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Association of acute blood biomarkers with diffusion tensor imaging and outcome in patients with traumatic brain injury presenting with GCS of 13–15 急性血液生物标志物与弥散张量成像与外伤性脑损伤GCS患者预后的关系
IF 3.6 2区 医学 Q2 NEUROIMAGING Pub Date : 2026-01-01 DOI: 10.1016/j.nicl.2025.103934
Malla Mononen , Mehrbod Mohammadian , Iftakher Hossain , Timo Roine , Olli Tenovuo , Kaj Blennow , Jessica Gill , Mark van Gils , Peter Hutchinson , Teemu M. Luoto , Henna-Riikka Maanpää , David K. Menon , Virginia F.J. Newcombe , Rahul Raj , Jean-Charles Sanchez , Riikka S.K. Takala , Jussi Tallus , Henrik Zetterberg , Jussi P. Posti
The aim of the study was to assess the association between blood-based biomarkers of different cellular origins and later white matter integrity, measured using post-acute diffusion tensor metrics, and their relation to outcome in patients presenting with Glasgow Coma Scale of 13–15 after traumatic brain injury (TBI).
Admission plasma samples for glial fibrillary acidic protein (GFAP), interleukin 10 (IL-10), heart fatty-acid binding protein (H-FABP), S100 calcium-binding protein B (S100B), total tau (T-tau), and amyloid beta 40 and 42 (Aβ40 and Aβ42) were taken for 92 patients. Diffusion-weighted magnetic resonance imaging (DW-MRI) and outcome evaluation was done ≥ 90 days post-injury. Outcome was assessed using Glasgow Outcome Scale-Extended (GOSE) and dichotomized as complete (GOSE 8) and incomplete (GOSE < 8) recovery. Mean fractional anisotropy (FA), mean diffusivity (MD), axial diffusivity (AD), and radial diffusivity (RD) were calculated from the skeletonized white matter tracts of the whole brain.
IL-10 and T-tau showed significant weak-moderate negative correlations with FA, and significant positive correlations with MD and RD in incompletely recovered patients. GFAP showed significant weak positive correlations with MD and RD, while its correlation with FA was slightly below significance threshold after correction for multiple comparison in incompletely recovered patients. Similar trends were observed in the whole cohort and in the CT-positive cohort, although these did not reach statistical significance.
Higher acute levels of GFAP, IL-10 and T-tau may be associated with the development of axonal injury. If validated in future studies, these biomarkers may help identify patients who require closer follow-up and DW-MRI.
该研究的目的是评估不同细胞来源的血液生物标志物与后来白质完整性之间的关系,使用急性后弥散张量测量,以及它们与创伤性脑损伤(TBI)后格拉斯哥昏迷评分为13-15的患者预后的关系。92例患者取入院血浆中胶质原纤维酸性蛋白(GFAP)、白细胞介素10 (IL-10)、心脏脂肪酸结合蛋白(H-FABP)、S100钙结合蛋白B (S100B)、总tau蛋白(T-tau)、淀粉样蛋白β40和β42 (Aβ40和Aβ42)。损伤后≥90天进行弥散加权磁共振成像(DW-MRI)和预后评估。使用格拉斯哥结局量表扩展(GOSE)评估结果,并将其分为完整(GOSE 8)和不完整(GOSE)
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引用次数: 0
Bridging the self to the world: resting-state functional connectivity of the temporoparietal junction in post-traumatic stress disorder and its dissociative subtype 连接自我与世界:创伤后应激障碍及其分离亚型中颞顶连接的静息状态功能连接。
IF 3.6 2区 医学 Q2 NEUROIMAGING Pub Date : 2026-01-01 DOI: 10.1016/j.nicl.2025.103920
Sandhya Narikuzhy , Sherain Harricharan , Daniela Rabellino , Maria Densmore , Jean Théberge , Jonathan Lieberman , Margaret C. McKinnon , Andrew A. Nicholson , Ruth A. Lanius

Background

The temporoparietal junction (TPJ) is a cross-network hub involved in social cognition and attention, processes which are directly impacted by symptoms observed in clinical profiles of post-traumatic stress disorder (PTSD) and its dissociative subtype (PTSD + DS).

Methods

Using SPM12 and CONN, seed-based TPJ resting-state functional connectivity patterns were analyzed in individuals with PTSD (n = 81), PTSD + DS (n = 49), and healthy controls (n = 54) using four seeds [right anterior TPJ (raTPJ), left anterior TPJ (laTPJ), right posterior TPJ (rpTPJ), left posterior TPJ (lpTPJ)]. Post-hoc graph theoretical analyses were performed for raTPJ connectivity in PTSD + DS and healthy controls.

Results

As compared to healthy controls, PTSD + DS showed decreased raTPJ functional connectivity with critical anterior frontal lobe nodes involved in the ventral attention and social cognition networks (i.e., left ventrolateral and dorsomedial prefrontal cortices). PTSD showed decreased lpTPJ functional connectivity with the left superior parietal lobule as compared to healthy controls. When comparing PTSD to PTSD + DS, we observed increased bilateral TPJ functional connectivity with the cerebellum. Lastly, compared to healthy controls, both PTSD and PTSD + DS displayed decreased bilateral TPJ functional connectivity with the occipital lobe. Graph theoretical analyses revealed that PTSD + DS showed limited raTPJ involvement and instead more efficient neural communication between occipital lobe and frontal lobe structures as compared to healthy controls, suggesting a possible compensatory neural network in PTSD + DS.

