Most recent paper
Altered static and dynamic intrinsic brain activity patterns in type 2 diabetic patients
Sci Rep. 2025 Dec 8. doi: 10.1038/s41598-025-30847-z. Online ahead of print.
ABSTRACT
Type 2 diabetes mellitus (T2DM) is a metabolic disorder characterized by chronic hyperglycemia resulting from insulin secretion and/or resistance. This study investigated intrinsic brain activity alterations using static and dynamic resting-state fMRI metrics in 65 T2DM patients versus 60 healthy controls. We analyzed fractional amplitude of low-frequency fluctuations (fALFF), dynamic fALFF (dfALFF) and dynamic functional stability(DFS). The T2DM group exhibited increased fALFF in the left inferior temporal gyrus and left fusiform gyrus and decreased fALFF in the bilateral precuneus, medial superior frontal gyrus, left inferior parietal lobule, and right supramarginal gyrus when compared with health controls. The T2DM group also showed increased dfALFF in the bilateral precuneus, left inferior parietal lobule, and right middle frontal gyrus. Moreover, the T2DM group exhibited decreased DFS in the bilateral precuneus, supramarginal gyrus, and left middle frontal gyrus, while the left cuneus showed increased dynamic stability. In the T2DM group, montreal cognitive assessment (MoCA) scores correlated negatively with glycated hemoglobin A1c (HbA1c) and fasting blood glucose (FBG), and positively with right supramarginal gyrus acticity in both fALFF and DFS difference regions, Multiple brain regions exhibiting fALFF and DFS alterations showed negative correlations with fasting blood glucose and total cholesterol. These findings indicate that T2DM brain activity demonstrates a distinctive "low-intensity, highly-fluctuating, and destabilized" pattern, suggesting complex neural network dysfunction beyond simple functional suppression.
PMID:41361357 | DOI:10.1038/s41598-025-30847-z
Altered regional brain activity underlying the higher postoperative analgesic requirements in abstinent smokers: A prospective cohort study
J Neurosci. 2025 Dec 8:e0109252025. doi: 10.1523/JNEUROSCI.0109-25.2025. Online ahead of print.
ABSTRACT
Perioperative abstinent smokers experience heightened pain sensitivity and increased postoperative analgesic requirements, likely due to nicotine withdrawal-induced hyperalgesia. However, the underlying neural mechanisms in humans remain unclear. To address this issue, this study enrolled 60 male patients (30 abstinent smokers and 30 nonsmokers) undergoing partial hepatectomy, collecting clinical data, smoking history, pain-related measures, and resting-state functional magnetic resonance imaging (rs-fMRI). Compared to nonsmokers, abstinent smokers showed lower pain threshold and higher postoperative analgesic requirements. Neuroimaging revealed altered brain function in abstinent smokers, including reduced fractional amplitude of low-frequency fluctuations (fALFF, 0.01 - 0.1 Hz) in the ventromedial prefrontal cortex (vmPFC), increased regional homogeneity (ReHo) in the left middle occipital gyrus, and decreased functional connectivity (FC) between the vmPFC to both the bilateral middle temporal gyrus and precuneus. Preoperative pain threshold was positively correlated with abstinence duration and specific regional brain activities and connectivity. Further, the observed association between abstinent time and pain threshold was mediated by the calcarine and posterior cingulate cortex activity. The dysfunction in vmPFC and left anterior cingulate cortex was totally mediated by the association between withdrawal symptoms and postoperative analgesic requirements. These findings suggest that nicotine withdrawal might alter brain functional activity and contribute to hyperalgesia for the abstinent smokers. This study provided novel insights into the supraspinal neurobiological mechanisms underlying nicotine withdrawal-induced hyperalgesia and potential therapeutic targets for postoperative pain in abstinent smokers.Significance statement Abstinent smokers experienced heightened pain and require more analgesics after surgery, yet the underlying neural mechanisms remain poorly understood. This prospective cohort study identified altered regional brain activity associated with reduced pain thresholds and increased postoperative analgesic requirements in abstinent smokers. We found specific brain regions that were functionally altered and correlated with pain-related outcomes, which mediated the relationship between abstinence and pain-related behaviors. These findings provided novel insights into the supraspinal mechanisms of nicotine withdrawal-induced hyperalgesia and point to potential therapeutic targets for improving postoperative pain management in abstinent smokers.
PMID:41360674 | DOI:10.1523/JNEUROSCI.0109-25.2025
Age-dependent effects of intranasal oxytocin administration were revealed by resting brain entropy (BEN)
Behav Brain Res. 2025 Dec 6:115985. doi: 10.1016/j.bbr.2025.115985. Online ahead of print.
