Most recent paper

Commun Biol. 2026 Mar 14. doi: 10.1038/s42003-026-09839-w. Online ahead of print.

ABSTRACT

At dawn, we experience a shift from slumber to sentience following neurophysiological transitions, termed as sleep inertia (SI). Although resting-state fMRI studies have discovered brain reorganizations during SI, the neural basis underlying impaired alertness in SI remains unclear. We conduct simultaneous EEG-fMRI recordings on 26 adults with repeated measures of pre-sleep, nocturnal sleep and consecutive post-sleep awakenings. Using the psychomotor vigilance task (PVT) to probe tonic alertness, we discover that cingulo-opercular network (CON) activation, inclusive of thalamus, troughs upon awakening, and increments along with the post-sleep awake duration. The dynamic recovery of thalamus activity during SI depends on prior sleep architecture and the awake duration, mediating the PVT performances on awakening. Although CON connectivity remains stable, the connectivity changes between thalamus and frontoparietal network (FPN) are associated with changes of thalamic activation and PVT performances during SI. Collectively, thalamic activity and its coupling with the FPN support the restoration of tonic alertness during SI, providing a concise framework for the neural mechanisms underlying cognitive recovery upon awakening.

PMID:41832350 | DOI:10.1038/s42003-026-09839-w

Biol Psychiatry. 2026 Mar 12:S0006-3223(26)00099-5. doi: 10.1016/j.biopsych.2026.03.002. Online ahead of print.

ABSTRACT

BACKGROUND: Adolescence is a vulnerable period for the onset of anxiety and depression, yet their neurodevelopmental origins remain unclear.

METHODS: In this 7-year prospective longitudinal study, we recorded resting-state electroencephalogram (EEG) data at ages 7, 9, and 11, followed by fMRI scanning and symptom assessments at age 13. Using connectome-based predictive modeling, we examined whether childhood EEG patterns could predict adolescent symptoms, with rigorous control analyses and external validation in the Healthy Brain Network dataset (HBN, n = 384). We further characterized the developmental trajectories of these predictive networks. To mechanistically ground these electrophysiological markers, we conducted mediation analyses to test whether the amygdala-seeded circuits mediate the link between childhood EEG dynamics and adolescent symptom severity.

RESULTS: We identified dissociable EEG indicators emerging at age 9 that predicted adolescent anxiety (alpha, 8-12 Hz) and depression (beta1, 12-18 Hz). Importantly, the dynamic maturation of these EEG networks highlighted distinct neurodevelopmental susceptibilities, in which longitudinal EEG shifts between ages 9 and 11 predicted symptom severity in adolescence. The divergent developmental trajectories of EEG-based networks were characterized by opposing hemispheric lateralization: leftward for anxiety and rightward for depression. Mechanistically, these predictive associations were mediated by lateralized amygdala-ventrolateral prefrontal cortex (vlPFC) circuits, with the right and left vlPFC pathways selectively mediating anxiety risk and depression risk, respectively. These models generalized robustly to the independent HBN cohort.

CONCLUSIONS: Our findings highlight early neurobiological indicators of distinct developmental trajectories and susceptibilities for anxiety and depression, providing a foundation for early risk stratification and targeted precision prevention.

PMID:41831747 | DOI:10.1016/j.biopsych.2026.03.002

Clin Nutr ESPEN. 2026 Mar 12:103117. doi: 10.1016/j.clnesp.2026.103117. Online ahead of print.

ABSTRACT

Neuropathic pain (NP) is caused by damage to the peripheral or central nervous system and is associated with adverse complex sensory and affective symptoms. There are few current treatment options for NP, and opioid analgesics have severe side effects which can lead to opioid abuse. Therefore, the development of innovative, effective, and safe alternatives is urgently needed. This study will assess the effects of ginger root extract's anti-inflammatory and anti-oxidant properties on individuals with sciatica via the microbiome-gut-brain axis. Eighty participants (18-85 years) with chronic sciatica, classified as lean (n=40, BMI <25 kg/m2) or obese (n=40, BMI ≥30 kg/m2), will be stratified by age, sex, and BMI to receive 2,000 mg/day of ginger extract or placebo for eight weeks. Primary outcomes are pain-associated outcomes and brain neuroplasticity by assessing functional (resting state-fMRI) and structural (Diffusion Tensor Imaging) connectivity. Secondary outcomes include gut function (gut microbiota composition using 16S rRNA sequencing analysis, intestinal permeability assessing concentrations of plasma lipopolysaccharide binding protein and fecal zonulin, and fecal metabolites using LC-MS/MS analysis) and neuroinflammation: nCounter® Neuroinflammation Panel analysis. We will evaluate outcomes at baseline and end of study. We will employ intention-to-treat principle and per-protocol for data analysis. Hierarchical linear modeling is utilized to estimate ginger supplementation's effects while properly accounting for data dependency and identified covariates. This study was approved by the Bioethics Committee of the Texas Tech University Health Sciences Center, Lubbock, TX. Participants will sign an informed consent form before enrolling in the study. Our team will actively disseminate the results from this trial through academic conference presentations and peer-reviewed journals. We are now actively recruiting subjects for this study. TRIAL REGISTRATION: ClinicalTrials.gov identifier: NCT06817018.

