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Spherical convolutional neural networks can improve brain microstructure estimation from diffusion MRI data. 球形卷积神经网络可改善弥散核磁共振成像数据的大脑微观结构估算。
Pub Date : 2024-03-14 eCollection Date: 2024-01-01 DOI: 10.3389/fnimg.2024.1349415
Leevi Kerkelä, Kiran Seunarine, Filip Szczepankiewicz, Chris A Clark

Diffusion magnetic resonance imaging is sensitive to the microstructural properties of brain tissue. However, estimating clinically and scientifically relevant microstructural properties from the measured signals remains a highly challenging inverse problem that machine learning may help solve. This study investigated if recently developed rotationally invariant spherical convolutional neural networks can improve microstructural parameter estimation. We trained a spherical convolutional neural network to predict the ground-truth parameter values from efficiently simulated noisy data and applied the trained network to imaging data acquired in a clinical setting to generate microstructural parameter maps. Our network performed better than the spherical mean technique and multi-layer perceptron, achieving higher prediction accuracy than the spherical mean technique with less rotational variance than the multi-layer perceptron. Although we focused on a constrained two-compartment model of neuronal tissue, the network and training pipeline are generalizable and can be used to estimate the parameters of any Gaussian compartment model. To highlight this, we also trained the network to predict the parameters of a three-compartment model that enables the estimation of apparent neural soma density using tensor-valued diffusion encoding.

扩散磁共振成像对脑组织的微观结构特性非常敏感。然而,从测量信号中估计临床和科学相关的微观结构特性仍然是一个极具挑战性的逆问题,而机器学习可能有助于解决这一问题。本研究探讨了最近开发的旋转不变球形卷积神经网络能否改善微结构参数估计。我们训练了一个球形卷积神经网络,以从有效模拟的噪声数据中预测地面真实参数值,并将训练好的网络应用于临床环境中获取的成像数据,生成微结构参数图。我们的网络比球面均值技术和多层感知器表现更好,预测精度高于球面均值技术,旋转方差小于多层感知器。虽然我们的重点是神经元组织的受限两室模型,但该网络和训练管道具有通用性,可用于估计任何高斯室模型的参数。为了突出这一点,我们还训练该网络预测三室模型的参数,该模型可以利用张量值扩散编码估算表观神经体密度。
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引用次数: 0
Reduced white matter maturation in the central auditory system of children living with HIV. 艾滋病病毒感染儿童中央听觉系统白质成熟度降低。
Pub Date : 2024-03-06 eCollection Date: 2024-01-01 DOI: 10.3389/fnimg.2024.1341607
Joanah Madzime, Marcin Jankiewicz, Ernesta M Meintjes, Peter Torre, Barbara Laughton, Andre J W van der Kouwe, Martha Holmes

Introduction: School-aged children experience crucial developmental changes in white matter (WM) in adolescence. The human immunodeficiency virus (HIV) affects neurodevelopment. Children living with perinatally acquired HIV (CPHIVs) demonstrate hearing and neurocognitive impairments when compared to their uninfected peers (CHUUs), but investigations into the central auditory system (CAS) WM integrity are lacking. The integration of the CAS and other brain areas is facilitated by WM fibers whose integrity may be affected in the presence of HIV, contributing to neurocognitive impairments.

Methods: We used diffusion tensor imaging (DTI) tractography to map the microstructural integrity of WM between CAS regions, including the lateral lemniscus and acoustic radiation, as well as between CAS regions and non-auditory regions of 11-year-old CPHIVs. We further employed a DTI-based graph theoretical framework to investigate the nodal strength and efficiency of the CAS and other brain regions in the structural brain network of the same population. Finally, we investigated associations between WM microstructural integrity outcomes and neurocognitive outcomes related to auditory and language processing. We hypothesized that compared to the CHUU group, the CPHIV group would have lower microstructural in the CAS and related regions.

Results: Our analyses showed higher mean diffusivity (MD), a marker of axonal maturation, in the lateral lemniscus and acoustic radiations, as well as WM between the CAS and non-auditory regions predominantly in frontotemporal areas. Most affected WM connections also showed higher axial and radial diffusivity (AD and RD, respectively). There were no differences in the nodal properties of the CAS regions between groups. The MD of frontotemporal and subcortical WM-connected CAS regions, including the inferior longitudinal fasciculus, inferior fronto-occipital fasciculus, and internal capsule showed negative associations with sequential processing in the CPHIV group but not in the CHUU group.