ABSTRACT
Oxytocin (OT), a neuropeptide known for its role in social behavior, has unclear neural mechanisms when administered intranasally, especially across different ages. Brain entropy (BEN), a metric of neural irregularity, shows promise for revealing OT's neurophysiological effects. This study examined whether BEN could detect neural changes induced by intranasal OT and how these effects are modulated by age. In a randomized, double-blind, placebo-controlled trial, young adults (YA) and older adults (OA) were assigned to receive intranasal OT or placebo (PL). Using fMRI-based BEN mapping, we identified a significant age-dependent effect in the left temporoparietal junction (TPJ), where OT increased BEN in YA but decreased it in OA. Further analyses showed OT also elevated the fractional amplitude of low-frequency fluctuations (fALFF) in the same region, particularly in YA. Additionally, OT enhanced functional connectivity within the left TPJ and between the left and right TPJ in both age groups. These results establish BEN as a sensitive biomarker capable of capturing age-specific OT effects, providing information beyond traditional measures of oscillatory power and temporal synchronization. The findings suggest that the timing of post-administration brain state changes under OT may vary with age, potentially due to differences in OT receptor density.
PMID:41360155 | DOI:10.1016/j.bbr.2025.115985
Voxel-Level Brain States Prediction Using Swin Transformer
IEEE J Biomed Health Inform. 2025 Dec;29(12):8719-8726. doi: 10.1109/JBHI.2025.3613793.
ABSTRACT
Understanding brain dynamics is important for neuroscience and mental health. Functional magnetic resonance imaging (fMRI) enables the measurement of neural activities through blood-oxygen-level-dependent (BOLD) signals, which represent brain states. In this study, we aim to predict future human resting brain states with fMRI. Due to the 3D voxel-wise spatial organization and temporal dependencies of the fMRI data, we propose a novel architecture which employs a 4D Shifted Window (Swin) Transformer as encoder to efficiently learn spatio-temporal information and a convolutional decoder to enable brain state prediction at the same spatial and temporal resolution as the input fMRI data. We used 100 unrelated subjects from the Human Connectome Project (HCP) for model training and testing. Our novel model has shown high accuracy when predicting 7.2s resting-state brain activities based on the prior 23.04s fMRI time series. The predicted brain states highly resemble BOLD contrast and dynamics. This work shows promising evidence that the spatiotemporal organization of the human brain can be learned by a Swin Transformer model, at high resolution, which provides a potential for reducing the fMRI scan time and the development of brain-computer interfaces in the future.
PMID:41359725 | DOI:10.1109/JBHI.2025.3613793
Social Jet lag Has Detrimental Effects on Hallmark Characteristics of Adolescent Brain Structure, Circuit Organization and Intrinsic Dynamics
Sleep. 2025 Dec 8:zsaf392. doi: 10.1093/sleep/zsaf392. Online ahead of print.
ABSTRACT
STUDY OBJECTIVES: To investigate associations between social jet lag and the developing adolescent brain.
METHODS: N = 3507 youth (median (IQR) age = 12.0 (1.1) years; 50.9% females) from the Adolescent Brain Cognitive Development (ABCD) cohort were studied. Social jet lag (adjusted for sleep debt (SJLSC) versus non-adjusted (SJL)), topological properties and intrinsic dynamics of resting-state networks, and morphometric brain characteristics were analyzed.
RESULTS: Over 35% of participants had SJLSC ≥2.0 h. Boys, Hispanic and Black non-Hispanic youth, and/or those at later pubertal stages had longer SJLSC (β=0.06 to 0.68, CI=[0.02, 0.83], p≤0.02), which was also associated with higher BMI (β=0.13, CI=[0.08, 0.18], p<0.01). SJLSC and SJL were associated with lower strength of thalamic connections (β=-0.22, CI=[-0.39, -0.05], p=0.03). Longer SJLSC was also associated with lower topological resilience and lower connectivity of the salience network (β=-0.04, CI=[-0.08, -0.01], p=0.04), and lower thickness and/or volume of structures overlapping with this and other networks supporting emotional and reward processing and social function (β=-0.08 to -0.05, CI=[-0.12, -0.01], p<0.05). Longer SJL was associated with lower connectivity and efficiency of the dorsal attention network ( β=-0.05, CI=[-0.10, -0.01], p<0.05). Finally, SJLSC and SJL were associated with alterations in spontaneously coordinated brain activity, and. lower information transfer between regions supporting sensorimotor integration, social function and emotion regulation (β=-0.07 to -0.05, CI=[-0.12, -0.01], p<0.04).
CONCLUSIONS: Misaligned sleep is associated with widespread alterations in adolescent brain structures, circuit organization and dynamics of regions that play critical roles in cognitive (including social) function, and emotion and reward regulation.
PMID:41358909 | DOI:10.1093/sleep/zsaf392
Individual-specific resting-state networks predict language dominance in drug-resistant epilepsy
medRxiv [Preprint]. 2025 Nov 25:2025.11.21.25340716. doi: 10.1101/2025.11.21.25340716.
ABSTRACT
IMPORTANCE: Identifying language dominance is a crucial step in epilepsy surgery planning. We applied a precision functional brain mapping approach to estimate individual-specific cortical resting-state networks in drug-resistant epilepsy and predict language dominance.
OBJECTIVE: To determine whether individual-specific cortical network topography can predict task-based language dominance in drug-resistant epilepsy.