PMID:41831719 | DOI:10.1016/j.clnesp.2026.103117

J Neurol Neurosurg Psychiatry. 2026 Mar 13:jnnp-2025-336798. doi: 10.1136/jnnp-2025-336798. Online ahead of print.

ABSTRACT

BACKGROUND: Despite the impact of depression in multiple sclerosis (MS), the neurobiological mechanisms underlying its pathogenesis are still poorly understood. Disrupted functional connectivity (FC) within the reward circuit has been observed in major depressive disorder (MDD), highlighting its essential role in the neurobiology of depression. Here, we hypothesised that an analogous dysconnectivity may underpin depression in MS.

METHODS: The present study aimed to investigate FC of key nodes of the reward circuit (nucleus accumbens, NAcc and ventral tegmental area, VTA) in MS patients with depression (MS-D; n=30, 22 females), characterising differences with MS patients without depression (MS-nD; n=30, 17 females) and MDD patients without MS (n=30, 23 females). Furthermore, dynamic causal modelling (DCM) was applied to resting-state functional magnetic resonance imaging (fMRI) data to characterise effective connectivity (EC), which refers to the causal influences of brain regions involved in the circuit.

RESULTS: MS-D group showed reduced FC compared with both MS-nD and MDD, suggesting that the association of depression with MS may reflect dysfunction of the reward circuit. The DCM analysis showed inhibitory self-connections, a negative modulation of VTA in MS-D>MS-nD, a negative modulation between VTA, NAcc and the right amygdala as an effect of having depression and no EC differences for MS-D>MDD.

CONCLUSIONS: The present connectivity study revealed promising results for understanding the pathophysiology of depression in MS. A combined FC-EC investigation of the reward circuit may represent a potential non-invasive in vivo MRI biomarker for understanding the onset of core depressive symptoms, supporting the development of effective and personalised therapies.

PMID:41825870 | DOI:10.1136/jnnp-2025-336798

J Affect Disord. 2026 Mar 11:121610. doi: 10.1016/j.jad.2026.121610. Online ahead of print.

ABSTRACT

OBJECTIVE: The habenula is implicated in mood regulation and sleep-wake processes and has been increasingly studied in major depressive disorder (MDD). This exploratory imaging-genetics study examined the potential associations between candidate gene polymorphisms, habenula-centered brain connectivity, and clinical symptom severity in patients with MDD.

METHODS: Ten candidate genes related to mood and circadian regulation were genotyped in patients with MDD and in healthy controls. All participants underwent 3 T structural and resting-state functional MRI. Seed-based structural and functional connectivity analyses were conducted focusing on the habenula. Imaging-genetics associations were examined with corrections for multiple comparisons.

RESULTS: Sixty-nine patients with MDD and forty-one healthy controls of Korean ethnicity were included. In MDD, structural connectivity between the left habenula and the left inferior frontal gyrus was significantly associated with rs2304672, and connectivity between the left habenula and the right ventral anterior thalamic nucleus was associated with rs7123390. Across all participants, functional connectivity between the left habenula and right parahippocampal gyrus showed consistent significant associations with multiple symptom domains, including depression and sleep disturbance.

CONCLUSION: In this modest-sized sample, preliminary imaging-genetics associations involving habenula-centered circuits were observed. These findings should be considered exploratory and hypothesis generating. Larger, adequately powered studies are required to confirm whether genetic variations meaningfully contribute to individual differences in habenular connectivity and symptom expression in patients with MDD.

PMID:41825747 | DOI:10.1016/j.jad.2026.121610

Neurotherapeutics. 2026 Mar 12;23(2):e00884. doi: 10.1016/j.neurot.2026.e00884. Online ahead of print.

