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Sentence oral reading requires not only a coordinated effort in the visual, articulatory, and cognitive processes but also supposes a top-down influence from linguistic knowledge onto the visual-motor behavior. Despite a gradual recognition of a predictive coding effect in this process, there is currently a lack of a comprehensive demonstration regarding the time-varying brain dynamics that underlines the oral reading strategy. To address this, our study used a multimodal approach, combining real-time recording of electroencephalography, eye movements, and speech, with a comprehensive examination of regional, inter-regional, sub-network, and whole-brain responses. Our study identified the top-down predictive effect with a phrase-grouping phenomenon in the fixation interval and eye-voice span. This effect was associated with the delta and theta band synchronization in the prefrontal, anterior temporal, and inferior frontal lobes. We also observed early activation of the cognitive control network and its recurrent interactions with the visual-motor networks structurally at the phrase rate. Finally, our study emphasizes the importance of cross-frequency coupling as a promising neural realization of hierarchical sentence structuring and calls for further investigation.
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Idioma , Leitura , Eletroencefalografia , Encéfalo/fisiologia , LinguísticaRESUMO
Neuropsychological studies have documented an incomplete reversal of pre-existing cognitive dysfunction in cirrhotic patients after liver transplantation (LT) and have found this is more severe in patients with hepatic encephalopathy (HE). In this study, we aimed to investigate the impact of prior HE episodes on post-transplantation brain function recovery. Resting-state functional magnetic resonance imaging data was collected from 30 healthy controls and 33 cirrhotic patients (HE, n = 15 and noHE, n = 18) before and one month after LT. Long- and short-range functional connectivity strength (FCS) analysis indicated that before transplantation both noHE and HE groups showed diffuse FCS abnormalities relative to healthy controls. For the noHE group, the abnormal FCS found before LT largely returned to normal levels after LT, except for in the cerebellum, precuneus, and orbital middle frontal gyrus. However, the abnormal FCS prior to LT was largely preserved in the HE group, including high-level cognition-related (frontal and parietal lobes) and vision-related areas (occipital lobe, cuneus, and precuneus). In addition, comparisons between HE and noHE groups revealed that weaker FCS in default mode network (DMN) in HE group persisted from pre- to post- LT. Correlation analysis showed that changes in FCS in the left postcentral and right middle frontal gyrus correlated with alterations in neuropsychological performance and ammonia levels. In conclusion, the findings in this study demonstrate potential adverse effects of pre-LT episode of HE on post-LT brain function recovery, and reveal that DMN may be the most affected brain region by HE episodes, which can't be reversed by LT.
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Encéfalo/fisiopatologia , Encefalopatia Hepática/fisiopatologia , Cirrose Hepática/fisiopatologia , Transplante de Fígado/efeitos adversos , Recuperação de Função Fisiológica/fisiologia , Adulto , Idoso , Mapeamento Encefálico/métodos , Feminino , Encefalopatia Hepática/psicologia , Humanos , Cirrose Hepática/psicologia , Imageamento por Ressonância Magnética/métodos , Masculino , Pessoa de Meia-Idade , Descanso/psicologiaRESUMO
Humans can easily recognize others' facial expressions. Among the brain substrates that enable this ability, considerable attention has been paid to face-selective areas; in contrast, whether motion-sensitive areas, which clearly exhibit sensitivity to facial movements, are involved in facial expression recognition remained unclear. The present functional magnetic resonance imaging (fMRI) study used multi-voxel pattern analysis (MVPA) to explore facial expression decoding in both face-selective and motion-sensitive areas. In a block design experiment, participants viewed facial expressions of six basic emotions (anger, disgust, fear, joy, sadness, and surprise) in images, videos, and eyes-obscured videos. Due to the use of multiple stimulus types, the impacts of facial motion and eye-related information on facial expression decoding were also examined. It was found that motion-sensitive areas showed significant responses to emotional expressions and that dynamic expressions could be successfully decoded in both face-selective and motion-sensitive areas. Compared with static stimuli, dynamic expressions elicited consistently higher neural responses and decoding performance in all regions. A significant decrease in both activation and decoding accuracy due to the absence of eye-related information was also observed. Overall, the findings showed that emotional expressions are represented in motion-sensitive areas in addition to conventional face-selective areas, suggesting that motion-sensitive regions may also effectively contribute to facial expression recognition. The results also suggested that facial motion and eye-related information played important roles by carrying considerable expression information that could facilitate facial expression recognition. Hum Brain Mapp 38:3113-3125, 2017. © 2017 Wiley Periodicals, Inc.
