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Assessing Brain Network Dynamics During Postural Control Task Using EEG Microstates. 利用脑电图微态评估体位控制任务中的脑网络动态。
IF 2.3 3区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2025-06-03 DOI: 10.1007/s10548-025-01119-w
Carmine Gelormini, Lorena Guerrini, Federica Pescaglia, Romain Aubonnet, Halldór Jónsson, Hannes Petersen, Giorgio Di Lorenzo, Paolo Gargiulo

The ability to maintain our body's balance and stability in space is crucial for performing daily activities. Effective postural control (PC) strategies rely on integrating visual, vestibular, and proprioceptive sensory inputs. While neuroimaging has revealed key areas involved in PC-including brainstem, cerebellum, and cortical networks-the rapid neural mechanisms underlying dynamic postural tasks remain less understood. Therefore, we used EEG microstate analysis within the BioVRSea experiment to explore the temporal brain dynamics that support PC. This complex paradigm simulates maintaining an upright posture on a moving platform, integrated with virtual reality (VR), to replicate the sensation of balancing on a boat. Data were acquired from 266 healthy subjects using a 64-channel EEG system. Using a modified k-means method, five EEG microstate maps were identified to best model the paradigm. Differences in each microstate maps feature (occurrence, duration, and coverage) between experimental phases were analyzed using a linear mixed model, revealing significant differences between microstates within the experiment phases. The temporal parameters of microstate C showed significantly higher levels in all experimental phases compared to other microstate maps, whereas microstate B displayed an opposite pattern, consistently showing lower levels. This study marks the first attempt to use microstate analysis during a dynamic task, demonstrating the decisive role of microstate C and, conversely, microstate B in differentiating the PC phases. These results demonstrate the utility of microstate technique in studying temporal brain dynamics during PC, with potential applications in the early detection of neurodegenerative diseases.

在太空中保持身体平衡和稳定的能力对于进行日常活动至关重要。有效的姿势控制策略依赖于视觉、前庭和本体感觉输入的整合。虽然神经成像已经揭示了pc参与的关键区域——包括脑干、小脑和皮质网络——但动态姿势任务背后的快速神经机制仍然知之甚少。因此,我们在BioVRSea实验中使用EEG微状态分析来探索支持PC的时间脑动力学。这种复杂的模式模拟了在移动平台上保持直立姿势,与虚拟现实(VR)相结合,以复制在船上保持平衡的感觉。采用64通道脑电图系统对266名健康受试者进行数据采集。使用改进的k-means方法,识别出5个EEG微状态图,以最好地模拟范式。使用线性混合模型分析了实验阶段之间每个微状态图特征(发生、持续时间和覆盖范围)的差异,揭示了实验阶段内微状态之间的显着差异。与其他微状态图相比,微状态C的时间参数在所有实验阶段都显示出显著较高的水平,而微状态B则相反,始终显示出较低的水平。本研究首次尝试在动态任务中使用微状态分析,证明了微状态C和微状态B在区分PC阶段中的决定性作用。这些结果表明,微状态技术在研究PC期间的时间脑动力学方面具有实用性,在神经退行性疾病的早期检测中具有潜在的应用前景。
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引用次数: 0
Understanding Sarcasm's Neural Correlates Through a Novel fMRI Spanish Paradigm. 通过一种新的功能磁共振成像西班牙语范式理解讽刺的神经关联。
IF 2.3 3区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2025-05-31 DOI: 10.1007/s10548-025-01118-x
Nicolás Vassolo, Pablo Joaquín Ocampo, Bautista Elizalde Acevedo, Sofía Bosch, Mariana Bendersky, Lucía Alba-Ferrara

