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Di Giuliano M, Schumann A, de la Cruz F, Da Silva PHR, Bär KJ. Effective connectivity analysis of response inhibition functional network. Front Neurosci 2025; 19:1525038. [PMID: 40260305 PMCID: PMC12009941 DOI: 10.3389/fnins.2025.1525038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2024] [Accepted: 03/17/2025] [Indexed: 04/23/2025] Open
Abstract
Introduction Inhibition mechanisms are essential in daily life, helping individuals adapt to environmental demands. However, the causal interactions between large-scale functional networks involved in response inhibition remain poorly understood. Methods In this study, we examined the effective connectivity (EC) underlying inhibitory processes in the brain using dynamic causal modeling (DCM) and independent component analysis (ICA). We conducted a Go-NoGo fMRI task with 19 healthy participants to investigate these networks. Results Our results identified four functional networks activated during correct motor response inhibition: the salience network (SN), the right and left executive control networks (ECNs), and the ventral default mode network (vDMN). We observed a significant causal inhibitory influence from the vDMN to the left ECN (lECN). Under conditions of unsuccessful response inhibition, the SN, bilateral ECNs, and somatomotor network (SMN) were found to be prominently activated. Furthermore, we identified a significant correlation between the inhibitory influence from the SMN to the SN and the commission error rate. Finally, correlation analyses between self-reported impulsivity levels and causal network interactions revealed that highly impulsive individuals require greater interhemispheric integration between the right and left ECNs for effective inhibition, as well as a causal excitatory modulation from the right executive control network (rECN) to the vDMN. Discussion In summary, our study reveals complex hierarchical dynamics among functional networks during response inhibition. These findings offer valuable insight into the neural mechanisms supporting inhibition and provide avenues for future research on the neural underpinnings of this critical cognitive function across the lifespan.
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Affiliation(s)
- Monica Di Giuliano
- Lab for Autonomic Neuroscience, Imaging and Cognition (LANIC), Department of Psychosomatic Medicine and Psychotherapy, Jena University Hospital, Jena, Germany
| | - Andy Schumann
- Lab for Autonomic Neuroscience, Imaging and Cognition (LANIC), Department of Psychosomatic Medicine and Psychotherapy, Jena University Hospital, Jena, Germany
| | - Feliberto de la Cruz
- Lab for Autonomic Neuroscience, Imaging and Cognition (LANIC), Department of Psychosomatic Medicine and Psychotherapy, Jena University Hospital, Jena, Germany
| | - Pedro Henrique Rodrigues Da Silva
- Institute of Psychiatry of the Hospital das Clínicas of the Faculty of Medicine of the University of São Paulo, Ribeirão Preto, Brazil
| | - Karl-Jürgen Bär
- Lab for Autonomic Neuroscience, Imaging and Cognition (LANIC), Department of Psychosomatic Medicine and Psychotherapy, Jena University Hospital, Jena, Germany
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Gavazzi G, Noferini C, Benedetti V, Cotugno M, Giovannelli F, Caldara R, Mascalchi M, Viggiano MP. Cultural Differences in Inhibitory Control: An ALE Meta-Analysis. Brain Sci 2023; 13:907. [PMID: 37371385 DOI: 10.3390/brainsci13060907] [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: 04/25/2023] [Revised: 05/31/2023] [Accepted: 06/02/2023] [Indexed: 06/29/2023] Open
Abstract
Culture greatly influences our attitudes, beliefs, and behaviors, affecting how we communicate and make decisions. There is an ongoing debate regarding the belief that people from Eastern cultures possess greater self-control abilities when compared to people from Western cultures. In this study, we conducted a meta-analysis using the Activation Likelihood Estimation (ALE) algorithm to compare 30 studies (719 subjects, 373 foci) that used fMRI to investigate the performance in Go-Nogo and Stop Signal Tasks of participants from Western and/or Eastern countries. Our meta-analysis found differences between the networks activated in Eastern and Western culture participants. The right prefrontal cortex showed distinct patterns, with the Inferior Frontal gyrus more active in the Eastern group and the middle and superior frontal gyri more active in the Western group. Our findings suggest that Eastern culture subjects have a higher tendency to activate brain regions involved in proactive inhibitory control, while Western culture subjects rely more on reactive inhibitory brain regions during cognitive control tasks. This implies that proactive inhibition may play a crucial role in promoting the collective and interdependent behavior typical of Eastern cultures, while reactive inhibition may be more important for efficient cognitive control in subjects of Western cultures that prioritize individualism and independence.
