commands through brain-computer interfaces. While motor imagery engages motor-related brain regions, its precise mechanisms remain unclear, particularly in relation to cardiac dynamics. Evidence suggests heart-rate variability features have potential to enhance tasks’ classifications, yet the brain-heart relationship is not well understood. In this study, we examined motor imagery learning using a task involving right-hand grasping imagery. We found that motor imagery is correlated with a task-dependent modulation of cardiac sympathetic activity and its relation with directed functional connectivity from the supplementary motor area to premotor and primary motor cortices. Additionally, cerebellar-supplementary motor area segregation, in relation to cardiac parasympathetic activity, indexed longitudinal motor learning. These results suggest that dynamic reconfiguration of brain-heart interactions contributes to sensorimotor function and learning-related physiology during motor imagery, supporting the brain-heart axis as a functional component of motor imagery rather than a passive correlate.
理解运动意象的机制,即不执行运动的心理模拟,是神经技术发展的关键,包括理解运动意象表现的个体差异。例如,用于检测非交流患者的隐蔽运动意图,或通过脑机接口改进运动命令。虽然运动意象涉及与运动相关的大脑区域,但其确切机制尚不清楚,特别是与心脏动力学的关系。有证据表明,心率变异性特征有可能增强任务分类,但大脑-心脏的关系尚未得到很好的理解。在这项研究中,我们通过一个涉及右手抓取意象的任务来检验运动意象学习。我们发现运动意象与心脏交感神经活动的任务依赖性调节相关,并与辅助运动区到前运动皮层和初级运动皮层的定向功能连接相关。此外,小脑-辅助运动区分离,与心脏副交感神经活动有关,指示纵向运动学习。这些结果表明,在运动想象过程中,脑-心交互作用的动态重构有助于感觉运动功能和学习相关生理,支持脑-心轴作为运动想象的功能性组成部分,而不是被动相关。
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引用次数: 0
DeepMultiConnectome: Deep multi-task prediction of structural connectomes directly from diffusion MRI tractography DeepMultiConnectome:直接从扩散MRI束状图对结构连接体进行深度多任务预测。
IF 4.5 2区 医学 Q1 NEUROIMAGING Pub Date : 2026-03-01 Epub Date: 2026-01-29 DOI: 10.1016/j.neuroimage.2026.121765
Marcus J. Vroemen , Yuqian Chen , Yui Lo , Tengfei Xue , Weidong Cai , Fan Zhang , Josien P.W. Pluim , Lauren J. O'Donnell
Diffusion MRI (dMRI) tractography enables in vivo mapping of brain structural connections, but traditional connectome generation is time-consuming and requires gray matter parcellation, posing challenges for large-scale studies. We introduce DeepMultiConnectome, a deep-learning model that predicts structural connectomes directly from tractography, bypassing the need for gray matter parcellation while supporting multiple parcellation schemes. Using a point-cloud-based neural network with multi-task learning, the model classifies streamlines according to their connected regions across two parcellation schemes, sharing a learned representation. By classifying individual streamlines, our method’s output serves as a flexible prerequisite for constructing a wide range of differently weighted connectomes. We train and validate DeepMultiConnectome on tractography from the Human Connectome Project Young Adult dataset (N = 1000), labeled with an 84 and 164 region gray matter parcellation scheme. DeepMultiConnectome predicts multiple structural connectomes from a 3-million-streamline tractogram in ∼40 seconds. DeepMultiConnectome is evaluated by comparing predicted connectomes with traditional connectomes generated using the conventional method of labeling streamlines using a gray matter parcellation. The predicted connectomes show high agreement with traditionally generated connectomes across two parcellation schemes and multiple weighting strategies, and largely preserve network properties. Pearson correlations were r = 0.992 and 0.986 for streamline-count-weighted connectomes, r = 0.995 and 0.992 for SIFT2-weighted connectomes, and r = 0.775 and 0.727 for mean-FA-weighted connectomes. Test-retest analysis and downstream predictions of age and cognitive function demonstrate performance and reproducibility comparable to traditionally generated connectomes. Overall, DeepMultiConnectome provides a fast and scalable model for generating subject-specific connectomes across multiple parcellation and weighting schemes.
