Functional networks(FNs)hold significant promise in understanding brain function.Independent component analysis(ICA)has been applied in estimating FNs from functional magnetic resonance imaging(fMRI).However,determini...Functional networks(FNs)hold significant promise in understanding brain function.Independent component analysis(ICA)has been applied in estimating FNs from functional magnetic resonance imaging(fMRI).However,determining an optimal model order for ICA remains challenging,leading to criticism about the reliability of FN estimation.Here,we propose a SMART(splitting-merging assisted reliable)ICA method that automatically extracts reliable FNs by clustering independent components(ICs)obtained from multi-model-order ICA using a simplified graph while providing linkages among FNs deduced from different-model orders.We extend SMART ICA to multi-subject fMRI analysis,validating its effectiveness using simulated and real fMRI data.Based on simulated data,the method accurately estimates both group-common and group-unique components and demonstrates robustness to parameters.Using two age-matched cohorts of resting fMRI data comprising 1,950 healthy subjects,the resulting reliable group-level FNs are greatly similar between the two cohorts,and interestingly the subject-specific FNs show progressive changes while age increases.Furthermore,both small-scale and large-scale brain FN templates are provided as benchmarks for future studies.Taken together,SMART ICA can automatically obtain reliable FNs in analyzing multi-subject fMRI data,while also providing linkages between different FNs.展开更多
Brain functional networks model the brain's ability to exchange information across different regions,aiding in the understanding of the cognitive process of human visual attention during target searching,thereby c...Brain functional networks model the brain's ability to exchange information across different regions,aiding in the understanding of the cognitive process of human visual attention during target searching,thereby contributing to the advancement of camouflage evaluation.In this study,images with various camouflage effects were presented to observers to generate electroencephalography(EEG)signals,which were then used to construct a brain functional network.The topological parameters of the network were subsequently extracted and input into a machine learning model for training.The results indicate that most of the classifiers achieved accuracy rates exceeding 70%.Specifically,the Logistic algorithm achieved an accuracy of 81.67%.Therefore,it is possible to predict target camouflage effectiveness with high accuracy without the need to calculate discovery probability.The proposed method fully considers the aspects of human visual and cognitive processes,overcomes the subjectivity of human interpretation,and achieves stable and reliable accuracy.展开更多
Background: The mechanisms by which acupuncture affects poststroke cognitive impairment (PSCI) remain unclear. Objective: To investigate brain functional network (BFN) changes in patients with PSCI after acupuncture t...Background: The mechanisms by which acupuncture affects poststroke cognitive impairment (PSCI) remain unclear. Objective: To investigate brain functional network (BFN) changes in patients with PSCI after acupuncture therapy. Methods: Twenty-two PSCI patients who underwent acupuncture therapy in our hospital were enrolled as research subjects. Another 14 people matched for age, sex, and education level were included in the normal control (HC) group. All the subjects underwent resting-state functional magnetic resonance imaging (rs-fMRI) scans;the PSCI patients underwent one scan before acupuncture therapy and another after. The network metric difference between PSCI patients and HCs was analyzed via the independent-sample t test, whereas the paired-sample t test was employed to analyze the network metric changes in PSCI patients before vs. after treatment. Results: Small-world network attributes were observed in both groups for sparsities between 0.1 and 0.28. Compared with the HC group, the PSCI group presented significantly lower values for the global topological properties (γ, Cp, and Eloc) of the brain;significantly greater values for the nodal attributes of betweenness centrality in the CUN. L and the HES. R, degree centrality in the SFGdor. L, PCG. L, IPL. L, and HES. R, and nodal local efficiency in the ORBsup. R, ORBsupmed. R, DCG. L, SMG. R, and TPOsup. L;and decreased degree centrality in the MFG. R, IFGoperc. R, and SOG. R. After treatment, PSCI patients presented increased degree centrality in the LING.L, LING.R, and IOG. L and nodal local efficiency in PHG. L, IOG. R, FFG. L, and the HES. L, and decreased betweenness centrality in the PCG. L and CUN. L, degree centrality in the ORBsupmed. R, and nodal local efficiency in ANG. R. Conclusion: Cognitive decline in PSCI patients may be related to BFN disorders;acupuncture therapy may modulate the topological properties of the BFNs of PSCI patients.展开更多
Landslides are common natural hazards occurring in most parts of the world and have considerable adverse economic effects. Residual shear strength of clay is one of the most important factors in the determination of s...Landslides are common natural hazards occurring in most parts of the world and have considerable adverse economic effects. Residual shear strength of clay is one of the most important factors in the determination of stability of slopes or landslides. This effect is more pronounced in sensitive clays which show large changes in shear strength from peak to residual states. This study analyses the prediction of the residual strength of clay based on a new prediction model, functional networks(FN) using data available in the literature. The performance of FN was compared with support vector machine(SVM) and artificial neural network(ANN) based on statistical parameters like correlation coefficient(R), Nash–Sutcliff coefficient of efficiency(E), absolute average error(AAE), maximum average error(MAE) and root mean square error(RMSE). Based on R and E parameters, FN is found to be a better prediction tool than ANN for the given data. However, the R and E values for FN are less than SVM. A prediction equation is presented that can be used by practicing geotechnical engineers. A sensitivity analysis is carried out to ascertain the importance of various inputs in the prediction of the output.展开更多
Studies have shown that functional network connection models can be used to study brain net- work changes in patients with schizophrenia. In this study, we inferred that these models could also be used to explore func...Studies have shown that functional network connection models can be used to study brain net- work changes in patients with schizophrenia. In this study, we inferred that these models could also be used to explore functional network connectivity changes in stroke patients. We used independent component analysis to find the motor areas of stroke patients, which is a novel way to determine these areas. In this study, we collected functional magnetic resonance imaging datasets from healthy controls and right-handed stroke patients following their first ever stroke. Using independent component analysis, six spatially independent components highly correlat- ed to the experimental paradigm were extracted. Then, the functional network connectivity of both patients and controls was established to observe the differences between them. The results showed that there were 11 connections in the model in the stroke patients, while there were only four connections in the healthy controls. Further analysis found that some damaged connections may be compensated for by new indirect connections or circuits produced after stroke. These connections may have a direct correlation with the degree of stroke rehabilitation. Our findings suggest that functional network connectivity in stroke patients is more complex than that in hea- lthy controls, and that there is a compensation loop in the functional network following stroke. This implies that functional network reorganization plays a very important role in the process of rehabilitation after stroke.展开更多