ABSTRACT

Personalized transcranial magnetic stimulation (TMS) targeting holds promise for improving depression treatment, but its clinical translation is hindered by limited open-source implementation and systematic comparisons of target reproducibility and clinical relevance. We implemented two leading personalized TMS-target generating approaches, namely refined seed-based (RSA) and hierarchical clustering (HCA) algorithms, and compared them on (1) test-retest reliability of derived targets, and (2) association of target-sgACC connectivity with depressive symptoms. Using resting-state fMRI data from healthy and depressed individuals, spatial reliability was quantified via inter-run Euclidean distances, and clinical relevance was assessed through correlations between depression severity and functional connectivity of targets with sgACC. Effects of global signal regression (GSR) were also evaluated. The results showed that RSA produced targets in more superior and postrior part of DLPFC and demonstrated significantly higher test-retest reliability than HCA (smaller inter-run Euclidean distances). Further, RSA-derived target-sgACC connectivity correlated positively with depression severity, which was absent in HCA-derived targets. In addition, GSR improved spatial reliability for RSA but not HCA. Our results indicate that RSA exhibits superior test-retest reliability and symptom association compared to HCA, yet large-scale clinical trials are warranted to determine which approach yields superior therapeutic efficacy, and open-sourced implementation may accelerate clinical adoption.

PMID:41825227 | DOI:10.1016/j.neurot.2026.e00884

J Cereb Blood Flow Metab. 2026 Mar 13:271678X261431043. doi: 10.1177/0271678X261431043. Online ahead of print.

ABSTRACT

Recent advances in functional PET (fPET) enable modeling of metabolic processes with second-level temporal resolution, opening applications such as imaging molecular connectivity comparable to fMRI. However, high-temporal fPET is more noise-sensitive, making meaningful signal extraction challenging. We developed a component-based preprocessing method adapted from fMRI, which models structured noise with tissue-specific regressors and removes low-frequency uptake trends (CompCor). This approach was applied to 20 high-temporal [18F]FDG-fPET scans from a long-axial PET/CT system (1 s frames) and 16 scans from a PET/MR scanner (3 s frames). Filtering methods were compared across frequency bands, and their effects on metabolic connectivity (M-MC) assessed. Connectivity was strongly influenced by filter strategy and scanner type. CompCor produced more consistent, structured networks than standard bandpass filters. Intermediate frequency bands (0.01-0.1 Hz) gave the most reliable connectivity across PET/CT and PET/MR (r = 0.89), while high-sensitivity PET/CT also revealed structured patterns at 0.1-0.2 Hz. Compared to fMRI, fPET networks appeared more spatially cohesive but less differentiated. In sum, high-temporal [18F]FDG-fPET enables high within-scan reliability estimation of resting-state M-MC when paired with appropriate denoising, opening a new avenue in molecular imaging. Scanner characteristics and preprocessing critically affect signal quality, while our physiologically informed pipeline improves comparability across systems and studies.

PMID:41823344 | DOI:10.1177/0271678X261431043

Eur J Neurosci. 2026 Mar;63(6):e70457. doi: 10.1111/ejn.70457.

ABSTRACT

Poststroke aphasia significantly impacts the quality of life in older adults, yet the underlying neural mechanisms linking macro-scale network hierarchy and micro-scale molecular architecture remain unclear. This study investigated alterations of the principal functional connectivity gradient and their transcriptomic underpinnings in older adults with poststroke aphasia. We recruited 27 patients with aphasia and 29 age-matched healthy controls. Resting-state fMRI data were analyzed using diffusion map embedding to characterize the principal functional connectivity gradient. Patients exhibited a compressed gradient range, characterized by diminished differentiation in unimodal networks (visual and somatomotor) and disordered integration in multimodal networks, including the ventral attention network and the default mode network. These gradient alterations were significantly correlated with language deficits. Furthermore, partial least squares regression revealed that the spatial pattern of gradient changes was associated with normative gene expression profiles related to synaptic transmission, trans-synaptic signaling, and calcium ion binding. Machine learning models incorporating gradient features and lesion volume successfully predicted individual differences in language performance. These findings suggest that poststroke aphasia involves a disruption of the cortical functional hierarchy that is constrained by specific molecular architectures, providing novel insights into the neurobiological mechanisms of language recovery and potential targets for precision rehabilitation in aging populations.

PMID:41823306 | DOI:10.1111/ejn.70457

Front Psychol. 2026 Feb 25;17:1675737. doi: 10.3389/fpsyg.2026.1675737. eCollection 2026.

