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Neural variability in the default mode network compresses with increasing belief precision during Bayesian inference. 在贝叶斯推理过程中,默认模式网络的神经变异性随着信念精度的提高而压缩。
IF 2.9 2区 医学 Q2 NEUROSCIENCES Pub Date : 2025-09-15 DOI: 10.1093/cercor/bhaf219
Alexander Skowron, Julian Q Kosciessa, Robert C Lorenz, Ralph Hertwig, Wouter van den Bos, Douglas D Garrett

To make optimal decisions, intelligent agents must learn latent environmental states from discrete observations. Bayesian frameworks argue that integration of evidence over time allows us to refine our state belief by reducing uncertainty about alternate possibilities. How is this increasing belief precision during learning reflected in the brain? We propose that temporal neural variability should scale with the degree of reduction of uncertainty during learning. In a sample of 47 healthy adults, we found that BOLD signal variability (SDBOLD, as measured across independent learning trials) indeed compressed with successive exposure to decision-related evidence. Crucially, more accurate participants expressed greater SDBOLD compression primarily in default mode network regions, possibly reflecting the increasing precision of their latent state belief during more efficient learning. Further, computational modeling of behavior suggested that more accurate subjects held a more unbiased (flatter) prior belief over possible states that allowed for larger uncertainty reduction during learning, which was directly reflected in SDBOLD changes. Our results provide first evidence that neural variability compresses with increasing belief precision during effective learning, proposing a flexible mechanism for how we come to learn the probabilistic nature of the world around us.

为了做出最优决策,智能体必须从离散的观察中学习潜在的环境状态。贝叶斯框架认为,随着时间的推移,证据的整合使我们能够通过减少替代可能性的不确定性来完善我们的状态信念。在学习过程中,这种不断增强的信念准确性是如何反映在大脑中的呢?我们提出,时间神经变异性应该与学习过程中不确定性的减少程度成比例。在47名健康成人的样本中,我们发现,随着决策相关证据的不断暴露,BOLD信号变异性(SDBOLD,通过独立学习试验测量)确实被压缩。更重要的是,更准确的参与者主要在默认模式网络区域表达了更大的sdold压缩,这可能反映了他们在更有效的学习过程中潜在状态信念的精确度提高。此外,行为的计算模型表明,更准确的受试者对可能的状态持有更无偏(更平坦)的先验信念,从而在学习过程中允许更大的不确定性减少,这直接反映在SDBOLD的变化中。我们的研究结果首次证明,在有效学习过程中,神经变异性会随着信念精度的提高而压缩,这为我们如何学习周围世界的概率性提供了一种灵活的机制。
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引用次数: 0
Cognitive maps for hierarchical spaces in the human brain. 人类大脑中层次空间的认知地图。
IF 2.9 2区 医学 Q2 NEUROSCIENCES Pub Date : 2025-09-15 DOI: 10.1093/cercor/bhaf261
Michael Peer, Russell A Epstein

Many of the environments that we navigate through every day are hierarchically organized-they consist of spaces nested within other spaces. How do our mind/brains represent such environments? To address this question, we familiarized participants with a virtual environment consisting of a building within a courtyard, with objects distributed throughout the courtyard and building interior. We then scanned them with functional MRI (fMRI) while they performed a memory task that required them to think about spatial relationships within and across the subspaces. Behavioral responses were less accurate and response times were longer on trials requiring integration across the subspaces compared to trials not requiring integration. FMRI response differences between integration and non-integration trials were observed in scene-responsive and medial temporal lobe brain regions, which were correlated the behavioral integration effects in retrosplenial complex, occipital place area, and hippocampus. Multivoxel pattern analyses provided additional evidence for representations in these brain regions that reflected the hierarchical organization of the environment. These results indicate that people form cognitive maps of nested spaces by dividing them into subspaces and using an active cognitive process to integrate the subspaces. Similar mechanisms might be used to support hierarchical coding in memory more broadly.