Examining the spontaneous BOLD activity to understand the neural mechanism of Parkinson’s disease(PD)with mild cognitive impairment(MCI)is a focus in resting-state functional MRI(rs-fMRI)studies.This study aimed to i...Examining the spontaneous BOLD activity to understand the neural mechanism of Parkinson’s disease(PD)with mild cognitive impairment(MCI)is a focus in resting-state functional MRI(rs-fMRI)studies.This study aimed to investigate the alteration of brain functional connectivity in PD with MCI in a systematical way at two levels:functional connectivity analysis within resting state networks(RSNs)and functional network connectivity(FNC)analysis.Using group independent component analysis(ICA)on rs-fMRI data acquired from 30 participants(14 healthy controls and 16 PD patients with MCI),16 RSNs were identified,and functional connectivity analysis within the RSNs and FNC analysis were carried out between groups.Compared to controls,patients with PD showed decreased functional connectivity within putamen network,thalamus network,cerebellar network,attention network,and self-referential network,and increased functional connectivity within execution network.Globally disturbed,mostly increased functional connectivity of FNC was observed in PD group,and insular network and execution network were the dominant network with extensively increased functional connectivity with other RSNs.Cerebellar network showed decreased functional connectivity with caudate network,insular network,and self-referential network.In general,decreased functional connectivity within RSNs and globally disturbed,mostly increased functional connectivity of FNC may be characteristics of PD.Increased functional connectivity within execution network may be an early marker of PD.The multi-perspective study based on RSNs may be a valuable means to assess functional changes corresponding to specific RSN,contributing to the understanding of the neural mechanism of PD.展开更多
Currently,functional connectomes constructed from neuroimaging data have emerged as a powerful tool in identifying brain disorders.If one brain disease just manifests as some cognitive dysfunction,it means that the di...Currently,functional connectomes constructed from neuroimaging data have emerged as a powerful tool in identifying brain disorders.If one brain disease just manifests as some cognitive dysfunction,it means that the disease may affect some local connectivity in the brain functional network.That is,there are functional abnormalities in the sub-network.Therefore,it is crucial to accurately identify them in pathological diagnosis.To solve these problems,we proposed a sub-network extraction method based on graph regularization nonnegative matrix factorization(GNMF).The dynamic functional networks of normal subjects and early mild cognitive impairment(eMCI)subjects were vectorized and the functional connection vectors(FCV)were assembled to aggregation matrices.Then GNMF was applied to factorize the aggregation matrix to get the base matrix,in which the column vectors were restored to a common sub-network and a distinctive sub-network,and visualization and statistical analysis were conducted on the two sub-networks,respectively.Experimental results demonstrated that,compared with other matrix factorization methods,the proposed method can more obviously reflect the similarity between the common subnetwork of eMCI subjects and normal subjects,as well as the difference between the distinctive sub-network of eMCI subjects and normal subjects,Therefore,the high-dimensional features in brain functional networks can be best represented locally in the lowdimensional space,which provides a new idea for studying brain functional connectomes.展开更多
The functional network was introduced by E.Catillo, which extended the neural network. Not only can it solve the problems solved, but also it can formulate the ones that cannot be solved by traditional network. This p...The functional network was introduced by E.Catillo, which extended the neural network. Not only can it solve the problems solved, but also it can formulate the ones that cannot be solved by traditional network. This paper applies functional network to approximate the multidimension function under the ridgelet theory. The method performs more stable and faster than the traditional neural network. The numerical examples demonstrate the performance.展开更多
The structure and function of brain networks have been altered in patients with end-stage renal disease(ESRD).Manifold regularization(MR)only considers the pairing relationship between two brain regions and cannot rep...The structure and function of brain networks have been altered in patients with end-stage renal disease(ESRD).Manifold regularization(MR)only considers the pairing relationship between two brain regions and cannot represent functional interactions or higher-order relationships between multiple brain regions.To solve this issue,we developed a method to construct a dynamic brain functional network(DBFN)based on dynamic hypergraph MR(DHMR)and applied it to the classification of ESRD associated with mild cognitive impairment(ESRDaMCI).The construction of DBFN with Pearson’s correlation(PC)was transformed into an optimization model.Node convolution and hyperedge convolution superposition were adopted to dynamically modify the hypergraph structure,and then got the dynamic hypergraph to form the manifold regular terms of the dynamic hypergraph.The DHMR and L_(1) norm regularization were introduced into the PC-based optimization model to obtain the final DHMR-based DBFN(DDBFN).Experiment results demonstrated the validity of the DDBFN method by comparing the classification results with several related brain functional network construction methods.Our work not only improves better classification performance but also reveals the discriminative regions of ESRDaMCI,providing a reference for clinical research and auxiliary diagnosis of concomitant cognitive impairments.展开更多
In chaotic communication system, the useful signal is hidden in chaotic signal, so the general method does not work well. Due to the random feature of chaotic signal, a functional networkbased method is presented. In ...In chaotic communication system, the useful signal is hidden in chaotic signal, so the general method does not work well. Due to the random feature of chaotic signal, a functional networkbased method is presented. In this method, the neural functions are selected from some complete function set for the functional network to reconstruct the chaotic signal, so the useful signal hidden in chaotic background is extracted. In addition, its learning algorithm is presented here and the example proves its good preformance.展开更多
To investigate the effects of magnetic stimulation at acupoints on brain functional network during mental fatigue, magnetic stimulation was applied to stimulate SHENMEN (HT7), HEGU (LI4) and LAOGONG (PC8) acupoint in ...To investigate the effects of magnetic stimulation at acupoints on brain functional network during mental fatigue, magnetic stimulation was applied to stimulate SHENMEN (HT7), HEGU (LI4) and LAOGONG (PC8) acupoint in this paper. The brain functional networks of normal state, mental fatigue state and stimulated state were constructed and the characteristic parameters were comparatively studied based on the complex network theory. The results showed that the connection of the network was enhanced by stimulating the HT7, LI4 and PC8 acupoint. In conclusion, magnetic stimulation at acupoints can effectively relieve mental fatigue.展开更多
The purpose of the paper is to provide a way to model the brain functional network based on the complex networks with brain anatomical architecture. We introduce the brain structural and functional researches, and del...The purpose of the paper is to provide a way to model the brain functional network based on the complex networks with brain anatomical architecture. We introduce the brain structural and functional researches, and delineate the brain anatomical and functional networks based on complex networks, then we discuss the brain functional complex network models; at last we put forward the brain functional networks modeling process and the data processing with fMRI (functional magnetic resonance imaging) in detailed.展开更多
