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Converse or reverse? Machine-learning modeling for disease progression: A study based on Alzheimer’s disease continuum cohort 反向还是反向?疾病进展的机器学习建模:基于阿尔茨海默病连续队列的研究。
IF 4.5 2区 医学 Q1 NEUROIMAGING Pub Date : 2026-02-15 Epub Date: 2026-01-25 DOI: 10.1016/j.neuroimage.2026.121754
Yujing Huang (黄玉晶) , Hao Zhang (张灏) , Buqing Ma (马步青) , Zhe Yu (俞哲) , Shenyi Dai (戴珅懿) , Lu Cheng (程璐) , Li Su (苏里) , Alzheimer’s Disease Neuroimaging Initiative (ADNI), Gaoyi Yang (杨高怡) , Qingguo Ma (马庆国)

Introduction

Longitudinal trajectories from healthy aging to Mild Cognitive Impairment and Alzheimer’s Disease involve complex mechanisms.

Methods

We evaluated five machine learning approaches (Random Forest, Support Vector Machines, Radial Basis Function Networks, Backpropagation Networks, Convolutional Neural Network) to assess the importance of potential predictive markers across the health-to-dementia continuum. Using the ADNI cohort across four phases (ADNI1, ADNIGO, ADNI2, ADNI3), we analyzed participants with distinct trajectories: stable, convertible, and reverse progression.

Results

Random Forest outperformed other models across key effectiveness metrics and achieved a macro-averaged sensitivity of 70.8 % and specificity of 96.8 % across all participant groups. Random Forest identified visuospatial and memory-related cognitive dysfunction as key predictive clinical features and several amyloid-related neuroimaging biomarkers — including temporal variations of amyloid uptake within inferior lateral ventricles, para-hippocampus—for classifying participant groups. Additionally, plasma APOE4 and long neurofilament light chain levels emerged as promising predictors for tracking progression.