我们每天所经历的许多环境都是分层组织的——它们由嵌套在其他空间中的空间组成。我们的思想/大脑是如何表现这样的环境的?为了解决这个问题,我们让参与者熟悉了一个虚拟环境,这个环境由庭院内的建筑组成,物体分布在庭院和建筑内部。然后,我们用功能性磁共振成像(fMRI)对他们进行扫描,同时让他们执行一项记忆任务,要求他们思考子空间内部和子空间之间的空间关系。与不需要整合的实验相比,需要跨子空间整合的实验的行为反应更不准确,反应时间更长。在情景反应区和内侧颞叶脑区观察到整合与非整合试验的FMRI反应差异,这与脾后复合体、枕位区和海马的行为整合效应有关。多体素模式分析为这些大脑区域的表征提供了额外的证据,这些表征反映了环境的分层组织。这些结果表明,人们通过将嵌套空间划分为子空间并使用主动认知过程将子空间整合来形成嵌套空间的认知地图。类似的机制可以用于更广泛地支持内存中的分层编码。
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引用次数: 0
Reward-specific satiety and reward-specific motivation: neural bases and significance. 奖励特异性饱足感和奖励特异性动机:神经基础和意义。
IF 2.9 2区 医学 Q2 NEUROSCIENCES Pub Date : 2025-09-15 DOI: 10.1093/cercor/bhaf248
Edmund T Rolls, Chenfei Zhang, Jianfeng Feng

How choices are made between rewards is fundamental to understanding the behavior of humans and most other vertebrates. A key factor in the choices is reward-specific satiety, which is the sensory-specific decrease in the reward value of a particular reward when it is consumed to satiety. Another key factor is reward-specific motivation, the increase in the reward value of a reward when it is first provided. Here, we develop the theory based on experimental evidence in humans and other primates, that reward-specific satiety is implemented in orbitofrontal cortex reward value neurons by adaptation in the synapses from visual and taste cortical regions in which the neuronal firing is not influenced by reward-specific satiety. Correspondingly we develop the theory that reward-specific motivation (or incentive motivation) is implemented by shorter-term synaptic facilitation in the same synapses on to orbitofrontal cortex reward value neurons. We complement the theories with an integrate-and-fire neuronal network model of how these reward value computations are performed in the orbitofrontal cortex by synaptic adaptation and synaptic facilitation in the afferent connections to orbitofrontal cortex reward value neurons, to implement a profound influence on behavioral choice that has great adaptive value for humans and many other animals.

如何在奖励之间做出选择是理解人类和大多数其他脊椎动物行为的基础。选择的一个关键因素是奖励特异性饱足感,也就是当某种特定奖励被消耗到饱足感时,其奖励价值的感官特异性降低。另一个关键因素是奖励特定动机,即当奖励首次出现时奖励价值的增加。在这里,我们基于人类和其他灵长类动物的实验证据,提出了一种理论,即奖励特异性饱足感是通过视觉和味觉皮质区域突触的适应在眶额皮质奖励价值神经元中实现的,在这些区域,神经元放电不受奖励特异性饱足感的影响。相应的,我们发展了一种理论,即奖励特异性动机(或激励动机)是通过眶额叶皮层奖励价值神经元上的相同突触的短期突触促进来实现的。我们用一个“整合-激活”神经元网络模型来补充这些理论,该模型解释了这些奖励价值计算是如何在眶额叶皮层通过突触适应和突触促进来完成的,从而对人类和许多其他动物的行为选择产生了深远的影响,这对人类和许多其他动物具有很大的适应价值。
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引用次数: 0
Robust population orientation encoding by orientation-untuned neurons in macaque V1. 猕猴V1定向非调谐神经元的鲁棒群体定向编码。
IF 2.9 2区 医学 Q2 NEUROSCIENCES Pub Date : 2025-09-15 DOI: 10.1093/cercor/bhaf264
Yuejia Zhong, Ming Song, Weiyang Shi, Shiqi Di, Cong Yu, Tianzi Jiang