DESIGN: Retrospective case-control study conducted between January 2024 and August 2025.
SETTING: Multicentre population-based study including healthy participants from the Human Connectome Project, and participants with drug-resistant epilepsy from the National Institutes of Health (NIH) and the University of Iowa.
PARTICIPANTS: Eligible participants had drug-resistant epilepsy defined by International League Against Epilepsy criteria and were undergoing pre-surgical evaluation. All participants underwent neuroimaging, with a subset receiving concurrent intracranial electrical stimulation during fMRI.
MAIN OUTCOMES AND MEASURES: Individual-specific cortical network topography and prediction of task functional magnetic resonance imaging language dominance.
RESULTS: Ninety-one participants with drug-resistant epilepsy were included: 61 (67.0%) temporal lobe epilepsy, 29 (31.9%) extra-temporal lobe epilepsy, and 1 (1.1%) undetermined seizure onset zone. The mean age was 33.0 ± 11.4 years and 50 (54.9%) were male. There were 40 healthy participants with a mean age of 29.0 ± 4.0 years, and 16 (40.0%) were male. We developed a multi-session hierarchical Bayesian model (MS-HBM) trained on NIH data to estimate individual-specific networks in drug-resistant epilepsy. MS-HBM trained on epilepsy data outperformed group-average networks or MS-HBM trained on healthy participants and generalized well to an independent dataset. During concurrent intracranial electrical stimulation, cortical activation and deactivation aligned more closely to individual-specific networks than group-average networks. Individual-specific language network topography significantly differed across left (mean lateralization index (LI) = 0.165 ± 0.106; area-under-the-curve (AUC) = 0.82), bilateral (LI = 0.056 ± 0.074; AUC = 0.72), and right (LI = 0.023 ± 0.055; AUC = 0.83) language dominance groups (p = 0.002).
CONCLUSIONS AND RELEVANCE: Our model is publicly available (github link), which may be used to predict language dominance from approximately 10 minutes of resting-state fMRI. This provides a practical, non-invasive tool for presurgical evaluation of drug-resistant epilepsy.
KEY POINTS: Question: Can individual-specific network topography from resting-state functional magnetic resonance imaging (fMRI) predict task-based language dominance in drug-resistant epilepsy?Findings: In this multi-centre case-control study of 91 participants with drug-resistant epilepsy and 40 healthy controls, individual-specific networks outperformed group-average networks and generalized well to an independent cohort. Language network topography differed significantly across left (mean lateralization index (LI) = 0.165 ± 0.106), bilateral (LI = 0.056 ± 0.074), and right (LI = 0.023 ± 0.055) dominance groups (p = 0.002).Meaning: Resting-state fMRI can estimate high-quality individual-specific cortical networks that predict language dominance, providing a non-invasive tool for presurgical evaluation.
PMID:41358301 | PMC:PMC12676542 | DOI:10.1101/2025.11.21.25340716
Application of functional magnetic resonance imaging in identifying responsible brain regions associated with spinal diseases related pain
Front Med (Lausanne). 2025 Nov 20;12:1585799. doi: 10.3389/fmed.2025.1585799. eCollection 2025.
ABSTRACT
BACKGROUND: Spinal diseases related pain represents a critical clinical issue that demands urgent resolution. Current treatment and assessment strategies predominantly focus on peripheral mechanisms. The application of functional magnetic resonance imaging (fMRI) offers a promising approach to identifying potential central targets for intervention.
METHODS: We retrospectively included 31 patients with spinal diseases related pain and 32 controls with non-spinal, orthopedic complaints (no chronic neurological or psychiatric disorders). All participants underwent resting-state brain fMRI (eyes closed, awake). We quantified amplitude of low-frequency fluctuations (ALFF) with mean normalization (mALFF) and z-transformation (zALFF), regional homogeneity (ReHo; 27-voxel neighborhood), seed-based functional connectivity (FC; pre/postcentral seeds), and degree centrality (DC; binary and weighted). Between group tests used voxel-wise two-sample t_tests with Gaussian random field (GRF) correction.
RESULTS: Patient group was associated with increased m/zALFF in right cerebellar lobule IX and right Superior Frontal Gyrus, medial part, and lower activity in bilateral postcentral gyri and the cuneus, decreased m/zALFF in bilateral postcentral gyri. ReHo analysis confirmed reduced local synchrony in postcentral regions, spatially overlapping with ALFF findings. FC analyses revealed enhanced cerebellar-thalamic connectivity (Crus1/2, thalamus) but reduced connectivity in sensorimotor and higher-order cortical networks. DC showed hyperconnectivity in left cerebellar Crus I with reduced Superior Frontal Orbital (Frontal_Sup_Orb). All findings survived GRF correction at the pre_specified thresholds.
CONCLUSION: Resting-state brain fMRI indicates a cerebello-thalamo-cortical alteration pattern in spinal diseases related pain featuring cerebellar involvement, prefrontal subspecialization, and multilevel sensorimotor disruption. These cross-sectional associations may inform hypothesis-generation for future neuromodulation studies and provide candidate biomarkers for monitoring, pending prospective validation.
