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The Stuck Brain: Constrained Connectivity and Temporal Rigidity in Tinnitus. 被卡住的大脑:耳鸣中受限的连接和时间刚性。
IF 2.5 3区 医学 Q3 NEUROSCIENCES Pub Date : 2025-09-01 Epub Date: 2025-08-26 DOI: 10.1177/21580014251374571
Marie Detroz, Steven Laureys, Audrey Maudoux
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引用次数: 0
Abnormal Degree Centrality of the Inferior Parietal Lobule Associated with Herpes Zoster and Postherpetic Neuralgia. 与带状疱疹和带状疱疹后神经痛相关的下顶叶异常中心度。
IF 2.5 3区 医学 Q3 NEUROSCIENCES Pub Date : 2025-09-01 Epub Date: 2025-07-25 DOI: 10.1177/21580014251362857
Qian Li, Yu Mao, Yue He, Shengdan Liu, Mingling Yu, Changhe Ren, Guangxiang Chen

Background: Numerous neuroimaging studies have revealed abnormal brain function in patients with herpes zoster (HZ) and postherpetic neuralgia (PHN). However, few studies have focused on the alterations of intrinsic degree centrality (DC) in the transition process from the HZ to the PHN. Materials and Methods: Resting-state functional MRI (rs-fMRI) data from 27 patients with PHN, 24 patients with HZ, and 21 healthy controls (HCs) were acquired. DC based on rs-fMRI was used to explore specific brain functional abnormalities in these participants. Results: Compared with HCs, patients with HZ presented decreased DC values in the right superior frontal gyrus, right cingulate gyrus, bilateral inferior parietal lobule (IPL), bilateral precuneus, and right paracentral lobule. Compared with HCs, patients with PHN also exhibited decreased DC values in the bilateral IPL. However, no regions with significant DC value changes were found between the HZ and PHN groups. Conclusions: These results suggest that decreased DC of the IPL is associated with the underlying neural mechanisms of the HZ and PHN stages and may represent a potential biomarker or intervention target candidate that needs further longitudinal confirmation.

背景:大量的神经影像学研究显示带状疱疹(HZ)和带状疱疹后神经痛(PHN)患者的脑功能异常。然而,很少有研究关注从HZ到PHN过渡过程中内在度中心性(DC)的变化。材料与方法:获取27例PHN患者、24例HZ患者和21例健康对照(hc)静息状态功能MRI (rs-fMRI)数据。使用基于rs-fMRI的DC来探索这些参与者的特定脑功能异常。结果:与hc相比,HZ患者右侧额上回、右侧扣带回、双侧顶叶下小叶、双侧楔前叶和右侧中央旁小叶的DC值降低。与hc相比,PHN患者双侧IPL的DC值也降低。然而,在HZ组和PHN组之间没有发现显著DC值变化的区域。结论:这些结果表明,IPL DC的降低与HZ和PHN阶段的潜在神经机制有关,可能是一种潜在的生物标志物或干预候选靶点,需要进一步的纵向证实。
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引用次数: 0
Effects of Tasks on Functional Brain Connectivity Derived from Interindividual Correlations: Insights from Regional Homogeneity of Functional MRI Data. 任务对源自个体间相关性的功能性脑连通性的影响:来自功能性MRI数据区域同质性的见解。
IF 2.5 3区 医学 Q3 NEUROSCIENCES Pub Date : 2025-08-01 Epub Date: 2025-06-25 DOI: 10.1089/brain.2024.0044
Xin Di, Pratik Jain, Bharat B Biswal

Introduction: Research on brain functional connectivity often relies on intraindividual moment-to-moment correlations of functional activity, typically using functional MRI (fMRI). Interindividual correlations are also employed in data from fMRI and positron emission tomography. Many studies have not specified tasks during scanning, keeping participants in an implicit "resting" condition. This lack of task specificity raises questions about how different tasks impact interindividual correlation estimates. Methods and Results: In our analysis of fMRI data from 100 unrelated participants scanned during seven tasks and in a resting state, we calculated regional homogeneity (ReHo) for each task as a regional measure of brain function. We found that changes in ReHo due to tasks were relatively small compared with its variations across brain regions. Cross-region variations of ReHo were highly correlated among tasks. Similarly, whole-brain interindividual correlation patterns were remarkably consistent across the tasks, showing correlations greater than 0.78. Changes in interindividual correlations between tasks were primarily driven by connectivity in the visual, somatomotor, and default mode networks, as well as the interactions between them. Conclusions: These subtle yet statistically significant differences in functional connectivity may be linked to specific brain regions associated with the studied tasks. Future studies should consider task design when exploring interindividual connectivity in specific brain systems.

