Most recent paper

Atypical Hierarchical Brain Connectivity in Autism: Insights from Stepwise Causal Analysis Using Liang Information Flow
Neuroimage. 2025 Feb 27:121107. doi: 10.1016/j.neuroimage.2025.121107. Online ahead of print.
ABSTRACT
Autism spectrum disorder (ASD) is associated with atypical brain connectivity, yet its hierarchical organization remains underexplored. In this study, we applied the Liang information flow method to analyze stepwise causal functional connectivity in ASD, offering a novel approach to understanding how different brain networks interact. Using resting-state fMRI data from ASD individuals and healthy controls, we observed significant alterations in both positive and negative causal connections across the ventral attention network, limbic network, frontal-parietal network, and default mode network. These disruptions were detected at multiple hierarchical levels, indicating changes in communication patterns across brain regions. By leveraging features of hierarchical causal connectivity, we achieved high classification accuracy between ASD and healthy individuals. Additionally, changes in network node degrees were found to correlate with ASD clinical symptoms, particularly social and communication behaviors. Our findings provide new insights into disrupted hierarchical brain connectivity in ASD and demonstrate the potential of this approach for distinguishing ASD from typical development.
PMID:40023264 | DOI:10.1016/j.neuroimage.2025.121107
Baseline Functional Connectivity of the Mesolimbic, Salience, and Sensorimotor Systems Predicts Responses to Psychological Therapies for Chronic Low Back Pain With Comorbid Depression: A Functional MRI Study
Brain Behav. 2025 Mar;15(3):e70380. doi: 10.1002/brb3.70380.
ABSTRACT
INTRODUCTION: Chronic low back pain (CLBP) is a prevalent and debilitating condition. Cognitive behavioral therapy (CBT) can improve coping mechanisms for CLBP and pain-related outcomes. However, the mechanisms by which they do so remain undetermined. We explored the neural correlates of CLBP symptoms and CBT action using functional magnetic resonance imaging (fMRI) in women with CLBP and comorbid depression.
METHODS: Forty individuals underwent fMRI followed by 8 weeks of either treatment as usual (TAU) or one of two CBT in addition to TAU: acceptance and commitment therapy (ACT) or behavioral activation treatment for depression (BATD). Pain intensity, depression, psychological inflexibility, and pain catastrophizing scores were obtained at baseline and follow-up. Functional connectivity (FC) patterns of the salience network (SN), sensorimotor network (SMN), and the mesolimbic pathway (MLP), derived from resting-state fMRI examination were correlated with both baseline and delta (baseline-follow-up) pain-related psychological measures.
RESULTS: Individuals receiving ACT and BATD showed reduced depression, psychological inflexibility, and pain catastrophizing. Strong baseline connectivity of the SN and SMN corresponded with higher pain intensity, but strong connectivity of the MLP and precuneus corresponded with lower pain intensity. Pain intensity changes correlated with mesolimbic-salience connectivity following ACT, and with sensorimotor connectivity following BATD. Specifically, stronger baseline FC between the MLP and posterior insula predicted greater pain intensity reduction with ACT, while stronger FC between the SMN and secondary somatosensory cortex predicted greater pain intensity reduction with BATD. FC of the SN correlated with changes in psychological inflexibility across both therapies.
CONCLUSIONS: We illustrate the potential of FC as a biomarker of CLBP plus depression and the response to CBT. Our data suggest ACT and BATD have differing underlying brain mechanisms. These findings indicate that FC biomarkers could guide personalized treatment, improving individual outcomes.
PMID:40022281 | DOI:10.1002/brb3.70380
Distinct Functional Connectivity Patterns of Brain Networks Involved in Motor Planning Underlie Verbal and Spatial Working Memory
Brain Behav. 2025 Mar;15(3):e70376. doi: 10.1002/brb3.70376.
ABSTRACT
PURPOSE: Frontoparietal networks (FPN) are well-recognized for their role in high-level cognition, including mental imagery, executive control, and working memory (WM). A prevailing hypothesis advances that these functions evolved from fundamental motor abilities, such as action planning and motor control. However, whether sensorimotor regions of these FPN contribute to the executive components of WM, and whether this contribution is dependent on task modality, remains underexplored.
METHOD: This study applied analyses of resting-state functional connectivity (rs-FC) to investigate the contribution of FPN regions to WM that have an established role in motor planning. In a sample of 60 healthy individuals, we explored whether performance in verbal and spatial N-back WM tasks is associated with rs-FC of frontoparietal brain regions that exhibit increased activation during motor planning.
