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Goelman G, Dan R, Bezdicek O, Jech R, Ekstein D. Directed functional connectivity of the default-mode-network of young and older healthy subjects. Sci Rep 2024; 14:4304. [PMID: 38383579 PMCID: PMC10881992 DOI: 10.1038/s41598-024-54802-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2023] [Accepted: 02/16/2024] [Indexed: 02/23/2024] Open
Abstract
Alterations in the default mode network (DMN) are associated with aging. We assessed age-dependent changes of DMN interactions and correlations with a battery of neuropsychological tests, to understand the differences of DMN directed connectivity between young and older subjects. Using a novel multivariate analysis method on resting-state functional MRI data from fifty young and thirty-one healthy older subjects, we calculated intra- and inter-DMN 4-nodes directed pathways. For the old subject group, we calculated the partial correlations of inter-DMN pathways with: psychomotor speed and working memory, executive function, language, long-term memory and visuospatial function. Pathways connecting the DMN with visual and limbic regions in older subjects engaged at BOLD low frequency and involved the dorsal posterior cingulate cortex (PCC), whereas in young subjects, they were at high frequency and involved the ventral PCC. Pathways combining the sensorimotor (SM) cortex and the DMN, were SM efferent in the young subjects and SM afferent in the older subjects. Most DMN efferent pathways correlated with reduced speed and working memory. We suggest that the reduced sensorimotor efferent and the increased need to control such activities, cause a higher dependency on external versus internal cues thus suggesting how physical activity might slow aging.
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Affiliation(s)
- Gadi Goelman
- Department of Neurology, Ginges Center of Neurogenetics, Hadassah Hebrew University Medical Center, 91120, Jerusalem, Israel.
- Faculty of Medicine, The Hebrew University of Jerusalem, Jerusalem, Israel.
| | - Rotem Dan
- Department of Neurology, Ginges Center of Neurogenetics, Hadassah Hebrew University Medical Center, 91120, Jerusalem, Israel
- Edmond and Lily Safra Center for Brain Sciences, The Hebrew University of Jerusalem, Jerusalem, Israel
| | - Ondrej Bezdicek
- Department of Neurology and Center of Clinical Neuroscience, Charles University, Prague, Czech Republic
| | - Robert Jech
- Department of Neurology and Center of Clinical Neuroscience, Charles University, Prague, Czech Republic
| | - Dana Ekstein
- Department of Neurology, Ginges Center of Neurogenetics, Hadassah Hebrew University Medical Center, 91120, Jerusalem, Israel
- Faculty of Medicine, The Hebrew University of Jerusalem, Jerusalem, Israel
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Goelman G, Dan R, Bezdicek O, Jech R. Directed functional connectivity of the sensorimotor system in young and older individuals. Front Aging Neurosci 2023; 15:1222352. [PMID: 37881361 PMCID: PMC10597721 DOI: 10.3389/fnagi.2023.1222352] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2023] [Accepted: 09/19/2023] [Indexed: 10/27/2023] Open
Abstract
Introduction Studies in the sensorimotor system of older versus young individuals have shown alterations in functional connectivity and organization. Our objective was to explore the implications of these differences in terms of local organizations, and to identify processes that correlate with neuropsychological parameters. Methods Using a novel multivariate analysis method on resting-state functional MRI data obtained from 50 young and 31 older healthy individuals, we identified directed 4-node functional pathways within the sensorimotor system and examined their correlations with neuropsychological assessments. Results In young individuals, the functional pathways were unidirectional, flowing from the primary motor and sensory cortices to higher motor and visual regions. In older individuals, the functional pathways were more complex. They originated either from the calcarine sulcus or the insula and passed through mutually coupled high-order motor areas before reaching the primary sensory and motor cortices. Additionally, the pathways in older individuals that resembled those found in young individuals exhibited a positive correlation with years of education. Discussion The flow pattern of young individuals suggests efficient and fast information transfer. In contrast, the mutual coupling of high-order motor regions in older individuals suggests an inefficient and slow transfer, a less segregated and a more integrated organization. The differences in the number of sensorimotor pathways and of their directionality suggests reduced efferent degenerated pathways and increased afferent compensated pathways. Furthermore, the positive effect of years of education may be associated with the Cognitive Reserve Hypothesis, implying that cognitive reserve could be maintained through specific information transfer pathways.