弥散MRI (Diffusion MRI, dMRI)神经束成像技术能够在体内绘制大脑结构连接,但传统的连接组生成耗时且需要对灰质进行分割,这给大规模研究带来了挑战。我们介绍了DeepMultiConnectome,这是一种深度学习模型,可以直接从神经束图预测结构连接体,绕过对灰质分割的需要,同时支持多种分割方案。该模型使用具有多任务学习功能的基于点云的神经网络,根据流线在两种分割方案中的连接区域对流线进行分类,共享学习表征。通过对单个流线进行分类,我们的方法的输出作为构建大范围不同加权连接体的灵活先决条件。我们在Human Connectome Project Young Adult数据集(n=1000)的神经束图上训练并验证了DeepMultiConnectome,该数据集使用84和164区域的灰质分割方案进行标记。DeepMultiConnectome在约40秒内从300万流线图中预测出多个结构连接体。DeepMultiConnectome通过比较预测的连接体与使用传统方法使用灰质包裹标记流线生成的传统连接体来评估。通过两种分割方案和多种加权策略,预测的连接体与传统生成的连接体高度一致,并且在很大程度上保留了网络特性。流线计数加权连接体的Pearson相关性r = 0.992和0.986,sift2加权连接体的r = 0.995和0.992,平均fa加权连接体的r = 0.775和0.727。测试-再测试分析和年龄和认知功能的下游预测证明了与传统生成的连接体相当的性能和可重复性。总的来说,DeepMultiConnectome提供了一个快速和可扩展的模型,用于跨多个分割和加权方案生成特定主题的连接体。
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引用次数: 0
A scoping review of variations in cerebral Doppler venous waveforms in infants 婴儿脑多普勒静脉波形变化的范围回顾。
IF 4.5 2区 医学 Q1 NEUROIMAGING Pub Date : 2026-03-01 Epub Date: 2026-01-31 DOI: 10.1016/j.neuroimage.2026.121766
Siv Steinsmo Ødegård , Anders Hagen Jarmund , Sindre Andre Pedersen , Paul Govaert , Jeroen Dudink , Siri Ann Nyrnes
Advances in ultrasound technology have positioned cerebral venous Doppler as a valuable method for evaluating cerebral hemodynamics, complementing arterial velocity assessments. This scoping review provides an overview of normal and abnormal venous waveforms that can guide management. A systematic search in three bibliographic databases identified 5320 unique records, of which 37 studies met inclusion criteria, reporting 205 cerebral venous Doppler waveforms from at least three infants under one year old. These studies describe both physiological variation and changes associated with lesions and medical interventions, most commonly reported using velocity-based parameters. Six studies employed a total of three different scoring systems to characterize velocity fluctuations. An atlas of cerebral venous Doppler waveforms was compiled. It highlights differences between the superficial and deep venous systems and identifies characteristic pathological changes. These include velocity fluctuation in the internal cerebral vein associated with germinal matrix and intraventricular hemorrhage; ventilatory- and extracorporeal membrane oxygenation (ECMO) pump-synchronous flow in the superior sagittal sinus; and perioperative velocity monitoring in the superior sagittal sinus in cases of Vein of Galen malformation. The review also discusses the impact of head position and external compression on venous drainage. Future studies should deepen understanding of cerebral venous hemodynamics in conditions causing systemic compromise. Investigations into the influence of head position during the transitional period in preterm neonates may help guide clinical management during this critical phase. Longitudinal studies on velocity fluctuation in relation to disease progression and medical interventions may enhance care of preterm and critically ill term infants.