FINDING: Comparing verbal and spatial N-back tasks revealed that verbal WM was associated with stronger connectivity between the left medial superior frontal gyrus and left inferior parietal lobule (IPL), as well as the right IPL and the left superior parietal lobule. In contrast, spatial WM was linked to stronger connectivity between the right middle frontal and inferior temporal gyrus, as well as the left occipital pole and postcentral gyrus.
CONCLUSION: These findings reveal distinct FC patterns underlying verbal and spatial WM and highlight the contribution of brain regions that are important for motor planning to modality-specific WM processes, such as information updating.
PMID:40022219 | DOI:10.1002/brb3.70376
Evaluating functional brain organization in individuals and identifying contributions to network overlap
Imaging Neurosci (Camb). 2023;1. doi: 10.1162/imag_a_00046. Epub 2023 Dec 8.
ABSTRACT
Individual differences in the spatial organization of resting-state networks have received increased attention in recent years. Measures of individual-specific spatial organization of brain networks and overlapping network organization have been linked to important behavioral and clinical traits and are therefore potential biomarker targets for personalized psychiatry approaches. To better understand individual-specific spatial brain organization, this paper addressed three key goals. First, we determined whether it is possible to reliably estimate weighted (non-binarized) resting-state network maps using data from only a single individual, while also maintaining maximum spatial correspondence across individuals. Second, we determined the degree of spatial overlap between distinct networks, using test-retest and twin data. Third, we systematically tested multiple hypotheses (spatial mixing, temporal switching, and coupling) as candidate explanations for why networks overlap spatially. To estimate weighted network organization, we adopt the Probabilistic Functional Modes (PROFUMO) algorithm, which implements a Bayesian framework with hemodynamic and connectivity priors to supplement optimization for spatial sparsity/independence. Our findings showed that replicable individual-specific estimates of weighted resting-state networks can be derived using high-quality fMRI data within individual subjects. Network organization estimates using only data from each individual subject closely resembled group-informed network estimates (which was not explicitly modeled in our individual-specific analyses), suggesting that cross-subject correspondence was largely maintained. Furthermore, our results confirmed the presence of spatial overlap in network organization, which was replicable across sessions within individuals and in monozygotic twin pairs. Intriguingly, our findings provide evidence that overlap between 2-network pairs is indicative of coupling. These results suggest that regions of network overlap concurrently process information from both contributing networks, potentially pointing to the role of overlapping network organization in the integration of information across multiple brain systems.
PMID:40017584 | PMC:PMC11867625 | DOI:10.1162/imag_a_00046
Assessment of Resting-state functional Magnetic Resonance Imaging Connectivity Among Patients with Major Depressive Disorder: A Comparative Study
Ann Neurosci. 2025 Jan;32(1):13-20. doi: 10.1177/09727531231191889. Epub 2023 Aug 28.
ABSTRACT
BACKGROUND: Resting-state functional connectivity analysis has a potential to unearth the putative neuronal underpinnings of various disorders of the brain. Major depressive disorder (MDD) is regarded as a disorder arising from alterations in functional networks of the brain.
PURPOSE: There is paucity of literature on resting-state functional magnetic resonance imaging (Rs-fMRI) in MDD, especially from the Indian subcontinent. The purpose of our study was to elucidate the differences in Rs-fMRI connectivity between MDD patients and age and gender matched healthy controls (HC).
METHODS: In this prospective single institute-based study, the patients were recruited consecutively based on Hamilton depression rating scale (HAM-D). Age and gender matched HC were also recruited. Rs-fMRI and anatomical MRI images were acquired for all the subjects (MDD and HC group) and subsequent analysis was done using the CONN toolbox.
RESULTS: A total of 49 subjects were included in the final analysis (MDD = 28 patients, HC = 21). HAM-D score was noted to be 24.4 ± 4.8 in the MDD group. There was no significant difference between MDD and HC groups as far as age, gender, employment status, and level of education is concerned. Region-of-interest-based analysis of Rs-fMRI data showed a significantly lower connectivity between the left insula and left nucleus accumbens and between left paracingulate gyrus and bilateral posterior middle temporal gyri in MDD group as compared to HC group.
CONCLUSION: There is reduced connectivity between certain key regions of the brain in MDD patients, that is, between the left insular cortex and the left nucleus accumbens and between the left paracingulate gyrus and the bilateral posterior middle temporal gyrus. These findings could explain the basis of clinical features of MDD such as anhedonia, rumination of thoughts, reduced visuo-spatial comprehension, reduced language function, and response to external stimuli.
