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Frontal Theta Modulation in Sequential Working Memory: the Impact of Spatial Regularity and Scenario. 额波调制在顺序工作记忆中的作用:空间规则和情景的影响。
IF 2.9 3区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2025-10-03 DOI: 10.1007/s10548-025-01152-9
Yichao Huang, Yufeng Ke, Jiayi Li, Shuang Liu, Dong Ming

Humans can quickly extract spatial regularities from sequences to reduce working memory (WM) load, yet the electrophysiological mechanisms remain unclear. Although previous studies have underscored the role of frontal-midline theta (FM-theta) in sequential WM processing, whether and how spatial regularity modulates FM-theta is unknown. To investigate this, we varied the spatial relation between successive items-more repetitions of the same displacement yielded fewer unique chunks and thus higher regularity-while sequence length stayed fixed. Participants were asked to encode, maintain and reproduce the temporal order of sequences utilizing their spatial structures. To enhance ecological validity, we further embedded the task in a complex scenario that included meaningful contexts, dispersed layouts, and variable stimulus sizes. Behavioral data revealed that sequences with higher regularity and the simple scenario yielded higher accuracy, confirming successful manipulations of regularity and scenario difficulty. The overall temporal dynamics of EEG data showed prominent theta enhancement and concurrent alpha/beta suppression during encoding and maintenance. Subsequent analyses across the 4-30 Hz and delay period demonstrated that theta power increased while alpha/beta power declined monotonically with sequence complexity. Notably, regularity-modulated alpha power differed in two scenarios. Moreover, the results found that only sequence regularity-not scenario difficulty-modulated fronto-posterior theta connectivity and slowed the FM-theta frequency. In sum, FM-theta, operating through long-range connectivity and frequency modulation, exclusively tracks spatial-regularity demands in sequential WM, while such neural mechanisms remain impervious to variations in scenario difficulty. These findings suggest that FM-theta may serve as a specific neural marker for spatial regularity processing, rather than a general index of task difficulty, thereby offering a concrete target for future neuromodulatory interventions.

人类可以从序列中快速提取空间规律以减少工作记忆负荷,但电生理机制尚不清楚。虽然之前的研究已经强调了额中线θ波(FM-theta)在顺序脑电信号加工中的作用,但空间规律性是否以及如何调节FM-theta波尚不清楚。为了研究这一点,我们改变了连续项目之间的空间关系——相同位移的重复次数越多,产生的独特块就越少,从而产生更高的规律性——而序列长度保持不变。参与者被要求利用他们的空间结构对序列的时间顺序进行编码、维护和再现。为了提高生态效度,我们进一步将任务嵌入一个复杂的场景,包括有意义的背景、分散的布局和可变的刺激大小。行为数据显示,规则性较高的序列和简单的场景获得了更高的准确性,证实了规则性和场景难度的成功操纵。在编码和维持过程中,脑电数据的整体时间动态表现为显著的θ增强和并发的α / β抑制。在4-30 Hz和延迟期间的后续分析表明,theta功率随着序列复杂度的增加而增加,而alpha/beta功率单调下降。值得注意的是,规则调制的alpha功率在两种情况下有所不同。此外,研究结果发现,只有序列规则性(而非场景难度)调制了额-后theta连接,减慢了FM-theta频率。总之,FM-theta通过远程连接和频率调制运作,专门跟踪序列WM中的空间规则需求,而这种神经机制仍然不受场景难度变化的影响。这些发现表明,FM-theta可能是空间规则处理的特定神经标记,而不是任务难度的一般指标,从而为未来的神经调节干预提供了具体的目标。
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引用次数: 0
EEG Resting-state Microstate Dynamics in Children and Adolescents with Avoidant/Restrictive Food Intake Disorder (ARFID). 儿童和青少年回避/限制性食物摄入障碍(ARFID)的脑电图静息状态微状态动力学。
IF 2.9 3区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2025-09-30 DOI: 10.1007/s10548-025-01149-4
Kinkini Bhadra, Antony A Janakiram, Savoia Marco, Nadia Micali, Petra S Hüppi, Cristina Berchio