Purpose: Brain functional networks (BFNs) has become important approach for diagnosis of some neurological or psychological disorders. Before estimating BFN, obtaining blood oxygen level dependent (BOLD) representativ...Purpose: Brain functional networks (BFNs) has become important approach for diagnosis of some neurological or psychological disorders. Before estimating BFN, obtaining blood oxygen level dependent (BOLD) representative signals from brain regions of interest (ROIs) is important. In the past decades, the common method is generally to take a ROI as a node, averaging all the voxel time series inside it to extract a representative signal. However, one node does not represent the entire information of this ROI, and averaging method often leads to signal cancellation and information loss. Inspired by this, we propose a novel model extraction method based on an assumption that a ROI can be represented by multiple nodes. Methods: In this paper, we first extract multiple nodes (the number is user-defined) from the ROI based on two traditional methods, including principal component analysis (PCA), and K-means (Clustering according to the spatial position of voxels). Then, canonical correlation analysis (CCA) was issued to construct BFNs by maximizing the correlation between the representative signals corresponding to the nodes in any two ROIs. Finally, to further verify the effectiveness of the proposed method, the estimated BFNs are applied to identify subjects with autism spectrum disorder (ASD) and mild cognitive impairment (MCI) from health controls (HCs). Results: Experimental results on two benchmark databases demonstrate that the proposed method outperforms the baseline method in the sense of classification performance. Conclusions: We propose a novel method for obtaining nodes of ROId based on the hypothesis that a ROI can be represented by multiple nodes, that is, to extract the node signals of ROIs with K-means or PCA. Then, CCA is used to construct BFNs.展开更多
Rhythm of brain activities represents oscillations of postsynaptic potentials in neocortex, therefore it can serve as an indicator of the brain activity state. In order to check the connectivity of brain rhythm, this ...Rhythm of brain activities represents oscillations of postsynaptic potentials in neocortex, therefore it can serve as an indicator of the brain activity state. In order to check the connectivity of brain rhythm, this paper develops a new method of constructing functional network based on phase synchronization. Electroencephalogram (EEG) data were collected while subjects looking at a green cross in two states, performing an attention task and relaxing with eyes-open. The EEG from these two states was filtered by three band-pass filters to obtain signals of theta (4-7 Hz), alpha (8-13 Hz) and beta (14-30 Hz) bands. Mean resultant length was used to estimate strength of phase synchronization in three bands to construct networks of both states, and mean degree K and cluster coefficient C of networks were calculated as a function of threshold. The result shows higher cluster coetticient in the attention state than in the eyes-open state in all three bands, suggesting that cluster coefficient reflects brain state. In addition, an obvious fronto-parietal network is found in the attention state, which is a well-known attention network. These results indicate that attention modulates the fronto-parietal connectivity in different modes as compared with the eyes-open state. Taken together this method is an objective and important tool to study the properties of neural networks of brain rhythm,展开更多
Since the outbreak and spread of corona virus disease 2019(COVID-19),the prevalence of mental disorders,such as depression,has continued to increase.To explore the abnormal changes of brain functional connections in p...Since the outbreak and spread of corona virus disease 2019(COVID-19),the prevalence of mental disorders,such as depression,has continued to increase.To explore the abnormal changes of brain functional connections in patients with depression,this paper proposes a depression analysis method based on brain function network(BFN).To avoid the volume conductor effect,BFN was constructed based on phase lag index(PLI).Then the indicators closely related to depression were selected from weighted BFN based on small-worldness(SW)characteristics and binarization BFN based on the minimum spanning tree(MST).Differences analysis between groups and correlation analysis between these indicators and diagnostic indicators were performed in turn.The resting state electroencephalogram(EEG)data of 24 patients with depression and 29 healthy controls(HC)was used to verify our proposed method.The results showed that compared with HC,the information processing of BFN in patients with depression decreased,and BFN showed a trend of randomization.展开更多
Objective Using graph theory analysis,this study compares the topological and node attributes of the brain network to explore the differences in gray matter structural and functional network topological properties bet...Objective Using graph theory analysis,this study compares the topological and node attributes of the brain network to explore the differences in gray matter structural and functional network topological properties between bipolar depression(BD)patients with and without obsessive-compulsive symptoms(OCS).Methods A total of 90 BD patients(27 males,63 females;median age 19.0(22.0,25.0)years)were recruited from the psychiatric outpatient and inpatient departments of the First Affiliated Hospital of Jinan University between March 2018 and December 2022.Fifty healthy controls(19 males,31 females;median age:23.0(20.0,27.0)years)were also enrolled.The BD patients were divided into two groups based on the presence of OCS:53 with OCS(OCS group)and 37 without OCS(NOCS group).Resting-state structural and functional MRI data were collected for all participants to construct gray matter structural and functional networks.Graph therory analysis was aapplied to calculate network topological metrics such as small-world properties.The structural and functional network topological properties were compared among the BD-OCS,BD-nOCS,and control groups.Partial correlation analysis was conducted to examine the association between network topological metrics with significant group differences and Yale-Brown Obsessive-Compulsive Scale(Y-BOCS)scores.Support vector machines(SVM)were used with these metrics as classificationfeaturevalues toimproveediagnostic accuracy through pairwise group classification.Results Structural network analysis of gray matter:compared to HC group,both OCS group and NOCS group showed increasedshortesttpathlengthand standardized characteristic path length(shortest path length:0.78 and 0.80 vs.0.69;normalized characteristic path length:0.48 and 0.49 vs.0.43),and decreased global efficiency(0.21 and 0.21 vs.0.24)compared to the HC group(permutation test,all P<0.05).Compared to NOCS and HC groups,the OCS group showed increased nodal centrality and betweenness centrality in the right rolandic operculum and left superior occipital gyrus(permutation test,all P<0.05).Functional network analysis of gray matter:compared to the NOCS group,the OCS group showed increased node efficiency and decreased betweenness centrality in the cerebellum(t=2.15,-3.04;all P<0.05);compared to HC groups,the OCS group showed decreased betweenness centrality in the cerebellum and left inferior frontal gyrus,along with increased node centrality and nodal efficiency in the right transverse temporal gyrus(t=-2.99,-3.61,3.06,3.10;all P<0.05).In the 0CS group,betweenness centrality in the left inferior frontal gyrus positively correlated with Y-BOCS scale obsessive thinking score(r=0.303,P=0.034).Nodal centrality and node efficiency of the right transverse temporal gyrus negatively correlated with Y-BOCS total score(r=-0.301,-0.311)and Y-BOCS obsessional thinking scores(r=-0.385,-0.380)separately(all P<0.05).SVM classification:the combined network features achieved an area under the curve of 0.80 in distinguising OCS from NOCS patients.Conclusion BDOCS and BD-nOCS patients both exhibit consistent changes in gray matter structural network topology,with theOCSSgroup displaying more pronounced nodal topological abnormalities.Multi-network feature integration demostrates potential for diagnostic classfication.展开更多
Objective Using resting-state functional magnetic resonance imaging (rs-fMRI),we explored the changes in dynamic functional network connections (dFNC) in the brains of patients with first-episode schizophrenia (SZ)and...Objective Using resting-state functional magnetic resonance imaging (rs-fMRI),we explored the changes in dynamic functional network connections (dFNC) in the brains of patients with first-episode schizophrenia (SZ)and evaluated the potential clinical value of dFNC changes in combination with a machine learning model.展开更多