Conclusion

These findings highlight the potential of machine learning in classifying disease trajectories.
从健康衰老到轻度认知障碍和阿尔茨海默病的纵向轨迹涉及复杂的机制。方法:我们评估了五种机器学习方法(随机森林、支持向量机、径向基函数网络、反向传播网络、卷积神经网络),以评估健康到痴呆连续体中潜在预测标记的重要性。使用四个阶段(ADNI1, adnio, ADNI2, ADNI3)的ADNI队列,我们分析了具有不同轨迹的参与者:稳定,可转换和反向进展。结果:随机森林在关键有效性指标上优于其他模型,在所有参与者组中实现了70.8%的宏观平均灵敏度和96.8%的特异性。随机森林将视觉空间和记忆相关的认知功能障碍确定为关键的预测性临床特征和几种淀粉样蛋白相关的神经成像生物标志物,包括下侧脑室、海马体旁淀粉样蛋白摄取的时间变化,用于对参与者群体进行分类。此外,血浆APOE4和长神经丝轻链水平成为跟踪进展的有希望的预测指标。结论:这些发现突出了机器学习在分类疾病轨迹方面的潜力。
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引用次数: 0
In vivo quantitative assessments with [11C]T-278, a PET imaging agent for diacylglycerol kinase gamma, in nonhuman primate brain [11C]T-278 PET显像剂对二酰基甘油激酶γ的体内定量评价。
IF 4.5 2区 医学 Q1 NEUROIMAGING Pub Date : 2026-02-15 Epub Date: 2026-01-15 DOI: 10.1016/j.neuroimage.2026.121731
Yasushi Hattori , Tomoteru Yamasaki , Yuji Nagai , Takashi Okauchi , Masayuki Fujinaga , Wakana Mori , Takafumi Minamimoto , Makoto Higuchi , Tatsuki Koike , Ming-Rong Zhang
Diacylglycerol kinase (DGK) is an enzyme catalyzing ATP-dependent conversion of diacylglycerol to phosphatidic acid. Among DGK subtypes, DGKγ is localized in the brain and plays important roles in the central nervous system, although its detailed functions remain unknown. Recently, [11C]T-278 was developed as a selective positron emission tomography (PET) imaging agent for DGKγ. This study aimed to conduct the first quantitative analysis using PET with [11C]T-278 in nonhuman primate brains. In rhesus monkeys, compartmental analyses showed superior goodness-of-fit in two-tissue compartment model than one-tissue compartment model. Full kinetic analysis of [11C]T-278 yielded reliable estimates of the total distribution volume (VT) values across various brain regions, showing a strong correlation (slope = 1.07, r > 0.995) with VT value derived from Logan GA. Furthermore, time-stability analysis for VT estimations showed small variations (< 5 %) between 70 and 90 min of scan durations across most regions of interest. This study provides the first in vivo visualization of DGKγ in monkey brain using quantitative PET analysis with [11C]T-278.
二酰基甘油激酶(DGK)是一种酶,催化atp依赖的二酰基甘油转化为磷脂酸。在DGK亚型中,DGKγ定位于大脑并在中枢神经系统中发挥重要作用,尽管其详细功能尚不清楚。最近,[11C]T-278被开发为DGKγ的选择性正电子发射断层扫描(PET)显像剂。本研究旨在首次利用PET对非人灵长类动物大脑中的[11C]T-278进行定量分析。在恒河猴中,区隔分析显示,两组织区隔模型的拟合优度优于一组织区隔模型。对[11C]T-278的全动力学分析得出了脑各区域的总分布体积(VT)值的可靠估计,显示出与Logan GA得出的VT值有很强的相关性(斜率 = 1.07,r > 0.995)。此外,VT估计的时间稳定性分析显示,在大多数感兴趣的区域,扫描持续时间在70到90分钟之间的变化很小(< 5%)。本研究首次利用[11C]T-278进行定量PET分析,实现了DGKγ在猴子大脑中的活体可视化。
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引用次数: 0
Personalized repetitive transcranial magnetic stimulation reduces frontal eeg complexity in patients with obsessive–compulsive disorder 个性化重复经颅磁刺激降低强迫症患者额叶脑电图复杂性。
IF 4.5 2区 医学 Q1 NEUROIMAGING Pub Date : 2026-02-15 Epub Date: 2026-01-23 DOI: 10.1016/j.neuroimage.2026.121751
Yihao Sheng , Woxin Pan , Haibing Huang , Shenghao Geng , Fangyan Jia , Liyv Lu , Ke Chen , Chunyan Zhu , Dandan Li

Background

Repetitive transcranial magnetic stimulation (rTMS) shows therapeutic potential for obsessive-compulsive disorder (OCD). Brain entropy has recently emerged as a candidate biomarker in neuropsychiatry, yet its modulation by rTMS in OCD remains unclear. Given EEG's superior temporal resolution for capturing rapid fluctuations in neural complexity, it was used to evaluate the effects of fMRI-neuronavigated rTMS on frontal entropy and its potential as an objective treatment marker.

Methods

Resting-state EEG was recorded from 44 OCD patients and 24 healthy controls (HCs) to compute frontal entropy- and complexity-based measures, including approximate entropy (ApEn), sample entropy (SampEn), and Lempel–Ziv complexity (LZC). Patients were randomized to an active (n = 22) or sham (n = 22) rTMS group, with the active group receiving individualized 1 Hz stimulation over the right pre-supplementary motor area for 14 consecutive days. EEG was repeated post-intervention.

Results

At baseline, OCD patients exhibited higher frontal complexity than healthy controls across all three measures. Linear mixed-effects models consistently revealed significant main effects of time and stimulation, as well as their interaction. Bayesian and FDR-corrected analyses confirmed significant reductions in all three measures following active stimulation. Post-treatment, frontal complexity remained elevated in the sham group relative to healthy controls, whereas no such difference was observed in the active stimulation group.