Avoidant/Restrictive Food Intake Disorder (ARFID) is a psychiatric condition characterized by extreme food avoidance and limited food intake, leading to nutritional deficiencies, weight loss, and and/or social impairment. Despite its clinical significance, there is a notable lack of research on the neurobiological basis of ARFID. To address this gap, we examined resting-state EEG brain activity in children and adolescents with ARFID, using microstate analysis to capture spatial configurations associated with large-scale brain networks, offering a novel perspective on brain network abnormalities in this population. Eighteen patients with full/subthreshold ARFID (mean age 12.78 ± 3.57) were compared to 18 age- and sex-matched healthy controls (HC) (mean age 14.56 ± 2.85). EEG data were recorded during eyes-closed resting-state and examined using microstate analysis. Four microstate maps were identified (A, B, C, D). Significant differences were observed between groups for Map C, with the ARFID group showing higher values for mean duration compared to the HC group (U = 254, p = 0.003). Additionally, a trend towards decreased transition probabilities from microstate B to A (p = 0.018) and increased transition probabilities from B to C (p = 0.023) were found in ARFID. Source imaging analyses further revealed increased activation in the right posterior cingulate cortex (p = 0.005) and decreased activation in the right inferior occipital cortex (p = 0.003) in the ARFID group compared to HC. These results suggest distinct patterns of brain activity in children and adolescents with ARFID, particularly involving microstate C, which may reflect atypical Default Mode Network functioning. This study provides preliminary evidence of altered brain network dynamics in ARFID, contributing to a better understanding of its neurobiological basis and offering potential avenues for neurophysiological interventions.

回避/限制性食物摄入障碍(ARFID)是一种精神疾病,其特征是极度回避食物和限制食物摄入,导致营养缺乏、体重减轻和/或社交障碍。尽管ARFID具有临床意义,但对其神经生物学基础的研究明显缺乏。为了解决这一差距,我们研究了患有ARFID的儿童和青少年的静息状态脑电图脑活动,使用微状态分析来捕捉与大规模脑网络相关的空间配置,为这一人群的脑网络异常提供了一种新的视角。18例完全/阈下ARFID患者(平均年龄12.78±3.57)与18例年龄和性别匹配的健康对照(HC)(平均年龄14.56±2.85)进行比较。在闭眼静息状态下记录脑电图数据,并进行微态分析。确定了4个微观状态图(A, B, C, D)。Map C组间存在显著差异,ARFID组的平均持续时间高于HC组(U = 254, p = 0.003)。此外,ARFID发现从微态B到a的过渡概率降低(p = 0.018),从微态B到C的过渡概率增加(p = 0.023)。源成像分析进一步显示,与HC相比,ARFID组右侧后扣带皮层的激活增加(p = 0.005),右侧枕下皮层的激活减少(p = 0.003)。这些结果表明患有ARFID的儿童和青少年的大脑活动模式不同,特别是涉及微状态C,这可能反映了非典型的默认模式网络功能。本研究提供了ARFID中脑网络动力学改变的初步证据,有助于更好地理解其神经生物学基础,并为神经生理学干预提供了潜在的途径。
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引用次数: 0
Pre-attentive Pitch Processing of Harmonic Complex Sounds at Sensor and Source Levels: Comparing Simultaneously Recorded EEG and MEG Data. 谐波复杂声音在传感器和声源水平上的预注意音高处理:同时记录的脑电图和脑磁图数据的比较。
IF 2.9 3区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2025-09-27 DOI: 10.1007/s10548-025-01147-6
Talya C Inbar, Jean-Michel Badier, Christian Bénar, Khoubeib Kanzari, Mireille Besson, Valérie Chanoine

Electroencephalography (EEG) and magnetoencephalography (MEG), two of the most widely used tools for studying human brain dynamics, are thought to have varying spatial resolutions. Here, we simultaneously recorded EEG and MEG data from 14 participants to directly compare their sensitivities - at both the sensor and source levels - to the auditory Mismatch Negativity (MMN in EEG and MMNm in MEG) elicited by pitch deviants. At the sensor level, we observed that negative components emerged in early (100-190 ms) and late (260-420 ms) latency windows. These responses displayed a fronto-central distribution in EEG and a centro-parietal distribution in MEG. MEG also yielded larger effect sizes than EEG, likely reflecting differences in signal-to-noise ratio between MEG and EEG. At the source level, our findings support the involvement of a fronto-temporal auditory MMN network. Both EEG and MEG identified generators in the superior temporal gyrus, Heschl's gyrus, interior frontal gyrus, and insular regions. Notably, EEG source localization revealed additional generators in the left superior temporal sulcus not detected by MEG, whereas MEG identified late components generators in the right hemisphere that were not observed with EEG. Taken together, these results suggest that EEG and MEG may provide complementary perspectives on auditory processing. However, given the inherent complexity of comparing data acquired with different methodologies and the limited sample size, our conclusions should be regarded as preliminary.