ABSTRACT

Functional near-infrared spectroscopy (fNIRS) has emerged as a promising technique in motor cognitive neuroscience and has become an important neuroimaging tool for the study of motor cognition. This review synthesizes evidence from fNIRS studies to elucidate the neural mechanisms that underlie exercise-induced improvements in executive function in older adults. A systematic search was conducted across six electronic databases from inception to March 20, 2025, and 27 relevant articles were included. These studies were systematically reviewed to examine the neural mechanisms by which exercise improves executive function in older adults along five dimensions: (1) resting-state brain activity; (2) task-evoked brain activity during executive function tasks; (3) acute exercise-induced immediate improvement in brain activity; (4) sustained effects on brain activity following acute exercise; and (5) long-term enhancements in brain activity after regular physical exercise. The results showed that a decrease in cerebral oxygenation accompanied brain aging, weakened hemodynamic oscillations, and abnormal resting-state functional coupling. A two-stage neural compensation model may underlie the exercise intervention aimed at improving executive function in older adults. Acute exercise can temporarily improve executive function by expanding the "resource pool" to increase neural resources and enhance prefrontal cortical hemodynamic activity and recruitment of neural resources. Chronic exercise achieves structural-functional optimization and efficient use of neural resources through the accumulation effect of repeated acute exercise stimulation, thereby continuously improving executive function. Therefore, we suggest that future studies should conduct large-scale RCTs using multimodal neuroimaging methods combining ERP, fMRI, and fNIRS. This will compensate for the shortcomings of fNIRS and provide a deeper understanding of how exercise remodels brain networks, thereby establishing a theoretical basis for precision interventions targeting brain aging.

PMID:41822427 | PMC:PMC12975482 | DOI:10.3389/fpsyg.2026.1675737

Neurobiol Lang (Camb). 2026 Jan 13;7:NOL.a.208. doi: 10.1162/NOL.a.208. eCollection 2026.

ABSTRACT

Age-related declines in cognitive function are often accompanied by changes in brain activity and network organization. This study investigated the relationship between resting state brain activity and age-related differences in speech production. We hypothesized that older adults would exhibit altered functional connectivity and activation intensity, correlating with reduced speech quality. Resting state functional MRI data were collected and a composite measure of speech complexity and fluency was calculated from younger and older adults. Results revealed significantly worse speech performance in older adults, accompanied by less segregated whole-brain networks, reduced amplitude of low-frequency fluctuations, and more heterogeneous brain states. Univariate regression analyses indicated stronger brain-behavior relationships in younger adults, while multivariate regression analyses revealed that age-related differences in resting state brain state patterns critically relate to speech production differences. Notably, the language network remained relatively stable with age, whereas whole-brain status became very important for speech performance in older adults. These findings suggest that resting state brain activity, particularly whole brain network characteristics, may serve as a stable biomarker of age-related changes in speech production.

PMID:41822136 | PMC:PMC12978676 | DOI:10.1162/NOL.a.208

Int J Neurosci. 2026 Mar 12:1-24. doi: 10.1080/00207454.2026.2644508. Online ahead of print.

ABSTRACT

PURPOSE: To have an insight into language-related functional connectivity in post-stroke aphasia (PSA) from graph theory measurements when performing an ability-matched auditory-verbal task fMRI.

METHODS: Fifty-seven PSA patients were stratified into high-level (n = 22) and low-level (n = 35) groups using an ability-matched auditory-verbal fMRI paradigm. Functional connectivity was modeled via ROI-to-ROI generalized psychophysiological interactions, from which graph metrics for predefined language nodes were extracted. Network measure differences were assessed via ANCOVA, followed by binary classification with nested cross-validation. Performance (accuracy, sensitivity, specificity, AUC) and model interpretability (SHAP) were evaluated for the best-performing model.

RESULTS: Random Forest classification reached a significant AUC of 0.671 (p= 0.035, 95%CI [0.512, 0.816]) and an accuracy of 0.667, outperforming other models in analyzing task-embedded resting-state data. Notably, the model demonstrated high sensitivity (0.800) in identifying task levels. SHAP analysis revealed that the left temporo-occipital inferior temporal gyrus (toITG_L) and the right posterior supramarginal gyrus (pSMG_R) were the most influential predictors. High-level task was characterized by increased Local Efficiency in the bilateral pSMG and decreased Global Efficiency in the toITG_L.