Conclusion

OCD is characterized by increased frontal neural complexity as indexed by multiple entropy- and complexity-based EEG measures. Individualized rTMS modulated these abnormalities, supporting frontal EEG complexity as a promising objective biomarker of neuromodulatory effects.
背景:重复经颅磁刺激(rTMS)显示出治疗强迫症(OCD)的潜力。脑熵最近成为神经精神病学的候选生物标志物,但rTMS对强迫症的调节作用尚不清楚。鉴于脑电图在捕捉神经复杂性的快速波动方面具有优越的时间分辨率,我们利用它来评估fmri神经导航rTMS对额叶熵的影响及其作为客观治疗指标的潜力。方法:记录44例强迫症患者和24例健康对照(hc)的静息状态脑电图,计算基于额叶熵和复杂度的测量,包括近似熵(ApEn)、样本熵(SampEn)和Lempel-Ziv复杂度(LZC)。患者被随机分为活跃(n = 22)或假(n = 22)rTMS组,活跃组在右侧辅助前运动区域连续14天接受个体化1hz刺激。干预后复查脑电图。结果:在基线时,强迫症患者在所有三项测量中表现出比健康对照组更高的额叶复杂性。线性混合效应模型一致地揭示了时间和刺激的显著主效应及其相互作用。贝叶斯和fdr校正分析证实,在积极增产后,这三种措施的产量都显著降低。治疗后,假手术组的额叶复杂性仍然高于健康对照组,而在积极刺激组中没有观察到这种差异。结论:基于多重熵和复杂性的脑电图测量表明,强迫症的特征是额神经复杂性增加。个体化rTMS调节了这些异常,支持额叶脑电图复杂性作为神经调节作用的一个有希望的客观生物标志物。
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引用次数: 0
Cortical encoding of acoustic and linguistic rhythms reflects L2 narrative comprehension 听觉和语言节奏的皮层编码反映了二语的叙事理解。
IF 4.5 2区 医学 Q1 NEUROIMAGING Pub Date : 2026-02-15 Epub Date: 2026-01-13 DOI: 10.1016/j.neuroimage.2026.121716
Jiaying Zhang , Junying Liang , Yiguang Liu , Cheng Luo
Speech comprehension is a multistage process involving both acoustic encoding and linguistic processing. Accumulating evidence has demonstrated that low-frequency cortical activity can track perceived linguistic units (e.g., words) on top of basic acoustic features (e.g., speech envelope). However, it remains unclear how the neural tracking of acoustic and linguistic information relates to second language (L2) speech comprehension in narrative contexts. Here, we investigate neural tracking of narrative speech for L2 listeners using electroencephalography (EEG). Notably, we introduce amplitude modulation (AM) cues aligned with word rhythm onto the basic envelope of speech and employ a frequency-tagging paradigm to measure neural responses to word and AM rhythm separately. When narrative speech was presented to L2 listeners during a speech comprehension task, reliable neural tracking of word and AM rhythm was observed in low-frequency cortical activity. While the introduction of AM cues enhances both comprehension performance and word-tracking responses, listeners with high versus low comprehension performance exhibit differences in their word-tracking responses rather than AM-tracking responses. Furthermore, the power and phase associated with word-tracking responses jointly reflect individual comprehension performance of L2 listeners. Our results indicate that bottom-up acoustic cues and top-down linguistic knowledge predominantly modulate the low-frequency neural tracking of linguistic units, which contributes to speech comprehension in a nonnative language.