脑功能连通性的研究通常依赖于个体内部功能活动的瞬间相关性,通常使用功能磁共振成像(fMRI)。个体间的相关性也用于功能磁共振成像和正电子发射断层扫描的数据。许多研究在扫描过程中没有指定任务,使参与者处于隐性的“休息”状态。这种任务特异性的缺乏提出了关于不同任务如何影响个体间相关性估计的问题。方法和结果:我们分析了100名无关参与者在7个任务和静息状态下的fMRI数据,计算了每个任务的区域均匀性(ReHo),作为脑功能的区域测量。我们发现,与大脑各区域的变化相比,任务导致的ReHo变化相对较小。不同任务间ReHo的区域差异高度相关。同样,整个大脑的个体间相关模式在任务中也非常一致,相关性大于0.78。任务之间个体间相关性的变化主要是由视觉、躯体运动和默认模式网络的连通性以及它们之间的相互作用驱动的。结论:这些细微但统计上显著的功能连接差异可能与研究任务相关的特定大脑区域有关。未来的研究应该在探索特定大脑系统的个体间连接时考虑任务设计。
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引用次数: 0
Enhanced Functional Connectivity of Executive Functions and Attention Networks During Reading Versus Narrative Comprehension in Dyslexia. 阅读与叙事理解中执行功能和注意网络的功能连通性增强。
IF 2.5 3区 医学 Q3 NEUROSCIENCES Pub Date : 2025-08-01 Epub Date: 2025-07-11 DOI: 10.1177/21580014251358735
Rola Farah, Raya Meri, Tzipi Horowitz-Kraus

Introduction: Executive functions (EF) are cognitive processes supporting language and reading. Children with dyslexia show reading difficulties primarily due to phonological processing, with additional reported deficits in EF. This study aimed to determine the differences in EF involvement during written (reading) versus oral language (narrative) comprehension in children with dyslexia versus typical readers neurobiologically and behaviorally. Methods: Reading, language, and EF behavioral measures and functional MRI data were collected from 55 typical readers (TR) and 65 English-speaking children with dyslexia ages 8-12 years during reading and narrative comprehension tasks. Differences within and between functional connectivity of EF and attention networks were calculated and then compared between groups and tasks using Fisher Z-transformation. Results: Children with dyslexia showed higher functional connectivity values in EF and attention networks in both reading and narrative comprehension tasks, whereas TR showed higher functional connectivity in narrative versus reading comprehension. Within groups, analysis showed higher functional connectivity within dorsal attention functional brain network (DAN) and between DAN-fronto-parietal (FP), cingulo-opercular (CO)-FP, and ventral attention functional brain network (VAN)-DAN, in the reading versus narrative comprehension task in the dyslexia group. TR showed higher functional connectivity within VAN, and between VAN-FP in the narrative compared to the reading comprehension tasks. Discussion: Children with dyslexia seem to greatly utilize EF and attention-related networks in narrative and reading comprehension tasks and demonstrate a greater network integration for the written versus oral comprehension task. TR, however, utilize these networks only during oral comprehension, which may point to a greater reliance on memory and processing effort in the absence of written information.