脑电图(EEG)和脑磁图(MEG)是研究人类大脑动力学最广泛使用的两种工具,被认为具有不同的空间分辨率。在这里,我们同时记录了14名参与者的EEG和MEG数据,以直接比较他们在传感器和源水平上对音高偏差引起的听觉错配负性(EEG和MEG中的MMN)的敏感度。在传感器水平,我们观察到负成分出现在早期(100-190 ms)和晚期(260-420 ms)潜伏期窗口。这些反应在脑电图上呈额-中枢分布,在脑磁图上呈中心-顶叶分布。脑磁图也比脑电图产生更大的效应量,可能反映了脑磁图和脑电图之间信噪比的差异。在源头层面,我们的发现支持了额颞叶听觉MMN网络的参与。脑电图和脑磁图均在颞上回、颞下回、额内回和岛岛区发现了产生者。值得注意的是,脑电图源定位显示,在左侧颞上沟有其他脑电信号未被MEG检测到的产生源,而在右半球有脑电信号未被MEG检测到的晚期成分产生源。综上所述,这些结果表明脑电图和脑磁图可能为听觉加工提供了互补的视角。然而,考虑到比较不同方法获得的数据的固有复杂性和有限的样本量,我们的结论应被视为初步的。
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引用次数: 0
Relationship of Interhemispheric Signal Propagation and Severity of Stroke-induced Damage and Unilateral Neglect: A Retrospective Study. 脑内信号传播与脑卒中损伤及单侧忽视严重程度的关系:回顾性研究。
IF 2.9 3区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2025-09-27 DOI: 10.1007/s10548-025-01151-w
Wanying Zhao, Huanxin Xie, Weiqun Song, Lei Cao, Linlin Ye

Unilateral neglect (UN) is a common post-stroke neurocognitive deficit linked to interhemispheric interactions, though mechanisms remain unclear. This study evaluated the 'bimodal balance recovery' model in UN, exploring its relationship with interhemispheric connectivity and proposing a stratification framework for patient categorization. Thirty stroke patients with UN and 15 healthy controls were recruited. Interhemispheric signal propagation (ISP) was assessed using transcranial magnetic stimulation-electroencephalography. UN severity was quantified using a battery of paper-and-pencil tasks, and overall patient functioning was evaluated using the Activities of Daily Living Scale, Fugl-Meyer Assessment, and Berg Balance Scale. Analyses of the Schenkenberg Line Bisection Test, Albert's Cancellation Task, and Ota's Cancellation Task indicated that quadratic models provided a better fit than linear regressions. A novel metric, the PenPCA Index, was derived using Principal Component Analysis (PCA) to assess the complex relationship between ISP and UN. This index demonstrated a bimodal relationship with ISP, effectively distinguishing between negative and positive correlations with the PenPCA Index. This study introduces the PenPCA Index, underscores the bimodal UN-ISP relationship, and offers a stratified assessment framework for stroke patients.

单侧忽视(UN)是一种常见的卒中后神经认知缺陷,与大脑半球间相互作用有关,但机制尚不清楚。本研究评估了UN的“双峰平衡恢复”模型,探讨了其与半球间连通性的关系,并提出了患者分类的分层框架。招募了30例UN脑卒中患者和15名健康对照者。采用经颅磁刺激-脑电图评估脑半球间信号传播(ISP)。使用一系列纸笔任务量化UN严重程度,并使用日常生活活动量表、Fugl-Meyer评估和Berg平衡量表评估患者的整体功能。对Schenkenberg线对分检验、Albert对消任务和Ota对消任务的分析表明,二次模型比线性回归提供了更好的拟合。利用主成分分析(PCA)导出了一个新的度量,即PenPCA指数,以评估ISP和UN之间的复杂关系。该指数与ISP呈双峰关系,有效区分了与PenPCA指数的负相关和正相关。本研究引入了PenPCA指数,强调了UN-ISP的双峰关系,并为脑卒中患者提供了一个分层评估框架。
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引用次数: 0
Lag-structure in fMRI across Three Psychiatric Groups: State-dependency and Clinical-behavioral Correlates. 三个精神病组的功能磁共振成像滞后结构:状态依赖性和临床行为相关性。
IF 2.9 3区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2025-09-26 DOI: 10.1007/s10548-025-01148-5
Livio Tarchi, Stefano Damiani, Paolo La-Torraca-Vittori, Giovanni Castellini, Pierluigi Politi, Paolo Fusar-Poli, Valdo Ricca