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Affiliation(s)
- Gioele Gavazzi
- Department of Neuroscience, Psychology, Drug Research and Child's Health (NEUROFARBA), University of Florence, 50135 Florence, Italy
| | - Chiara Noferini
- Department of Neuroscience, Psychology, Drug Research and Child's Health (NEUROFARBA), University of Florence, 50135 Florence, Italy
- European Laboratory for Non-Linear Spectroscopy, University of Florence, Sesto Fiorentino, 50019 Florence, Italy
| | - Viola Benedetti
- Department of Neuroscience, Psychology, Drug Research and Child's Health (NEUROFARBA), University of Florence, 50135 Florence, Italy
| | - Maria Cotugno
- Department of Neuroscience, Psychology, Drug Research and Child's Health (NEUROFARBA), University of Florence, 50135 Florence, Italy
| | - Fabio Giovannelli
- Department of Neuroscience, Psychology, Drug Research and Child's Health (NEUROFARBA), University of Florence, 50135 Florence, Italy
| | - Roberto Caldara
- Eye and Brain Mapping Laboratory (iBMLab), Department of Psychology, University of Fribourg, 1700 Fribourg, Switzerland
| | - Mario Mascalchi
- "Mario Serio" Department of Experimental and Clinical Biomedical Sciences, University of Florence, 50135 Florence, Italy
| | - Maria Pia Viggiano
- Department of Neuroscience, Psychology, Drug Research and Child's Health (NEUROFARBA), University of Florence, 50135 Florence, Italy
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Mata‐Marín D, Pineda‐Pardo JÁ, Michiels M, Pagge C, Ammann C, Martínez‐Fernández R, Molina JA, Vela‐Desojo L, Alonso‐Frech F, Obeso I. A circuit-based approach to modulate hypersexuality in Parkinson's disease. Psychiatry Clin Neurosci 2023; 77:223-232. [PMID: 36579893 PMCID: PMC11488615 DOI: 10.1111/pcn.13523] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/14/2022] [Revised: 12/17/2022] [Accepted: 12/20/2022] [Indexed: 12/30/2022]
Abstract
AIM Impulse-control disorder is a common neuropsychiatric complication in Parkinson's disease (PD) under dopamine replacement therapy. Prior studies tested the balance between enhanced desire towards reward and cognitive control deficits, hypothesized to be biased towards the former in impulse control disorders. We provide evidence for this hypothesis by measuring behavioral and neural patterns behind the influence of sexual desire over response inhibition and tools towards functional restoration using repetitive transcranial stimulation in patients with hypersexuality as predominant impulsive disorder. METHODS The effect of sexual cues on inhibition was measured with a novel erotic stop-signal task under on and off dopaminergic medication. Task-related functional and anatomical connectivity models were estimated in 16 hypersexual and 17 nonhypersexual patients with PD as well as in 17 healthy controls. Additionally, excitatory neuromodulation using intermittent theta-burst stimulation (sham-controlled) was applied over the pre-supplementary motor area in 20 additional hypersexual patients with PD aiming to improve response inhibition. RESULTS Compared with their nonhypersexual peers, patients with hypersexuality recruited caudate, pre-supplementary motor area, ventral tegmental area, and anterior cingulate cortex while on medication. Reduced connectivity was found between pre-supplementary motor area and caudate nucleus in hypersexual compared with nonhypersexual patients (while medicated), a result paralleled by compensatory enhanced anatomical connectivity. Furthermore, stimulation over the pre-supplementary motor area improved response inhibition in hypersexual patients with PD when exposed to sexual cues. CONCLUSION This study, therefore, has identified a specific fronto-striatal and mesolimbic circuitry underlying uncontrolled sexual responses in medicated patients with PD where cortical neuromodulation halts its expression.