导读:执行功能是支持语言和阅读的认知过程。有阅读障碍的儿童表现出阅读困难,主要是由于语音加工,还有额外的英语阅读缺陷。本研究旨在确定阅读障碍儿童与典型读者在书面(阅读)和口头(叙述)理解过程中EF参与的差异。方法:收集55名典型读者(TR)和65名8-12岁英语阅读障碍儿童在阅读和叙事理解任务中的阅读、语言和EF行为测量和功能MRI数据。计算EF和注意网络功能连通性内部和之间的差异,然后利用Fisher z变换比较各组和任务之间的差异。结果:阅读障碍儿童在阅读和叙事理解任务中EF和注意网络的功能连通性值更高,而阅读障碍儿童在叙事和阅读理解任务中表现出更高的功能连通性。在组内,分析显示,在阅读与叙事理解任务中,阅读障碍组的背侧注意功能脑网络(DAN)以及DAN-额顶叶(FP)、扣谷-眼(CO)-FP和腹侧注意功能脑网络(VAN)-DAN之间的功能连通性更高。与阅读理解任务相比,TR在叙事任务中表现出更高的VAN内部和VAN- fp之间的功能连通性。讨论:患有阅读障碍的儿童似乎在叙述和阅读理解任务中大量使用EF和注意力相关网络,并且在书面理解任务和口头理解任务中表现出更大的网络整合。然而,TR仅在口头理解中使用这些网络,这可能表明在缺乏书面信息的情况下,他们更依赖于记忆和处理努力。
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引用次数: 0
Heterogeneity of Degree Centrality Revealed Different Subtypes in Children with Autism Spectrum Disorder. 程度中心性异质性揭示自闭症谱系障碍儿童的不同亚型。
IF 2.5 3区 医学 Q3 NEUROSCIENCES Pub Date : 2025-08-01 Epub Date: 2025-07-03 DOI: 10.1089/brain.2024.0033
Xiaonan Guo, Yingnan Xing, Dong Cui, Rongjuan Zhou, Le Gao

Introduction: Autism spectrum disorder (ASD) is a neurodevelopmental condition that exhibits a wide range of clinical heterogeneity. This study aimed to explore the heterogeneity of ASD based on deviations in brain functional networks. Methods: Resting-state functional magnetic resonance imaging data from the Autism Brain Imaging Data Exchange database were analyzed in 105 children with ASD and 102 demographically matched typical controls (TC) children. Heterogeneity through discriminative analysis (HYDRA) was utilized to identify subtypes of ASD based on the degree centrality (DC) maps. Voxel-wise group comparisons were then performed between ASD subtypes and the TC group. The relationship between the altered DC and the symptom severity was finally analyzed for ASD subtypes using the multivariate support vector regression approach. Results: HYDRA identified three subtypes of ASD. Distinct DC alteration patterns were observed in brain regions including the fusiform gyrus, insula, and inferior frontal gyrus in ASD subtypes. Moreover, the altered DC values for ASD subtype 1 and subtype 3 can predict the restricted and repetitive behavior and social communication impairments in ASD, respectively. Conclusions: Our findings demonstrated the heterogeneity of brain functional networks in ASD and provided a promising way to explain the high heterogeneity of clinical symptoms and outcomes.

简介:自闭症谱系障碍(ASD)是一种表现出广泛临床异质性的神经发育疾病。本研究旨在探讨基于脑功能网络偏差的ASD异质性。方法:对来自自闭症脑成像数据交换数据库的105例ASD儿童和102例人口统计学匹配的典型对照(TC)儿童的静息状态功能磁共振成像数据进行分析。基于度中心性(DC)图谱,采用判别分析异质性(HYDRA)来识别ASD亚型。然后在ASD亚型和TC组之间进行体素组比较。最后采用多变量支持向量回归方法分析ASD亚型的DC改变与症状严重程度之间的关系。结果:HYDRA鉴定出ASD的三种亚型。在ASD亚型的梭状回、脑岛和额下回等脑区观察到明显的DC改变模式。此外,ASD亚型1和亚型3的DC值变化可以分别预测ASD的限制性和重复性行为以及社交障碍。结论:我们的研究结果证明了ASD中脑功能网络的异质性,并为解释临床症状和结果的高异质性提供了一种有希望的方法。
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引用次数: 0
"From Connectivity to Care: Charting Individualized Maps of the Human Brain". “从连接到护理:绘制人类大脑的个性化地图”。
IF 2.5 3区 医学 Q3 NEUROSCIENCES Pub Date : 2025-08-01 Epub Date: 2025-07-21 DOI: 10.1177/21580014251359115
Steven Laureys
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引用次数: 0
Revisiting the Multilayer Network Framework for Electrophysiological Networks. 重新审视电生理网络的多层网络框架。
IF 2.4 3区 医学 Q3 NEUROSCIENCES Pub Date : 2025-06-01 Epub Date: 2025-05-28 DOI: 10.1089/brain.2025.0010
Prejaas K B Tewarie, Steven Laureys, Rikkert Hindriks

