Most recent paper
A Resting State Functional Magnetic Resonance Imaging Study in Migraine Without Aura in Middle and High Altitude Areas
Brain Behav. 2025 Nov;15(11):e70975. doi: 10.1002/brb3.70975.
ABSTRACT
OBJECTIVES: This study used resting state functional magnetic resonance imaging (rs-fMRI) technology to explore the characteristics of brain functional activity in migraine patients without aura (MwoA) in middle and high altitude areas during interictal periods through two analysis methods, the regional homogeneity (ReHo) and amplitude of low-frequency fluctuation (ALFF).
METHODS: This study was a prospective research that included 41 patients with MwoA in the interictal phase, who visited the Department of Neurology at Qinghai Provincial People's Hospital between January 2023 and January 2024. 39 healthy controls (HCs) matched for age and sex were also recruited.
RESULTS: Compared with HCs group, the ALFF values of right superior temporal gyrus and the right hippocampus in MwoA group at mid-to-high altitude were decreased (voxel level p < 0.001, cluster level p < 0.05, Gaussian random field, GRF corrected). The ReHo values of bilateral rectus gyrus and left cerebellum in MwoA group at mid-to-high altitude were significantly increased, while the ReHo values of left cingulate gyrus, bilateral precuneus and bilateral supplementary motor area were significantly decreased (voxel level p < 0.001, cluster level p < 0.05, GRF corrected). The correlation analysis showed that the duration of disease in MwoA group was negatively correlated with the z-ALFF value of the right hippocampus(r = -0.56, p = 0.004, Bonferroni correction). The HIT-6 score was negatively correlated with the z-ALFF value of the right superior temporal gyrus (r = -0.48, p = 0.001, Bonferroni correction). The SDS score was negatively correlated with the bilateral precuneus z-ReHo values (r = -0.42, p = 0.03, L; r = -0.46, p = 0.01, R, Bonferroni correction).
CONCLUSION: Several brain regions in MwoA patients from mid-to-high altitude areas exhibit abnormal spontaneous neural activity through ALFF and ReHo assessments. These brain regions are closely associated with pain processing, cognitive functions, motor control, attention, and emotional regulation. The functional abnormalities in these regions may be relevant to the pathophysiology of MwoA.
PMID:41194470 | DOI:10.1002/brb3.70975
Correction of aliasing artifact in accelerated echo-planar imaging
Magn Reson Imaging. 2025 Nov 3:110556. doi: 10.1016/j.mri.2025.110556. Online ahead of print.
ABSTRACT
PURPOSE: To develop a comprehensive reconstruction pipeline that simultaneously addresses 2D Nyquist and aliasing artifacts in echo-planar imaging (EPI) data acquired using various schemes, including single-shot, multi-shot, parallel, and multi-band EPI.
METHODS: We introduce a novel 2D Nyquist artifact correction method that extends our previously reported phase-search reconstruction approach. A series of phase-corrected images are generated using a range of candidate phase values, and the corresponding coil sensitivity profiles are compared with known profiles to estimate an optimal 2D Nyquist phase correction map. In addition, we propose an integrated reconstruction procedure that corrects aliasing artifacts arising from 2D Nyquist effects, shot-to-shot motion-induced phase variations, and both in-plane and through-plane acceleration schemes. The proposed methods were evaluated using resting-state fMRI data from 30 healthy volunteers.
RESULTS: The proposed method substantially reduced residual artifacts in EPI data, as measured by the ghost-to-signal ratio. The resulting default-mode network maps showed improved correspondence with known reference networks compared to those obtained using conventional 1D Nyquist artifact correction methods.
CONCLUSION: The developed reconstruction pipeline effectively corrects multiple sources of aliasing artifacts in EPI data, offering improved image quality and functional sensitivity across a wide range of EPI acquisition schemes.
PMID:41192812 | DOI:10.1016/j.mri.2025.110556
Increased Hierarchical Influence of Executive Control and Attention Networks in Creative Brain: A Dependency Network Analysis
Neuropsychologia. 2025 Nov 3:109313. doi: 10.1016/j.neuropsychologia.2025.109313. Online ahead of print.