PMID:40017570 | PMC:PMC11863249 | DOI:10.1177/09727531231191889
Altered functional connectivity and hyperactivity of the caudal hippocampus in schizophrenia compared with bipolar disorder: a resting state fMRI (functional magnetic resonance imaging) study
BMC Psychiatry. 2025 Feb 27;25(1):182. doi: 10.1186/s12888-025-06632-7.
ABSTRACT
BACKGROUND: Schizophrenia patients frequently present with structural and functional abnormalities of the hippocampus (Hipp). Further, these abnormalities are often associated with specific symptom profiles.
AIM: To determine whether schizophrenia patients show specific functional connectivity (FC) and activity abnormalities in each hippocampal subregion compared to the BD (bipolar disorder) and HC (healthy control) groups.
METHODS: Basal activation state and functional connectivity (FC) in four subregions of the bilateral Hipp were examined: left caudal (cHipp_L), right caudal (cHipp_R), left rostral (rHipp_L), and right rostral (rHipp_R). Resting-state functional magnetic resonance images were obtained from 62 schizophrenia patients, 57 bipolar disorder (BD) patients, and 45 healthy controls (HCs), and analyzed for fractional amplitude of low-frequency fluctuations (fALFF) as a measure of basal neural activity and for whole-brain FC based on the hippocampal subregions.
RESULTS: The schizophrenia group exhibited greater fALFF in bilateral cHipp (the caudal part of hippocampus) and rHipp (the rostral part of hippocampus) subregions compared to BD and HC groups as well as increased FC between the bilateral cHipp and multiple brain regions, including the thalamus, putamen, middle frontal gyrus, parietal cortex, and precuneus. Moreover, fALFF values of the bilateral cHipp were positively correlated with the severity of clinical symptoms as measured by the Positive and Negative Syndrome Scale.
CONCLUSIONS: These findings confirm an important contribution of hippocampal dysfunction, especially of the cHipp, in schizophrenia. Further, hyper-connectivity and hyperactivity of the cHipp could serve as a biomarker for therapeutic development.
PMID:40016773 | DOI:10.1186/s12888-025-06632-7
Association of bidirectional network cores in the brain with perceptual awareness and cognition
J Neurosci. 2025 Feb 27:e0802242025. doi: 10.1523/JNEUROSCI.0802-24.2025. Online ahead of print.
ABSTRACT
The brain comprises a complex network of interacting regions. To understand the roles and mechanisms of this intricate network, it is crucial to elucidate its structural features related to cognitive functions. Recent empirical evidence suggests that both feedforward and feedback signals are necessary for conscious perception, emphasizing the importance of subnetworks with bidirectional interactions. However, the link between such subnetworks and conscious perception remains unclear due to the complexity of brain networks. In this study, we propose a framework for extracting subnetworks with strong bidirectional interactions-termed the "cores" of a network-from brain activity. We applied this framework to resting-state and task-based human fMRI data from participants of both sexes to identify regions forming strongly bidirectional cores. We then explored the association of these cores with conscious perception and cognitive functions. We found that the extracted central cores predominantly included cerebral cortical regions rather than subcortical regions. Additionally, regarding their relation to conscious perception, we demonstrated that the cores tend to include regions previously reported to be affected by electrical stimulation that altered conscious perception, although the results are not statistically robust due to the small sample size. Furthermore, in relation to cognitive functions, based on a meta-analysis and comparison of the core structure with a cortical functional connectivity gradient, we found that the central cores were related to unimodal sensorimotor functions. The proposed framework provides novel insights into the roles of network cores with strong bidirectional interactions in conscious perception and unimodal sensorimotor functions.Significance Statement To understand the brain's network, we need to decipher its structural features linked to cognitive functions. Recent studies suggest the importance of subnetworks with bidirectional interactions for conscious perception, but their exact relationship remains unclear due to the brain's complexity. Here we propose a framework for extracting subnetworks with strong bidirectional interactions, or network "cores." We applied it to fMRI data and explored the association of the cores with conscious perception and cognitive functions. The central cores predominantly included cortical regions rather than subcortical ones, and tended to comprise previously reported regions wherein electrical stimulation altered perception, suggesting the potential importance of bidirectional cores for conscious perception. Additionally, further analysis revealed the relationship of the cores to unimodal sensorimotor functions.
PMID:40015987 | DOI:10.1523/JNEUROSCI.0802-24.2025
Multimodal fusion model for diagnosing mild cognitive impairment in unilateral middle cerebral artery steno-occlusive disease
Front Aging Neurosci. 2025 Feb 12;17:1527323. doi: 10.3389/fnagi.2025.1527323. eCollection 2025.