Background: The multilayer network framework has emerged as an innovative approach for analyzing electrophysiological networks, providing insights into complex neuronal interactions by integrating connectivity across different frequency bands in electroencephalography (EEG) and magnetoencephalography (MEG) data. Current Limitations: Traditionally, multilayer networks have treated canonical frequency bands (e.g., delta, theta, alpha, beta, gamma) as distinct layers. Recent findings could raise potential concerns regarding this approach, emphasizing the need to incorporate the distinction between periodic (oscillatory) and aperiodic (broadband) signal components. Conceptual Advance: Aperiodic signals may reflect excitation-inhibition balance and scale-free dynamics, while periodic signals capture oscillatory rhythms, both contributing uniquely to brain network interactions. A multilayer network framework in the current context could be applicable in the case of genuine coupling between these components, termed "aperiodic-to-periodic coupling." This necessitates novel connectivity metrics and analytical methods that can handle broadband data. Furthermore, challenges remain in decomposing these components in the time domain and developing robust metrics for broadband connectivity that account for signal leakage. Outlook: Addressing these issues will enhance multilayer frameworks, enabling better insights into brain network integrity, cognitive dysfunction, and neurological conditions.

背景:多层网络框架已经成为分析电生理网络的一种创新方法,通过整合脑电图(EEG)和脑磁图(MEG)数据中不同频段的连接,可以深入了解复杂的神经元相互作用。当前限制:传统上,多层网络将标准频带(例如,delta, theta, alpha, beta, gamma)作为不同的层处理。最近的研究结果可能会引起对这种方法的潜在关注,强调需要将周期(振荡)和非周期(宽带)信号成分之间的区别结合起来。概念进展:非周期信号可能反映兴奋-抑制平衡和无标度动态,而周期信号捕捉振荡节奏,两者都对大脑网络相互作用有独特的贡献。当前上下文中的多层网络框架可以适用于这些组件之间的真正耦合,称为“非周期性到周期性耦合”。这就需要能够处理宽带数据的新型连接度量和分析方法。此外,在时域分解这些组件以及开发考虑信号泄漏的宽带连接的稳健指标方面仍然存在挑战。展望:解决这些问题将增强多层框架,使我们能够更好地了解大脑网络完整性、认知功能障碍和神经系统疾病。
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引用次数: 0
Changes in the Functional Connectivity of Cerebellar Subregions in Anti-N-Methyl-d-Aspartate Receptor Encephalitis. 抗n -甲基-d-天冬氨酸受体脑炎小脑亚区功能连通性的变化。
IF 2.4 3区 医学 Q3 NEUROSCIENCES Pub Date : 2025-06-01 Epub Date: 2025-06-02 DOI: 10.1089/brain.2024.0102
Muzi Li, Zijun Liu, Jingwen Li, Guang Xu, Junzhang Tian, Xiaofen Ma

Background: In anti-N-methyl-d-aspartate receptor (anti-NMDAR) encephalitis, the cerebellum, a characteristic brain region, exhibits abnormal functioning and structure. However, the relationship between resting-state activities in the cerebellar subregions and core symptoms of cognitive dysfunction is unclear. Methods: In this study, a total of 23 patients with anti-NMDAR encephalitis and 23 healthy controls were included, and 19 patients (mean age 30.05 ± 13.03 years) and 21 healthy controls (mean age 28.42 ± 9.47 years) were enrolled based on image quality and head movement. Seed-based functional connectivity (FC) analysis was used to investigate changes in FC of cerebellar subregions, and the association between changes in cerebellar subregion FC and cognitive dysfunction was explored in conjunction with cognitive scales. Results: Patients with anti-NMDAR encephalitis exhibited poorer cognitive performance than the healthy controls did. In the patient group, the FC between the right cerebellar Crus I and the left thalamus was significantly reduced and showed a negative correlation with disease duration (p < 0.05); however, it showed positive correlations with attention and information processing speed according to Symbol Digit Modalities Test (p < 0.01), as well as with verbal learning and memory (according to California Verbal Learning Test (CVLT; p < 0.05). The FCs between the left cerebellar Crus Ia and the right medial superior frontal gyrus, as well as between the left cerebellar Crus Ib and the right middle temporal gyrus, were decreased. The connectivity between the cerebellar vermis Crus II and the left putamen, along with the opercular part of the inferior frontal gyrus, showed a significant reduction. Decreased FC between the left cerebellar X lobule and the left putamen showed positive correlation with CVLT (p < 0.01). Conclusion: Cerebellar subregion and brain abnormalities FC in patients with anti-NMDAR encephalitis are linked to cognitive deficits. These results provide insights into the neurophysiological mechanisms underlying cognitive impairment in these patients.