Orientation is one of the most fundamental stimulus features in visual perception. In the primary visual cortex (V1), while most neurons are orientation-selective, a small portion exhibits a lack of this selectivity. However, it remains unclear what roles the orientation-untuned V1 neurons play in population orientation discrimination. Here, we analyzed data from a 2-photon calcium imaging study that recorded the responses of thousands of V1 neurons to a grating stimulus at various orientations in awake macaques. Our population analysis reveals that orientation-untuned neurons can independently decode stimulus orientation with accuracy comparable to tuned neurons. Remarkably, we found that the more critical role of orientation-untuned neuronal populations in orientation encoding is to enhance coding robustness, specifically by reducing sensitivity to noise. Moreover, when using artificial neural networks to model the primate ventral visual pathway, we found that the V1-like layer also contains a proportion of orientation-untuned units. Removing these units leads to significant impairments in natural object recognition. Overall, these results indicate that orientation-untuned neurons encode orientation information and play a crucial role in primate visual perception. The study provides compelling evidence for a continuous distribution of visual features across neurons and challenges the notion of highly specialized units.

定向是视觉感知中最基本的刺激特征之一。在初级视觉皮层(V1)中,虽然大多数神经元具有定向选择性,但一小部分神经元缺乏这种选择性。然而,定向不调谐的V1神经元在群体定向歧视中扮演什么角色尚不清楚。在这里,我们分析了来自双光子钙成像研究的数据,该研究记录了清醒猕猴在不同方向上对光栅刺激的数千个V1神经元的反应。我们的种群分析表明,定向未调谐神经元可以独立解码刺激定向,其准确性与调谐神经元相当。值得注意的是,我们发现定向非调谐神经元群在定向编码中更重要的作用是增强编码的鲁棒性,特别是通过降低对噪声的敏感性。此外,当使用人工神经网络对灵长类动物腹侧视觉通路进行建模时,我们发现v1样层也包含一定比例的定向未调谐单元。移除这些单元会导致对自然物体识别的严重损害。综上所述,这些结果表明定向非调谐神经元编码定向信息,在灵长类动物的视觉感知中起着至关重要的作用。这项研究为视觉特征在神经元之间的连续分布提供了令人信服的证据,并挑战了高度专业化单位的概念。
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引用次数: 0
Mediation of symptom severity in the relationship between white matter alterations and functional impairment in attention deficit-hyperactivity disorder children: an AFQ and TBSS study. 症状严重程度在注意缺陷多动障碍儿童白质改变与功能损害关系中的中介作用:一项AFQ和TBSS研究
IF 2.9 2区 医学 Q2 NEUROSCIENCES Pub Date : 2025-09-15 DOI: 10.1093/cercor/bhaf202
Manxue Zhang, Sixun Li, Shengnan Zhao, Lei Li, Tingting Luo, Mingjing Situ, Yi Huang

The present study aims to investigate the relationship between white matter alterations and functional impairment in attention-deficit/hyperactivity disorder (ADHD) children. Diffusion tensor imaging data were examined in a cross-sectional sample of 125 ADHD children and 73 typically developing controls. White matter integrity was analyzed using two complementary approaches: tract-based spatial statistics analysis (TBSS) and automated fiber quantification (AFQ). Our findings revealed both disrupted (the left inferior longitudinal fasciculus, ILF_L; the left inferior fronto-occipital fasciculus, IFOF_L) and enhanced (the left anterior thalamic radiation, ATR_L; the left cingulum cingulate, CHC_L; forceps major) white matter alterations in ADHD using complementary TBSS and AFQ methods. The multiple regression analyses showed that functional impairment was higher for higher mean fractional anisotropy (FA) (nodes 64-100) of the left anterior thalamic radiation (beta = 0.19, P = 0.04) and lower for higher mean FA value (nodes 50-55) of the left inferior fronto-occipital fasciculus (beta = -0.15, P = 0.02). Importantly, mediation analyses revealed that ADHD symptom severity partially mediated the relationship between white matter alterations and functional impairment. This study revealed bidirectional white matter alterations in ADHD, and emphasized the potential of the anterior thalamic radiation and inferior fronto-occipital fasciculus abnormality as biomarkers for assessing functional impairments and informing targeted therapeutic strategies to improve clinical outcomes.