ABSTRACT
OBJECTIVES: To propose a multimodal functional brain network (FBN) and structural brain network (SBN) topological feature fusion technique based on resting-state functional magnetic resonance imaging (rs-fMRI), diffusion tensor imaging (DTI), 3D-T1-weighted imaging (3D-T1WI), and demographic characteristics to diagnose mild cognitive impairment (MCI) in patients with unilateral middle cerebral artery (MCA) steno-occlusive disease.
METHODS: The performances of different algorithms on the MCI dataset were evaluated using 5-fold cross-validation. The diagnostic results of the multimodal performance were evaluated using t-distributed stochastic neighbor embedding (t-SNE) analysis. The four-modal analysis method proposed in this study was applied to identify brain regions and connections associated with MCI, thus confirming its validity.
RESULTS: Based on the fusion of the topological features of the multimodal FBN and SBN, the accuracy for the diagnosis of MCI in patients with unilateral MCA steno-occlusive disease reached 90.00%. The accuracy, recall, sensitivity, and F1-score were higher than those of the other methods, as was the diagnostic efficacy (AUC = 0.9149).
CONCLUSION: The multimodal FBN and SBN topological feature fusion technique, which incorporates rs-fMRI, DTI, 3D-T1WI, and demographic characteristics, obtains the most discriminative features of MCI in patients with unilateral MCA steno-occlusive disease and can effectively identify disease-related brain areas and connections. Efficient automated diagnosis facilitates the early and accurate detection of MCI and timely intervention and treatment to delay or prevent disease progression.
PMID:40013095 | PMC:PMC11861546 | DOI:10.3389/fnagi.2025.1527323
Brain connectivity correlates of the impact of a digital intervention for individuals with subjective cognitive decline on depression and IL-18
Sci Rep. 2025 Feb 26;15(1):6863. doi: 10.1038/s41598-025-91457-3.
ABSTRACT
Late-life depression represents a significant health concern, linked to disruptions in brain connectivity and immune functioning, mood regulation, and cognitive function. This pilot study explores a digital intervention targeting mental health, brain health, and immune functioning in individuals aged 55-60 with subjective cognitive decline, elevated stress and depressive symptoms. Seventeen participants engaged in a two-week intervention comprising spatial cognition, psychological techniques based on mindfulness, attention-training exercises, and cognitive behavioral therapy. Pre-and post-intervention changes in resting-state functional connectivity, inflammation, and psychological health were evaluated. Key findings include: (1) Reduced self-reported depression with a large effect size, (2) Decreased connectivity within the default mode network (DMN), (3) Enhanced anticorrelation between the DMN-Salience networks that was associated with improved depression scores (4) Reduced salivary IL-18 concentration with a medium effect size, correlated with decreased DMN-amygdala connectivity. There was a trend towards reduced anxiety, with no significant changes in quality of life. To our knowledge, this is the first study to investigate the effect of digital intervention on immune markers, clinical behavioral outcomes, and brain function, demonstrating positive synergistic potential across all three levels. These preliminary findings, which need replication in larger, controlled studies, have important implications for basic science and scalable digital interventions.
PMID:40011544 | DOI:10.1038/s41598-025-91457-3
Functional Connectivity Changes Associated With Depression in Dementia With Lewy Bodies
Int J Geriatr Psychiatry. 2025 Mar;40(3):e70058. doi: 10.1002/gps.70058.
ABSTRACT
OBJECTIVES: Depressive symptoms are frequent in the early stages of dementia with Lewy bodies (DLB), and more than half of DLB patients would have a history of depression. Our study sought to investigate the functional connectivity (FC) changes associated with depressive symptoms in prodromal to mild DLB patients compared with controls.
METHODS: MRI data were collected from 66 DLB patients and 18 controls. Depression was evaluated with the Mini International Neuropsychiatric Interview. Resting-state FC (rsFC) was investigated with the CONN toolbox using a seed-based approach and both regression and comparison analyses.
RESULTS: Correlations were found between the depression scores and the rsFC between fronto-temporal and primary visual areas in DLB patients (p < 0.05, FDR corrected). Depressed DLB patients also showed decreased rsFC within the salience network (SN), increased rsFC between the default mode network (DMN) and the language network (LN) and decreased rsFC between the cerebellar network (CN) and the fronto-parietal network (FPN) compared to non-depressed DLB patients (p < 0.05, uncorrected). Comparison analyses between antidepressant-treated and non-treated DLB patients highlighted FC changes in treated patients involving the SN, the DMN, the FPN and the dorsal attentional network (p < 0.05, uncorrected).