Discussion: The current results point to reduced axonal maturation in WM, marked by higher MD, AD, and RD, within and from the CAS. Furthermore, alterations in WM integrity were associated with sequential processing, a neurocognitive marker of auditory working memory. Our results provide insights into the microstructural integrity of the CAS and related WM in the presence of HIV and link these alterations to auditory working memory.

简介学龄儿童的白质(WM)在青春期经历了至关重要的发育变化。人类免疫缺陷病毒(HIV)会影响神经发育。与未感染的同龄人(CHUUs)相比,围产期感染艾滋病病毒(CPHIVs)的儿童表现出听力和神经认知障碍,但对中央听觉系统(CAS)白质完整性的研究却很缺乏。中枢听觉系统与其他脑区的整合是由WM纤维促进的,而WM纤维的完整性可能会在HIV感染时受到影响,从而导致神经认知障碍:方法:我们使用弥散张量成像(DTI)束成像技术绘制了11岁CPHIV患者CAS区域(包括外侧半月板和声辐射)之间以及CAS区域与非听觉区域之间的WM微结构完整性图。我们进一步采用基于 DTI 的图论框架,研究了同一人群大脑结构网络中 CAS 与其他脑区的节点强度和效率。最后,我们研究了WM微结构完整性结果与听觉和语言处理相关神经认知结果之间的关联。我们假设,与CHUU组相比,CPHIV组的CAS及相关区域的微结构较低:我们的分析表明,外侧半月板和声辐射以及 CAS 与非听觉区域(主要是额颞区)之间的 WM 平均扩散率(MD)较高,这是轴突成熟的标志。大多数受影响的 WM 连接也显示出较高的轴向和径向扩散性(分别为 AD 和 RD)。各组之间 CAS 区域的节点特性没有差异。在CPHIV组中,额颞叶和皮层下WM连接的CAS区域(包括下纵筋束、前枕下筋束和内囊)的MD与顺序处理呈负相关,而在CHUU组中则没有:讨论:目前的研究结果表明,WM 的轴突成熟度降低,表现为 CAS 内部和从 CAS 开始的 MD、AD 和 RD 增加。此外,WM完整性的改变与顺序处理有关,顺序处理是听觉工作记忆的神经认知标记。我们的研究结果提供了对存在 HIV 时 CAS 和相关 WM 的微观结构完整性的见解,并将这些改变与听觉工作记忆联系起来。
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引用次数: 0
Structural changes in the retina as a potential biomarker in Parkinson's disease: an approach from optical coherence tomography 视网膜的结构变化作为帕金森病的潜在生物标记:光学相干断层扫描的一种方法
Pub Date : 2024-03-01 DOI: 10.3389/fnimg.2024.1340754
Santiago Poveda, Ximena Arellano, Oscar Bernal-Pacheco, Alejandro Valencia López
Parkinson's disease (PD) presents challenges in early diagnosis and follow-up due to the lack of characteristic findings. Recent studies suggest retinal changes in PD are possibly indicative of neurodegeneration. We explored these changes using optical coherence tomography (OCT) to assess retinal nerve fiber layer (RNFL) and ganglion cell complex (GCC) thickness.Thirty PD and non-PD patients were matched according to demographic characteristics and OCT and clinical evaluations to rule out other neurodegenerative and visual diseases.We observed a significant thinning of the RNFL in patients diagnosed with PD compared to non-PD patients (p = 0.015). Additionally, this reduction in RNFL thickness was found to correlate with the severity of the disease (p = 0.04).The OCT serves as a tool for quantifying neurodegeneration in PD, showing a significant correlation with disease severity. These findings suggest that OCT could play a crucial role as a potential biomarker in the diagnosis and monitoring of PD.
由于缺乏特征性发现,帕金森病(PD)给早期诊断和随访带来了挑战。最近的研究表明,帕金森病的视网膜变化可能表明神经变性。我们使用光学相干断层扫描(OCT)来评估视网膜神经纤维层(RNFL)和神经节细胞复合体(GCC)的厚度,对这些变化进行了探讨。我们根据人口统计学特征、OCT 和临床评估结果对 30 名帕金森病患者和非帕金森病患者进行了配对,以排除其他神经退行性疾病和视觉疾病。此外,我们还发现 RNFL 厚度的减少与疾病的严重程度相关(p = 0.04)。OCT 是量化帕金森病神经退行性变的工具,与疾病的严重程度有显著的相关性。这些研究结果表明,OCT作为一种潜在的生物标记物,可在诊断和监测帕金森病方面发挥重要作用。
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引用次数: 0
Fractional amplitude of low-frequency fluctuations associated with μ-opioid and dopamine receptor distributions in the central nervous system after high-intensity exercise bouts. 高强度运动后中枢神经系统中与μ-阿片受体和多巴胺受体分布相关的低频波动的分数振幅。
Pub Date : 2024-02-22 eCollection Date: 2024-01-01 DOI: 10.3389/fnimg.2024.1332384
Henning Boecker, Marcel Daamen, Angelika Maurer, Luisa Bodensohn, Judith Werkhausen, Marvin Lohaus, Christian Manunzio, Ursula Manunzio, Alexander Radbruch, Ulrike Attenberger, Juergen Dukart, Neeraj Upadhyay