CONCLUSIONS: Our findings suggest that the high-level group relies on a synergistic interaction between the ventral stream (toITG) and the dorsal stream (pSMG). The shift toward increased local specialization, particularly the compensatory recruitment of the right pSMG, highlights a critical neural modularity strategy for functional recovery. These results suggest the feasibility of integrating graph metrics with interpretable machine learning, offering preliminary insights that could support the development of objective tools for monitoring aphasia rehabilitation.

PMID:41820794 | DOI:10.1080/00207454.2026.2644508

Mol Psychiatry. 2026 Mar 12. doi: 10.1038/s41380-026-03504-8. Online ahead of print.

ABSTRACT

Social cognitive deficits are common and impact functional outcomes in people with schizophrenia spectrum disorders (SSDs). Functional brain networks during task and rest show complex relationships with cognition. We aimed to identify relationships between social and non-social cognitive performance and functional connectivity during social processing and at rest across individuals with SSDs and healthy controls. Adults (N = 352; 195 SSDs, 157 controls) completed functional magnetic resonance imaging (fMRI) during the Empathic Accuracy (EA) task and rest, and cognitive assessments. Partial least squares correlation was used to identify latent dimensions (LDs) capturing multivariate relationships between functional connectivity and cognitive measures, evaluated using permutation testing, bootstrapping, and cross-validation. Two significant EA LDs were identified, explaining 73.6 and 9.1% of the variance. EA LD1 captured an association between better performance across cognitive measures and positive connectivity across networks implicated in processing dynamic multimodal and social stimuli. EA LD2 reflected an association between worse EA task performance and stronger positive connectivity between networks implicated in language and social processing. One significant resting-state LD was identified, explaining 85.6% of the variance and capturing an association between better overall cognition and visual, somatomotor, and subcortical connectivity, driven more by the SSD group. Overlapping and divergent connectivity patterns appear to covary with cognitive performance during social processing versus rest across SSDs and healthy controls. Our results support the value of task-based fMRI to identify dimensional functional connectivity patterns associated with particular social cognitive abilities, whereas resting-state connectivity may reflect broader relationships with cognition.

PMID:41820637 | DOI:10.1038/s41380-026-03504-8

Magn Reson Med. 2026 Mar 12. doi: 10.1002/mrm.70338. Online ahead of print.

ABSTRACT

PURPOSE: Development and evaluation of a double asymmetric spin echo planar imaging (dASE-EPI) sequence to balance sensitivity to blood oxygenation level-dependent (BOLD) contrast with mitigation of susceptibility-induced intravoxel spin dephasing in ultra high-field rodent brain imaging.

METHODS: A dASE-EPI pulse sequence was implemented and resting-state BOLD fMRI was acquired in the rat brain. Data acquired with dASE-EPI were compared to conventional gradient-recalled EPI. Functional connectivity analyses were performed to assess detection of established networks and to evaluate signal recovery in regions affected by susceptibility (e.g., amygdala, hypothalamic nuclei).

RESULTS: dASE-EPI was found to provide BOLD sensitivity that was non-inferior to conventional GRE-EPI while substantially reducing susceptibility-related signal loss. Established functional networks including the bilateral insular, bilateral sensory, and default mode network were reliably detected with dASE-EPI. Functional connectivity of the amygdala, which was obscured in GRE-EPI, was recoverable with the proposed sequence.

CONCLUSION: The proposed dASE-EPI pulse sequence is a viable solution when studying brain regions which suffer from severe susceptibility artifacts.

PMID:41820226 | DOI:10.1002/mrm.70338

Integr Med Res. 2026 Mar;15(1):101250. doi: 10.1016/j.imr.2025.101250. Epub 2025 Aug 30.

ABSTRACT

BACKGROUND: The aim of this study is to explore how electroacupuncture at the Shenmen (HT7) and Neiguan (PC6) acupoints can improve chronic partial sleep deprivation(CPSD) by regulating brain function, and to elucidate its potential neural mechanisms using resting state Blood Oxygen Level-Dependent functional magnetic resonance imaging (BOLD-fMRI).

METHODS: 43 CPSD participants and 48 healthy controls (HC) were recruited and underwent neuropsychological assessments before electroacupuncture. 3.0T BOLD-fMRI scans were conducted before and after receiving bilateral electroacupuncture at HT7 and PC6. Amplitude of low-frequency fluctuation (ALFF) regional homogeneity (ReHo) values and functional connectivity were analyzed between two groups before and after electroacupuncture.

