首页 > 最新文献

Neuroimage. Reports最新文献

英文 中文
Diffusion MRI-based analysis of functional alterations of the glymphatic system in children with non-lesional epilepsy 非病变性癫痫患儿淋巴系统功能改变的弥散核磁共振分析
Q4 Neuroscience Pub Date : 2025-01-30 DOI: 10.1016/j.ynirp.2025.100237
Bixia Wu , Gengbiao Zhang , Yanting Wang , Hongyi Zheng , Hui Tan , Wenbin Zheng

Objective

Based on diffusion tensor imaging (DTI) data, we used DTI-analysis along the perivascular space (DTI-ALPS) and free-water mapping to investigate the function of the glymphatic system and its relationship with clinical features among pediatric patients with magnetic resonance imaging (MRI)-negative non-lesional epilepsy (NLE).

Methods

A total of 83 NLE children (mean age 9.25 ± 4.07 years) and 45 matched healthy controls (mean age 9.36 ± 3.89 years) were recruited. All eligible patients were routinely scanned by 3.0T MRI to rule out organic lesions, and DTI data were collected at the same time. The ALPS index and fractional volume of free water in white matter (FW-WM) in the brain were calculated to analyze the differences between groups and the correlation between the corresponding parameters and clinical indicators such as age of onset, duration of the disease, seizure frequency, and seizure duration.

Results

The NLE group had significantly lower ALPS indexes in the left (ALPS-L, F = 4.415, p = 0.038) and right (ALPS-R, F = 12.673, p = 0.001) cerebral hemispheres compared to the HC group. ALPS-L was positively correlated with age of onset (r = 0.322, p = 0.008) and negatively correlated with FW-WM (r = −0.337, p < 0.001). Free-water mapping revealed substantially higher FW-WM in the NLE group compared to the HC group (F = 4.666, p = 0.033). Additionally, FW-WM was negatively correlated with age of onset (r = −0.463, p < 0.001) and positively associated with seizure control in children with NLE (r = 0.306, p = 0.012).