Conclusions

These findings reveal disruptions in TPJ neural circuitry in PTSD and PTSD + DS, which may carry cascading effects on intersecting neural networks involving the TPJ. Implications for psychotherapeutic treatments targeting disembodiment and social cognition are discussed.
背景:颞顶交界处(TPJ)是一个参与社会认知和注意的跨网络枢纽,其过程直接受到创伤后应激障碍(PTSD)及其分离亚型(PTSD + DS)临床症状的影响。方法:采用SPM12和CONN,对PTSD(81例)、PTSD + DS(49例)和健康对照组(54例)的TPJ静息状态功能连接模式进行分析,采用4种种子[右TPJ前路(raTPJ)、左TPJ前路(laTPJ)、右TPJ后路(rpTPJ)、左TPJ后路(lpTPJ)]。对PTSD + DS和健康对照的raTPJ连通性进行事后图理论分析。结果:与健康对照组相比,PTSD + DS表现出与腹侧注意和社会认知网络(即左腹外侧和背内侧前额皮质)相关的关键额叶节点的raTPJ功能连连性下降。与健康对照组相比,PTSD显示lpTPJ与左侧顶叶上小叶的功能连通性下降。当比较PTSD与PTSD + DS时,我们观察到双侧TPJ与小脑的功能连接增加。最后,与健康对照组相比,PTSD和PTSD + DS均表现出双侧TPJ与枕叶的功能连通性下降。图理论分析显示,与健康对照组相比,PTSD + DS的raTPJ受感有限,枕叶和额叶结构之间的神经交流更有效,这表明PTSD + DS可能存在代偿性神经网络。结论:这些发现揭示了PTSD和PTSD + DS中TPJ神经回路的破坏,这可能对涉及TPJ的交叉神经网络产生级联效应。讨论了针对分离和社会认知的心理治疗治疗的意义。
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引用次数: 0
Effects of perinatal asphyxia on cortical activity in two-year-old children 围产期窒息对两岁儿童皮质活动的影响。
IF 3.6 2区 医学 Q2 NEUROIMAGING Pub Date : 2026-01-01 DOI: 10.1016/j.nicl.2025.103933
Sebastian König , Anna Tuiskula , Marjo Metsäranta , Susanna Stjerna , Emma Saure , Leena Haataja , Sampsa Vanhatalo , Anton Tokariev
Perinatal asphyxia can lead to clinical hypoxic-ischemic encephalopathy (HIE) associated with high morbidity and mortality, but less is known about long-lasting effects of perinatal asphyxia alone (PA). Here, we investigate how PA with versus without clinical HIE affects cortical activity networks at two years of age. Electroencephalographic (EEG) recordings were acquired during sleep from three cohorts of children (PA only (n = 10), PA with mild to moderate HIE (n = 8), and healthy controls (n = 37)), and we assessed the group differences in local cortical function and cortico-cortical networks. Compared with the healthy controls, both PA and HIE were linked to reduced frequency-specific amplitudes. In two-year-old children with PA, the amplitude-related networks were stronger at low frequencies and weaker at higher frequencies, however, two-year-olds with HIE showed decreased connectivity at all frequencies. Likewise, phase-related networks in children with PA were stronger at lower frequencies and weaker at higher frequencies. Local phase-amplitude coupling was affected by PA or HIE in only a few cortical regions. Our findings suggest that PA, even without clinical HIE, may be associated with long-lasting changes to both local cortical activity and the large-scale cortical networks, which could potentially affect normal brain functions.
围产期窒息可导致临床缺氧缺血性脑病(HIE),具有高发病率和死亡率,但对围产期窒息的长期影响知之甚少(PA)。在这里,我们研究了两岁时PA伴与不伴临床HIE对皮质活动网络的影响。我们从三组儿童(仅PA (n = 10), PA合并轻度至中度HIE (n = 8)和健康对照(n = 37))中获取睡眠期间的脑电图(EEG)记录,并评估了局部皮质功能和皮质-皮质网络的组间差异。与健康对照组相比,PA和HIE均与频率特异性振幅降低有关。在两岁的PA儿童中,振幅相关网络在低频时更强,在高频时更弱,然而,两岁的HIE儿童在所有频率的连通性都有所下降。同样,PA患儿的相位相关网络在低频时更强,在高频时更弱。PA或HIE仅在少数皮质区域影响局部相幅耦合。我们的研究结果表明,即使没有临床HIE, PA也可能与局部皮质活动和大范围皮质网络的长期变化有关,这可能会影响正常的大脑功能。
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引用次数: 0
Lesion locations are associated with cognitive impairment after ischemic stroke in young adults 损伤部位与年轻人缺血性脑卒中后的认知损伤有关。
IF 3.6 2区 医学 Q2 NEUROIMAGING Pub Date : 2026-01-01 DOI: 10.1016/j.nicl.2025.103930
Mijntje M.I. Schellekens , Hao Li , Maartje Wijnands , Anastasia Papounidou , Esther M. Boot , Jamie I. Verhoeven , Merel S. Ekker , Mayte E. van Alebeek , Paul J.A.M. Brouwers , Renate M. Arntz , Gert W. van Dijk , Rob A.R. Gons , Inge W.M. van Uden , Tom den Heijer , Julia H. van Tuijl , Karlijn F. de Laat , Anouk G.W. van Norden , Sarah E. Vermeer , Marian S.G. van Zagten , Robert J. van Oostenbrugge , Anil M. Tuladhar

Introduction

Stroke location is an important determinant of post-stroke cognitive impairment (PSCI). In young adults, a comprehensive map of lesion patterns and their relations to PSCI is lacking. This study aims to identify lesion locations associated with poorer cognitive performance in patients with stroke at a young age.