Introduction: Dopaminergic, opiod and endocannabinoid neurotransmission are thought to play an important role in the neurobiology of acute exercise and, in particular, in mediating positive affective responses and reward processes. Recent evidence indicates that changes in fractional amplitude of low-frequency fluctuations (zfALFF) in resting-state functional MRI (rs-fMRI) may reflect changes in specific neurotransmitter systems as tested by means of spatial correlation analyses.

Methods: Here, we investigated this relationship at different exercise intensities in twenty young healthy trained athletes performing low-intensity (LIIE), high-intensity (HIIE) interval exercises, and a control condition on three separate days. Positive And Negative Affect Schedule (PANAS) scores and rs-fMRI were acquired before and after each of the three experimental conditions. Respective zfALFF changes were analyzed using repeated measures ANOVAs. We examined the spatial correspondence of changes in zfALFF before and after training with the available neurotransmitter maps across all voxels and additionally, hypothesis-driven, for neurotransmitter maps implicated in the neurobiology of exercise (dopaminergic, opiodic and endocannabinoid) in specific brain networks associated with "reward" and "emotion."

Results: Elevated PANAS Positive Affect was observed after LIIE and HIIE but not after the control condition. HIIE compared to the control condition resulted in differential zfALFF decreases in precuneus, temporo-occipital, midcingulate and frontal regions, thalamus, and cerebellum, whereas differential zfALFF increases were identified in hypothalamus, pituitary, and periaqueductal gray. The spatial alteration patterns in zfALFF during HIIE were positively associated with dopaminergic and μ-opioidergic receptor distributions within the 'reward' network.

Discussion: These findings provide new insight into the neurobiology of exercise supporting the importance of reward-related neurotransmission at least during high-intensity physical activity.

导言多巴胺能、阿片类和内源性大麻素神经递质被认为在急性运动的神经生物学中发挥着重要作用,尤其是在介导积极情绪反应和奖赏过程中。最近的证据表明,静息态功能磁共振成像(rs-fMRI)中低频波动分数振幅(zfALFF)的变化可能反映了特定神经递质系统的变化,并通过空间相关性分析进行了检验。方法:在此,我们对 20 名年轻健康的训练有素的运动员在不同运动强度下的这种关系进行了研究,他们分别在三天内进行了低强度(LIIE)、高强度(HIIE)间歇运动和对照组运动。在三种实验条件之前和之后,分别采集了积极与消极情绪表(PANAS)得分和 rs-fMRI。我们使用重复测量方差分析法分析了各自的 zfALFF 变化。我们研究了训练前后zfALFF的变化与所有体素的神经递质图谱的空间对应关系,此外,我们还根据假设,研究了与 "奖赏 "和 "情绪 "相关的特定大脑网络中与运动神经生物学(多巴胺能、阿片和内大麻素)有关联的神经递质图谱:在 LIIE 和 HIIE 后观察到 PANAS 积极情感升高,而在对照组条件下则没有。与对照组相比,HIIE导致楔前区、颞枕区、扣带回中区和额叶区、丘脑和小脑的zfALFF不同程度地减少,而下丘脑、垂体和uctal灰质周围的zfALFF不同程度地增加。HIIE期间zfALFF的空间改变模式与 "奖赏 "网络中的多巴胺能和μ-视网膜能受体分布呈正相关:这些研究结果为运动神经生物学提供了新的见解,支持了奖赏相关神经传递的重要性,至少在高强度体育锻炼期间是如此。
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引用次数: 0
New organizational principles and 3D cytoarchitectonic maps of the dorsolateral prefrontal cortex in the human brain. 人脑背外侧前额叶皮层的新组织原理和三维细胞架构图。
Pub Date : 2024-02-22 eCollection Date: 2024-01-01 DOI: 10.3389/fnimg.2024.1339244
Ariane Bruno, Kimberley Lothmann, Sebastian Bludau, Hartmut Mohlberg, Katrin Amunts