Conclusion

Children with NLE have reduced glymphatic system function, and the underlying pathophysiologic mechanisms may be due to impaired interstitial fluid clearance and retention in the brain. DTI-ALPS and free-water mapping are useful noninvasive approaches for examining glymphatic function in children with NLE, with the FW-WM potentially serving as an imaging marker for disease progression and predicting clinical prognosis in children with NLE.
目的基于弥散张量成像(diffusion tensor imaging, DTI)数据,采用沿血管周围间隙DTI分析(DTI- alps)和自由水成像(free-water mapping)方法,探讨小儿磁共振成像(MRI)阴性非病变性癫痫(NLE)患者淋巴系统的功能及其与临床特征的关系。方法共纳入83例NLE患儿(平均年龄9.25±4.07岁)和45例健康对照(平均年龄9.36±3.89岁)。所有符合条件的患者均常规行3.0T MRI扫描,排除器质性病变,同时收集DTI数据。计算脑内阿尔卑斯指数和脑白质游离水分数体积(FW-WM),分析组间差异及相应参数与发病年龄、病程、发作频率、发作持续时间等临床指标的相关性。结果与HC组相比,NLE组左半球(ALPS- l, F = 4.415, p = 0.038)和右半球(ALPS- r, F = 12.673, p = 0.001)的ALPS指数明显降低。ALPS-L与发病年龄呈正相关(r = 0.322, p = 0.008),与FW-WM呈负相关(r = - 0.337, p <;0.001)。自由水图谱显示,NLE组的FW-WM明显高于HC组(F = 4.666, p = 0.033)。此外,FW-WM与发病年龄呈负相关(r = - 0.463, p <;0.001),与NLE患儿癫痫发作控制呈正相关(r = 0.306, p = 0.012)。结论NLE患儿淋巴系统功能降低,其病理生理机制可能与脑内间质液清除和保留功能受损有关。DTI-ALPS和自由水成像是检查NLE儿童淋巴功能的有用的无创方法,FW-WM可能作为NLE儿童疾病进展和预测临床预后的影像学标志物。
{"title":"Diffusion MRI-based analysis of functional alterations of the glymphatic system in children with non-lesional epilepsy","authors":"Bixia Wu ,&nbsp;Gengbiao Zhang ,&nbsp;Yanting Wang ,&nbsp;Hongyi Zheng ,&nbsp;Hui Tan ,&nbsp;Wenbin Zheng","doi":"10.1016/j.ynirp.2025.100237","DOIUrl":"10.1016/j.ynirp.2025.100237","url":null,"abstract":"<div><h3>Objective</h3><div>Based on diffusion tensor imaging (DTI) data, we used DTI-analysis along the perivascular space (DTI-ALPS) and free-water mapping to investigate the function of the glymphatic system and its relationship with clinical features among pediatric patients with magnetic resonance imaging (MRI)-negative non-lesional epilepsy (NLE).</div></div><div><h3>Methods</h3><div>A total of 83 NLE children (mean age 9.25 ± 4.07 years) and 45 matched healthy controls (mean age 9.36 ± 3.89 years) were recruited. All eligible patients were routinely scanned by 3.0T MRI to rule out organic lesions, and DTI data were collected at the same time. The ALPS index and fractional volume of free water in white matter (FW-WM) in the brain were calculated to analyze the differences between groups and the correlation between the corresponding parameters and clinical indicators such as age of onset, duration of the disease, seizure frequency, and seizure duration.</div></div><div><h3>Results</h3><div>The NLE group had significantly lower ALPS indexes in the left (ALPS-L, F = 4.415, p = 0.038) and right (ALPS-R, F = 12.673, p = 0.001) cerebral hemispheres compared to the HC group. ALPS-L was positively correlated with age of onset (r = 0.322, p = 0.008) and negatively correlated with FW-WM (r = −0.337, p &lt; 0.001). Free-water mapping revealed substantially higher FW-WM in the NLE group compared to the HC group (F = 4.666, p = 0.033). Additionally, FW-WM was negatively correlated with age of onset (r = −0.463, p &lt; 0.001) and positively associated with seizure control in children with NLE (r = 0.306, p = 0.012).</div></div><div><h3>Conclusion</h3><div>Children with NLE have reduced glymphatic system function, and the underlying pathophysiologic mechanisms may be due to impaired interstitial fluid clearance and retention in the brain. DTI-ALPS and free-water mapping are useful noninvasive approaches for examining glymphatic function in children with NLE, with the FW-WM potentially serving as an imaging marker for disease progression and predicting clinical prognosis in children with NLE.</div></div>","PeriodicalId":74277,"journal":{"name":"Neuroimage. Reports","volume":"5 1","pages":"Article 100237"},"PeriodicalIF":0.0,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143168529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cholinergic neurotransmission in the anterior cingulate cortex is associated with cognitive performance in healthy older adults: Baseline characteristics of the Improving Neurological Health in Aging via Neuroplasticity-based Computerized Exercise (INHANCE) trial 前扣带皮层胆碱能神经传递与健康老年人的认知表现相关:通过基于神经可塑性的计算机化锻炼(enhance)试验改善老年人神经系统健康的基线特征
Q4 Neuroscience Pub Date : 2025-01-29 DOI: 10.1016/j.ynirp.2025.100234
Ana de Figueiredo Pelegrino , Mouna Attarha , Paule-Joanne Toussaint , Lydia Ouellet , Sarah-Jane Grant , Thomas Van Vleet , Etienne de Villers-Sidani
Aging is associated with dysfunction in the cholinergic system, including degeneration of basal forebrain cholinergic terminals that innervate the cortex, which directly contributes to age- and disease-related cognitive decline. In this study, we used [18F]fluoroethoxybenzovesamicol ([18F]FEOBV) positron emission tomography (PET) imaging to assess the effect of age on cholinergic terminal integrity in predefined regions of interest and its relationship to cognitive performance in healthy older adults who underwent neuropsychological assessment and FEOBV PET brain imaging. Our results showed age-related reductions in FEOBV binding, particularly in the anterior cingulate cortex-the primary region of interest-as well as in the striatum, posterior cingulate cortex, and primary auditory cortex. Notably, FEOBV binding in the anterior cingulate cortex was positively correlated with cognitive performance on the NIH EXAMINER Executive Composite Score. These findings suggest that [18F]FEOBV PET imaging can be used as a reliable biomarker to assess cholinergic changes in the human brain and indicate that preserving the cholinergic integrity of the basal forebrain may help maintain cognitive function and protect against age-related cognitive decline.
衰老与胆碱能系统功能障碍有关,包括支配皮层的基底前脑胆碱能末梢的退化,这直接导致了与年龄和疾病相关的认知能力下降。在这项研究中,我们使用[18F]氟乙氧基苯并维酰胺([18F]FEOBV)正电子发射断层扫描(PET)成像,评估年龄对预先设定的感兴趣区域胆碱能末端完整性的影响,以及它与接受神经心理学评估和FEOBV PET脑成像的健康老年人认知表现的关系。我们的研究结果显示FEOBV结合与年龄相关,特别是在主要感兴趣的前扣带皮层以及纹状体、后扣带皮层和初级听觉皮层中。值得注意的是,FEOBV在前扣带皮层的结合与NIH考官执行综合评分的认知表现呈正相关。这些发现表明[18F]FEOBV PET成像可以作为评估人脑胆碱能变化的可靠生物标志物,并表明保持基底前脑胆碱能完整性可能有助于维持认知功能并防止与年龄相关的认知衰退。
{"title":"Cholinergic neurotransmission in the anterior cingulate cortex is associated with cognitive performance in healthy older adults: Baseline characteristics of the Improving Neurological Health in Aging via Neuroplasticity-based Computerized Exercise (INHANCE) trial","authors":"Ana de Figueiredo Pelegrino ,&nbsp;Mouna Attarha ,&nbsp;Paule-Joanne Toussaint ,&nbsp;Lydia Ouellet ,&nbsp;Sarah-Jane Grant ,&nbsp;Thomas Van Vleet ,&nbsp;Etienne de Villers-Sidani","doi":"10.1016/j.ynirp.2025.100234","DOIUrl":"10.1016/j.ynirp.2025.100234","url":null,"abstract":"<div><div>Aging is associated with dysfunction in the cholinergic system, including degeneration of basal forebrain cholinergic terminals that innervate the cortex, which directly contributes to age- and disease-related cognitive decline. In this study, we used [18F]fluoroethoxybenzovesamicol ([18F]FEOBV) positron emission tomography (PET) imaging to assess the effect of age on cholinergic terminal integrity in predefined regions of interest and its relationship to cognitive performance in healthy older adults who underwent neuropsychological assessment and FEOBV PET brain imaging. Our results showed age-related reductions in FEOBV binding, particularly in the anterior cingulate cortex-the primary region of interest-as well as in the striatum, posterior cingulate cortex, and primary auditory cortex. Notably, FEOBV binding in the anterior cingulate cortex was positively correlated with cognitive performance on the NIH EXAMINER Executive Composite Score. These findings suggest that [18F]FEOBV PET imaging can be used as a reliable biomarker to assess cholinergic changes in the human brain and indicate that preserving the cholinergic integrity of the basal forebrain may help maintain cognitive function and protect against age-related cognitive decline.</div></div>","PeriodicalId":74277,"journal":{"name":"Neuroimage. Reports","volume":"5 1","pages":"Article 100234"},"PeriodicalIF":0.0,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143168530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Fully automated grading of pituitary adenoma 垂体腺瘤全自动分级
Q4 Neuroscience Pub Date : 2025-01-29 DOI: 10.1016/j.ynirp.2025.100233
Raffaele Da Mutten , Olivier Zanier , Massimo Bottini , Yves Baumann , Olga Ciobanu-Caraus , Luca Regli , Carlo Serra , Victor E. Staartjes

Background

The Zurich Pituitary Score (ZPS) is an externally validated radiological grading scale to predict the likelihood of gross total resection (GTR) on coronal T1w magnetic resonance imaging of pituitary adenomas. The ZPS is based on the ratio of maximum tumor horizontal diameter and minimum intercarotid distance and on carotid artery encasement. While the interobserver agreement of the ZPS was relatively good, automated grading would be beneficial.

Methods

A nnU-Net algorithm was trained to segment the manually labeled tumor tissue and the cavernous segment of the internal carotid artery. Subsequently, maximum horizontal tumor diameter and minimum intercarotid distance were extracted. Last, a seed-growing algorithm checked for encasement of the carotid to determine the ZPS.

Results

213 patients were included, of which 128 (60%) had non-functioning adenomas, 49 (23%) a growth-hormone secreting and 19 (9%) a prolactin producing tumor. Accordingly, ZPS gradings were I = 63 (30%), II = 94 (44%), III = 41 (19%) and IV = 15 (7%). Dice score (mean ± standard deviation) for the tumor, left carotid, and right carotid in training validation of 0.78 ± 0.24, 0.62 ± 0.31, 0.62 ± 0.30 and during holdout testing of 0.79 ± 0.24, 0.59 ± 0.32, 0.58 ± 0.33 was reached. After the exclusion of two cases with poor segmentation results, intraclass correlation coefficients [95% CI] for the intercarotid distance, maximum horizontal tumor diameter, and the ZPS ratio of the two measurements were 0.89 [0.80, 0.94], 0.91 [0.82, 0.96], 0.80 [0.66, 0.89] respectively. Cohen's weighted Kappa for the final ZPS grading was 0.79 [0.68, 0.90] and Spearman rank correlation was 0.83.