本研究旨在探讨注意缺陷多动障碍(ADHD)儿童脑白质改变与功能障碍的关系。扩散张量成像数据在125名ADHD儿童和73名正常发展的对照中进行了检查。白质完整性分析采用两种互补的方法:基于束的空间统计分析(TBSS)和自动纤维定量(AFQ)。我们的研究结果显示,使用互补的TBSS和AFQ方法,ADHD患者的白质改变被破坏(左侧下纵束,ILF_L;左侧额枕下束,IFOF_L)和增强(左侧丘脑前辐射,ATR_L;左侧扣带,CHC_L;镊主要)。多元回归分析显示,左侧丘脑前区辐射平均分数各向异性(FA)较高(64 ~ 100节点)(beta = 0.19, P = 0.04),左侧额枕下束平均分数各向异性(FA)较高(50 ~ 55节点)(beta = -0.15, P = 0.02),功能损害程度较高。重要的是,中介分析显示ADHD症状严重程度部分介导了白质改变和功能损害之间的关系。本研究揭示了ADHD的双向白质改变,并强调了丘脑前辐射和额枕下束异常作为评估功能障碍和提供靶向治疗策略以改善临床结果的生物标志物的潜力。
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引用次数: 0
Cortical networks involved in judging the attention of others. 与判断他人注意力有关的皮层网络。
IF 2.9 2区 医学 Q2 NEUROSCIENCES Pub Date : 2025-09-15 DOI: 10.1093/cercor/bhaf266
Kirsten Ziman, Sarah C Kimmel, Isaac Christian, Kathryn T Farrell, Michael S A Graziano

Understanding someone else's attention lies at the heart of human interaction. When we perceive something to be in someone else's attention, we understand it to be in that person's mind in the moment, ready to affect that person's choices. It has been proposed that people construct predictive models of the attentional state of others. In that proposal, a working understanding of someone else's attention goes far beyond merely tracking the direction of someone's eyes. For example, in a recent study, participants watched a spotlight of attention moving around a picture and successfully judged whether the trace represented real, human attention or an artificially manipulated version, demonstrating implicit information about how patterns of attention behave over space and time. However, the neuronal underpinnings of attention modeling are almost entirely unstudied. Here we tested people in an fMRI scanner while they performed the attention judgment paradigm. When contrasting attention traces that participants judged to be artificial versus those judged to be real, activity was found bilaterally in the precuneus, dorsomedial prefrontal cortex, anterior cingulate, and anterior insula, as well as in a part of the right temporoparietal junction. These areas partially overlap the theory-of-mind network and the salience network. The activations differ from those known to be involved in processing low-level features of attention such as the sight of other people's eyes. The results provide an initial picture of the cortical networks involved in monitoring the attention patterns of others and recognizing when those patterns deviate from expectation.

理解别人的注意力是人际交往的核心。当我们察觉到某件事引起了别人的注意时,我们就会理解它此刻在那个人的脑海里,准备好影响那个人的选择。有人提出,人们会构建他人注意状态的预测模型。在这个提议中,对他人注意力的有效理解远远超出了仅仅追踪某人眼睛的方向。例如,在最近的一项研究中,参与者观察一个注意力焦点在一张图片上移动,并成功判断出这个痕迹是真实的、人类的注意力,还是人为操纵的,从而展示了关于注意力模式如何随时间和空间变化的隐含信息。然而,注意力建模的神经元基础几乎完全没有被研究过。在这里,我们用fMRI扫描仪对人们进行测试,同时让他们进行注意力判断范式。当将参与者判断为人为的注意力痕迹与判断为真实的注意力痕迹进行对比时,在双侧楔前叶、背内侧前额叶皮层、前扣带、前岛以及右侧颞顶交界处的一部分都发现了活动。这些区域部分重叠了心理理论网络和显著性网络。这些激活不同于那些已知涉及处理低级注意力特征的激活,比如看到别人的眼睛。研究结果提供了大脑皮层网络的初步图像,这些网络参与监控他人的注意力模式,并识别这些模式何时偏离预期。
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引用次数: 0
Investigating the genetic and causal relationship between coffee/caffeine consumption and stroke: genome-wide association and bidirectional Mendelian randomization study. 研究咖啡/咖啡因摄入与中风之间的遗传和因果关系:全基因组关联和双向孟德尔随机化研究。
IF 2.9 2区 医学 Q2 NEUROSCIENCES Pub Date : 2025-09-15 DOI: 10.1093/cercor/bhaf265
Xin-Xing Wang, Cheng-Yan Cao, Xing-Feng Wang, Xiang-Yang Wang, Hai-Bo Tong, Yi-Fan Liu