CONCLUSIONS: Our findings revealed that depressive symptoms would especially be associated with rsFC changes between fronto-temporal and primary visual areas in DLB patients. Such alterations could contribute to difficulties in regulating emotions, processing biases towards negative stimuli, and self-focused ruminations.
TRIAL REGISTRATION: This study is part of the cohort study AlphaLewyMA (https://clinicaltrials.gov/ct2/show/NCT01876459).
PMID:40011213 | DOI:10.1002/gps.70058
Multi-feature fusion method combining brain functional connectivity and graph theory for schizophrenia classification and neuroimaging markers screening
J Psychiatr Res. 2025 Feb 21;183:260-268. doi: 10.1016/j.jpsychires.2025.02.025. Online ahead of print.
ABSTRACT
BACKGROUND: The abnormalities in brain functional connectivity (FC) and graph topology (GT) in patients with schizophrenia (SZ) are unclear. Researchers proposed machine learning algorithms by combining FC or GT to identify SZ from healthy controls. The schizophrenia classification and neuroimaging markers screening using FC and GT feature fusion are blank.
METHODS: We proposed multi-feature fusion method combining functional connectivity and graph topology for schizophrenia classification and neuroimaging markers screening. Firstly, we acquired and preprocessed the private rs-fMRI data from the second affiliated hospital of Xinxiang Medical University in china. Secondly, we calculated the functional connectivity matrix and graph topology features. Thirdly, we used the two-sample t-test and the minimum absolute contraction selection operator (LASSO) to extract the features with statistical differences. Lastly, we used machine learning to classify schizophrenia and screen neuroimaging markers.
RESULTS: The result showed that the SVM model with the best feature (i.e., FC and GT) has the best performance (ACC = 0.935(95 percent confidence interval, 0.932 to 0.938), SEN = 0.920(95 percent confidence interval, 0.917 to 0.922), SPE = 0.950(95 percent confidence interval, 0.946 to 0.954), F1 = 0.935(95 percent confidence interval, 0.933 to 0.938), AUC = 0.935(95 percent confidence interval, 0.932 to 0.937)). We also found that the differences in FC and GT features are mainly located in the default network, the attention network, and the subcortical network. The feature strength of FC and GT showed a general decline in patients with SZ, and the node clustering coefficient of the thalamus and the FC of Putamen_L and Frontal_Mid_Orb_R showed an increase.
CONCLUSION: It demonstrated that the multi-feature fusion has the advantage in distinguishing SZ from healthy individuals providing new insights into the underlying pathogenesis of SZ.
PMID:40010076 | DOI:10.1016/j.jpsychires.2025.02.025
Resting-state network alterations in depression: a comprehensive meta-analysis of functional connectivity
Psychol Med. 2025 Feb 26;55:e63. doi: 10.1017/S0033291725000303.
ABSTRACT
BACKGROUND: Depression has been linked to disruptions in resting-state networks (RSNs). However, inconsistent findings on RSN disruptions, with variations in reported connectivity within and between RSNs, complicate the understanding of the neurobiological mechanisms underlying depression.
METHODS: A systematic literature search of PubMed and Web of Science identified studies that employed resting-state functional magnetic resonance imaging (fMRI) to explore RSN changes in depression. Studies using seed-based functional connectivity analysis or independent component analysis were included, and coordinate-based meta-analyses were performed to evaluate alterations in RSN connectivity both within and between networks.
RESULTS: A total of 58 studies were included, comprising 2321 patients with depression and 2197 healthy controls. The meta-analysis revealed significant alterations in RSN connectivity, both within and between networks, in patients with depression compared with healthy controls. Specifically, within-network changes included both increased and decreased connectivity in the default mode network (DMN) and increased connectivity in the frontoparietal network (FPN). Between-network findings showed increased DMN-FPN and limbic network (LN)-DMN connectivity, decreased DMN-somatomotor network and LN-FPN connectivity, and varied ventral attention network (VAN)-dorsal attentional network (DAN) connectivity. Additionally, a positive correlation was found between illness duration and increased connectivity between the VAN and DAN.
CONCLUSIONS: These findings not only provide a comprehensive characterization of RSN disruptions in depression but also enhance our understanding of the neurobiological mechanisms underlying depression.
PMID:40008424 | DOI:10.1017/S0033291725000303
Tumor resting-state fMRI connectivity to extralesional brain is associated with cognitive performance in glioma patients
Brain Spine. 2025 Feb 3;5:104202. doi: 10.1016/j.bas.2025.104202. eCollection 2025.