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Affiliation(s)
- Gadi Goelman
- Department of Neurology, Ginges Center of Neurogenetics Hadassah Medical Center, Jerusalem, Israel
- Faculty of Medicine, The Hebrew University of Jerusalem, Jerusalem, Israel
| | - Rotem Dan
- Department of Neurology, Ginges Center of Neurogenetics Hadassah Medical Center, Jerusalem, Israel
- Edmond and Lily Safra Center for Brain Sciences, The Hebrew University of Jerusalem, Jerusalem, Israel
| | - Ondrej Bezdicek
- Department of Neurology and Center of Clinical Neuroscience, Charles University, Prague, Czechia
| | - Robert Jech
- Department of Neurology and Center of Clinical Neuroscience, Charles University, Prague, Czechia
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Vachha BA, Middlebrooks EH. Brain Functional Imaging Anatomy. Neuroimaging Clin N Am 2022; 32:491-505. [PMID: 35843658 DOI: 10.1016/j.nic.2022.04.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
Human brain function is an increasingly complex framework that has important implications in clinical medicine. In this review, the anatomy of the most commonly assessed brain functions in clinical neuroradiology, including motor, language, and vision, is discussed. The anatomy and function of the primary and secondary sensorimotor areas are discussed with clinical case examples. Next, the dual stream of language processing is reviewed, as well as its implications in clinical medicine and surgical planning. Last, the authors discuss the striate and extrastriate visual cortex and review the dual stream model of visual processing.
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Affiliation(s)
- Behroze Adi Vachha
- Department of Radiology, Neuroradiology Section, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY 10065, USA; Brain Tumor Center, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY 10065, USA.
| | - Erik H Middlebrooks
- Department of Radiology, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL 32224, USA; Department of Neurosurgery, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL 32224, USA
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A deep graph neural network architecture for modelling spatio-temporal dynamics in resting-state functional MRI data. Med Image Anal 2022; 79:102471. [PMID: 35580429 DOI: 10.1016/j.media.2022.102471] [Citation(s) in RCA: 15] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2020] [Revised: 04/11/2022] [Accepted: 05/02/2022] [Indexed: 11/23/2022]
Abstract
Resting-state functional magnetic resonance imaging (rs-fMRI) has been successfully employed to understand the organisation of the human brain. Typically, the brain is parcellated into regions of interest (ROIs) and modelled as a graph where each ROI represents a node and association measures between ROI-specific blood-oxygen-level-dependent (BOLD) time series are edges. Recently, graph neural networks (GNNs) have seen a surge in popularity due to their success in modelling unstructured relational data. The latest developments with GNNs, however, have not yet been fully exploited for the analysis of rs-fMRI data, particularly with regards to its spatio-temporal dynamics. In this paper, we present a novel deep neural network architecture which combines both GNNs and temporal convolutional networks (TCNs) in order to learn from both the spatial and temporal components of rs-fMRI data in an end-to-end fashion. In particular, this corresponds to intra-feature learning (i.e., learning temporal dynamics with TCNs) as well as inter-feature learning (i.e., leveraging interactions between ROI-wise dynamics with GNNs). We evaluate our model with an ablation study using 35,159 samples from the UK Biobank rs-fMRI database, as well as in the smaller Human Connectome Project (HCP) dataset, both in a unimodal and in a multimodal fashion. We also demonstrate that out architecture contains explainability-related features which easily map to realistic neurobiological insights. We suggest that this model could lay the groundwork for future deep learning architectures focused on leveraging the inherently and inextricably spatio-temporal nature of rs-fMRI data.