Stroke is a major public health challenge worldwide; yet, the impact of habitual coffee and caffeine consumption on stroke risk remains unclear, with conflicting evidence suggesting both protective and harmful effects. In this study, genetic variants linked to coffee and caffeine consumption were identified from prior genome-wide meta-analyses and used as instrumental variables. Summary-level data for stroke, including ischemic and hemorrhagic subtypes, were obtained from genome-wide association meta-analyses involving 1,913,565, 1,020,314, and 567,056 participants, respectively. Bidirectional 2-sample Mendelian randomization analyses were performed to assess the causal relationships between coffee/caffeine intake and stroke. Novel genetic loci, key genes, and pathways identified in our genome-wide association studies meta-analysis validated the reliability of genome-wide association studies summary statistics as instrumental variables. Forward Mendelian randomization analyses revealed that genetically-predicted coffee and caffeine consumption was associated with a reduced risk of stroke, with pooled odds ratios for stroke-related traits of 0.927 (95% CI, 0.877-0.979; P = 0.007), 0.898 (95% CI, 0.794-1.015; P = 0.085), and 0.954 (95% CI, 0.646-1.408; P = 0.812) for coffee consumption, and 0.831 (95% CI, 0.711-0.972; P = 0.0202), 0.897 (95% CI, 0.799-1.007; P = 0.0656), and 0.924 (95% CI, 0.834-1.023; P = 0.1275) for caffeine consumption. Reverse Mendelian randomization analyses found no evidence of a causal effect of stroke on coffee or caffeine consumption, and no significant heterogeneity or pleiotropy was detected. These findings suggest a potential protective role of coffee and caffeine against stroke and highlight the importance of integrating dietary habits and genetic determinants into future stroke prevention strategies.

中风是全世界的一项重大公共卫生挑战;然而,习惯性饮用咖啡和咖啡因对中风风险的影响仍不清楚,有相互矛盾的证据表明既有保护作用,也有有害作用。在这项研究中,从之前的全基因组荟萃分析中确定了与咖啡和咖啡因摄入相关的遗传变异,并将其用作工具变量。卒中的汇总数据,包括缺血性和出血性亚型,分别从涉及1,913,565,1,020,314和567,056名参与者的全基因组关联荟萃分析中获得。进行双向双样本孟德尔随机分析,以评估咖啡/咖啡因摄入与中风之间的因果关系。在我们的全基因组关联研究中发现了新的遗传位点、关键基因和途径,荟萃分析验证了全基因组关联研究总结统计作为工具变量的可靠性。孟德尔随机分析显示,基因预测的咖啡和咖啡因摄入与卒中风险降低相关,咖啡摄入卒中相关特征的合并优势比为0.927 (95% CI, 0.877-0.979; P = 0.007)、0.898 (95% CI, 0.794-1.015; P = 0.085)和0.954 (95% CI, 0.646-1.408; P = 0.812), 0.831 (95% CI, 0.711-0.972; P = 0.0202)、0.897 (95% CI, 0.799-1.007; P = 0.0656)和0.924 (95% CI, 0.834-1.023;P = 0.1275)。反向孟德尔随机分析没有发现中风与咖啡或咖啡因摄入有因果关系的证据,也没有发现显著的异质性或多效性。这些发现表明,咖啡和咖啡因对中风有潜在的保护作用,并强调了将饮食习惯和遗传决定因素纳入未来中风预防策略的重要性。
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引用次数: 0
Anterior cingulate and its role in enhancing gait training outcomes in persons with cerebral palsy. 前扣带及其在增强脑瘫患者步态训练结果中的作用。
IF 2.9 2区 医学 Q2 NEUROSCIENCES Pub Date : 2025-09-15 DOI: 10.1093/cercor/bhaf267
Morgan T Busboom, Kimberley Scott, Brad Corr, Katie L Bemis, Liana S Chinen, Sarah E Baker, Yasra Arif, Tony W Wilson, Max J Kurz