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Encéfalo/diagnóstico por imagem , Comportamento de Escolha/fisiologia , Face , Expressão Facial , Percepção de Movimento/fisiologia , Reconhecimento Visual de Modelos/fisiologia , Atenção/fisiologia , Encéfalo/fisiologia , Mapeamento Encefálico , Feminino , Humanos , Processamento de Imagem Assistida por Computador , Imageamento por Ressonância Magnética , Masculino , Oxigênio/sangue , Estimulação Luminosa , Adulto JovemRESUMO
Semantic priming is an important research topic in the field of cognitive neuroscience. Previous studies have shown that the uni-modal semantic priming effect can be modulated by attention. However, the influence of attention on cross-modal semantic priming is unclear. To investigate this issue, the present study combined a cross-modal semantic priming paradigm with an auditory spatial attention paradigm, presenting the visual pictures as the prime stimuli and the semantically related or unrelated sounds as the target stimuli. Event-related potentials results showed that when the target sound was attended to, the N400 effect was evoked. The N400 effect was also observed when the target sound was not attended to, demonstrating that the cross-modal semantic priming effect persists even though the target stimulus is not focused on. Further analyses revealed that the N400 effect evoked by the unattended sound was significantly lower than the effect evoked by the attended sound. This contrast provides new evidence that the cross-modal semantic priming effect can be modulated by attention.
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Atenção/fisiologia , Percepção Auditiva/fisiologia , Potenciais Evocados/fisiologia , Semântica , Percepção Espacial/fisiologia , Estimulação Acústica , Adulto , Análise de Variância , Mapeamento Encefálico , Feminino , Humanos , Inibição Psicológica , Masculino , Estimulação Luminosa , Tempo de Reação/fisiologia , Adulto JovemRESUMO
In the Chinese language, a polyphone is a kind of special character that has more than one pronunciation, with each pronunciation corresponding to a different meaning. Here, we aimed to reveal the cognitive processing of audio-visual information integration of polyphones in a sentence context using the event-related potential (ERP) method. Sentences ending with polyphones were presented to subjects simultaneously in both an auditory and a visual modality. Four experimental conditions were set in which the visual presentations were the same, but the pronunciations of the polyphones were: the correct pronunciation; another pronunciation of the polyphone; a semantically appropriate pronunciation but not the pronunciation of the polyphone; or a semantically inappropriate pronunciation but also not the pronunciation of the polyphone. The behavioral results demonstrated significant differences in response accuracies when judging the semantic meanings of the audio-visual sentences, which reflected the different demands on cognitive resources. The ERP results showed that in the early stage, abnormal pronunciations were represented by the amplitude of the P200 component. Interestingly, because the phonological information mediated access to the lexical semantics, the amplitude and latency of the N400 component changed linearly across conditions, which may reflect the gradually increased semantic mismatch in the four conditions when integrating the auditory pronunciation with the visual information. Moreover, the amplitude of the late positive shift (LPS) showed a significant correlation with the behavioral response accuracies, demonstrating that the LPS component reveals the demand of cognitive resources for monitoring and resolving semantic conflicts when integrating the audio-visual information.
