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Topography of the Anxious Self: Abnormal Rest-Task Modulation in Social Anxiety Disorder. 焦虑自我的地形:社交焦虑障碍的异常休息-任务调节。
IF 5.6 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2023-04-01 DOI: 10.1177/10738584211030497
Lorenzo Lucherini Angeletti, Andrea Scalabrini, Valdo Ricca, Georg Northoff

Social anxiety disorder (SAD) is characterized by social anxiety/fear, self-attention, and interoception. Functional magnetic resonance imaging studies demonstrate increased activity during symptom-sensitive tasks in regions of the default-mode network (DMN), amygdala (AMG), and salience network (SN). What is the source of this task-unspecific symptom-sensitive hyperactivity in DMN? We address this question by probing SAD resting state (rs) changes in DMN including their relation to other regions as possible source of task-unspecific hyperactivity in the same regions. Our findings show the following: (1) rs-hypoconnectivity within-DMN regions; (2) rs-hyperconnectivity between DMN and AMG/SN; (3) task-evoked hyperactivity in the abnormal rs-regions of DMN and AMG/SN during different symptom-sensitive tasks; (4) negative relationship of rest and task changes in especially anterior DMN regions as their rs-hypoconnectivity is accompanied by task-unspecific hyperactivity; (5) abnormal top-down/bottom-up modulation between anterior DMN regions and AMG during rest and task. Findings demonstrate that rs-hypoconnectivity among DMN regions is negatively related to task-unspecific hyperactivity in DMN and AMG/SN. We propose a model of "Topography of the Anxious Self" in SAD (TAS-SAD). Abnormal DMN-AMG/SN topography during rest, as trait feature of an "unstable social self", is abnormally aggravated during SAD-sensitive situations resulting in task-related hyperactivity in the same regions with an "anxious self" as state feature.

社交焦虑障碍(Social anxiety disorder, SAD)以社交焦虑/恐惧、自我关注和内感受为特征。功能性磁共振成像研究表明,在症状敏感任务期间,默认模式网络(DMN)、杏仁核(AMG)和突出网络(SN)区域的活动增加。DMN中这种任务非特异性症状敏感性亢进的来源是什么?我们通过探究DMN中SAD静息状态(rs)的变化来解决这个问题,包括它们与其他区域的关系,作为同一区域中任务非特异性多动的可能来源。研究结果表明:(1)dmn区域内的rs-低连通性;(2) DMN与AMG/SN之间的rs-超连通性;(3)在不同的症状敏感任务中,DMN和AMG/SN的异常rs区存在任务诱发的多动症;(4)休息与任务变化呈负相关,特别是前侧DMN区域的低连通性伴随任务非特异性多动;(5)休息和任务时DMN前部与AMG之间自上而下/自下而上的调节异常。结果表明,DMN区域间的rs-低连通性与DMN和AMG/SN的任务非特异性亢进呈负相关。我们提出了一个焦虑自我地形模型(TAS-SAD)。休息时异常的DMN-AMG/SN地形作为“不稳定社会自我”的特征特征,在sad敏感情况下异常加重,导致与“焦虑自我”作为状态特征的同一区域出现任务相关的多动。
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引用次数: 15
Pliny the Elder: Lessons from the Naturalist as an Early Neuroscientist. 老普林尼:博物学家作为早期神经学家的教训。
IF 5.6 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2023-04-01 DOI: 10.1177/10738584211026527
Duong T Chu, Mattia Rosso, Jonathan D Santoro

Pliny the Elder was a prolific Roman author, naturalist, and military leader. Yet, his impact on modern-day neuroscience, psychiatry, and neurology has been little explored. Here, we aimed to trace the origins of our current understanding of the brain in ancient Rome through Pliny and his work, Natural History. As his magnum opus, this 37-book tome catalogs the facts and observations of natural life collected by Pliny, reflecting the knowledge of his time. Following the cephalocentric school of thought, Pliny places the brain as an agent for consciousness and details its diseases. Further, we explore Pliny's methods, which allow him to build a thorough collection of clinical descriptions and remedies. This body of work serves as an important lesson for future neuroscientists on the power of observation, the role of the humanities, and the necessity of understanding the origin of modern scientific thinking.