PMID:41357497 | PMC:PMC12677010 | DOI:10.3389/fmed.2025.1585799
Shared neural network dysfunctions in treatment-resistant major depression and alcohol use disorder: Resting-state fMRI evidence and implications for neuromodulation
J Chin Med Assoc. 2025 Dec 8. doi: 10.1097/JCMA.0000000000001325. Online ahead of print.
ABSTRACT
Treatment-resistant depression (TRD) and alcohol use disorder (AUD) frequently coexist, complicating clinical management and contributing to poor outcomes. Despite their distinct clinical presentations, converging neuroimaging evidence indicates shared neural circuit dysfunctions. This review synthesizes resting-state functional magnetic resonance imaging (fMRI) findings, highlighting disruptions within and between core intrinsic brain networks-the default mode network (DMN), salience network (SN), and central executive network (CEN)-as well as subcortical-limbic circuitry. Both TRD and AUD feature reduced anterior-posterior DMN connectivity (mPFC-PCC), impaired CEN function (particularly within the DLPFC), and aberrant SN connectivity (anterior insula, ACC). Altered limbic interactions involving the amygdala, hippocampus, and striatum further reflect common mechanisms of heightened reward sensitivity and emotional dysregulation. Conventional pharmacotherapies demonstrate limited efficacy, underscoring the need for novel approaches. Neuromodulation, particularly deep transcranial magnetic stimulation (dTMS), has emerged as a promising intervention targeting these shared circuit abnormalities. While current evidence remains preliminary, integrating neuroimaging biomarkers, multimodal methods, and longitudinal designs will be crucial for refining treatment precision. This review highlights the translational potential of circuit-based interventions, offering a framework for personalized neuromodulation strategies to improve outcomes in patients with TRD, AUD, and their frequent comorbidity.
PMID:41355453 | DOI:10.1097/JCMA.0000000000001325
Adaptive Frequency-Optimized Wavelet Networks for Early Detection of Subjective Cognitive Decline via Resting-State fMRI
Brain Behav. 2025 Dec;15(12):e71039. doi: 10.1002/brb3.71039.
ABSTRACT
BACKGROUND: Early detection of subjective cognitive decline (SCD), a preclinical stage of Alzheimer's disease (AD), remains a clinical challenge due to its subtle manifestations. This study aims to address these challenges by introducing a novel approach to enhance the detection and analysis of SCD.
METHODS: A Frequency Self-Adaptive Wavelet Transform (FSAWT) model was developed and optimized for functional brain network (FBN) construction using resting-state functional MRI (rs-fMRI) data. The model dynamically selected "golden frequencies" to improve the accuracy and interpretability of brain connectivity patterns. FBNs from 240 participants (106 SCD, 134 controls) were analyzed and compared using traditional methods, pearson correlation (PC) and sparse representation (SR). Receiver operating characteristic-area under the curve (ROC-AUC) analysis validated the classification results.
RESULTS: Our findings demonstrate that individuals with SCD exhibit distinct functional connectivity alterations, including reversed parahippocampal gyrus-superior parietal gyrus connectivity-suggesting early DMN disintegration, weakened temporoparietal pathways linked to memory deficits, and enhanced fusiform gyrus-orbitofrontal connectivity. The frequency-optimized SRWT method achieved superior diagnostic performance (83.71% accuracy, AUC = 0.84) with 82.11% sensitivity and 85.71% specificity, significantly outperforming traditional approaches (61.93% accuracy for PC), highlighting its potential for early SCD detection through these network-based biomarkers.
CONCLUSIONS: The FSAWT model offers a robust framework for early SCD detection by integrating frequency-specific and cross-frequency dynamics. While these findings highlight potential contributions to precision diagnostics and personalized interventions for neurodegenerative disorders, such applications remain to be established in future studies. Future applications may also explore multimodal neuroimaging and broader cognitive impairments.
PMID:41355337 | DOI:10.1002/brb3.71039
dsGrid: a dual-site TMS grid-search method for personalized targeting of motor network connectivity
Brain Stimul. 2025 Dec 4:102998. doi: 10.1016/j.brs.2025.102998. Online ahead of print.
ABSTRACT
BACKGROUND: Brain targets for transcranial magnetic stimulation (TMS) are often derived from anatomical landmarks or group-level neuroimaging data, which lack precision or personalization, contributing to the variability in TMS responses. Personalized functional magnetic resonance imaging (fMRI) may improve accuracy but remains resource-intensive and not widely accessible.
OBJECTIVE: To determine whether a new dual-site targeting method (dsGrid), based on dual-coil TMS mapping of motor connectivity, aligns with individual motor network connectivity derived from fMRI and validate its use.
METHODS: Forty-seven participants underwent resting-state and task-based fMRI, followed by dual-coil TMS during a goal-directed action task. Motor network connectivity was quantified using fMRI, both resting-state and task-based connectivity, and task-evoked BOLD activity was also quantified. The strength of fMRI-derived motor features was assessed at the TMS target sites identified by dsGrid and compared with the strength of these measures at a conventional group-based target (e.g., the P3 electrode from a 10-20 EEG system) and registered to individual anatomy.