ABSTRACT
Although numerous studies have primarily associated creativity with spontaneous thought and its corresponding neural networks, effective creativity entails much more than uninhibited ideation. It requires the capacity to filter out irrelevant information, maintain optimal attentional tuning, and strategically regulate and refine innovative outputs. We argue that a robust and adaptive executive control network (ECN), operating in concert with attentional networks, is essential for creativity. Accordingly, we hypothesized that high-creative individuals would exhibit enhanced top-down modulation from both the ECN and attention networks onto other brain networks. To test this hypothesis, we employed resting-state fMRI and Dependency Network Analysis (DEPNA) to examine differences in hierarchical influence patterns across multiple brain regions and networks between individuals with high and low creative abilities. Our analyses revealed that high-creative individuals, relative to their low-creative counterpart, exhibited increased influence of specific brain regions on inter-regional functional connectivity across multiple brain regions. These regions demonstrating augmented influence were predominantly localized within the ECN and ventral attention network (VAN), specifically the bilateral inferior frontal gyrus (IFG), bilateral inferior frontal sulcus (IFS), and right middle frontal gyrus (MFG). Moreover, high-creative individuals displayed significantly greater influence of the ECN and the dorsal attention network (DAN) on other large-scale brain networks. These findings suggest top-down cognitive and attentional control may be crucial in facilitating creativity.
PMID:41192791 | DOI:10.1016/j.neuropsychologia.2025.109313
Resting state functional connectivity underlining the association between working memory capacity and self-future mind wandering
Conscious Cogn. 2025 Nov 4;136:103957. doi: 10.1016/j.concog.2025.103957. Online ahead of print.
ABSTRACT
Previous research has reported inconsistent findings regarding the relationship between working memory capacity (WMC) and tendencies for future-oriented mind wandering. To address this, the present study incorporated self-relevant elements into probes to further specify self-relevant, future-oriented (self-future) mind wandering, aiming to clarify its relationship with WMC and explore the functional connectivity mediating this association. Ninety-four participants completed the sustained attention to response task (SART) with thought probes, the operation span (OSPAN) task, and the reading span (RSPAN) task. Resting-state functional magnetic resonance imaging (rs-fMRI) data were also collected. The findings demonstrated a significant positive association between WMC and self-future mind wandering. Additionally, functional connectivity between the left lateral prefrontal cortex (LPFC) and the left lateral premotor cortex (LPMC) was positively associated with both WMC and self-future mind wandering. Further analyses revealed that LPFC-LPMC connectivity statistically mediated the relationship between WMC and self-future mind wandering. Conversely, self-future mind wandering also mediated the association between WMC and LPFC-LPMC connectivity. These findings are consistent with the context regulation hypothesis and provide insight into the underlying mechanisms. Specifically, LPFC-LPMC connectivity may link to the integration of motor sequence predictions and anticipated speech and nonverbal communication, whereas the reverse mediation suggests that self-future mind wandering may contribute to shaping neural connectivity associated with executive control.
PMID:41192099 | DOI:10.1016/j.concog.2025.103957
Test-retest reliability of edge-level resting-state functional connectivity in people with aphasia
Neuroimage Rep. 2025 Oct 22;5(4):100296. doi: 10.1016/j.ynirp.2025.100296. eCollection 2025 Dec.
ABSTRACT
There is a growing interest in using resting-state functional connectivity (RSFC) to investigate language processing and recovery in post-stroke aphasia due to its limited dependence on an individual's ability to follow directions and perform tasks, or the severity of their aphasia. However, the test-retest reliability of RSFC in people with aphasia has not been established, raising questions about the strength and validity of inferences based on this technique. In this study, we examined the reliability of RSFC at the level of individual edges (i.e., connections) in 14 adults with chronic aphasia due to left-hemisphere stroke. Intraclass correlations (ICCs) between two resting-state scans obtained over a few days were computed for every edge in a whole-brain network and several cognitive and language subnetworks. Based on median ICCs, reliability was fair at longer scan durations (10-12 min) and better in most subnetworks than the whole brain. Reliability was also positively associated with connectivity strength and had a weak negative relationship with inter-node distance (i.e., the distance between the regions that form an edge). Edges in the right hemisphere were more reliable than those in the left hemisphere and between hemispheres, though all three sets of edges were fairly reliable. The results indicate that edge-level RSFC is acceptably reliable for continued use in aphasia research but highlight the need for strategies to ensure that inferences are based on valid results, such as using sufficiently long scans and focusing analyses on established subnetworks, especially in longitudinal contexts.
PMID:41190293 | PMC:PMC12581729 | DOI:10.1016/j.ynirp.2025.100296
Longitudinal functional connectivity during rest and task is differentially related to Alzheimer's pathology and episodic memory in older adults
Sci Rep. 2025 Nov 4;15(1):38499. doi: 10.1038/s41598-025-21596-0.