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Affiliation(s)
- David Mata‐Marín
- Centro Integral de Neurociencias Abarca Campal (HM CINAC)Hospital Universitario HM Puerta del Sur. HM HospitalesMadridSpain
- Network Center for Biomedical Research on Neurodegenerative Diseases (CIBERNED)Instituto Carlos IIIMadridSpain
- PhD program in NeuroscienceAutonoma University of MadridMadridSpain
| | - José Ángel Pineda‐Pardo
- Centro Integral de Neurociencias Abarca Campal (HM CINAC)Hospital Universitario HM Puerta del Sur. HM HospitalesMadridSpain
- Network Center for Biomedical Research on Neurodegenerative Diseases (CIBERNED)Instituto Carlos IIIMadridSpain
| | - Mario Michiels
- Centro Integral de Neurociencias Abarca Campal (HM CINAC)Hospital Universitario HM Puerta del Sur. HM HospitalesMadridSpain
- Network Center for Biomedical Research on Neurodegenerative Diseases (CIBERNED)Instituto Carlos IIIMadridSpain
- PhD program in NeuroscienceAutonoma University of MadridMadridSpain
| | - Cristina Pagge
- Centro Integral de Neurociencias Abarca Campal (HM CINAC)Hospital Universitario HM Puerta del Sur. HM HospitalesMadridSpain
- PhD program in NeuroscienceAutonoma University of MadridMadridSpain
| | - Claudia Ammann
- Centro Integral de Neurociencias Abarca Campal (HM CINAC)Hospital Universitario HM Puerta del Sur. HM HospitalesMadridSpain
| | - Raúl Martínez‐Fernández
- Centro Integral de Neurociencias Abarca Campal (HM CINAC)Hospital Universitario HM Puerta del Sur. HM HospitalesMadridSpain
- Network Center for Biomedical Research on Neurodegenerative Diseases (CIBERNED)Instituto Carlos IIIMadridSpain
| | | | | | | | - Ignacio Obeso
- Centro Integral de Neurociencias Abarca Campal (HM CINAC)Hospital Universitario HM Puerta del Sur. HM HospitalesMadridSpain
- Network Center for Biomedical Research on Neurodegenerative Diseases (CIBERNED)Instituto Carlos IIIMadridSpain
- Department of Psychobiology & Methods for the Behavioral Sciences DepartmentComplutense University of MadridMadridSpain
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Suttkus S, Schumann A, De la Cruz F, Bär KJ. Attenuated neuronal and autonomic responses during error processing in anorexia nervosa. Brain Behav 2021; 11:e2235. [PMID: 34318622 PMCID: PMC8413769 DOI: 10.1002/brb3.2235] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/03/2021] [Revised: 05/03/2021] [Accepted: 05/23/2021] [Indexed: 12/14/2022] Open
Abstract
INTRODUCTION Anorexia nervosa (AN) is a severe psychiatric illness with alarming mortality rates. Nevertheless, despite former and recent research results, the etiology of AN is still poorly understood. Of particular interest is that, despite exaggerated response control and increased perfectionism scores, patients with AN seem not to perform better that those unaffected in tasks that require inhibitory control. One reason might be aberrant processing of errors. The objective of our study was thus to obtain further insight into the pathopsychology of AN. We were particularly interested in neuronal and autonomic responses during error processing and their association with behavior. METHODS We analyzed 16 acute patients suffering from restrictive type AN and 21 healthy controls using functional magnetic resonance imaging (fMRI) with simultaneous physiological recordings during a Go/Nogo response inhibition task. Data were corrected for noise due to cardiac and respiratory influence. RESULTS Patients and controls had similarly successful response inhibition in Nogo trials. However, in failed Nogo trials, controls had significantly greater skin conductance responses (SCR) than in correct Nogo trials. Patients did not exhibit elevated SCR to errors. Furthermore, we found significantly increased neuronal responses, especially in the amygdala and hippocampus, in controls compared to patients during error trials. We also found significant positive correlations in controls but not in patients between Nogo performance and activation in the salience network core regions after errors. CONCLUSION Acute restrictive type AN patients seem to lack neuronal and autonomic responses to errors that might impede a flexible behavior adaption.
