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Khalaf A, Lopez E, Li J, Horn A, Edlow BL, Blumenfeld H. Shared subcortical arousal systems across sensory modalities during transient modulation of attention. Neuroimage 2025; 312:121224. [PMID: 40250641 DOI: 10.1016/j.neuroimage.2025.121224] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2025] [Revised: 04/15/2025] [Accepted: 04/15/2025] [Indexed: 04/20/2025] Open
Abstract
Subcortical arousal systems are known to play a key role in controlling sustained changes in attention and conscious awareness. Recent studies indicate that these systems have a major influence on short-term dynamic modulation of visual attention, but their role across sensory modalities is not fully understood. In this study, we investigated shared subcortical arousal systems across sensory modalities during transient changes in attention using block and event-related fMRI paradigms. We analyzed massive publicly available fMRI datasets collected while 1561 participants performed visual, auditory, tactile, and taste perception tasks. Our analyses revealed a shared circuit of subcortical arousal systems exhibiting early transient increases in activity in midbrain reticular formation and central thalamus across perceptual modalities, as well as less consistent increases in pons, hypothalamus, basal forebrain, and basal ganglia. Identifying these networks is critical for understanding mechanisms of normal attention and consciousness and may help facilitate subcortical targeting for therapeutic neuromodulation.
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Affiliation(s)
- Aya Khalaf
- Department of Neurology, Yale University School of Medicine, New Haven, CT, USA
| | - Erick Lopez
- Department of Neurology, Yale University School of Medicine, New Haven, CT, USA
| | - Jian Li
- Department of Neurology, Center for Neurotechnology and Neurorecovery, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA; Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital and Harvard Medical School, Charlestown, MA, USA
| | - Andreas Horn
- Department of Neurology, Center for Neurotechnology and Neurorecovery, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA; Department of Neurology, Center for Brain Circuit Therapeutics, Brigham & Women's Hospital and Harvard Medical School, Boston, MA, USA; Department of Neurosurgery, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA; Movement Disorders & Neuromodulation Section, Department of Neurology, Charité - Universitätsmedizin, Berlin, Germany
| | - Brian L Edlow
- Department of Neurology, Center for Neurotechnology and Neurorecovery, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA; Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital and Harvard Medical School, Charlestown, MA, USA
| | - Hal Blumenfeld
- Department of Neurology, Yale University School of Medicine, New Haven, CT, USA; Department of Neuroscience, Yale University School of Medicine, New Haven, CT, USA; Department of Neurosurgery, Yale University School of Medicine, New Haven, CT, USA.
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2
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Albertini D, Del Vecchio M, Sartori I, Pigorini A, Talami F, Zauli FM, Sarasso S, Mikulan EP, Massimini M, Avanzini P. Conscious tactile perception entails distinct neural dynamics within somatosensory areas. Curr Biol 2025:S0960-9822(25)00549-4. [PMID: 40378839 DOI: 10.1016/j.cub.2025.04.052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2024] [Revised: 03/17/2025] [Accepted: 04/22/2025] [Indexed: 05/19/2025]
Abstract
Distilling the neural correlates of consciousness (NCCs) in humans is challenging due to limitations in the spatiotemporal resolution of recording techniques and confounds related to pre- and post-perceptual processes. In this study, we leveraged the detailed insights provided by human intracortical recordings to elucidate how somatosensory responses to simple tactile stimuli vary across different stimulus intensities and reporting conditions. Among the various spatiotemporal components of somatosensory processing, we observed tonic responses in posterior perisylvian regions that exhibited all the key characteristics of somatosensory NCCs. These responses remained invariant regardless of reporting, displayed an all-or-nothing pattern at the verge of the sensory threshold, and showed the most pronounced divergence between perceived and non-perceived stimuli. Overall, our findings indicate that conscious perception of simple tactile stimuli depends on higher-order somatosensory regions and that sustained neural dynamics in these areas may serve as an organizational principle of somatosensory awareness.
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Affiliation(s)
- Davide Albertini
- Department of Medicine and Surgery, University of Parma, Via Volturno 39, 43125 Parma, Italy.
| | - Maria Del Vecchio
- Neuroscience Institute, National Research Council of Italy, Via Volturno 39, 43125 Parma, Italy
| | - Ivana Sartori
- Department of Neuroscience, "C. Munari" Epilepsy Surgery Centre, ASST Grande Ospedale Metropolitano Niguarda, Piazza Ospedale Maggiore 3, 20162 Milan, Italy
| | - Andrea Pigorini
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, Via della Commenda 10, 20122 Milan, Italy; UOC Maxillo-facial Surgery and Dentistry, Fondazione IRCCS Cà Granda, Ospedale Maggiore Policlinico, Via Francesco Sforza 28, 20122 Milan, Italy
| | - Francesca Talami
- Neuroscience Institute, National Research Council of Italy, Via Volturno 39, 43125 Parma, Italy
| | - Flavia Maria Zauli
- Department of Neuroscience, "C. Munari" Epilepsy Surgery Centre, ASST Grande Ospedale Metropolitano Niguarda, Piazza Ospedale Maggiore 3, 20162 Milan, Italy; Department of Philosophy "Piero Martinetti," University of Milan, Via Festa del Perdono 7, 20122 Milan, Italy; Department of Biomedical and Clinical Sciences, University of Milan, Via Giovanni Battista Grassi 74, 20157 Milan, Italy
| | - Simone Sarasso
- Department of Biomedical and Clinical Sciences, University of Milan, Via Giovanni Battista Grassi 74, 20157 Milan, Italy
| | | | - Marcello Massimini
- Department of Biomedical and Clinical Sciences, University of Milan, Via Giovanni Battista Grassi 74, 20157 Milan, Italy; Istituto Di Ricovero e Cura a Carattere Scientifico, Fondazione Don Carlo Gnocchi, Via Alfonso Capecelatro 66, 20148 Milan, Italy
| | - Pietro Avanzini
- Neuroscience Institute, National Research Council of Italy, Via Volturno 39, 43125 Parma, Italy.