Persons with cerebral palsy (CP) exhibit diminished somatosensory cortical activity and this has been linked with the extent of their muscular performance and mobility impairments. However, the influence of physical therapy paradigms on such diminished cortical activity remains unclear. The current study evaluated the extent of mobility changes and somatosensory cortical activity in persons with CP (n = 28; Age = 21.57 ± 7.1 yr; Gross Motor Function Classification Score levels I-III) following 8 weeks of a gait training protocol that involved exploratory activities that were directed at enhancing the somatosensory experience through rich/novel movement. A paired-pulse somatosensory paradigm during magnetoencephalography was used to assess the cortical changes after undergoing the physical therapy protocol. Consistent with the literature, the group with CP had weaker somatosensory cortical responses compared to the neurotypical controls. While the participants with CP demonstrated clinically relevant mobility improvements, there were no changes in the somatosensory cortical activity. However, there was a prominent increase in neural activity within the anterior cingulate. This implies that the novel gait training protocol used here may drive beneficial improvements in the ability of persons with CP to monitor their motor errors, attend to the available sensory feedback, and discriminate different sensory intensities during gait.

脑瘫患者表现出躯体感觉皮层活动减弱,这与他们的肌肉表现和行动障碍的程度有关。然而,物理治疗模式对这种皮层活动减弱的影响尚不清楚。目前的研究评估了CP患者(n = 28;年龄= 21.57±7.1岁;大运动功能分类评分水平I-III)在8周的步态训练方案后的活动变化程度和体感皮层活动,该方案包括探索性活动,旨在通过丰富/新颖的运动增强体感体验。在脑磁图中使用成对脉冲体感觉范式来评估接受物理治疗方案后的皮质变化。与文献一致,与神经正常对照组相比,CP组的体感觉皮层反应较弱。虽然CP患者表现出与临床相关的活动能力改善,但体感觉皮层活动没有变化。然而,前扣带内的神经活动明显增加。这意味着本文使用的新型步态训练方案可能会对CP患者监测运动错误、注意可用的感觉反馈和区分步态中不同感觉强度的能力产生有益的改善。
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引用次数: 0
Distinct psychological and neural constructs of patriotism and nationalism. 爱国主义和民族主义的不同心理和神经结构。
IF 2.9 2区 医学 Q2 NEUROSCIENCES Pub Date : 2025-09-15 DOI: 10.1093/cercor/bhaf268
Guo Zheng, Shihui Han

Patriotism and nationalism as 2 types of attitudes have been used to interpret nation-related social behaviors, but whether they are mediated by distinct psychological and neural constructs remains unclear. We recorded rating scores and brain activities related to nationalism and patriotism statements that were dissected into affective (ie positive emotions pertaining to one's own country or negative emotions pertaining to other countries) and cognitive (ie beliefs of the excellence of one's own country or superiority of one's own country over other countries) dimensions. Principal component analyses of the rating scores showed that the affective and cognitive components of nationalism vs. patriotism are disjointed to a larger degree. Functional magnetic resonance imaging results revealed that, while the right middle temporal cortex responded differentially to the affective and cognitive components of patriotism, a more extensive neural network, including the medial prefrontal cortex, lateral/orbital frontal cortices, insula, and temporal-parietal junction, responded differentially to the 2 components of nationalism statements. Moreover, the left frontal response to the affective nationalism statements mediated the link between nationalism-related emotions and behavioral tendencies to help other countries. Our findings unravel distinct psychological and neural constructs of patriotism and nationalism that advance our understanding of nation-related decision-making and behaviors.

