Lack of structural brain alterations associated with insomnia: findings from the ENIGMA-Sleep Working Group.

Existing neuroimaging studies have reported divergent structural alterations in insomnia disorder (ID). In the present study, we performed a large-scale coordinated meta-analysis by pooling structural brain measures from 1085 subjects (mean [SD] age 50.5 [13.9] years, 50.2% female, 17.4% with insomnia) across three international Enhancing NeuroImaging Genetics through Meta-Analysis (ENIGMA)-Sleep cohorts. Two sites recruited patients with ID/controls: Freiburg (University of Freiburg Medical Center, Freiburg, Germany) 42/43 and KUMS (Kermanshah University of Medical Sciences, Kermanshah, Iran) 42/49, while the Study of Health in Pomerania (SHIP-Trend, University Medicine Greifswald, Greifswald, Germany) recruited population-based individuals with/without insomnia symptoms 75/662. The influence of insomnia on magnetic resonance imaging-based brain morphometry using an insomnia brain score was then assessed. Within each cohort, we used an ordinary least-squares linear regression to investigate the link between the individual regional cortical and subcortical volumes and the presence of insomnia symptoms. Then, we performed a fixed-effects meta-analysis across cohorts based on the first-level results. For the insomnia brain score, weighted logistic ridge regression was performed on one sample (Freiburg), which separated patients with ID from controls to train a model based on the segmentation measurements. Afterward, the insomnia brain scores were validated using the other two samples. The model was used to predict the log-odds of the subjects with insomnia given individual insomnia-related brain atrophy. After adjusting for multiple comparisons, we did not detect any significant associations between insomnia symptoms and cortical or subcortical volumes, nor could we identify a global insomnia-related brain atrophy pattern. Thus, we observed inconsistent brain morphology differences between individuals with and without insomnia across three independent cohorts. Further large-scale cross-sectional/longitudinal studies using both structural and functional neuroimaging are warranted to decipher the neurobiology of insomnia.

The interplay between insomnia symptoms and Alzheimer's Disease across three main brain networks.

STUDY OBJECTIVES: Insomnia symptoms are prevalent along the trajectory of Alzheimer's disease (AD), but the neurobiological underpinning of their interaction is poorly understood. Here, we assessed structural and functional brain measures within and between the default mode network (DMN), salience network (SN), and central executive network (CEN). METHODS: We selected 320 subjects from the ADNI database and divided by their diagnosis: cognitively normal (CN), Mild Cognitive Impairment (MCI), and AD, with and without self-reported insomnia symptoms. We measured the gray matter volume (GMV), structural covariance (SC), degrees centrality (DC), and functional connectivity (FC), testing the effect and interaction of insomnia symptoms and diagnosis on each index. Subsequently, we performed a within-group linear regression across each network and ROI. Finally, we correlated observed abnormalities with changes in cognitive and affective scores. RESULTS: Insomnia symptoms were associated with FC alterations across all groups. The AD group also demonstrated an interaction between insomnia and diagnosis. Within-group analyses revealed that in CN and MCI, insomnia symptoms were characterised by within-network hyperconnectivity, while in AD, within- and between-network hypoconnectivity was ubiquitous. SC and GMV alterations were non-significant in the presence of insomnia symptoms, and DC indices only showed network-level alterations in the CEN of AD individuals. Abnormal FC within and between DMN and CEN hubs was additionally associated with reduced cognitive function across all groups, and increased depressive symptoms in AD. CONCLUSIONS: We conclude that patients with clinical AD present with a unique pattern of insomnia-related functional alterations, highlighting the profound interaction between both conditions.

Lower motor performance is linked with poor sleep quality, depressive symptoms, and grey matter volume alterations.