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Affiliation(s)
- Stefanie Suttkus
- Lab for Autonomic Neuroscience, Imaging and Cognition (LANIC), Department of Psychosomatic Medicine and Psychotherapy, Jena University, Jena, Germany
| | - Andy Schumann
- Lab for Autonomic Neuroscience, Imaging and Cognition (LANIC), Department of Psychosomatic Medicine and Psychotherapy, Jena University, Jena, Germany
| | - Feliberto De la Cruz
- Lab for Autonomic Neuroscience, Imaging and Cognition (LANIC), Department of Psychosomatic Medicine and Psychotherapy, Jena University, Jena, Germany
| | - Karl-Jürgen Bär
- Lab for Autonomic Neuroscience, Imaging and Cognition (LANIC), Department of Psychosomatic Medicine and Psychotherapy, Jena University, Jena, Germany
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Isherwood SJS, Keuken MC, Bazin PL, Forstmann BU. Cortical and subcortical contributions to interference resolution and inhibition - An fMRI ALE meta-analysis. Neurosci Biobehav Rev 2021; 129:245-260. [PMID: 34310977 DOI: 10.1016/j.neubiorev.2021.07.021] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2021] [Revised: 07/08/2021] [Accepted: 07/16/2021] [Indexed: 01/19/2023]
Abstract
Interacting with our environment requires the selection of appropriate responses and the inhibition of others. Such effortful inhibition is achieved by a number of interference resolution and global inhibition processes. This meta-analysis including 57 studies and 73 contrasts revisits the overlap and differences in brain areas supporting interference resolution and global inhibition in cortical and subcortical brain areas. Activation likelihood estimation was used to discern the brain regions subserving each type of cognitive control. Individual contrast analysis revealed a common activation of the bilateral insula and supplementary motor areas. Subtraction analyses demonstrated the voxel-wise differences in recruitment in a number of areas including the precuneus in the interference tasks and the frontal pole and dorsal striatum in the inhibition tasks. Our results display a surprising lack of subcortical involvement within these types of cognitive control, a finding that is likely to reflect a systematic gap in the field of functional neuroimaging.
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Affiliation(s)
- S J S Isherwood
- Integrative Model-Based Cognitive Neuroscience Research Unit, University of Amsterdam, Nieuwe Achtergracht 129B, Postbus 15926, 1001 NK, Amsterdam, the Netherlands.
| | - M C Keuken
- Integrative Model-Based Cognitive Neuroscience Research Unit, University of Amsterdam, Nieuwe Achtergracht 129B, Postbus 15926, 1001 NK, Amsterdam, the Netherlands
| | - P L Bazin
- Integrative Model-Based Cognitive Neuroscience Research Unit, University of Amsterdam, Nieuwe Achtergracht 129B, Postbus 15926, 1001 NK, Amsterdam, the Netherlands; Max Planck Institute for Human, Cognitive and Brain Sciences, Leipzig, Germany
| | - B U Forstmann
- Integrative Model-Based Cognitive Neuroscience Research Unit, University of Amsterdam, Nieuwe Achtergracht 129B, Postbus 15926, 1001 NK, Amsterdam, the Netherlands
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Déli E, Kisvárday Z. The thermodynamic brain and the evolution of intellect: the role of mental energy. Cogn Neurodyn 2020; 14:743-756. [PMID: 33101528 DOI: 10.1007/s11571-020-09637-y] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2019] [Revised: 07/20/2020] [Accepted: 09/16/2020] [Indexed: 02/07/2023] Open
Abstract
The living state is low entropy, highly complex organization, yet it is part of the energy cycle of the environment. Due to the recurring presence of the resting state, stimulus and its response form a thermodynamic cycle of perception that can be modeled by the Carnot engine. The endothermic reversed Carnot engine relies on energy from the environment to increase entropy (i.e., the synaptic complexity of the resting state). High entropy relies on mental energy, which represents intrinsic motivation and focuses on the future. It increases freedom of action. The Carnot engine can model exothermic, negative emotional states, which direct the focus on the past. The organism dumps entropy and energy to its environment, in the form of aggravation, anxiety, criticism, and physical violence. The loss of mental energy curtails freedom of action, forming apathy, depression, mental diseases, and immune problems. Our improving intuition about the brain's intelligent computations will allow the development of new treatments for mental disease and novel find applications in robotics and artificial intelligence.