Conclusions

We developed and internally validated a machine learning-based method for fully automated grading of the ZPS. Generally, robust segmentation performance was achieved. While ZPS grading generally worked well, human ratings remain superior in many situations. Especially for raters with low experience, our approach offers a solid and objective alternative.
背景:苏黎世垂体评分(ZPS)是一种经外部验证的放射学分级量表,用于预测垂体腺瘤冠状T1w磁共振成像中大体全切除(GTR)的可能性。ZPS是基于最大肿瘤水平直径与最小颈动脉间距的比值和颈动脉包裹情况。虽然ZPS的观察员间协议相对较好,但自动分级将是有益的。方法采用nnU-Net算法对人工标记的肿瘤组织和颈内动脉海绵样段进行分割。随后,提取最大水平肿瘤直径和最小颈动脉间距。最后,一个种子生长算法检查颈动脉的包膜,以确定ZPS。结果共纳入213例患者,其中128例(60%)为无功能腺瘤,49例(23%)为生长激素分泌瘤,19例(9%)为泌乳素分泌瘤。因此,保证各类I = 63 (30%), 2 = 94 (44%), 3 = 41 (19%), IV = 15(7%)。训练验证时肿瘤、左颈动脉和右颈动脉的Dice评分(平均值±标准差)分别为0.78±0.24、0.62±0.31、0.62±0.30,对照组测试时分别为0.79±0.24、0.59±0.32、0.58±0.33。在排除两例分割效果较差的病例后,颈动脉间距、最大水平肿瘤直径和两项测量的类内相关系数[95% CI]分别为0.89[0.80,0.94]、0.91[0.82,0.96]、0.80[0.66,0.89]。最终ZPS评分的Cohen加权Kappa为0.79 [0.68,0.90],Spearman秩相关系数为0.83。我们开发并内部验证了一种基于机器学习的ZPS全自动分级方法。总体而言,实现了鲁棒的分割性能。虽然ZPS评分通常效果很好,但在许多情况下,人类评分仍然更好。特别是对于经验较低的评级员,我们的方法提供了一个可靠和客观的选择。
{"title":"Fully automated grading of pituitary adenoma","authors":"Raffaele Da Mutten ,&nbsp;Olivier Zanier ,&nbsp;Massimo Bottini ,&nbsp;Yves Baumann ,&nbsp;Olga Ciobanu-Caraus ,&nbsp;Luca Regli ,&nbsp;Carlo Serra ,&nbsp;Victor E. Staartjes","doi":"10.1016/j.ynirp.2025.100233","DOIUrl":"10.1016/j.ynirp.2025.100233","url":null,"abstract":"<div><h3>Background</h3><div>The Zurich Pituitary Score (ZPS) is an externally validated radiological grading scale to predict the likelihood of gross total resection (GTR) on coronal T1w magnetic resonance imaging of pituitary adenomas. The ZPS is based on the ratio of maximum tumor horizontal diameter and minimum intercarotid distance and on carotid artery encasement. While the interobserver agreement of the ZPS was relatively good, automated grading would be beneficial.</div></div><div><h3>Methods</h3><div>A nnU-Net algorithm was trained to segment the manually labeled tumor tissue and the cavernous segment of the internal carotid artery. Subsequently, maximum horizontal tumor diameter and minimum intercarotid distance were extracted. Last, a seed-growing algorithm checked for encasement of the carotid to determine the ZPS.</div></div><div><h3>Results</h3><div>213 patients were included, of which 128 (60%) had non-functioning adenomas, 49 (23%) a growth-hormone secreting and 19 (9%) a prolactin producing tumor. Accordingly, ZPS gradings were I = 63 (30%), II = 94 (44%), III = 41 (19%) and IV = 15 (7%). Dice score (mean ± standard deviation) for the tumor, left carotid, and right carotid in training validation of 0.78 ± 0.24, 0.62 ± 0.31, 0.62 ± 0.30 and during holdout testing of 0.79 ± 0.24, 0.59 ± 0.32, 0.58 ± 0.33 was reached. After the exclusion of two cases with poor segmentation results, intraclass correlation coefficients [95% CI] for the intercarotid distance, maximum horizontal tumor diameter, and the ZPS ratio of the two measurements were 0.89 [0.80, 0.94], 0.91 [0.82, 0.96], 0.80 [0.66, 0.89] respectively. Cohen's weighted Kappa for the final ZPS grading was 0.79 [0.68, 0.90] and Spearman rank correlation was 0.83.</div></div><div><h3>Conclusions</h3><div>We developed and internally validated a machine learning-based method for fully automated grading of the ZPS. Generally, robust segmentation performance was achieved. While ZPS grading generally worked well, human ratings remain superior in many situations. Especially for raters with low experience, our approach offers a solid and objective alternative.</div></div>","PeriodicalId":74277,"journal":{"name":"Neuroimage. Reports","volume":"5 1","pages":"Article 100233"},"PeriodicalIF":0.0,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143169527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Resting-state connectivity and task-based cortical response in post-stroke executive dysfunction: A fNIRS study 脑卒中后执行功能障碍的静息状态连通性和基于任务的皮层反应:一项fNIRS研究
Q4 Neuroscience Pub Date : 2025-01-27 DOI: 10.1016/j.ynirp.2025.100236
Kayee Chong , Songmei Chen , Xixi Chen , Xiaolin Zhang , Deng Liu , Zhiqing Zhou , Xiaowen Wang , Jingjing Zhang , Chunlei Shan

Objective

This study attempted to investigate the frontoparietal cortical reorganization associated with executive function (EF) in post-stroke executive dysfunction (PSED) patients, focusing on resting-state, Stroop and 1-back task-based functional connectivity (FC) using functional near-infrared spectroscopy (fNIRS).

Methods

We recorded oxygenated hemoglobin concentration signals from bilateral inferior parietal lobule (R_IPL/L_IPL), pre-motor area (R_PMA/L_PMA), dorsolateral prefrontal cortex (R_DLPFC/L_DLPFC), Broca's area (R_Broca/L_Broca) and frontopolar cortex (FPC) of 20 PSED patients and 20 healthy controls (HCs). We compared group differences in cortical response, including functional connectivity (FC) during resting-state, task-based FC during Stroop and 1-back task as well as cortical activation during these tasks. Additionally, we analyzed the correlation between MoCA scores, task performance, and any specific cortical response that showed differences.