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3
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Christison-Lagay KL, Khalaf A, Freedman NC, Micek C, Kronemer SI, Gusso MM, Kim L, Forman S, Ding J, Aksen M, Abdel-Aty A, Kwon H, Markowitz N, Yeagle E, Espinal E, Herrero J, Bickel S, Young J, Mehta A, Wu K, Gerrard J, Damisah E, Spencer D, Blumenfeld H. The neural activity of auditory conscious perception. Neuroimage 2025; 308:121041. [PMID: 39832539 PMCID: PMC12020874 DOI: 10.1016/j.neuroimage.2025.121041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2024] [Revised: 01/10/2025] [Accepted: 01/17/2025] [Indexed: 01/22/2025] Open
Abstract
Although recent work has made headway in understanding the neural temporospatial dynamics of conscious perception, much of that work has focused on visual paradigms. To determine whether there are shared mechanisms for perceptual consciousness across sensory modalities, here we test within the auditory domain. Participants completed an auditory threshold task while undergoing intracranial electroencephalography. Recordings from >2,800 grey matter electrodes were analyzed for broadband gamma power (a range which reflects local neural activity). For perceived trials, we find nearly simultaneous activity in early auditory regions, the right caudal middle frontal gyrus, and the non-auditory thalamus; followed by a wave of activity that sweeps through auditory association regions into parietal and frontal cortices. For not perceived trials, significant activity is restricted to early auditory regions. These findings show the cortical and subcortical networks involved in auditory perception are similar to those observed with vision, suggesting shared mechanisms for conscious perception.
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Affiliation(s)
| | - Aya Khalaf
- Department of Neurology, Yale University, New Haven, CT 06520, USA
| | - Noah C Freedman
- Department of Neurology, Yale University, New Haven, CT 06520, USA
| | | | - Sharif I Kronemer
- Department of Neurology, Yale University, New Haven, CT 06520, USA; Interdepartmental Neuroscience Program, Yale University, New Haven, CT 06520, USA
| | - Mariana M Gusso
- Department of Neurology, Yale University, New Haven, CT 06520, USA
| | - Lauren Kim
- Department of Neurology, Yale University, New Haven, CT 06520, USA
| | - Sarit Forman
- Department of Neurology, Yale University, New Haven, CT 06520, USA
| | - Julia Ding
- Department of Neurology, Yale University, New Haven, CT 06520, USA
| | - Mark Aksen
- Department of Neurology, Yale University, New Haven, CT 06520, USA
| | - Ahmad Abdel-Aty
- Department of Neurology, Yale University, New Haven, CT 06520, USA
| | - Hunki Kwon
- Department of Neurology, Yale University, New Haven, CT 06520, USA
| | - Noah Markowitz
- Feinstein Institute for Medical Research, Hofstra Northwell Sch. of Med., Manhasset, NY 11030, USA
| | - Erin Yeagle
- Feinstein Institute for Medical Research, Hofstra Northwell Sch. of Med., Manhasset, NY 11030, USA
| | - Elizabeth Espinal
- Feinstein Institute for Medical Research, Hofstra Northwell Sch. of Med., Manhasset, NY 11030, USA
| | - Jose Herrero
- Feinstein Institute for Medical Research, Hofstra Northwell Sch. of Med., Manhasset, NY 11030, USA
| | - Stephan Bickel
- Department of Neurology, Hofstra Northwell School of Medicine, Manhasset, NY 11030, USA; Department of Neurosurgery, Hofstra Northwell School of Medicine, Manhasset, NY 11030, USA
| | - James Young
- Department of Neurology, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA
| | - Ashesh Mehta
- Department of Neurosurgery, Hofstra Northwell School of Medicine, Manhasset, NY 11030, USA
| | - Kun Wu
- Department of Neurosurgery, Yale University, New Haven CT 06520, USA
| | - Jason Gerrard
- Department of Neurosurgery, Yale University, New Haven CT 06520, USA
| | - Eyiyemisi Damisah
- Department of Neurosurgery, Yale University, New Haven CT 06520, USA
| | - Dennis Spencer
- Department of Neurosurgery, Yale University, New Haven CT 06520, USA
| | - Hal Blumenfeld
- Department of Neurology, Yale University, New Haven, CT 06520, USA; Interdepartmental Neuroscience Program, Yale University, New Haven, CT 06520, USA; Department of Neurology, Hofstra Northwell School of Medicine, Manhasset, NY 11030, USA; Department of Neuroscience, Yale University, New Haven, CT 06520, USA.