Distinct brain remodeling has been found after different nerve reconstruction strategies,including motor representation of the affected limb.However,differences among reconstruction strategies at the brain network lev...Distinct brain remodeling has been found after different nerve reconstruction strategies,including motor representation of the affected limb.However,differences among reconstruction strategies at the brain network level have not been elucidated.This study aimed to explore intranetwork changes related to altered peripheral neural pathways after different nerve reconstruction surgeries,including nerve repair,endto-end nerve transfer,and end-to-side nerve transfer.Sprague–Dawley rats underwent complete left brachial plexus transection and were divided into four equal groups of eight:no nerve repair,grafted nerve repair,phrenic nerve end-to-end transfer,and end-to-side transfer with a graft sutured to the anterior upper trunk.Resting-state brain functional magnetic resonance imaging was obtained 7 months after surgery.The independent component analysis algorithm was utilized to identify group-level network components of interest and extract resting-state functional connectivity values of each voxel within the component.Alterations in intra-network resting-state functional connectivity were compared among the groups.Target muscle reinnervation was assessed by behavioral observation(elbow flexion)and electromyography.The results showed that alterations in the sensorimotor and interoception networks were mostly related to changes in the peripheral neural pathway.Nerve repair was related to enhanced connectivity within the sensorimotor network,while end-to-side nerve transfer might be more beneficial for restoring control over the affected limb by the original motor representation.The thalamic-cortical pathway was enhanced within the interoception network after nerve repair and end-to-end nerve transfer.Brain areas related to cognition and emotion were enhanced after end-to-side nerve transfer.Our study revealed important brain networks related to different nerve reconstructions.These networks may be potential targets for enhancing motor recovery.展开更多
Objective:To observe the effect of bilateral transcranial direct current stimulation(tDCS)on the brain functional network in patients with upper limb spasm after stroke.Methods:An electroencephalograph(EEG)was used to...Objective:To observe the effect of bilateral transcranial direct current stimulation(tDCS)on the brain functional network in patients with upper limb spasm after stroke.Methods:An electroencephalograph(EEG)was used to analyze the effect of the brain functional network before and after the intervention of bilateral tDCS in patients with secondary upper limb spasm after stroke.A total of 44 patients with upper limb spasm after stroke were randomly divided into a real stimulation group and a sham stimulation group.Bilateral tDCS interventions were carried out respectively.The parameters of the brain functional network measured by EEG and the cross-correlation coefficients between various leads before the experiment and at 5 days after the experiment were compared.Results:During the imagination of grasping a mineral water bottle,the degree of nodes in the real stimulation group after stimulation was higher than that before stimulation and that of the sham stimulation group at the same period(P=0.004);during the imagination of releasing the mineral water bottle,the clustering coefficient and global efficiency of nodes in the real stimulation group were both higher than those of the sham stimulation group at the same period(P=0.020,0.032).Before stimulation,the importance scores of the degree of nodes among various leads ranged from 0.562 to 2.081.Among them,the importance scores of Pz,Oz,FP1,FP2,F3,F4,P4,O1,O2,F8,T5,C3,and Fz were all>1.After stimulation,the importance scores of all leads were>1,ranging from 1.911 to 5.580.The real stimulation group had a more obvious effect on P3,O1,O2,Cz,Oz,T4,T6,Fz,FP1,and T5.Conclusion:Bilateral tDCS intervention can enhance the degree of nodes during the imagination of grasping in patients with upper limb spasm after stroke,and enhance the clustering coefficient and global efficiency of nodes during the imagination of releasing.The brain functional network mainly has a more obvious impact on the brain functional areas of the leads in the parietal lobe,occipital lobe,central midline,occipital midline,middle temporal,posterior temporal,parietal midline,and frontal pole regions.展开更多
Objective Repetitive transcranial magnetic stimulation(rTMS)has demonstrated efficacy in enhancing neurocognitive performance in Alzheimer’s disease(AD),but the neurobiological mechanisms linking synaptic pathology,n...Objective Repetitive transcranial magnetic stimulation(rTMS)has demonstrated efficacy in enhancing neurocognitive performance in Alzheimer’s disease(AD),but the neurobiological mechanisms linking synaptic pathology,neural oscillatory dynamics,and brain network reorganization remain unclear.This investigation seeks to systematically evaluate the therapeutic potential of rTMS as a non-invasive neuromodulatory intervention through a multimodal framework integrating clinical assessments,molecular profiling,and neurophysiological monitoring.Methods In this prospective double-blind trial,12 AD patients underwent a 14-day protocol of 20 Hz rTMS,with comprehensive multimodal assessments performed pre-and postintervention.Cognitive functioning was quantified using the mini-mental state examination(MMSE)and Montreal cognitive assessment(MOCA),while daily living capacities and neuropsychiatric profiles were respectively evaluated through the activities of daily living(ADL)scale and combined neuropsychiatric inventory(NPI)-Hamilton depression rating scale(HAMD).Peripheral blood biomarkers,specifically Aβ1-40 and phosphorylated tau(p-tau181),were analyzed to investigate the effects of rTMS on molecular metabolism.Spectral power analysis was employed to investigate rTMS-induced modulations of neural rhythms in AD patients,while brain network analyses incorporating topological properties were conducted to examine stimulus-driven network reorganization.Furthermore,systematic assessment of correlations between cognitive scale scores,blood biomarkers,and network characteristics was performed to elucidate cross-modal therapeutic associations.Results Clinically,MMSE and MOCA scores improved significantly(P<0.05).Biomarker showed that Aβ1-40 level increased(P<0.05),contrasting with p-tau181 reduction.Moreover,the levels of Aβ1-40 were positively correlated with MMSE and MOCA scores.Post-intervention analyses revealed significant modulations in oscillatory power,characterized by pronounced reductions in delta(P<0.05)and theta bands(P<0.05),while concurrent enhancements were observed in alpha,beta,and gamma band activities(all P<0.05).Network analysis revealed frequency-specific reorganization:clustering coefficients were significantly decreased in delta,theta,and alpha bands(P<0.05),while global efficiency improvement was exclusively detected in the delta band(P<0.05).The alpha band demonstrated concurrent increases in average nodal degree(P<0.05)and characteristic path length reduction(P<0.05).Further research findings indicate that the changes in the clinical scale HAMD scores before and after rTMS stimulation are negatively correlated with the changes in the blood biomarkers Aβ1-40 and p-tau181.Additionally,the changes in the clinical scales MMSE and MoCA scores were negatively correlated with the changes in the node degree of the alpha frequency band and negatively correlated with the clustering coefficient of the delta frequency band.However,the changes in MMSE scores are positively correlated with the changes in global efficiency of both the delta and alpha frequency bands.Conclusion 20 Hz rTMS targeting dorsolateral prefrontal cortex(DLPFC)significantly improves cognitive function and enhances the metabolic clearance ofβ-amyloid and tau proteins in AD patients.This neurotherapeutic effect is mechanistically associated with rTMS-mediated frequency-selective neuromodulation,which enhances the connectivity of oscillatory networks through improved neuronal synchronization and optimized topological organization of functional brain networks.These findings not only support the efficacy of rTMS as an adjunctive therapy for AD but also underscore the importance of employing multiple assessment methods—including clinical scales,blood biomarkers,and EEG——in understanding and monitoring the progression of AD.This research provides a significant theoretical foundation and empirical evidence for further exploration of rTMS applications in AD treatment.展开更多
基金supported by the National Natural Science Foundation of China(62076157 and 61703253)the Fund Program for the Scientific Activities of Selected Returned Overseas Professionals in Shanxi Province(20210033)the National Institutes of Health(R01MH123610 and R01EB006841).