fMRI measures beyond zero-lag functional connectivity could serve as useful tools for understanding the distinct spatio-temporal dynamics characterizing psychiatric conditions. Therefore, the primary objective was to investigate whether and how state-dependence influences lag-structure in healthy controls (n = 95). Moreover, the study aimed to explore clinical-behavioral correlates of state-dependent lag-structure in three groups of psychiatric patients (35 ADHD, 38 Bipolar Disorder and 23 Schizophrenia patients, diagnosed according to DSM-IV-TR). Lag-structure was computed from cross-correlation coefficients in resting-state and stop-signal scans. Between and within-group differences were compared through non-parametric tests. Correlations with clinical-behavioral parameters were evaluated using linear regressions (Brief Psychiatric Rating Scale - BPRS, task reaction time). Compared to healthy controls, lag-structure within default-mode, executive-control and salience networks was generally increased in ADHD (min Z-score - 3.983), generally decreased in Schizophrenia (min Z-score - 3.716) and mixed increased/decreased in Bipolar patients (min Z-score - 3.912, max 4.739). Widespread state-dependent reductions of lag-structure were observed across all groups from rest to task (max Q-statistics: healthy controls 58; ADHD 22; Bipolar 26; Schizophrenia 17). Correlations with clinical-behavioral features (BPRS, reaction time) were positive in the executive-control network and negative in the bilateral thalamus for ADHD; negative in the cerebellum for Schizophrenia; positive in the right temporal gyri, amygdala, hippocampus, cerebellum for Bipolar Disorder (p = 0.05). In summary, according to these preliminary results, differences in lag-structure in comparison to healthy controls may be described as progressively increased in magnitude from ADHD to Bipolar Disorder and Schizophrenia, with specific clinical and behavioral correlates according to each diagnostic group.