Results

PSED patients exhibited hypoactivation in executive-related regions during both Stroop and 1-back tasks compared to HCs. During the Stroop task, cross-hemispheric hyperconnectivity from the left inferior parietal lobule (IPL) to the right Broca's area suggested compensatory adaptation. During the 1-back task, within-frontal and intra-hemispheric hypoconnectivity indicated maladaptive neural reorganization. Correlation analyses revealed that increased directed FC from the left IPL to right Broca was positively associated with Stroop reaction time, while decreased directed FC from the right IPL to the frontopolar cortex (FPC) was negatively associated with 1-back task performance in PSED patients.

Conclusions

Our study highlights the importance of including the parietal cortex in fNIRS studies of PSED to obtain a comprehensive understanding of EF deficits. From the investigation of task-based cortical response, PSED patients exhibited different patterns of FC despite reduced task-based cortical activation: compensatory cross-hemispheric hyperconnectivity during the Stroop task, while maladaptive within-frontal and between IPL and frontopolar hypoconnectivity during the 1-back task. Incorporating the insights gained from our study, future research can explore multi-targeted neuromodulation strategies that address frontal and parietal cortices may be more effective in improving cognitive outcomes in stroke survivors.
目的利用功能近红外光谱(fNIRS)研究脑卒中后执行功能障碍(PSED)患者与执行功能(EF)相关的额顶叶皮层重组,重点研究静息状态、Stroop和1-back任务型功能连接(FC)。方法记录20例PSED患者和20例健康对照(hc)的双侧下顶叶(R_IPL/L_IPL)、运动前区(R_PMA/L_PMA)、背外侧前额叶皮质(R_DLPFC/L_DLPFC)、布洛卡区(R_Broca/L_Broca)和额极皮质(FPC)的氧合血红蛋白浓度信号。我们比较了各组皮层反应的差异,包括静息状态下的功能连接(FC)、Stroop和1-back任务期间的任务型FC以及这些任务期间的皮层激活。此外,我们分析了MoCA分数、任务表现和任何表现出差异的特定皮层反应之间的相关性。结果与hc相比,spsed患者在Stroop和1-back任务中表现出执行相关区域的低激活。在Stroop任务中,从左侧顶叶下小叶(IPL)到右侧布洛卡区(Broca’s area)的跨半球超连通性表明代偿性适应。在1-back任务中,额内和半球内的低连通性表明神经重组不适应。相关性分析显示,从左IPL到右Broca的定向FC增加与Stroop反应时间呈正相关,而从右IPL到额极皮质(FPC)的定向FC减少与PSED患者的1-back任务表现呈负相关。结论我们的研究强调了将顶叶皮层纳入PSED的近红外光谱研究以全面了解EF缺陷的重要性。从任务型皮质反应的调查来看,PSED患者表现出不同的FC模式,尽管任务型皮质激活减少:Stroop任务期间代偿性跨半球超连通性,而1-back任务期间额内和IPL与额极之间的适应性不良。结合从我们的研究中获得的见解,未来的研究可以探索针对额叶和顶叶皮层的多目标神经调节策略,可能更有效地改善中风幸存者的认知结果。
{"title":"Resting-state connectivity and task-based cortical response in post-stroke executive dysfunction: A fNIRS study","authors":"Kayee Chong ,&nbsp;Songmei Chen ,&nbsp;Xixi Chen ,&nbsp;Xiaolin Zhang ,&nbsp;Deng Liu ,&nbsp;Zhiqing Zhou ,&nbsp;Xiaowen Wang ,&nbsp;Jingjing Zhang ,&nbsp;Chunlei Shan","doi":"10.1016/j.ynirp.2025.100236","DOIUrl":"10.1016/j.ynirp.2025.100236","url":null,"abstract":"<div><h3>Objective</h3><div>This study attempted to investigate the frontoparietal cortical reorganization associated with executive function (EF) in post-stroke executive dysfunction (PSED) patients, focusing on resting-state, Stroop and 1-back task-based functional connectivity (FC) using functional near-infrared spectroscopy (fNIRS).</div></div><div><h3>Methods</h3><div>We recorded oxygenated hemoglobin concentration signals from bilateral inferior parietal lobule (R_IPL/L_IPL), pre-motor area (R_PMA/L_PMA), dorsolateral prefrontal cortex (R_DLPFC/L_DLPFC), Broca's area (R_Broca/L_Broca) and frontopolar cortex (FPC) of 20 PSED patients and 20 healthy controls (HCs). We compared group differences in cortical response, including functional connectivity (FC) during resting-state, task-based FC during Stroop and 1-back task as well as cortical activation during these tasks. Additionally, we analyzed the correlation between MoCA scores, task performance, and any specific cortical response that showed differences.</div></div><div><h3>Results</h3><div>PSED patients exhibited hypoactivation in executive-related regions during both Stroop and 1-back tasks compared to HCs. During the Stroop task, cross-hemispheric hyperconnectivity from the left inferior parietal lobule (IPL) to the right Broca's area suggested compensatory adaptation. During the 1-back task, within-frontal and intra-hemispheric hypoconnectivity indicated maladaptive neural reorganization. Correlation analyses revealed that increased directed FC from the left IPL to right Broca was positively associated with Stroop reaction time, while decreased directed FC from the right IPL to the frontopolar cortex (FPC) was negatively associated with 1-back task performance in PSED patients.</div></div><div><h3>Conclusions</h3><div>Our study highlights the importance of including the parietal cortex in fNIRS studies of PSED to obtain a comprehensive understanding of EF deficits. From the investigation of task-based cortical response, PSED patients exhibited different patterns of FC despite reduced task-based cortical activation: compensatory cross-hemispheric hyperconnectivity during the Stroop task, while maladaptive within-frontal and between IPL and frontopolar hypoconnectivity during the 1-back task. Incorporating the insights gained from our study, future research can explore multi-targeted neuromodulation strategies that address frontal and parietal cortices may be more effective in improving cognitive outcomes in stroke survivors.</div></div>","PeriodicalId":74277,"journal":{"name":"Neuroimage. Reports","volume":"5 1","pages":"Article 100236"},"PeriodicalIF":0.0,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143169528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Brain perfusion and blood-brain barrier permeability in systemic lupus erythematosus patients: Associations with disease activity, cognitive dysfunction, fatigue and pain 系统性红斑狼疮患者的脑灌注和血脑屏障通透性:与疾病活动性、认知功能障碍、疲劳和疼痛的关系
