Brain Sciences最新文献

Background: Glaucoma is a neurodegenerative ocular disease that is accompanied by cerebral damage extending beyond the visual system. Recent studies based on diffusion tensor tractography have suggested an association between glaucoma and brain structural connectivity but have not clarified causality.

Methods: To explore the causal associations between glaucoma and brain structural connectivity, a bidirectional Mendelian randomization (MR) study was conducted involving glaucoma and 206 diffusion tensor tractography traits. Highly associated genetic variations were applied as instrumental variables and statistical data were sourced from the database of FinnGen and UK Biobank. The inverse-variance weighted method was applied to assess causal relationships. Additional sensitivity analyses were also performed.

Results: Glaucoma was potentially causally associated with alterations in three brain structural connectivities (from the SN to the thalamus, from the DAN to the putamen, and within the LN network) in the forward MR analysis, whereas the inverse MR results identified thirteen brain structural connectivity traits with a potential causal relationship to the risk of glaucoma. Both forward and reverse MR analyses satisfied the sensitivity test with no significant horizontal pleiotropy or heterogeneity.

Conclusions: This study offered suggestive evidence for the potential causality between the risk of glaucoma and brain structural connectivity. Our findings also provided novel insights into the neurodegenerative mechanism of glaucoma.

Background: The evaluation of evidence, which frequently takes the form of scientific evidence, necessitates the input of experts in relevant fields. The results are presented as expert opinions or expert evaluations, which are generally accepted as a reliable representation of the facts. A further issue that remains unresolved though is the process of evaluating the expertise and knowledge of an expert in the first instance. In general, earned certificates, grades and other objective criteria are typically regarded as representative documentation to substantiate an expert status. However, there is a possibility that these may not always be sufficiently representative.

Objectives: The goal of the present study was to provide evidence that the neural processing of law-relevant and law-irrelevant terms varies significantly between participants who have received training in the field of law (experts) and those who have not (novices).

Methods: To this end, changes in brain activity were recorded via electroencephalography (EEG) during visual presentations of terms belonging to five different categories (fake right, democracy, filler word, basic right and rule of law). Event-related potentials (ERPs) were subsequently averaged for each category and subjected to statistical analysis.

Results: The results clearly demonstrate that participants trained in law processed fake rights and filler words in a similar manner. Furthermore, both of these conditions elicited different levels of brain activity compared to all law-relevant terms. This was not the case in participants who had not received legal training. The brains of untrained participants processed all five term categories in a strikingly similar manner. In light of prior knowledge regarding language processing, the primary focus was on two distinct electrode locations: one in the left posterior region, and the other in the left frontal region. In both locations, the most prominent differences in brain activity elicited by the aforementioned term categories in law-trained participants occurred approximately 450 milliseconds after stimulus onset. The results were further corroborated by a repeated-measures ANOVA and subsequent t-tests, which also demonstrated the absence of this effect in law-untrained participants.

Conclusions: The findings of this study provide empirical evidence that brain activity measurements, in particular ERPs, can be used to distinguish between experts trained in a specific field of expertise and novices in that field. Such findings have the potential to facilitate objective assessments of expertise, enabling comparisons between experts and novices that extend beyond traditional criteria such as qualifications and experience. Instead, individuals can be evaluated based on their cognitive processes, as observed through brain activity.

Background: With the rapid expansion of the generative AI market, conducting in-depth research on cognitive conflicts in human-computer interaction is crucial for optimizing user experience and improving the quality of interactions with AI systems. However, existing studies insufficiently explore the role of user cognitive conflicts and the explanation of stance attribution in the design of human-computer interactions.

Methods: This research, grounded in mental models theory and employing an improved version of the oddball paradigm, utilizes Event-Related Spectral Perturbations (ERSP) and functional connectivity analysis to reveal how task types and stance attribution explanations in generative AI influence users' unconscious cognitive processing mechanisms during service failures.

Results: The results indicate that under design stance explanations, the ERSP and Phase Locking Value (PLV) in the theta frequency band were significantly lower for emotional task failures than mechanical task failures. In the case of emotional task failures, the ERSP and PLV in the theta frequency band induced by intentional stance explanations were significantly higher than those induced by design stance explanations.

Conclusions: This study found that stance attribution explanations profoundly affect users' mental models of AI, which determine their responses to service failure.