超越零滞后功能连接的fMRI测量可以作为理解表征精神疾病的独特时空动态的有用工具。因此,本研究的主要目的是研究状态依赖是否以及如何影响健康对照组的滞后结构(n = 95)。此外,本研究旨在探讨三组精神病患者(35例ADHD, 38例双相障碍和23例精神分裂症患者,根据DSM-IV-TR诊断)的状态依赖滞后结构的临床行为相关性。通过静息状态和停止信号扫描的互相关系数计算滞后结构。通过非参数检验比较组间和组内差异。与临床行为参数的相关性采用线性回归评估(简短精神病学评定量表- BPRS,任务反应时间)。与健康对照相比,ADHD患者默认模式、执行控制和显著性网络中的滞后结构普遍增加(最小Z-score - 3.983),精神分裂症患者普遍减少(最小Z-score - 3.716),双相情感障碍患者混合增加/减少(最小Z-score - 3.912,最大4.739)。从休息到任务,所有组都观察到广泛的状态依赖性延迟结构减少(最大q统计:健康对照组58;ADHD 22;躁郁症26;精神分裂症17)。ADHD患者的执行控制网络与临床行为特征(BPRS、反应时间)呈正相关,双侧丘脑与临床行为特征(BPRS、反应时间)呈负相关;精神分裂症的小脑呈阴性;双相情感障碍患者右侧颞回、杏仁核、海马、小脑呈阳性(p = 0.05)。总之,根据这些初步结果,与健康对照组相比,滞后结构的差异可能被描述为从ADHD到双相情感障碍和精神分裂症的程度逐渐增加,根据每个诊断组具有特定的临床和行为相关性。
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引用次数: 0
Machine Learning-Based Classification of White Matter Functional Changes in Stroke Patients Using Resting-State fMRI. 基于机器学习的脑卒中患者脑白质功能变化分类研究
IF 2.9 3区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2025-09-25 DOI: 10.1007/s10548-025-01138-7
Li-Hua Liu, Chao-Xiong Wang, Xin Huang, Ri-Bo Chen
<p><p>Neuroimaging studies of brain function are important research methods widely applied to stroke patients. Currently, a large number of studies have focused on functional imaging of the gray matter cortex. Relevant research indicates that certain areas of the gray matter cortex in stroke patients exhibit abnormal brain activity during resting state. However, studies on brain function based on white matter remain insufficient. The changes in functional connectivity caused by stroke in white matter, as well as the repair or compensation mechanisms of white matter function after stroke, are still unclear. The aim of this study is to investigate and demonstrate the changes in brain functional connectivity activity in the white matter region of stroke patients. Revealing the recombination characteristics of white matter functional networks after stroke, providing potential biomarkers for rehabilitation therapy Provide new clinical insights for the rehabilitation and treatment of stroke patients. We recruited 36 stroke patients and 36 healthy controls for resting-state functional magnetic resonance imaging (rs-fMRI). Regional Homogeneity (ReHo) and Degree Centrality (DC), which are sensitive to white matter functional abnormalities, were selected as feature vectors. ReHo reflects local neuronal synchrony, while DC quantifies global network hub properties. The combination of both effectively characterizes functional changes in white matter. ReHo evaluates the functional consistency of different white matter regions by calculating the activity similarity between adjacent brain regions. Additionally, DC analysis of white matter was used to investigate the connectivity patterns and organizational principles of functional networks between white matter regions. This was achieved by calculating the number of connections in each brain region to identify changes in neural activation of white matter regions that significantly impact the brain network. Furthermore, ReHo and DC metrics were used as feature vectors for classification using machine learning algorithms. The results indicated significant differences in white matter DC and ReHo values between stroke patients and healthy controls. In the two-sample t-test analysis of white matter DC, stroke patients showed a significant reduction in DC values in the corpus callosum genu (GCC), corpus callosum body (BCC), and left anterior corona radiata (ACRL) regions (GCC: 0.143 vs. 1.024; BCC: 0.238 vs. 1.143; ACRL: 0.143 vs. 0.821, p < 0.001). However, an increase in DC values was observed in the left superior longitudinal fasciculus (SLF_L) region (1.190 vs. 0.190, p < 0.001). In the two-sample t-test analysis of white matter ReHo, stroke patients exhibited a decrease in ReHo values in the GCC and BCC regions (GCC: 0.859 vs. 1.375; BCC: 1.156 vs. 1.687, p < 0.001), indicating values lower than those in the healthy control group. Using leave-one-out cross-validation (LOOCV) to evaluate the white matter DC and ReH
脑功能的神经影像学研究是广泛应用于脑卒中患者的重要研究方法。目前,大量的研究都集中在灰质皮层的功能成像上。相关研究表明,脑卒中患者脑灰质皮层的某些区域在静息状态下表现出异常的脑活动。然而,基于白质的脑功能研究仍然不足。脑卒中后脑白质功能连通性的改变以及脑卒中后脑白质功能的修复或补偿机制尚不清楚。本研究旨在探讨脑卒中患者脑白质区功能连接活动的变化。揭示脑卒中后白质功能网络的重组特征,为康复治疗提供潜在的生物标志物,为脑卒中患者的康复治疗提供新的临床见解。我们招募了36名脑卒中患者和36名健康对照者进行静息状态功能磁共振成像(rs-fMRI)。选取对白质功能异常敏感的区域均匀性(ReHo)和度中心性(DC)作为特征向量。ReHo反映局部神经元同步,而DC量化全局网络集线器属性。两者的结合有效地表征了白质的功能变化。ReHo通过计算相邻脑区之间的活动相似性来评估不同白质区域的功能一致性。此外,利用脑白质直流分析研究脑白质区域间功能网络的连接模式和组织原理。这是通过计算每个大脑区域的连接数量来确定显著影响大脑网络的白质区域的神经激活变化来实现的。此外,使用ReHo和DC指标作为特征向量,使用机器学习算法进行分类。结果显示脑卒中患者与健康对照组脑白质DC和ReHo值存在显著差异。在白质DC的双样本t检验分析中,脑卒中患者在胼胝体(GCC)、胼胝体(BCC)和左前辐射冠(ACRL)区域的DC值显著降低(GCC: 0.143 vs. 1.024; BCC: 0.238 vs. 1.143; ACRL: 0.143 vs. 0.821, p
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引用次数: 0
Neuroimaging of Ictal MEG: An Evaluation of Magnetic Source Imaging Techniques. 颅磁图神经成像:磁源成像技术的评价。
IF 2.9 3区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2025-09-25 DOI: 10.1007/s10548-025-01132-z
Natascha Cardoso da Fonseca, Pegah Askari, Amy L Proskovec, Tyrell Pruitt, Sasha Alick-Lindstrom, Irina Podkorytova, Andrea Lowden, Afsaneh Talai, Joseph A Maldjian, Elizabeth M Davenport