Areas of the dorsolateral prefrontal cortex (DLPFC) are part of the frontoparietal control, default mode, salience, and ventral attention networks. The DLPFC is involved in executive functions, like working memory, value encoding, attention, decision-making, and behavioral control. This functional heterogeneity is not reflected in existing neuroanatomical maps. For example, previous cytoarchitectonic studies have divided the DLPFC into two or four areas. Macroanatomical parcellations of this region rely on gyri and sulci, which are not congruent with cytoarchitectonic parcellations. Therefore, this study aimed to provide a microstructural analysis of the human DLPFC and 3D maps of cytoarchitectonic areas to help address the observed functional variability in studies of the DLPFC. We analyzed ten human post-mortem brains in serial cell-body stained brain sections and mapped areal boundaries using a statistical image analysis approach. Five new areas (i.e., SFG2, SFG3, SFG4, MFG4, and MFG5) were identified on the superior and middle frontal gyrus, i.e., regions corresponding to parts of Brodmann areas 9 and 46. Gray level index profiles were used to determine interregional cytoarchitectural differences. The five new areas were reconstructed in 3D, and probability maps were generated in commonly used reference spaces, considering the variability of areas in stereotaxic space. Hierarchical cluster analysis revealed a high degree of similarity within the identified DLPFC areas while neighboring areas (frontal pole, Broca's region, area 8, and motoric areas) were separable. Comparisons with functional imaging studies revealed specific functional profiles of the DLPFC areas. Our results indicate that the new areas do not follow a simple organizational gradient assumption in the DLPFC. Instead, they are more similar to those of the ventrolateral prefrontal cortex (Broca's areas 44, 45) and frontopolar areas (Fp1, Fp2) than to the more posterior areas. Within the DLPFC, the cytoarchitectonic similarities between areas do not seem to follow a simple anterior-to-posterior gradient either, but cluster along other principles. The new maps are part of the publicly available Julich Brain Atlas and provide a microstructural reference for existing and future imaging studies. Thus, our study represents a further step toward deciphering the structural-functional organization of the human prefrontal cortex.