文摘Functional networks(FNs)hold significant promise in understanding brain function.Independent component analysis(ICA)has been applied in estimating FNs from functional magnetic resonance imaging(fMRI).However,determining an optimal model order for ICA remains challenging,leading to criticism about the reliability of FN estimation.Here,we propose a SMART(splitting-merging assisted reliable)ICA method that automatically extracts reliable FNs by clustering independent components(ICs)obtained from multi-model-order ICA using a simplified graph while providing linkages among FNs deduced from different-model orders.We extend SMART ICA to multi-subject fMRI analysis,validating its effectiveness using simulated and real fMRI data.Based on simulated data,the method accurately estimates both group-common and group-unique components and demonstrates robustness to parameters.Using two age-matched cohorts of resting fMRI data comprising 1,950 healthy subjects,the resulting reliable group-level FNs are greatly similar between the two cohorts,and interestingly the subject-specific FNs show progressive changes while age increases.Furthermore,both small-scale and large-scale brain FN templates are provided as benchmarks for future studies.Taken together,SMART ICA can automatically obtain reliable FNs in analyzing multi-subject fMRI data,while also providing linkages between different FNs.
基金sponsored by the National Defense Science and Technology Key Laboratory Fund(Grant No.61422062205)the Equipment Pre-Research Fund(Grant No.JCKYS2022LD9)。
文摘Brain functional networks model the brain's ability to exchange information across different regions,aiding in the understanding of the cognitive process of human visual attention during target searching,thereby contributing to the advancement of camouflage evaluation.In this study,images with various camouflage effects were presented to observers to generate electroencephalography(EEG)signals,which were then used to construct a brain functional network.The topological parameters of the network were subsequently extracted and input into a machine learning model for training.The results indicate that most of the classifiers achieved accuracy rates exceeding 70%.Specifically,the Logistic algorithm achieved an accuracy of 81.67%.Therefore,it is possible to predict target camouflage effectiveness with high accuracy without the need to calculate discovery probability.The proposed method fully considers the aspects of human visual and cognitive processes,overcomes the subjectivity of human interpretation,and achieves stable and reliable accuracy.
文摘Background: The mechanisms by which acupuncture affects poststroke cognitive impairment (PSCI) remain unclear. Objective: To investigate brain functional network (BFN) changes in patients with PSCI after acupuncture therapy. Methods: Twenty-two PSCI patients who underwent acupuncture therapy in our hospital were enrolled as research subjects. Another 14 people matched for age, sex, and education level were included in the normal control (HC) group. All the subjects underwent resting-state functional magnetic resonance imaging (rs-fMRI) scans;the PSCI patients underwent one scan before acupuncture therapy and another after. The network metric difference between PSCI patients and HCs was analyzed via the independent-sample t test, whereas the paired-sample t test was employed to analyze the network metric changes in PSCI patients before vs. after treatment. Results: Small-world network attributes were observed in both groups for sparsities between 0.1 and 0.28. Compared with the HC group, the PSCI group presented significantly lower values for the global topological properties (γ, Cp, and Eloc) of the brain;significantly greater values for the nodal attributes of betweenness centrality in the CUN. L and the HES. R, degree centrality in the SFGdor. L, PCG. L, IPL. L, and HES. R, and nodal local efficiency in the ORBsup. R, ORBsupmed. R, DCG. L, SMG. R, and TPOsup. L;and decreased degree centrality in the MFG. R, IFGoperc. R, and SOG. R. After treatment, PSCI patients presented increased degree centrality in the LING.L, LING.R, and IOG. L and nodal local efficiency in PHG. L, IOG. R, FFG. L, and the HES. L, and decreased betweenness centrality in the PCG. L and CUN. L, degree centrality in the ORBsupmed. R, and nodal local efficiency in ANG. R. Conclusion: Cognitive decline in PSCI patients may be related to BFN disorders;acupuncture therapy may modulate the topological properties of the BFNs of PSCI patients.
文摘Landslides are common natural hazards occurring in most parts of the world and have considerable adverse economic effects. Residual shear strength of clay is one of the most important factors in the determination of stability of slopes or landslides. This effect is more pronounced in sensitive clays which show large changes in shear strength from peak to residual states. This study analyses the prediction of the residual strength of clay based on a new prediction model, functional networks(FN) using data available in the literature. The performance of FN was compared with support vector machine(SVM) and artificial neural network(ANN) based on statistical parameters like correlation coefficient(R), Nash–Sutcliff coefficient of efficiency(E), absolute average error(AAE), maximum average error(MAE) and root mean square error(RMSE). Based on R and E parameters, FN is found to be a better prediction tool than ANN for the given data. However, the R and E values for FN are less than SVM. A prediction equation is presented that can be used by practicing geotechnical engineers. A sensitivity analysis is carried out to ascertain the importance of various inputs in the prediction of the output.
基金supported by the National Natural Science Foundation of China,No.60905024
文摘Studies have shown that functional network connection models can be used to study brain net- work changes in patients with schizophrenia. In this study, we inferred that these models could also be used to explore functional network connectivity changes in stroke patients. We used independent component analysis to find the motor areas of stroke patients, which is a novel way to determine these areas. In this study, we collected functional magnetic resonance imaging datasets from healthy controls and right-handed stroke patients following their first ever stroke. Using independent component analysis, six spatially independent components highly correlat- ed to the experimental paradigm were extracted. Then, the functional network connectivity of both patients and controls was established to observe the differences between them. The results showed that there were 11 connections in the model in the stroke patients, while there were only four connections in the healthy controls. Further analysis found that some damaged connections may be compensated for by new indirect connections or circuits produced after stroke. These connections may have a direct correlation with the degree of stroke rehabilitation. Our findings suggest that functional network connectivity in stroke patients is more complex than that in hea- lthy controls, and that there is a compensation loop in the functional network following stroke. This implies that functional network reorganization plays a very important role in the process of rehabilitation after stroke.
基金This project was supported by grants from National Natural Science Foundation of China(No.81701655 and No.81600317)Platform Research Foundation of Union Hospital,Tongji Medical College,Huazhong university of Science and Technology(No.02.03.2017-14).