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4
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Schott G. A long look at Copley's A Boy with a Flying Squirrel: implications for the default mode network. Brain 2025; 148:3-5. [PMID: 39440936 DOI: 10.1093/brain/awae342] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2024] [Revised: 10/01/2024] [Accepted: 10/10/2024] [Indexed: 10/25/2024] Open
Abstract
What happens in the brain when a person spends three hours viewing a single painting? Geoffrey Schott examines the account of an art history professor who did just that, and considers what their observations reveal about the differences between seeing and looking, and between looking and perceiving.
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Affiliation(s)
- Geoffrey Schott
- The National Hospital for Neurology and Neurosurgery, Queen Square, London WC1N 3BG, UK
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5
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Das A, Menon V. Electrophysiological dynamics of salience, default mode, and frontoparietal networks during episodic memory formation and recall revealed through multi-experiment iEEG replication. eLife 2024; 13:RP99018. [PMID: 39556109 PMCID: PMC11573350 DOI: 10.7554/elife.99018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2024] Open
Abstract
Dynamic interactions between large-scale brain networks underpin human cognitive processes, but their electrophysiological mechanisms remain elusive. The triple network model, encompassing the salience network (SN), default mode network (DMN), and frontoparietal network (FPN), provides a framework for understanding these interactions. We analyzed intracranial electroencephalography (EEG) recordings from 177 participants across four diverse episodic memory experiments, each involving encoding as well as recall phases. Phase transfer entropy analysis revealed consistently higher directed information flow from the anterior insula (AI), a key SN node, to both DMN and FPN nodes. This directed influence was significantly stronger during memory tasks compared to resting state, highlighting the AI's task-specific role in coordinating large-scale network interactions. This pattern persisted across externally driven memory encoding and internally governed free recall. Control analyses using the inferior frontal gyrus (IFG) showed an inverse pattern, with DMN and FPN exerting higher influence on IFG, underscoring the AI's unique role. We observed task-specific suppression of high-gamma power in the posterior cingulate cortex/precuneus node of the DMN during memory encoding, but not recall. Crucially, these results were replicated across all four experiments spanning verbal and spatial memory domains with high Bayes replication factors. Our findings advance understanding of how coordinated neural network interactions support memory processes, highlighting the AI's critical role in orchestrating large-scale brain network dynamics during both memory encoding and retrieval. By elucidating the electrophysiological basis of triple network interactions in episodic memory, our study provides insights into neural circuit dynamics underlying memory function and offer a framework for investigating network disruptions in memory-related disorders.
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Affiliation(s)
- Anup Das
- Department of Biomedical Engineering, Columbia UniversityNew YorkUnited States
| | - Vinod Menon
- Department of Psychiatry and Behavioral Sciences, Stanford University School of MedicineStanfordUnited States
- Department of Neurology and Neurological Sciences, Stanford University School of MedicineStanfordUnited States
- Wu Tsai Neurosciences Institute, Stanford University School of MedicineStanfordUnited States
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6
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Das A, Menon V. Electrophysiological dynamics of salience, default mode, and frontoparietal networks during episodic memory formation and recall: A multi-experiment iEEG replication. BIORXIV : THE PREPRINT SERVER FOR BIOLOGY 2024:2024.02.28.582593. [PMID: 38463954 PMCID: PMC10925291 DOI: 10.1101/2024.02.28.582593] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/12/2024]
Abstract
Dynamic interactions between large-scale brain networks underpin human cognitive processes, but their electrophysiological mechanisms remain elusive. The triple network model, encompassing the salience (SN), default mode (DMN), and frontoparietal (FPN) networks, provides a framework for understanding these interactions. We analyzed intracranial EEG recordings from 177 participants across four diverse episodic memory experiments, each involving encoding as well as recall phases. Phase transfer entropy analysis revealed consistently higher directed information flow from the anterior insula (AI), a key SN node, to both DMN and FPN nodes. This directed influence was significantly stronger during memory tasks compared to resting-state, highlighting the AI's task-specific role in coordinating large-scale network interactions. This pattern persisted across externally-driven memory encoding and internally-governed free recall. Control analyses using the inferior frontal gyrus (IFG) showed an inverse pattern, with DMN and FPN exerting higher influence on IFG, underscoring the AI's unique role. We observed task-specific suppression of high-gamma power in the posterior cingulate cortex/precuneus node of the DMN during memory encoding, but not recall. Crucially, these results were replicated across all four experiments spanning verbal and spatial memory domains with high Bayes replication factors. Our findings advance understanding of how coordinated neural network interactions support memory processes, highlighting the AI's critical role in orchestrating large-scale brain network dynamics during both memory encoding and retrieval. By elucidating the electrophysiological basis of triple network interactions in episodic memory, our study provides insights into neural circuit dynamics underlying memory function and offer a framework for investigating network disruptions in memory-related disorders.