超声技术的进步使脑静脉多普勒成为评估脑血流动力学的一种有价值的方法,补充了动脉速度评估。这个范围审查提供了正常和异常静脉波形的概述,可以指导管理。系统检索了三个文献数据库,确定了5320个独特记录,其中37个研究符合纳入标准,报告了至少三个一岁以下婴儿的205个脑静脉多普勒波形。这些研究描述了与病变和医疗干预相关的生理变化和变化,最常用的是使用基于速度的参数。六项研究共采用了三种不同的评分系统来表征速度波动。编制了脑静脉多普勒波形图谱。它突出了浅静脉系统和深静脉系统之间的差异,并确定了特征性的病理变化。包括与生发基质和脑室内出血相关的脑内静脉流速波动;上矢状窦通气和体外膜氧合(ECMO)泵同步血流;盖伦静脉畸形的上矢状窦围术期速度监测。本文还讨论了头部位置和外压对静脉引流的影响。未来的研究应加深对引起全身损害的脑静脉血流动力学的理解。探讨头部位置对早产儿过渡时期的影响有助于指导这一关键时期的临床管理。对速度波动与疾病进展和医疗干预相关的纵向研究可能会加强对早产儿和重症足月婴儿的护理。
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引用次数: 0
The neurophenomenology of a self-induced transcendental visionary state: A case study 自我诱导的超验幻觉状态的神经现象学:个案研究。
IF 4.5 2区 医学 Q1 NEUROIMAGING Pub Date : 2026-03-01 Epub Date: 2026-02-04 DOI: 10.1016/j.neuroimage.2026.121784
Gabriel Della Bella , Agustina Velez Picatto , Dante Sebastián Galván Rial , Sebastián Cukier , Gustavo Foa Torres , Magaly Catanzariti , Diego Mateos , Pedro Lamberti , Etzel Cardeña , Pablo Barttfeld
Non-ordinary states of consciousness (NOC) offer a way to examine how large-scale brain dynamics reorganize as experience changes. We studied a participant able to reliably enter a self-induced NOC state characterized by vivid imagery, altered bodily perception, and a sense of unity. Across 20 fMRI sessions, we measured functional connectivity in four conditions (Baseline, Transition, NOC, and Residual) and compared the results with a matched control group. During the Transition phase, connectivity became more variable, indicating a temporary destabilization of network organization. In the NOC state, inter-network connectivity decreased broadly, with visual cortex showing reduced coupling to auditory, sensorimotor, orbitofrontal, thalamic, and cerebellar regions, and the somatomotor-dorsal network disengaging from auditory and language cortices, paralleling the reported visual phenomena and changes in bodily experience. In contrast, frontoparietal and salience networks showed increased coupling with precuneus/posterior cingulate, multimodal temporal cortex, and cerebellar hubs, in agreement with subjective reports of sustained inward-directed attention and stable absorption. Entropy and complexity analyses revealed systematic shifts that tracked the experiential sequence and returned to baseline in the Residual condition. This single-case study brings together something uncommon: controlled experimentation, voluntary induction of NOC states, and rich phenomenological data. Taken together, these elements offer a strong foundation for neurophenomenological research and illustrate why pairing structured paradigms with lived experience is useful for understanding non-ordinary states of consciousness.
非普通意识状态(NOC)提供了一种研究大规模大脑动态如何随着经验变化而重组的方法。我们研究了一个能够可靠地进入自我诱导NOC状态的参与者,其特征是生动的图像、改变的身体感知和一种团结感。在20个fMRI会话中,我们测量了四种情况下(基线、过渡、NOC和剩余)的功能连通性,并将结果与匹配的对照组进行了比较。在过渡阶段,连通性变得更加多变,这表明网络组织暂时不稳定。在NOC状态下,网络间连通性广泛下降,视觉皮层与听觉、感觉运动、眼窝额叶、丘脑和小脑区域的耦合减少,躯体运动-背网络与听觉和语言皮层的分离,与所报道的视觉现象和身体体验的变化相平行。相比之下,额顶叶和显著性网络显示出与楔前叶/后扣带、多模态颞叶皮层和小脑中枢的耦合增加,这与持续内向注意力和稳定吸收的主观报告一致。熵和复杂性分析揭示了系统的变化,跟踪经验序列,并在剩余条件下返回到基线。这一单一案例研究汇集了一些不寻常的东西:受控实验、NOC状态的自愿诱导和丰富的现象学数据。综上所述,这些元素为神经现象学研究提供了坚实的基础,并说明了为什么将结构化范式与生活经验相结合对于理解非普通意识状态是有用的。
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引用次数: 0
Toward a better measure of functional laterality: Comparing and refining laterality indices in resting-state functional connectivity 迈向功能侧性的更好测量:比较和改进静息状态功能连通性的侧性指标。
IF 4.5 2区 医学 Q1 NEUROIMAGING Pub Date : 2026-03-01 Epub Date: 2026-02-04 DOI: 10.1016/j.neuroimage.2026.121782
Taeyoung Lee , Kyung Hwan Kim , Seo Yeong Ha , Hang Joon Jo
Systematic investigations into the lateralized human brain have revealed a bivariate functional architecture that underpins distinct cognitive processes. This architecture manifests through inter- and intra-hemispheric lateralization, captured respectively by neural integration and segregation. In this study, we conducted a comprehensive evaluation of multiple quantitative laterality metrics in resting-state fMRI connectivity, using conceptual models to illustrate how inter- and intra-hemispheric correlations shape functional lateralization. We further highlight the critical influence of factors such as correlation sign, correlation coefficient distribution, and statistical thresholding methodology on the interpretation of functional connectivity-based laterality indices. Our findings show that, in our dataset, laterality metrics based on positive-only functional connectivity with a lenient connection-level threshold most consistently capture established relationships between functional brain lateralization and performance in language and visuospatial domains.