Magnetoencephalography (MEG) is a valuable tool in the presurgical workup of refractory epilepsy patients. Ictal Magnetic Source Imaging (MSI) can more accurately localize the ictal onset zone, aiding presurgical planning. Nevertheless, the optimal approach for ictal MSI remains undetermined. To evaluate the effectiveness of distinct ictal MSI techniques, assessing their performance based on the ictal onset pattern (IOP). Design: Retrospective study. 16 ictal MEG events from 12 epilepsy patients were retrospectively analyzed. Techniques employed include the traditional sECD, and alternative approaches comprising the linearly constrained minimum variance (LCMV) beamforming, kurtosis beamforming, and dynamic statistical parametric mapping (dSPM). Seizures were classified into IOP groups: ictal discharge, rhythmic activity (RA), slow RA, and fast activity. Sublobar and lobar concordance and the minimum Euclidean distance (Dmin) were evaluated using SEEG data as ground truth. sECD fitting failed for three seizures, whereas alternative techniques demonstrated superiority. LCMV showed the highest sublobar concordance. No significant differences in Dmin across techniques were found. All techniques performed better in the ictal discharge group. Performance declined in the rhythmic activity IOP group, especially in lower frequencies, although LCMV performed better. ECD, beamforming, and dSPM are effective techniques for ictal MEG analysis. Beamforming techniques are particularly important when ECD is unsuitable. The IOP should be considered when selecting the appropriate ictal MSI technique. Optimizing MSI techniques and customizing them based on seizure characteristics can aid in invasive study planning and potentially improve post-surgical outcomes.

脑磁图(MEG)在难治性癫痫患者的术前检查中是一种有价值的工具。临界点磁源成像(MSI)可以更准确地定位临界点起病区,有助于术前规划。然而,临界微细指数的最佳方法仍未确定。评估不同的临界MSI技术的有效性,基于临界发作模式(IOP)评估其性能。设计:回顾性研究。回顾性分析12例癫痫患者的16次痫性脑磁图事件。采用的技术包括传统的sECD,以及包括线性约束最小方差波束形成(LCMV)、峰度波束形成和动态统计参数映射(dSPM)在内的替代方法。癫痫发作分为IOP组:初始放电、节律性活动(RA)、慢速RA和快速活动。使用SEEG数据作为地面真值评估叶下一致性和叶下一致性以及最小欧几里德距离(Dmin)。在三次癫痫发作中,sECD拟合失败,而其他技术显示出优势。LCMV表现出最高的叶下一致性。不同技术的Dmin无显著差异。所有技术在急症出院组均表现较好。节律性活动IOP组的表现下降,尤其是低频,尽管LCMV表现更好。ECD、波束形成和dSPM是关键MEG分析的有效技术。当ECD不合适时,波束形成技术尤为重要。在选择合适的临界MSI技术时应考虑IOP。优化MSI技术并根据发作特征定制它们有助于有创性研究计划,并可能改善术后结果。
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引用次数: 0
EEG Microstates Signatures of rTMS Response Over the lDLPFC: A Band-Specific Analysis. lDLPFC上rTMS响应的脑电微态特征:波段特异性分析。
IF 2.9 3区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2025-09-25 DOI: 10.1007/s10548-025-01146-7
Marius A Dragu, Gabriela Niculescu, Miralena I Tomescu