ABSTRACT
Changes in functional connectivity (FC) strength involving the medial temporal lobe (MTL) and posteromedial cortex (PMC) are related to early Alzheimer's pathology and alterations in episodic memory performance in cognitively unimpaired older adults, but their dynamics remain unclear. We examined how longitudinal changes in FC involving MTL and PMC during resting-state, episodic memory encoding, and retrieval relate to subsequent amyloid- and tau-PET burden, longitudinal episodic memory performance, and the APOE4 genotype in 152 cognitively unimpaired older adults from the PREVENT-AD cohort. We found APOE4- and fMRI paradigm-dependent associations of change in FC strength with pathology burden and change in episodic memory performance. Decreasing FC over time, or "hypoconnectivity", within PMC during rest in APOE4 carriers and during retrieval in APOE4 non-carriers was related to more amyloid and tau, respectively. Conversely, increasing FC over time, or "hyperconnectivity", within MTL during encoding in APOE4 carriers and between MTL and PMC during retrieval independent of APOE4 status was related to more tau. Further, increasing FC between MTL and PMC during rest, unlike during encoding, was beneficial for episodic memory. Our study highlights that pathology-related episodic memory network changes manifest differently during rest and task and have differential implications for episodic memory trajectories.
PMID:41188354 | DOI:10.1038/s41598-025-21596-0
The impact of social phobia tendency on positive affect: the role of perceived control and its neural correlates
Brain Struct Funct. 2025 Nov 4;230(8):169. doi: 10.1007/s00429-025-03038-9.
ABSTRACT
Social phobia (SP) adversely affects individual as it often drives lower positive affect (PA) in social situations. This study aims to investigate the role of Lack of Control (LC) and its neural underpinnings in this process. We recruited 268 participants who completed measurements of SP tendency, LC, and PA at baseline (T1) and after two years (T2). All underwent a resting-state fMRI scan at T1. Findings revealed bidirectional associations among LC, SP tendency and PA, and the mediating effect of LC. Specifically, the LC at T1 was associated with SP tendency (β = 0.164) and PA (β = -0.191) at T2, while SP tendency (β = 0.103) and PA (β = -0.175) at T1 were associated with LC at T2. Additionally, Functional connectivity (FC) analyses and brain-behavior models further demonstrated that: (1) SP tendency at T1 was associated with LC at T2 through the FC networks involving the bilateral angular gyrus and left middle occipital gyrus (point estimate = -0.045, 95% CI [-0.070, -0.019]), and (2) LC at T2 was associated with PA at T2 via the FC networks of the left lingual gyrus, right cuneus and fusiform gyrus (point estimate = 0.040, 95% CI [0.007, 0.058]). This elucidates the cognitive and neural correlates through which SP tendency negatively affects PA, emphasizing the crucial role of LC in this relationship. Unraveling this mechanism offers a potential path for clinical interventions aimed at improving the mental health of individuals high in SP tendency.
PMID:41186751 | DOI:10.1007/s00429-025-03038-9
Sex difference in neural substrates linking negative body image and disordered eating behaviors
Brain Struct Funct. 2025 Nov 4;230(8):168. doi: 10.1007/s00429-025-03041-0.
NO ABSTRACT
PMID:41186746 | DOI:10.1007/s00429-025-03041-0
Connectome caricatures remove large-amplitude coactivation patterns in resting-state fMRI to emphasize individual differences
Nat Neurosci. 2025 Nov 3. doi: 10.1038/s41593-025-02099-7. Online ahead of print.
ABSTRACT
High-amplitude coactivation patterns are sparsely present during resting-state functional magnetic resonance imaging (fMRI), yet they drive functional connectivity and resemble task activation patterns. However, little research has characterized the remaining majority of the resting-state signal. Here, we introduce caricaturing, a method for projecting resting-state data onto a subspace orthogonal to a manifold of coactivation patterns estimated from task fMRI data. This removes linear combinations of these coactivation patterns from resting-state data to create caricatured connectomes. We used task data from two large-scale neuroimaging datasets to construct a manifold of task coactivation patterns and created caricatured connectomes. These connectomes exhibit lower between-individual similarity and higher identifiability and could be used to predict phenotypic measures, representing individual differences in behavior, often to a greater degree than standard connectomes. Our results show that there is a useful signal beyond the dominant coactivations that drive resting-state functional connectivity, which may better characterize the brain's intrinsic functional architecture.
PMID:41184631 | DOI:10.1038/s41593-025-02099-7
Multimodal Biomarkers of Consciousness in Acute Severe Traumatic Brain Injury
J Neurotrauma. 2025 Oct 23. doi: 10.1177/08977151251377469. Online ahead of print.