There is growing interest in the neural network of pragmatic language and its potential overlap with the Theory of Mind (ToM) network. However, no Spanish-adapted fMRI tasks were used for studying sarcasm, the subtype of pragmatic language most related to ToM. Furthermore, stimuli used in prior studies often impose high cognitive demands, confounding its sarcasm brain representation with the executive network. We investigate the neural correlates of sarcasm in Spanish using a novel experimental paradigm designed to minimize cognitive load and enhance ecological validity. Eighteen healthy, right-handed participants underwent a 3T fMRI session with a sarcasm comprehension task. Brain activations analysed with SPM12 were calculated for sarcasm vs. literal contrast. Sarcasm activated the left temporo-parietal junction, Medial Prefrontal Cortex (BA 10), Left Inferior Frontal Gyrus (BA 45), Left Medial and Superior Temporal Gyrus (BA 21 & 22), and Left Temporal Pole (BA 38). Sarcasm comprehension involves an extensive fronto-temporal-parietal network, with prominent activation of ToM-related areas. These findings suggest an overlap between sarcasm and ToM networks, emphasizing the role of the medial prefrontal cortex in pragmatic language, the left inferior frontal gyrus in semantic integration, and the role of a left-lateralized frontotemporal network for sarcasm processing.

人们对语用语言的神经网络及其与心理理论(ToM)网络的潜在重叠越来越感兴趣。然而,没有使用西班牙语的功能磁共振成像任务来研究讽刺,这是与ToM最相关的语用语言的亚型。此外,在以往的研究中使用的刺激往往施加了很高的认知要求,混淆了其讽刺脑表征与执行网络。为了减少认知负荷和提高生态效度,我们采用一种新颖的实验范式来研究西班牙语讽刺的神经关联。18名健康的右撇子参与者接受了带有讽刺理解任务的3T功能磁共振成像。用SPM12分析了讽刺和字面对比的大脑激活情况。讽刺激活了左侧颞顶叶交界处、内侧前额叶皮层(BA 10)、左侧额下回(BA 45)、左侧内侧和颞上回(BA 21和22)以及左侧颞极(BA 38)。讽刺理解涉及广泛的额-颞-顶叶网络,其中tom相关区域的激活尤为突出。这些发现表明讽刺和ToM网络之间存在重叠,强调了内侧前额叶皮层在语用语言中的作用,左侧额下回在语义整合中的作用,以及左侧额颞叶网络在讽刺加工中的作用。
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引用次数: 0
Type-1 Diabetes Impacts Brain Microstructure and Anatomical Associations in Young and Well-Controlled Individuals. 1型糖尿病影响年轻和控制良好的个体的大脑微观结构和解剖关联。
IF 2.3 3区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2025-05-24 DOI: 10.1007/s10548-025-01121-2
Geisa B Gallardo-Moreno, Yusniel Santos-Rodríguez, Sarael Alcauter-Solórzano, Aurora Espinoza-Valdez, Andrés A González-Garrido

Type 1 Diabetes Mellitus (T1DM) progression has a direct impact on brain microstructural integrity and typical functional organization from the early stages of neurodevelopment. Diffusion Tensor Imaging (DTI) is a neuroimaging method that has proven sensitive to changes in white matter microstructure. Using diffusion-weighted probabilistic tractography methods, we aim to evaluate the white matter integrity and anatomical relationships within the Default Mode Network (DMN) brain regions, which have been proven to be particularly affected by T1DM in a group of eighteen carefully selected clinically well-controlled young T1DM patients versus eighteen healthy matched controls according to sex, age, and education level. Results showed no relevant differences in the anatomical distribution of DMN between the groups. However, the transitivity graph metric was significantly lower in T1DM patients, who also showed weaker connectivity between the left ventral prefrontal cortex and the left medial temporal gyrus, representing the anatomical trajectory of the arcuate fasciculus. Considering that neural myelination is affected by language input and the critical role of language-related structures on brain development, the current findings denote early ill-driven brain modifications to better adapt to the increasing daily demands.