Transcranial Magnetic Stimulation (TMS), particularly Theta Burst Stimulation (TBS), is a non-invasive, non-convulsive neuromodulation technique that induces clinically relevant network modulations with long-term effects. Two TBS protocols- continuous TBS (cTBS) and intermittent TBS (iTBS)- have been approved as effective therapeutic interventions for neuropsychiatric disorders, including mood disorders. With this aim, we examined EEG microstate temporal dynamics during resting-state recordings across three sessions of TMS. Twenty-four participants underwent cTBS, iTBS, and sham stimulation in a pseudo-randomized order, each separated by at least one week. Six distinct microstates (A-F), associated with activity in specific neural networks, were identified across six frequency bands (broadband, δ, θ, α, β, and γ). Our findings reveal frequency band-specific modulation of EEG microstates B, C, E, and F, previously reported as biomarkers in mood disorders. Notably, C microstates showed increased stability, whereas microstates E and F showed decreased dynamics up to fifty-five minutes after TBS. Most importantly, a negative association was observed for microstate E occurrence, between before stimulation (pre-cTBS) and three post-standing time points (post1-cTBS, post2-cTBS, and post3-cTBS), suggesting that baseline microstate E characteristics may be related to individual variability in cTBS treatment response. These results further support the potential of TBS to induce clinically relevant neuroplastic changes, establishing a strong foundation for the development of band-specific EEG microstate markers for assessing treatment response and personalized closed-loop TMS-EEG protocols.

经颅磁刺激(TMS),特别是θ波脉冲刺激(TBS),是一种非侵入性、非惊厥性的神经调节技术,可诱导具有长期影响的临床相关网络调节。两种TBS方案-连续TBS (cTBS)和间歇TBS (iTBS)-已被批准为包括情绪障碍在内的神经精神疾病的有效治疗干预措施。为此,我们在三次经颅磁刺激的静息状态记录中检查了脑电图的微态时间动态。24名参与者按伪随机顺序接受cTBS、iTBS和假刺激,每次间隔至少一周。在六个频带(宽带、δ、θ、α、β和γ)中,确定了与特定神经网络活动相关的六种不同的微状态(A-F)。我们的研究结果揭示了EEG微状态B、C、E和F的频段特异性调制,这些微状态之前被报道为情绪障碍的生物标志物。值得注意的是,在TBS后55分钟,C微态的稳定性增加,而E和F微态的动态下降。最重要的是,在刺激前(cTBS前)和站立后的三个时间点(1-cTBS后、2-cTBS后和3-cTBS后)之间,观察到微状态E的发生呈负相关,这表明基线微状态E特征可能与cTBS治疗反应的个体差异有关。这些结果进一步支持了TBS诱导临床相关神经可塑性改变的潜力,为开发用于评估治疗反应和个性化闭环TMS-EEG方案的波段特异性EEG微状态标记奠定了坚实的基础。
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引用次数: 0
Signs of Problematic Internet use Affect Resting-State EEG Microstates. 有问题的互联网使用的迹象影响静息状态脑电图微观状态。
IF 2.9 3区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2025-09-25 DOI: 10.1007/s10548-025-01145-8
Dovile Simkute, Povilas Tarailis, Inga Griskova-Bulanova

Easy access, overuse, and misuse of the internet have contributed to the rise of Problematic Internet Use (PIU). Despite a growing body of research linking excessive and addictive digital media use to adverse physical, psychological, social, and neurological consequences, identifying robust and widely accepted neurophysiological markers of PIU severity remains a significant challenge and a leading focus within the field. In this study, 156 healthy regular internet users (70 males; aged 18-35) were assessed using the PIUQ-9 questionnaire, along with measures of anxiety, depression, and obsessive-compulsive symptoms. Resting-state electroencephalogram (EEG) was recorded, and microstates (MS) of EEG were assessed. Psychological and neurophysiological profiles were examined both within the full sample and through comparisons between High and Low PIU groups. The microstate analysis resulted in extraction of 7 MS classes. A significant association between increased occurrence rate and time coverage of MS E - associated with interoception, salience and emotional processing, and PIU scores, both in the full sample and in High vs. Low group comparisons. Furthermore, parameters of MS B, MS C, and MS D showed significant negative associations with anxiety and obsessive-compulsive symptoms. These findings suggest that altered MS E dynamics, may represent a potential early functional biomarker of PIU, reflecting neural changes specifically associated with problematic internet behavior, rather than with psychological traits reflecting general psychopathology, particularly anxiety symptoms.