语音理解是一个包括声音编码和语言处理的多阶段过程。越来越多的证据表明,低频皮层活动可以在基本声学特征(如语音包络)之上跟踪感知到的语言单位(如单词)。然而,在叙事语境中,声学和语言信息的神经跟踪与第二语言理解的关系尚不清楚。在这里,我们使用脑电图(EEG)来研究二语听者叙事性言语的神经跟踪。值得注意的是,我们将与单词节奏一致的调幅(AM)线索引入到语音的基本包络中,并采用频率标记范式分别测量对单词和AM节奏的神经反应。当在言语理解任务中向二语听者呈现叙事性言语时,在低频皮层活动中观察到对单词和AM节奏的可靠神经跟踪。虽然调幅提示的引入提高了理解能力和单词跟踪反应,但高理解能力和低理解能力的听者在单词跟踪反应上表现出差异,而不是调幅跟踪反应。此外,单词追踪反应的功率和相位共同反映了二语听者的个人理解表现。我们的研究结果表明,自下而上的声音线索和自上而下的语言知识主要调节语言单元的低频神经跟踪,这有助于非母语语言的语音理解。
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引用次数: 0
The neural correlates of pedagogy: An fNIRS hyperscanning study of constructivist and instructivist approaches in teacher-child dyads 教育学的神经关联:建构主义和教学主义在教师-儿童组合中的超扫描研究。
IF 4.5 2区 医学 Q1 NEUROIMAGING Pub Date : 2026-02-15 Epub Date: 2026-01-13 DOI: 10.1016/j.neuroimage.2026.121719
Hui Li , John Chi-Kin Lee , Dandan Wu , Keya Ding
A foundational debate in education contrasts constructivist and instructivist pedagogies, yet their neurocognitive underpinnings remain largely unknown. This study provides a pioneering direct neural comparison of these pedagogical paradigms. Using functional near-infrared spectroscopy (fNIRS) hyperscanning, we simultaneously recorded prefrontal cortex activity from 54 teacher-child dyads (children aged 4–7 years) during a collaborative LEGO-building task in a Chinese context. Dyads were randomly assigned to either a constructivist (facilitator-led) or an instructivist (expert-led) approach. We analyzed intra-brain (within-person) and inter-brain (between-person) synchrony using wavelet transform coherence.
Results revealed distinct neural signatures for each approach. Both teachers and children exhibited unique patterns of intra-brain connectivity reflecting the different cognitive demands of each role. Critically, dyads in the constructivist approach displayed significantly higher inter-brain synchrony in right prefrontal regions (implicated in social cognition and mentalizing) compared to dyads in the instructivist condition. These findings suggest that constructivism fosters a neurally coupled, collaborative state between teacher and child, potentially reflecting a shared cognitive space. In contrast, instructivist teaching appears to impose a higher, more independent cognitive load on the teacher with less dyadic neural alignment. This work provides the first neurobiological evidence differentiating these cornerstone teaching frameworks and offers a new avenue for a neurally-informed science of learning.
在教育的基础辩论对比建构主义和教学主义教学法,但他们的神经认知基础仍然很大程度上未知。这项研究为这些教学范式提供了一种开创性的直接神经比较。使用功能性近红外光谱(fNIRS)超扫描,我们同时记录了54对教师-儿童(4-7岁的儿童)在中国背景下合作构建乐高积木任务中的前额叶皮层活动。二人组被随机分配到建构主义组(引导者引导)和指导主义组(专家引导)。我们利用小波变换相干性分析了脑内(人内)和脑间(人之间)的同步。结果显示每种方法的神经特征不同。教师和儿童都表现出独特的脑内连接模式,反映了每个角色的不同认知需求。重要的是,与教学主义组相比,建构主义组的双组在右前额叶区域(涉及社会认知和心理化)表现出显著更高的脑间同步。这些发现表明,建构主义在教师和儿童之间培养了一种神经耦合的合作状态,潜在地反映了一个共享的认知空间。相比之下,指导性教学似乎对教师施加了更高、更独立的认知负荷,而双进神经排列较少。这项工作提供了区分这些基础教学框架的第一个神经生物学证据,并为神经信息学习科学提供了新的途径。