对侧化人类大脑的系统研究揭示了支撑不同认知过程的二元功能结构。这种结构表现为半球间和半球内偏侧,分别由神经整合和分离捕获。在这项研究中,我们对静息状态fMRI连通性中的多个定量侧性指标进行了全面评估,使用概念模型来说明半球间和半球内相关性如何影响功能侧化。我们进一步强调了相关符号、相关系数分布和统计阈值方法等因素对基于功能连通性的横向指数解释的关键影响。我们的研究结果表明,在我们的数据集中,基于仅正面功能连接的侧性指标与宽松的连接水平阈值最一致地捕获了功能性大脑侧化与语言和视觉空间领域表现之间的既定关系。
{"title":"Toward a better measure of functional laterality: Comparing and refining laterality indices in resting-state functional connectivity","authors":"Taeyoung Lee ,&nbsp;Kyung Hwan Kim ,&nbsp;Seo Yeong Ha ,&nbsp;Hang Joon Jo","doi":"10.1016/j.neuroimage.2026.121782","DOIUrl":"10.1016/j.neuroimage.2026.121782","url":null,"abstract":"<div><div>Systematic investigations into the lateralized human brain have revealed a bivariate functional architecture that underpins distinct cognitive processes. This architecture manifests through inter- and intra-hemispheric lateralization, captured respectively by neural integration and segregation. In this study, we conducted a comprehensive evaluation of multiple quantitative laterality metrics in resting-state fMRI connectivity, using conceptual models to illustrate how inter- and intra-hemispheric correlations shape functional lateralization. We further highlight the critical influence of factors such as correlation sign, correlation coefficient distribution, and statistical thresholding methodology on the interpretation of functional connectivity-based laterality indices. Our findings show that, in our dataset, laterality metrics based on positive-only functional connectivity with a lenient connection-level threshold most consistently capture established relationships between functional brain lateralization and performance in language and visuospatial domains.</div></div>","PeriodicalId":19299,"journal":{"name":"NeuroImage","volume":"328 ","pages":"Article 121782"},"PeriodicalIF":4.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146132703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Attention decoding at the cocktail party: Preserved in hearing aid users, reduced in cochlear implant users 鸡尾酒会上的注意力解码:助听器使用者的注意力保持不变,人工耳蜗使用者的注意力减少。
IF 4.5 2区 医学 Q1 NEUROIMAGING Pub Date : 2026-03-01 Epub Date: 2026-02-05 DOI: 10.1016/j.neuroimage.2026.121771
Constantin Jehn , Jasmin Riegel , Tobias Reichenbach , Anja Hahne , Niki Katerina Vavatzanidis
Users of hearing aids (HAs) and cochlear implants (CIs) experience significant difficulty understanding a target speaker in multi-talker environments or when other background noise is present. Segregation of a particular voice from background noise occurs partly through enhanced cortical tracking of amplitude fluctuations in the target signal. Measuring a person’s cortical tracking allows decoding their focus of attention and may be used for neurofeedback in hearing devices, potentially aiding their users with speech-in-noise comprehension. Most studies on cortical speech tracking have employed typical hearing (TH) individuals, whereas studies in people with hearing impairment whose cortical tracking may differ are still scarce. The objective of this study was to compare cortical speech tracking of HA (n=29) and CI users (n=24) to that of age-matched TH individuals (n=29). We recorded EEG data while the participants attended one of two competing talkers (one with a female and one with a male voice), in a free-field acoustic environment. Importantly, HA users as well as CI users used their personal, clinically-fitted devices. Cortical speech tracking was assessed through linear backward and forward models that related the EEG data to the speech envelope. For the CI users, electrical artifacts stemming from the implant were addressed through a bespoke method for artifact rejection. We found that the HA group exhibited cortical tracking and attentional modulation that were largely comparable to those of the TH group. CI users also showed successful cortical tracking. However, they displayed a profound deficit in attentional modulation, seen in the significantly poorer neural segregation of the attended vs. the ignored speech streams. These results shed light on a neurobiological mechanism for speech-in-noise comprehension and have implications for neurofeedback in hearing devices.