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Affiliation(s)
- Anup Das
- Department of Biomedical Engineering, Columbia University, New York, NY 10027
| | - Vinod Menon
- Department of Psychiatry & Behavioral Sciences, Stanford University School of Medicine, Stanford, CA 94305
- Department of Neurology & Neurological Sciences, Stanford University School of Medicine, Stanford, CA 94305
- Wu Tsai Neurosciences Institute, Stanford University School of Medicine, Stanford, CA 94305
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7
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Das A, Menon V. Frequency-specific directed connectivity between the hippocampus and parietal cortex during verbal and spatial episodic memory: an intracranial EEG replication. Cereb Cortex 2024; 34:bhae287. [PMID: 39042030 PMCID: PMC11264422 DOI: 10.1093/cercor/bhae287] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2024] [Revised: 05/23/2024] [Indexed: 07/24/2024] Open
Abstract
Hippocampus-parietal cortex circuits are thought to play a crucial role in memory and attention, but their neural basis remains poorly understood. We employed intracranial intracranial electroencephalography (iEEG) to investigate the neurophysiological underpinning of these circuits across three memory tasks spanning verbal and spatial domains. We uncovered a consistent pattern of higher causal directed connectivity from the hippocampus to both lateral parietal cortex (supramarginal and angular gyrus) and medial parietal cortex (posterior cingulate cortex) in the delta-theta band during memory encoding and recall. This connectivity was independent of activation or suppression states in the hippocampus or parietal cortex. Crucially, directed connectivity from the supramarginal gyrus to the hippocampus was enhanced in participants with higher memory recall, highlighting its behavioral significance. Our findings align with the attention-to-memory model, which posits that attention directs cognitive resources toward pertinent information during memory formation. The robustness of these results was demonstrated through Bayesian replication analysis of the memory encoding and recall periods across the three tasks. Our study sheds light on the neural basis of casual signaling within hippocampus-parietal circuits, broadening our understanding of their critical roles in human cognition.
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Affiliation(s)
- Anup Das
- Department of Psychiatry & Behavioral Sciences, Stanford University School of Medicine, Stanford, CA 94305
| | - Vinod Menon
- Department of Psychiatry & Behavioral Sciences, Stanford University School of Medicine, Stanford, CA 94305
- Department of Neurology & Neurological Sciences, Stanford University School of Medicine, Stanford, CA 94305
- Wu Tsai Neurosciences Institute, Stanford University School of Medicine, Stanford, CA 94305
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8
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Panagiotaropoulos TI. An integrative view of the role of prefrontal cortex in consciousness. Neuron 2024; 112:1626-1641. [PMID: 38754374 DOI: 10.1016/j.neuron.2024.04.028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2024] [Revised: 04/16/2024] [Accepted: 04/24/2024] [Indexed: 05/18/2024]
Abstract
The involvement of the prefrontal cortex (PFC) in consciousness is an ongoing focus of intense investigation. An important question is whether representations of conscious contents and experiences in the PFC are confounded by post-perceptual processes related to cognitive functions. Here, I review recent findings suggesting that neuronal representations of consciously perceived contents-in the absence of post-perceptual processes-can indeed be observed in the PFC. Slower ongoing fluctuations in the electrophysiological state of the PFC seem to control the stability and updates of these prefrontal representations of conscious awareness. In addition to conscious perception, the PFC has been shown to play a critical role in controlling the levels of consciousness as observed during anesthesia, while prefrontal lesions can result in severe loss of perceptual awareness. Together, the convergence of these processes in the PFC suggests its integrative role in consciousness and highlights the complex nature of consciousness itself.
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9
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Das A, Menon V. Hippocampal-parietal cortex causal directed connectivity during human episodic memory formation: Replication across three experiments. BIORXIV : THE PREPRINT SERVER FOR BIOLOGY 2024:2023.11.07.566056. [PMID: 37986855 PMCID: PMC10659286 DOI: 10.1101/2023.11.07.566056] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/22/2023]
Abstract
Hippocampus-parietal cortex circuits are thought to play a crucial role in memory and attention, but their neural basis remains poorly understood. We employed intracranial EEG from 96 participants (51 females) to investigate the neurophysiological underpinning of these circuits across three memory tasks spanning verbal and spatial domains. We uncovered a consistent pattern of higher causal directed connectivity from the hippocampus to both lateral parietal cortex (supramarginal and angular gyrus) and medial parietal cortex (posterior cingulate cortex) in the delta-theta band during memory encoding and recall. This connectivity was independent of activation or suppression states in the hippocampus or parietal cortex. Crucially, directed connectivity from the supramarginal gyrus to the hippocampus was enhanced in participants with higher memory recall, highlighting its behavioral significance. Our findings align with the attention-to-memory model, which posits that attention directs cognitive resources toward pertinent information during memory formation. The robustness of these results was demonstrated through Bayesian replication analysis of the memory encoding and recall periods across the three tasks. Our study sheds light on the neural basis of casual signaling within hippocampus-parietal circuits, broadening our understanding of their critical roles in human cognition.