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引用次数: 0
A watershed algorithm GUI for personalized fMRI-guided rTMS target fmri引导下rTMS目标个性化分水岭算法GUI
IF 4.5 2区 医学 Q1 NEUROIMAGING Pub Date : 2026-02-15 Epub Date: 2026-01-20 DOI: 10.1016/j.neuroimage.2026.121743
Zi-Jian Feng , Ziyu Wei , Liquan Hong , Hongli Fang , Yu Han , Peifeng Yang , Dongsheng Lv , Yu-Feng Zang
Personalized repetitive transcranial magnetic stimulation (rTMS) increasingly relies on resting-state functional magnetic resonance imaging (fMRI) to select stimulation sites, yet most pipelines depend on user-defined thresholds and atlas masks, which can shift individualized targets. We propose a watershed-based approach, implemented in a graphical user interface, that performs threshold-independent segmentation of functional images to support rTMS target localization. As a proof-of-concept, we focused on Alzheimer’s disease–related circuits within the default mode network, designating the posterior cingulate cortex (PCC) as the deep effective region and the inferior parietal lobule (IPL) as the superficial stimulation target. In a cohort of 21 healthy participants, quantitative comparison with a conventional threshold-based, mask-constrained peak strategy revealed high concordance for PCC peaks but a median spatial displacement of 6.0 mm (95 % CI: 0.0–12.7 mm) for IPL targets. Qualitative examples further illustrate that watershed segmentation reduces bias from neighboring functional clusters, truncation by atlas boundaries, and ambiguity among multiple local peaks. By decoupling target definition from user-chosen thresholds and packaging the method in an accessible toolbox, this framework offers a generalizable tool for individualized fMRI-guided rTMS.
个性化重复经颅磁刺激(rTMS)越来越依赖于静息状态功能磁共振成像(fMRI)来选择刺激位点,然而大多数管道依赖于用户定义的阈值和图谱掩模,这可以改变个性化的目标。我们提出了一种基于分水岭的方法,在图形用户界面中实现,该方法对功能图像进行阈值无关的分割,以支持rTMS目标定位。作为概念验证,我们重点研究了默认模式网络中与阿尔茨海默病相关的回路,将后扣带皮层(PCC)指定为深部有效区,将下顶叶(IPL)指定为浅表刺激目标。在21名健康参与者的队列中,与传统的基于阈值的面罩约束峰策略进行定量比较,发现PCC峰的一致性很高,但IPL目标的中位空间位移为6.0 mm (95% CI: 0.0-12.7 mm)。定性的例子进一步说明分水岭分割减少了邻近功能簇的偏差、图谱边界的截断以及多个局部峰之间的模糊性。通过将目标定义与用户选择的阈值解耦,并将方法打包到一个可访问的工具箱中,该框架为个性化fmri引导的rTMS提供了一个通用的工具。
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引用次数: 0
Neural representations of emotional response inhibition reveal trait and state biomarkers in pediatric bipolar disorder 情绪反应抑制的神经表征揭示了儿童双相情感障碍的特征和状态生物标志物。
IF 4.5 2区 医学 Q1 NEUROIMAGING Pub Date : 2026-02-15 Epub Date: 2026-01-20 DOI: 10.1016/j.neuroimage.2026.121738
Jia Li , Rong Wang , Jianze Wu , Qian Xiao , Yuan Zhong