ABSTRACT
Predicting outcome for patients with acute severe traumatic brain injury (TBI) is imprecise, relying on neurological examination, structural neuroimaging, and resting-state electroencephalography (EEG) to serve as proxies for brain function. We implemented a multimodal assessment protocol to determine whether detection of consciousness using advanced tools, including standardized behavioral evaluation, advanced EEG, and functional magnetic resonance imaging (fMRI), is associated with functional outcome in patients with acute severe TBI admitted to the intensive care unit (ICU). We tested the association between 6-month Disability Rating Scale (DRS) scores and acute level of consciousness on the Coma Recovery Scale-Revised (CRS-R); responses to active-motor-imagery and passive-language EEG and fMRI; and resting-state fMRI default mode network (DMN) connectivity. We consecutively enrolled 55 patients with acute severe TBI. Six-month outcome was available in 45 (45.2 ± 20.7 years old, 70% male), of whom 10 died, all due to withdrawal of life-sustaining treatment (WLST). All deaths occurred in participants who were not behaviorally following commands. Lower (i.e., better) 6-month DRS scores were observed in participants who were younger (ρ = 0.401; 95% confidence interval [CI: 0.078, 0.649]; p = 0.006]) and who were conscious (median DRS score difference [95% CI]: -11 [-20, -2]; p = 0.003) or following commands (-9 [-20, -1]; p = 0.011) on CRS-R assessment in the ICU. Evidence of command-following on EEG or fMRI did not strengthen this relationship. In participants without command-following on the CRS-R, we detected responses to active-motor-imagery (i.e., cognitive motor dissociation [CMD]) in 6/34 (18%) of participants on EEG and 8/24 (33%) participants on fMRI. We detected responses to passive-language stimuli (i.e., covert cortical processing [CCP]) in 30/33 (91%) of participants on EEG and 18/24 (75%) on fMRI. However, neither CMD nor CCP was associated with outcome on the DRS or several secondary outcome measures (e.g., dichotomous DRS, Glasgow Outcome Scale-Extended), an unexpected result that may reflect the modest sample size and high rate of WLST. In exploratory analyses, an intact DMN and the magnitude of DMN connectivity were associated with 6-month outcome on secondary outcome measures. Collectively, our results suggest that the level of consciousness in the ICU, assessed with a standardized behavioral measure, may predict recovery from severe TBI. Further research, conducted at multiple sites and with larger samples, is required to determine whether integrating behavioral, EEG, and fMRI biomarkers of consciousness is more predictive than behavioral assessment alone.
PMID:41182259 | DOI:10.1177/08977151251377469
Apolipoprotein E gene allele 4 and amyloid-beta mediate tau-related network breakdown
Brain Commun. 2025 Oct 15;7(6):fcaf404. doi: 10.1093/braincomms/fcaf404. eCollection 2025.
ABSTRACT
There have been reports of altered functional connectivity in Alzheimer's disease, which is associated with the buildup of pathogenic proteins in the brain, including neurofibrillary tau tangles and amyloid-beta plaques. It is believed that the tau aggregates are the main driver of functional disconnection and resulted in cognitive decline in Alzheimer's disease. Tau propagates through connected neurons, a phenomenon often described as the 'prion-like' properties of tau, which can locally result in functional connectivity disruption. Apolipoprotein E gene allele 4 status and amyloid-beta are accelerating factors for tau-related pathological changes in Alzheimer's disease. However, the potential role of apolipoprotein E gene allele 4 and amyloid-beta in mediating the tau-related functional disconnection is not clear. I aimed to investigate the mediating effect of apolipoprotein E gene allele 4 and amyloid-beta on the local association of tau spreading on functional connections. I analysed follow-up resting-state functional MRI (fMRI) (non-baseline visit) and longitudinal tau-PET data from 211 subjects from the Alzheimer's Disease Neuroimaging Initiative (ADNI) database and 138 healthy elderly individuals from the Harvard Aging Brain Study (HABS). The follow-up resting-state fMRI (non-baseline visit) was studied in order to study the time needed effect of tau pathology. The top 10 regions with the highest probability-weighted SUVR values using Gaussian mixture models were selected as individual-level tau-PET epicentres. I looked at how the relationship between functional connectivity to epicentres and individualized connectivity-related tau spreading was mediated by amyloid-beta status and the apolipoprotein E gene allele 4 genotype. Higher rates of tau aggregation accumulation were seen in areas with stronger connectedness (shorter distance-based connectivity) to the baseline-defined tau epicentres. Moreover, the association between functional connectivity to epicentres and tau spreading through functional connections was mediated by apolipoprotein E gene allele 4 and amyloid-beta status in both dataset's participants. Tau aggregates spread through functional connections and locally disrupt connectivity between tau epicentre and non-epicentre regions, which is mediated in apolipoprotein E gene allele 4 carriers and amyloid-beta-positive participants. These findings have implications for trial designs, proposing that apolipoprotein E gene allele 4 carriers and amyloid-beta-positive participants might need earlier intervention to attenuate tau spreading and tau relative functional disconnection.