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Affiliation(s)
- Anup Das
- Department of Psychiatry & Behavioral Sciences, Stanford University School of Medicine Stanford, CA 94305
| | - Vinod Menon
- Department of Psychiatry & Behavioral Sciences, Stanford University School of Medicine Stanford, CA 94305
- Department of Neurology & Neurological Sciences, Stanford University School of Medicine Stanford, CA 94305
- Wu Tsai Neurosciences Institute, Stanford University School of Medicine Stanford, CA 94305
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10
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Soper DJ, Reich D, Ross A, Salami P, Cash SS, Basu I, Peled N, Paulk AC. Modular pipeline for reconstruction and localization of implanted intracranial ECoG and sEEG electrodes. PLoS One 2023; 18:e0287921. [PMID: 37418486 PMCID: PMC10328232 DOI: 10.1371/journal.pone.0287921] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2022] [Accepted: 06/15/2023] [Indexed: 07/09/2023] Open
Abstract
Implantation of electrodes in the brain has been used as a clinical tool for decades to stimulate and record brain activity. As this method increasingly becomes the standard of care for several disorders and diseases, there is a growing need to quickly and accurately localize the electrodes once they are placed within the brain. We share here a protocol pipeline for localizing electrodes implanted in the brain, which we have applied to more than 260 patients, that is accessible to multiple skill levels and modular in execution. This pipeline uses multiple software packages to prioritize flexibility by permitting multiple different parallel outputs while minimizing the number of steps for each output. These outputs include co-registered imaging, electrode coordinates, 2D and 3D visualizations of the implants, automatic surface and volumetric localizations of the brain regions per electrode, and anonymization and data sharing tools. We demonstrate here some of the pipeline's visualizations and automatic localization algorithms which we have applied to determine appropriate stimulation targets, to conduct seizure dynamics analysis, and to localize neural activity from cognitive tasks in previous studies. Further, the output facilitates the extraction of information such as the probability of grey matter intersection or the nearest anatomic structure per electrode contact across all data sets that go through the pipeline. We expect that this pipeline will be a useful framework for researchers and clinicians alike to localize implanted electrodes in the human brain.
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Affiliation(s)
- Daniel J. Soper
- Department of Neurology, Center for Neurotechnology and Neurorecovery, Massachusetts General Hospital, Boston, MA, United States of America
- Department of Neurology, Harvard Medical School, Boston, MA, United States of America
| | - Dustine Reich
- Department of Neurology, Center for Neurotechnology and Neurorecovery, Massachusetts General Hospital, Boston, MA, United States of America
- Department of Neurology, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, United States of America
| | - Alex Ross
- Department of Neurosurgery, University of Cincinnati College of Medicine, Cincinnati, OH, United States of America
| | - Pariya Salami
- Department of Neurology, Center for Neurotechnology and Neurorecovery, Massachusetts General Hospital, Boston, MA, United States of America
- Department of Neurology, Harvard Medical School, Boston, MA, United States of America
| | - Sydney S. Cash
- Department of Neurology, Center for Neurotechnology and Neurorecovery, Massachusetts General Hospital, Boston, MA, United States of America
- Department of Neurology, Harvard Medical School, Boston, MA, United States of America
| | - Ishita Basu
- Department of Neurosurgery, University of Cincinnati College of Medicine, Cincinnati, OH, United States of America
| | - Noam Peled
- Department of Radiology, Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Charlestown, MA, United States of America
- Harvard Medical School, Boston, MA, United States of America
| | - Angelique C. Paulk
- Department of Neurology, Center for Neurotechnology and Neurorecovery, Massachusetts General Hospital, Boston, MA, United States of America
- Department of Neurology, Harvard Medical School, Boston, MA, United States of America
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11
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Das A, Menon V. Concurrent- and After-Effects of Medial Temporal Lobe Stimulation on Directed Information Flow to and from Prefrontal and Parietal Cortices during Memory Formation. J Neurosci 2023; 43:3159-3175. [PMID: 36963847 PMCID: PMC10146497 DOI: 10.1523/jneurosci.1728-22.2023] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2022] [Revised: 03/06/2023] [Accepted: 03/13/2023] [Indexed: 03/26/2023] Open
Abstract
Electrical stimulation of the medial temporal lobe (MTL) has the potential to uncover causal circuit mechanisms underlying memory function. However, little is known about how MTL stimulation alters information flow with frontoparietal cortical regions implicated in episodic memory. We used intracranial EEG recordings from humans (14 participants, 10 females) to investigate how MTL stimulation alters directed information flow between MTL and PFC and between MTL and posterior parietal cortex (PPC). Participants performed a verbal episodic memory task during which they were presented with words and asked to recall them after a delay of ∼20 s; 50 Hz stimulation was applied to MTL electrodes on selected trials during memory encoding. Directed information flow was examined using phase transfer entropy. Behaviorally, we observed that MTL stimulation reduced memory recall. MTL stimulation decreased top-down PFC→MTL directed information flow during both memory encoding and subsequent memory recall, revealing aftereffects more than 20 s after end of stimulation. Stimulation suppressed top-down PFC→MTL influences to a greater extent than PPC→MTL. Finally, MTL→PFC information flow on stimulation trials was significantly lower for successful, compared with unsuccessful, memory recall; in contrast, MTL→ventral PPC information flow was higher for successful, compared with unsuccessful, memory recall. Together, these results demonstrate that the effects of MTL stimulation are behaviorally, regionally, and directionally specific, that MTL stimulation selectively impairs directional signaling with PFC, and that causal MTL-ventral PPC circuits support successful memory recall. Findings provide new insights into dynamic casual circuits underling episodic memory and their modulation by MTL stimulation.SIGNIFICANCE STATEMENT The medial temporal lobe (MTL) and its interactions with prefrontal and parietal cortices (PFC and PPC) play a critical role in human memory. Dysfunctional MTL-PFC and MTL-PPC circuits are prominent in psychiatric and neurologic disorders, including Alzheimer's disease and schizophrenia. Brain stimulation has emerged as a potential mechanism for enhancing memory and cognitive functions, but the underlying neurophysiological mechanisms and dynamic causal circuitry underlying bottom-up and top-down signaling involving the MTL are unknown. Here, we use intracranial EEG recordings to investigate the effects of MTL stimulation on causal signaling in key episodic memory circuits linking the MTL with PFC and PPC. Our findings have implications for translational applications aimed at realizing the promise of brain stimulation-based treatment of memory disorders.