ABSTRACT
INTRODUCTION: Functional coupling of the tumor to extralesional brain areas and the pretherapeutic cognitive performance status have each independently been identified as prognostically relevant in glioma patients. It is however unclear, whether tumor-connectivity correlates with cognitive performance or the cognitive outcome.
RESEARCH QUESTION: To investigate potential associations between pre- and postoperative resting-state fMRI connectivity (FC) and cognitive functions in glioma patients compared to healthy controls.
MATERIAL AND METHODS: 18 patients and 18 age-matched, healthy controls underwent resting-state fMRI and neuropsychological testing pre- and 4.5 months (mean) postoperatively. FC of the tumor to extralesional brain (Tu-EL) was determined, as well as FC of extralesional brain (EL) and the contralesional hemisphere (conEL). Groups were compared with regard to behavioral and FC measures.
RESULTS: Patients showed deficits in all cognitive domains tested. While postoperative performance tended to be worse, deterioration was not statistically significant between timepoints. EL FC did not differ between groups, but conEL FC (p < .045) was increased in patients as compared to controls. Tu-EL FC was significantly associated with worse attention performance (p < .001), and, by trend (p < .058), with worse attentional outcome in patients.
DISCUSSION AND CONCLUSION: Intrinsic functional coupling to the rest of the brain was associated with worse cognitive performance and might relate to pathological tumor-neuron interaction on the macroscale, reflecting the invasive nature of diffusely infiltrating glioma. Deepening our understanding of FC measures at the connectomic level in the context of cancer neuroscience may aid in identifying neurophysiological correlates of cognitive impairment and in prognosticating cognitive outcome in glioma patients.
PMID:40007801 | PMC:PMC11851226 | DOI:10.1016/j.bas.2025.104202
Systematic review of functional magnetic resonance imaging (fMRI) applications in the preoperative planning and treatment assessment of brain tumors
Heliyon. 2025 Feb 6;11(3):e42464. doi: 10.1016/j.heliyon.2025.e42464. eCollection 2025 Feb 15.
ABSTRACT
The utilization of functional magnetic resonance imaging (fMRI) is critical in the preoperative planning phase of brain tumor surgery because it allows for a delicate balance between maximizing tumor resection and maintaining brain function. A decade of fMRI development was examined in this study, with a particular emphasis on its use in diagnosing and assessing the efficacy of brain cancer treatments. We examined the foundational principles, practical implementations, and verification of fMRI via direct brain stimulation, with particular emphasis on its capacity to detect cerebral regions affected by tumors that are eloquent in nature. Recently, fMRI has undergone significant progress, allowing for its integration into clinical workflows to facilitate precise mapping of brain functions. This extensive analysis encompasses the scrutiny of resting-state fMRI (Rs-fMRI) as a method of capturing functional connectivity, thereby providing significant insights into the management of patients with brain tumors. Methodological advancements, clinical applicability, and future orientations of fMRI are highlighted in this review, which emphasizes the substantial influence of the technique on neurosurgical planning and patient outcomes.
PMID:40007791 | PMC:PMC11850128 | DOI:10.1016/j.heliyon.2025.e42464
Brain Functional Connectivity Significantly Improves After Surgical Eradication of Porto-Systemic Shunting in Pediatric Patients
Life (Basel). 2025 Feb 13;15(2):290. doi: 10.3390/life15020290.
ABSTRACT
PURPOSE: Porto-systemic shunting (PSS) in patients with Abernethy malformation (AM) or obstruction of the portal vein (OVP) is often associated with normal liver parenchyma and hepatic function. This association provides an interesting natural model for studying the brain functional connectivity changes secondary to PSS but independently from hepatic (dys)function. Because PSS can be eliminated with appropriate interventions, these particular conditions offer a unique physio-pathological model where the same patient can be studied in both "active PSS" and "absent PSS" conditions (pre- and post-cure analyses).
METHODS: Four children (<18 years) who were evaluated for Abernethy malformation (n = 2) or portal cavernoma (n = 2) and underwent corrective surgery (living-donor liver transplantation for AM, or Meso-Rex bypass for OPV, respectively) were included in the study. Brain magnetic resonance imaging and resting-state functional magnetic resonance imaging (rest-fMRI) were acquired in all patients before and after the corrective surgery. A functional connectome analysis was performed before ("active PSS" condition) and after ("absent PSS"-physiological condition) the cure of PSS.
RESULTS: As a result of the cancelation of PSS, rest-fMRI connectomics revealed a statistically significant (p < 0.05 family-wise error) improvement in global brain functional connectivity in both groups following each surgical procedure.