Methods

We conducted a multicenter prospective cohort study between 2013 and 2021, enrolling patients aged 18–49 years with first-ever ischemic stroke and a visible stroke lesion on MRI. Cognitive assessments were performed within six months post-stroke, covering seven domains. We categorized patients as having no/mild or major vascular cognitive disorder (VCD), defined as a Z-score < -2.0 in one or more domains. We assessed aphasia by the NIHSS language subscale. We performed multivariate lesion-symptom mapping to identify lesion locations associated with major VCD, poorer cognitive performance in each domain, and aphasia.

Results

Among 522 patients (median age 44.3 years [IQR 37.7–41.5]; 257 [49.2 %] women), 168 (32.2 %) had major VCD. Lesions in both hemispheres and cerebellar regions were associated with presence of a major VCD, and lower performance in episodic memory, processing speed, executive functioning, language, and attention and working memory. Aphasia had the strongest relationship with left fronto-temporo-parietal regions, while the left angular gyrus was the region most associated with major VCD.

Discussion

We show that lesion locations associated with poorer cognitive performance in young stroke patients are widely distributed, including cerebellar regions. This study showcases the complexity in the relationships between affected brain regions and cognitive symptoms, explaining the variability in post-stroke cognitive outcome.
脑卒中位置是脑卒中后认知障碍(PSCI)的重要决定因素。在年轻人中,缺乏病变模式及其与PSCI关系的全面地图。本研究旨在确定与年轻中风患者认知能力下降相关的病变部位。方法:我们在2013年至2021年间进行了一项多中心前瞻性队列研究,招募了18-49岁的首次缺血性卒中且MRI上可见卒中病变的患者。中风后六个月内进行认知评估,涵盖七个领域。结果:522例患者(中位年龄44.3岁[IQR 37.7-41.5]; 257例[49.2%]女性)中,168例(32.2%)有严重血管性认知障碍(VCD)。大脑半球和小脑区域的病变与主要VCD的存在、情节记忆、处理速度、执行功能、语言、注意力和工作记忆的较低表现有关。失语症与左侧额颞顶叶区关系最密切,而左侧角回是与VCD主要相关的区域。讨论:我们发现与年轻脑卒中患者较差认知能力相关的病变部位分布广泛,包括小脑区。这项研究展示了受影响的大脑区域和认知症状之间关系的复杂性,解释了中风后认知结果的可变性。
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引用次数: 0
Fronto-limbic disconnection correlates with paroxysmal sympathetic hyperactivity following traumatic brain injury: An indirect disconnection-symptom mapping study 外伤性脑损伤后额缘断连与阵发性交感神经亢进相关:一项间接断连-症状映射研究。
IF 3.6 2区 医学 Q2 NEUROIMAGING Pub Date : 2026-01-01 DOI: 10.1016/j.nicl.2025.103937
Eric W Moffet , Sancharee Hom Chowdhury , Ediel Almeida , Xiangxiang Kong , Lujie Chen , Jiachen Zhuo , Nicholas A Morris , Gunjan Y Parikh , Neeraj Badjatia , Jamie E Podell
Paroxysmal sympathetic hyperactivity (PSH) is a clinically important manifestation of dysautonomia following traumatic brain injury (TBI). While it is thought to arise from central autonomic network disconnection, supporting evidence is limited. Here, we integrate clinically obtained magnetic resonance imaging (MRI) lesion data with human connectome data to identify specific white matter tract disconnections and gray matter parcel damage associated with PSH. Our sample included 117 patients who underwent susceptibility weighted imaging and 3D T1 MRI sequences as part of clinical care while admitted at our institution between January 1, 2016 and July 1, 2018. Susceptibility lesion masks were manually created and registered to standard template space. High quality registrations were obtained in 96 patients (50% with PSH), who were included in the study. Using the Matlab Lesion Quantification Toolkit, we assessed white matter tract disconnection severity and gray matter parcel damage for each patient. We compared results according to a binary PSH clinical diagnosis using Wilcoxon rank sum tests and a standard ordinal PSH diagnostic likelihood score (with 0–11 range) using Pearson correlations, Bonferroni-corrected for multiple comparisons. PSH diagnosis was associated with greater disconnection severity in nine tracts, two of which also correlated with higher diagnosis likelihood: the right uncinate fasciculus and the anterior corpus callosum. Damaged parcels associated with PSH included left prefrontal regions of the default mode network and the ventral salience network. In summary, our work implicates disconnection of fronto-limbic components of the central autonomic network in the pathophysiology of TBI-related PSH.
阵发性交感神经亢进(PSH)是外伤性脑损伤(TBI)后自主神经异常的重要临床表现。虽然它被认为是由中枢自主神经网络断开引起的,但支持证据有限。在这里,我们将临床获得的磁共振成像(MRI)病变数据与人类连接组数据相结合,以识别与PSH相关的特定白质束断开和灰质包裹损伤。我们的样本包括117名患者,他们在2016年1月1日至2018年7月1日期间在我们机构入院,接受了易感加权成像和3D T1 MRI序列作为临床护理的一部分。手动创建敏感性病变遮罩并注册到标准模板空间。96例患者(50%为PSH)纳入研究,获得了高质量的登记。使用Matlab病变量化工具包,我们评估了每位患者的白质束断开严重程度和灰质包裹损伤。我们根据使用Wilcoxon秩和检验的二值PSH临床诊断结果和使用Pearson相关性的标准有序PSH诊断似然评分(范围为0-11),对多重比较进行bonferroni校正。PSH诊断与9束更严重的断开程度相关,其中2束也与更高的诊断可能性相关:右钩扣束和前胼胝体。与PSH相关的受损包包括默认模式网络的左前额叶区域和腹侧突出网络。综上所述,我们的工作暗示了在tbi相关PSH的病理生理中,中枢自主神经网络的额边缘部分的断开。
{"title":"Fronto-limbic disconnection correlates with paroxysmal sympathetic hyperactivity following traumatic brain injury: An indirect disconnection-symptom mapping study","authors":"Eric W Moffet ,&nbsp;Sancharee Hom Chowdhury ,&nbsp;Ediel Almeida ,&nbsp;Xiangxiang Kong ,&nbsp;Lujie Chen ,&nbsp;Jiachen Zhuo ,&nbsp;Nicholas A Morris ,&nbsp;Gunjan Y Parikh ,&nbsp;Neeraj Badjatia ,&nbsp;Jamie E Podell","doi":"10.1016/j.nicl.2025.103937","DOIUrl":"10.1016/j.nicl.2025.103937","url":null,"abstract":"<div><div>Paroxysmal sympathetic hyperactivity (PSH) is a clinically important manifestation of dysautonomia following traumatic brain injury (TBI). While it is thought to arise from central autonomic network disconnection, supporting evidence is limited. Here, we integrate clinically obtained magnetic resonance imaging (MRI) lesion data with human connectome data to identify specific white matter tract disconnections and gray matter parcel damage associated with PSH. Our sample included 117 patients who underwent susceptibility weighted imaging and 3D T1 MRI sequences as part of clinical care while admitted at our institution between January 1, 2016 and July 1, 2018. Susceptibility lesion masks were manually created and registered to standard template space. High quality registrations were obtained in 96 patients (50% with PSH), who were included in the study. Using the Matlab Lesion Quantification Toolkit, we assessed white matter tract disconnection severity and gray matter parcel damage for each patient. We compared results according to a binary PSH clinical diagnosis using Wilcoxon rank sum tests and a standard ordinal PSH diagnostic likelihood score (with 0–11 range) using Pearson correlations, Bonferroni-corrected for multiple comparisons. PSH diagnosis was associated with greater disconnection severity in nine tracts, two of which also correlated with higher diagnosis likelihood: the right uncinate fasciculus and the anterior corpus callosum. Damaged parcels associated with PSH included left prefrontal regions of the default mode network and the ventral salience network. In summary, our work implicates disconnection of fronto-limbic components of the central autonomic network in the pathophysiology of TBI-related PSH.</div></div>","PeriodicalId":54359,"journal":{"name":"Neuroimage-Clinical","volume":"49 ","pages":"Article 103937"},"PeriodicalIF":3.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145913967","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
Striatal dopamine synthesis capacity in Parkinson’s disease: Effects of age, sex, and body mass index in a large [18F]fluorodopa PET cohort 帕金森病纹状体多巴胺合成能力:年龄、性别和体重指数对大型[18F]氟多巴PET队列的影响
IF 3.6 2区 医学 Q2 NEUROIMAGING Pub Date : 2026-01-01 DOI: 10.1016/j.nicl.2026.103944
Tuulia Malén , Jouni Tuisku , Marco Bucci , Severi Santavirta , Valtteri Kaasinen , Sakari Kaasalainen , Janne Isojärvi , Jarmo Hietala , Juha Rinne , Lauri Nummenmaa