助听器(HAs)和人工耳蜗(CIs)的使用者在多说话的环境中或在其他背景噪音存在时,理解目标说话者的声音有很大的困难。特定声音与背景噪声的分离部分是通过增强皮层对目标信号振幅波动的跟踪来实现的。测量一个人的皮质跟踪可以解码他们的注意力焦点,并可能用于听力设备的神经反馈,潜在地帮助他们的用户在噪音中理解语音。大多数关于大脑皮层言语跟踪的研究都是针对正常听人进行的,而针对大脑皮层言语跟踪可能存在差异的听障人群的研究仍然很少。本研究的目的是比较HA (n=29)和CI使用者(n=24)与年龄匹配的TH个体(n=29)的皮质语言跟踪。我们记录了参与者在自由场声学环境中听两种相互竞争的谈话者(一种是女声,另一种是男声)时的脑电图数据。重要的是,HA用户和CI用户都使用了他们个人的、临床安装的设备。通过将脑电图数据与语音包络相关联的线性前向和后向模型来评估皮质语音跟踪。对于CI用户来说,源自植入物的电子伪影是通过一种定制的伪影拒绝方法处理的。我们发现,HA组表现出的皮质跟踪和注意力调节在很大程度上与TH组相当。CI使用者也表现出成功的皮质追踪。然而,他们在注意力调节方面表现出严重的缺陷,这可以从被注意的语音流与被忽视的语音流之间明显较差的神经分离中看出。这些结果揭示了噪声中言语理解的神经生物学机制,并对听力设备的神经反馈具有启示意义。
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引用次数: 0
VSSI2p-Net: Physics-guided deep unfolding with L2p-norm and variation sparsity for EEG source imaging VSSI2p-Net:基于l2p范数和变异稀疏度的脑电源成像物理引导深度展开。
IF 4.5 2区 医学 Q1 NEUROIMAGING Pub Date : 2026-03-01 Epub Date: 2026-02-06 DOI: 10.1016/j.neuroimage.2026.121793
Luhua Wang , Jun Zhang , Zhenghui Gu , Ke Liu , Wei Wu , Tianyou Yu , Zhuliang Yu , Yuanqing Li
Electroencephalogram (EEG) source imaging (ESI) is highly underdetermined, which poses a long-standing challenge in neuroimaging. Traditional methods typically rely on predefined priors to constrain the solution space; however, the need for manual parameter adjustments often makes it difficult to achieve optimal integration of prior information. Although recent deep learning methods can automatically update parameters in a data-driven manner, their black-box characteristics lead to a lack of interpretability and the need for extensive training sets. To integrate the advantages of these two types of methods, we propose a novel neural network model based on deep unfolding, called variation sparse source imaging network (VSSI2p-Net). Specifically, we introduce variation sparsity and 2,p norm (0<p<1) regularization into the model of the ESI problem and utilize the Alternating Direction Method of Multipliers (ADMM) to iteratively solve this model. Furthermore, by mapping the iterative process into a neural network structure, the proposed VSSI2p-Net can optimize all parameters, including the critical p in 2,p-norm and the variation sparsity operator, in an end-to-end manner with a reasonably sized training set. In this way, VSSI2p-Net achieves more flexible prior information integration while retaining the interpretability of traditional methods, so that a more accurate and efficient solution for ESI can be obtained. We compared the performance of VSSI2p-Net with several traditional baseline methods and state-of-the-art deep learning methods on synthetic and real datasets. The results show that VSSI2p-Net significantly outperforms existing methods in source localization accuracy, spatial range estimation, and imaging speed across various source configurations.