文摘Examining the spontaneous BOLD activity to understand the neural mechanism of Parkinson’s disease(PD)with mild cognitive impairment(MCI)is a focus in resting-state functional MRI(rs-fMRI)studies.This study aimed to investigate the alteration of brain functional connectivity in PD with MCI in a systematical way at two levels:functional connectivity analysis within resting state networks(RSNs)and functional network connectivity(FNC)analysis.Using group independent component analysis(ICA)on rs-fMRI data acquired from 30 participants(14 healthy controls and 16 PD patients with MCI),16 RSNs were identified,and functional connectivity analysis within the RSNs and FNC analysis were carried out between groups.Compared to controls,patients with PD showed decreased functional connectivity within putamen network,thalamus network,cerebellar network,attention network,and self-referential network,and increased functional connectivity within execution network.Globally disturbed,mostly increased functional connectivity of FNC was observed in PD group,and insular network and execution network were the dominant network with extensively increased functional connectivity with other RSNs.Cerebellar network showed decreased functional connectivity with caudate network,insular network,and self-referential network.In general,decreased functional connectivity within RSNs and globally disturbed,mostly increased functional connectivity of FNC may be characteristics of PD.Increased functional connectivity within execution network may be an early marker of PD.The multi-perspective study based on RSNs may be a valuable means to assess functional changes corresponding to specific RSN,contributing to the understanding of the neural mechanism of PD.
基金supported by the National Natural Science Foundation of China(No.51877013),(ZJ),(http://www.nsfc.gov.cn/)the Natural Science Foundation of Jiangsu Province(No.BK20181463),(ZJ),(http://kxjst.jiangsu.gov.cn/)sponsored by Qing Lan Project of Jiangsu Province(no specific grant number),(ZJ),(http://jyt.jiangsu.gov.cn/).
文摘Currently,functional connectomes constructed from neuroimaging data have emerged as a powerful tool in identifying brain disorders.If one brain disease just manifests as some cognitive dysfunction,it means that the disease may affect some local connectivity in the brain functional network.That is,there are functional abnormalities in the sub-network.Therefore,it is crucial to accurately identify them in pathological diagnosis.To solve these problems,we proposed a sub-network extraction method based on graph regularization nonnegative matrix factorization(GNMF).The dynamic functional networks of normal subjects and early mild cognitive impairment(eMCI)subjects were vectorized and the functional connection vectors(FCV)were assembled to aggregation matrices.Then GNMF was applied to factorize the aggregation matrix to get the base matrix,in which the column vectors were restored to a common sub-network and a distinctive sub-network,and visualization and statistical analysis were conducted on the two sub-networks,respectively.Experimental results demonstrated that,compared with other matrix factorization methods,the proposed method can more obviously reflect the similarity between the common subnetwork of eMCI subjects and normal subjects,as well as the difference between the distinctive sub-network of eMCI subjects and normal subjects,Therefore,the high-dimensional features in brain functional networks can be best represented locally in the lowdimensional space,which provides a new idea for studying brain functional connectomes.
基金Partly supported by the National Natura Science Foundation of China(No.60133010)the Natura Science Foundation of Education Department of Shaanxi Province(No.05JK312)the Natura Science Foundation of Xianyang Normal University(No.04XSYK101)
文摘The functional network was introduced by E.Catillo, which extended the neural network. Not only can it solve the problems solved, but also it can formulate the ones that cannot be solved by traditional network. This paper applies functional network to approximate the multidimension function under the ridgelet theory. The method performs more stable and faster than the traditional neural network. The numerical examples demonstrate the performance.
基金supported by the National Natural Science Foundation of China (No.51877013),(ZJ),(http://www.nsfc.gov.cn/)the Jiangsu Provincial Key Research and Development Program (No.BE2021636),(ZJ),(http://kxjst.jiangsu.gov.cn/)+1 种基金the Science and Technology Project of Changzhou City (No.CE20205056),(ZJ),(http://kjj.changzhou.gov.cn/)by Qing Lan Project of Jiangsu Province (no specific grant number),(ZJ),(http://jyt.jiangsu.gov.cn/).
文摘The structure and function of brain networks have been altered in patients with end-stage renal disease(ESRD).Manifold regularization(MR)only considers the pairing relationship between two brain regions and cannot represent functional interactions or higher-order relationships between multiple brain regions.To solve this issue,we developed a method to construct a dynamic brain functional network(DBFN)based on dynamic hypergraph MR(DHMR)and applied it to the classification of ESRD associated with mild cognitive impairment(ESRDaMCI).The construction of DBFN with Pearson’s correlation(PC)was transformed into an optimization model.Node convolution and hyperedge convolution superposition were adopted to dynamically modify the hypergraph structure,and then got the dynamic hypergraph to form the manifold regular terms of the dynamic hypergraph.The DHMR and L_(1) norm regularization were introduced into the PC-based optimization model to obtain the final DHMR-based DBFN(DDBFN).Experiment results demonstrated the validity of the DDBFN method by comparing the classification results with several related brain functional network construction methods.Our work not only improves better classification performance but also reveals the discriminative regions of ESRDaMCI,providing a reference for clinical research and auxiliary diagnosis of concomitant cognitive impairments.
文摘In chaotic communication system, the useful signal is hidden in chaotic signal, so the general method does not work well. Due to the random feature of chaotic signal, a functional networkbased method is presented. In this method, the neural functions are selected from some complete function set for the functional network to reconstruct the chaotic signal, so the useful signal hidden in chaotic background is extracted. In addition, its learning algorithm is presented here and the example proves its good preformance.
文摘To investigate the effects of magnetic stimulation at acupoints on brain functional network during mental fatigue, magnetic stimulation was applied to stimulate SHENMEN (HT7), HEGU (LI4) and LAOGONG (PC8) acupoint in this paper. The brain functional networks of normal state, mental fatigue state and stimulated state were constructed and the characteristic parameters were comparatively studied based on the complex network theory. The results showed that the connection of the network was enhanced by stimulating the HT7, LI4 and PC8 acupoint. In conclusion, magnetic stimulation at acupoints can effectively relieve mental fatigue.
基金The authors thank the College of Information and Engineering Taishan Medical University colleagues for assistance with data collection and the manuscript comments. Special thanks to Polly and Xiaochen Xu for suggestions on writing in the English language. The authors are grateful to the anonymous referees for their valuable comments and suggestions. This research was supported by the Natural Science Foundation of Shandong (No. ZR2013FL031), State Accident Prevention Key Technology of Work Safety Program (No. 2013-084), Work Safety Science Technology Development Program of Shandong (No. LAJK2013-137), High-level Training Project of Taishan Medical University (No. 2013GCC09).
文摘The purpose of the paper is to provide a way to model the brain functional network based on the complex networks with brain anatomical architecture. We introduce the brain structural and functional researches, and delineate the brain anatomical and functional networks based on complex networks, then we discuss the brain functional complex network models; at last we put forward the brain functional networks modeling process and the data processing with fMRI (functional magnetic resonance imaging) in detailed.