Background

Positron emission tomography (PET) using radioligand [18F]fluorodopa detects reduced striatal dopamine synthesis capacity in Parkinson’s disease (PD) patients. Demographic factors such as sex and BMI are also associated with dopamine synthesis capacity. The combined contribution of demographic and clinical effects however remains elusive.

Material, aims, and methods

For this retrospective register-based study, we used baseline [18F]fluorodopa PET data acquired at the Turku PET Centre between the years 1988–2016 with three scanners (Ecat 931, GE Advance, HRRT). The data involved 350 adult human subjects, including 132 healthy controls, and 218 PD patients. The primary aim was to simultaneously investigate the effects of PD, age, sex and BMI on regional dopamine synthesis capacity (influx rate constant Kiref quantified with Patlak in atlas-based regions of interest) using Bayesian linear regression. Secondary aims were to assess (1) interregional correlations of dopamine synthesis capacity, (2) association between regional presynaptic dopamine synthesis and postsynaptic dopamine type 2 receptor (D2R) availability in subjects who also had a proximal [11C]raclopride PET scan, and (3) scanner effects and atlas- versus MRI-based quantification approaches. We provide the mean dopamine synthesis brain maps of healthy controls and PD patients in NeuroVault.

Results

Dopamine synthesis capacity was drastically reduced in PD patients, decreased with age, increased with BMI, and higher in females versus males. Across regions, the capacity was positively correlated in both patients and controls. We observed support for positive correlation between the dopamine synthesis capacity and the D2R in caudate nucleus. Scanner had a substantial influence on Kiref estimates. Atlas- and MRI-based normalization methods provide largely comparable Kiref estimates for most subjects.