CONCLUSIONS: In this clinical model of isolated PSS (with absence of hepatic dysfunction), brain functional connectivity was altered even in young patients and in the absence of hyperammonemia; moreover, specific interventions to cancel out PSS consequently significantly improved brain functional connectivity.
PMID:40003699 | DOI:10.3390/life15020290
Neural Correlates of Growth Mindset: A Scoping Review of Brain-Based Evidence
Brain Sci. 2025 Feb 14;15(2):200. doi: 10.3390/brainsci15020200.
ABSTRACT
Growth mindset, which asserts that intelligence and abilities can be cultivated through effort and learning, has garnered substantial attention in psychological and educational research. While the psychological and behavioral impacts of growth mindset are well-established, the underlying neural mechanisms remain relatively underexplored. Furthermore, there is a lack of comprehensive reviews synthesizing the neural evidence on growth mindset, hindering a fuller understanding of this concept. This scoping review aims to synthesize existing empirical studies on the neural mechanisms of growth mindset, focusing on research objectives, methods, and participant characteristics. A total of 15 studies were reviewed, revealing six primary research objectives: (1) neural mechanisms of error and feedback processing, (2) domain-specific mindsets, (3) neural changes resulting from mindset interventions, (4) mindsets and grit, (5) the neuroanatomy of mindsets, and (6) neural mechanisms of stereotype violation, with error and feedback processing being the most frequently investigated. Ten of the 15 studies employed EEG, while other techniques included structural MRI, task-based fMRI, and resting-state fMRI, with the majority of research focusing on adult populations. Although the existing literature offers valuable insights, further research is needed to explore additional aspects of mindsets, particularly in children, and to refine the methodologies used to investigate the neural mechanisms underlying growth mindset.
PMID:40002532 | DOI:10.3390/brainsci15020200
Differential Abnormality in Regional Brain Spontaneous Activity and Functional Connectivity in Patients of Non-Acute Subcortical Stroke With Versus Without Global Cognitive Functional Impairment
Brain Behav. 2025 Feb;15(2):e70356. doi: 10.1002/brb3.70356.
ABSTRACT
INTRODUCTION: Cognitive impairment after a stroke significantly affects patients' quality of life, yet not all strokes lead to such impairment, and the underlying reasons remain unclear. This study employs resting-state functional magnetic resonance imaging (rs-fMRI) to compare subcortical stroke patients with and without cognitive impairment. Our goal is to identify distinct abnormalities in regional brain spontaneous activity and functional connectivity (FC) to better understand the neural basis of post-stroke cognitive outcomes.
METHODS: A total of 62 first-ever non-acute subcortical stroke patients were classified into post-stroke with abnormal cognition (PSAC) and with normal cognition (PSNC) groups. Rs-MRI was utilized to assess regional homogeneity (ReHo) in 32 PSAC, 30 PSNC, and 62 age- and sex-matched healthy controls (HC). Then we performed the seed-based whole-brain FC analysis based on the ReHo results. A partial correlation analysis examined the relationship between altered ReHo or FC and Montreal Cognitive Assessment (MoCA) scores.
RESULTS: It showed varied activity in cognitive-related brain regions in both stroke groups compared to HC, such as the right superior frontal gyrus, the right middle temporal gyrus, the right postcentral gyrus, and the left cerebellar lobules. The PSAC group had increased activity in the bilateral inferior temporal gyrus as well. Significant differences in activity were also found between PSAC and PSNC groups, with the PSAC group showing decreased activity in the left gyrus rectus (REC) and increased activity in cerebellar lobules. FC analysis revealed decreased connections in the PSAC group, particularly involving the left REC. Activity and FC in left REC and cerebellum also significantly correlated with MoCA scores.
CONCLUSIONS: These findings suggest unique patterns of brain activity and connectivity in non-acute subcortical stroke patients with cognitive impairment, shedding light on potential neural mechanisms underlying post-stroke cognitive impairment. While the left REC may be a potential neural regulatory stimulus target in clinical applications.
PMID:40001287 | DOI:10.1002/brb3.70356
Resting-State fMRI to Map Language Function for Surgical Planning in Patients With Brain Tumors: A Feasibility Study
J Neuroimaging. 2025 Jan-Feb;35(1):e70027. doi: 10.1111/jon.70027.