脑电图(EEG)源成像(ESI)是一个高度不确定的问题,这给神经影像学带来了长期的挑战。传统方法通常依赖于预定义的先验来约束解空间;然而,由于需要手动调整参数,往往难以实现先验信息的最优整合。尽管最近的深度学习方法可以以数据驱动的方式自动更新参数,但它们的黑箱特征导致缺乏可解释性,并且需要大量的训练集。为了综合这两种方法的优点,我们提出了一种基于深度展开的神经网络模型,称为变异稀疏源成像网络(VSSI2p-Net)。具体地说,我们引入了变异稀疏性和l_2,p范数(02p-Net可以在一个合理大小的训练集上以端到端方式优化所有参数,包括l_2,p范数中的临界p和变异稀疏算子)。这样,VSSI2p-Net在保留传统方法可解释性的同时,实现了更灵活的先验信息集成,从而获得更准确、更高效的ESI解决方案。我们将VSSI2p-Net与几种传统基线方法和最先进的深度学习方法在合成和真实数据集上的性能进行了比较。结果表明,VSSI2p-Net在各种源配置下,在源定位精度、空间距离估计和成像速度方面都明显优于现有方法。
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引用次数: 0
Stress-induced takotsubo syndrome: dynamic changes in regional cerebral metabolism revealed by quantitative PET imaging 应激诱导的takotsubo综合征:定量PET成像显示的区域脑代谢的动态变化。
IF 4.5 2区 医学 Q1 NEUROIMAGING Pub Date : 2026-03-01 Epub Date: 2026-02-10 DOI: 10.1016/j.neuroimage.2026.121797
Alejandro Ariza-Carrasco , Thulaciga Yoganathan , María Alonso de Leciñana , Thomas Viel , Nidaa Mikail , Joaquin L. Herraiz , Jose M. Udias , Paula Ibáñez , Bertrand Tavitian , Mailyn Pérez-Liva
Stress significantly contributes to cardiovascular diseases such as Takotsubo syndrome (TTS), which mimics an acute coronary syndrome without coronary obstruction. TTS is triggered by surgery, trauma, and emergency treatments in patients, and is reproduced in animal models by a catecholamine surge that impacts cardiac sympathetic innervation. The action of catecholamines on energy metabolism is well documented in the heart, less so in the brain. We investigated the effects of acute catecholaminergic stress on regional cerebral glucose metabolism and interregional metabolic organization in a TTS rat model using FDG-PET and quantitative two-tissue compartment modeling. Adult female rats received a single intraperitoneal injection of isoprenaline (ISO) (50 mg/kg). Dynamic FDG-PET imaging was performed at baseline, 2 hours (acute phase), and 7 days (recovery phase) post-injection. Kinetic parameters, namely glucose inflow (K1) and glucose phosphorylation (k3), were quantified in 58 brain regions. Interregional metabolic coordination, defined as statistically significant linear correlations between regional kinetic parameters, was assessed across functional brain areas. During the acute phase, the catecholaminergic surge induced widespread reductions in glucose inflow and regional decreases in phosphorylation, particularly in the limbic and sensorimotor areas. During the recovery phase, most regions remained below baseline. Metabolic coordination increased for glucose inflow in both phases but declined for phosphorylation, especially during recovery, indicating a disruption of metabolic synchronization. Persistent changes in brain metabolism imply that mid-to-long-term changes in regional cerebral metabolism may contribute to long-term TTS consequences.