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Potenciais Evocados/fisiologia , Fonética , Semântica , Estimulação Acústica , Adulto , Análise de Variância , Mapeamento Encefálico , Eletroencefalografia , Feminino , Humanos , Masculino , Estimulação Luminosa , Tempo de Reação/fisiologia , Leitura , Adulto JovemRESUMO
This study aimed to investigate the functional connectivity in the brain during the cross-modal integration of polyphonic characters in Chinese audio-visual sentences. The visual sentences were all semantically reasonable and the audible pronunciations of the polyphonic characters in corresponding sentences contexts varied in four conditions. To measure the functional connectivity, correlation, coherence and phase synchronization index (PSI) were used, and then multivariate pattern analysis was performed to detect the consensus functional connectivity patterns. These analyses were confined in the time windows of three event-related potential components of P200, N400 and late positive shift (LPS) to investigate the dynamic changes of the connectivity patterns at different cognitive stages. We found that when differentiating the polyphonic characters with abnormal pronunciations from that with the appreciate ones in audio-visual sentences, significant classification results were obtained based on the coherence in the time window of the P200 component, the correlation in the time window of the N400 component and the coherence and PSI in the time window the LPS component. Moreover, the spatial distributions in these time windows were also different, with the recruitment of frontal sites in the time window of the P200 component, the frontal-central-parietal regions in the time window of the N400 component and the central-parietal sites in the time window of the LPS component. These findings demonstrate that the functional interaction mechanisms are different at different stages of audio-visual integration of polyphonic characters.
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Povo Asiático/psicologia , Mapeamento Encefálico , Potenciais Evocados/fisiologia , Fonética , Semântica , Estimulação Acústica , Adulto , Eletroencefalografia , Eletroculografia , Feminino , Humanos , Masculino , Modelos Neurológicos , Estimulação Luminosa , Tempo de Reação/fisiologia , Estatística como Assunto , Adulto JovemRESUMO
Working memory (WM) is essential for individuals' cognitive functions. Neuroimaging studies indicated that WM fundamentally relied on a frontoparietal working memory network (WMN) and a cinguloparietal default mode network (DMN). Behavioral training studies demonstrated that the two networks can be modulated by WM training. Different from the behavioral training, our recent study used a real-time functional MRI (rtfMRI)-based neurofeedback method to conduct WM training, demonstrating that WM performance can be significantly improved after successfully upregulating the activity of the target region of interest (ROI) in the left dorsolateral prefrontal cortex (Zhang et al., [2013]: PloS One 8:e73735); however, the neural substrate of rtfMRI-based WM training remains unclear. In this work, we assessed the intranetwork and internetwork connectivity changes of WMN and DMN during the training, and their correlations with the change of brain activity in the target ROI as well as with the improvement of post-training behavior. Our analysis revealed an "ROI-network-behavior" correlation relationship underlying the rtfMRI training. Further mediation analysis indicated that the reorganization of functional brain networks mediated the effect of self-regulation of the target brain activity on the improvement of cognitive performance following the neurofeedback training. The results of this study enhance our understanding of the neural basis of real-time neurofeedback and suggest a new direction to improve WM performance by regulating the functional connectivity in the WM related networks.
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Encéfalo/fisiologia , Imageamento por Ressonância Magnética/métodos , Memória de Curto Prazo/fisiologia , Neurorretroalimentação/métodos , Mapeamento Encefálico , Circulação Cerebrovascular/fisiologia , Feminino , Humanos , Masculino , Vias Neurais/fisiologia , Testes Neuropsicológicos , Oxigênio/sangue , Adulto JovemRESUMO
Major Depressive Disorder (MDD) is a debilitating, complex mental condition with unclear mechanisms hindering diagnostic progress. Research links MDD to abnormal brain connectivity using functional magnetic resonance imaging (fMRI). Yet, existing fMRI-based MDD models suffer from limitations, including neglecting dynamic network traits, lacking interpretability, and struggling with small datasets. We present DSFGNN, a novel graph neural network framework addressing these issues for improved MDD diagnosis. DSFGNN employs a graph isomorphism encoder to model static and dynamic brain networks, achieving effective fusion of temporal and spatial information through a spatiotemporal attention mechanism, thereby enhancing interpretability. Furthermore, we incorporate a causal disentangling module and orthogonal regularization module to augment the model's expressiveness. We evaluate DSFGNN on the Rest-meta-MDD dataset, yielding superior results compared to the best baseline. Besides, extensive ablation studies and interpretability analysis confirm DSFGNN's effectiveness and potential for biomarker discovery.