背外侧前额叶皮层(DLPFC)是前顶叶控制、默认模式、显著性和腹侧注意网络的一部分。DLPFC 参与执行功能,如工作记忆、价值编码、注意力、决策和行为控制。这种功能异质性并没有反映在现有的神经解剖图中。例如,以前的细胞架构研究将 DLPFC 划分为两个或四个区域。该区域的宏观解剖学划分依赖于回回和沟,而回回和沟与细胞结构划分并不一致。因此,本研究旨在提供人类 DLPFC 的微观结构分析和细胞结构区域的三维地图,以帮助解决在 DLPFC 研究中观察到的功能变异性问题。我们分析了十个人类死后大脑的连续细胞体染色脑切片,并使用统计图像分析方法绘制了区域边界。在额叶上回和中回,即与布罗德曼第 9 区和第 46 区部分区域相对应的区域,我们发现了五个新区域(即 SFG2、SFG3、SFG4、MFG4 和 MFG5)。灰度指数剖面用于确定区域间的细胞结构差异。考虑到立体空间中区域的差异性,对五个新区域进行了三维重建,并在常用参考空间中生成了概率图。层次聚类分析显示,已确定的 DLPFC 区域具有高度相似性,而邻近区域(额极、布罗卡区、第 8 区和运动区)则是可分离的。与功能成像研究的比较显示,DLPFC 区域具有特定的功能特征。我们的研究结果表明,新区域并不遵循简单的 DLPFC 组织梯度假设。相反,它们与前额叶外侧皮层(布罗卡第44、45区)和前极区(Fp1、Fp2)更相似,而不是后部区域。在前额叶皮质腹外侧区(布罗卡区44、45)和前极区(Fp1、Fp2)中,各区域之间的细胞结构相似性似乎也不遵循简单的前后梯度,而是按照其他原则聚集在一起。新地图是公开出版的《朱利希脑图集》的一部分,为现有和未来的成像研究提供了微观结构参考。因此,我们的研究标志着我们向破译人类前额叶皮层的结构-功能组织又迈进了一步。
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引用次数: 0
Contrasting MEG effects of anodal and cathodal high-definition TDCS on sensorimotor activity during voluntary finger movements 阳极和阴极高清 TDCS 对手指自主运动过程中感觉运动活动的对比 MEG 效果
Pub Date : 2024-02-05 DOI: 10.3389/fnimg.2024.1341732
Jed A. Meltzer, Gayatri Sivaratnam, Tiffany Deschamps, Maryam Zadeh, Catherine Li, Faranak Farzan, Alexander Francois-Nienaber
Protocols for noninvasive brain stimulation (NIBS) are generally categorized as “excitatory” or “inhibitory” based on their ability to produce short-term modulation of motor-evoked potentials (MEPs) in peripheral muscles, when applied to motor cortex. Anodal and cathodal stimulation are widely considered excitatory and inhibitory, respectively, on this basis. However, it is poorly understood whether such polarity-dependent changes apply for neural signals generated during task performance, at rest, or in response to sensory stimulation.To characterize such changes, we measured spontaneous and movement-related neural activity with magnetoencephalography (MEG) before and after high-definition transcranial direct-current stimulation (HD-TDCS) of the left motor cortex (M1), while participants performed simple finger movements with the left and right hands.Anodal HD-TDCS (excitatory) decreased the movement-related cortical fields (MRCF) localized to left M1 during contralateral right finger movements while cathodal HD-TDCS (inhibitory), increased them. In contrast, oscillatory signatures of voluntary motor output were not differentially affected by the two stimulation protocols, and tended to decrease in magnitude over the course of the experiment regardless. Spontaneous resting state oscillations were not affected either.MRCFs are thought to reflect reafferent proprioceptive input to motor cortex following movements. Thus, these results suggest that processing of incoming sensory information may be affected by TDCS in a polarity-dependent manner that is opposite that seen for MEPs—increases in cortical excitability as defined by MEPs may correspond to reduced responses to afferent input, and vice-versa.
非侵入性脑部刺激(NIBS)方案一般分为 "兴奋性 "和 "抑制性",其依据是当应用于运动皮层时,这些方案能够对外周肌肉的运动诱发电位(MEPs)产生短期调节。在此基础上,阳极和阴极刺激被广泛认为分别具有兴奋性和抑制性。为了描述这种变化,我们在参与者用左右手进行简单的手指运动时,用脑磁图(MEG)测量了左侧运动皮层(M1)在接受高清经颅直流电刺激(HD-TDCS)前后的自发和运动相关神经活动。在对侧右手手指运动时,阳极 HD-TDCS(兴奋性)降低了定位在左侧 M1 的运动相关皮层场 (MRCF),而阴极 HD-TDCS(抑制性)则增加了 MRCF。与此相反,自主运动输出的振荡特征并没有受到两种刺激方案的不同影响,而且在实验过程中振荡幅度呈下降趋势。MRCFs 被认为反映了运动后运动皮层的本体感觉再输入。因此,这些结果表明,传入感觉信息的处理可能会受到 TDCS 的影响,其影响方式与 MEPs 的极性相反--MEPs 所定义的大脑皮层兴奋性的增加可能与传入输入反应的减少相对应,反之亦然。
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引用次数: 0
Contrasting MEG effects of anodal and cathodal high-definition TDCS on sensorimotor activity during voluntary finger movements 阳极和阴极高清 TDCS 对手指自主运动过程中感觉运动活动的对比 MEG 效果
Pub Date : 2024-02-05 DOI: 10.3389/fnimg.2024.1341732
Jed A. Meltzer, Gayatri Sivaratnam, Tiffany Deschamps, Maryam Zadeh, Catherine Li, Faranak Farzan, Alexander Francois-Nienaber