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Affiliation(s)
- Anup Das
- Department of Psychiatry & Behavioral Sciences
| | - Vinod Menon
- Department of Psychiatry & Behavioral Sciences
- Department of Neurology & Neurological Sciences
- Stanford Neurosciences Institute, Stanford University School of Medicine, Stanford, California 94305
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12
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Kwon H, Walsh KG, Berja ED, Manoach DS, Eden UT, Kramer MA, Chu CJ. Sleep spindles in the healthy brain from birth through 18 years. Sleep 2023; 46:zsad017. [PMID: 36719044 PMCID: PMC10091086 DOI: 10.1093/sleep/zsad017] [Citation(s) in RCA: 20] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2022] [Revised: 12/16/2022] [Indexed: 02/01/2023] Open
Abstract
STUDY OBJECTIVE Sleep spindles are present from birth and reflect cognitive functions across the lifespan, but normative values for this cognitive biomarker across development are lacking. This study aims to establish normative spindle features over development. METHODS All available normal 19-channel electroencephalograms from developmentally normal children between February 2002 and June 2021 in the MGH EEG lab were analyzed. Approximately, 20 000 spindles were hand-marked to train and validate an automated spindle detector across ages. Normative values for spindle rate, duration, frequency, refractory period, and interhemispheric lag are provided for each channel and each age. RESULTS Sleep EEGs from 567 developmentally normal children (range 0 days to 18 years) were included. The detector had excellent performance (F1 = 0.47). Maximal spindle activity is seen over central regions during infancy and adolescence and frontopolar regions during childhood. Spindle rate and duration increase nonlinearly, with the most rapid changes during the first 4 months of life and between ages 3 and 14 years. Peak spindle frequency follows a U-shaped curve and discrete frontal slow and central fast spindles are evident by 18 months. Spindle refractory periods decrease between ages 1 and 14 years while interhemispheric asynchrony decreases over the first 3 months of life and between ages 1 and 14 years. CONCLUSIONS These data provide age- and region-specific normative values for sleep spindles across development, where measures that deviate from these values can be considered pathological. As spindles provide a noninvasive biomarker for cognitive function across the lifespan, these normative measures can accelerate the discovery and diagnosis in neurodevelopmental disorders.
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Affiliation(s)
- Hunki Kwon
- Department of Neurology, Massachusetts General Hospital, Boston, MA, USA
- Harvard Medical School, Boston, MA, USA
| | - Katherine G Walsh
- Department of Neurology, Massachusetts General Hospital, Boston, MA, USA
- Harvard Medical School, Boston, MA, USA
| | - Erin D Berja
- Department of Neurology, Massachusetts General Hospital, Boston, MA, USA
- Harvard Medical School, Boston, MA, USA
| | - Dara S Manoach
- Harvard Medical School, Boston, MA, USA
- Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA
- Athinoula A. Martinos Center for Biomedical Imaging, Charlestown, MA, USA
| | - Uri T Eden
- Department of Mathematics and Statistics, Boston University, Boston, MA, USA
- Center for Systems Neuroscience, Boston University, Boston, MA, USA
| | - Mark A Kramer
- Department of Mathematics and Statistics, Boston University, Boston, MA, USA
- Center for Systems Neuroscience, Boston University, Boston, MA, USA
| | - Catherine J Chu
- Department of Neurology, Massachusetts General Hospital, Boston, MA, USA
- Harvard Medical School, Boston, MA, USA
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13
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Khalaf A, Kronemer SI, Christison-Lagay K, Kwon H, Li J, Wu K, Blumenfeld H. Early neural activity changes associated with stimulus detection during visual conscious perception. Cereb Cortex 2023; 33:1347-1360. [PMID: 35446937 DOI: 10.1093/cercor/bhac140] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2021] [Revised: 03/14/2022] [Accepted: 03/15/2022] [Indexed: 11/13/2022] Open
Abstract
The earliest cortical neural signals following consciously perceived visual stimuli in humans are poorly understood. Using intracranial electroencephalography, we investigated neural activity changes associated with the earliest stages of stimulus detection during visual conscious perception. Participants (N = 10; 1,693 electrode contacts) completed a continuous performance task where subjects were asked to press a button when they saw a target letter among a series of nontargets. Broadband gamma power (40-115 Hz) was analyzed as marker of cortical population neural activity. Regardless of target or nontarget letter type, we observed early gamma power changes within 30-180 ms from stimulus onset in a network including increases in bilateral occipital, fusiform, frontal (including frontal eye fields), and medial temporal cortex; increases in left lateral parietal-temporal cortex; and decreases in the right anterior medial occipital cortex. No significant differences were observed between target and nontarget stimuli until >180 ms post-stimulus, when we saw greater gamma power increases in left motor and premotor areas, suggesting a possible role in perceptual decision-making and/or motor responses with the right hand. The early gamma power findings support a broadly distributed cortical visual detection network that is engaged at early times tens of milliseconds after signal transduction from the retina.