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Encéfalo , Transtorno Depressivo Maior , Imageamento por Ressonância Magnética , Redes Neurais de Computação , Humanos , Transtorno Depressivo Maior/diagnóstico por imagem , Transtorno Depressivo Maior/fisiopatologia , Imageamento por Ressonância Magnética/métodos , Encéfalo/diagnóstico por imagem , Encéfalo/fisiopatologia , Interpretação de Imagem Assistida por Computador/métodos , Algoritmos , AdultoRESUMO
Objective.Constructing an efficient human emotion recognition model based on electroencephalogram (EEG) signals is significant for realizing emotional brain-computer interaction and improving machine intelligence.Approach.In this paper, we present a spatial-temporal feature fused convolutional graph attention network (STFCGAT) model based on multi-channel EEG signals for human emotion recognition. First, we combined the single-channel differential entropy (DE) feature with the cross-channel functional connectivity (FC) feature to extract both the temporal variation and spatial topological information of EEG. After that, a novel convolutional graph attention network was used to fuse the DE and FC features and further extract higher-level graph structural information with sufficient expressive power for emotion recognition. Furthermore, we introduced a multi-headed attention mechanism in graph neural networks to improve the generalization ability of the model.Main results.We evaluated the emotion recognition performance of our proposed model on the public SEED and DEAP datasets, which achieved a classification accuracy of 99.11% ± 0.83% and 94.83% ± 3.41% in the subject-dependent and subject-independent experiments on the SEED dataset, and achieved an accuracy of 91.19% ± 1.24% and 92.03% ± 4.57% for discrimination of arousal and valence in subject-independent experiments on DEAP dataset. Notably, our model achieved state-of-the-art performance on cross-subject emotion recognition tasks for both datasets. In addition, we gained insight into the proposed frame through both the ablation experiments and the analysis of spatial patterns of FC and DE features.Significance.All these results prove the effectiveness of the STFCGAT architecture for emotion recognition and also indicate that there are significant differences in the spatial-temporal characteristics of the brain under different emotional states.
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Emoções , Reconhecimento Psicológico , Humanos , Encéfalo , Eletroencefalografia , Inteligência ArtificialRESUMO
Introduction: Speech production involves neurological planning and articulatory execution. How speakers prepare for articulation is a significant aspect of speech production research. Previous studies have focused on isolated words or short phrases to explore speech planning mechanisms linked to articulatory behaviors, including investigating the eye-voice span (EVS) during text reading. However, these experimental paradigms lack real-world speech process replication. Additionally, our understanding of the neurological dimension of speech planning remains limited. Methods: This study examines speech planning mechanisms during continuous speech production by analyzing behavioral (eye movement and speech) and neurophysiological (EEG) data within a continuous speech production task. The study specifically investigates the influence of semantic consistency on speech planning and the occurrence of "look ahead" behavior. Results: The outcomes reveal the pivotal role of semantic coherence in facilitating fluent speech production. Speakers access lexical representations and phonological information before initiating speech, emphasizing the significance of semantic processing in speech planning. Behaviorally, the EVS decreases progressively during continuous reading of regular sentences, with a slight increase for non-regular sentences. Moreover, eye movement pattern analysis identifies two distinct speech production modes, highlighting the importance of semantic comprehension and prediction in higher-level lexical processing. Neurologically, the dual pathway model of speech production is supported, indicating a dorsal information flow and frontal lobe involvement. The brain network linked to semantic understanding exhibits a negative correlation with semantic coherence, with significant activation during semantic incoherence and suppression in regular sentences. Discussion: The study's findings enhance comprehension of speech planning mechanisms and offer insights into the role of semantic coherence in continuous speech production. Furthermore, the research methodology establishes a valuable framework for future investigations in this domain.