Background: The literature lacks a combined analysis of neurosurgical microvascular anastomosis training models. We performed a systematic literature search to provide an overview of the existing models and proposed a classification system based on the level of simulation and reproducibility of the microvascular anastomosis.

Methods: The systematic literature search followed the PRISMA guidelines. We consulted MEDLINE, Web of Knowledge, and EMBASE independently for papers about bypass training models. Every training model was analyzed according to six tasks supposed to esteem their fidelity to the real operative setting by using a scoring system from zero to two. Finally, authors classified the models into five classes, from A to E, by summing the individual scores.

Results: This study included 109 papers for analysis. Training models were grouped into synthetic tubes, ex vivo models (animal vessels, fresh human cadavers, human placentas) and in vivo simulators (live animals-rats, rabbits, pigs). By applying the proposed classification system, live animals and placentas obtained the highest scores, falling into class A (excellent simulators). Human cadavers and animal vessels (ex vivo) were categorized in class B (good simulators), followed by synthetic tubes (class C, reasonable simulators).

Conclusions: The proposed classification system helps the neurosurgeon to analyze the available training models for microvascular anastomosis critically, and to choose the most appropriate one according to the skills they need to improve.

Background/objectives: Speaker race and the listener's language experience (i.e., monolinguals vs. bilinguals) have both been shown to influence accent intelligibility independently. Speaker race specifically is thought to be informed by learned experiences (exemplar model) or individual biases and attitudes (bias-based model). The current study investigates speaker race and the listener's language experience simultaneously as well as listeners' attitudes toward non-native speakers and their ability to identify the accent.

Methods: Overall, 140 White English monolinguals and 140 English/Norwegian bilinguals transcribed 60 Mandarin-accented English sentences presented in noise in the context of a White or East Asian face. Following sentence transcription, participants were asked to rate the strength of the accent heard and completed a short questionnaire that assessed their accent identification ability and their language usage, proficiency, familiarity, and attitudes.

Results: Results show that a listeners' ability to identify an accent and their attitudes toward non-native speakers had a significant impact on accent intelligibility and accentedness ratings. Speaker race by itself did not play a role in accent intelligibility and accentedness ratings; however, we found evidence that speaker race interacted with participants' accent identification scores and attitudes toward non-native speakers, and these interactions differed as a function of language experience.

Conclusions: Our results suggest that bilinguals' sociolinguistic processing may be more in line with a bias-based model than monolinguals.

Cortical spreading depression (CSD) is an electrophysiologic pathological state in which a wave of depolarization in the cerebral cortex is followed by the suppression of spontaneous neuronal activity. This transient spread of neuronal depolarization on the surface of the cortex is the hallmark of CSD. Numerous investigations have demonstrated that transmembrane ion transport, astrocytic ion clearing and fatigue, glucose metabolism, the presence of certain genetic markers, point mutations, and the expression of the enzyme responsible for the production of various arachidonic acid derivatives that participate in the inflammatory response, namely, cyclooxygenase (COX), all influence CSD. Here, we explore the associations between CSD occurrence in the cortex and various factors, including how CSD is related to migraines, how the glucose state affects CSD, the effect of TBI and its relationship with CSD and glucose metabolism, how different markers can be measured to determine the severity of CSD, and possible connections to oligemia, orexin, and leptin.

Background: Cell-based therapies for drug-resistant epilepsy using induced pluripotent stem cell-derived inhibitory interneurons are now in early-phase clinical trials, building on findings from trials in Parkinson's disease (PD) and Huntington's disease (HD). Graft rejection and the need for immunosuppressive therapy post-transplantation pose potential barriers to more epilepsy patients becoming potential candidates for inhibitory interneurons transplantation surgery.

Objectives: The present literature review weighs the evidence for and against human leukocyte antigen (HLA)-mediated graft rejection in PD and HD and examines the potential advantages and drawbacks to five broad approaches to cell-based therapies, including autologous cell culture and transplantation, in vivo reprogramming of glial cells using viral vectors, allogeneic transplantation using off-the-shelf cell lines, transplantation using inhibitory interneurons cultured from HLA-matched cell lines, and the use of hypoimmunogenic-induced pluripotent stem cell-derived inhibitory interneurons. The impact of surgical technique and associated needle trauma on graft rejection is also discussed.

Methods: Non-systematic literature review.

Results: While cell-based therapies have enjoyed early successes in treating a host of central nervous system disorders, the immunologic reaction against surgical procedures and implanted materials has remained a major obstacle.