背景:在抗n -甲基-d-天冬氨酸受体(抗nmdar)脑炎中,小脑是一个特征性的脑区,表现出功能和结构的异常。然而,小脑亚区静息状态活动与认知功能障碍核心症状之间的关系尚不清楚。方法:本研究共纳入抗nmdar脑炎患者23例和健康对照23例,根据图像质量和头部运动分为19例(平均年龄30.05±13.03岁)和21例健康对照(平均年龄28.42±9.47岁)。采用基于种子的功能连通性分析(Seed-based functional connectivity, FC)研究小脑亚区FC的变化,并结合认知量表探讨小脑亚区FC变化与认知功能障碍的关系。结果:抗nmdar脑炎患者的认知能力较健康对照组差。患者组右小脑第一脚与左丘脑之间的FC显著降低,且与病程呈负相关(p < 0.05);然而,根据符号数字模态测验,它与注意力和信息处理速度呈正相关(p < 0.01),与言语学习和记忆呈正相关(根据加州言语学习测验(CVLT;P < 0.05)。左侧小脑Ia小腿与右侧内侧额上回之间、左侧小脑Ib小腿与右侧颞中回之间的FCs减少。小脑蚓丘II与左壳核之间的连通性以及额下回的眼部明显减少。左小脑X小叶与左壳核间FC降低与CVLT呈正相关(p < 0.01)。结论:抗nmdar脑炎患者小脑亚区和脑异常FC与认知缺陷有关。这些结果为这些患者认知障碍的神经生理学机制提供了见解。
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引用次数: 0
The Lack of Neurofeedback Training Regulation Guidance and Process Evaluation May be a Source of Controversy in Post-Traumatic Stress Disorder-Neurofeedback Research: A Systematic Review and Statistical Analysis. 缺乏神经反馈训练调节指导和过程评估可能是创伤后应激障碍-神经反馈研究的争议来源:系统回顾和统计分析。
IF 2.4 3区 医学 Q3 NEUROSCIENCES Pub Date : 2025-05-15 DOI: 10.1089/brain.2024.0084
Peng Ding, Lize Tan, He Pan, Anming Gong, Wenya Nan, Yunfa Fu
<p><p><b><i>Objectives:</i></b> Neurofeedback (NF) based on brain-computer interface (BCI) is an important direction in adjunctive interventions for post-traumatic stress disorder (PTSD). However, existing research lacks comprehensive methodologies and experimental designs. There are concerns in the field regarding the effectiveness and mechanistic interpretability of NF, prompting this study to conduct a systematic analysis of primary NF techniques and research outcomes in PTSD modulation. The study aims to explore reasons behind these concerns and propose directions for addressing them. <b><i>Methods:</i></b> A search conducted in the Web of Science database up to December 1, 2023, yielded 111 English articles, of which 80 were excluded based on predetermined criteria irrelevant to this study. The remaining 31 original studies were included in the literature review. A checklist was developed to assess the robustness and credibility of these 31 studies. Subsequently, these original studies were classified into electroencephalogram-based NF (EEG-NF) and functional magnetic resonance imaging-based NF (fMRI-NF) based on BCI type. Data regarding target brain regions, target signals, modulation protocols, control group types, assessment methods, data processing strategies, and reported outcomes were extracted and synthesized. Consensus theories from existing research and directions for future improvements in related studies were distilled. <b><i>Results:</i></b> Analysis of all included studies revealed that the average sample size of PTSD patients in EEG and fMRI NF studies was 17.4 (SD 7.13) and 14.6 (SD 6.37), respectively. Due to sample and neurofeedback training protocol constraints, 93% of EEG-NF studies and 87.5% of fMRI-NF studies used traditional statistical methods, with minimal utilization of basic machine learning (ML) methods and no studies utilizing deep learning (DL) methods. Apart from approximately 25% of fMRI NF studies supporting exploratory psychoregulatory strategies, the remaining EEG and fMRI studies lacked explicit NF modulation guidance. Only 13% of studies evaluated NF effectiveness methods involving signal classification, decoding during the NF process, and lacking in process monitoring and assessment means. <b><i>Conclusion:</i></b> In summary, NF holds promise as an adjunctive intervention technique for PTSD, potentially aiding in symptom alleviation for PTSD patients. However, improvements are necessary in the process evaluation mechanisms for PTSD-NF, clarity in NF modulation guidance, and development of ML/DL methods suitable for PTSD-NF with small sample sizes. To address these challenges, it is crucial to adopt more rigorous methodologies for monitoring NF, and future research should focus on the integration of advanced data analysis techniques to enhance the effectiveness and precision of PTSD-NF interventions. Impact Statement The implications of this study are to address the limited application of Neurofeedback tr
目的:基于脑机接口(BCI)的神经反馈(NF)是创伤后应激障碍(PTSD)辅助干预的重要方向。然而,现有的研究缺乏全面的方法和实验设计。由于对NF的有效性和机制可解释性的关注,本研究对NF在PTSD调节中的主要技术和研究成果进行了系统的分析。本研究旨在探讨这些问题背后的原因,并提出解决这些问题的方向。方法:截至2023年12月1日,在Web of Science数据库中检索到111篇英文文章,其中80篇根据与本研究无关的预定标准被排除。其余31项原始研究纳入文献综述。我们制定了一个检查表来评估这31项研究的稳健性和可信性。随后,根据BCI类型将这些原始研究分为基于脑电图的NF (EEG-NF)和基于功能磁共振成像的NF (fMRI-NF)。提取和合成有关目标脑区、目标信号、调制方案、对照组类型、评估方法、数据处理策略和报告结果的数据。总结了已有研究的共识理论和今后相关研究的改进方向。结果:对所有纳入研究的分析显示,EEG和fMRI NF研究中PTSD患者的平均样本量分别为17.4 (SD 7.13)和14.6 (SD 6.37)。由于样本和神经反馈训练协议的限制,93%的EEG-NF研究和87.5%的fMRI-NF研究使用了传统的统计方法,基本机器学习(ML)方法的使用很少,没有研究使用深度学习(DL)方法。除了大约25%的fMRI NF研究支持探索性心理调节策略外,其余的EEG和fMRI研究缺乏明确的NF调节指导。仅13%的研究评估了NF有效性方法,包括NF过程中的信号分类和解码,缺乏过程监测和评估手段。结论:综上所述,NF有望作为PTSD的辅助干预技术,有助于缓解PTSD患者的症状。然而,需要改进PTSD-NF的过程评估机制,明确NF调制指导,以及开发适合小样本量PTSD-NF的ML/DL方法。为了应对这些挑战,采用更严格的方法监测创伤后应激障碍至关重要,未来的研究应侧重于整合先进的数据分析技术,以提高创伤后应激障碍干预措施的有效性和准确性。本研究的意义是解决神经反馈训练(NFT)在创伤后应激障碍(PTSD)研究中的有限应用,其中很大一部分的方法,基础研究和结论缺乏共识。值得注意的是,缺乏对NFT干预PTSD的回顾性统计分析。本研究对现有研究进行了全面的统计分析和讨论,为未来的研究提供了有价值的见解。这些发现对研究人员、临床医生和该领域的从业人员具有重要意义,为创伤后应激障碍治疗的知情、循证干预提供了基础。
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引用次数: 0
Effects of Transcranial Magnetic Stimulation on Cognitive-Affective Task-Based Functional Connectivity. 经颅磁刺激对认知-情感任务型功能连通性的影响。
IF 2.4 3区 医学 Q3 NEUROSCIENCES Pub Date : 2025-05-01 Epub Date: 2025-04-21 DOI: 10.1089/brain.2024.0095
Merideth A Addicott, Jonathan R Young, L Gregory Appelbaum

