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Combining interictal intracranial EEG and fMRI to compute a dynamic resting-state index for surgical outcome validation.
Pub Date : 2025-01-28 eCollection Date: 2024-01-01 DOI: 10.3389/fnetp.2024.1491967
Varina L Boerwinkle, Kristin M Gunnarsdottir, Bethany L Sussman, Sarah N Wyckoff, Emilio G Cediel, Belfin Robinson, William R Reuther, Aryan Kodali, Sridevi V Sarma

Introduction: Accurate localization of the seizure onset zone (SOZ) is critical for successful epilepsy surgery but remains challenging with current techniques. We developed a novel seizure onset network characterization tool that combines dynamic biomarkers of resting-state intracranial stereoelectroencephalography (rs-iEEG) and resting-state functional magnetic resonance imaging (rs-fMRI), vetted against surgical outcomes. This approach aims to reduce reliance on capturing seizures during invasive monitoring to pinpoint the SOZ.

Methods: We computed the source-sink index (SSI) from rs-iEEG for all implanted regions and from rs-fMRI for regions identified as potential SOZs by noninvasive modalities. The SSI scores were evaluated in 17 pediatric drug-resistant epilepsy (DRE) patients (ages 3-15 years) by comparing outcomes classified as successful (Engel I or II) versus unsuccessful (Engel III or IV) at 1 year post-surgery.

Results: Of 30 reviewed patients, 17 met the inclusion criteria. The combined dynamic index (im-DNM) integrating rs-iEEG and rs-fMRI significantly differentiated good (Engel I-II) from poor (Engel III-IV) surgical outcomes, outperforming the predictive accuracy of individual biomarkers from either modality alone.

Conclusion: The combined dynamic network model demonstrated superior predictive performance than standalone rs-fMRI or rs-iEEG indices.

Significance: By leveraging interictal data from two complementary modalities, this combined approach has the potential to improve epilepsy surgical outcomes, increase surgical candidacy, and reduce the duration of invasive monitoring.

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引用次数: 0
Musician's dystonia: a perspective on the strongest evidence towards new prevention and mitigation treatments.
Pub Date : 2025-01-22 eCollection Date: 2024-01-01 DOI: 10.3389/fnetp.2024.1508592
Joy Grifoni, Valeria Crispiatico, Anna Castagna, Rosa Maria Converti, Marina Ramella, Angelo Quartarone, Teresa L'Abbate, Karolina Armonaite, Luca Paulon, Francescaroberta Panuccio, Franca Tecchio

This perspective article addresses the critical and up-to-date problem of task-specific musician's dystonia (MD) from both theoretical and practical perspectives. Theoretically, MD is explored as a result of impaired sensorimotor interplay across different brain circuits, supported by the most frequently cited scientific evidence-each referenced dozens of times in Scopus. Practically, MD is a significant issue as it occurs over 60 times more frequently in musicians compared to other professions, underscoring the influence of individual training as well as environmental, social, and emotional factors. To address these challenges, we propose a novel application of the FeeSyCy principle (feedback-synchrony-plasticity), which emphasizes the pivotal role of feedback in guiding inter-neuronal synchronization and plasticity-the foundation of learning and memory. This model integrates with established literature to form a comprehensive framework for understanding MD as an impaired FeeSyCy-mediated relationship between the individual and their environment, ultimately leading to trauma. The proposed approach provides significant advantages by enabling the development of innovative therapeutic and preventive strategies. Specifically, it lays the groundwork for multimodal psycho-physical therapies aimed at restoring balance in the neural circuits affected by MD. These strategies include personalized psychotherapy combined with physical rehabilitation to address both the psychological and physiological dimensions of MD. This integration offers a practical and value-added solution to this pressing problem, with potential for broad applicability across similar conditions.