PMID:41180953 | PMC:PMC12576542 | DOI:10.1093/braincomms/fcaf404
Effects of different magnetic stimulation paradigms on post-stroke upper limb function: a randomized controlled trial
Front Neurol. 2025 Oct 17;16:1683552. doi: 10.3389/fneur.2025.1683552. eCollection 2025.
ABSTRACT
BACKGROUND: Current evidence suggests that repetitive transcranial magnetic stimulation (rTMS), repetitive peripheral magnetic stimulation (rPMS), and their combined application can all enhance upper limb functional recovery after stroke. However, their comparative therapeutic profiles, including relative advantages and limitations, have not been systematically characterized.
OBJECTIVES: To compare rTMS, rPMS, and combined protocols for post-stroke upper limb recovery, analyzing both functional outcomes and neural mechanisms to guide therapeutic selection.
METHODS: Fifty-one stroke patients were randomly divided into an rTMS group, rPMS group, or a combined group. Before and after 3 weeks of intervention, all patients were assessed with the Fugl-Meyer assessment for the upper limb (FMA-UL), the Thumb Localizing Test (TLT), modified Barthel index (MBI), and resting-state functional magnetic resonance imaging (rs-fMRI).
RESULTS: The ΔFMA-UL and ΔMBI scores of the combined group were significantly better than the rTMS group and rPMS group. The ΔTLT scores of the combined group and rPMS were significantly better than the rTMS group, but there was no statistically significant difference in ΔTLT scores between rPMS and the combined group. Compared to the rTMS group, the rPMS group showed increased amplitude of low-frequency fluctuation (ALFF) in the ipsilesional superior frontal gyrus, cerebellum_8 area, and contralesional cerebellum_crus1; the combined group showed increased ALFF in the ipsilesional cerebellum_8 area, superior medial frontal gyrus, and contralesional cerebellum_crus2 area. Compared with the rPMS group, the combined group showed increased ALFF in the ipsilesional paracentral lobule, supplementary motor area, precentral gyrus, and superior medial frontal gyrus.
CONCLUSION: Compared with rTMS, rPMS has certain advantages in improving proprioception after stroke, and combination therapy improves both motor and proprioception. Therefore, combination therapy is recommended to better promote the recovery of brain and limb function.
CLINICAL TRIAL REGISTRATION: http://chictr.org.cn, Identifier ChiCTR2200065871.
PMID:41180535 | PMC:PMC12576412 | DOI:10.3389/fneur.2025.1683552
Modeling cognition through adaptive neural synchronization: a multimodal framework using EEG, fMRI, and reinforcement learning
Front Comput Neurosci. 2025 Oct 16;19:1616472. doi: 10.3389/fncom.2025.1616472. eCollection 2025.
ABSTRACT
INTRODUCTION: Understanding the cognitive process of thinking as a neural phenomenon remains a central challenge in neuroscience and computational modeling. This study addresses this challenge by presenting a biologically grounded framework that simulates adaptive decision making across cognitive states.
METHODS: The model integrates neuronal synchronization, metabolic energy consumption, and reinforcement learning. Neural synchronization is simulated using Kuramoto oscillators, while energy dynamics are constrained by multimodal activity profiles. Reinforcement learning agents-Q-learning and Deep Q-Network (DQN)-modulate external inputs to maintain optimal synchrony with minimal energy cost. The model is validated using real EEG and fMRI data, comparing simulated and empirical outputs across spectral power, phase synchrony, and BOLD activity.