应激显著地导致心血管疾病,如Takotsubo综合征(TTS),它类似于没有冠状动脉阻塞的急性冠状动脉综合征。TTS可由手术、创伤和患者的紧急治疗触发,并可通过影响心脏交感神经的儿茶酚胺激增在动物模型中重现。儿茶酚胺对能量代谢的作用在心脏中有充分的记录,在大脑中则不那么明显。我们利用FDG-PET和定量两组织室模型研究了急性儿茶酚胺能应激对TTS大鼠区域脑糖代谢和区域间代谢组织的影响。成年雌性大鼠单次腹腔注射异丙肾上腺素(iso50 mg/kg)。在基线、注射后2小时(急性期)和7天(恢复期)进行动态FDG-PET成像。对58个脑区葡萄糖流入(K1)和葡萄糖磷酸化(k3)等动力学参数进行了量化。区域间代谢协调,定义为区域动力学参数之间具有统计学意义的线性相关性,在脑功能区域之间进行评估。在急性期,儿茶酚胺能激增引起葡萄糖流入的广泛减少和局部磷酸化的减少,特别是在边缘和感觉运动区。在恢复阶段,大多数地区仍低于基线。在这两个阶段,葡萄糖流入的代谢协调增加,但磷酸化的代谢协调下降,尤其是在恢复期间,表明代谢同步被破坏。脑代谢的持续变化表明,中长期区域脑代谢的变化可能导致TTS的长期后果。
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引用次数: 0
Unveiling clouded consciousness: Broad-band EEG slowing tracks recovery from post-traumatic confusional state 揭示模糊的意识:宽带脑电图缓慢跟踪从创伤后混乱状态恢复。
IF 4.5 2区 医学 Q1 NEUROIMAGING Pub Date : 2026-03-01 Epub Date: 2026-02-05 DOI: 10.1016/j.neuroimage.2026.121783
Michele Angelo Colombo , Chiara-Camilla Derchi , Tiziana Atzori , Elisabetta Litterio , Pietro Arcuri , Chiara Valota , Arturo Chieregato , Jorge Navarro , Marcello Massimini , Angela Comanducci

Background

Post-traumatic confusional state (PTCS) frequently occurs during the recovery from disorders of consciousness (DoC) following severe traumatic brain injury (TBI). Confusional symptoms span multiple domains influencing consciousness, including impairments in the access and integration of mental contents, distortions in perceptual and emotional experiences, vigilance fluctuations, and deficits in memory, orientation, and executive control. While the clinical presentation can be systematically characterized using the Confusion Assessment Protocol (CAP), the underlying neurophysiological mechanisms remain poorly understood. Specifically, slowing of both periodic and aperiodic EEG activity is a consistent finding across multiple alterations of consciousness.

Objective

We assessed whether recovery from PTCS involves a renormalization of EEG slowing.

Methods

We recorded resting-state EEG from subacute severe TBI patients at admission (T0), comparing patients with PTCS (N=22) to TBI Controls who had already emerged (N = 19). Patients with PTCS were longitudinally monitored using CAP, and a follow-up EEG (T1) was acquired after rehabilitation either upon recovery (N=19) or at discharge (N=3).

Results

Recovery from PTCS was marked by partial normalization of the spectral profile—as indexed by the spectral exponent, and peak frequency—converging toward the profile of TBI Controls. However, marginal persistent elevations in power, indexed by spectral offset and delta power, indicated residual abnormalities. Spectral features, particularly spectral exponent and offset, correlated with CAP and robustly discriminated the presence of PTCS (bivariate model ROC AUC = 0.894).

Conclusion

Results show that PTCS is marked by broadband EEG slowing affecting both periodic and aperiodic activity. Spectral reorganization over time provides insight into the mechanisms of recovery from PTCS and may inform rehabilitation pathways.
背景:严重创伤性脑损伤(TBI)后意识障碍(DoC)的恢复过程中经常出现创伤后精神错乱状态(PTCS)。混淆症状跨越影响意识的多个领域,包括心理内容的获取和整合障碍、感知和情感体验的扭曲、警惕性波动以及记忆、定向和执行控制方面的缺陷。虽然临床表现可以使用混淆评估协议(CAP)系统地表征,但潜在的神经生理机制仍然知之甚少。具体来说,周期性和非周期性脑电图活动的减慢是在多重意识改变中一致的发现。目的:我们评估PTCS的恢复是否涉及脑电图减慢的再正常化。方法:我们记录亚急性重型TBI患者入院时的静息状态脑电图(T0),将PTCS患者(N=22)与已经出现的TBI对照组(N = 19)进行比较。采用CAP对PTCS患者进行纵向监测,并在康复时(N=19)或出院时(N=3)进行随访EEG (T1)。结果:PTCS的恢复表现为光谱特征的部分归一化(以光谱指数为指标),峰值频率向TBI对照的特征收敛。然而,功率的边际持续升高,以频谱偏移和增量功率为指标,表明存在残留异常。光谱特征,特别是光谱指数和偏移量,与CAP相关,并能很好地区分PTCS的存在(二元模型ROC AUC = 0.894)。结论:PTCS以宽带脑电图减慢为特征,影响周期和非周期活动。随着时间的推移,谱重组提供了对PTCS恢复机制的深入了解,并可能为康复途径提供信息。
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引用次数: 0
Temporal dynamics of flexible cognitive control 灵活认知控制的时间动力学。
IF 4.5 2区 医学 Q1 NEUROIMAGING Pub Date : 2026-03-01 Epub Date: 2026-02-05 DOI: 10.1016/j.neuroimage.2026.121787
Chengyuan Wu , Carol A. Seger , Yixuan Ku , Canhuang Luo , Ying Zhou , Jiefeng Jiang , Qi Chen