爱国主义和民族主义作为两种态度被用来解释与国家相关的社会行为,但它们是否受到不同的心理和神经结构的调节尚不清楚。我们记录了与民族主义和爱国主义陈述相关的评分分数和大脑活动,并将其分解为情感(即与自己的国家有关的积极情绪或与其他国家有关的消极情绪)和认知(即相信自己的国家优秀或自己的国家比其他国家优越)两个维度。主成分分析结果显示,民族主义与爱国主义的情感和认知成分存在较大程度的脱节。功能磁共振成像结果显示,虽然右颞中皮层对爱国主义的情感和认知成分有不同的反应,但一个更广泛的神经网络,包括内侧前额叶皮层、外侧/眶额叶皮层、脑岛和颞顶叶交界处,对爱国主义声明的两个成分有不同的反应。此外,对情感民族主义陈述的左额叶反应介导了民族主义相关情绪与帮助其他国家的行为倾向之间的联系。我们的研究结果揭示了爱国主义和民族主义不同的心理和神经结构,这些结构促进了我们对国家相关决策和行为的理解。
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引用次数: 0
The role of etiology in the identification of clinical markers of consciousness: comparing EEG alpha power, complexity, and spectral exponent. 病因学在鉴别意识临床标记物中的作用:比较脑电图功率、复杂性和频谱指数。
IF 2.9 2区 医学 Q2 NEUROSCIENCES Pub Date : 2025-09-15 DOI: 10.1093/cercor/bhaf254
Charlotte Maschke, Laouen Belloli, Dragana Manasova, Jacobo D Sitt, Stefanie Blain-Moraes

In the search for EEG markers of human consciousness, alpha power has long been considered a reliable marker which is fundamental for the assessment of unresponsive patients from all etiologies. However, recent evidence questioned the role of alpha power as a marker of consciousness and proposed the spectral exponent and spatial gradient as more robust and generalizable clinical indexes. In this study, we analyzed a large-scale dataset of 303 unresponsive patients and investigated etiology-specific differences in clinical markers of level of consciousness, responsiveness and capacity to recover. We compare a set of candidate EEG makers: i) absolute, relative and flattened alpha power; ii) spatial ratios; iii) the spectral exponent; and iv) signal complexity. Our results support the claim that alpha power has higher diagnostic value for anoxic patients. Meanwhile, the spectral slope showed diagnostic value for non-anoxic patients only. Changes in relative power and signal complexity occurred alongside changes in the spectral slope. Grouping unresponsive patients from different etiologies together can confound or obscure the diagnostic value of different EEG markers of consciousness. Our study highlights the importance of analyzing different etiologies independently and emphasizes the need to develop clinical markers which better account for inter-individual and etiology-dependent differences.

在寻找人类意识的脑电图标记物的过程中,阿尔法功率一直被认为是一种可靠的标记物,它是评估各种病因的无反应患者的基础。然而,最近的证据质疑阿尔法能量作为意识标志的作用,并提出光谱指数和空间梯度是更稳健和可推广的临床指标。在这项研究中,我们分析了303名无反应患者的大规模数据集,并调查了病因特异性的意识水平、反应性和恢复能力临床指标的差异。我们比较了一组候选EEG制造商:i)绝对、相对和平坦的alpha功率;Ii)空间比率;Iii)谱指数;iv)信号复杂度。我们的结果支持alpha功率对缺氧患者有更高的诊断价值的说法。光谱斜率仅对非缺氧患者有诊断价值。相对功率和信号复杂度的变化伴随着频谱斜率的变化而发生。将不同病因的无反应患者归为一类会混淆或模糊不同脑电图意识指标的诊断价值。我们的研究强调了独立分析不同病因的重要性,并强调需要开发临床标志物,以更好地解释个体间和病因依赖性差异。
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引用次数: 0
期刊
Cerebral cortex
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