Q4 Neuroscience Pub Date : 2024-12-31 DOI: 10.1016/j.ynirp.2024.100232
Tim Salomonsson , Kristoffer A. Zervides , Andreas Jönsen , Malte Knutsson , Ronnie Wirestam , Jimmy Lätt , Anders A. Bengtsson , Linda Knutsson , Pia C. Sundgren
High disease activity, cognitive dysfunction (CD), fatigue and pain negatively affect the quality of life in patients with systemic lupus erythematosus (SLE). However, the impact on brain perfusion and blood-brain barrier (BBB) permeability remains incompletely understood. Therefore, we utilized 3 T dynamic susceptibility contrast magnetic resonance imaging to investigate these factors in a cohort of 66 female SLE patients. Normalized leakage corrected cerebral blood flow (CBF), cerebral blood volume (CBV), mean transit time (MTT), and the BBB leakage parameter K2, were compared within the cohort by splitting the group into patients with and without each symptom respectively. Fourteen regions of interest were chosen, and the results were adjusted for age, disease duration, smoking and glucocorticoids. We found regional significant alterations in the different SLE subgroups compared to patients without each corresponding symptom, with patterns as follows: moderate to high disease activity (n = 17, decreased MTT, increased K2), CD in ≥1 domain (n = 36, decreased MTT, increased K2), CD in ≥2 domains (n = 20, increased CBF, CBV and K2), fatigue (n = 44, increased CBV and MTT), pain (n = 9, increased CBF and CBV, decreased MTT). Additionally, inverse correlations were found between cognitive scores and K2 in multiple areas, indicating increased BBB permeability with worse cognitive performance. To elucidate the underlying mechanisms, longitudinal studies should be conducted in a larger variation of patients, using different measurements of BBB disruption.
高疾病活动度、认知功能障碍(CD)、疲劳和疼痛会对系统性红斑狼疮(SLE)患者的生活质量产生负面影响。然而,对脑灌注和血脑屏障(BBB)通透性的影响仍不完全清楚。因此,我们采用3t动态敏感性对比磁共振成像技术对66例女性SLE患者的这些因素进行了研究。将两组患者分别分为有和无症状两组,比较归一化泄漏校正脑血流量(CBF)、脑血容量(CBV)、平均传递时间(MTT)和血脑屏障泄漏参数K2。选择了14个感兴趣的区域,并根据年龄、疾病持续时间、吸烟和糖皮质激素对结果进行了调整。我们发现,与没有相应症状的患者相比,不同SLE亚组的区域差异显著,其模式如下:中高疾病活动性(n = 17, MTT降低,K2升高),CD≥1个结构域(n = 36, MTT降低,K2升高),CD≥2个结构域(n = 20, CBF、CBV和K2升高),疲劳(n = 44, CBV和MTT升高),疼痛(n = 9, CBF和CBV升高,MTT降低)。此外,认知评分与K2在多个区域之间呈负相关,表明血脑屏障通透性增加,认知表现变差。为了阐明潜在的机制,应该在更大的患者中进行纵向研究,使用不同的血脑屏障破坏测量方法。
{"title":"Brain perfusion and blood-brain barrier permeability in systemic lupus erythematosus patients: Associations with disease activity, cognitive dysfunction, fatigue and pain","authors":"Tim Salomonsson ,&nbsp;Kristoffer A. Zervides ,&nbsp;Andreas Jönsen ,&nbsp;Malte Knutsson ,&nbsp;Ronnie Wirestam ,&nbsp;Jimmy Lätt ,&nbsp;Anders A. Bengtsson ,&nbsp;Linda Knutsson ,&nbsp;Pia C. Sundgren","doi":"10.1016/j.ynirp.2024.100232","DOIUrl":"10.1016/j.ynirp.2024.100232","url":null,"abstract":"<div><div>High disease activity, cognitive dysfunction (CD), fatigue and pain negatively affect the quality of life in patients with systemic lupus erythematosus (SLE). However, the impact on brain perfusion and blood-brain barrier (BBB) permeability remains incompletely understood. Therefore, we utilized 3 T dynamic susceptibility contrast magnetic resonance imaging to investigate these factors in a cohort of 66 female SLE patients. Normalized leakage corrected cerebral blood flow (CBF), cerebral blood volume (CBV), mean transit time (MTT), and the BBB leakage parameter K<sub>2,</sub> were compared within the cohort by splitting the group into patients with and without each symptom respectively. Fourteen regions of interest were chosen, and the results were adjusted for age, disease duration, smoking and glucocorticoids. We found regional significant alterations in the different SLE subgroups compared to patients without each corresponding symptom, with patterns as follows: moderate to high disease activity (n = 17, decreased MTT, increased K<sub>2</sub>), CD in ≥1 domain (n = 36, decreased MTT, increased K<sub>2</sub>), CD in ≥2 domains (n = 20, increased CBF, CBV and K<sub>2</sub>), fatigue (n = 44, increased CBV and MTT), pain (n = 9, increased CBF and CBV, decreased MTT). Additionally, inverse correlations were found between cognitive scores and K<sub>2</sub> in multiple areas, indicating increased BBB permeability with worse cognitive performance. To elucidate the underlying mechanisms, longitudinal studies should be conducted in a larger variation of patients, using different measurements of BBB disruption.</div></div>","PeriodicalId":74277,"journal":{"name":"Neuroimage. Reports","volume":"5 1","pages":"Article 100232"},"PeriodicalIF":0.0,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143169529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Erratum regarding missing Declaration of Competing Interest statement in previously published article 关于先前发表的文章中缺少竞争利益声明的勘误表
Q4 Neuroscience Pub Date : 2024-12-01 DOI: 10.1016/j.ynirp.2024.100206
{"title":"Erratum regarding missing Declaration of Competing Interest statement in previously published article","authors":"","doi":"10.1016/j.ynirp.2024.100206","DOIUrl":"10.1016/j.ynirp.2024.100206","url":null,"abstract":"","PeriodicalId":74277,"journal":{"name":"Neuroimage. Reports","volume":"4 4","pages":"Article 100206"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143182053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Neonatal inflammation and near-term white matter microstructure in infants born very preterm 极早产儿的新生儿炎症和近期白质微结构
Q4 Neuroscience Pub Date : 2024-11-26 DOI: 10.1016/j.ynirp.2024.100226
Kathryn G. Anderson , Molly F. Lazarus , Lisa Bruckert , Rocio V. Poblaciones , Melissa Scala , Virginia A. Marchman , Heidi M. Feldman , Katherine E. Travis