Conclusions

Dopamine synthesis capacity is independently affected by PD and demographic factors and correlated between the striatal and thalamic regions in both controls and PD patients. Adjusting for scanner effects in multi-scanner datasets is recommended. When subject-specific MRI is unavailable, atlas-based normalization may be used with caution to prevent major data loss.
背景:使用放射性配体[18F]氟多巴的正电子发射断层扫描(PET)检测帕金森病(PD)患者纹状体多巴胺合成能力降低。性别和身体质量指数等人口因素也与多巴胺合成能力有关。然而,人口学和临床效应的综合贡献仍然难以捉摸。材料、目的和方法:在这项基于登记的回顾性研究中,我们使用了图尔库PET中心1988-2016年间通过三台扫描仪(Ecat 931、GE Advance、HRRT)获得的基线[18F]氟氯酮PET数据。数据涉及350名成人受试者,包括132名健康对照者和218名PD患者。主要目的是利用贝叶斯线性回归同时研究PD、年龄、性别和BMI对区域多巴胺合成能力的影响(在基于图集的感兴趣区域,流进率常数Kiref用Patlak量化)。次要目的是评估(1)多巴胺合成能力的区域间相关性,(2)区域突触前多巴胺合成与突触后多巴胺2型受体(D2R)可用性之间的关联,这些受试者也进行了近端[11C]raclopride PET扫描,以及(3)扫描仪效果和基于图谱与mri的量化方法。我们在NeuroVault中提供了健康对照和PD患者的平均多巴胺合成脑图。结果:PD患者多巴胺合成能力急剧下降,随年龄增长而下降,随BMI增加而增加,且女性高于男性。在不同地区,患者和对照组的脑容量均呈正相关。我们观察到多巴胺合成能力与尾状核D2R呈正相关。Scanner对Kiref估计有很大的影响。基于Atlas和mri的归一化方法为大多数受试者提供了很大程度上可比较的Kiref估计。结论:多巴胺合成能力受PD和人口学因素的独立影响,且在对照组和PD患者的纹状体和丘脑区域之间存在相关性。建议在多扫描仪数据集中调整扫描仪效果。当无法获得特定受试者的MRI时,可谨慎使用基于图谱的规范化,以防止重大数据丢失。
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引用次数: 0
Towards precision functional brain network mapping in Parkinson’s disease 帕金森氏病脑功能网络精确定位的研究。
IF 3.6 2区 医学 Q2 NEUROIMAGING Pub Date : 2026-01-01 DOI: 10.1016/j.nicl.2025.103935
Jacob Chernicky , Ally Dworetsky , Sarah Grossen , Emma Carr , Abdulmunaim Eid , Meghan C. Campbell , Caterina Gratton

Background

Parkinson’s disease (PD) is a complex neurodegenerative condition that leads to widespread disruption of large-scale brain networks and is further complicated by substantial individual variability in symptomology, progression rates, and treatment response. Consequently, the investigation of individual differences in networks measured via resting state functional connectivity (RSFC) may provide insight. However, most RSFC studies are unable to identify interindividual differences due to poor reliability and group average network definitions. “Precision” RSFC addresses these shortcomings through extended data collection, strict denoising, and individual network definition, but remains untested in PD.

Objectives

To evaluate the feasibility and reliability of precision RSFC studies in PD.

Methods

We collected > 100 min of RSFC data from 20 PD and 10 healthy control participants. We evaluated the level of motion, reliability and stability of RSFC measures in each participant, as well as compared to a conventional 5 min of RSFC data. These measures were benchmarked against HC to evaluate comparability. In addition, we created individualized brain network measures in PD participants to establish feasibility in this population.

Results

Using precision RSFC methods, the PD group produced reliable and stable measures of brain networks that were comparable in quality to healthy controls and substantially exceeded those derived from conventional approaches (whole-brain reliability: 5 min. r = 0.60 ± 0.06, 40 min. r = 0.88 ± 0.04; within-person stability: 5 min. r = 0.40 ± 0.08, 25 min. r = 0.68 ± 0.07; ps < 0.001). Individualized network maps in people with PD captured variation both from group-averaged templates and between individuals, including within motor-related networks.

Conclusion

Precision RSFC is feasible and reliable in individuals with PD. This approach holds promise for advancing personalized diagnostics and identifying brain-based biomarkers underlying clinical variability in PD.
背景:帕金森病(PD)是一种复杂的神经退行性疾病,可导致大范围脑网络的广泛破坏,并因症状、进展率和治疗反应的个体差异而进一步复杂化。因此,通过静息状态功能连接(RSFC)测量的网络个体差异的调查可能提供见解。然而,由于可靠性差和群体平均网络定义,大多数RSFC研究无法识别个体间差异。“精确”RSFC通过扩展数据收集、严格去噪和单独的网络定义来解决这些缺点,但在PD中尚未经过测试。目的:评价精确RSFC研究PD的可行性和可靠性。方法:收集20名PD患者和10名健康对照者的bbb100 min RSFC数据。我们评估了每位参与者的运动水平、RSFC测量的可靠性和稳定性,并与常规的5分钟RSFC数据进行了比较。这些措施以HC为基准来评估可比性。此外,我们在PD参与者中创建了个性化的脑网络测量,以确定在该人群中的可行性。结果:使用精确RSFC方法,PD组产生了可靠和稳定的脑网络测量,其质量与健康对照组相当,大大超过了传统方法(全脑可靠性:5分钟r = 0.60±0.06,40分钟r = 0.88±0.04;人内稳定性:5分钟r = 0.40±0.08,25分钟r = 0.68±0.07;ps结论:精确RSFC在PD患者中是可行和可靠的。这种方法有望推进个性化诊断和识别PD临床变异性的基于大脑的生物标志物。
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引用次数: 0
Neuroimaging correlates of symptom burden and functional recovery following mild traumatic brain injury: A systematic review 轻度外伤性脑损伤后症状负担和功能恢复的神经影像学相关性:系统综述。
IF 3.6 2区 医学 Q2 NEUROIMAGING Pub Date : 2026-01-01 DOI: 10.1016/j.nicl.2025.103910
Joshua P. McGeown , Mangor Pedersen , Remika Mito , Alice Theadom , Jerome J. Maller , Paul Condron , Samantha J. Holdsworth

Background

Mild traumatic brain injury (mTBI) represents 95% of all traumatic brain injuries. Despite being classified as “mild,” mTBI can lead to persistent symptoms that impact quality of life. Diagnostic and management strategies rely heavily on subjective symptom reporting due to a lack of validated biomarkers. Identifying neuroimaging biomarkers to characterise the pathophysiological features underlying symptom burden and poor recovery is critical for improving mTBI management.