从神经发育早期开始,1型糖尿病(T1DM)的进展对大脑微结构完整性和典型功能组织有直接影响。弥散张量成像(DTI)是一种对脑白质微结构变化非常敏感的神经成像方法。使用弥散加权概率神经束造影方法,我们旨在评估默认模式网络(DMN)脑区域内的白质完整性和解剖关系,该区域已被证明特别受T1DM的影响,在一组18名精心挑选的临床控制良好的年轻T1DM患者中,根据性别、年龄和教育水平,18名健康匹配的对照组。结果显示两组间DMN的解剖分布无相关差异。然而,T1DM患者的传递性图指标明显较低,其左腹侧前额叶皮层与左内侧颞回之间的连通性较弱,代表了弓形束的解剖轨迹。考虑到神经髓鞘形成受到语言输入的影响,以及语言相关结构在大脑发育中的关键作用,目前的研究结果表明,早期的不良驱动的大脑修改,以更好地适应日益增长的日常需求。
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引用次数: 0
Role of Dorsolateral Prefrontal Cortex During Motor Preparation on Anticipatory Postural Adjustments. 运动准备过程中背外侧前额叶皮层对预期体位调整的作用。
IF 2.3 3区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2025-05-24 DOI: 10.1007/s10548-025-01120-3
Jiajia Yang, Guifang Zhang, Xiaoyu Gao, Xue Cheng, Zengming Hao, Jinjin Ma, Nanhe Lin, Ruochen Fu, Wai Leung, Ambrose Lo, Yan Li, Hao Xie, Zhenwen Liang, Xi Chen, Qiuhua Yu, Chuhuai Wang

Hemodynamic responses in the dorsolateral prefrontal cortex (DLPFC) during gait initiation could influence anticipatory postural adjustments (APAs). However, how DLPFC during motor preparation modulates APA integration remains unknown. Seventeen right-handed participants completed two sessions of the rapid arm raising task and simultaneously received the real and sham repetitive transcranial magnetic stimulation (rTMS) over the left DLPFC during the motor preparation period before arm raising. The rTMS protocol involves 10 Hz stimulation at an intensity of 110% of the resting motor threshold. The activations of DLPFC, supplementary motor area (SMA), and primary motor cortex (M1) were recorded using the functional near-infrared spectroscopy (fNIRS) during the rapid arm raising task. The APAs were assessed by recording the latency and amplitude of the postural muscles using the surface electromyography. Compared with sham stimulation, the activation of DLPFC (t = -2.97, p = 0.033), SMA (t = -2.141, p = 0.048) and M1 (t = -2.787, p = 0.013) was significantly decreased during real rTMS. It was also observed that the latency was reduced (t = -2.209, p = 0.041) and the amplitude was decreased (t = -2.696, p = 0.010) during real rTMS in the superficial lumbar multifidus. The DLPFC activation was positively correlated with those of M1 (r = 0.569, p = 0.017) and SMA (r = 0.595, p = 0.012) in the real rTMS session. Finally, the oxygenated hemoglobin concentration in the DLPFC and M1 significantly correlated with the muscle amplitude (r = 0.646, p = 0.007 and r = 0.589, p = 0.013, respectively). The association between DLPFC and the APAs was totally mediated by M1. rTMS over the DLPFC during motor preparation could enhance the neural efficiency of the M1, and subsequently facilitate the integration of APAs with voluntary movement.