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Objective.Many recent studies investigating the processing of continuous natural speech have employed electroencephalography (EEG) due to its high temporal resolution. However, most of these studies explored the response mechanism limited to the electrode space. In this study, we intend to explore the underlying neural processing in the source space, particularly the dynamic functional interactions among different regions during neural entrainment to speech.Approach.We collected 128-channel EEG data while 22 participants listened to story speech and time-reversed speech using a naturalistic paradigm. We compared three different strategies to determine the best method to estimate the neural tracking responses from the sensor space to the brain source space. After that, we used dynamic graph theory to investigate the source connectivity dynamics among regions that were involved in speech tracking.Main result.By comparing the correlations between the predicted neural response and the original common neural response under the two experimental conditions, we found that estimating the common neural response of participants in the electrode space followed by source localization of neural responses achieved the best performance. Analysis of the distribution of brain sources entrained to story speech envelopes showed that not only auditory regions but also frontoparietal cognitive regions were recruited, indicating a hierarchical processing mechanism of speech. Further analysis of inter-region interactions based on dynamic graph theory found that neural entrainment to speech operates across multiple brain regions along the hierarchical structure, among which the bilateral insula, temporal lobe, and inferior frontal gyrus are key brain regions that control information transmission. All of these information flows result in dynamic fluctuations in functional connection strength and network topology over time, reflecting both bottom-up and top-down processing while orchestrating computations toward understanding.Significance.Our findings have important implications for understanding the neural mechanisms of the brain during processing natural speech stimuli.
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Percepção da Fala , Fala , Humanos , Fala/fisiologia , Percepção da Fala/fisiologia , Encéfalo/fisiologia , Eletroencefalografia , Lobo Temporal/fisiologia , Estimulação Acústica/métodosRESUMO
The brain functional mechanisms underlying emotional changes have been primarily studied based on the traditional task design with discrete and simple stimuli. However, the brain state transitions when exposed to continuous and naturalistic stimuli with rich affection variations remain poorly understood. This study proposes a dynamic hyperalignment algorithm (dHA) to functionally align the inter-subject neural activity. The hidden Markov model (HMM) was used to study how the brain dynamics responds to emotion during long-time movie-viewing activity. The results showed that dHA significantly improved inter-subject consistency and allowed more consistent temporal HMM states across participants. Afterward, grouping the emotions in a clustering dendrogram revealed a hierarchical grouping of the HMM states. Further emotional sensitivity and specificity analyses of ordered states revealed the most significant differences in happiness and sadness. We then compared the activation map in HMM states during happiness and sadness and found significant differences in the whole brain, but strong activation was observed during both in the superior temporal gyrus, which is related to the early process of emotional prosody processing. A comparison of the inter-network functional connections indicates unique functional connections of the memory retrieval and cognitive network with the cerebellum network during happiness. Moreover, the persistent bilateral connections among salience, cognitive, and sensorimotor networks during sadness may reflect the interaction between high-level cognitive networks and low-level sensory networks. The main results were verified by the second session of the dataset. All these findings enrich our understanding of the brain states related to emotional variation during naturalistic stimuli.
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Encéfalo , Imageamento por Ressonância Magnética , Algoritmos , Encéfalo/diagnóstico por imagem , Encéfalo/fisiologia , Mapeamento Encefálico , Emoções/fisiologia , HumanosRESUMO
In recent years, electroencephalograph (EEG) studies on speech comprehension have been extended from a controlled paradigm to a natural paradigm. Under the hypothesis that the brain can be approximated as a linear time-invariant system, the neural response to natural speech has been investigated extensively using temporal response functions (TRFs). However, most studies have modeled TRFs in the electrode space, which is a mixture of brain sources and thus cannot fully reveal the functional mechanism underlying speech comprehension. In this paper, we propose methods for investigating the brain networks of natural speech comprehension using TRFs on the basis of EEG source reconstruction. We first propose a functional hyper-alignment method with an additive average method to reduce EEG noise. Then, we reconstruct neural sources within the brain based on the EEG signals to estimate TRFs from speech stimuli to source areas, and then investigate the brain networks in the neural source space on the basis of the community detection method. To evaluate TRF-based brain networks, EEG data were recorded in story listening tasks with normal speech and time-reversed speech. To obtain reliable structures of brain networks, we detected TRF-based communities from multiple scales. As a result, the proposed functional hyper-alignment method could effectively reduce the noise caused by individual settings in an EEG experiment and thus improve the accuracy of source reconstruction. The detected brain networks for normal speech comprehension were clearly distinctive from those for non-semantically driven (time-reversed speech) audio processing. Our result indicates that the proposed source TRFs can reflect the cognitive processing of spoken language and that the multi-scale community detection method is powerful for investigating brain networks.