Objective: Repetitive transcranial magnetic stimulation (rTMS) uses electromagnetic fields to induce electrical currents in the superficial cortex, and this electric signal is believed to propagate to functionally connected distal brain regions. We previously reported that rTMS targeting the postcentral gyrus affected resting-state functional connectivity with the posterior insula. The current study investigated whether rTMS targeting the postcentral gyrus would affect task-based functional connectivity (TBFC) with the posterior insula during a cognitive-affective distress task. Methods: Twenty-five healthy participants were assigned to 10 Hertz (Hz) (n = 13) or 1 Hz (n = 12) rTMS groups. Participants received five consecutive days of once-daily rTMS and underwent pre- and post-rTMS magnetic resonance imaging (MRI) scans while completing a cognitive-affective distress task with negative auditory feedback. rTMS coil placement over the right postcentral gyrus was guided with neuronavigation, and TBFC analysis of the MRI data was performed using the bilateral auditory cortex as a seed region-of-interest. Results: There was an false discovery rate (FDR)-corrected significant group-by-session-by-condition interaction in a right putamen/posterior insula cluster: in the distress condition, the 1 Hz rTMS group had significantly weaker (i.e., smaller absolute value) negative TBFC following rTMS (p = 0.005), while the 10 Hz group had no significant effect. Conclusion: This preliminary, proof-of-concept study suggests that rTMS can modulate TBFC in distal brain regions implicated in the neural response to cognitive-affective negative feedback. Future research should investigate whether rTMS can both modulate insula-associated TBFC and improve cognitive-affective task performance or mood outcomes, potentially by increasing the number of rTMS sessions or using different rTMS pulse sequences. Impact Statement Clinical application of repetitive transcranial magnetic stimulation (rTMS) may exert a therapeutic effect by modulating the strength of functional connectivity between superficial cortical areas and deeper brain regions. These effects on functional connectivity are typically measured while participants are at rest. This proof-of-concept study suggests that rTMS can have a measurable effect on task-based functional connectivity as well. In the future, this could be an important means of understanding how rTMS exerts effects on cognitive-affective task performance and mood.