步态开始时背外侧前额叶皮层(DLPFC)的血流动力学反应可能影响预期姿势调整(APAs)。然而,运动准备过程中的DLPFC如何调节APA整合仍然未知。17名右撇子参与者完成了两组快速举臂任务,并在举臂前的运动准备阶段同时在左DLPFC上接受了真实和虚假的重复经颅磁刺激(rTMS)。rTMS方案包括10hz的刺激,强度为静息运动阈值的110%。用功能近红外光谱(fNIRS)记录快速举臂任务时DLPFC、辅助运动区(SMA)和初级运动皮质(M1)的激活情况。通过体位肌表面肌电图记录体位肌的潜伏期和振幅来评估APAs。与假性刺激相比,真实rTMS时DLPFC (t = -2.97, p = 0.033)、SMA (t = -2.141, p = 0.048)和M1 (t = -2.787, p = 0.013)的激活显著降低。我们还观察到,在实际的rTMS中,腰椎浅表多裂肌的潜伏期减少(t = -2.209, p = 0.041),幅度减少(t = -2.696, p = 0.010)。DLPFC激活与M1 (r = 0.569, p = 0.017)和SMA (r = 0.595, p = 0.012)呈正相关。最后,DLPFC和M1中氧合血红蛋白浓度与肌肉振幅显著相关(r = 0.646, p = 0.007和r = 0.589, p = 0.013)。DLPFC与APAs之间的关联完全由M1介导。在运动准备阶段,rTMS通过DLPFC可以提高M1的神经效率,从而促进APAs与自主运动的整合。
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引用次数: 0
Realistic Subject-Specific Simulation of Resting State Scalp EEG Based on Physiological Model. 基于生理模型的静息状态头皮脑电图仿真研究。
IF 2.3 3区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2025-05-13 DOI: 10.1007/s10548-025-01115-0
Adrien Bénard, Dragos-Mihai Maliia, Maxime Yochum, Elif Köksal-Ersöz, Jean-François Houvenaghel, Fabrice Wendling, Paul Sauleau, Pascal Benquet

Electroencephalography (EEG) recordings are widely used in neuroscience to identify healthy individual brain rhythms and to detect alterations associated with various brain diseases. However, understanding the cellular origins of scalp EEG signals and their spatiotemporal changes during the resting state (RS) in humans remains challenging, as cellular-level recordings are typically restricted to animal models. The objective of this study was to simulate individual-specific spatiotemporal features of RS EEG and measure the degree of similarity between real and simulated EEG. Using a physiologically grounded whole-brain computational model (based on known neuronal subtypes and their structural and functional connectivity) that simulates interregional cortical circuitry activity, realistic individual EEG recordings during RS of three healthy subjects were created. The model included interconnected neural mass modules simulating activities of different neuronal subtypes, including pyramidal cells and four types of GABAergic interneurons. High-definition EEG and source localization were used to delineate the cortical extent of alpha and beta-gamma rhythms. To evaluate the realism of the simulated EEG, we developed a similarity index based on cross-correlation analysis in the frequency domain across various bipolar channels respecting standard longitudinal montage. Alpha oscillations were produced by strengthening the somatostatin-pyramidal loop in posterior regions, while beta-gamma oscillations were generated by increasing the excitability of parvalbumin-interneurons on pyramidal neurons in anterior regions. The generation of realistic individual RS EEG rhythms represents a significant advance for research fields requiring data augmentation, including brain-computer interfaces and artificial intelligence training.

脑电图(EEG)记录在神经科学中被广泛用于识别健康个体的大脑节律和检测与各种脑部疾病相关的变化。然而,了解头皮脑电图信号的细胞起源及其在人类静息状态(RS)期间的时空变化仍然具有挑战性,因为细胞水平的记录通常仅限于动物模型。本研究的目的是模拟个体的RS脑电图时空特征,并测量真实脑电图与模拟脑电图的相似程度。使用基于生理学的全脑计算模型(基于已知的神经元亚型及其结构和功能连接)模拟区域间皮质回路活动,创建了三个健康受试者在RS期间的真实个体脑电图记录。该模型包括相互连接的神经质量模块,模拟不同神经元亚型的活动,包括锥体细胞和四种gaba能中间神经元。采用高清晰度脑电图和源定位来描绘α和β - γ节律的皮质范围。为了评估模拟脑电图的真实感,我们根据标准纵向蒙太奇的不同双极通道在频域上的互相关分析,建立了一个相似指数。α振荡是通过加强后区生长抑素-锥体环产生的,而β - γ振荡是通过增加前区锥体神经元上小蛋白中间神经元的兴奋性产生的。生成真实的个体RS脑电图节律代表了需要数据增强的研究领域的重大进步,包括脑机接口和人工智能训练。
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引用次数: 0
Neural Networks and Chemical Messengers: Insights into Tobacco Addiction. 神经网络和化学信使:对烟草成瘾的洞察。
IF 2.3 3区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2025-05-13 DOI: 10.1007/s10548-025-01117-y
Jieping Sun, Qingqing Lv, Jinghan Dang, Mengzhe Zhang, Qiuying Tao, Yimeng Kang, Longyao Ma, Bohui Mei, Weijian Wang, Shaoqiang Han, Jingliang Cheng, Yong Zhang