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引用次数: 0
External low energy electromagnetic fields affect heart dynamics: surrogate for system synchronization, chaos control and cancer patient's health. 外部低能量电磁场影响心脏动力学:系统同步、混沌控制和癌症患者健康的替代品。
Pub Date : 2025-01-03 eCollection Date: 2024-01-01 DOI: 10.3389/fnetp.2024.1525135
Frederico P Costa, Jack Tuszynski, Antonio F Iemma, Willian A Trevizan, Bertram Wiedenmann, Eckehard Schöll

All cells in the human body, including cancer cells, possess specific electrical properties crucial for their functions. These properties are notably different between normal and cancerous cells. Cancer cells are characterized by autonomous oscillations and damped electromagnetic field (EMF) activation. Cancer reduces physiological variability, implying a systemic disconnection that desynchronizes bodily systems and their inherent random processes. The dynamics of heart rate, in this context, could reflect global physiological network instability in the sense of entrainment. Using a medical device that employs an active closed-loop system, such as administering specifically modulated EMF frequencies at targeted intervals and at low energies, we can evaluate the periodic oscillations of the heart. This procedure serves as a closed-loop control mechanism leading to a temporary alteration in plasma membrane ionic flow and the heart's periodic oscillation dynamics. The understanding of this phenomenon is supported by computer simulations of a mathematical model, which are validated by experimental data. Heart dynamics can be quantified using difference logistic equations, and it correlates with improved overall survival rates in cancer patients.

人体内的所有细胞,包括癌细胞,都具有特定的电学性质,这对它们的功能至关重要。这些特性在正常细胞和癌细胞之间明显不同。癌细胞具有自主振荡和阻尼电磁场(EMF)激活的特征。癌症减少了生理上的可变性,这意味着一种系统性的脱节,使身体系统及其固有的随机过程失去同步。在这种情况下,心率的动态可以反映在娱乐意义上的全球生理网络的不稳定性。使用一种采用主动闭环系统的医疗设备,例如在目标间隔和低能量下管理特定调制的EMF频率,我们可以评估心脏的周期性振荡。这一过程作为一种闭环控制机制,导致质膜离子流动和心脏周期振荡动力学的暂时改变。对这一现象的理解得到了数学模型的计算机模拟的支持,并得到了实验数据的验证。心脏动力学可以用差分逻辑方程来量化,它与癌症患者总体生存率的提高有关。
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引用次数: 0
The constrained-disorder principle defines the functions of systems in nature. 约束无序原理定义了自然界中系统的功能。
Pub Date : 2024-12-18 eCollection Date: 2024-01-01 DOI: 10.3389/fnetp.2024.1361915
Yaron Ilan

The Constrained Disorder Principle (CDP) defines all systems in nature by their degree of inherent variability. Per the CDP, the intrinsic variability is mandatory for their proper function and is dynamically changed based on pressures. The CDP defines the boundaries of inherent variability as a mechanism for continuous adaptation to internal and external perturbations, enabling survival and function under dynamic conditions. The laws of nature govern the world's natural phenomena and underlie the function of all systems. Nevertheless, the laws of physics do not entirely explain systems' functionality under pressure, which is essential for determining the correct operation of complex systems in nature. Variability and noise are two broad sources of inherent unpredictability in biology and technology. This paper explores how the CDP defines the function of systems and provides examples from various areas in nature where the CDP applies, including climate, genetic, biology, and human behavioral variabilities. According to the CDP, system malfunction results from inappropriate performance of the boundaries of inherent variability. The environment influences the physiological variability, and species interactions influence eco-evolutionary outcomes. The CDP defines human behavior as being driven by randomness and accounts for malfunctions and their corrections. The paper reviews variability-based CDP algorithms and CDP-based second-generation artificial intelligence systems and their potential for improving systems' prediction and efficiency by using variability.