ABSTRACT
BACKGROUND AND PURPOSE: In neurosurgery, functional MRI is crucial for preoperative planning to obtain the cortical cortex map of language areas. This preliminary work involved analyzing the functional MRIs of 20 oncological patients. Our question is if resting-state functional MRI (rs-fMRI) can replace standard task-based functional MRI (tb-fMRI) in routine clinical applications. The aim of this challenge is to determine if rs-fMRI is as effective as tb-fMRI and to develop a systematic approach for the extraction of a cortical language map.
METHODS: We started by analyzing our rs-fMRI images and validated the correct mapping of language regions using an independent components analysis approach; then, we used the analysis of connectivity networks to compare the two techniques.
RESULTS: The regions identified in rs-fMRI align with established medical knowledge; a comparison of rs-fMRI and tb-fMRI reveals that the four language regions-Broca's and Wernicke's areas in both hemispheres-exhibit activation in both techniques; furthermore, we highlighted that rs-fMRI reveals more comprehensive details about functional connectivity in contrast to tb-fMRI.
CONCLUSIONS: rs-MRI and tb-MRI provide similar levels of efficacy in revealing the functional areas of the brain for preoperative mapping when a lesion lies in areas related to language; thus, both techniques can be utilized for this goal. Based on this, we developed an rs-fMRI processing pipeline for clinical usage and applied it to a patient outside the study.
PMID:40000389 | DOI:10.1111/jon.70027
Functional neuroimaging in disorders of consciousness: towards clinical implementation
Brain. 2025 Feb 25:awaf075. doi: 10.1093/brain/awaf075. Online ahead of print.
ABSTRACT
Functional neuroimaging has provided several new tools for improving both the diagnosis and prognosis in patients with DoC. These tools are now being used to detect residual and covert awareness in behaviourally non-responsive patients with an acquired severe brain injury and predict which patients are likely to recover. Despite endorsement of advanced imaging by multiple clinical bodies, widespread implementation of imaging techniques such as functional MRI (fMRI), electroencephalography (EEG), and positron emission tomography (PET) in both acute and prolonged disorders of consciousness patients has been hindered by perceived costs, technological barriers, and lack of expertise needed to acquire, interpret, and implement these methods. In this review we provide a comprehensive overview of neuroimaging in DoC, the different technical approaches employed (i.e. fMRI, EEG, PET), the imaging paradigms used (active, passive, resting state) and the types of inferences that have been made about residual cortical function based on those paradigms (e.g., perception, awareness, communication). Next, we outline how these barriers might be overcome, discuss which select patients stand to benefit the most from these neuroimaging techniques, and consider when during their clinical trajectory imaging tests are likely to be most useful. Moreover, we make recommendations that will help clinicians decide which advanced imaging technologies and protocols are likely to be most appropriate in any particular clinical case. Finally, we describe how these techniques can be implemented in routine clinical care to augment current clinical tools and outline future directions for the field as a whole.
PMID:39997570 | DOI:10.1093/brain/awaf075
Altered Visuomotor Network Dynamics Associated with Freezing of Gait in Parkinson's Disease
Mov Disord. 2025 Feb 25. doi: 10.1002/mds.30146. Online ahead of print.
ABSTRACT
BACKGROUND: Freezing of gait (FOG) is a common gait disorder that often accompanies Parkinson's disease (PD). The current understanding of brain functional organization in FOG was built on the assumption that the functional connectivity (FC) of networks is static, but FC changes dynamically over time. We aimed to characterize the dynamic functional connectivity (DFC) in patients with FOG based on high temporal-resolution functional MRI (fMRI).
METHODS: Eighty-seven PD patients, including 29 with FOG and 58 without FOG, and 32 healthy controls underwent resting-state fMRI. Spatial independent component analysis and a sliding-window approach were used to estimate DFC.
RESULTS: Four patterns of structured FC 'states' were identified: a frequent and sparsely connected network (State I), a less frequent but highly synchronized network (State IV), and two states with opposite connecting directions between the visual network and the sensorimotor network (positively connected in State II, negatively connected in State III). Compared with the non-FOG group, patients with FOG spent significantly less time in State II and more time in State III. The longer dwell time in State III was correlated with more severe FOG symptoms. The fractional window of State III tended to correlate to visual-spatial and executive dysfunction in FOG. Moreover, fewer transitions between brain states and lower variability in local efficiency were observed in FOG, suggesting a relatively 'rigid' brain.
CONCLUSIONS: This study highlights how visuomotor network dynamics are related to the presence and severity of FOG in PD patients, which provides new insights into understanding the pathophysiological mechanisms that underly FOG. © 2025 International Parkinson and Movement Disorder Society.
PMID:39996352 | DOI:10.1002/mds.30146