老普林尼是一位多产的罗马作家、博物学家和军事领袖。然而,他对现代神经科学、精神病学和神经学的影响却很少被探索。在这里,我们的目标是通过普林尼和他的著作《自然史》来追溯我们目前对古罗马大脑的理解的起源。作为他的巨著,这本37卷的大书收录了普林尼收集的关于自然生命的事实和观察,反映了他那个时代的知识。遵循以头为中心的思想流派,普林尼将大脑视为意识的代理人,并详细描述了大脑的疾病。此外,我们探索普林尼的方法,这使他能够建立一个全面的临床描述和补救措施的集合。这些研究成果为未来的神经科学家上了一堂重要的课,让他们了解观察的力量、人文学科的作用,以及理解现代科学思维起源的必要性。
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引用次数: 0
Perspectives on Neuroscience and Behavior. 神经科学与行为透视。
IF 5.6 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2023-04-01 DOI: 10.1177/10738584231157277
There is an overlap in genetics, risk factors, symptomatology, and some biologic measures among major depressive disorder, bipolar disorder, and schizophrenia spectrum disorder. Now, a reduction in gray matter volume (GMV) has been found in the left hippocampus in all three disorders. GMV was obtained by utilizing a 3-T MRI scanner in 110 individuals in each of 4 groups matched for age and sex that consisted of healthy controls and DSM-IV-TR–diagnosed major depressive disorder, bipolar disorder, and schizophrenia spectrum disorder. Left hippocampus GMV was not only reduced in the 3 patient groups but associated with current global assessment of functioning and neuropsychological measurement of working memory/executive functioning. Stressful life events experienced during the last 6 months were also associated with left hippocampus GMV in the 3 patient groups and, importantly, also in the controls. Although a specific causal abnormality has been found in many diseases, the pathophysiology can involve multiple factors that overlap diseases at the biologic and symptomatic levels (e.g., inflammation, fever, fatigue). Numerous studies have shown that the hippocampus is highly sensitive to the effects of stress, and this suggests that the reduced GMV seen across the 3 patient groups is at least in part due to stress. Since there are available pharmacologic and behavioral measures to reduce stress, these can be utilized to reduce the effects of stress in major psychiatric disorders.
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引用次数: 0
Glutaminolysis and the Control of Neural Progenitors in Neocortical Development and Evolution. 谷氨酰胺水解和神经祖细胞在新皮质发育和进化中的控制。
IF 5.6 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2023-04-01 DOI: 10.1177/10738584211069060
Vasiliki Gkini, Takashi Namba

Multiple types of neural progenitor cells (NPCs) contribute to the development of the neocortex, a brain region responsible for our higher cognitive abilities. Proliferative capacity of NPCs varies among NPC types, developmental stages, and species. The higher proliferative capacity of NPCs in the developing human neocortex is thought to be a major contributing factor why humans have the most expanded neocortex within primates. Recent studies have shed light on the importance of cell metabolism in the neocortical NPC proliferative capacity. Specifically, glutaminolysis, a metabolic pathway that converts glutamine to glutamate and then to α-ketoglutarate, has been shown to play a critical role in human NPCs, both in apical and basal progenitors. In this review, we summarize our current knowledge of NPC metabolism, focusing especially on glutaminolysis, and discuss the role of NPC metabolism in neocortical development, evolution, and neurodevelopmental disorders, providing a broader perspective on a newly emerging research field.