Protocols for noninvasive brain stimulation (NIBS) are generally categorized as “excitatory” or “inhibitory” based on their ability to produce short-term modulation of motor-evoked potentials (MEPs) in peripheral muscles, when applied to motor cortex. Anodal and cathodal stimulation are widely considered excitatory and inhibitory, respectively, on this basis. However, it is poorly understood whether such polarity-dependent changes apply for neural signals generated during task performance, at rest, or in response to sensory stimulation.To characterize such changes, we measured spontaneous and movement-related neural activity with magnetoencephalography (MEG) before and after high-definition transcranial direct-current stimulation (HD-TDCS) of the left motor cortex (M1), while participants performed simple finger movements with the left and right hands.Anodal HD-TDCS (excitatory) decreased the movement-related cortical fields (MRCF) localized to left M1 during contralateral right finger movements while cathodal HD-TDCS (inhibitory), increased them. In contrast, oscillatory signatures of voluntary motor output were not differentially affected by the two stimulation protocols, and tended to decrease in magnitude over the course of the experiment regardless. Spontaneous resting state oscillations were not affected either.MRCFs are thought to reflect reafferent proprioceptive input to motor cortex following movements. Thus, these results suggest that processing of incoming sensory information may be affected by TDCS in a polarity-dependent manner that is opposite that seen for MEPs—increases in cortical excitability as defined by MEPs may correspond to reduced responses to afferent input, and vice-versa.
非侵入性脑部刺激(NIBS)方案一般分为 "兴奋性 "和 "抑制性",其依据是当应用于运动皮层时,这些方案能够对外周肌肉的运动诱发电位(MEPs)产生短期调节。在此基础上,阳极和阴极刺激被广泛认为分别具有兴奋性和抑制性。为了描述这种变化,我们在参与者用左右手进行简单的手指运动时,用脑磁图(MEG)测量了左侧运动皮层(M1)在接受高清经颅直流电刺激(HD-TDCS)前后的自发和运动相关神经活动。在对侧右手手指运动时,阳极 HD-TDCS(兴奋性)降低了定位在左侧 M1 的运动相关皮层场 (MRCF),而阴极 HD-TDCS(抑制性)则增加了 MRCF。与此相反,自主运动输出的振荡特征并没有受到两种刺激方案的不同影响,而且在实验过程中振荡幅度呈下降趋势。MRCFs 被认为反映了运动后运动皮层的本体感觉再输入。因此,这些结果表明,传入感觉信息的处理可能会受到 TDCS 的影响,其影响方式与 MEPs 的极性相反--MEPs 所定义的大脑皮层兴奋性的增加可能与传入输入反应的减少相对应,反之亦然。
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引用次数: 0
Siamese model for collateral score prediction from computed tomography angiography images in acute ischemic stroke 根据计算机断层扫描血管造影图像预测急性缺血性脑卒中侧支评分的连体模型
Pub Date : 2024-01-11 DOI: 10.3389/fnimg.2023.1239703
Valerio Fortunati, Jiahang Su, L. Wolff, P. V. van Doormaal, Jeanette Hofmeijer, Jasper Martens, R. Bokkers, W. V. van Zwam, A. van der Lugt, Theo van Walsum
Imaging biomarkers, such as the collateral score as determined from Computed Tomography Angiography (CTA) images, play a role in treatment decision making for acute stroke patients. In this manuscript, we present an end-to-end learning approach for automatic determination of a collateral score from a CTA image. Our aim was to investigate whether such end-to-end learning approaches can be used for this classification task, and whether the resulting classification can be used in existing outcome prediction models.The method consists of a preprocessing step, where the CTA image is aligned to an atlas and divided in the two hemispheres: the affected side and the healthy side. Subsequently, a VoxResNet based convolutional neural network is used to extract features at various resolutions from the input images. This is done by using a Siamese model, such that the classification is driven by the comparison between the affected and healthy using a unique set of features for both hemispheres. After masking the resulting features for both sides with the vascular region and global average pooling (per hemisphere) and concatenation of the resulting features, a fully connected layer is used to determine the categorized collateral score.Several experiments have been performed to optimize the model hyperparameters and training procedure, and to validate the final model performance. The hyperparameter optimization and subsequent model training was done using CTA images from the MR CLEAN Registry, a Dutch multi-center multi-vendor registry of acute stroke patients that underwent endovascular treatment. A separate set of images, from the MR CLEAN Trial, served as an external validation set, where collateral scoring was assessed and compared with both human observers and a recent more traditional model. In addition, the automated collateral scores have been used in an existing functional outcome prediction model that uses both imaging and non-imaging clinical parameters.The results show that end-to-end learning of collateral scoring in CTA images is feasible, and does perform similar to more traditional methods, and the performance also is within the inter-observer variation. Furthermore, the results demonstrate that the end-to-end classification results also can be used in an existing functional outcome prediction model.