Pediatric bipolar disorder (PBD) is characterized by disrupted cognitive control, particularly in response inhibition under emotional interference. However, the neural underpinnings of these deficits, particularly how these impairments vary across emotional valence and whether they reflect trait markers or state alterations, remain unclear. While traditional univariate fMRI analyses reveal broad activation differences, they lack sensitivity to fine-grained neural patterns. This study aims to examine the neural representations of emotional response inhibition in PBD under valence-dependent interference using representational similarity analysis(RSA). We included manic (n = 15) and euthymic (n = 18) PBD patients, along with matched healthy controls (n = 17). Participants completed an emotional Go/NoGo task with happy, sad, and neutral faces during fMRI. Six contrast conditions were modeled to assess trait- and state-related effects. Whole-brain searchlight RSA (8 mm radius) was used to identify regions showing group differences in neural representational patterns. Results showed that emotional response inhibition engaged distributed neural systems, with distinct patterns across valence conditions. Compared to controls, PBD patients exhibited trait-related representational differences during happy inhibition, sad inhibition, and sad-specific inhibition, involving regions such as the precentral gyrus, middle frontal gyrus, and inferior parietal lobule. Manic patients showed state-related reductions in neural representations during sad-specific inhibition within frontal areas compared to euthymic patients. These findings indicate that emotional response inhibition deficits in PBD arise from both trait- and state-dependent abnormalities in neural representations. The study highlights the value of multivariate fMRI in uncovering clinically relevant biomarkers and provides a novel framework for developing phase-specific interventions.
儿童双相情感障碍(PBD)的特点是认知控制紊乱,特别是在情绪干扰下的反应抑制。然而,这些缺陷的神经基础,特别是这些损伤如何在情绪效价中变化,以及它们是否反映了特征标记或状态改变,仍不清楚。虽然传统的单变量功能磁共振成像分析揭示了广泛的激活差异,但它们对细粒度的神经模式缺乏敏感性。本研究旨在利用表征相似度分析(RSA)研究价依赖干扰下PBD情绪反应抑制的神经表征。我们纳入了躁狂型(n=15)和常郁型(n=18) PBD患者,以及匹配的健康对照(n=17)。参与者在fMRI期间完成了一项带有情绪的Go/NoGo任务,其中有快乐、悲伤和中性的面孔。六个对比条件被建模来评估特质和状态相关的影响。采用全脑探照灯RSA (8mm半径)识别神经表征模式组间差异区域。结果表明,情绪反应抑制涉及分布式神经系统,在不同效价条件下具有不同的模式。与对照组相比,PBD患者在快乐抑制、悲伤抑制和悲伤特异性抑制方面表现出特质相关的代表性差异,涉及中央前回、额中回和顶叶下小叶等区域。与心境正常的患者相比,躁狂患者在额叶区域的悲伤特异性抑制中表现出与状态相关的神经表征减少。这些发现表明,PBD的情绪反应抑制缺陷是由神经表征的特征依赖性和状态依赖性异常引起的。该研究强调了多元功能磁共振成像在发现临床相关生物标志物方面的价值,并为开发特定阶段的干预措施提供了新的框架。
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引用次数: 0
Excess iron in deep gray matter is associated with cognitive and functional decline: The mediating role of white matter myelin 深灰质中过量的铁与功能衰退有关:白质髓磷脂的中介作用。
IF 4.5 2区 医学 Q1 NEUROIMAGING Pub Date : 2026-02-15 Epub Date: 2026-01-15 DOI: 10.1016/j.neuroimage.2026.121730
Jonghyun Bae , Angelique De Rouen , Zhaoyuan Gong , Nathan Zhang , Noam Y. Fox , Murat Bilgel , Christopher M. Bergeron , Luigi Ferrucci , Mustapha Bouhrara