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Affiliation(s)
- Aya Khalaf
- Department of Neurology, Yale University School of Medicine, 333 Cedar Street, New Haven, CT 06520, United States.,Biomedical Engineering and Systems, Faculty of Engineering, Cairo University, Giza 12613, Egypt
| | - Sharif I Kronemer
- Department of Neurology, Yale University School of Medicine, 333 Cedar Street, New Haven, CT 06520, United States.,Interdepartmental Neuroscience Program, Yale University School of Medicine, 333 Cedar Street, New Haven, CT 06520, United States
| | - Kate Christison-Lagay
- Department of Neurology, Yale University School of Medicine, 333 Cedar Street, New Haven, CT 06520, United States
| | - Hunki Kwon
- Department of Neurology, Yale University School of Medicine, 333 Cedar Street, New Haven, CT 06520, United States
| | - Jiajia Li
- Department of Neurology, Yale University School of Medicine, 333 Cedar Street, New Haven, CT 06520, United States.,School of Information & Control Engineering, Xian University of Architecture & Technology, Xi'an 710055, China
| | - Kun Wu
- Department of Neurosurgery, Yale University School of Medicine, 333 Cedar Street, New Haven, CT 06520, United States
| | - Hal Blumenfeld
- Department of Neurology, Yale University School of Medicine, 333 Cedar Street, New Haven, CT 06520, United States.,Department of Neuroscience, Yale University School of Medicine, 333 Cedar Street, New Haven, CT 06520, United States.,Department of Neurosurgery, Yale University School of Medicine, 333 Cedar Street, New Haven, CT 06520, United States
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14
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Conscious interpretation: A distinct aspect for the neural markers of the contents of consciousness. Conscious Cogn 2023; 108:103471. [PMID: 36736210 DOI: 10.1016/j.concog.2023.103471] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2022] [Revised: 12/22/2022] [Accepted: 01/11/2023] [Indexed: 02/04/2023]
Abstract
Progress in the science of consciousness depends on the experimental paradigms and varieties of contrastive analysis available to researchers. Here we highlight paradigms where the object is represented in consciousness as a set of its features but the interpretation of this set alternates in consciousness. We group experimental paradigms with this property under the label "conscious interpretation". We compare the paradigms studying conscious interpretation of the already consciously perceived objects with other types of experimental paradigms. We review previous and recent studies investigating this interpretative aspect of consciousness and propose future directions. We put forward the hypothesis that there are types of stimuli with a hierarchy of interpretations for which the rule applies: conscious experience is drawn towards higher-level interpretation and reverting back to the lower level of interpretation is impossible. We discuss how theories of consciousness might incorporate knowledge and constraints arising from the characteristics of conscious interpretation.
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15
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Kronemer SI, Aksen M, Ding JZ, Ryu JH, Xin Q, Ding Z, Prince JS, Kwon H, Khalaf A, Forman S, Jin DS, Wang K, Chen K, Hu C, Agarwal A, Saberski E, Wafa SMA, Morgan OP, Wu J, Christison-Lagay KL, Hasulak N, Morrell M, Urban A, Todd Constable R, Pitts M, Mark Richardson R, Crowley MJ, Blumenfeld H. Human visual consciousness involves large scale cortical and subcortical networks independent of task report and eye movement activity. Nat Commun 2022; 13:7342. [PMID: 36446792 PMCID: PMC9707162 DOI: 10.1038/s41467-022-35117-4] [Citation(s) in RCA: 24] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2022] [Accepted: 11/17/2022] [Indexed: 11/30/2022] Open
Abstract
The full neural circuits of conscious perception remain unknown. Using a visual perception task, we directly recorded a subcortical thalamic awareness potential (TAP). We also developed a unique paradigm to classify perceived versus not perceived stimuli using eye measurements to remove confounding signals related to reporting on conscious experiences. Using fMRI, we discovered three major brain networks driving conscious visual perception independent of report: first, increases in signal detection regions in visual, fusiform cortex, and frontal eye fields; and in arousal/salience networks involving midbrain, thalamus, nucleus accumbens, anterior cingulate, and anterior insula; second, increases in frontoparietal attention and executive control networks and in the cerebellum; finally, decreases in the default mode network. These results were largely maintained after excluding eye movement-based fMRI changes. Our findings provide evidence that the neurophysiology of consciousness is complex even without overt report, involving multiple cortical and subcortical networks overlapping in space and time.