RESULTS: Targets identified by dsGrid are more accurate in terms of individualized motor network connectivity and activation across all three fMRI modalities than group-based P3 coordinates mapped to individual MRI space.
CONCLUSION: dsGrid enables precise, individualized TMS targeting of functional motor circuits, supporting its use in both research and clinical neuromodulation.
PMID:41352727 | DOI:10.1016/j.brs.2025.102998
Brain Connectivity and Topological Reorganization of Multiple Functional Networks in Subjective Cognitive Decline After Acupuncture Intervention: A Secondary Analysis of a Randomized Controlled Trial
J Integr Neurosci. 2025 Nov 27;24(11):45003. doi: 10.31083/JIN45003.
ABSTRACT
BACKGROUND: Evidence suggests that subjective cognitive decline (SCD) involves abnormal structures and functional alterations in multiple brain networks, rather than a single brain region. Acupuncture has shown a positive therapeutic effect in treating SCD, although whether and how it can improve cognitive decline by altering large-scale brain network organization is unclear.
METHODS: We utilized resting-state functional magnetic resonance imaging (fMRI) data from 66 individuals with SCD (derived from a previous randomized controlled trial) and explored brain-wide network-level functional connectivity and topological property changes after 12 weeks of acupuncture intervention to examine its therapeutic mechanisms. The Auditory Verbal Learning Test-Huashan version (AVLT-H) test was used to measure objective memory performance. Neuroimaging outcomes included brain network functional connectivity and topological properties obtained from resting-state fMRI. A repeated-measures general linear model and mixed-effect analysis were used to examine group × time interaction effects on cognitive function and neuroimaging outcomes. Correlation analyses were used to examine the relationship between functional connections (FCs) and memory performance.
RESULTS: Compared with sham acupuncture, 12 weeks of acupuncture treatment significantly improved the objective memory performance of individuals with SCD. Five FCs within the sensorimotor network (SMN) and between the SMN and the cingulo-opercular network (CON) showed significant alterations after acupuncture. Two intrinsic SMN connections were enhanced by acupuncture, whereas inter-network FCs changed oppositely, negatively correlating with memory improvement. The topological properties of two regions within the SMN were also significantly modulated after acupuncture.
CONCLUSIONS: The results suggest that 12 weeks of acupuncture may improve objective memory performance in SCD, potentially by reducing FCs between the SMN and CON. Enhancing functional segregation of these networks may be a potential target for acupuncture treatment.
CLINICAL TRIAL REGISTRATION: No: NCT03444896. https://www.
CLINICALTRIALS: gov/study/NCT03444896.
PMID:41351443 | DOI:10.31083/JIN45003
Assessing the Effect of Abstinent Duration on Brain Function in Heroin-Dependent Individuals During Protracted Abstinence: A Resting-State fMRI Study
Addict Biol. 2025 Dec;30(12):e70097. doi: 10.1111/adb.70097.
ABSTRACT
Protracted abstinence (PA) is the commonly implemented treatment of heroin-dependent individuals (HDIs) in China. However, the effect of abstinence duration on the brain function of HDIs during PA using resting-state functional magnetic resonance imaging (fMRI) remains unclear. Fourteen HDIs who had finished PA for about 6 months (PA6), 16 HDIs who had completed PA for about 11 months (PA11) and 15 demographically matched healthy controls (HC) underwent this fMRI study. We analysed the difference in amplitude of low-frequency fluctuation (ALFF) values among the three groups. Then we analysed the difference in functional connectivity (FC) based on the differential regions of ALFF. Additionally, we examined the relationship between FC of differential brain regions and abstinence duration. The differences in ALFF among the three groups were found to be significant in the bilateral putamen and left inferior parietal lobule (single voxel p < 0.001, cluster level p < 0.05 and GRF-corrected). Compared with the PA6 group, the PA11 group showed lower ALFF values of the differential regions with a tendency toward the HC group. Meanwhile, the PA11 group showed lower FC between the left putamen and left insula, between the right putamen and left insula and between the left inferior parietal lobule and bilateral inferior frontal gyrus (IFG), but higher FC between the left putamen and left inferior temporal gyrus. The above FC of HDIs negatively correlated with the abstinence duration, except for the left putamen-inferior temporal gyrus FC. The prolonged abstinence duration may be useful to restore the impaired brain function of HDIs to some extent, although more data are needed to validate this in future studies.
PMID:41351278 | DOI:10.1111/adb.70097
Precision connectivity in osteoarthritis pain with permutation and network analysis: a key step toward clinical application
BMC Med Imaging. 2025 Dec 5;25(1):501. doi: 10.1186/s12880-025-02009-0.
ABSTRACT
OBJECTIVE: This study seeks to identify brain regions with atypical neural connectivity in individuals suffering from arthritis-related chronic pain, compared to healthy controls, using resting-state functional magnetic resonance imaging (rs-fMRI).
