Human Brain Mapping,
Journal Year:
2020,
Volume and Issue:
42(4), P. 1070 - 1101
Published: Nov. 20, 2020
Abstract
Lesion
symptom
mapping
(LSM)
tools
are
used
on
brain
injury
data
to
identify
the
neural
structures
critical
for
a
given
behavior
or
symptom.
Univariate
lesion
(ULSM)
methods
provide
statistical
comparisons
of
behavioral
test
scores
in
patients
with
and
without
voxel
by
basis.
More
recently,
multivariate
(MLSM)
have
been
developed
that
consider
effects
all
lesioned
voxels
one
model
simultaneously.
In
current
study,
we
much‐needed
systematic
comparison
several
ULSM
MLSM
methods,
using
both
synthetic
real
potential
strengths
weaknesses
approaches.
We
tested
spatial
precision
each
LSM
method
single
dual
(network
type)
anatomical
target
simulations
across
location,
sample
size,
noise
level,
smoothing.
Additionally,
performed
false
positive
characteristics
associated
method's
spurious
findings.
Simulations
showed
no
clear
superiority
either
overall,
but
rather
highlighted
specific
advantages
different
methods.
No
produced
thresholded
map
exclusively
delineated
regions
behavior.
Thus,
indicated,
depending
particular
study
design,
hypotheses,
size.
Overall,
recommend
use
tandem
enhance
confidence
results:
Brain
foci
identified
as
significant
types
unlikely
be
can
confidently
reported
robust
results.
New England Journal of Medicine,
Journal Year:
2018,
Volume and Issue:
379(23), P. 2237 - 2245
Published: Dec. 5, 2018
Complex
neurologic
and
psychiatric
syndromes
cannot
be
understood
on
the
basis
of
focal
brain
lesions.
Functional
neuroimaging,
maps
interrelated
regions
called
connectome,
combination
lesion
analysis
with
networks
connectome
offer
a
new
way
to
understand
function
disease.
Frontiers in Human Neuroscience,
Journal Year:
2018,
Volume and Issue:
12
Published: May 25, 2018
Cognitive
neuroscience
set
out
to
understand
the
neural
mechanisms
underlying
cognition.
One
central
question
is
how
oscillatory
brain
activity
relates
cognitive
processes.
Up
now,
most
of
evidence
supporting
this
relationship
was
correlative
in
nature.
This
situation
changed
dramatically
with
recent
development
non-invasive
stimulation
(NIBS)
techniques,
which
open
up
new
vistas
for
by
allowing
researchers
first
time
validate
their
correlational
theories
manipulating
functioning
directly.
In
review,
we
focus
on
transcranial
alternating
current
(tACS),
an
electrical
method
that
applies
sinusoidal
currents
intact
scalp
human
individuals
directly
interfere
ongoing
oscillations.
We
outline
tACS
can
impact
oscillations
employing
different
levels
observation
from
application
healthy
volunteers
and
intracranial
recordings
patients
animal
studies
demonstrating
effectiveness
electric
fields
neurons
Physiological Reviews,
Journal Year:
2020,
Volume and Issue:
100(3), P. 1181 - 1228
Published: Feb. 20, 2020
For
more
than
one
century,
brain
processing
was
mainly
thought
in
a
localizationist
framework,
which
given
function
underpinned
by
discrete,
isolated
cortical
area,
and
with
similar
cerebral
organization
across
individuals.
However,
advances
mapping
techniques
humans
have
provided
new
insights
into
the
organizational
principles
of
anatomo-functional
architecture.
Here,
we
review
recent
findings
gained
from
neuroimaging,
electrophysiological,
as
well
lesion
studies.
Based
on
these
data
connectome,
challenge
traditional,
outdated
view
propose
an
alternative
meta-networking
theory.
This
model
holds
that
complex
cognitions
behaviors
arise
spatiotemporal
integration
distributed
but
relatively
specialized
networks
underlying
conation
cognition
(e.g.,
language,
spatial
cognition).
Dynamic
interactions
between
such
circuits
result
perpetual
succession
equilibrium
states,
opening
door
to
considerable
interindividual
behavioral
variability
neuroplastic
phenomena.
Indeed,
underlies
uniquely
human
propensity
learn
abilities,
also
explains
how
postlesional
reshaping
can
lead
some
degrees
functional
compensation
brain-damaged
patients.
We
discuss
major
implications
this
approach
fundamental
neurosciences
for
clinical
developments,
especially
neurology,
psychiatry,
neurorehabilitation,
restorative
neurosurgery.
Nature Medicine,
Journal Year:
2022,
Volume and Issue:
28(6), P. 1249 - 1255
Published: June 1, 2022
Abstract
Drug
addiction
is
a
public
health
crisis
for
which
new
treatments
are
urgently
needed.
In
rare
cases,
regional
brain
damage
can
lead
to
remission.
These
cases
may
be
used
identify
therapeutic
targets
neuromodulation.
We
analyzed
two
cohorts
of
patients
addicted
smoking
at
the
time
focal
(cohort
1
n
=
67;
cohort
2
62).
Lesion
locations
were
mapped
atlas
and
network
functionally
connected
each
lesion
location
was
computed
using
human
connectome
data
(
1,000).
Associations
with
remission
identified.
Generalizability
assessed
an
independent
alcohol
risk
scores
186).
Specificity
through
comparison
37
other
neuropsychological
variables.
Lesions
disrupting
occurred
in
many
different
but
characterized
by
specific
pattern
connectivity.
This
involved
positive
connectivity
dorsal
cingulate,
lateral
prefrontal
cortex,
insula
negative
medial
temporal
cortex.
circuit
reproducible
across
cohorts,
associated
reduced
risk,
metrics.