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Affiliation(s)
| | - Zoltán Kisvárday
- MTA-DE Neuroscience Research Group, University of Debrecen, Debrecen, Hungary
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Bär KJ, Köhler S, Cruz FDL, Schumann A, Zepf FD, Wagner G. Functional consequences of acute tryptophan depletion on raphe nuclei connectivity and network organization in healthy women. Neuroimage 2019; 207:116362. [PMID: 31743788 DOI: 10.1016/j.neuroimage.2019.116362] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2019] [Revised: 11/09/2019] [Accepted: 11/13/2019] [Indexed: 01/01/2023] Open
Abstract
Previous research on central nervous serotonin (5-HT) function provided evidence for a substantial involvement of 5-HT in the regulation of brain circuitries associated with cognitive and affective processing. The underlying neural networks comprise core subcortical/cortical regions such as amygdala and medial prefrontal cortex, which are assumed to be modulated amongst others by 5-HT. Beside the use of antidepressants, acute tryptophan depletion (ATD) is a widely accepted technique to manipulate of 5-HT synthesis and its respective metabolites in humans by means of a dietary and non-pharmacological tool. We used a double-blind, randomized, cross-over design with two experimental challenge conditions, i.e. ATD and tryptophan (TRP) supplementation (TRYP+) serving as a control. The aim was to perturb 5-HT synthesis and to detect its impact on brain functional connectivity (FC) of the upper serotonergic raphe nuclei, the amygdala and the ventromedial prefrontal cortex as well as on network organization using resting state fMRI. 30 healthy adult female participants (age: M = 24.5 ± 4.4 yrs) were included in the final analysis. ATD resulted in a 90% decrease of TRP in the serum relative to baseline. Compared to TRYP + for the ATD condition a significantly lower FC of the raphe nucleus to the frontopolar cortex was detected, as well as greater functional coupling between the right amygdala and the ventromedial prefrontal cortex. FC of the raphe nucleus correlated significantly with the magnitude of TRP changes for both challenge conditions (ATD & TRYP+). Network-based statistical analysis using time series from 260 independent anatomical ROIs revealed significantly greater FC after ATD compared to TRYP+ in several brain regions being part of the default-mode (DMN) and the executive-control networks (ECN), but also of salience or visual networks. Finally, we observed an impact of ATD on the rich-club organization in terms of decreased rich-club coefficients compared to TRYP+. In summary we could confirm previous findings that the putative decrease in brain 5-HT synthesis via ATD significantly alters FC of the raphe nuclei as well as of specific subcortical/cortical regions involved in affective, but also in cognitive processes. Moreover, an ATD-effect on the so-called rich-club organization of some nodes with the high degree was demonstrated. This may indicate effects of brain 5-HT on the integration of information flow from several brain networks.
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Affiliation(s)
- Karl-Jürgen Bär
- Psychiatric Brain and Body Research Group, Department of Psychiatry and Psychotherapy, Jena University Hospital, Jena, Germany.
| | - Stefanie Köhler
- Psychiatric Brain and Body Research Group, Department of Psychiatry and Psychotherapy, Jena University Hospital, Jena, Germany
| | - Feliberto de la Cruz
- Psychiatric Brain and Body Research Group, Department of Psychiatry and Psychotherapy, Jena University Hospital, Jena, Germany
| | - Andy Schumann
- Psychiatric Brain and Body Research Group, Department of Psychiatry and Psychotherapy, Jena University Hospital, Jena, Germany
| | - Florian D Zepf
- Department of Child and Adolescent Psychiatry, Psychosomatic Medicine and Psychotherapy, Jena University Hospital, Friedrich Schiller University, 07743, Jena, Germany
| | - Gerd Wagner
- Psychiatric Brain and Body Research Group, Department of Psychiatry and Psychotherapy, Jena University Hospital, Jena, Germany.