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Goelman G, Dan R, Růžička F, Bezdicek O, Jech R. Asymmetry of the insula-sensorimotor circuit in Parkinson's disease. Eur J Neurosci 2021; 54:6267-6280. [PMID: 34449938 DOI: 10.1111/ejn.15432] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2021] [Revised: 08/19/2021] [Accepted: 08/20/2021] [Indexed: 11/30/2022]
Abstract
Patients with Parkinson's disease (PD) experience motor and non-motor symptoms, suggesting alterations of the motor and/or limbic system or more probably of their communications. We hypothesized that the communication between the insula (part of the limbic system) and sensorimotor cortex in PD is altered and hemispheric asymmetric. Furthermore, that this asymmetry relates to non-motor symptoms, and specifically, that apathy-related asymmetry is unique to PD. To test these hypotheses, we used a novel multivariate time-frequency analysis method applied to resting-state functional magnetic resonance imaging (MRI) data of 28 controls and 25 participants with PD measured in their OFF medication state. The analysis infers directionality of coupling, that is, afferent or efferent, among four anatomical regions, thus defining directed pathways of information flow, which enables the extension of symmetry measures to include directionality. A major right asymmetry reduction of the dorsal-posterior insula efferent and a slight bilateral increase of insula afferent pathways were observed in participants with PD versus controls. Between-group pathways that correlated with mild cognitive impairments combined the central-executive and default-mode networks through the right insula. Apathy-correlated pathways of the posterior insula in participants with PD versus controls exhibited reduced right efferent and increased left afferent. Because apathy scores were comparable between the groups and effects of the other motor and non-motor symptoms were statistically removed by the analysis, the differences in apathy-correlated pathways were suggested as unique to PD. These pathways could be predictors in the pre-symptomatic phase in patients with apathy.
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Affiliation(s)
- Gadi Goelman
- Department of Neurology, Hadassah Hebrew University Medical Center, The Hebrew University of Jerusalem, Jerusalem, Israel
| | - Rotem Dan
- Department of Neurology, Hadassah Hebrew University Medical Center, The Hebrew University of Jerusalem, Jerusalem, Israel.,Edmond and Lily Safra Center for Brain Sciences (ELSC), The Hebrew University of Jerusalem, Jerusalem, Israel
| | - Filip Růžička
- Department of Neurology and Center of Clinical Neuroscience, First Faculty of Medicine and General University Hospital, Charles University, Prague, Czech Republic
| | - Ondrej Bezdicek
- Department of Neurology and Center of Clinical Neuroscience, First Faculty of Medicine and General University Hospital, Charles University, Prague, Czech Republic
| | - Robert Jech
- Department of Neurology and Center of Clinical Neuroscience, First Faculty of Medicine and General University Hospital, Charles University, Prague, Czech Republic
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Goelman G, Dan R, Růžička F, Bezdicek O, Jech R. Altered sensorimotor fMRI directed connectivity in Parkinson's disease patients. Eur J Neurosci 2020; 53:1976-1987. [PMID: 33222299 DOI: 10.1111/ejn.15053] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2020] [Revised: 11/10/2020] [Accepted: 11/13/2020] [Indexed: 11/30/2022]
Abstract
Dopamine depletion in the axons of Parkinson's disease (PD) patients precedes depletion in cell bodies thus proposing that macroscopic connectivity can be used to understand disease mechanism. A novel multivariate functional connectivity analysis, based on high order coherence among four fMRI BOLD signals was applied on resting-state fMRI data of controls and PD patients (OFF and ON medication states) and unidirectional multiple-region pathways in the sensorimotor system were identified. Pathways were classified as "preserved" (unaffected by the disease), "damaged" (not observed in patients) and "corrected" (observed in controls and in PD-ON state). The majority of all pathways were feedforward, most of them with the pattern "S1→M1→SMA." Of these pathways, 67% were "damaged," 28% "preserved," and 5% "corrected." Prefrontal cortex (PFC) afferent and efferent pathways that corresponded to goal directed and habitual activities corresponded to recurrent circuits. Eighty-one percent of habitual afferent had internal cue (i.e., M1→S1→), of them 79% were "damaged" and the rest "preserved." All goal-directed afferent had external cue (i.e., S1→M1→) with third "damaged," third "preserved," and third "corrected." Corrected pathways were initiated in the dorsolateral PFC. Reduced connectivity of the SMA and PFC resulted from reduced sensorimotor afferent to these regions. Reduced sensorimotor internal cues to the PFC resulted with reduced habitual processes. Levodopa effects were for pathways that started in region reach with dopamine receptors. This methodology can enrich understudying of PD mechanisms in other (e.g., the default mode network) systems.