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Spiking neural networks (SNNs) are considered as a potential candidate to overcome current challenges, such as the high-power consumption encountered by artificial neural networks (ANNs); however, there is still a gap between them with respect to the recognition accuracy on various tasks. A conversion strategy was, thus, introduced recently to bridge this gap by mapping a trained ANN to an SNN. However, it is still unclear that to what extent this obtained SNN can benefit both the accuracy advantage from ANN and high efficiency from the spike-based paradigm of computation. In this article, we propose two new conversion methods, namely TerMapping and AugMapping. The TerMapping is a straightforward extension of a typical threshold-balancing method with a double-threshold scheme, while the AugMapping additionally incorporates a new scheme of augmented spike that employs a spike coefficient to carry the number of typical all-or-nothing spikes occurring at a time step. We examine the performance of our methods based on the MNIST, Fashion-MNIST, and CIFAR10 data sets. The results show that the proposed double-threshold scheme can effectively improve the accuracies of the converted SNNs. More importantly, the proposed AugMapping is more advantageous for constructing accurate, fast, and efficient deep SNNs compared with other state-of-the-art approaches. Our study, therefore, provides new approaches for further integration of advanced techniques in ANNs to improve the performance of SNNs, which could be of great merit to applied developments with spike-based neuromorphic computing.
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Redes Neurais de Computação , Neurônios , Reconhecimento PsicológicoRESUMO
Proliferation in telecommunications and integrated/intelligent devices entails an intense concern for electromagnetic interference (EMI) shielding and versatility. It remains an activated passion to launch infusive EMI shielding materials integrated with self-powered peculiarities. Herein, a double-layered MXene/polylactic acid (PLA) fabric resonance cavity (D-MPF-RC) comprised of two MXene/PLA fabrics (MPFs) with alternating MXene and PLA structures that are separated by a poly(tetrafluoroethylene) (PTFE) frame is developed. The D-MPF-RC achieved 48.5 and 74.8% improvement in SET and SEA, and 24.6% reduction in SER by introducing the double-layered structure and increasing the resonance cavity (RC) distance without varying the material composition and cost. A high shielding efficiency (SE) of 92.3 dB was obtained at an RC distance of 6 mm owing to the synergetic effects of multiple reflections and destructive EM wave interference. The tribopolarity difference between PLA and MXene and the RC structure made the D-MPF-RC a readily available triboelectric nanogenerator (TENG) that could convert mechanical energy into electricity. The D-MPF-RC TENG demonstrated an open-circuit voltage of 88 V and achieved a peak power density of 35.4 mW m-2 on a 6.6 MΩ external resistor, which made it possible to charge capacitors and serve as a self-powered tactile sensor. This report offers new insights into the design of high-performance EMI shielding shields with a resonance cavity and proposes a feasible pathway to integrate them with energy harvesting capabilities.