Hubs
that
best
matched
profile
paracingulate
gyrus,
left
frontal
operculum,
fronto-polar
conclude
lesions
map
hubs
this
provide
testable
Brain,
Journal Year:
2021,
Volume and Issue:
145(2), P. 457 - 475
Published: Dec. 13, 2021
Stroke
ranks
among
the
leading
causes
for
morbidity
and
mortality
worldwide.
New
continuously
improving
treatment
options
such
as
thrombolysis
thrombectomy
have
revolutionized
acute
stroke
in
recent
years.
Following
modern
rhythms,
next
revolution
might
well
be
strategic
use
of
steadily
increasing
amounts
patient-related
data
generating
models
enabling
individualized
outcome
predictions.
Milestones
already
been
achieved
several
health
care
domains,
big
artificial
intelligence
entered
everyday
life.
The
aim
this
review
is
to
synoptically
illustrate
discuss
how
approaches
may
help
compute
single-patient
predictions
research
acute,
subacute
chronic
stage.
We
will
present
considering
demographic,
clinical
electrophysiological
data,
originating
from
various
imaging
modalities
combinations
thereof.
outline
their
advantages,
disadvantages,
potential
pitfalls
promises
they
hold
with
a
special
focus
on
audience.
Throughout
we
highlight
methodological
aspects
novel
machine-learning
are
particularly
crucial
realize
precision
medicine.
finally
provide
an
outlook
contribute
enhancing
favourable
outcomes
after
stroke.
Biology of Sex Differences,
Journal Year:
2022,
Volume and Issue:
13(1)
Published: July 26, 2022
Abstract
The
presence,
magnitude,
and
significance
of
sex
differences
in
the
human
brain
are
hotly
debated
topics
scientific
community
popular
media.
This
debate
is
largely
fueled
by
studies
containing
strong,
opposing
conclusions:
either
little
to
no
evidence
exists
for
neuroanatomy,
or
there
small-to-moderate
size
certain
regions
that
highly
reproducible
across
cohorts
(even
after
controlling
average
size).
Our
Commentary
uses
specific
comparison
between
two
recent
large-scale
adopt
these
views—namely
review
Eliot
colleagues
(2021)
direct
analysis
~
40k
brains
Williams
(2021)—in
an
effort
clarify
this
controversy
provide
a
framework
conducting
research.
First,
we
observations
motivate
research
on
including
potential
causes
(evolutionary,
genetic,
environmental)
effects
(epidemiological
clinical
sex-biased
disorders).
We
also
summarize
methodological
empirical
support
using
structural
MRI
investigate
such
patterns.
Next,
outline
how
researchers
focused
can
better
specify
their
study
design
(e.g.,
was
defined,
if
adjusted
for)
results
(by
e.g.,
distinguishing
sexual
dimorphisms
from
differences).
then
compare
different
approaches
available
studying
large
number
individuals:
analysis,
meta-analysis,
review.
stress
reviews
do
not
account
studies,
variation
explains
many
apparent
inconsistencies
reported
throughout
(including
work
colleagues).
For
instance,
show
amygdala
volume
consistently
as
male-biased
with
sufficient
sample
sizes
appropriate
methods
correction.
In
fact,
comparing
multiple
analyses
highlights
small,
(controlling
Finally,
describe
best
practices
presentation
interpretation
findings.
Care
important
all
domains
science,
but
especially
so
brain,
given
existence
broad
societal
gender-biases
history
biological
data
being
used
justify
sexist
ideas.
As
such,
urge
discuss
simultaneously
anti-sexist
viewpoints.
JAMA Neurology,
Journal Year:
2023,
Volume and Issue:
80(9), P. 891 - 891
Published: July 3, 2023
Importance
It
remains
unclear
why
lesions
in
some
locations
cause
epilepsy
while
others
do
not.
Identifying
the
brain
regions
or
networks
associated
with
by
mapping
these
could
inform
prognosis
and
guide
interventions.
Objective
To
assess
whether
lesion
map
to
specific
networks.
Design,
Setting,
Participants
This
case-control
study
used
location
network
identify
a
discovery
data
set
of
patients
poststroke
control
stroke.
Patients
stroke
(n
=
76)
no
625)
were
included.
Generalizability
other
types
was
assessed
using
4
independent
cohorts
as
validation
sets.
The
total
numbers
across
all
datasets
(both
datasets)
347
1126
without.
Therapeutic
relevance
deep
stimulation
sites
that
improve
seizure
control.
Data
analyzed
from
September
2018
through
December
2022.
All
shared
patient
included;
excluded.
Main
Outcomes
Measures
Epilepsy
epilepsy.
Results
Lesion
76
(39
[51%]
male;
mean
[SD]
age,
61.0
[14.6]
years;
follow-up,
6.7
[2.0]
years)
625
(366
[59%]
62.0
[14.1]
follow-up
range,
3-12
months)
included
set.
Lesions
occurred
multiple
heterogenous
spanning
different
lobes
vascular
territories.
However,
same
part
defined
functional
connectivity
basal
ganglia
cerebellum.
Findings
validated
including
772
(271
[35%]
epilepsy;
515
[67%]
median
[IQR]
60
[50-70]
3-35
years).
this
increased
risk
after
(odds
ratio
[OR],
2.82;
95%
CI,
2.02-4.10;
P
<
.001)
(OR,
2.85;
2.23-3.69;
.001).
Deep
site
improved
(
r
,
0.63;
30
drug-resistant
(21
[70%]
39
[32-46]
24
[16-30]
months).
Conclusions
Relevance
findings
indicate
lesion-related
mapped
human
network,
which
help
at
therapies.