互联网的易访问、过度使用和误用导致了问题互联网使用(PIU)的上升。尽管越来越多的研究将过度和成瘾的数字媒体使用与不利的身体、心理、社会和神经后果联系起来,但识别PIU严重程度的强大且被广泛接受的神经生理标记仍然是一个重大挑战,也是该领域的主要焦点。在这项研究中,156名健康的经常上网的人(70名男性,年龄在18-35岁之间)使用PIUQ-9问卷,以及焦虑、抑郁和强迫症状的测量进行了评估。记录静息状态脑电图(EEG),评估脑电图微态(MS)。在整个样本中以及通过高和低PIU组之间的比较,检查了心理和神经生理特征。微态分析提取出7个MS类。在全样本和高组与低组比较中,与内感受、显著性和情绪处理相关的MS E的发生率增加与时间覆盖以及PIU分数之间存在显著关联。此外,MS B、MS C和MS D参数与焦虑和强迫症状呈显著负相关。这些发现表明,改变的MS - E动态可能代表了PIU的潜在早期功能生物标志物,反映了与问题网络行为相关的神经变化,而不是反映一般精神病理,特别是焦虑症状的心理特征。
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引用次数: 0
Dynamics of EEG Microstates Change Across the Spectrum of Disorders of Consciousness. 脑电图微观状态在意识障碍谱上的动态变化。
IF 2.9 3区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2025-09-13 DOI: 10.1007/s10548-025-01142-x
Dragana Manasova, Yonatan Sanz Perl, Nicolas Marcelo Bruno, Melanie Valente, Benjamin Rohaut, Enzo Tagliazucchi, Lionel Naccache, Federico Raimondo, Jacobo D Sitt

As a response to the environment and internal signals, brain networks reorganize on a sub-second scale. To capture this reorganization in patients with disorders of consciousness (DoC) and understand their residual brain activity, we investigated the dynamics of electroencephalography (EEG) microstates. EEG microstates are meta-stable topographies that last tens to a few hundreds of milliseconds and are hypothesized to reflect large-scale cortical networks. To obtain EEG‑microstate segmentation, EEG topographies per sample were clustered into four groups for the purpose of the present comparison with the existing four‑class literature. We then obtained a time series of maps with different frequencies of occurrence and duration. One such occurrence of a map with a given duration is called a microstate. The goal of this work was to study the static and dynamic properties of these topographical patterns in DoC patients. Using the microstate time series, we calculated static and dynamic markers. In contrast to the static, the dynamic metrics depend on the specific temporal sequences of the maps. The static measure map coverage showed differences between healthy controls and patients. In contrast, some dynamic markers captured inter-patient group differences. The dynamic markers we investigated are Mean Microstate Durations (MMD), Microstate Duration Variances (MDV), Microstate Transition Matrices (MTM), and Entropy Production (EP). The MMD and MDV decreased with the state of consciousness, whereas the MTM non-diagonal transitions and EP increased. In other words, DoC patients had slower and closer to equilibrium (time-reversible) brain dynamics. In conclusion, static and dynamic EEG microstate metrics differed across consciousness levels, with the latter having captured the subtler differences between groups of patients with DoC.

作为对环境和内部信号的反应,大脑网络以亚秒级的速度重组。为了捕捉意识障碍(DoC)患者的这种重组并了解他们的残余脑活动,我们研究了脑电图(EEG)微观状态的动态。脑电图微态是亚稳定的地形,持续几十到几百毫秒,并被假设反映了大规模的皮层网络。为了获得EEG -微状态分割,每个样本的EEG地形被聚类为四组,以便与现有的四类文献进行比较。然后,我们获得了不同发生频率和持续时间的时间序列地图。在给定的持续时间内,这种地图的出现被称为微状态。这项工作的目的是研究这些地形模式在DoC患者的静态和动态特性。利用微状态时间序列,我们计算了静态和动态标记。与静态度量相比,动态度量依赖于地图的特定时间序列。静态测量图覆盖率在健康对照组和患者之间存在差异。相反,一些动态标记捕获了患者组间的差异。我们研究的动态标记是平均微状态持续时间(MMD)、微状态持续时间方差(MDV)、微状态转移矩阵(MTM)和熵产(EP)。MMD和MDV随意识状态降低,而MTM非对角跃迁和EP增加。换句话说,DoC患者的大脑动力学更慢,更接近于平衡(时间可逆)。总之,静态和动态脑电图微状态指标在不同的意识水平上存在差异,后者捕捉到了DoC患者组之间的细微差异。
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Brain Topography
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