RESULTS: The DQN agent achieved rapid convergence, stabilizing cumulative rewards within 200 episodes and reducing mean synchronization error by over 40%, outperforming Q-learning in speed and generalization. The model successfully reproduced canonical brain states-focused attention, multitasking, and rest. Simulated EEG showed dominant alpha-band power (3.2 × 10-4 a.u.), while real EEG exhibited beta-dominance (3.2 × 10-4 a.u.), indicating accurate modeling of resting states and tunability for active tasks. Phase Locking Value (PLV) ranged from 0.9806 to 0.9926, with the focused condition yielding the lowest circular variance (0.0456) and a near significant phase shift compared to rest (t = -2.15, p = 0.075). Cross-modal validation revealed moderate correlation between simulated and real BOLD signals (r = 0.30, resting condition), with delayed inputs improving temporal alignment. General Linear Model (GLM) analysis of simulated BOLD data showed high region-specific prediction accuracy (R 2 = 0.973-0.993, p < 0.001), particularly in prefrontal, parietal, and anterior cingulate cortices. Voxel-wise correlation and ICA decomposition confirmed structured network dynamics.
DISCUSSION: These findings demonstrate that the framework captures both electrophysiological and spatial aspects of brain activity, respects neuroenergetic constraints, and adaptively regulates brain-like states through reinforcement learning. The model offers a scalable platform for simulating cognition and developing biologically inspired neuroadaptive systems.
CONCLUSION: This work provides a novel and testable approach to modeling thinking as a biologically constrained control problem and lays the groundwork for future applications in cognitive modeling and brain-computer interfaces.
PMID:41180117 | PMC:PMC12571814 | DOI:10.3389/fncom.2025.1616472
Neuroimaging evidence for central mechanisms of acupuncture in non-specific low back pain: a systematic review and meta-analysis
Front Med (Lausanne). 2025 Oct 17;12:1657241. doi: 10.3389/fmed.2025.1657241. eCollection 2025.
ABSTRACT
OBJECTIVES: Non-specific low back pain (NSLBP) is a prevalent disorder with significant global health impacts. This systematic review and meta-analysis assessed acupuncture's clinical effectiveness for NSLBP and explored its brain mechanisms using fMRI.
METHODS: A comprehensive search of multiple databases (PubMed, Embase, Cochrane Library, Web of Science, Science Direct, China National Knowledge Infrastructure, Wanfang Data, Chinese Technical Periodicals Database, and Chinese Biomedical Literature Database) was conducted from inception to July 11th, 2024. We included randomized controlled trials (RCTs) or non-RCTs resting-state functional magnetic resonance imaging to observe the effect of acupuncture on NSLBP. GingerALE 3.0.2 was used as the meta-analysis tool, and meta-analysis was performed in the Montreal Neurological Institute coordinate space.
RESULTS: The review synthesized evidence from ten studies involving 358 participants. Subgroup analyses indicated that acupuncture significantly reduced pain scores compared to sham acupuncture in both acute NSLBP (WMD = -1.04, 95% CI: -1.72 to -0.36, p = 0.003) and chronic NSLBP (WMD = -0.78, 95% CI: -1.25 to -0.31, p < 0.001). Neuroimaging analyses revealed distinct brain activation patterns: acute NSLBP showed positive activation in the right sub-lobar insula, inferior parietal lobule, medial frontal gyrus, and cingulate gyrus, while chronic NSLBP demonstrated positive activation in bilateral sub-lobar insula and negative activation in motor and prefrontal regions.
CONCLUSION: Acupuncture shows significant efficacy for NSLBP, modulating pain processing through the insula and limbic system. While these results suggest therapeutic potential for both acute and chronic NSLBP, higher-quality research is needed to validate these mechanisms.
SYSTEMATIC REVIEW REGISTRATION: Prospero registration number: CRD42022342438, URL: https://www.crd.york.ac.uk/PROSPERO/view/CRD42022342438.
PMID:41179904 | PMC:PMC12575243 | DOI:10.3389/fmed.2025.1657241
Abnormal connection between the posterior insula and the gastric network among patients with functional constipation
Front Hum Neurosci. 2025 Oct 17;19:1624489. doi: 10.3389/fnhum.2025.1624489. eCollection 2025.
ABSTRACT
BACKGROUND: Functional constipation (FCon) is frequently accompanied by psychological disorders, implicating the interaction between the gastrointestinal symptom and brain dysfunction in FCon. Recent studies combining electrogastrogram and resting-state functional magnetic resonance imaging (fMRI) have reported a novel gastric network. Besides, the fMRI activity of the gastric network was also coupled with the insular fMRI signal. However, little is known about the connection between the gastric network and the insula in FCon.