Background

Severe neonatal inflammatory conditions in very preterm infants (VPT: <32 weeks gestational age, GA) are linked to adverse neurodevelopmental outcomes. Differences in white matter (WM) microstructure of the corpus callosum (CC) have been observed at age 6 in VPT children with a history of severe neonatal inflammation. The goal of this study was to determine whether these CC differences can be detected at term-equivalent age using diffusion MRI (dMRI), and whether neonatal inflammation is associated with altered WM in additional tracts implicated in the encephalopathy of prematurity.

Methods

We conducted a retrospective study of VPT infants (n = 152) born at 22–32 weeks GA, classified based on the presence (I+, n = 80) or absence (I-, n = 72) of severe neonatal inflammatory conditions (bronchopulmonary dysplasia, necrotizing enterocolitis, or culture-positive sepsis). Analysis of covariance (ANCOVA) assessed group differences in near-term dMRI mean fractional anisotropy (FA) and mean diffusivity (MD) across seven segments of the CC and the anterior thalamic radiation, arcuate fasciculus, cingulum, corticospinal tract, inferior longitudinal fasciculus, superior cerebellar peduncle, and uncinate fasciculus. Due to imbalance of GA in the full sample, secondary ANCOVA analyses were performed in a GA-matched subset (n = 42) to further isolate the effect of inflammation.

Results

FA was significantly lower in the I+ group compared to the I- group in the anterior frontal, posterior parietal, temporal, and occipital segments of the CC, and in the cingulum, inferior longitudinal fasciculus, and superior cerebellar peduncle. This general pattern persisted in the GA-matched subset, with significant differences in the anterior frontal and temporal CC segments.

Conclusions

VPT infants with severe neonatal inflammation had lower FA in multiple white matter tracts, suggesting that inflammation-related alterations in WM development begin in the neonatal period. The observed differences detected using dMRI at term-equivalent age corroborate prior findings and may provide a window of opportunity for early identification of VPT infants at increased risk of poor neurodevelopmental outcomes.
背景极早产儿(VPT:胎龄 32 周)的严重新生儿炎症与不良的神经发育结果有关。在有严重新生儿炎症史的早产儿中,6岁时观察到胼胝体(CC)白质(WM)微结构的差异。本研究的目的是通过弥散核磁共振成像(dMRI)确定这些胼胝体白质的差异是否能在足月时被检测到,以及新生儿炎症是否与早产儿脑病的其他牵连束的白质改变有关。方法我们对出生日期为 22-32 周的 VPT 婴儿(n = 152)进行了一项回顾性研究,根据存在(I+,n = 80)或不存在(I-,n = 72)严重新生儿炎症(支气管肺发育不良、坏死性小肠结肠炎或培养阳性败血症)进行分类。方差分析(ANCOVA)评估了CC七个节段和丘脑前辐射、弓状束、齿状束、皮质脊髓束、下纵束、小脑上梗和钩状束的近期dMRI平均分数各向异性(FA)和平均扩散率(MD)的组间差异。与 I- 组相比,I+ 组的额叶前部、顶叶后部、颞叶、CC 的枕叶区段以及钟状束、下纵筋束和小脑上座明显低于 I- 组。结论患有严重新生儿炎症的VPT婴儿的多个白质束的FA较低,这表明与炎症相关的WM发育改变始于新生儿期。利用dMRI在足月等龄时检测到的观察到的差异证实了之前的研究结果,并为早期识别神经发育不良风险增加的VPT婴儿提供了机会之窗。
{"title":"Neonatal inflammation and near-term white matter microstructure in infants born very preterm","authors":"Kathryn G. Anderson ,&nbsp;Molly F. Lazarus ,&nbsp;Lisa Bruckert ,&nbsp;Rocio V. Poblaciones ,&nbsp;Melissa Scala ,&nbsp;Virginia A. Marchman ,&nbsp;Heidi M. Feldman ,&nbsp;Katherine E. Travis","doi":"10.1016/j.ynirp.2024.100226","DOIUrl":"10.1016/j.ynirp.2024.100226","url":null,"abstract":"<div><h3>Background</h3><div>Severe neonatal inflammatory conditions in very preterm infants (VPT: &lt;32 weeks gestational age, GA) are linked to adverse neurodevelopmental outcomes. Differences in white matter (WM) microstructure of the corpus callosum (CC) have been observed at age 6 in VPT children with a history of severe neonatal inflammation. The goal of this study was to determine whether these CC differences can be detected at term-equivalent age using diffusion MRI (dMRI), and whether neonatal inflammation is associated with altered WM in additional tracts implicated in the encephalopathy of prematurity.</div></div><div><h3>Methods</h3><div>We conducted a retrospective study of VPT infants (<em>n</em> = 152) born at 22–32 weeks GA, classified based on the presence (I+, <em>n</em> = 80) or absence (I-, <em>n</em> = 72) of severe neonatal inflammatory conditions (bronchopulmonary dysplasia, necrotizing enterocolitis, or culture-positive sepsis). Analysis of covariance (ANCOVA) assessed group differences in near-term dMRI mean fractional anisotropy (FA) and mean diffusivity (MD) across seven segments of the CC and the anterior thalamic radiation, arcuate fasciculus, cingulum, corticospinal tract, inferior longitudinal fasciculus, superior cerebellar peduncle, and uncinate fasciculus. Due to imbalance of GA in the full sample, secondary ANCOVA analyses were performed in a GA-matched subset (<em>n</em> = 42) to further isolate the effect of inflammation.</div></div><div><h3>Results</h3><div>FA was significantly lower in the I+ group compared to the I- group in the anterior frontal, posterior parietal, temporal, and occipital segments of the CC, and in the cingulum, inferior longitudinal fasciculus, and superior cerebellar peduncle. This general pattern persisted in the GA-matched subset, with significant differences in the anterior frontal and temporal CC segments.</div></div><div><h3>Conclusions</h3><div>VPT infants with severe neonatal inflammation had lower FA in multiple white matter tracts, suggesting that inflammation-related alterations in WM development begin in the neonatal period. The observed differences detected using dMRI at term-equivalent age corroborate prior findings and may provide a window of opportunity for early identification of VPT infants at increased risk of poor neurodevelopmental outcomes.</div></div>","PeriodicalId":74277,"journal":{"name":"Neuroimage. Reports","volume":"4 4","pages":"Article 100226"},"PeriodicalIF":0.0,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142723934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Measuring cognitive load in multitasking using mobile fNIRS 利用移动 fNIRS 测量多任务处理中的认知负荷
Q4 Neuroscience Pub Date : 2024-11-19 DOI: 10.1016/j.ynirp.2024.100228
Katherine Boere , Francesca Anderson , Kent G. Hecker , Olav E. Krigolson
Cognitive load, or the mental effort required to process and retain information, is a critical factor in high-stakes environments where task demands often exceed working memory capacity, leading to performance declines and errors. However, most cognitive load research has relied on controlled, single-task paradigms, limiting its applicability to real-world multitasking situations. Addressing this gap, we used a mobile, two-channel functional near-infrared spectroscopy (fNIRS) device to measure cognitive load in a complex multitasking environment, simulating real-world cognitive demands. Thirty-one undergraduate participants engaged in single-task and multitask conditions to simulate real-world cognitive demands. Results showed that subjective cognitive load ratings were higher, performance scores were lower, and error rates increased in the multitask condition compared to the single-task condition. However, contrary to expectations, prefrontal cortex activation did not increase in the multitask condition, suggesting a "cognitive disengagement" effect, where the brain limits engagement to manage overload. This finding challenges the traditional one-to-one association between cognitive load and prefrontal activation, as seen in simpler validation studies. Our study highlights the value of mobile fNIRS for assessing cognitive load in ecologically valid settings and provides insights that could inform strategies for optimizing performance in high-stakes environments like aviation and healthcare.
认知负荷,即处理和保留信息所需的脑力劳动,是高风险环境中的一个关键因素,在这种环境中,任务要求往往超过工作记忆能力,从而导致成绩下降和失误。然而,大多数认知负荷研究都依赖于受控的单一任务范例,限制了其在现实世界多任务情况下的适用性。为了弥补这一不足,我们使用了移动式双通道功能性近红外光谱(fNIRS)设备来测量复杂多任务环境下的认知负荷,模拟真实世界的认知需求。31 名本科生参加了模拟真实世界认知需求的单任务和多任务条件。结果显示,与单任务条件相比,多任务条件下的主观认知负荷评分更高,成绩得分更低,错误率更高。然而,与预期相反的是,在多任务条件下,前额叶皮层的激活并没有增加,这表明存在 "认知脱离 "效应,即大脑限制参与以管理超负荷。这一发现挑战了认知负荷与前额叶激活之间一一对应的传统联系,正如在更简单的验证研究中所看到的那样。我们的研究凸显了移动 fNIRS 在生态有效环境中评估认知负荷的价值,并为航空和医疗保健等高风险环境中的绩效优化策略提供了启示。
{"title":"Measuring cognitive load in multitasking using mobile fNIRS","authors":"Katherine Boere ,&nbsp;Francesca Anderson ,&nbsp;Kent G. Hecker ,&nbsp;Olav E. Krigolson","doi":"10.1016/j.ynirp.2024.100228","DOIUrl":"10.1016/j.ynirp.2024.100228","url":null,"abstract":"<div><div>Cognitive load, or the mental effort required to process and retain information, is a critical factor in high-stakes environments where task demands often exceed working memory capacity, leading to performance declines and errors. However, most cognitive load research has relied on controlled, single-task paradigms, limiting its applicability to real-world multitasking situations. Addressing this gap, we used a mobile, two-channel functional near-infrared spectroscopy (fNIRS) device to measure cognitive load in a complex multitasking environment, simulating real-world cognitive demands. Thirty-one undergraduate participants engaged in single-task and multitask conditions to simulate real-world cognitive demands. Results showed that subjective cognitive load ratings were higher, performance scores were lower, and error rates increased in the multitask condition compared to the single-task condition. However, contrary to expectations, prefrontal cortex activation did not increase in the multitask condition, suggesting a \"cognitive disengagement\" effect, where the brain limits engagement to manage overload. This finding challenges the traditional one-to-one association between cognitive load and prefrontal activation, as seen in simpler validation studies. Our study highlights the value of mobile fNIRS for assessing cognitive load in ecologically valid settings and provides insights that could inform strategies for optimizing performance in high-stakes environments like aviation and healthcare.</div></div>","PeriodicalId":74277,"journal":{"name":"Neuroimage. Reports","volume":"4 4","pages":"Article 100228"},"PeriodicalIF":0.0,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142705859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
MRI-guided clustering of patients with mild dementia due to Alzheimer's disease using self-organizing maps 利用自组织图在磁共振成像引导下对阿尔茨海默病所致轻度痴呆患者进行聚类
Q4 Neuroscience Pub Date : 2024-11-18 DOI: 10.1016/j.ynirp.2024.100227
Kellen K. Petersen , Bhargav T. Nallapu , Richard B. Lipton , Ellen Grober , Ali Ezzati