多种类型的神经祖细胞(npc)有助于新皮层的发育,新皮层是负责我们更高认知能力的大脑区域。NPC的增殖能力因NPC类型、发育阶段和物种而异。在发育中的人类新皮层中,npc具有较高的增殖能力,这被认为是人类新皮层在灵长类动物中扩张最大的一个主要因素。最近的研究揭示了细胞代谢在新皮层鼻咽癌增殖能力中的重要性。具体来说,谷氨酰胺水解是一种将谷氨酰胺转化为谷氨酸然后转化为α-酮戊二酸的代谢途径,已被证明在人类NPCs中发挥关键作用,无论是在根尖祖细胞还是基底祖细胞中。在这篇综述中,我们总结了目前关于鼻咽癌代谢的知识,特别是在谷氨酰胺水解方面,并讨论了鼻咽癌代谢在新皮质发育、进化和神经发育障碍中的作用,为这一新兴的研究领域提供了更广阔的视角。
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引用次数: 5
The Neuroscientist Comments. 神经科学家评论。
IF 5.6 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2023-04-01 DOI: 10.1177/10738584231157278
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引用次数: 0
The Neuroscientist Comments. 神经科学家评论。
IF 5.6 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2023-04-01 DOI: 10.1177/10738584231157279
The progressive aging of population, linked to higher life expectancy, observed worldwide in the past decades, determined an increase in the prevalence of dementia in people aged 65 and higher. Data from the Global Burden of Disease 2019 show that the prevalence of the disease is estimated to increase from 57 million cases (in 2019) to 153 million (in 2050). Currently, there is no effective treatment that may significantly modify the course of dementia. Brain pathologic changes seem to initiate long before clinical manifestations, which mostly occur in old age. This provides a large time window to implement prevention strategies that might effectively delay age-related cognitive decline and dementia. Accumulating evidence supports the view that lifestyle modifications, such as physical activity, smoking cessation, and healthy dietary habits, can play a key role in dementia prevention. As for the latter, interest in dietary and nutritional components as potential modifiable factors for postponing the onset and severity of age-related deterioration of cognitive function has grown in recent decades. Within this scenario, the important role of the industrial processing of foods is being increasingly recognized, particularly the contribution of ultra-processed food (UPF). UPFs are industrial formulations of processed food substances (oils, fats, sugars, starch, and protein isolates) that contain little or no whole food and typically have flavorings, colorings, emulsifiers, and other “cosmetic” additives. UPFs are becoming dominant in diets globally and are replacing traditional diets based on unprocessed and/or minimally processed foods. UPF consumption has been associated with overall decline in the nutritional quality of diets, as well as with several chronic diseases such as overweight/obesity, metabolic syndrome, hypertension, diabetes, and cardiovascular diseases, which in turn contribute to cognitive decline onset. In a very recent study, Gomes Gonçlaves and others (2022) published the findings from the Brazilian Longitudinal Study of Adult Health, a multicenter cohort study that comprises public servants aged 35 to 74 years at baseline from six Brazilian cities (Belo Horizonte, Porto Alegre, Rio de Janeiro, Salvador, São Paulo, and Vitoria). Data were collected in three waves, approximately four years apart, starting in 2008 to 2010. The second wave took place in 2012 to 2014, and the third wave was in 2017 to 2019. Data from 10,775 participants were analyzed. The mean age at the baseline was 51.6 years; 5880 participants (54.6%) were women, 5723 (53.1%) were white, and 6106 (56.6%) had at least a college degree. Results showed that consumption of UPF greater than 19.9% of daily calories was predictive of a faster decline in global cognitive performance and executive function. Moreover, the percentage of daily energy from UPF was associated with cognitive decline in participants with a low healthy diet core only, since no correlation was found
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引用次数: 0
Forthcoming Articles. 即将出版的文章。
IF 5.6 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2023-04-01 DOI: 10.1177/10738584231157510
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引用次数: 0
Neuroscience: The New English Major? 神经科学:新的英语专业?
IF 5.6 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2023-04-01 DOI: 10.1177/10738584211003992
Kristin F Phillips, Harald Sontheimer

Once strictly the domain of medical and graduate education, neuroscience has made its way into the undergraduate curriculum with over 230 colleges and universities now offering a bachelor's degree in neuroscience. The disciplinary focus on the brain teaches students to apply science to the understanding of human behavior, human interactions, sensation, emotions, and decision making. In this article, we encourage new and existing undergraduate neuroscience programs to envision neuroscience as a broad discipline with the potential to develop competencies suitable for a variety of careers that reach well beyond research and medicine. This article describes our philosophy and illustrates a broad-based undergraduate degree in neuroscience implemented at a major state university, Virginia Tech. We highlight the fact that the research-centered Experimental Neuroscience major is least popular of our four distinct majors, which underscores our philosophy that undergraduate neuroscience can cater to a different audience than traditionally thought.

神经科学曾经是医学和研究生教育的领域,现在已经进入了本科课程,超过230所学院和大学现在提供神经科学学士学位。以大脑为重点的学科教导学生运用科学来理解人类行为、人类互动、感觉、情感和决策。在这篇文章中,我们鼓励新的和现有的本科神经科学项目将神经科学视为一门广泛的学科,具有发展各种职业能力的潜力,远远超出了研究和医学的范围。这篇文章描述了我们的理念,并说明了在主要的州立大学弗吉尼亚理工大学实施的基础广泛的神经科学本科学位。我们强调了一个事实,即以研究为中心的实验神经科学专业是我们四个不同专业中最不受欢迎的,这强调了我们的理念,即神经科学本科可以迎合不同的受众,而不是传统的想法。
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引用次数: 0
Targeted Optical Neural Stimulation: A New Era for Personalized Medicine. 定向光学神经刺激:个性化医疗的新时代。
IF 5.6 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2023-04-01 DOI: 10.1177/10738584211057047
An Ping, Li Pan, Jianmin Zhang, Kedi Xu, Kenneth E Schriver, Junming Zhu, Anna Wang Roe

Targeted optical neural stimulation comprises infrared neural stimulation and optogenetics, which affect the nervous system through induced thermal transients and activation of light-sensitive proteins, respectively. The main advantage of this pair of optical tools is high functional selectivity, which conventional electrical stimulation lacks. Over the past 15 years, the mechanism, safety, and feasibility of optical stimulation techniques have undergone continuous investigation and development. When combined with other methods like optical imaging and high-field functional magnetic resonance imaging, the translation of optical stimulation to clinical practice adds high value. We review the theoretical foundations and current state of optical stimulation, with a particular focus on infrared neural stimulation as a potential bridge linking optical stimulation to personalized medicine.