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Objective.One of the most significant features of the human brain is that it can dynamically reconfigure itself to adapt to a changing environment. However, dynamic interaction characteristics of the brain networks in naturalistic scenes remain unclear.Approach.We used open-source functional magnetic resonance imaging (fMRI) data from 15 participants who underwent fMRI scans while watching an audio-visual movie 'Forrest Gump'. The community detection algorithm based on inter-subject functional correlation was used to study the time-varying functional networks only induced by the movie stimuli. The whole brain reconfiguration patterns were quantified by the temporal co-occurrence matrix that describes the probability of two brain regions engage in the same community (or putative functional module) across time and the time-varying brain modularity. Four graph metrics of integration, recruitment, spatio-temporal diversity and within-community normalised centrality were further calculated to summarise the brain network dynamic roles and hub features in their spatio-temporal topology.Main results.Our results suggest that the networks that were involved in attention and audio-visual information processing, such as the visual network, auditory network, and dorsal attention network, were considered to play a role of 'stable loners'. By contrast, 'unstable loner' networks such as the default mode network (DMN) and fronto-parietal network tended to interact more flexibly with the other networks. In addition, global brain network showed significant fluctuations in modularity. The 'stable loner' networks always maintained high functional connectivity (FC) strength while 'unstable loner' networks, especially the DMN, exhibited high intra- and inter-network FC only during a low modularity period. Finally, changes in brain modularity were significantly associated with variations in emotions induced by the movie.Significance.Our findings provide new insight for understanding the dynamic interaction characteristics of functional brain networks during naturalistic stimuli.
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Encéfalo , Rede Nervosa , Encéfalo/diagnóstico por imagem , Mapeamento Encefálico , Cognição , Humanos , Imageamento por Ressonância Magnética , Rede Nervosa/diagnóstico por imagemRESUMO
OBJECTIVE: The role of preoperative overt hepatic encephalopathy (OHE) in the neurophysiological mechanism of cognitive improvement after liver transplantation (LT) remains elusive. This study aimed to explore changes in sub-regional thalamic functional connectivity (FC) after LT and their relationship with neuropsychological improvement using resting-state functional MRI (rs-fMRI) data in cirrhotic patients with and without a history of OHE. MATERIALS AND METHODS: A total of 51 cirrhotic patients, divided into the OHE group (n = 21) and no-OHE group (n = 30), and 30 healthy controls were enrolled in this prospective study. Each patient underwent rs-fMRI before and 1 month after LT. Using 16 bilateral thalamic subregions as seeds, we conducted a seed-to-voxel FC analysis to compare the thalamic FC alterations before and after LT between the OHE and no-OHE groups, as well as differences in FC between the two groups of cirrhotic patients and the control group. Correction for multiple comparisons was conducted using the false discovery rate (p < 0.05). RESULTS: We found abnormally increased FC between the thalamic sub-region and prefrontal cortex, as well as an abnormally decreased FC between the bilateral thalamus in both OHE and no-OHE cirrhotic patients before LT, which returned to normal levels after LT. Compared with the no-OHE group, the OHE group exhibited more extensive abnormalities prior to LT, and the increased FC between the right thalamic subregions and right inferior parietal lobe was markedly reduced to normal levels after LT. CONCLUSION: The renormalization of FC in the cortico-thalamic loop might be a neuro-substrate for the recovery of cognitive function after LT in cirrhotic patients. In addition, hyperconnectivity between thalamic subregions and the inferior parietal lobe might be an important feature of OHE. Changes in FC in the thalamus might be used as potential biomarkers for recovery of cognitive function after LT in cirrhotic patients.
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Encefalopatia Hepática , Transplante de Fígado , Encéfalo/patologia , Mapeamento Encefálico , Cognição , Encefalopatia Hepática/diagnóstico por imagem , Humanos , Cirrose Hepática/complicações , Cirrose Hepática/patologia , Imageamento por Ressonância Magnética , Estudos Prospectivos , Tálamo/diagnóstico por imagemRESUMO
To investigate whether dynamic functional connectivity (DFC) metrics can better identify minimal hepatic encephalopathy (MHE) patients from cirrhotic patients without any hepatic encephalopathy (noHE) and healthy controls (HCs). Resting-state functional MRI data were acquired from 62 patients with cirrhosis (MHE, n = 30; noHE, n = 32) and 41 HCs. We used the sliding time window approach and functional connectivity analysis to extract the time-varying properties of brain connectivity. Three DFC characteristics (i.e., strength, stability, and variability) were calculated. For comparison, we also calculated the static functional connectivity (SFC). A linear support vector machine was used to differentiate MHE patients from noHE and HCs using DFC and SFC metrics as classification features. The leave-one-out cross-validation method was used to estimate the classification performance. The strength of DFC (DFC-Dstrength) achieved the best accuracy (MHE vs. noHE, 72.5%; MHE vs. HCs, 84%; and noHE vs. HCs, 88%) compared to the other dynamic features. Compared to static features, the classification accuracies of the DFC-Dstrength feature were improved by 10.5%, 8%, and 14% for MHE vs. noHE, MHE vs. HC, and noHE vs. HCs, respectively. Based on the DFC-Dstrength, seven nodes were identified as the most discriminant features to classify MHE from noHE, including left inferior parietal lobule, left supramarginal gyrus, left calcarine, left superior frontal gyrus, left cerebellum, right postcentral gyrus, and right insula. In summary, DFC characteristics have a higher classification accuracy in identifying MHE from cirrhosis patients. Our findings suggest the usefulness of DFC in capturing neural processes and identifying disease-related biomarkers important for MHE identification.