Conclusions: Adapting cell-based therapies using iPSC-derived inhibitory interneurons for epilepsy surgery will similarly require surmounting the challenge of immunogenicity.

Background: Recent years have seen a surge of interest in dual-modality imaging systems that integrate functional near-infrared spectroscopy (fNIRS) and electroencephalography (EEG) to probe brain function. This review aims to explore the advancements and clinical applications of this technology, emphasizing the synergistic integration of fNIRS and EEG. Methods: The review begins with a detailed examination of the fundamental principles and distinctive features of fNIRS and EEG techniques. It includes critical technical specifications, data-processing methodologies, and analysis techniques, alongside an exhaustive evaluation of 30 seminal studies that highlight the strengths and weaknesses of the fNIRS-EEG bimodal system. Results: The paper presents multiple case studies across various clinical domains-such as attention-deficit hyperactivity disorder, infantile spasms, depth of anesthesia, intelligence quotient estimation, and epilepsy-demonstrating the fNIRS-EEG system's potential in uncovering disease mechanisms, evaluating treatment efficacy, and providing precise diagnostic options. Noteworthy research findings and pivotal breakthroughs further reinforce the developmental trajectory of this interdisciplinary field. Conclusions: The review addresses challenges and anticipates future directions for the fNIRS-EEG dual-modal imaging system, including improvements in hardware and software, enhanced system performance, cost reduction, real-time monitoring capabilities, and broader clinical applications. It offers researchers a comprehensive understanding of the field, highlighting the potential applications of fNIRS-EEG systems in neuroscience and clinical medicine.

Background: Occupational therapy (OT) is an essential component of patient care, and it is especially beneficial if focused on meaningful activities. For ataxic patients, traditional procedures are currently the most efficient, although without specific guidelines and suggestions for virtual reality integration. In this context, this study proposes Hybrid Smart Rehabilitation (HSR) based on mixed reality (MR) as an aid in overcoming limitations of the traditional OT procedures.

Methods: MR-HSR is designed specifically for ataxic patients and developed in Unity with the Holographic Remoting setting for run-time intervention on the scene. The subject reaches a book and grabs it with their hand inside a holographic guide with audio-visive feedback. Hand trajectories acquired from eight ataxic patients and eight healthy subjects were compared and new variables were analyzed to evaluate the performance. The Trust in Automation questionnaire was submitted to assess the opinion of the patients.

Results: Patients confirmed their trust in the developer and in the improvement that this system can bring to their rehabilitation. The "total time" and "sway area" of the trajectory were statistically significant and, together with the deviation of the trajectory from the main axis of the guide, although not statistically significant, made it possible to build a classifier.

Conclusions: The patient-specific MR-HSR can be considered as an integrative tool for assessing the subject's condition by analyzing new quantitative variables which, if matched to the Scale for the Assessment and Rating of Ataxia (SARA), could be the basis of a new index to assess the progressiveness of ataxia.

Introduction: Augmented reality (AR) and mixed reality (MR) technologies have revolutionized cranial neurosurgery by overlaying digital information onto the surgical field, enhancing visualization, precision, and training. These technologies enable the real-time integration of preoperative imaging data, aiding in better decision-making and reducing operative risks. Despite challenges such as cost and specialized training needs, AR and MR offer significant benefits, including improved surgical outcomes and personalized surgical plans based on individual patient anatomy.

Materials and methods: This study describes three intracranial surgeries using AR and MR technologies at Hospital Ángeles Universidad, Mexico City, in 2023. Surgeries were performed with VisAR software 3 version and Microsoft HoloLens 2, transforming DICOM images into 3D models. Preoperative MRI and CT scans facilitated planning, and radiopaque tags ensured accurate image registration during surgery. Postoperative outcomes were assessed through clinical and imaging follow-up.

Results: Three intracranial surgeries were performed with AR and MR assistance, resulting in successful outcomes with minimal postoperative complications. Case 1 achieved 80% tumor resection, Case 2 achieved near-total tumor resection, and Case 3 achieved complete lesion resection. All patients experienced significant symptom relief and favorable recoveries, demonstrating the precision and effectiveness of AR and MR in cranial surgery.

Conclusions: This study demonstrates the successful use of AR and MR in cranial surgery, enhancing precision and clinical outcomes. Despite challenges like training and costs, these technologies offer significant benefits. Future research should focus on long-term outcomes and broader applications to validate their efficacy and cost-effectiveness in neurosurgery.