In dynamic environments, flexible cognitive control adaptively adjusts processing through proactive mechanisms deployed in advance and reactive mechanisms engaged upon conflict. Previous studies have primarily focused on identifying neural networks supporting specific control components, while less is known about how multiple components interact over time to support adaptive control. To characterize these temporal dynamics, we combined electroencephalography (EEG) recordings with a face-word Stroop paradigm under changing conflict environment. A hierarchical Bayesian model was used to estimate trial-wise learning rate, predicted conflict level, and prediction error, providing computational indices of cognitive control flexibility. Neural correlation analysis indicated that these variables correlated with Theta, Alpha, and Beta oscillations in distinct brain regions. Granger causality analyses revealed connectivity patterns among these regions that varied across different task phase. Furthermore, connections reflecting updates to predicted conflict level prior to stimulus onset indexed individual strength in proactive control, while connections reflecting learning rate updates after stimulus onset indexed reactive control. These findings highlight how oscillatory dynamics coordinate multiple control components and provide new insight into how proactive and reactive control emerge as distinct modes within this interconnected neural architecture of flexible cognitive control.
在动态环境中,灵活的认知控制通过预先部署的主动机制和冲突时参与的反应机制自适应地调整加工。以前的研究主要集中在识别支持特定控制组件的神经网络,而对多个组件如何随时间相互作用以支持自适应控制的了解较少。为了描述这些时间动态,我们将脑电图记录与不断变化的冲突环境下的脸字Stroop范式相结合。采用层次贝叶斯模型估计试验学习率、预测冲突水平和预测误差,提供认知控制灵活性的计算指标。神经相关分析表明,这些变量与大脑不同区域的θ、α和β振荡相关。格兰杰因果分析揭示了这些区域在不同任务阶段之间的连接模式。此外,反映刺激发生前预测冲突水平更新的连接指示主动控制中的个体强度,而反映刺激发生后学习率更新的连接指示反应性控制中的个体强度。这些发现强调了振荡动力学如何协调多个控制组件,并为主动控制和反应控制如何在灵活认知控制的相互关联的神经结构中作为不同的模式出现提供了新的见解。
{"title":"Temporal dynamics of flexible cognitive control","authors":"Chengyuan Wu ,&nbsp;Carol A. Seger ,&nbsp;Yixuan Ku ,&nbsp;Canhuang Luo ,&nbsp;Ying Zhou ,&nbsp;Jiefeng Jiang ,&nbsp;Qi Chen","doi":"10.1016/j.neuroimage.2026.121787","DOIUrl":"10.1016/j.neuroimage.2026.121787","url":null,"abstract":"<div><div>In dynamic environments, flexible cognitive control adaptively adjusts processing through proactive mechanisms deployed in advance and reactive mechanisms engaged upon conflict. Previous studies have primarily focused on identifying neural networks supporting specific control components, while less is known about how multiple components interact over time to support adaptive control. To characterize these temporal dynamics, we combined electroencephalography (EEG) recordings with a face-word Stroop paradigm under changing conflict environment. A hierarchical Bayesian model was used to estimate trial-wise learning rate, predicted conflict level, and prediction error, providing computational indices of cognitive control flexibility. Neural correlation analysis indicated that these variables correlated with Theta, Alpha, and Beta oscillations in distinct brain regions. Granger causality analyses revealed connectivity patterns among these regions that varied across different task phase. Furthermore, connections reflecting updates to predicted conflict level prior to stimulus onset indexed individual strength in proactive control, while connections reflecting learning rate updates after stimulus onset indexed reactive control. These findings highlight how oscillatory dynamics coordinate multiple control components and provide new insight into how proactive and reactive control emerge as distinct modes within this interconnected neural architecture of flexible cognitive control.</div></div>","PeriodicalId":19299,"journal":{"name":"NeuroImage","volume":"328 ","pages":"Article 121787"},"PeriodicalIF":4.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146137738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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NeuroImage
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