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Encefalopatia Hepática , Encéfalo/diagnóstico por imagem , Mapeamento Encefálico , Encefalopatia Hepática/diagnóstico por imagem , Humanos , Cirrose Hepática/complicações , Cirrose Hepática/diagnóstico por imagem , Imageamento por Ressonância MagnéticaRESUMO
Hepatic encephalopathy (HE) is a neurocognitive dysfunction based on metabolic disorders caused by severe liver disease, which has a high one-year mortality. Mild hepatic encephalopathy (MHE) has a high risk of converting to overt HE, and thus the accurate identification of MHE from cirrhosis with no HE (noHE) is of great significance in reducing mortality. Previously, most studies focused on studying abnormality in the static brain networks of MHE to find biomarkers. In this study, we aimed to use multi-layer modular algorithm to study abnormality in dynamic graph properties of brain network in MHE patients and construct a machine learning model to identify individual MHE from noHE. Here, a time length of 500-second resting-state functional MRI data were collected from 41 healthy subjects, 32 noHE patients and 30 MHE patients. Multi-layer modular algorithm was performed on dynamic brain functional connectivity graph. The connection-stability score was used to characterize the loyalty in each brain network module. Nodal flexibility, cohesion and disjointness were calculated to describe how the node changes the network affiliation across time. Results show that significant differences between MHE and noHE were found merely in nodal disjointness in higher cognitive network modules (ventral attention, fronto-parietal, default mode networks) and these abnormalities were associated with the decline in patients' attention and visual memory function evaluated by Digit Symbol Test. Finally, feature extraction from node disjointness with the support vector machine classifier showed an accuracy of 88.71% in discrimination of MHE from noHE, which was verified by different window sizes, modular partition parameters and machine learning parameters. All these results show that abnormal nodal disjointness in higher cognitive networks during brain network evolution can be seemed as a biomarker for identification of MHE, which help us understand the disease mechanism of MHE at a fine scale.
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2Sound decoding is important for patients with sensory loss, such as the blind. Previous studies on sound categorization were conducted by estimating brain activity using univariate analysis or voxel-wise multivariate decoding methods and suggested some regions were sensitive to auditory categories. It is proposed that feedback connections between brain areas may facilitate auditory object selection. Therefore, it is important to explore whether functional connectivity among regions can be used to decode sound category. In this study, we constructed whole-brain functional connectivity patterns when subjects perceived four different sound categories and combined them with multivariate pattern classification analysis for sound decoding. The categorical discriminative networks and regions were determined based on the weight maps. Results showed that a high accuracy in multi-category classification was obtained based on the whole-brain functional connectivity patterns and the results were verified by different preprocessing parameters. Insight into the category discriminative functional networks showed that contributive connections crossed the left and right brain, and ranged from primary regions to high-level cognitive regions, which provide new evidence for the distributed representation of auditory object. Further analysis of brain regions in the discriminative networks showed that superior temporal gyrus and Heschl's gyrus significantly contributed to discriminating sound categories. Together, the findings reveal that functional connectivity based multivariate classification method provides rich information for auditory category decoding. The successful decoding results implicate the interactive properties of the distributed brain areas in auditory sound representation.