METHODS: A seed-based connectivity analysis was conducted between the known pain-related regions of interest (ROIs), derived from the MNI (n = 76) and the Automated Anatomical Labeling (AAL) whole brain atlas (n = 116). We examined the connectivity differences in a cohort of 56 osteoarthritis patients and 20 healthy controls. Connectivity matrices were compared using permutation tests corrected for multiple comparisons, identifying statistically significant differences (p < 0.05). Subsequent network analysis resulted in hub scores, identifying the most central and influential brain regions within the altered connectivity network in patients experiencing pain.
RESULTS: The most significant atypical neural connections in osteoarthritis patients were identified in the cingulate gyrus, insula, inferior parietal lobe, and thalamus, with notable involvement of the occipital lobe, postcentral gyrus, inferior frontal gyrus, orbitofrontal cortex, temporal lobe, hippocampus, and basal ganglia. The thalamus, cingulate gyrus, and insula emerged as key hubs in the chronic pain network, reflecting disrupted sensory, emotional, and cognitive pain processing. No significant connectivity differences were found in the brainstem, cerebellum, superior parietal lobe, precentral gyrus, superior and middle frontal gyri, or amygdala.
CONCLUSION: Our data-driven approach reveals specific neural connectivity disruptions in OA, highlighting connections between the cingulate gyrus, temporal lobe, and thalamus. These findings identify specific network disruptions in OA-related pain, offering insight into altered brain connectivity and potential avenues for targeted interventions.
PMID:41350630 | DOI:10.1186/s12880-025-02009-0
Brain activity and functional connectivity patterns associated with loneliness: A resting-state fMRI study
Cogn Affect Behav Neurosci. 2025 Dec 5. doi: 10.3758/s13415-025-01365-2. Online ahead of print.
ABSTRACT
Loneliness is an unpleasant subjective experience associated with significant psychological and physical health problems. With increasing urbanization and aging populations, loneliness is becoming a global public health concern. Thus, understanding the neural correlates of loneliness is crucial for developing targeted intervention approaches. In the current study, we collected resting-state fMRI data from 238 young adults (ages 17-26; 59 males, 179 females) and used fractional amplitude of low-frequency fluctuations (fALFF) and functional connectivity (FC) analyses to investigate the neural correlates of loneliness. Results revealed that loneliness was negatively correlated with fALFF in the right posterior precuneus. Functional connectivity analyses showed that loneliness was positively correlated with connectivity between the right posterior precuneus and right superior frontal gyrus, and negatively correlated with connectivity between the right ventromedial prefrontal cortex and a network including the right cerebellum, left fusiform gyrus, and right superior occipital gyrus. These findings reveal neural correlates of loneliness, including distinct patterns of intrinsic activity in the posterior precuneus and specific functional connectivity patterns involving regions associated with social cognition and emotional regulation. The results provide neural evidence for understanding individual differences in loneliness and could potentially inform future research on neurostimulation and cognitive-behavioral interventions targeting these specific brain networks.
PMID:41350504 | DOI:10.3758/s13415-025-01365-2
Graph-level contrastive learning with self-aware and cross-sample topology augmentation for brain disorder diagnosis using rs-fMRI
Neural Netw. 2025 Nov 27;196:108379. doi: 10.1016/j.neunet.2025.108379. Online ahead of print.
ABSTRACT
Resting-state functional MRI (rs-fMRI) is widely used for diagnosing and analyzing brain disorders. However, existing fMRI studies have shown that learning-based approaches depend heavily on labeled training data, which is difficult to obtain due to the substantial time and effort required for annotation in clinical settings. To address these challenges, we propose GCSC-TA (Graph-level Contrastive Learning with Self-aware and Cross-sample Topology Augmentation) for brain disorder diagnosis and analysis using rs-fMRI. The proposed GCSC-TA generates two complementary augmented brain networks for each subject by introducing self-aware and cross-sample topology augmentations. This dual-view strategy enhances the identification of individual-specific features and also amplifies inter-subject functional heterogeneity. Moreover, we designed a min-max contrastive loss function to accommodate augmented brain networks, overcoming the limitations of traditional projection-based methods while performing graph-level contrastive learning on the original integrity of the brain topology structure. Extensive experiments on a private Major Depressive Disorder (MDD) dataset and the publicly available Autism Spectrum Disorder (ABIDE) dataset demonstrate the superior classification performance of GCSC-TA over several state-of-the-arts. Furthermore, GCSC-TA also identifies abnormal brain connectivity patterns associated with MDD and ASD, thereby advancing the interpretability and clinical utility of rs-fMRI for clinical diagnosis.
PMID:41349174 | DOI:10.1016/j.neunet.2025.108379
A neural signature for gastrointestinal symptoms in depression: insula-gastric connectivity predicts symptom severity
Front Psychiatry. 2025 Nov 19;16:1672148. doi: 10.3389/fpsyt.2025.1672148. eCollection 2025.