BACKGROUND

Cerebral iron accumulation is a hallmark of aging and age-related neurodegenerative conditions. This study explored whether higher iron levels in deep gray matter (DGM) structures contribute to motor and cognitive decline and whether this association is mediated by demyelination in white matter (WM) tracts connecting the DGM to the cortex.

METHOD

We used quantitative susceptibility mapping (QSM) to quantify brain iron and multi-component relaxometry to estimate myelin content in 86 cognitively unimpaired adults (ages 22–94) who underwent longitudinal assessments of cognitive and motor function. We analyzed age-related differences in DGM iron levels, examined their association with cognitive and functional decline, and conducted mediation analyses to evaluate the role of WM myelination.

RESULTS

Higher iron levels in the putamen and caudate nucleus were significantly correlated with older age. Higher putamen iron level was negatively associated with usual and rapid gait speed. In longitudinal analyses, higher iron levels in DGM were associated with a steeper decline in verbal fluency, processing speed, and motor function. Myelin content revealed a significant indirect mediated effect on the relationship between high iron content and motor function in the superior corona radiata, a WM tract connecting the putamen to the cortex.

CONCLUSION

These findings suggest that excessive iron is linked to cognitive and functional decline in aging, with motor deterioration specifically mediated by demyelination of white matter pathways connecting the deep gray matter to the cortex. Together, iron and myelin metrics may serve as early biomarkers of age-related clinical decline and represent promising therapeutic targets for preserving motor function in older adults.
背景:脑铁积累是衰老和与年龄相关的神经退行性疾病的标志。本研究探讨了深部灰质(DGM)结构中的高铁水平是否会导致运动和认知能力下降,以及这种关联是否由连接DGM和皮层的白质束脱髓鞘介导。方法:我们使用定量易感性制图(QSM)来量化脑铁和多组分松弛法来估计86名认知功能未受损的成年人(22-94岁)的髓磷脂含量,他们接受了认知和运动功能的纵向评估。我们分析了DGM铁水平的年龄相关差异,研究了它们与功能衰退的关系,并进行了中介分析来评估WM髓鞘形成的作用。结果:壳核和尾状核铁水平与年龄显著相关。较高的壳核铁与正常和快速的步态速度负相关。在纵向分析中,DGM中较高的铁含量与语言流畅性、处理速度和运动功能的急剧下降有关。髓磷脂含量在高铁含量与上辐射冠(连接壳核和皮层的WM束)运动功能之间的关系中显示了显著的间接介导作用。结论:这些发现表明,过量的铁与衰老的功能下降有关,特别是由连接深灰质和皮层的白质通路脱髓鞘介导的运动退化。总之,铁和髓磷脂指标可以作为与年龄相关的运动衰退的早期生物标志物,代表了保留老年人运动功能的有希望的治疗靶点。
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引用次数: 0
Evidence for enhanced backward connectivity in the third visual pathway following cortico-cortical paired associative stimulation 皮质-皮质配对联合刺激后第三视觉通路后向连接增强的证据。
IF 4.5 2区 医学 Q1 NEUROIMAGING Pub Date : 2026-02-15 Epub Date: 2026-01-27 DOI: 10.1016/j.neuroimage.2026.121759
Gabriele Pirazzini , Antonio Cataneo , Silvana Pelle , Alice Marra , Giorgio Arcara , Simone Battaglia , Mauro Ursino , Alessio Avenanti
The posterior superior temporal sulcus (pSTS) and early visual cortex (V1/V2) form part of a lateral occipito-temporal network - proposed as a “third” visual pathway - supporting the processing of socially and emotionally relevant information. Prior studies using cortico-cortical paired associative stimulation (ccPAS) applied from pSTS to V1/V2 have shown enhanced recognition of facial emotional expressions, interpreted as reflecting strengthened temporo-occipital backward connectivity. However, direct evidence that ccPAS can modulate pSTS-to-V1/V2 connectivity has been lacking. Here, we applied ccPAS consisting of repeated paired TMS pulses, with the first pulse delivered over pSTS and the second pulse over V1/V2 (ccPASSTS-V1). A reverse-order protocol (ccPASV1-STS) served as a control. Resting-state EEG was recorded before, immediately after, and 30 min post-stimulation to assess functional connectivity. Multivariate spectral Granger Causality analysis characterized the directionality and frequency-dependent dynamics of connectivity. Outdegree metrics revealed that ccPASSTS-V1 enhanced backward functional connectivity immediately after stimulation, with effects persisting after 30 min, possibly consistent with Hebbian-like associative plasticity in top-down pathways. In addition, an increase in forward connectivity was observed 30 min after ccPASV1-STS, and more weakly after ccPASSTS-V1, possibly reflecting broader compensatory mechanisms. These findings demonstrate that ccPAS can transiently and selectively modulate directional connectivity within the “third” visual pathway, providing insights into the physiological basis of ccPAS and suggesting that previously observed improvements in emotion recognition following ccPASSTS-V1 may arise from plastic changes in backward pSTS-to-V1/V2 connectivity. More broadly, they underscore the potential of ccPAS to probe and modulate the dynamics of higher-order visual circuits.