约束无序原理(CDP)定义了自然界中所有系统的固有可变性程度。根据CDP,内在变异性是其正常功能所必需的,并且是根据压力动态变化的。CDP将内在变异的边界定义为一种持续适应内部和外部扰动的机制,使其能够在动态条件下生存和功能。自然法则支配着世界上的自然现象,是所有系统运行的基础。然而,物理定律并不能完全解释系统在压力下的功能,这对于确定自然界复杂系统的正确运行是必不可少的。可变性和噪声是生物学和技术中固有的不可预测性的两大来源。本文探讨了CDP如何定义系统的功能,并提供了CDP在自然中应用的各个领域的例子,包括气候、遗传、生物和人类行为的变化。根据CDP,系统故障是由于固有可变性边界的不适当表现造成的。环境影响生理变异,物种相互作用影响生态进化结果。CDP将人类行为定义为由随机性驱动,并解释故障及其纠正。本文综述了基于可变性的CDP算法和基于CDP的第二代人工智能系统,以及它们利用可变性提高系统预测和效率的潜力。
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引用次数: 0
Emerging cancer therapies: targeting physiological networks and cellular bioelectrical differences with non-thermal systemic electromagnetic fields in the human body - a comprehensive review. 新兴癌症治疗:针对生理网络和细胞生物电学差异与人体非热系统电磁场的综合综述。
Pub Date : 2024-12-10 eCollection Date: 2024-01-01 DOI: 10.3389/fnetp.2024.1483401
Frederico P Costa, Bertram Wiedenmann, Eckehard Schöll, Jack Tuszynski

A steadily increasing number of publications support the concept of physiological networks, and how cellular bioelectrical properties drive cell proliferation and cell synchronization. All cells, especially cancer cells, are known to possess characteristic electrical properties critical for physiological behavior, with major differences between normal and cancer cell counterparts. This opportunity can be explored as a novel treatment modality in Oncology. Cancer cells exhibit autonomous oscillations, deviating from normal rhythms. In this context, a shift from a static view of cellular processes is required for a better understanding of the dynamic connections between cellular metabolism, gene expression, cell signaling and membrane polarization as states in constant flux in realistic human models. In oncology, radiofrequency electromagnetic fields have produced sustained responses and improved quality of life in cancer patients with minimal side effects. This review aims to show how non-thermal systemic radiofrequency electromagnetic fields leads to promising therapeutic responses at cellular and tissue levels in humans, supporting this newly emerging cancer treatment modality with early favorable clinical experience specifically in advanced cancer.

越来越多的出版物支持生理网络的概念,以及细胞生物电特性如何驱动细胞增殖和细胞同步。众所周知,所有细胞,尤其是癌细胞,都具有对生理行为至关重要的电学特性,这在正常细胞和癌细胞之间存在重大差异。这个机会可以作为肿瘤学的一种新的治疗方式来探索。癌细胞表现出自主振荡,偏离正常节律。在这种背景下,需要从细胞过程的静态观点转变,以便更好地理解细胞代谢,基因表达,细胞信号传导和膜极化之间的动态联系,这些联系是现实人体模型中不断变化的状态。在肿瘤学中,射频电磁场产生了持续的反应,改善了癌症患者的生活质量,副作用最小。本综述旨在展示非热系统射频电磁场如何在人类细胞和组织水平上导致有希望的治疗反应,支持这种新兴的癌症治疗方式,特别是在晚期癌症的早期有利临床经验。
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引用次数: 0
Significant nocturnal wakefulness after sleep onset in metabolic dysfunction-associated steatotic liver disease. 代谢功能障碍相关脂肪变性肝病患者睡眠后明显的夜间觉醒
Pub Date : 2024-12-04 eCollection Date: 2024-01-01 DOI: 10.3389/fnetp.2024.1458665
Sofia Schaeffer, Andrijana Bogdanovic, Talitha Hildebrandt, Emilio Flint, Anne Geng, Sylvia Pecenko, Paul Lussier, Michael A Strumberger, Martin Meyer, Jakob Weber, Markus H Heim, Christian Cajochen, Christine Bernsmeier