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Affiliation(s)
- Gadi Goelman
- Department of Neurology, Hadassah Hebrew University Medical Center, The Hebrew University of Jerusalem, Jerusalem, Israel
| | - Rotem Dan
- Department of Neurology, Hadassah Hebrew University Medical Center, The Hebrew University of Jerusalem, Jerusalem, Israel
| | - Filip Růžička
- Department of Neurology and Center of Clinical Neuroscience, First Faculty of Medicine, General University Hospital, Charles University, Prague, Czech Republic.,Na Homolce Hospital, Prague, Czech Republic
| | - Ondrej Bezdicek
- Department of Neurology and Center of Clinical Neuroscience, First Faculty of Medicine, General University Hospital, Charles University, Prague, Czech Republic
| | - Robert Jech
- Department of Neurology and Center of Clinical Neuroscience, First Faculty of Medicine, General University Hospital, Charles University, Prague, Czech Republic.,Na Homolce Hospital, Prague, Czech Republic
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Abstract
Knowledge of functional neuroanatomy is essential to design the most appropriate clinical functional MR imaging (fMR imaging) paradigms and to properly interpret fMR imaging study results. The correlation between neuroanatomy and brain function is also useful in general radiologic practice, as it improves the radiologist's ability to read routine brain examinations. Functional MR imaging is used primarily to determine the areas involved in functioning of movements, speech, and vision. Preoperative fMR imaging findings also play a key role in the neurosurgeon's decision to perform a biopsy, a subtotal resection, or a maximal resection using awake craniotomy.
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Affiliation(s)
- Raquel A Moreno
- Department of Radiology, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY 10065, USA; Instituto do Câncer do Estado de São Paulo (ICESP), Rua Vergueiro, 5400, ap 232 torre 01 Vila Firminiano Pinto, São Paulo-SP 04272-000, Brazil.
| | - Andrei I Holodny
- Department of Radiology, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY 10065, USA
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Ozel P, Karaca A, Olamat A, Akan A, Ozcoban MA, Tan O. Intrinsic Synchronization Analysis of Brain Activity in Obsessive-compulsive Disorders. Int J Neural Syst 2020; 30:2050046. [PMID: 32902344 DOI: 10.1142/s012906572050046x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Obsessive-compulsive disorder (OCD) is one of the neuropsychiatric disorders qualified by intrusive and iterative annoying thoughts and mental attitudes that are activated by these thoughts. In recent studies, advanced signal processing techniques have been favored to diagnose OCD. This research suggests four different measurements; intrinsic phase-locked value, intrinsic coherence, intrinsic synchronization likelihood, and intrinsic visibility graph similarity that quantifies the synchronization level and complexity in electroencephalography (EEG) signals. This intrinsic synchronization is achieved by utilizing Multivariate Empirical Mode Decomposition (MEMD), a data-driven method that resolves nonlinear and nonstationary data into their intrinsic mode functions. Our intrinsic technique in this study demonstrates that MEMD-based synchronization analysis gives us much more detailed knowledge rather than utilizing the synchronization method alone. Furthermore, the nonlinear synchronization method presents more consistent results considering OCD heterogeneity. Statistical evaluation using sample [Formula: see text]-test and [Formula: see text]-test has shown the significance of such new methodology.
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Affiliation(s)
- Pinar Ozel
- Department of Biomedical Engineering, Nevsehir Haci Bektas Veli University, Nevsehir, Turkey
| | - Ali Karaca
- Department of Electrical and Electronics Engineering, Inonu University, Malatya, Turkey
| | - Ali Olamat
- Department of Biomedical Engineering, Istanbul University-Cerrahpasa, Istanbul, Turkey
| | - Aydin Akan
- Department of Electrical and Electronics Engineering, Izmir University of Economics, Izmir
| | - Mehmet Akif Ozcoban
- Department of Electronic and Automation in Junior Technical College, Gaziantep University, Gaziantep, Turkey
| | - Oguz Tan
- Neuropsychiatry Health, Practice and Research Centre, Uskudar University, Istanbul, Turkey
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Jehi L. Commentary on Interictal epileptogenic zone localization in patients with focal epilepsy using electric source imaging and directed functional connectivity from low‐density EEG. Epilepsia Open 2020; 5:342-343. [PMID: 32913942 PMCID: PMC7469851 DOI: 10.1002/epi4.12426] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2020] [Accepted: 07/29/2020] [Indexed: 11/15/2022] Open
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