影像生物标志物,如通过计算机断层扫描血管造影 (CTA) 图像确定的侧支评分,在急性中风患者的治疗决策中发挥着重要作用。在本手稿中,我们介绍了一种端到端学习方法,用于从 CTA 图像中自动确定侧支评分。我们的目的是研究这种端到端学习方法是否可用于该分类任务,以及由此产生的分类是否可用于现有的结果预测模型。该方法包括一个预处理步骤,将 CTA 图像与地图集对齐,并分成两个半球:患侧和健侧。随后,使用基于 VoxResNet 的卷积神经网络从输入图像中提取不同分辨率的特征。这是通过使用连体模型来完成的,这样就可以利用两个半球的独特特征集对患侧和健侧进行比较,从而推动分类。在用血管区域和全局平均池(每个半球)遮盖两侧的特征并将所得特征合并后,一个全连接层被用来确定分类的侧支得分。超参数优化和随后的模型训练是使用来自 MR CLEAN 注册中心的 CTA 图像完成的,该注册中心是荷兰的一个多中心、多供应商注册中心,收录了接受血管内治疗的急性中风患者。另外一组来自 MR CLEAN 试验的图像作为外部验证集,对侧肢体评分进行评估,并与人类观察者和最新的更传统的模型进行比较。结果表明,在 CTA 图像中端到端学习侧支评分是可行的,其表现与更传统的方法相似,而且表现也在观察者之间的差异范围内。此外,结果表明端到端分类结果也可用于现有的功能结果预测模型。
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引用次数: 0
Regional associations of white matter integrity and neurological, post-traumatic stress disorder and autonomic symptoms in Veterans with and without history of loss of consciousness in mild TBI 有无轻度创伤性脑损伤意识丧失史退伍军人的白质完整性与神经系统、创伤后应激障碍和自律神经症状的区域联系
Pub Date : 2024-01-10 DOI: 10.3389/fnimg.2023.1265001
Abigail B. Waters, Sarah A Bottari, Laura C. Jones, Damon G. Lamb, Gregory F. Lewis, John B. Williamson
Posttraumatic stress disorder (PTSD) and mild traumatic brain injury (mTBI) share overlapping symptom presentations and are highly comorbid conditions among Veteran populations. Despite elevated presentations of PTSD after mTBI, mechanisms linking the two are unclear, although both have been associated with alterations in white matter and disruptions in autonomic regulation. The present study aimed to determine if there is regional variability in white matter correlates of symptom severity and autonomic functioning in a mixed sample of Veterans with and without PTSD and/or mTBI (N = 77).Diffusion-weighted images were processed to extract fractional anisotropy (FA) values for major white matter structures. The PTSD Checklist-Military version (PCL-M) and Neurobehavioral Symptom Inventory (NSI) were used to determine symptom domains within PTSD and mTBI. Autonomic function was assessed using continuous blood pressure and respiratory sinus arrythmia during a static, standing angle positional test. Mixed-effect models were used to assess the regional specificity of associations between symptom severity and white matter, with FA, global symptom severity (score), and white matter tract (tract) as predictors. Additional interaction terms of symptom domain (i.e., NSI and PCL-M subscales) and loss of consciousness (LoC) were added to evaluate potential moderating effects. A parallel analysis was conducted to explore concordance with autonomic functioning.Results from the two-way Score × Tract interaction suggested that global symptom severity was associated with FA in the cingulum angular bundle (positive) and uncinate fasciculus (negative) only, without variability by symptom domain. We also found regional specificity in the relationship between FA and autonomic function, such that FA was positively associated with autonomic function in all tracts except the cingulum angular bundle. History of LoC moderated the association for both global symptom severity and autonomic function.Our findings are consistent with previous literature suggesting that there is significant overlap in the symptom presentation in TBI and PTSD, and white matter variability associated with LoC in mTBI may be associated with increased PTSD-spectra symptoms. Further research on treatment response in patients with both mTBI history and PTSD incorporating imaging and autonomic assessment may be valuable in understanding the role of brain injury in treatment outcomes and inform treatment design.
创伤后应激障碍(PTSD)和轻微创伤性脑损伤(mTBI)的症状表现相互重叠,是退伍军人中的高度合并症。尽管轻微创伤性脑损伤后创伤后应激障碍的表现有所升高,但两者之间的关联机制尚不清楚,尽管两者都与白质改变和自主神经调节紊乱有关。本研究旨在确定在患有和未患有创伤后应激障碍和/或创伤后创伤性脑损伤(N = 77)的退伍军人混合样本中,白质与症状严重程度和自律神经功能的相关性是否存在区域差异性。创伤后应激障碍检查表-军事版(PCL-M)和神经行为症状量表(NSI)用于确定创伤后应激障碍和mTBI的症状域。在静态、站立角度体位测试中,使用连续血压和呼吸窦性节律来评估自律神经功能。混合效应模型用于评估症状严重程度与白质之间关联的区域特异性,FA、整体症状严重程度(评分)和白质束(束)是预测因子。此外,还加入了症状域(即 NSI 和 PCL-M 分量表)和意识丧失(LoC)的交互项,以评估潜在的调节作用。双向得分 × 肌束交互作用的结果表明,总体症状严重程度仅与蝶鞍角束(阳性)和钩状束(阴性)的FA相关,而与症状域无关。我们还发现,FA 与自律神经功能之间的关系具有区域特异性,因此,除齿状角束外,FA 与所有束的自律神经功能均呈正相关。我们的研究结果与之前的文献一致,即创伤后应激障碍和创伤后应激障碍的症状表现有明显的重叠,而与mTBI中LoC相关的白质变异可能与创伤后应激障碍症状的增加有关。结合影像学和自律神经评估对有mTBI病史和创伤后应激障碍的患者的治疗反应进行进一步研究,可能对了解脑损伤在治疗结果中的作用和为治疗设计提供参考很有价值。
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引用次数: 0
A reappraisal of the default mode and frontoparietal networks in the common marmoset brain. 重新评估普通狨猴大脑中的默认模式和前顶叶网络。
Pub Date : 2024-01-09 eCollection Date: 2023-01-01 DOI: 10.3389/fnimg.2023.1345643
Takuto Okuno, Noritaka Ichinohe, Alexander Woodward