Metabolic dysfunction-associated steatotic liver disease (MASLD) is a multisystemic disease with a multifactorial pathogenesis involving dietary, environmental, and genetic factors. Previous mouse models suggested that circadian misalignment may additionally influence its development as it influences metabolism in diverse organs including the liver. Further, data from sleep questionnaires proved sleep-wake disruption in patients with MASLD. We objectively assessed sleep-wake rhythms in patients with biopsy-proven MASLD (n = 35) and healthy controls (HC, n = 16) using actigraphy 24/7 for 4 weeks. With the aim to re-align sleep rhythms a single standardized sleep hygiene education session was performed after 2 weeks. Actigraphy data revealed that MASLD patients had more awakenings per night (MASLD vs. HC 8.5 vs. 5.5, p = 0.0036), longer wakefulness after sleep onset (MASLD vs. HC 45.4 min vs. 21.3 min, p = 0.0004), and decreased sleep efficiency (MASLD vs. HC 86.5% vs. 92.8%, p = 0.0008) compared with HC despite comparable sleep duration. Patients with MASLD self-reported shorter sleep duration (MASLD vs. HC 6 h vs. 6 h 45 min, p = 0.01) and prolonged sleep latency contributing to poorer sleep quality. Standardized sleep hygiene education did not produce significant changes in sleep parameters. Our findings indicate fragmented nocturnal sleep in patients with MASLD, characterized by increased wakefulness and reduced sleep efficiency, perceived subjectively as shortened sleep duration and delayed onset. A single sleep hygiene education session did not improve sleep parameters.

代谢功能障碍相关脂肪变性肝病(MASLD)是一种多系统疾病,其发病机制涉及饮食、环境和遗传因素。先前的小鼠模型表明,昼夜节律失调可能会影响其发育,因为它会影响包括肝脏在内的多种器官的代谢。此外,来自睡眠问卷的数据证实了MASLD患者的睡眠-觉醒中断。我们客观地评估了活检证实的MASLD患者(n = 35)和健康对照(HC, n = 16)的睡眠-觉醒节律,使用活动记录仪24/7持续4周。为了重新调整睡眠节奏,两周后进行一次标准化的睡眠卫生教育。活动记录法数据显示,与HC相比,MASLD患者每晚醒来次数更多(MASLD vs. HC 8.5 vs. 5.5, p = 0.0036),睡眠开始后清醒时间更长(MASLD vs. HC 45.4 min vs. 21.3 min, p = 0.0004),睡眠效率下降(MASLD vs. HC 86.5% vs. 92.8%, p = 0.0008),尽管睡眠时间相当。MASLD患者自我报告的睡眠时间较短(MASLD vs. HC 6 h vs. 6 h 45 min, p = 0.01),睡眠潜伏期延长,导致睡眠质量较差。标准化的睡眠卫生教育未对睡眠参数产生显著影响。我们的研究结果表明,MASLD患者的夜间睡眠片段化,其特征是觉醒增加和睡眠效率降低,主观上被认为是睡眠时间缩短和发病延迟。单次睡眠卫生教育并没有改善睡眠参数。
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引用次数: 0
Networks through the lens of high-frequency oscillations. 通过高频振荡透镜观察网络。
Pub Date : 2024-11-28 eCollection Date: 2024-01-01 DOI: 10.3389/fnetp.2024.1462672
Aline Herlopian

To date, there is no neurophysiologic or neuroimaging biomarker that can accurately delineate the epileptogenic network. High-frequency oscillations (HFO) have been proposed as biomarkers for epileptogenesis and the epileptogenic network. The pathological HFO have been associated with areas of seizure onset and epileptogenic tissue. Several studies have demonstrated that the resection of areas with high rates of pathological HFO is associated with favorable postoperative outcomes. Recent studies have demonstrated the spatiotemporal organization of HFO into networks and their potential role in defining epileptogenic networks. Our review will present the existing literature on HFO-associated networks, specifically focusing on their role in defining epileptogenic networks and their potential significance in surgical planning.