RESULTS: CPSD participants showed prolonged reaction time (RT), increased omission rate (OR), and decreased accuracy (ACC) compared to HC. Significant differences (P < 0.05) in ALFF, ReHo, and functional connectivity were observed between groups before and after electroacupuncture, particularly in the default mode network (DMN) and limbic system. ALFF in the right parahippocampal gyrus positively correlated with ACC (r = 0.637, P = 0.001) and negatively with OR (r = -0.427, P = 0.047). ReHo in the left superior frontal gyrus negatively correlated with RT (r = -0.514, P = 0.014).

CONCLUSION: CPSD disrupts functional brain activity, while electroacupuncture at HT7 and PC6 modulates resting-state brain function, offering neuroimaging insights into its potential mechanisms for treating emotional and cognitive impairments in CPSD.

PMID:41816267 | PMC:PMC12974194 | DOI:10.1016/j.imr.2025.101250

Quant Imaging Med Surg. 2026 Mar 1;16(3):251. doi: 10.21037/qims-2025-aw-2110. Epub 2026 Feb 11.

ABSTRACT

BACKGROUND: Human immunodeficiency virus (HIV) infection can lead to HIV-associated neurocognitive disorders (HAND), among which asymptomatic neurocognitive impairment (ANI) represents a critical stage for early intervention. However, neuroimaging biomarkers with high sensitivity and specificity for ANI are lacking. The neurovascular coupling (NVC) characteristic in ANI remains unclear. This study aimed to investigate changes in cerebral blood flow (CBF), functional connectivity strength (FCS), and their coupling in patients with ANI under both resting-state and movie-watching conditions, and to evaluate the discriminative performance of multimodal neuroimaging indicators for ANI.

METHODS: This study enrolled 75 participants with HIV, including 41 with ANI and 34 who were cognitively normal (CN). All participants underwent multimodal magnetic resonance imaging (MRI), including T1-weighted imaging, arterial spin labeling (ASL), resting-state and movie-watching-state functional MRI (fMRI). CBF, FCS, and CBF-FCS coupling coefficients were calculated. Between-group differences were assessed using independent-samples t-tests, with adjustments for age and years of education, and multiple-comparison correction where applicable. Correlation analyses were conducted to explore their associations with cognitive and clinical indicators. Three machine learning (ML) models [K-Nearest Neighbors (KNN), Random Forest (RF), and Support Vector Machine (SVM)] with leave-one-out cross-validation were constructed to evaluate the classification performance of multimodal neuroimaging metrics for ANI, and SHapley Additive exPlanations (SHAP) were applied to quantify feature importance.

RESULTS: The ANI group exhibited abnormal CBF in multiple brain regions and abnormal FCS in both resting-state and movie-watching-state. At the whole-brain level, the CBF-FCS coupling reversed from weakly positive in the CN participants (resting-state: r=0.0348; movie-watching-state: r=0.0364) to weakly negative in the ANI participants (resting-state: r=-0.0283; movie-watching-state: r=-0.0354), and the coupling coefficients were significantly reduced in the ANI participants compared to the CN participants (resting-state: P=0.004; movie-watching-state: P<0.001). Among the ML models, the full multimodal feature set achieved optimal classification performance [KNN: area under the curve (AUC) =0.957; accuracy =0.890; sensitivity =0.980; specificity =0.790], and the movie-based combination "CBF + movie-FCS + movie CBF-FCS coupling" showed consistently high performance across the models (AUC =0.929-0.962). SHAP indicated that the movie-watching-state NVC contributed the most prominently to the prediction of ANI.

CONCLUSIONS: Patients with ANI exhibit abnormal CBF, FCS, and NVC. Compared with the resting-state paradigm, the movie paradigm was more sensitive in detecting neural functional abnormalities. The integration of multimodal neuroimaging indicators showed promising discriminative performance for ANI classification. NVC decoupling may represent a candidate neuroimaging marker of early ANI-related brain alterations and warrants longitudinal validation.

PMID:41816068 | PMC:PMC12971328 | DOI:10.21037/qims-2025-aw-2110

Quant Imaging Med Surg. 2026 Mar 1;16(3):201. doi: 10.21037/qims-2025-2070. Epub 2026 Feb 11.

ABSTRACT

BACKGROUND: Parkinson's disease (PD) is a progressive neurodegenerative disorder characterized by motor and non-motor symptoms, yet its stage-dependent neurobiological mechanisms remain incompletely understood. Multimodal magnetic resonance imaging (MRI) offers a noninvasive approach to investigate both functional and structural alterations across disease stages. Therefore, this study aimed to characterize stage-dependent functional and iron-related brain alterations in PD using multimodal MRI and to explore their associations with motor severity.