Objective

To synthesise evidence on cross-sectional, longitudinal, and prognostic links between Magnetic Resonance Imaging (MRI) features and mTBI symptom burden and functional recovery.

Methods

The review followed PRISMA guidelines. Systematic searches of MEDLINE, SCOPUS, and Cochrane Library identified mTBI studies with acute MRI data, measures of symptom burden or functional recovery, and at least one follow-up clinical timepoint, covering publications to July 18, 2025. Risk of bias was evaluated using the Quality in Prognostic Studies tool, and findings were synthesised narratively.

Results

Sixty-two of 7,232 articles were included. The review identified heterogeneous evidence across MRI modalities. Structural MRI findings showed limited correlation with clinical outcomes, while changes in white matter and functional connectivity were more strongly associated with symptom burden and recovery. Disruptions of integrative regions and association pathways such as the thalamus, superior longitudinal fasciculus, and cingulate cortex were linked to worse symptom burden and recovery outcomes.

Conclusions

Acute MRI, when contextualised with clinical data, helps delineate correlates of mTBI symptom burden and functional recovery. To strengthen inference, future neuroimaging studies should prespecify and report symptom burden and functional recovery as core endpoints.
背景:轻度创伤性脑损伤(mTBI)占所有创伤性脑损伤的95%。尽管mTBI被归类为“轻度”,但它会导致持续的症状,影响生活质量。由于缺乏有效的生物标志物,诊断和管理策略严重依赖主观症状报告。识别神经成像生物标志物,以表征症状负担和恢复不良的病理生理特征,对于改善mTBI管理至关重要。目的:综合磁共振成像(MRI)特征与mTBI症状负担和功能恢复之间的横断面、纵向和预后联系的证据。方法:按照PRISMA指南进行综述。对MEDLINE、SCOPUS和Cochrane图书馆的系统检索发现,mTBI研究具有急性MRI数据,症状负担或功能恢复的测量,以及至少一个随访临床时间点,涵盖出版物至2025年7月18日。使用预后研究质量工具评估偏倚风险,并对研究结果进行叙述性综合。结果:共纳入7232篇文献62篇。该综述确定了不同MRI模式的异质性证据。结构MRI结果显示与临床结果的相关性有限,而白质和功能连通性的变化与症状负担和恢复的相关性更强。丘脑、上纵束和扣带皮层等综合区域和关联通路的破坏与更严重的症状负担和恢复结果有关。结论:急性MRI与临床数据相结合,有助于描述mTBI症状负担和功能恢复的相关性。为了加强推理,未来的神经影像学研究应预先指定和报告症状负担和功能恢复作为核心终点。
{"title":"Neuroimaging correlates of symptom burden and functional recovery following mild traumatic brain injury: A systematic review","authors":"Joshua P. McGeown ,&nbsp;Mangor Pedersen ,&nbsp;Remika Mito ,&nbsp;Alice Theadom ,&nbsp;Jerome J. Maller ,&nbsp;Paul Condron ,&nbsp;Samantha J. Holdsworth","doi":"10.1016/j.nicl.2025.103910","DOIUrl":"10.1016/j.nicl.2025.103910","url":null,"abstract":"<div><h3>Background</h3><div>Mild traumatic brain injury (mTBI) represents 95% of all traumatic brain injuries. Despite being classified as “mild,” mTBI can lead to persistent symptoms that impact quality of life. Diagnostic and management strategies rely heavily on subjective symptom reporting due to a lack of validated biomarkers. Identifying neuroimaging biomarkers to characterise the pathophysiological features underlying symptom burden and poor recovery is critical for improving mTBI management.</div></div><div><h3>Objective</h3><div>To synthesise evidence on cross-sectional, longitudinal, and prognostic links between Magnetic Resonance Imaging (MRI) features and mTBI symptom burden and functional recovery.</div></div><div><h3>Methods</h3><div>The review followed PRISMA guidelines. Systematic searches of MEDLINE, SCOPUS, and Cochrane Library identified mTBI studies with acute MRI data, measures of symptom burden or functional recovery, and at least one follow-up clinical timepoint, covering publications to July 18, 2025. Risk of bias was evaluated using the Quality in Prognostic Studies tool, and findings were synthesised narratively.</div></div><div><h3>Results</h3><div>Sixty-two of 7,232 articles were included. The review identified heterogeneous evidence across MRI modalities. Structural MRI findings showed limited correlation with clinical outcomes, while changes in white matter and functional connectivity were more strongly associated with symptom burden and recovery. Disruptions of integrative regions and association pathways such as the thalamus, superior longitudinal fasciculus, and cingulate cortex were linked to worse symptom burden and recovery outcomes.</div></div><div><h3>Conclusions</h3><div>Acute MRI, when contextualised with clinical data, helps delineate correlates of mTBI symptom burden and functional recovery. To strengthen inference, future neuroimaging studies should prespecify and report symptom burden and functional recovery as core endpoints.</div></div>","PeriodicalId":54359,"journal":{"name":"Neuroimage-Clinical","volume":"49 ","pages":"Article 103910"},"PeriodicalIF":3.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145913925","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
Investigating causal relations between brain morphology and genetic risk variants in Parkinson’s disease 研究脑形态与帕金森病遗传风险变异之间的因果关系
IF 3.6 2区 医学 Q2 NEUROIMAGING Pub Date : 2026-01-01 DOI: 10.1016/j.nicl.2025.103928
Gabrielle Dagasso , Vibujithan Vigneshwaran , Anthony J Winder , Raissa Souza , Erik Y. Ohara , Matthias Wilms , Nils D. Forkert