This study investigates changes in resting-state networks (RSNs) associated with tobacco addiction (TA) and whether these changes reflect alterations in neurotransmitter systems. A total of 90 patients with TA and 46 healthy controls (HCs) matched for age, education, and body mass index undergo functional magnetic resonance imaging (fMRI) scans. Independent component analysis (ICA) is employed to extract RSNs based on a customized network template using the HCP ICA MATCHING toolbox. Additionally, a correlation study is conducted to examine the relationship between changes in functional connectivity (FC) within RSNs and positron emission tomography and single photon emission computed tomography-derived maps, aiming to identify specific neurotransmitter system changes underlying abnormal FC in TA. Compared to HCs, the TA group exhibits decreased FC values in the left precentral gyrus of the sensorimotor network B and in the right calcarine of the visual network B. Furthermore, changes in FC within the visual network B are associated with the 5-hydroxytryptamine system (1a) and opioid receptor system (Kappa) maps. Post-hoc power analysis confirms the adequacy of the sample size, with effect sizes (d) all greater than 0.9, supporting the robustness of the findings. Patients with TA show reduced intranetwork connectivity in the sensorimotor network B and visual network B, which may reflect underlying molecular changes. These findings improve understanding of the neurobiological aspects of TA.

本研究探讨了与烟草成瘾(TA)相关的静息状态网络(RSNs)的变化,以及这些变化是否反映了神经递质系统的变化。共有90名TA患者和46名年龄、教育程度和体重指数相匹配的健康对照(hc)接受了功能磁共振成像(fMRI)扫描。利用HCP ICA MATCHING工具箱,采用独立成分分析(Independent component analysis, ICA)方法根据定制的网络模板提取rsn。此外,我们还进行了一项相关研究,以检查rsn内功能连通性(FC)的变化与正电子发射断层扫描和单光子发射计算机断层扫描衍生图谱之间的关系,旨在识别TA中异常FC的特定神经递质系统变化。与hc相比,TA组在感觉运动网络B的左侧中央前回和视觉网络B的右侧胼胝体中表现出FC值降低。此外,视觉网络B中FC值的变化与5-羟色胺系统(1a)和阿片受体系统(Kappa)图有关。事后功率分析证实了样本量的充分性,效应量(d)均大于0.9,支持研究结果的稳健性。TA患者表现出感觉运动网络B和视觉网络B的网络内连通性降低,这可能反映了潜在的分子变化。这些发现提高了对TA神经生物学方面的理解。
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引用次数: 0
Altered Insula Functional Connectivity Correlates to Cognitive Flexibility in Insomnia. 失眠症患者脑岛功能连接改变与认知灵活性相关。
IF 2.3 3区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2025-04-23 DOI: 10.1007/s10548-025-01116-z
Shiyan Yang, Yuhan Fan, Zilu Zhang, Xu Lei

This study aimed to investigate the impaired cognitive flexibility and its underlying neural mechanisms in insomnia. By combining resting-state fMRI and the Cognitive Flexibility Inventory (CFI), we examined the associations between insomnia severity, spontaneous brain activity (the fractional amplitude of low-frequency fluctuations, fALFF) and functional connectivity (FC) with total cognitive flexibility scores. Behavioral results showed that insomnia severity significantly affected the control sub-dimension of cognitive flexibility. The fALFF analyses indicated that the right insula (Ins) was a key brain region significantly associated with cognitive flexibility. Further analysis based on the Ins revealed that FC between Ins and the bilateral superior temporal gyrus (STG), as well as Ins and the right precuneus, were significantly positively correlated with the total cognitive flexibility scores, with the right supplementary motor area (SMA) in the alternative sub-dimension, with the left lingual gyrus, right STG, right precuneus, and left paracentral lobule (PCL) in the control sub-dimension. The results suggest that the different sub-dimensions represent different neural pathways for cognitive flexibility, of which the PCL may be a brain region specific to insomnia patients. These findings reveal the impact of insomnia on the neural basis of cognitive flexibility and provides potential brain targets for future intervention and treatment.