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Affiliation(s)
- Sharif I Kronemer
- Department of Neurology, Yale University, New Haven, CT, USA
- Interdepartmental Neuroscience Program, Yale University, New Haven, CT, USA
| | - Mark Aksen
- Department of Neurology, Yale University, New Haven, CT, USA
| | - Julia Z Ding
- Department of Neurology, Yale University, New Haven, CT, USA
| | - Jun Hwan Ryu
- Department of Neurology, Yale University, New Haven, CT, USA
| | - Qilong Xin
- Department of Neurology, Yale University, New Haven, CT, USA
- Interdepartmental Neuroscience Program, Yale University, New Haven, CT, USA
| | - Zhaoxiong Ding
- Department of Neurology, Yale University, New Haven, CT, USA
| | - Jacob S Prince
- Department of Neurology, Yale University, New Haven, CT, USA
| | - Hunki Kwon
- Department of Neurology, Yale University, New Haven, CT, USA
| | - Aya Khalaf
- Department of Neurology, Yale University, New Haven, CT, USA
- Biomedical Engineering and Systems, Faculty of Engineering, Cairo University, Giza, Egypt
| | - Sarit Forman
- Department of Neurology, Yale University, New Haven, CT, USA
| | - David S Jin
- Department of Neurology, Yale University, New Haven, CT, USA
- Interdepartmental Neuroscience Program, Yale University, New Haven, CT, USA
| | - Kevin Wang
- Department of Neurology, Yale University, New Haven, CT, USA
| | - Kaylie Chen
- Department of Neurology, Yale University, New Haven, CT, USA
| | - Claire Hu
- Department of Neurology, Yale University, New Haven, CT, USA
| | - Akshar Agarwal
- Department of Neurology, Yale University, New Haven, CT, USA
| | - Erik Saberski
- Department of Neurology, Yale University, New Haven, CT, USA
| | - Syed Mohammad Adil Wafa
- Department of Neurology, Yale University, New Haven, CT, USA
- Child Study Center, Yale University, New Haven, CT, USA
- Division of Psychology and Language Sciences, University College London, London, UK
| | - Owen P Morgan
- Department of Neurology, Yale University, New Haven, CT, USA
| | - Jia Wu
- Child Study Center, Yale University, New Haven, CT, USA
| | | | | | | | | | - R Todd Constable
- Interdepartmental Neuroscience Program, Yale University, New Haven, CT, USA
- Department of Neurosurgery, Yale University, New Haven, CT, USA
- Department of Radiology and Biomedical Imaging, Yale University, New Haven, CT, USA
| | | | - R Mark Richardson
- Department of Neurosurgery, Massachusetts General Hospital, Boston, MA, USA
- Harvard Medical School, Boston, MA, USA
| | | | - Hal Blumenfeld
- Department of Neurology, Yale University, New Haven, CT, USA.
- Interdepartmental Neuroscience Program, Yale University, New Haven, CT, USA.
- Department of Neurosurgery, Yale University, New Haven, CT, USA.
- Department of Neuroscience, Yale University, New Haven, CT, USA.
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16
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Adámek P, Langová V, Horáček J. Early-stage visual perception impairment in schizophrenia, bottom-up and back again. SCHIZOPHRENIA (HEIDELBERG, GERMANY) 2022; 8:27. [PMID: 35314712 PMCID: PMC8938488 DOI: 10.1038/s41537-022-00237-9] [Citation(s) in RCA: 23] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/30/2021] [Accepted: 02/17/2022] [Indexed: 01/01/2023]
Abstract
Visual perception is one of the basic tools for exploring the world. However, in schizophrenia, this modality is disrupted. So far, there has been no clear answer as to whether the disruption occurs primarily within the brain or in the precortical areas of visual perception (the retina, visual pathways, and lateral geniculate nucleus [LGN]). A web-based comprehensive search of peer-reviewed journals was conducted based on various keyword combinations including schizophrenia, saliency, visual cognition, visual pathways, retina, and LGN. Articles were chosen with respect to topic relevance. Searched databases included Google Scholar, PubMed, and Web of Science. This review describes the precortical circuit and the key changes in biochemistry and pathophysiology that affect the creation and characteristics of the retinal signal as well as its subsequent modulation and processing in other parts of this circuit. Changes in the characteristics of the signal and the misinterpretation of visual stimuli associated with them may, as a result, contribute to the development of schizophrenic disease.
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Affiliation(s)
- Petr Adámek
- Third Faculty of Medicine, Charles University, Prague, Czech Republic. .,Center for Advanced Studies of Brain and Consciousness, National Institute of Mental Health, Klecany, Czech Republic.
| | - Veronika Langová
- Third Faculty of Medicine, Charles University, Prague, Czech Republic.,Center for Advanced Studies of Brain and Consciousness, National Institute of Mental Health, Klecany, Czech Republic
| | - Jiří Horáček
- Third Faculty of Medicine, Charles University, Prague, Czech Republic.,Center for Advanced Studies of Brain and Consciousness, National Institute of Mental Health, Klecany, Czech Republic
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