Imaging genomics for Parkinson’s disease (PD) research aims to integrate genetic and imaging biomarkers to explore how genetic alterations influence brain morphology and function. However, traditional methods have been largely correlative, limiting their utility. Recent advances in machine learning offer potential for exploring causal relationships, although these have not yet been applied to investigate genetic variants and brain phenotypes in PD.
Thus, we employ a causal deep learning approach for genotype-phenotype analysis in PD using a novel method to assess the causal impact of genetic risk variants on brain structures.
A masked causal normalizing flow model was adapted to evaluate genetic variants associated with PD and their effects on brain structures. The Parkinson’s Progression Markers Initiative (PPMI) dataset was used for development and evaluation, we included 102 controls, 214 patients with PD, and 43 patients with prodromal PD (n = 359), with 223 males (age range 31–82) An additional testing on neurologically healthy participants from the UK Biobank for validation was done as well, with 16,861 participants (Male n = 7,747, age range: 44–82).
The causal deep learning model identified several significant causal relationships: the rs4073221 variant in SATB1 affects the right putamen volume (p-value = 6.8x10-5) and the T408M (rs75548401) variant in GBA1 influences the right pars triangularis volume (p-value = 1x10-13), aligning with known PD pathophysiology. Complex variant analysis of LRRK2 G2019S and GBA1 E365K showed individual-level volumetric changes. Similar trends were found in the UK Biobank and PPMI datasets, demonstrating reasonable generalization.
The proposed causal deep learning framework reveals promising results for investigating genetic-brain architectures in PD. It demonstrates feasibility for further imaging genomics studies in PD and other neurological disorders.
帕金森病(PD)成像基因组学研究旨在整合遗传和成像生物标志物,探索遗传改变如何影响大脑形态和功能。然而,传统方法在很大程度上是相互关联的,限制了它们的实用性。机器学习的最新进展为探索因果关系提供了潜力,尽管这些尚未应用于研究PD的遗传变异和大脑表型。因此,我们采用因果深度学习方法对PD进行基因型-表型分析,使用一种新的方法来评估遗传风险变异对大脑结构的因果影响。一个被掩盖的因果归一化流模型被用来评估与PD相关的遗传变异及其对大脑结构的影响。帕金森病进展标志物倡议(PPMI)数据集用于开发和评估,我们包括102名对照组,214名PD患者和43名前驱PD患者(n = 359),其中223名男性(年龄范围31-82岁)。此外,我们还对来自英国生物银行的神经健康参与者进行了额外的测试,共16,861名参与者(男性n = 7,747,年龄范围44-82岁)。因果深度学习模型确定了几个重要的因果关系:SATB1中的rs4073221变异影响右侧壳核体积(p值= 6.8x10-5), GBA1中的T408M (rs75548401)变异影响右侧三角部体积(p值= 1x10-13),与已知的PD病理生理学一致。LRRK2 G2019S和GBA1 E365K的复杂变异分析显示个体水平的体积变化。在英国生物银行和PPMI数据集中也发现了类似的趋势,证明了合理的推广。提出的因果深度学习框架为研究帕金森病的遗传-大脑结构揭示了有希望的结果。它证明了PD和其他神经系统疾病进一步成像基因组学研究的可行性。
{"title":"Investigating causal relations between brain morphology and genetic risk variants in Parkinson’s disease","authors":"Gabrielle Dagasso ,&nbsp;Vibujithan Vigneshwaran ,&nbsp;Anthony J Winder ,&nbsp;Raissa Souza ,&nbsp;Erik Y. Ohara ,&nbsp;Matthias Wilms ,&nbsp;Nils D. Forkert","doi":"10.1016/j.nicl.2025.103928","DOIUrl":"10.1016/j.nicl.2025.103928","url":null,"abstract":"<div><div>Imaging genomics for Parkinson’s disease (PD) research aims to integrate genetic and imaging biomarkers to explore how genetic alterations influence brain morphology and function. However, traditional methods have been largely correlative, limiting their utility. Recent advances in machine learning offer potential for exploring causal relationships, although these have not yet been applied to investigate genetic variants and brain phenotypes in PD.</div><div>Thus, we employ a causal deep learning approach for genotype-phenotype analysis in PD using a novel method to assess the causal impact of genetic risk variants on brain structures.</div><div>A masked causal normalizing flow model was adapted to evaluate genetic variants associated with PD and their effects on brain structures. The Parkinson’s Progression Markers Initiative (PPMI) dataset was used for development and evaluation, we included 102 controls, 214 patients with PD, and 43 patients with prodromal PD (n = 359), with 223 males (age range 31–82) An additional testing on neurologically healthy participants from the UK Biobank for validation was done as well, with 16,861 participants (Male n = 7,747, age range: 44–82).</div><div>The causal deep learning model identified several significant causal relationships: the rs4073221 variant in SATB1 affects the right putamen volume (p-value = 6.8x10<sup>-5</sup>) and the T408M (rs75548401) variant in GBA1 influences the right pars triangularis volume (p-value = 1x10<sup>-13</sup>), aligning with known PD pathophysiology. Complex variant analysis of LRRK2 G2019S and GBA1 E365K showed individual-level volumetric changes. Similar trends were found in the UK Biobank and PPMI datasets, demonstrating reasonable generalization.</div><div>The proposed causal deep learning framework reveals promising results for investigating genetic-brain architectures in PD. It demonstrates feasibility for further imaging genomics studies in PD and other neurological disorders.</div></div>","PeriodicalId":54359,"journal":{"name":"Neuroimage-Clinical","volume":"49 ","pages":"Article 103928"},"PeriodicalIF":3.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145939465","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