Motor performance (MP) is essential for functional independence and well-being, particularly in later life. However, the relationship between behavioural aspects such as sleep quality and depressive symptoms, which contribute to MP, and the underlying structural brain substrates of their interplay remains unclear. This study used three population-based cohorts of younger and older adults (n=1,950) from the Human Connectome Project-Young Adult (HCP-YA), HCP-Aging (HCP-A), and enhanced Nathan Kline Institute-Rockland sample (eNKI-RS). Several canonical correlation analyses were computed within a machine learning framework to assess the associations between each of the three domains (sleep quality, depressive symptoms, grey matter volume (GMV)) and MP. The HCP-YA analyses showed progressively stronger associations between MP and each domain: depressive symptoms (unexpectedly positive, r=0.13, SD=0.06), sleep quality (r=0.17, SD=0.05), and GMV (r=0.19, SD=0.06). Combining sleep and depressive symptoms significantly improved the canonical correlations (r=0.25, SD=0.05), while the addition of GMV exhibited no further increase (r=0.23, SD=0.06). In young adults, better sleep quality, mild depressive symptoms, and GMV of several brain regions were associated with better MP. This was conceptually replicated in young adults from the eNKI-RS cohort. In HCP-Aging, better sleep quality, fewer depressive symptoms, and increased GMV were associated with MP. Robust multivariate associations were observed between sleep quality, depressive symptoms and GMV with MP, as well as age-related variations in these factors. Future studies should further explore these associations and consider interventions targeting sleep and mental health to test the potential effects on MP across the lifespan.

Insulation Performance and Simulation Analysis of SiO2-Aramid Paper under High-Voltage Bushing.

The long-term safe and stable operation of oil-impregnated paper (OIP) bushings is of great significance to the operation of power systems. With the growth of OIP bushing, its internal insulation will gradually decay. Aramid insulation paper has excellent thermal aging characteristics and its insulation performance can be improved by using nano-modification technology. In this paper, the nano-SiO2 particles were used as the modified additives, and the modified aramid insulation paper was prepared through four steps: ultrasonic stirring, fiber dissociation, paper sample copying and superheated calendering. The microscopic physical morphology and chemical components of the insulation specimens before and after modification were analyzed by atomic force microscopy (AFM), scanning electron microscopy (SEM) and X-ray photoelectron spectroscopy (XPS), and an OIP bushing model based on the modified aramid insulation paper was constructed and its electric field distribution was analyzed. The simulation results show that the use of SiO2-modified aramid insulation paper can improve the electric field distribution of OIP bushings and increase the operating life of power transformers.

Fully transformer network for skin lesion analysis.

Automatic skin lesion analysis in terms of skin lesion segmentation and disease classification is of great importance. However, these two tasks are challenging as skin lesion images of multi-ethnic population are collected using various scanners in multiple international medical institutes. To address them, most recent works adopt convolutional neural networks (CNNs) for skin lesion analysis. However, due to the intrinsic locality of the convolution operator, CNNs lack the ability to capture contextual information and long-range dependency. To improve the baseline performance established by CNNs, we propose a Fully Transformer Network (FTN) to learn long-range contextual information for skin lesion analysis. FTN is a hierarchical Transformer computing features using Spatial Pyramid Transformer (SPT). SPT has linear computational complexity as it introduces a spatial pyramid pooling (SPP) module into multi-head attention (MHA)to largely reduce the computation and memory usage. We conduct extensive skin lesion analysis experiments to verify the effectiveness and efficiency of FTN using ISIC 2018 dataset. Our experimental results show that FTN consistently outperforms other state-of-the-art CNNs in terms of computational efficiency and the number of tunable parameters due to our efficient SPT and hierarchical network structure. The code and models will be public available at: https://github.com/Novestars/Fully-Transformer-Network.

Graph based multi-scale neighboring topology deep learning for kidney and tumor segmentation.

Objective.Effective learning and modelling of spatial and semantic relations between image regions in various ranges are critical yet challenging in image segmentation tasks.Approach.We propose a novel deep graph reasoning model to learn from multi-order neighborhood topologies for volumetric image segmentation. A graph is first constructed with nodes representing image regions and graph topology to derive spatial dependencies and semantic connections across image regions. We propose a new node attribute embedding mechanism to formulate topological attributes for each image region node by performing multi-order random walks (RW) on the graph and updating neighboring topologies at different neighborhood ranges. Afterwards, multi-scale graph convolutional autoencoders are developed to extract deep multi-scale topological representations of nodes and propagate learnt knowledge along graph edges during the convolutional and optimization process. We also propose a scale-level attention module to learn the adaptive weights of topological representations at multiple scales for enhanced fusion. Finally, the enhanced topological representation and knowledge from graph reasoning are integrated with content features before feeding into the segmentation decoder.Main results.The evaluation results over public kidney and tumor CT segmentation dataset show that our model outperforms other state-of-the-art segmentation methods. Ablation studies and experiments using different convolutional neural networks backbones show the contributions of major technical innovations and generalization ability.Significance.We propose for the first time an RW-driven MCG with scale-level attention to extract semantic connections and spatial dependencies between a diverse range of regions for accurate kidney and tumor segmentation in CT volumes.