本研究旨在探讨失眠症患者的认知灵活性受损及其潜在的神经机制。通过结合静息状态功能磁共振成像(fMRI)和认知灵活性量表(CFI),我们研究了失眠严重程度、自发脑活动(低频波动的分数幅度,fALFF)和功能连接(FC)与认知灵活性总分之间的关系。行为学结果显示,失眠严重程度显著影响认知灵活性控制子维度。fALFF分析表明,右脑岛(Ins)是与认知灵活性显著相关的关键脑区。基于Ins的进一步分析发现,Ins与双侧颞上回(STG)、Ins与右侧楔前叶之间的FC与总认知灵活性得分呈显著正相关,其中右侧辅助运动区(SMA)为替代子维度,左侧舌回、右侧STG、右侧楔前叶和左侧中央旁小叶(PCL)为控制子维度。结果表明,不同的子维度代表了不同的认知灵活性神经通路,其中PCL可能是失眠患者特有的脑区。这些发现揭示了失眠对认知灵活性的神经基础的影响,并为未来的干预和治疗提供了潜在的大脑靶点。
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引用次数: 0
Spectral and Microstate EEG Analysis in Narcolepsy Type 1 and Type 2 Across Sleep Stages. 1型和2型发作性睡病跨睡眠阶段的频谱和微状态脑电图分析。
IF 2.3 3区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2025-03-29 DOI: 10.1007/s10548-025-01114-1
Shengpeng Liang, Yihong Cheng, Shixu Du, Dhirendra Paudel, Yan Xu, Bin Zhang

Background: The primary distinction between narcolepsy type 1 (NT1) and narcolepsy type 2 (NT2) is the presence or absence of cataplexy, which is commonly determined through clinical interviews, though it can be prone to error due to vague patients descriptions.

Objective: This study aimed to investigate EEG microstate differences between NT1 and NT2 and their correlation with clinical assessments.

Methods: Polysomnography (PSG) and the Multiple Sleep Latency Test (MSLT) were performed on 14 NT1 and 13 NT2 patients from three hospitals, with data from the ISRUC-SLEEP dataset serving as the comparison group. After EEG preprocessing, we performed the spectral analysis in NT1 and NT2, followed by microstate analysis. Grand mean maps were used for backfitting to obtain microstate parameters. Then, Spearman correlation was performed between the microstate parameters and the ESS and MSLT parameters.

Results: We found that the relative delta power in N2 was lower in the NT1 group compared to the NT2 group. Four microstates were clustered in all groups, and no statistical differences were observed in the microstate parameters between NT1 and NT2 groups. In the NT1 group, microstate D during wakefulness showed a positive correlation with ESS, while in the NT2 group, microstate D during wakefulness showed a negative correlation with ESS.

Conclusions: There are spectral differences between the NT1 and NT2 groups, and the opposite correlation between microstate D and ESS during wakefulness in NT1 and NT2 suggest that the underlying mechanisms leading to excessive daytime sleepiness in the two groups may be different.