Depression vulnerability involves brain activity and connectivity changes consistent with cholinergic deviancy 抑郁易感性涉及与胆碱能偏差一致的大脑活动和连通性变化。
IF 3.6 2区 医学 Q2 NEUROIMAGING Pub Date : 2026-01-01 DOI: 10.1016/j.nicl.2025.103941
Peter Stiers, Zoe Samara, Kyran J.R. Kuijpers, Elisabeth A.T. Evers, Johannes G. Ramaekers
Behavioral and imaging studies suggests that emotional biases in the perception of faces associated with major depression disorder (MD) may be embedded within a broader sensory processing deficit. Increased cortical acetylcholine in MD suggest that this deficit may be related to abnormal attention modulation of sensory areas. It is not clear, however, whether these problems are a manifestation of the disease or whether they precede symptom onset. To investigate this, we applied functional magnetic resonance imaging (fMRI) to look for brain activity changes that participants with a family risk of MD (N = 30) shared with participant with MD (N = 28), compared to matched controls (N = 28). Participants were scanned while performing gender categorization of sad, happy, and neutral face pictures, as well as during a state of rest. Task-related activity changes, shared by participants at risk of and suffering from MD, were mostly seen in the posterior brain: increased activity in dorsal attention and visual association cortex, and decreased in lower visual areas. The changes did not differ between neutral faces and faces expressing an emotion. The at risk and MD participants additionally showed increased functional connectivity between the dorsal attention clusters and the lingual gyrus, and decreased connectivity with the lateral occipital complex (LOC). Lastly, they also had in common increased functional connectivity of magnocellular basal forebrain seeds with LOC and visual association cortex. These changes are consistent with an acetylcholine-mediated change in attention-guided sensory processing of all environmental events, which is discernable even before the first MD episode.
行为和影像学研究表明,与重度抑郁症(MD)相关的面部感知中的情绪偏差可能嵌入在更广泛的感觉加工缺陷中。MD的皮质乙酰胆碱增加表明这种缺陷可能与感觉区域的异常注意调节有关。然而,尚不清楚这些问题是疾病的表现,还是在症状出现之前。为了研究这一点,我们应用功能磁共振成像(fMRI)来寻找具有MD家族风险的参与者(N = 30)与MD参与者(N = 28)的大脑活动变化,并与匹配的对照组(N = 28)进行比较。在对悲伤、快乐和中性的人脸图片进行性别分类时,以及在休息状态下,对参与者进行扫描。与任务相关的活动变化,在有MD风险和患有MD的参与者中,主要出现在大脑后部:背侧注意力和视觉关联皮层的活动增加,而下视觉区域的活动减少。这些变化在中性的脸和表达情绪的脸之间没有区别。此外,高风险和MD参与者还表现出背侧注意簇和舌回之间的功能连通性增加,与外侧枕复合体(LOC)的连通性减少。最后,他们的大细胞基底前脑种子与LOC和视觉关联皮层的功能连通性也普遍增加。这些变化与乙酰胆碱介导的对所有环境事件的注意引导感觉加工的变化是一致的,甚至在第一次MD发作之前就可以辨别出来。
{"title":"Depression vulnerability involves brain activity and connectivity changes consistent with cholinergic deviancy","authors":"Peter Stiers,&nbsp;Zoe Samara,&nbsp;Kyran J.R. Kuijpers,&nbsp;Elisabeth A.T. Evers,&nbsp;Johannes G. Ramaekers","doi":"10.1016/j.nicl.2025.103941","DOIUrl":"10.1016/j.nicl.2025.103941","url":null,"abstract":"<div><div>Behavioral and imaging studies suggests that emotional biases in the perception of faces associated with major depression disorder (MD) may be embedded within a broader sensory processing deficit. Increased cortical acetylcholine in MD suggest that this deficit may be related to abnormal attention modulation of sensory areas. It is not clear, however, whether these problems are a manifestation of the disease or whether they precede symptom onset. To investigate this, we applied functional magnetic resonance imaging (fMRI) to look for brain activity changes that participants with a family risk of MD (N = 30) shared with participant with MD (N = 28), compared to matched controls (N = 28). Participants were scanned while performing gender categorization of sad, happy, and neutral face pictures, as well as during a state of rest. Task-related activity changes, shared by participants at risk of and suffering from MD, were mostly seen in the posterior brain: increased activity in dorsal attention and visual association cortex, and decreased in lower visual areas. The changes did not differ between neutral faces and faces expressing an emotion. The at risk and MD participants additionally showed increased functional connectivity between the dorsal attention clusters and the lingual gyrus, and decreased connectivity with the lateral occipital complex (LOC). Lastly, they also had in common increased functional connectivity of magnocellular basal forebrain seeds with LOC and visual association cortex. These changes are consistent with an acetylcholine-mediated change in attention-guided sensory processing of all environmental events, which is discernable even before the first MD episode.</div></div>","PeriodicalId":54359,"journal":{"name":"Neuroimage-Clinical","volume":"49 ","pages":"Article 103941"},"PeriodicalIF":3.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145913946","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-Clinical
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