目的:重复经颅磁刺激(rTMS)利用电磁场在大脑皮层浅层诱发电流,该电信号被认为可以传播到功能相连的大脑远端区域。我们之前报道过,针对中央后回的rTMS会影响静息状态与后岛的功能连接。本研究调查了在认知-情感痛苦任务中,针对中央后回的rTMS是否会影响与后岛的任务型功能连接(TBFC)。方法:25名健康受试者被分为10赫兹(n = 13)或1赫兹(n = 12) rTMS组。参与者接受了连续五天每天一次的rTMS,并接受了rTMS前后的磁共振成像(MRI)扫描,同时完成了一项带有负面听觉反馈的认知-情感痛苦任务。rTMS线圈放置在右侧中央后回上,神经导航引导,MRI数据的TBFC分析使用双侧听觉皮层作为种子感兴趣区域。结果:右侧壳核/后岛簇存在经FDR校正的显著组间相互作用:在窘迫状态下,1 Hz rTMS组在rTMS后的负TBFC显著较弱(即绝对值较小)(p = 0.005),而10 Hz组无显著影响。结论:这项初步的概念验证研究表明,rTMS可以调节与认知-情感负反馈神经反应有关的远端脑区TBFC。未来的研究应该通过增加rTMS的次数或使用不同的rTMS脉冲序列来调查rTMS是否可以调节与胰岛素相关的TBFC并改善认知-情感任务表现或情绪结果。重复性经颅磁刺激(rTMS)的临床应用可能通过调节皮层浅层和脑深部区域之间的功能连接强度来发挥治疗作用。这些对功能连接的影响通常是在参与者休息时测量的。这项概念验证研究表明,rTMS对基于任务的功能连接也有可测量的影响。在未来,这可能是理解rTMS如何对认知-情感任务表现和情绪产生影响的重要手段。
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Brain connectivity
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