METHODS: We enrolled 104 PD patients, stratified into early-stage (n=49) and advanced-stage (n=55) based on Hoehn and Yahr (H&Y) score, along with 53 age- and sex- matched healthy controls. Quantitative susceptibility mapping (QSM) quantified iron deposition in the substantia nigra (SN) and globus pallidus (GP), while resting-state functional magnetic resonance imaging (rs-fMRI) was used to assess functional alterations using regional homogeneity (ReHo) and fractional amplitude of low-frequency fluctuations (fALFF). Group comparisons were conducted using one-way analysis of variance (ANOVA) with post-hoc tests, and voxel-wise analyses were corrected using cluster-level false discovery rate (FDR, P<0.05). Correlation analyses were performed to evaluate associations between imaging metrics and Unified Parkinson's Disease Rating Scale part III (UPDRS-III) motor scores.

RESULTS: Compared with healthy controls, both early and advanced-stage PD patients showed significantly increased iron deposition in the bilateral SN and GP (all P<0.05), with higher QSM values in advanced-stage PD than in early-stage PD (all P<0.01). Iron deposition in these regions was positively correlated with motor severity assessed by UPDRS-III scores (all P<0.001). Early-stage PD primarily exhibited abnormal fALFF and ReHo in visual-related regions, whereas advanced-stage PD showed more widespread involvement of the basal ganglia-thalamocortical motor circuit, frontoparietal regions, and limbic structures. Functional alterations in motor-related regions were significantly associated with UPDRS-III scores (all P<0.001), while ReHo changes in limbic regions were correlated with cognitive performance (Mini-Mental State Examination, MMSE; P<0.001).

CONCLUSIONS: Building on established evidence that PD involves progressive iron deposition in the SN and GP and widespread neural network dysfunction, our multimodal MRI findings demonstrate that integrating ReHo, fALFF, and QSM provides a framework for characterizing stage-specific pathophysiological changes and support their potential as biomarkers for early diagnosis, disease staging, and therapeutic development.

PMID:41816040 | PMC:PMC12971341 | DOI:10.21037/qims-2025-2070

Neuroimage Clin. 2026 Mar 4;50:103981. doi: 10.1016/j.nicl.2026.103981. Online ahead of print.

ABSTRACT

OBJECTIVE: This study aimed to investigate the therapeutic effects and neural mechanisms of high-frequency neuro-navigated repetitive transcranial magnetic stimulation (nrTMS) targeting the hand knob in glioma patients with postoperative motor deficits, using functional gradient analysis to characterize cortical reorganization.

METHODS: Thirty patients with postoperative motor deficits were randomized to receive nrTMS or sham stimulation targeting the ipsilateral hand knob. Motor function was assessed using Fugl-Meyer Assessment (FMA) and muscle strength. Resting-state fMRI was acquired to compute principal functional gradients. Control/tumor, nrTMS/sham, and Pre-TMS/Post-TMS gradient changes were analyzed. Correlation and regression analyses related to motor recovery were performed.

RESULTS: The nrTMS group showed significantly greater improvement in muscle strength (Post-treatment: nrTMS: 3.533 ± 0.720, Sham: 2.067 ± 0.572, p = 0.019, d = 1.082; 3-month follow-up: nrTMS: 4.600 ± 0.408, Sham: 3.733 ± 0.609, p = 0.035, d = 1.012). Gradient analysis revealed increased sensorimotor network (SMN) gradient scores following nrTMS (Pre-TMS: -0.707 ± 0.108; Post-TMS: -0.636 ± 0.077; p = 0.016), and HH_SomMot_22 within upper limb motor cortex is most strongly correlated with motor recovery.

CONCLUSIONS: High-frequency nrTMS targeting the hand knob accelerated the motor recovery. Gradient analysis findings provide novel insights into therapeutic mechanisms of nrTMS and underscore the value of the hand knob as a stimulation target.

PMID:41812281 | DOI:10.1016/j.nicl.2026.103981

Hum Brain Mapp. 2026 Mar;47(4):e70469. doi: 10.1002/hbm.70469.