In recent years the common marmoset homolog of the human default mode network (DMN) has been a hot topic of discussion in the marmoset research field. Previously, the posterior cingulate cortex regions (PGM, A19M) and posterior parietal cortex regions (LIP, MIP) were defined as the DMN, but some studies claim that these form the frontoparietal network (FPN). We restarted from a neuroanatomical point of view and identified two DMN candidates: Comp-A (which has been called both the DMN and FPN) and Comp-B. We performed GLM analysis on auditory task-fMRI and found Comp-B to be more appropriate as the DMN, and Comp-A as the FPN. Additionally, through fingerprint analysis, a DMN and FPN in the tasking human was closer to the resting common marmoset. The human DMN appears to have an advanced function that may be underdeveloped in the common marmoset brain.

近年来,人类默认模式网络(DMN)的常见狨猴同源物一直是狨猴研究领域的热门话题。在此之前,后扣带回皮层区(PGM,A19M)和后顶叶皮层区(LIP,MIP)被定义为默认模式网络,但也有研究称这些区域构成了前顶叶网络(FPN)。我们重新从神经解剖学的角度出发,确定了两个候选 DMN:Comp-A(同时被称为 DMN 和 FPN)和 Comp-B。我们对听觉任务-FMRI 进行了 GLM 分析,发现 Comp-B 更适合作为 DMN,而 Comp-A 则更适合作为 FPN。此外,通过指纹分析,执行任务的人类的 DMN 和 FPN 更接近静息的普通狨猴。人类的 DMN 似乎具有高级功能,而普通狨猴的大脑可能对此功能开发不足。
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引用次数: 0
期刊
Frontiers in neuroimaging
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