文摘Purpose: Brain functional networks (BFNs) has become important approach for diagnosis of some neurological or psychological disorders. Before estimating BFN, obtaining blood oxygen level dependent (BOLD) representative signals from brain regions of interest (ROIs) is important. In the past decades, the common method is generally to take a ROI as a node, averaging all the voxel time series inside it to extract a representative signal. However, one node does not represent the entire information of this ROI, and averaging method often leads to signal cancellation and information loss. Inspired by this, we propose a novel model extraction method based on an assumption that a ROI can be represented by multiple nodes. Methods: In this paper, we first extract multiple nodes (the number is user-defined) from the ROI based on two traditional methods, including principal component analysis (PCA), and K-means (Clustering according to the spatial position of voxels). Then, canonical correlation analysis (CCA) was issued to construct BFNs by maximizing the correlation between the representative signals corresponding to the nodes in any two ROIs. Finally, to further verify the effectiveness of the proposed method, the estimated BFNs are applied to identify subjects with autism spectrum disorder (ASD) and mild cognitive impairment (MCI) from health controls (HCs). Results: Experimental results on two benchmark databases demonstrate that the proposed method outperforms the baseline method in the sense of classification performance. Conclusions: We propose a novel method for obtaining nodes of ROId based on the hypothesis that a ROI can be represented by multiple nodes, that is, to extract the node signals of ROIs with K-means or PCA. Then, CCA is used to construct BFNs.
基金supported by the Young Scientists Fund of the National Natural Science Foundation of China (Grant No. 30800242)
文摘Rhythm of brain activities represents oscillations of postsynaptic potentials in neocortex, therefore it can serve as an indicator of the brain activity state. In order to check the connectivity of brain rhythm, this paper develops a new method of constructing functional network based on phase synchronization. Electroencephalogram (EEG) data were collected while subjects looking at a green cross in two states, performing an attention task and relaxing with eyes-open. The EEG from these two states was filtered by three band-pass filters to obtain signals of theta (4-7 Hz), alpha (8-13 Hz) and beta (14-30 Hz) bands. Mean resultant length was used to estimate strength of phase synchronization in three bands to construct networks of both states, and mean degree K and cluster coefficient C of networks were calculated as a function of threshold. The result shows higher cluster coetticient in the attention state than in the eyes-open state in all three bands, suggesting that cluster coefficient reflects brain state. In addition, an obvious fronto-parietal network is found in the attention state, which is a well-known attention network. These results indicate that attention modulates the fronto-parietal connectivity in different modes as compared with the eyes-open state. Taken together this method is an objective and important tool to study the properties of neural networks of brain rhythm,
基金supported by the National Natural Science Foundation of China(Nos.61962034,61862058)Longyuan Youth Innovation and Entrepreneurship Talent(Individual)Project and Tianyou Youth Talent Lift Program of Lanzhou Jiaotong Univesity。
文摘Since the outbreak and spread of corona virus disease 2019(COVID-19),the prevalence of mental disorders,such as depression,has continued to increase.To explore the abnormal changes of brain functional connections in patients with depression,this paper proposes a depression analysis method based on brain function network(BFN).To avoid the volume conductor effect,BFN was constructed based on phase lag index(PLI).Then the indicators closely related to depression were selected from weighted BFN based on small-worldness(SW)characteristics and binarization BFN based on the minimum spanning tree(MST).Differences analysis between groups and correlation analysis between these indicators and diagnostic indicators were performed in turn.The resting state electroencephalogram(EEG)data of 24 patients with depression and 29 healthy controls(HC)was used to verify our proposed method.The results showed that compared with HC,the information processing of BFN in patients with depression decreased,and BFN showed a trend of randomization.
文摘Objective Using graph theory analysis,this study compares the topological and node attributes of the brain network to explore the differences in gray matter structural and functional network topological properties between bipolar depression(BD)patients with and without obsessive-compulsive symptoms(OCS).Methods A total of 90 BD patients(27 males,63 females;median age 19.0(22.0,25.0)years)were recruited from the psychiatric outpatient and inpatient departments of the First Affiliated Hospital of Jinan University between March 2018 and December 2022.Fifty healthy controls(19 males,31 females;median age:23.0(20.0,27.0)years)were also enrolled.The BD patients were divided into two groups based on the presence of OCS:53 with OCS(OCS group)and 37 without OCS(NOCS group).Resting-state structural and functional MRI data were collected for all participants to construct gray matter structural and functional networks.Graph therory analysis was aapplied to calculate network topological metrics such as small-world properties.The structural and functional network topological properties were compared among the BD-OCS,BD-nOCS,and control groups.Partial correlation analysis was conducted to examine the association between network topological metrics with significant group differences and Yale-Brown Obsessive-Compulsive Scale(Y-BOCS)scores.Support vector machines(SVM)were used with these metrics as classificationfeaturevalues toimproveediagnostic accuracy through pairwise group classification.Results Structural network analysis of gray matter:compared to HC group,both OCS group and NOCS group showed increasedshortesttpathlengthand standardized characteristic path length(shortest path length:0.78 and 0.80 vs.0.69;normalized characteristic path length:0.48 and 0.49 vs.0.43),and decreased global efficiency(0.21 and 0.21 vs.0.24)compared to the HC group(permutation test,all P<0.05).Compared to NOCS and HC groups,the OCS group showed increased nodal centrality and betweenness centrality in the right rolandic operculum and left superior occipital gyrus(permutation test,all P<0.05).Functional network analysis of gray matter:compared to the NOCS group,the OCS group showed increased node efficiency and decreased betweenness centrality in the cerebellum(t=2.15,-3.04;all P<0.05);compared to HC groups,the OCS group showed decreased betweenness centrality in the cerebellum and left inferior frontal gyrus,along with increased node centrality and nodal efficiency in the right transverse temporal gyrus(t=-2.99,-3.61,3.06,3.10;all P<0.05).In the 0CS group,betweenness centrality in the left inferior frontal gyrus positively correlated with Y-BOCS scale obsessive thinking score(r=0.303,P=0.034).Nodal centrality and node efficiency of the right transverse temporal gyrus negatively correlated with Y-BOCS total score(r=-0.301,-0.311)and Y-BOCS obsessional thinking scores(r=-0.385,-0.380)separately(all P<0.05).SVM classification:the combined network features achieved an area under the curve of 0.80 in distinguising OCS from NOCS patients.Conclusion BDOCS and BD-nOCS patients both exhibit consistent changes in gray matter structural network topology,with theOCSSgroup displaying more pronounced nodal topological abnormalities.Multi-network feature integration demostrates potential for diagnostic classfication.
文摘Objective Using resting-state functional magnetic resonance imaging (rs-fMRI),we explored the changes in dynamic functional network connections (dFNC) in the brains of patients with first-episode schizophrenia (SZ)and evaluated the potential clinical value of dFNC changes in combination with a machine learning model.