到目前为止,还没有神经生理学或神经影像学生物标志物可以准确地描述癫痫发生网络。高频振荡(HFO)已被提出作为癫痫发生和癫痫发生网络的生物标志物。病理性HFO与癫痫发作区域和致痫组织有关。几项研究表明,切除病理性HFO发生率高的区域与良好的术后预后相关。最近的研究已经证明了HFO的时空组织网络及其在定义致痫网络中的潜在作用。我们的综述将介绍hfo相关网络的现有文献,特别关注它们在定义致痫网络中的作用及其在手术计划中的潜在意义。
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引用次数: 0
Constructing representative group networks from tractography: lessons from a dynamical approach. 从牵引图中构建代表性群体网络:从动态方法中汲取的教训。
Pub Date : 2024-11-08 eCollection Date: 2024-01-01 DOI: 10.3389/fnetp.2024.1457486
Eleanna Kritikaki, Matteo Mancini, Diana Kyriazis, Natasha Sigala, Simon F Farmer, Luc Berthouze

Human group connectome analysis relies on combining individual connectome data to construct a single representative network which can be used to describe brain organisation and identify differences between subject groups. Existing methods adopt different strategies to select the network structural features to be retained or optimised at group level. In the absence of ground truth, however, it is unclear which structural features are the most suitable and how to evaluate the consequences on the group network of applying any given strategy. In this investigation, we consider the impact of defining a connectome as representative if it can recapitulate not just the structure of the individual networks in the cohort tested but also their dynamical behaviour, which we measured using a model of coupled oscillators. We applied the widely used approach of consensus thresholding to a dataset of individual structural connectomes from a healthy adult cohort to construct group networks for a range of thresholds and then identified the most dynamically representative group connectome as that having the least deviation from the individual connectomes given a dynamical measure of the system. We found that our dynamically representative network recaptured aspects of structure for which it did not specifically optimise, with no significant difference to other group connectomes constructed via methods which did optimise for those metrics. Additionally, these other group connectomes were either as dynamically representative as our chosen network or less so. While we suggest that dynamics should be at least one of the criteria for representativeness, given that the brain has evolved under the pressure of carrying out specific functions, our results suggest that the question persists as to which of these criteria are valid and testable.

人类群体连接组分析依赖于结合个体连接组数据来构建单一的代表性网络,该网络可用于描述大脑组织结构并识别受试者群体之间的差异。现有方法采用不同的策略来选择要在群体水平上保留或优化的网络结构特征。然而,在缺乏基本事实的情况下,目前还不清楚哪些结构特征是最合适的,也不清楚如何评估应用任何给定策略对群体网络的影响。在这项研究中,我们考虑了将连接组定义为代表性的影响,如果该连接组不仅能再现队列测试中单个网络的结构,还能再现它们的动态行为(我们使用耦合振荡器模型进行了测量)。我们将广泛使用的共识阈值法应用于健康成人组群的个体结构连通组数据集,以构建一系列阈值的组网络,然后确定最具动态代表性的组连通组,即在系统动态测量中与个体连通组偏差最小的组。我们发现,我们的动态代表性网络重新捕捉到了它没有特别优化的结构方面,与其他通过对这些指标进行优化的方法构建的群体连通体没有显著差异。此外,这些其他群组连通组的动态代表性与我们选择的网络一样,或者更差。我们认为,鉴于大脑是在执行特定功能的压力下进化的,动态性至少应该是代表性的标准之一,但我们的结果表明,这些标准中哪些是有效的、可检验的,这个问题依然存在。
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引用次数: 0
Physiological signal analysis and open science using the Julia language and associated software. 使用 Julia 语言和相关软件进行生理信号分析和开放科学。
Pub Date : 2024-11-06 eCollection Date: 2024-01-01 DOI: 10.3389/fnetp.2024.1478280
George Datseris, Jacob S Zelko

In this mini review, we propose the use of the Julia programming language and its software as a strong candidate for reproducible, efficient, and sustainable physiological signal analysis. First, we highlight available software and Julia communities that provide top-of-the-class algorithms for all aspects of physiological signal processing despite the language's relatively young age. Julia can significantly accelerate both research and software development due to its high-level interactive language and high-performance code generation. It is also particularly suited for open and reproducible science. Openness is supported and welcomed because the overwhelming majority of Julia software programs are open source and developed openly on public platforms, primarily through individual contributions. Such an environment increases the likelihood that an individual not (originally) associated with a software program would still be willing to contribute their code, further promoting code sharing and reuse. On the other hand, Julia's exceptionally strong package manager and surrounding ecosystem make it easy to create self-contained, reproducible projects that can be instantly installed and run, irrespective of processor architecture or operating system.