定向光神经刺激包括红外神经刺激和光遗传学,它们分别通过诱导热瞬变和光敏感蛋白的激活来影响神经系统。这对光学工具的主要优点是高功能选择性,这是传统电刺激所缺乏的。在过去的15年中,人们对光增产技术的机理、安全性和可行性进行了不断的研究和发展。当与光学成像、高场功能磁共振成像等其他方法相结合时,光刺激对临床的转化具有很高的价值。本文综述了光刺激的理论基础和现状,重点介绍了红外神经刺激作为连接光刺激与个性化医疗的潜在桥梁。
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引用次数: 4
Deep Learning to Detect Pancreatic Cystic Lesions on Abdominal Computed Tomography Scans: Development and Validation Study. 深度学习检测腹部计算机断层扫描上的胰腺囊性病变:开发与验证研究。
3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2023-03-17 DOI: 10.2196/40702
Maria Montserrat Duh, Neus Torra-Ferrer, Meritxell Riera-Marín, Dídac Cumelles, Júlia Rodríguez-Comas, Javier García López, Mª Teresa Fernández Planas

Background: Pancreatic cystic lesions (PCLs) are frequent and underreported incidental findings on computed tomography (CT) scans and can evolve to pancreatic cancer-the most lethal cancer, with less than 5 months of life expectancy.

Objective: The aim of this study was to develop and validate an artificial deep neural network (attention gate U-Net, also named "AGNet") for automated detection of PCLs. This kind of technology can help radiologists to cope with an increasing demand of cross-sectional imaging tests and increase the number of PCLs incidentally detected, thus increasing the early detection of pancreatic cancer.

Methods: We adapted and evaluated an algorithm based on an attention gate U-Net architecture for automated detection of PCL on CTs. A total of 335 abdominal CTs with PCLs and control cases were manually segmented in 3D by 2 radiologists with over 10 years of experience in consensus with a board-certified radiologist specialized in abdominal radiology. This information was used to train a neural network for segmentation followed by a postprocessing pipeline that filtered the results of the network and applied some physical constraints, such as the expected position of the pancreas, to minimize the number of false positives.

Results: Of 335 studies included in this study, 297 had a PCL, including serous cystadenoma, intraductal pseudopapillary mucinous neoplasia, mucinous cystic neoplasm, and pseudocysts . The Shannon Index of the chosen data set was 0.991 with an evenness of 0.902. The mean sensitivity obtained in the detection of these lesions was 93.1% (SD 0.1%), and the specificity was 81.8% (SD 0.1%).

Conclusions: This study shows a good performance of an automated artificial deep neural network in the detection of PCL on both noncontrast- and contrast-enhanced abdominal CT scans.

背景:胰腺囊性病变(PCLs)是计算机断层扫描(CT)中经常出现且未被充分报告的偶然发现,可演变为胰腺癌--最致命的癌症,预期寿命不到 5 个月:本研究旨在开发和验证一种用于自动检测 PCL 的人工深度神经网络(注意门 U-Net,又称 "AGNet")。这种技术可以帮助放射科医生应对日益增长的横断面成像检测需求,增加偶然发现的 PCL 的数量,从而提高胰腺癌的早期发现率:我们改编并评估了一种基于注意力门 U-Net 架构的算法,用于 CT 上 PCL 的自动检测。两名拥有 10 年以上经验的放射科医生与一名拥有腹部放射学专业认证的放射科医生达成共识,对 335 例带有 PCL 的腹部 CT 和对照病例进行了三维人工分割。这些信息被用于训练神经网络进行分割,然后通过后处理管道对网络结果进行过滤,并应用一些物理约束条件,如胰腺的预期位置,以尽量减少假阳性的数量:本研究共纳入 335 项研究,其中 297 项有 PCL,包括浆液性囊腺瘤、导管内假乳头状粘液瘤、粘液性囊性肿瘤和假性囊肿。所选数据集的香农指数为 0.991,均匀度为 0.902。检测这些病变的平均灵敏度为 93.1%(SD 0.1%),特异性为 81.8%(SD 0.1%):本研究表明,人工深度神经网络在非对比度增强和对比度增强腹部 CT 扫描中检测 PCL 方面表现良好。
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引用次数: 0
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