后颞上沟(pSTS)和早期视觉皮层(V1/V2)构成外侧枕颞网络的一部分,被认为是“第三”视觉通路,支持社会和情感相关信息的处理。先前使用皮质-皮质配对联想刺激(ccPAS)从pSTS到V1/V2的研究表明,面部情绪表情的识别增强,这被解释为反映了颞枕向后连接的增强。然而,ccPAS可以调节psts到v1 /V2连接的直接证据一直缺乏。在这里,我们应用了由重复配对的TMS脉冲组成的ccPAS,第一个脉冲通过pSTS传递,第二个脉冲通过V1/V2传递(ccPASSTS-V1)。反序协议(ccPASV1-STS)作为对照。在刺激前、刺激后和刺激后30分钟分别记录静息状态脑电图,以评估功能连通性。多元频谱格兰杰因果分析表征了连通性的方向性和频率依赖性动态。外度指标显示,ccPASSTS-V1在刺激后立即增强了向后功能连接,其效果持续30分钟后,可能与自上而下通路中的hebbian样联想可塑性一致。此外,ccPASV1-STS后30分钟前向连通性增加,ccPASSTS-V1后更弱,可能反映了更广泛的补偿机制。这些研究结果表明,ccPAS可以短暂和选择性地调节第三视觉通路内的定向连接,为ccPAS的生理基础提供了新的见解,并表明先前观察到的ccPASSTS-V1后情绪识别的改善可能源于向后psts - v1 /V2连接的可塑性变化。更广泛地说,他们强调了ccPAS探测和调节高阶视觉电路动态的潜力。
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引用次数: 0
Multimodal MRI data fusion reveals distinct structural, functional and neurochemical correlates of depression in patients with Parkinson's disease 多模态MRI数据融合揭示了帕金森病患者抑郁的独特结构、功能和神经化学相关性。
IF 4.5 2区 医学 Q1 NEUROIMAGING Pub Date : 2026-02-15 Epub Date: 2026-01-07 DOI: 10.1016/j.neuroimage.2026.121706
Xiaorong Hou , Jiajian Zhang , Junhong Duan , Yafei Song , Xuxiong Tang , Ziwei Gong , Ziwen Li , Zhineng Kang , Yunchen Huang , Jingqi He , Xiaoxia Zhou , Beisha Tang , Yin Liu , Lifang Lei
Depression in Parkinson's disease (PD) involves complex structural, functional and multiple neurotransmitter systems alterations. So far, the precise interplay between structural and functional brain alterations and their underlying neurotransmitter processes remains largely unexplored. The advent of parallel independent component analysis (pICA) and the JuSpace toolbox provide a possible clue to elucidate their interrelationships and underlying mechanisms. In this study, we employed pICA to examine co-varying components interaction between gray matter volume (GMV) and fractional amplitude of low-frequency fluctuations (fALFF) in a cohort of 142 PD patients, comprising 53 PD patients with depression (PDD) and 89 PD patients without depression (PDND). Furthermore, we examined the spatial correlations between the GMV/fALFF components identified by pICA and neurotransmitter system maps using the JuSpace toolbox. Our analysis revealed significant negative correlations between one fMRI component (fALFF_IC6, frontoparietal, temporal and cerebellar regions) and two sMRI components (GMV_IC1 and GMV_IC4, basal ganglia, thalamocortical circuits, cerebellum and sensorimotor networks), which was significantly different between PDD and PDND group. Meanwhile, we found that alterations in both fALFF and GMV were widely associated with multiple neurotransmitter systems, primarily the dopaminergic and serotonergic systems. Notably, the severity of depression in PD was significantly correlated with these two distinct structural networks, independent of disease duration, motor symptoms and cognitive performance. These findings suggest the PD related depression-specific interrelationships between intrinsic network activity and GMV, potentially elucidating the multimodal neural circuitry and potential neurotransmitter patterns underlying depression in PD.
帕金森病(PD)的抑郁涉及复杂的结构、功能和多种神经递质系统的改变。到目前为止,大脑结构和功能改变及其潜在的神经递质过程之间的确切相互作用在很大程度上仍未被探索。并行独立组件分析(pICA)和JuSpace工具箱的出现为阐明它们的相互关系和潜在机制提供了可能的线索。在这项研究中,我们采用pICA来检测142名PD患者的共变成分之间的相互作用,其中包括53名伴有抑郁症(PDD)的PD患者和89名无抑郁症(pnd)的PD患者。此外,我们使用JuSpace工具箱检查了pICA识别的GMV/fALFF成分与神经递质系统图谱之间的空间相关性。我们的分析显示,fMRI的一个组成部分(fALFF_IC6,额顶区,颞区和小脑区)和两个sMRI组成部分(GMV_IC1和GMV_IC4,基底节区,丘脑皮质回路,小脑和感觉运动网络)之间存在显著的负相关,PDD组和pnd组之间存在显著差异。同时,我们发现fALFF和GMV的改变与多种神经递质系统广泛相关,主要是多巴胺能和血清素能系统。值得注意的是,PD患者抑郁的严重程度与这两种不同的结构网络显著相关,而与病程、运动症状和认知表现无关。这些发现表明PD相关抑郁特异性的内在网络活动和GMV之间的相互关系,潜在地阐明了PD抑郁症的多模态神经回路和潜在的神经递质模式。
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引用次数: 0
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NeuroImage
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