ABSTRACT
BACKGROUND: Gastrointestinal (GI) symptoms are a common and burdensome dimension of major depressive disorder (MDD), yet their neurobiological underpinnings are poorly understood. It is unclear how the brain's processing of visceral signals relates to the subjective experience of GI distress in depression. We aimed to identify a neural substrate for GI symptoms by examining functional connectivity (FC) between the insula and a network defined by gastric rhythms.
METHODS: We first identified a gastric-related seed in the posterior insula (GD-pINS) using a large normative dataset of 652 healthy adults. Subsequently, 100 MDD patients-stratified into groups with (GD; n=58) and without (NGD; n=42) GI symptoms-and 80 healthy controls (HCs) were recruited. Using resting-state fMRI, we analyzed FC between the GD-pINS and the gastric network (GN). Group differences, clinical correlations, and the utility of FC features for patient classification via a support vector machine (SVM) were assessed.
RESULTS: Compared to HCs, MDD patients as a whole showed reduced GD-pINS to GN connectivity. Paradoxically, GD patients exhibited relatively stronger connectivity than NGD patients. This symptom-specific enhancement was driven by pathways connecting the posterior insula to the secondary somatosensory cortex (SII). The strength of this insula-SII connection was positively correlated with GI symptom severity. An SVM classifier using these connectivity features distinguished between GD and NGD patients with high accuracy (AUC = 0.82).
CONCLUSIONS: Our findings reveal a distinct neural signature for GI distress in depression, characterized by aberrant connectivity within an insula-somatosensory circuit. This circuit, which shows relative enhancement in symptomatic patients against a backdrop of globally reduced connectivity, may reflect a mechanism of somatosensory amplification. It represents a potential biomarker for patient stratification and a novel target for therapeutic intervention.
PMID:41346640 | PMC:PMC12673926 | DOI:10.3389/fpsyt.2025.1672148
Genetic contribution to intrinsic functional connectivity underlying general intelligence: evidence from adult twin study
Brain Commun. 2025 Nov 21;7(6):fcaf461. doi: 10.1093/braincomms/fcaf461. eCollection 2025.
ABSTRACT
Resting-state functional connectivity has been linked to intelligence, and twin studies suggest that these associations may be influenced by genetic factors. To investigate this relationship, we analysed behavioural and resting-state functional magnetic resonance imaging data from young adult twins in the Human Connectome Project. General intelligence was assessed based on ten cognitive task performances. The results showed a positive correlation in both identical and fraternal twins, indicating a similarity of general intelligence among twin pairs. For the resting-state functional connectivity analysis, we conducted two approaches. In the first approach, twins were randomly assigned to two separate groups, ensuring that each pair was split between the groups. We then applied a connectome-based predictive method separately for identical and fraternal twins to predict general intelligence. Specifically, a predictive model was trained using one group's functional connectivity and then applied to its co-twin group to predict their general intelligence. Significant prediction was recorded in identical twins but not in fraternal twins, suggesting a high level of similarity of intelligence-related functional connectivity among identical twins. In the second approach, we aimed to quantify the intelligence similarity using the resting-state functional connectivity. To implement this, we generated models to predict the difference in general intelligence in twin pairs, where a smaller difference indicates a greater degree of similarity. The results showed that only the intelligence difference in identical twins was successfully predicted, where the default mode network showed a significant contribution, suggesting a higher neural basis for intelligence similarity in identical twins. Together, these findings demonstrate that functional connectivity patterns associated with intelligence extend across genetically identical twins. More broadly, they highlight the default mode network role in intelligence similarity and illustrate the utility of predictive modelling as a complementary framework to classical twin analyses.
PMID:41346464 | PMC:PMC12674170 | DOI:10.1093/braincomms/fcaf461
Vitamin D-linked vulnerability and functional connectivity alterations in the superior frontal gyrus contributing to cognitive impairment in Parkinson's disease
Front Aging Neurosci. 2025 Nov 19;17:1657723. doi: 10.3389/fnagi.2025.1657723. eCollection 2025.
ABSTRACT
BACKGROUND AND AIMS: Forecasting specific factors influencing cognitive impairment (CI) in Parkinson's disease (PD) patients can improve clinical outcomes. This study aims to identify brain areas vulnerable to vitamin D deficiency and assess functional integrity in PD patients with and without CI.
METHODS: Thirty-four PD patients [14 with CI (PD-CI), 20 with normal cognition (PD-NC)] and 21 healthy controls (HCs) underwent serum vitamin D testing, T1-weighted MRI, and resting-state functional MRI (rs-fMRI). Voxel-based morphometry (VBM) was used to compare gray matter volume (GMV) between PD patients and HCs. Whole-brain multiple regression analyses, adjusted for age and sex, identified GMV regions associated with vitamin D levels. Resting-state functional connectivity (FC) analyses were performed using vitamin D-related regions as seeds. Correlation and multivariate regression analyses, adjusted for Hoehn and Yahr stage and age, assessed relationships among FC, cognitive performance, and vitamin D levels.