基金supported by the National Natural Science Foundation of China,Nos.81871836(to MZ),82172554(to XH),and 81802249(to XH),81902301(to JW)the National Key R&D Program of China,Nos.2018YFC2001600(to JX)and 2018YFC2001604(to JX)+3 种基金Shanghai Rising Star Program,No.19QA1409000(to MZ)Shanghai Municipal Commission of Health and Family Planning,No.2018YQ02(to MZ)Shanghai Youth Top Talent Development PlanShanghai“Rising Stars of Medical Talent”Youth Development Program,No.RY411.19.01.10(to XH)。
文摘Distinct brain remodeling has been found after different nerve reconstruction strategies,including motor representation of the affected limb.However,differences among reconstruction strategies at the brain network level have not been elucidated.This study aimed to explore intranetwork changes related to altered peripheral neural pathways after different nerve reconstruction surgeries,including nerve repair,endto-end nerve transfer,and end-to-side nerve transfer.Sprague–Dawley rats underwent complete left brachial plexus transection and were divided into four equal groups of eight:no nerve repair,grafted nerve repair,phrenic nerve end-to-end transfer,and end-to-side transfer with a graft sutured to the anterior upper trunk.Resting-state brain functional magnetic resonance imaging was obtained 7 months after surgery.The independent component analysis algorithm was utilized to identify group-level network components of interest and extract resting-state functional connectivity values of each voxel within the component.Alterations in intra-network resting-state functional connectivity were compared among the groups.Target muscle reinnervation was assessed by behavioral observation(elbow flexion)and electromyography.The results showed that alterations in the sensorimotor and interoception networks were mostly related to changes in the peripheral neural pathway.Nerve repair was related to enhanced connectivity within the sensorimotor network,while end-to-side nerve transfer might be more beneficial for restoring control over the affected limb by the original motor representation.The thalamic-cortical pathway was enhanced within the interoception network after nerve repair and end-to-end nerve transfer.Brain areas related to cognition and emotion were enhanced after end-to-side nerve transfer.Our study revealed important brain networks related to different nerve reconstructions.These networks may be potential targets for enhancing motor recovery.
文摘Objective:To observe the effect of bilateral transcranial direct current stimulation(tDCS)on the brain functional network in patients with upper limb spasm after stroke.Methods:An electroencephalograph(EEG)was used to analyze the effect of the brain functional network before and after the intervention of bilateral tDCS in patients with secondary upper limb spasm after stroke.A total of 44 patients with upper limb spasm after stroke were randomly divided into a real stimulation group and a sham stimulation group.Bilateral tDCS interventions were carried out respectively.The parameters of the brain functional network measured by EEG and the cross-correlation coefficients between various leads before the experiment and at 5 days after the experiment were compared.Results:During the imagination of grasping a mineral water bottle,the degree of nodes in the real stimulation group after stimulation was higher than that before stimulation and that of the sham stimulation group at the same period(P=0.004);during the imagination of releasing the mineral water bottle,the clustering coefficient and global efficiency of nodes in the real stimulation group were both higher than those of the sham stimulation group at the same period(P=0.020,0.032).Before stimulation,the importance scores of the degree of nodes among various leads ranged from 0.562 to 2.081.Among them,the importance scores of Pz,Oz,FP1,FP2,F3,F4,P4,O1,O2,F8,T5,C3,and Fz were all>1.After stimulation,the importance scores of all leads were>1,ranging from 1.911 to 5.580.The real stimulation group had a more obvious effect on P3,O1,O2,Cz,Oz,T4,T6,Fz,FP1,and T5.Conclusion:Bilateral tDCS intervention can enhance the degree of nodes during the imagination of grasping in patients with upper limb spasm after stroke,and enhance the clustering coefficient and global efficiency of nodes during the imagination of releasing.The brain functional network mainly has a more obvious impact on the brain functional areas of the leads in the parietal lobe,occipital lobe,central midline,occipital midline,middle temporal,posterior temporal,parietal midline,and frontal pole regions.
文摘Objective Repetitive transcranial magnetic stimulation(rTMS)has demonstrated efficacy in enhancing neurocognitive performance in Alzheimer’s disease(AD),but the neurobiological mechanisms linking synaptic pathology,neural oscillatory dynamics,and brain network reorganization remain unclear.This investigation seeks to systematically evaluate the therapeutic potential of rTMS as a non-invasive neuromodulatory intervention through a multimodal framework integrating clinical assessments,molecular profiling,and neurophysiological monitoring.Methods In this prospective double-blind trial,12 AD patients underwent a 14-day protocol of 20 Hz rTMS,with comprehensive multimodal assessments performed pre-and postintervention.Cognitive functioning was quantified using the mini-mental state examination(MMSE)and Montreal cognitive assessment(MOCA),while daily living capacities and neuropsychiatric profiles were respectively evaluated through the activities of daily living(ADL)scale and combined neuropsychiatric inventory(NPI)-Hamilton depression rating scale(HAMD).Peripheral blood biomarkers,specifically Aβ1-40 and phosphorylated tau(p-tau181),were analyzed to investigate the effects of rTMS on molecular metabolism.Spectral power analysis was employed to investigate rTMS-induced modulations of neural rhythms in AD patients,while brain network analyses incorporating topological properties were conducted to examine stimulus-driven network reorganization.Furthermore,systematic assessment of correlations between cognitive scale scores,blood biomarkers,and network characteristics was performed to elucidate cross-modal therapeutic associations.Results Clinically,MMSE and MOCA scores improved significantly(P<0.05).Biomarker showed that Aβ1-40 level increased(P<0.05),contrasting with p-tau181 reduction.Moreover,the levels of Aβ1-40 were positively correlated with MMSE and MOCA scores.Post-intervention analyses revealed significant modulations in oscillatory power,characterized by pronounced reductions in delta(P<0.05)and theta bands(P<0.05),while concurrent enhancements were observed in alpha,beta,and gamma band activities(all P<0.05).Network analysis revealed frequency-specific reorganization:clustering coefficients were significantly decreased in delta,theta,and alpha bands(P<0.05),while global efficiency improvement was exclusively detected in the delta band(P<0.05).The alpha band demonstrated concurrent increases in average nodal degree(P<0.05)and characteristic path length reduction(P<0.05).Further research findings indicate that the changes in the clinical scale HAMD scores before and after rTMS stimulation are negatively correlated with the changes in the blood biomarkers Aβ1-40 and p-tau181.Additionally,the changes in the clinical scales MMSE and MoCA scores were negatively correlated with the changes in the node degree of the alpha frequency band and negatively correlated with the clustering coefficient of the delta frequency band.However,the changes in MMSE scores are positively correlated with the changes in global efficiency of both the delta and alpha frequency bands.Conclusion 20 Hz rTMS targeting dorsolateral prefrontal cortex(DLPFC)significantly improves cognitive function and enhances the metabolic clearance ofβ-amyloid and tau proteins in AD patients.This neurotherapeutic effect is mechanistically associated with rTMS-mediated frequency-selective neuromodulation,which enhances the connectivity of oscillatory networks through improved neuronal synchronization and optimized topological organization of functional brain networks.These findings not only support the efficacy of rTMS as an adjunctive therapy for AD but also underscore the importance of employing multiple assessment methods—including clinical scales,blood biomarkers,and EEG——in understanding and monitoring the progression of AD.This research provides a significant theoretical foundation and empirical evidence for further exploration of rTMS applications in AD treatment.