在这篇小型综述中,我们建议将 Julia 编程语言及其软件作为可重复、高效和可持续生理信号分析的有力候选工具。首先,我们将重点介绍现有的软件和 Julia 社区,这些软件和社区为生理信号处理的各个方面提供了一流的算法,尽管 Julia 语言还相对年轻。Julia 凭借其高级交互式语言和高性能代码生成,可以大大加快研究和软件开发的速度。它还特别适用于开放和可重复的科学。开放性之所以受到支持和欢迎,是因为绝大多数Julia软件程序都是开源的,并主要通过个人贡献在公共平台上公开开发。这样的环境增加了(原本)与软件程序无关的个人仍然愿意贡献代码的可能性,进一步促进了代码共享和重用。另一方面,Julia 极其强大的软件包管理器和周边生态系统使创建自包含、可重现的项目变得非常容易,无论处理器架构或操作系统如何,这些项目都可以立即安装和运行。
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引用次数: 0
Adaptive rewiring: a general principle for neural network development. 适应性重新布线:神经网络发展的一般原则
Pub Date : 2024-10-29 eCollection Date: 2024-01-01 DOI: 10.3389/fnetp.2024.1410092
Jia Li, Roman Bauer, Ilias Rentzeperis, Cees van Leeuwen

The nervous system, especially the human brain, is characterized by its highly complex network topology. The neurodevelopment of some of its features has been described in terms of dynamic optimization rules. We discuss the principle of adaptive rewiring, i.e., the dynamic reorganization of a network according to the intensity of internal signal communication as measured by synchronization or diffusion, and its recent generalization for applications in directed networks. These have extended the principle of adaptive rewiring from highly oversimplified networks to more neurally plausible ones. Adaptive rewiring captures all the key features of the complex brain topology: it transforms initially random or regular networks into networks with a modular small-world structure and a rich-club core. This effect is specific in the sense that it can be tailored to computational needs, robust in the sense that it does not depend on a critical regime, and flexible in the sense that parametric variation generates a range of variant network configurations. Extreme variant networks can be associated at macroscopic level with disorders such as schizophrenia, autism, and dyslexia, and suggest a relationship between dyslexia and creativity. Adaptive rewiring cooperates with network growth and interacts constructively with spatial organization principles in the formation of topographically distinct modules and structures such as ganglia and chains. At the mesoscopic level, adaptive rewiring enables the development of functional architectures, such as convergent-divergent units, and sheds light on the early development of divergence and convergence in, for example, the visual system. Finally, we discuss future prospects for the principle of adaptive rewiring.

神经系统,尤其是人脑,具有高度复杂的网络拓扑结构。其某些特征的神经发育是通过动态优化规则来描述的。我们讨论了自适应重新布线原理,即根据同步或扩散测量的内部信号交流强度对网络进行动态重组,以及最近对其在有向网络中应用的推广。这些都将自适应重新布线的原理从高度简化的网络扩展到更符合神经学原理的网络。自适应重新布线捕捉到了复杂大脑拓扑结构的所有关键特征:它将最初的随机或规则网络转变为具有模块化小世界结构和富俱乐部核心的网络。这种效应是特殊的,因为它可以根据计算需要进行调整;它是稳健的,因为它不依赖于临界机制;它是灵活的,因为参数变化会产生一系列变异网络配置。极端变异网络在宏观层面上与精神分裂症、自闭症和阅读障碍等疾病有关,并表明阅读障碍与创造力之间存在关系。适应性重新布线与网络的增长相互配合,并与空间组织原理产生建设性的互动,从而形成拓扑上不同的模块和结构,如神经节和神经链。在中观层面,适应性重新布线促进了功能架构的发展,如收敛-发散单元,并揭示了视觉系统等的发散和收敛的早期发展。最后,我们讨论了自适应重新布线原理的未来前景。
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引用次数: 0
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