RESULTS: Compared with HCs, PD patients exhibited significant GMV loss, affecting widespread brain regions including the middle frontal gyrus (MFG), superior frontal gyrus (SFG), and hippocampus. Region of interest (ROI)-based analysis revealed that vitamin D levels were associated with GMV in the bilateral MFG and SFG (r = -0.406, p = 0.021). These findings suggest that the MFG and SFG are vulnerable regions in PD patients linked to vitamin D levels. To assess the impact of abnormal vitamin D levels on relevant resting-state networks, clusters encompassing the bilateral SFG were used as ROIs. The intrinsic connectivity network of the vulnerable area, using the bilateral SFG as seed regions, revealed abnormal functional connectivity with several brain networks, including the visual network, the default mode network, the executive control network, the sensorimotor network, and the memory network. Abnormal FC values within the SFG functional network were associated with disease severity, cognitive dysfunction, and vitamin D levels (p < 0.05). Multi-model regression analyses revealed that connectivity in the left SFGmed network was negatively associated with CI in PD, with vitamin D levels showing a potential protective effect.
CONCLUSION: The SFG is associated with vitamin D levels in PD patients, and disruptions in its structural and functional connectivity may link to CI. Future longitudinal studies are necessary to confirm these associations and explore the potential impact of vitamin D supplementation on cognitive function in PD.
PMID:41346436 | PMC:PMC12673341 | DOI:10.3389/fnagi.2025.1657723
Dysfunctional default mode and visual networks underlie cognitive deficits in dementia with Lewy bodies: a resting-state fMRI study
Front Aging Neurosci. 2025 Nov 19;17:1630826. doi: 10.3389/fnagi.2025.1630826. eCollection 2025.
ABSTRACT
OBJECTIVE: To characterize abnormal functional connectivity in dementia with Lewy bodies (DLB) and its association with cognitive impairment using resting-state functional magnetic resonance imaging (rs-fMRI).
METHODS: Sixty-eight DLB patients and 38 age-, sex-, and education-matched healthy controls underwent neuropsychological assessments (MoCA, MMSE) and rs-fMRI. Imaging analyses included seed-based functional connectivity (sFC), independent component analysis (ICA), regional homogeneity (ReHo), fractional amplitude of low-frequency fluctuations (fALFF), and graph-theoretical network metrics (small-worldness, global/local efficiency).
RESULTS: DLB patients exhibited significantly reduced FC in the default mode network (DMN) and visual network, including PCC-AG (P < 0.001) and PCC-mPFC (P < 0.001). ReHo and fALFF indicated decreased local neural synchronization and low-frequency activity in the posterior occipital lobe (fALFF: P = 0.004), angular gyrus (fALFF: P = 0.001), left temporal pole (fALFF: P < 0.001), left parietal (ReHo: P < 0.001), and posterior cerebellar lobe (ReHo: P < 0.001). Graph theory revealed impaired global network topology in DLB, with decreased small-worldness (P < 0.001) and global efficiency (P < 0.001). PCC-AG connectivity positively correlated with the MoCA total score (r = 0.53, P < 0.001), attention (r = 0.46, P < 0.001), executive (r = 0.41, P < 0.001), and language function (r = 0.34, P < 0.001). Posterior occipital fALFF and left parietal ReHo showed significant positive correlations with multiple cognitive domains, including visuospatial ability (r = 0.34, P < 0.001 for fALFF; r = 0.42, P < 0.001 for ReHo) and memory (r = 0.45, P < 0.001 for fALFF; r = 0.27, P = 0.006 for ReHo). A combined model of PCC-AG connectivity, fALFF, and small-worldness predicted 42% of MoCA variance (R 2 = 0.42, P < 0.001).
CONCLUSION: DLB is characterized by DMN and visual network dysfunction, disrupted local neural activity, and impaired global network integration. These rs-fMRI metrics may serve as potential biomarkers for cognitive deficits in DLB.
PMID:41346435 | PMC:PMC12673660 | DOI:10.3389/fnagi.2025.1630826
Brain metabolic-functional (de)coupling from health to glioma dysfunction
Commun Biol. 2025 Dec 4. doi: 10.1038/s42003-025-09181-7. Online ahead of print.
ABSTRACT
The interplay between brain metabolism and function supports the brain's adaptive capacity in cognitively demanding processes. Prior work has linked glucose metabolism to resting-state fMRI activity, but often overlooks both hemodynamic confounders in the BOLD signal and the brain's dynamic nature. To address this, we employed a novel effective connectivity decomposition, separating symmetric partial covariance, capturing "true" statistical dependencies between regions, from antisymmetric differential covariance, reflecting directional brain flow. In 42 healthy subjects, we show that partial covariance corresponds to metabolic connectivity across regions, while node directionality relates to standardized uptake value ratio, a proxy for local glucose consumption. We subsequently tested the sensitivity of detected couplings in 43 glioma patients, identifying disruptions in both local and network-level effective-metabolic interactions that varied with tumor anatomical location. Our findings provide novel insights into the coupling between brain metabolism and functional dynamics at rest, advancing understanding of healthy and pathological brain states.
PMID:41345236 | DOI:10.1038/s42003-025-09181-7