背景:1型嗜睡症(NT1)和2型嗜睡症(NT2)的主要区别在于有无惊厥,这通常通过临床访谈来确定,但由于患者的描述模糊不清,很容易出现误差:本研究旨在调查 NT1 和 NT2 的脑电图微状态差异及其与临床评估的相关性:方法:对来自三家医院的 14 名 NT1 和 13 名 NT2 患者进行多导睡眠图(PSG)和多重睡眠潜伏期测试(MSLT),并以 ISRUC-SLEEP 数据集的数据作为对比组。经过脑电图预处理后,我们对 NT1 和 NT2 进行了频谱分析,然后进行了微状态分析。使用大均值图进行反拟合,以获得微状态参数。然后,在微状态参数与 ESS 和 MSLT 参数之间进行斯皮尔曼相关性分析:结果:我们发现,与 NT2 组相比,NT1 组 N2 的相对 delta 功率较低。所有组中都有四个微态,NT1 组和 NT2 组之间的微态参数没有统计学差异。在NT1组中,清醒时的微态D与ESS呈正相关,而在NT2组中,清醒时的微态D与ESS呈负相关:NT1组和NT2组之间存在频谱差异,NT1组和NT2组清醒时的微状态D与ESS的相关性相反,这表明导致两组人白天过度嗜睡的潜在机制可能不同。
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引用次数: 0
Stimulation Parameters Recruit Distinct Cortico-Cortical Pathways: Insights from Microstate Analysis on TMS-Evoked Potentials. 刺激参数招募不同的皮质-皮质通路:从tms诱发电位的微观状态分析的见解。
IF 2.3 3区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2025-03-28 DOI: 10.1007/s10548-025-01113-2
Delia Lucarelli, Giacomo Guidali, Dominika Sulcova, Agnese Zazio, Natale Salvatore Bonfiglio, Antonietta Stango, Guido Barchiesi, Marta Bortoletto

Transcranial magnetic stimulation (TMS)-evoked potentials (TEPs) represent an innovative measure for examining brain connectivity and developing biomarkers of psychiatric conditions. Minimizing TEP variability across studies and participants, which may stem from methodological choices, is therefore vital. By combining classic peak analysis and microstate investigation, we tested how TMS pulse waveform and current direction may affect cortico-cortical circuit engagement when targeting the primary motor cortex (M1). We aim to disentangle whether changing these parameters affects the degree of activation of the same neural circuitry or may lead to changes in the pathways through which the induced activation spreads. Thirty-two healthy participants underwent a TMS-EEG experiment in which the pulse waveform (monophasic, biphasic) and current direction (posterior-anterior, anterior-posterior, latero-medial) were manipulated. We assessed the latency and amplitude of M1-TEP components and employed microstate analyses to test differences in topographies. Results revealed that TMS parameters strongly influenced M1-TEP components' amplitude but had a weaker role over their latencies. Microstate analysis showed that the current direction in monophasic stimulations changed the pattern of evoked microstates at the early TEP latencies, as well as their duration and global field power. This study shows that the current direction of monophasic pulses may modulate cortical sources contributing to TEP signals, activating neural populations and cortico-cortical paths more selectively. Biphasic stimulation reduces the variability associated with current direction and may be better suited when TMS targeting is blind to anatomical information.

经颅磁刺激(TMS)诱发电位(TEPs)是一种检测大脑连通性和开发精神疾病生物标志物的创新方法。因此,最小化研究和参与者之间的TEP差异(可能源于方法选择)是至关重要的。通过经典峰分析和微观状态研究相结合,我们测试了针对初级运动皮层(M1)的TMS脉冲波形和电流方向如何影响皮质-皮质回路的结合。我们的目标是弄清楚改变这些参数是否会影响相同神经回路的激活程度,或者是否会导致诱导激活传播的途径发生变化。采用TMS-EEG对32名健康受试者进行脉冲波形(单相、双相)和电流方向(后-前、前-后、后-内)控制实验。我们评估了M1-TEP组分的潜伏期和振幅,并采用微观状态分析来测试地形的差异。结果表明,TMS参数对M1-TEP组分振幅的影响较大,但对其潜伏期的影响较小。微态分析表明,单相刺激的电流方向改变了TEP早期潜伏期诱发的微态模式,以及它们的持续时间和全局电场功率。本研究表明,单相脉冲的电流方向可能会更有选择性地调节TEP信号的皮质源,激活神经群和皮质-皮质通路。双相刺激减少了与电流方向相关的变异性,可能更适合于颅磁刺激对解剖信息不透明的情况。
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引用次数: 0
Disorganized Striatal Functional Connectivity as a Partially Shared Pathophysiological Mechanism in Both Schizophrenia and Major Depressive Disorder: A Transdiagnostic fMRI Study. 无组织纹状体功能连接作为精神分裂症和重度抑郁症部分共享的病理生理机制:一项跨诊断的功能磁共振研究。
IF 2.3 3区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2025-03-25 DOI: 10.1007/s10548-025-01112-3
Yao Zhang, Chengjia Shen, Jiayu Zhu, Xinxin Huang, Xiaoxiao Wang, Fang Guo, Xin Li, Chongze Wang, Haisu Wu, Qi Yan, Peijuan Wang, Qinyu Lv, Chao Yan, Zhenghui Yi