METHODS: Based on rs-fMRI, functional connectivity (FC) using a large sample of 652 healthy subjects identified the insular cortex as the most closely linked to the gastric network. Then, seed-based FC and dynamic functional connectivity of the gastric network and the gastric-related insular cortex were calculated and compared in 35 patients with FCon and 36 healthy controls. Constipation symptoms were measured using the Patient Assessment of Constipation Symptom Scale (PAC-SYM) and the Wexner Constipation Scale. Their relationships with alterations in the gastric network-insula subregion were investigated.
RESULTS: The posterior insular cortex presented a strong connection with the gastric network with large-scale resting-state fMRI data sets of healthy participants. FCon patients had significantly decreased FC (t = -2.19, p = 0.032) in the left posterior insula and gastric network compared to healthy controls and were significantly negatively correlated with PAC-SYM (r = -0.407, p = 0.015) and Wexner Constipation Scale (r = -0.483, p = 0.003) scores.
CONCLUSION: The abnormality of the connection between the posterior insula and the gastric network may be the prominent neuroimaging feature on FCon, which sheds light on a new perspective on the pathophysiology of FCon.
PMID:41179259 | PMC:PMC12575236 | DOI:10.3389/fnhum.2025.1624489
An fMRI approach to assess intracranial arterial-to-venous cardiac pulse delay in aging
Imaging Neurosci (Camb). 2025 Oct 30;3:IMAG.a.969. doi: 10.1162/IMAG.a.969. eCollection 2025.
ABSTRACT
Each heartbeat generates a cardiac pressure wave that propagates through the brain and travels from large arteries through cerebrospinal fluid and brain tissue, compressing the venous sinuses and producing venous blood pulsatility. The delay between arterial and venous pulsation (A-V delay) is an insightful marker of intracranial compliance and the intracranial mechanical environment. We developed a novel approach to extract A-V delay from conventional resting-state functional MRI (fMRI) scans, leveraging fMRI's sensitivity to vessel pulsations in large cerebral arteries and the superior sagittal sinus (SSS). This fully automated method was applied to the Human Connectome Project - Aging dataset to analyze 578 participants aged 35 to 90 years. The mean A-V delay was 78 ± 32 msec; it shortened by 4 msec for every decade of aging and was 12 msec faster in men than women, highlighting age-related and sex-specific differences. We also identified a within-SSS pattern of pulsations, characterized by an earlier posterior pulsation and a later anterior pulsation. This pattern opposes the direction of blood flow, supporting that the SSS is passively compressed and tied to a distinct intracranial pulse transmission. Overall, this work demonstrates the feasibility of extracting an fMRI-based A-V delay, uncovering a previously unexplored capability of fMRI. This approach broadens the potential applications of fMRI by adding a biomechanical dimension to fMRI's established roles in evaluating neuronal and hemodynamic function. Given the widespread availability of fMRI, this approach can be applied in future studies to investigate biomechanical changes in various disease conditions.
PMID:41178936 | PMC:PMC12576844 | DOI:10.1162/IMAG.a.969
Investigation of region-of-interest-based functional connectivity within the default mode network among adolescents with depression complicated by obesity
BMC Psychiatry. 2025 Oct 31;25(1):1044. doi: 10.1186/s12888-025-07486-9.
ABSTRACT
BACKGROUND: This study utilized resting-state functional magnetic resonance imaging (rs-fMRI) combined with default mode network (DMN) region-of-interest (ROI)-based functional connectivity (FC) analysis to examine adolescents with depression complicated by obesity. Correlation analyses were conducted between the functional connectivity of distinct brain regions in the depression-with-obesity cohort and scores from the Adolescent Self-Rating Life Events Checklist (ASLEC) to examine potential associations. This study aimed to elucidate the underlying pathogenesis of depression complicated by obesity and identify potential imaging biomarkers for early diagnosis in this population.
METHODS: We analysed rs-fMRI data from 37 adolescents with depression complicated by obesity (OMDD group, n = 37), 38 patients with depression (MDD group, n = 38), and 35 healthy controls (HCs group, n = 35). DMN FC was compared with whole-brain connectivity during rs-fMRI. Imaging data from the three groups were collected and analysed using one-way analysis of variance (ANOVA). Group differences in FC values were assessed, and correlations were examined between these values and clinical scale scores across patient groups.
RESULTS: Compared with the MDD group, the OMDD group demonstrated significantly increased FC between the left parahippocampal gyrus (left PHG) and the right precuneus. Compared with the HCs, both the OMDD and MDD patients presented reduced FC between the left PHG and the left putamen, right putamen, and opercular part of the right inferior frontal gyrus. All findings were corrected using Gaussian random field (GRF) theory at a voxel-level threshold of P < 0.001 and a cluster-level threshold of P < 0.05 (minimum cluster size > 30 voxels). Analyses revealed significant negative correlations between the FC values of the right putamen in the OMDD group and the “interpersonal relationship” scores (r = − 0.373, P = 0.023).