ABSTRACT

Accounting for interindividual variability in brain function is key to precision medicine. Here, by considering functional interindividual variability as meaningful data rather than noise, we introduce VarCoNet, an enhanced self-supervised framework for robust functional connectome (FC) extraction from resting-state fMRI (rs-fMRI) data. VarCoNet employs self-supervised contrastive learning to exploit inherent functional interindividual variability, serving as a brain function encoder that generates FC embeddings readily applicable to downstream tasks even in the absence of labeled data. Contrastive learning is facilitated by a novel augmentation strategy based on segmenting rs-fMRI signals. At its core, VarCoNet integrates a 1D-convolutional neural network (CNN) with a Transformer encoder for advanced time-series processing, enhanced with robust Bayesian hyperparameter optimization. Our VarCoNet framework is evaluated on two downstream tasks: (i) subject fingerprinting, using rs-fMRI data from the Human Connectome Project (2117 recordings), and (ii) autism spectrum disorder (ASD) classification, using rs-fMRI data from the Autism Brain Imaging Data Exchange (ABIDE) I (995 recordings) and II (730 recordings) datasets. Using different brain parcellations, our extensive testing against state-of-the-art methods, including 13 deep learning methods, demonstrates VarCoNet's superiority, robustness, interpretability, and generalizability, achieving up to 98% subject fingerprinting accuracy and an area under the curve (AUC) of 72.6% for ASD classification. Overall, VarCoNet provides a versatile and robust framework for FC analysis in rs-fMRI.

PMID:41810518 | DOI:10.1002/hbm.70469

ArXiv [Preprint]. 2026 Feb 25:arXiv:2510.03306v2.

ABSTRACT

Current atlas-based approaches to brain network analysis rely heavily on standardized anatomical or connectivity-driven brain atlases. However, these fixed atlases often introduce significant limitations, such as spatial misalignment across individuals, functional heterogeneity within predefined regions, and atlas-selection biases, collectively undermining the reliability and interpretability of the derived brain networks. To address these challenges, we propose a novel atlas-free brain network transformer (atlas-free BNT) that leverages individualized brain parcellations derived directly from subject-specific resting-state fMRI data. Our approach computes ROI-to-voxel connectivity features in a standardized voxel-based feature space, which are subsequently processed using the BNT architecture to produce comparable subject-level embeddings. Experimental evaluations on sex classification and brain-connectome age prediction tasks demonstrate that our atlas-free BNT consistently outperforms state-of-the-art atlas-based methods, including elastic net, BrainGNN, Graphormer and the original BNT. Our atlas-free approach significantly improves the precision, robustness, and generalizability of brain network analyses. This advancement holds great potential to enhance neuroimaging biomarkers and clinical diagnostic tools for personalized precision medicine. Reproducible code is available at https://github.com/shuai-huang/atlas_free_bnt.

PMID:41810022 | PMC:PMC12970342

Neuroimage Rep. 2026 Mar 4;6(1):100335. doi: 10.1016/j.ynirp.2026.100335. eCollection 2026 Mar.

ABSTRACT

BACKGROUND: Military members often report concussion-like symptoms from repetitive low-level blast (LLB) exposure, defined as overpressure from outgoing munitions like rifles and explosive breaching. Typically, the early stages of concussion and other neurological conditions (e.g., Alzheimer's Disease) lead to hyperconnectivity which is a transient and adaptive brain response to strengthen and establish neural connections to restore brain function. Over time, however, chronic hyperconnectivity can contribute to neurodegeneration. To determine whether LLB exposure also exhibits this connectivity trajectory, this study investigated the neural signature of LLB at two time points: At the chronic stage extrapolated from the duration of an individual's occupational career, and following a recent and concentrated blast regimen.

METHODS: Forty-six military breachers and snipers underwent a resting state functional magnetic resonance imaging brain scan before and after a training course. Graph theory was used to study the whole-brain network, cross-validated by a principal components analysis (PCA) conducted post-hoc. The pre-course scan was analyzed separately to examine the neural effects of chronic LLB exposure. The pre- and post-course scans were compared to examine the neural effects of recent blast exposure. Military controls without occupational breaching and/or sniping experience underwent the same protocol.

RESULTS: At pre-course, breachers and snipers exhibited hyperconnectivity compared to controls. However, after undergoing a recent LLB regimen, only breachers showed hypoconnectivity post-course relative to pre-course compared to controls.

CONCLUSION: The mechanism of repeated LLB overpressure and its associated neural response to this exposure appear to be specific to this condition. Characterizing LLB exposure can help refine assessment and treatment.

PMID:41809238 | PMC:PMC12969305 | DOI:10.1016/j.ynirp.2026.100335