Negative symptoms represent pervasive symptoms in schizophrenia (SZ) and major depressive disorder (MDD). Empirical findings suggest that disrupted striatal function contributes significantly to negative symptoms. However, the changes in striatal functional connectivity in relation to these negative symptoms, in the transdiagnostic context, remain unclear. The present study aimed to capture the shared neural mechanisms underlying negative symptoms in SZ and MDD. Resting-state functional magnetic resonance imaging data were obtained from 60 patients with SZ and MDD (33 with SZ and 27 with MDD) exhibiting predominant negative symptoms, and 52 healthy controls (HC). Negative symptoms and hedonic capacity were assessed using the Scale for Assessment of Negative Symptoms (SANS) and the Temporal Experience of Pleasure Scale (TEPS), respectively. Signal extraction for time series from 12 subregions of the striatum was carried out to examine the group differences in resting-state functional connectivity (rsFC) between striatal subregions and the whole brain. We observed significantly decreased rsFC between the right dorsal rostral putamen (DRP) and the right pallidum, the bilateral rostral putamen and the contralateral putamen, as well as between the dorsal caudal putamen and the right middle frontal gyrus in both patients with SZ and MDD. The right DRP-right pallidum rsFC was positively correlated with the level of negative symptoms in SZ. However, patients with SZ showed increased rsFC between the dorsal striatum and the left precentral gyrus, the right middle temporal gyrus, and the right lingual gyrus compared with those with MDD. Our findings expand on the understanding that reduced putaminal rsFC contributes to negative symptoms in both SZ and MDD. Abnormal functional connectivity of the putamen may represent a partially common neural substrate for negative symptoms in SZ and MDD, supporting that the comparable clinical manifestations between the two disorders are underpinned by partly shared mechanisms, as proposed by the transdiagnostic Research Domain Criteria.

阴性症状代表精神分裂症(SZ)和重度抑郁症(MDD)的普遍症状。实证研究结果表明,纹状体功能的破坏是阴性症状的重要原因。然而,纹状体功能连通性的变化与这些阴性症状的关系,在跨诊断的背景下,仍然不清楚。本研究旨在了解SZ和MDD阴性症状的共同神经机制。静息状态功能磁共振成像数据来自60例以阴性症状为主的SZ和MDD患者(SZ 33例,MDD 27例)和52例健康对照(HC)。消极症状和享乐能力分别使用消极症状评估量表(SANS)和快乐时间体验量表(TEPS)进行评估。对纹状体12个亚区进行时间序列信号提取,研究纹状体亚区与全脑静息状态功能连接(rsFC)的组间差异。我们观察到,在SZ和MDD患者中,右侧吻侧硬核背侧(DRP)与右侧白质、双侧吻侧硬核与对侧硬核之间,以及右侧尾侧硬核背侧与右侧额叶中回之间的rsFC显著降低。右侧drp -右侧苍白质rsFC与SZ阴性症状水平呈正相关。然而,与MDD患者相比,SZ患者的背纹状体与左侧中央前回、右侧颞中回和右侧舌回之间的rsFC增加。我们的研究结果扩展了这样一种认识,即减少的壳层rsFC有助于SZ和MDD的阴性症状。壳核异常的功能连通性可能是SZ和MDD阴性症状部分共同的神经基质,支持两种疾病之间的可比较临床表现是由部分共享机制支撑的,正如跨诊断研究领域标准所提出的那样。
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Brain Topography
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