CONCLUSION: Compared with healthy controls, adolescents with depression complicated by obesity demonstrated significant alterations in functional integration within the DMN. Specifically, the OMDD group exhibited aberrant FC between the left PHG and the right precuneus. This aberrant FC may underlie the pathophysiology of this disorder. These findings offer novel insight into the neural mechanisms of depression comorbid with obesity, enhancing our understanding of its pathogenesis.
PMID:41174601 | PMC:PMC12577443 | DOI:10.1186/s12888-025-07486-9
Resting-state functional connectivity guides motor hotspot localization
Clin Neurophysiol. 2025 Oct 28;180:2111410. doi: 10.1016/j.clinph.2025.2111410. Online ahead of print.
NO ABSTRACT
PMID:41175466 | DOI:10.1016/j.clinph.2025.2111410
Dissociable effects of LSD and MDMA on striato-cortical connectivity in healthy subjects
Neuropsychopharmacology. 2025 Oct 31. doi: 10.1038/s41386-025-02270-5. Online ahead of print.
ABSTRACT
Lysergic acid diethylamide (LSD) and 3,4-Methylenedioxymethamphetamine (MDMA) are widely used psychoactive drugs and their potential use in psychiatric medicine is currently generating interest. The mechanism by which these drugs may assist recovery in various disorders such as addiction and post-traumatic stress disorder (PTSD) is still not well understood. Most investigations of the effects of these drugs on brain activity have focused on cortical resting-state networks, however the striatum is a key reward and motivation hub of the brain and aberrant striatal processing may be part of the pathophysiology of these disorders. Consequently, we investigated striatal connectivity following acute MDMA and LSD administration. Resting-state fMRI (rs-fMRI) data were acquired from two separate previous studies, and seed-voxel functional connectivity analyses were used with the striatum subdivided into three seed regions: the associative, limbic, and sensorimotor striatum. Within-network connectivity was measured using group mean network maps and whole-brain connectivity (seed-to-voxel) was also examined. Neither MDMA nor LSD significantly changed within-network connectivity of any of the three striatal seed regions. However, striatal connectivity with other brain regions was significantly altered with both MDMA and LSD. Most notably, MDMA reduced connectivity between the limbic striatum and the amygdala, while LSD increased connectivity between the associative striatum and the frontal, sensorimotor, and visual cortices. Changes in connectivity were mostly observed outside the standard striatal networks, consistent with previous findings that psychedelics reduce network modularity or between-network segregation and increase connectivity across standard networks.
PMID:41174227 | DOI:10.1038/s41386-025-02270-5
The Adolescent Functional Connectome is Dynamically Controlled by a Sparse Core of Cognitive and Topological Hubs
Neuroimage. 2025 Oct 29:121562. doi: 10.1016/j.neuroimage.2025.121562. Online ahead of print.
ABSTRACT
Fundamental mechanisms that control the brain's ability to dynamically respond to cognitive demands are poorly understood, especially during periods of accelerated neural and cognitive maturation, such as adolescence. Using a sparsity-promoting feedback control framework we investigated the controllability of the adolescence functional connectome. Critical feedback costs associated with a region's control action on itself and the rest of the brain were estimated using resting-state fMRI data from an early longitudinal sample in the Adolescent Brain Cognitive Development (ABCD) study (n = 1394; median (IQR) age = 10.1 (1.1) years at baseline and 12.1 (1.1) years at follow-up). A highly reproducible, core set of predominantly highly connected regions retained their control action over the connectome under high feedback costs. They included posterior visual areas, retrosplenial cortex, cuneus and precuneus, superior parietal lobule, temporal ventral cortex and dorsolateral and lateral prefrontal cortices, i.e., both developed and developing brain regions. These regions were central to the topological organization of the connectome, consistently engaged during spontaneous coordination of resting-state networks, and overlapped with cognitive and topological brain hubs that play ubiquitous roles in cognitive function and the organization of the connectome. Also, most received (integrated) and distributed approximately equal amounts of neural information. These regions' control action was developmentally stable, i.e., critical feedback costs did not change significantly during puberty, suggesting that, despite ongoing maturation and topological changes in the adolescent brain, fundamental mechanisms of system controllability may be well developed to facilitate information processing and response to cognitive demands.
PMID:41173437 | DOI:10.1016/j.neuroimage.2025.121562