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Abstract
Traumatic experiences are associated with increased emotional arousal. Overnight consolidation strengthens the episodic content of emotional memories, but it is still unclear how sleep influences the associated arousal response. To investigate this question, we compared the effects of sleep and wake on psychophysiological and subjective reactivity during emotional memory retrieval. Participants provided affective ratings for negative and neutral images while heart rate deceleration (HRD) and skin conductance responses (SCRs) were monitored. Following a 12-hour delay of sleep or wakefulness, participants completed an image recognition task where HRD, SCRs and affective ratings were recorded again. HRD responses to previously-encoded (“old”) negative images were preserved after sleep but diminished after wakefulness. No between-group difference in HRD was observed for novel negative images at recognition, indicating that the effects of sleep for old images were not driven by a generalised overnight increase in visceral activity, or circadian factors. No significant effects of sleep were observed for SCRs or subjective ratings. Our data suggest that cardiac arousal experienced at the time of encoding is sensitive to plasticity-promoting processes during sleep in a similar manner to episodic aspects of emotional memory.
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Schumann A, Köhler S, de la Cruz F, Güllmar D, Reichenbach JR, Wagner G, Bär KJ. The Use of Physiological Signals in Brainstem/Midbrain fMRI. Front Neurosci 2018; 12:718. [PMID: 30386203 PMCID: PMC6198067 DOI: 10.3389/fnins.2018.00718] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2018] [Accepted: 09/19/2018] [Indexed: 11/13/2022] Open
Abstract
Brainstem and midbrain nuclei are closely linked to cognitive performance and autonomic function. To advance the localization in this area, precise functional imaging is fundamental. In this study, we used a sophisticated fMRI technique as well as physiological recordings to investigate the involvement of brainstem/midbrain nuclei in cognitive control during a Stroop task. The temporal signal-to-noise ratio (tSNR) increased due to physiological noise correction (PNC) especially in regions adjacent to arteries and cerebrospinal fluid. Within the brainstem/cerebellum template an average tSNR of 68 ± 16 was achieved after the simultaneous application of a high-resolution fMRI, specialized co-registration, and PNC. The analysis of PNC data revealed an activation of the substantia nigra in the Stroop interference contrast whereas no significant results were obtained in the midbrain or brainstem when analyzing uncorrected data. Additionally, we found that pupil size indicated the level of cognitive effort. The Stroop interference effect on pupillary responses was correlated to the effect on reaction times (R 2 = 0.464, p < 0.05). When Stroop stimuli were modulated by pupillary responses, we observed a significant activation of the LC in the Stroop interference contrast. Thus, we demonstrated the beneficial effect of PNC on data quality and statistical results when analyzing neuronal responses to a cognitive task. Parametric modulation of task events with pupillary responses improved the model of LC BOLD activations in the Stroop interference contrast.
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Affiliation(s)
- Andy Schumann
- Psychiatric Brain and Body Research Group Jena, Department of Psychiatry and Psychotherapy, Jena University Hospital, Jena, Germany
| | - Stefanie Köhler
- Psychiatric Brain and Body Research Group Jena, Department of Psychiatry and Psychotherapy, Jena University Hospital, Jena, Germany
| | - Feliberto de la Cruz
- Psychiatric Brain and Body Research Group Jena, Department of Psychiatry and Psychotherapy, Jena University Hospital, Jena, Germany
| | - Daniel Güllmar
- Medical Physics Group, Institute of Diagnostic and Interventional Radiology, Jena University Hospital, Jena, Germany
| | - Jürgen R. Reichenbach
- Medical Physics Group, Institute of Diagnostic and Interventional Radiology, Jena University Hospital, Jena, Germany
- Michael Stifel Center for Data-driven and Simulation Science Jena, Friedrich Schiller University Jena, Jena, Germany
| | - Gerd Wagner
- Psychiatric Brain and Body Research Group Jena, Department of Psychiatry and Psychotherapy, Jena University Hospital, Jena, Germany
| | - Karl-Jürgen Bär
- Psychiatric Brain and Body Research Group Jena, Department of Psychiatry and Psychotherapy, Jena University Hospital, Jena, Germany
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