Introduction

Alzheimer's disease (AD) is a phenotypically and pathologically heterogenous neurodegenerative disorder. This heterogeneity can be studied and disentangled using data-driven clustering techniques.

Methods

We implemented a self-organizing map clustering algorithm on baseline volumetric MRI measures from nine brain regions of interest (ROIs) to cluster 1041 individuals enrolled in the placebo arm of the EXPEDITION3 trial. Volumetric MRI differences were compared among clusters. Demographics as well as baseline and longitudinal cognitive performance metrics were used to evaluate cluster characteristics.

Results

Three distinct clusters, with an overall silhouette coefficient of 0.491, were identified based on MRI volumetrics. Cluster 1 (N = 400) had the largest baseline volumetric measures across all ROIs and the best cognitive performance at baseline. Cluster 2 (N = 269) had larger hippocampal and medial temporal lobe volumes, but smaller parietal lobe volumes in comparison with the third cluster (N = 372). Significant between-group mean differences were observed between Clusters 1 and 2 (difference, 2.38; 95% CI, 1.85 to 2.91; P < 0.001), Clusters 1 and 3 (difference, 1.93; 95% CI, 1.41 to 2.44; P < 0.001), but not between Clusters 2 and 3 (difference, 0.45; 95% CI, −0.11 to 1.02; P = 0.146) in ADAS-14.

Conclusions

Volumetric MRI can be used to identify homogenous clusters of amyloid positive individuals with mild dementia. The groups identified differ in baseline and longitudinal characteristics. Cluster 1 shows little ADAS-14 change over the first 40 weeks of study on placebo treatment and may be unsuitable for identifying early benefits of treatment.
导言阿尔茨海默病(AD)是一种表型和病理上异质性的神经退行性疾病。我们对来自九个大脑感兴趣区(ROIs)的基线容积 MRI 测量值实施了自组织图聚类算法,对参加 EXPEDITION3 试验安慰剂组的 1041 人进行了聚类。比较了聚类之间的磁共振成像容积差异。结果根据核磁共振成像的容积系数,确定了三个不同的群组,总体剪影系数为 0.491。群组 1(N = 400)所有 ROI 的基线容积测量值最大,基线认知表现最好。与第三组(N = 372)相比,第二组(N = 269)的海马和颞叶内侧体积较大,但顶叶体积较小。在第 1 组和第 2 组(差异为 2.38;95% CI,1.85 至 2.91;P <;0.001)、第 1 组和第 3 组(差异为 1.93;95% CI,1.41 至 2.44;P <;0.结论 超声核磁共振成像可用于识别淀粉样蛋白阳性的轻度痴呆患者的同质群。所确定的群组在基线和纵向特征方面存在差异。群组1在接受安慰剂治疗的前40周内ADAS-14变化不大,可能不适合用于识别治疗的早期益处。
{"title":"MRI-guided clustering of patients with mild dementia due to Alzheimer's disease using self-organizing maps","authors":"Kellen K. Petersen ,&nbsp;Bhargav T. Nallapu ,&nbsp;Richard B. Lipton ,&nbsp;Ellen Grober ,&nbsp;Ali Ezzati","doi":"10.1016/j.ynirp.2024.100227","DOIUrl":"10.1016/j.ynirp.2024.100227","url":null,"abstract":"<div><h3>Introduction</h3><div>Alzheimer's disease (AD) is a phenotypically and pathologically heterogenous neurodegenerative disorder. This heterogeneity can be studied and disentangled using data-driven clustering techniques.</div></div><div><h3>Methods</h3><div>We implemented a self-organizing map clustering algorithm on baseline volumetric MRI measures from nine brain regions of interest (ROIs) to cluster 1041 individuals enrolled in the placebo arm of the EXPEDITION3 trial. Volumetric MRI differences were compared among clusters. Demographics as well as baseline and longitudinal cognitive performance metrics were used to evaluate cluster characteristics.</div></div><div><h3>Results</h3><div>Three distinct clusters, with an overall silhouette coefficient of 0.491, were identified based on MRI volumetrics. Cluster 1 (N = 400) had the largest baseline volumetric measures across all ROIs and the best cognitive performance at baseline. Cluster 2 (N = 269) had larger hippocampal and medial temporal lobe volumes, but smaller parietal lobe volumes in comparison with the third cluster (N = 372). Significant between-group mean differences were observed between Clusters 1 and 2 (difference, 2.38; 95% CI, 1.85 to 2.91; P &lt; 0.001), Clusters 1 and 3 (difference, 1.93; 95% CI, 1.41 to 2.44; P &lt; 0.001), but not between Clusters 2 and 3 (difference, 0.45; 95% CI, −0.11 to 1.02; P = 0.146) in ADAS-14.</div></div><div><h3>Conclusions</h3><div>Volumetric MRI can be used to identify homogenous clusters of amyloid positive individuals with mild dementia. The groups identified differ in baseline and longitudinal characteristics. Cluster 1 shows little ADAS-14 change over the first 40 weeks of study on placebo treatment and may be unsuitable for identifying early benefits of treatment.</div></div>","PeriodicalId":74277,"journal":{"name":"Neuroimage. Reports","volume":"4 4","pages":"Article 100227"},"PeriodicalIF":0.0,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142705860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluating state-based network dynamics in anhedonia 评估失乐症中基于状态的网络动力学
Q4 Neuroscience Pub Date : 2024-10-19 DOI: 10.1016/j.ynirp.2024.100225
Angela Pisoni , Jeffrey Browndyke , Simon W. Davis , Moria Smoski
Anhedonia is a transdiagnostic clinical syndrome associated with significant clinical impairment. In spite of this, a clear network-level characterization of anhedonia does not yet exist. The present study addressed this gap in the literature by taking a graph theoretical approach to characterizing state-based (i.e., reward anticipation, rest) network dynamics in a transdiagnostic sample of adults with clinically significant anhedonia (n = 77). Analyses focused on three canonical brain networks: the Salience Network (SN), the Default Mode Network (DMN) and the Central Executive Network (CEN), with hypotheses focusing on the role of saliency-mapping in anhedonia. Contrary to hypotheses, no significant relation was found between the SN and anhedonia symptom severity. Exploratory results revealed a significant association between anhedonia severity and DMN reorganization from rest to reward anticipation. Specifically, greater anhedonia severity was associated with less reward-related reorganization. This finding suggests that anhedonia severity may be associated with DMN hyposensitivity, such that individuals with more severe anhedonia may have a difficult time disengaging from their internal world in the context of potentially rewarding experiences. Although preliminary, this finding challenges the centrality of the SN in anhedonia severity and suggests the importance of the DMN. Clinical implications and future directions are explored.
失乐症是一种跨诊断的临床综合征,伴有严重的临床损害。尽管如此,关于失乐症的明确的网络层面特征描述尚不存在。本研究针对文献中的这一空白,采用图论方法描述了临床上患有明显失乐症的成人(n = 77)的跨诊断样本中基于状态(即奖赏预期、休息)的网络动力学特征。分析的重点是三个典型的大脑网络:显著性网络(SN)、默认模式网络(DMN)和中央执行网络(CEN),假设的重点是显著性映射在失乐症中的作用。与假设相反的是,SN 与失乐症症状严重程度之间没有发现明显的关系。探索性结果显示,失神症严重程度与从休息到奖赏预期的DMN重组之间存在显著关联。具体来说,失乐症严重程度越高,与奖赏相关的重组越少。这一发现表明,失乐症的严重程度可能与DMN的低敏感性有关,因此失乐症较严重的人可能很难在潜在奖赏体验的背景下脱离他们的内心世界。尽管是初步研究,但这一发现对SN在厌食症严重程度中的中心地位提出了质疑,并提示了DMN的重要性。本文探讨了这一发现对临床的影响以及未来的研究方向。
{"title":"Evaluating state-based network dynamics in anhedonia","authors":"Angela Pisoni ,&nbsp;Jeffrey Browndyke ,&nbsp;Simon W. Davis ,&nbsp;Moria Smoski","doi":"10.1016/j.ynirp.2024.100225","DOIUrl":"10.1016/j.ynirp.2024.100225","url":null,"abstract":"<div><div>Anhedonia is a transdiagnostic clinical syndrome associated with significant clinical impairment. In spite of this, a clear network-level characterization of anhedonia does not yet exist. The present study addressed this gap in the literature by taking a graph theoretical approach to characterizing state-based (i.e., reward anticipation, rest) network dynamics in a transdiagnostic sample of adults with clinically significant anhedonia (<em>n</em> = 77). Analyses focused on three canonical brain networks: the Salience Network (SN), the Default Mode Network (DMN) and the Central Executive Network (CEN), with hypotheses focusing on the role of saliency-mapping in anhedonia. Contrary to hypotheses, no significant relation was found between the SN and anhedonia symptom severity. Exploratory results revealed a significant association between anhedonia severity and DMN reorganization from rest to reward anticipation. Specifically, greater anhedonia severity was associated with less reward-related reorganization. This finding suggests that anhedonia severity may be associated with DMN hyposensitivity, such that individuals with more severe anhedonia may have a difficult time disengaging from their internal world in the context of potentially rewarding experiences. Although preliminary, this finding challenges the centrality of the SN in anhedonia severity and suggests the importance of the DMN. Clinical implications and future directions are explored.</div></div>","PeriodicalId":74277,"journal":{"name":"Neuroimage. Reports","volume":"4 4","pages":"Article 100225"},"PeriodicalIF":0.0,"publicationDate":"2024-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142535329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Neuroimage. Reports
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1